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You really think endocrinologists have no training in diet and lifestyle?

Well, what can I say. No?




> On average, U.S. medical schools offer only 19.6 hours of nutrition education across four years of medical school

https://health.usnews.com/wellness/food/articles/2016-12-07/...


That's for basic med school education. Happily, medical education doesn't stop at the end of med school. It is more like, beginning just at that moment. Otherwise many more patients would die.

So yes, on paper you're right. In practice, there are even clinical nutrition specialists and those are MDs.


In practice, nutritional interventions are much less favored over drug interventions.

For example, a simple ketogenic diet intervention can be a very effective treatment for type 2 diabetes. But most doctors still favor the 1960s-era, discredited science saying dietary fat causes heart disease.

So diabetics are given metformin and whatever fancy new insulin came out recently. And then in 20 years, those people will likely lose their feet and eyes.


Diet and lifestyle changes are first line as per current guidelines.

Drugs are initially optional, unless I am mistaken. However, you seem very optimistic regarding the ability of people to follow diets.




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