Years ago, while caring for adults in a suburban internal medicine practice, I began to observe an interesting phenomenon. At the time, it was not unusual for my patients to bring along their children or grandchildren, fresh from a prior pediatric appointment just across the hall. Beautiful, bright-faced, chubby, usually well-behaved children. Their pediatricians’ well-intended recommendations on reducing rates of weight gain consisted of the standard, usually unsuccessful, content. My patients’ expressions told me that the advice was tiresome and frustrating. If they knew how to fix this problem, they told me, they already would have.  Continue reading →