The prevailing paradigm of obesity as an energy balance disorder was adopted without sufficient testing and became dogma, which has been a problem.

“i think the problem here is that when you entered the field there was a paradigm a way of thinking about obesity that seemed to so intuitively obvious this idea that it's an energy balance disorder that you never questioned it and certainly your you know your mentors didn't question and so you were assumed this had been well tested and well proven and you know uh unambiguous and that it deserved to be dogma and it hadn't been and it didn't and that's been a problem ever since”

“i think the problem here is that when you entered the field there was a paradigm a way of thinking about obesity that seemed to so intuitively obvious this idea that it's an energy balance disorder that you never questioned it and certainly your you know your mentors didn't question and so you were assumed this had been well tested and well proven and you know uh uh unambiguous and that it deserved to be dogma and it hadn't been and it didn't and that's been a problem ever since”