LLP110: Battling Childhood Obesity with Dr. Candice Jones

Lets Talk about Childhood Obesity...

On this week's episode of the Lunch and Learn with Dr. Berry we have a special treat in store with Dr. Candice Jones, who is a board certified pediatrician and host of the wildly popular podcast KIDing Around with Dr. Candice. Being an Internist gives me the opportunity to speak on a wide range of topics affecting adult medicine but one of the questions I always got from the Lunch and Learn community was about children and before this week I didn't have any answers.

Fortunately this week Dr. Jones lends her expertise to bring to light a much-needed discussion on childhood obesity. I talk a lot about adulthood obesity and its many ramifications but obesity doesn't just start to affect us when we turn 18.

Thankfully I got an expert to teach the Lunch and Learn Community about the topic at hand including some of the common risk factors associated with childhood obesity, complications and treatment options.

We also get to talk about how much obesity has changed her practice over time because if you think only the adults are affected you have another thing coming.

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Links/Resources:

Official website - www.drcandicemd.com Twitter - www.twitter.com/drcandicemd Facebook - www.facebook.com/drcandicemd Apple podcast - KIDing Around with Dr. Candice Youtube - Candice W Jones Book Recommendations

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Download Episode 110 Transcript

Episode 110 Transcript...

Dr. Berry:
Alright, Lunch and Learn community. Like the intro says, we have an amazing guest. You guys know like, I love patient care. I love to talk about my adults, but I got purposely stressed talking about my adults because you know kids aren't really my thing. But this person here and you've heard a little bit about her in the intro, but of course I want her to introduce herself to Lunch and Learn community. We have Dr. Candice Jones here. First of all thank you for coming to the show.

Dr. Candice Jones
Thank you for having me and I'm excited about it.

Dr. Berry:
Well so, Dr. Candice, please tell the Lunch and Learn community a little bit about you. You know, who you are? You know, how you got to where you're at? And before we really get this deep dive into obesity, especially in children.
Dr. Candice Jones

Yes, so I'm Dr. Candace Jones. I called by Dr. Candice. Some people call me Dr. Jones. But anyway, I'm a General Pediatrician. Board certified pediatrician and I love, love, love kids. I love the fact that I can take this new born baby and help the parents with other wonderful baby questions, especially moms and literally follow them throughout their life. That's the best case scenario for pediatrician to grow and be a part and nurturing part of a family's life and see a child grow from a child to an adult is just absolutely amazing. I think you get that anywhere in medicine. So I love that, and I even love the crazy teenage years, although struggles as well. It's a welcome challenge on my part. So I see patients, I see kids from birth up to 21 and I also, the past few years got interested in spreading evidence-based correct medical information because as we all know everybody googling, right? And also social media. There's so much information out there. But unfortunately, a lot of people just read what they see and they don't know what's true and what's not true. What's fake news and I hate used this word but yeah. Anyway, and so I saw as you do Dr. Berry, they call to, you know counteract some of that misinformation. Well these guys gonna giving bad information and we have to, not only let step up outside of our exam room. Lot consultant there, the one patient and family and reach the masses and give them correct information so I'm a part of that just like Dr. Berry so that people can get reputable, credible kid health information and probably, families to make sure kids are happy and healthy. So I have a podcast kidding with Dr. Candice. I have social media platform on all social media. If you have say platforms, website, and you gonna mention that you have that information so I'm just gonna do my part.

Dr. Berry:
Definitely, I think, I love how you stress affect that is, you know, evidence face like factual information. It's interesting, you know, We sit back and you know you see all of the stuff kinda, stream across TV, because our social media and kinda shaking our head because we know is not t Definitely, I think rue, but we also know that's a lot of people who don't and take that leap of faith that you know what, I’m okay right because we would be okay if we just talk to our patients in the clinic. But calling that, we have that we have this as you know I like I gotta make sure that like I can reach that person in California, in Boston, in New York or wherever your listen to how where you listen to the show. I want to be able to reach out to you and say like no, no, no. This is like the actual truthful information that you should be following along.

Dr. Candice Jones:
That's right, was just not enough anymore like you said I was pleasantly surprised when I look at some of my analytics recently like, oh my God! People watching from London, people watching from, you know? So it just gives you the world stage when you go media and so not there were looking for that. Though our goal is to reach people everywhere with truthful health information.

Dr. Berry:
I love it. So today, again we will talking about obesity, which is has been a hot topic. Actually, is also a hot topic especially in healthcare. But most importantly, especially in the beginning of the year when people are trying to lose weight. You know, the new year resolution are hopefully still going strong and you know, they trying thick, they trying to get thin. Whatever their health goal is and from an adult and guys you know, Lunch and Learn community. You know, I don't have, I get tell you, you already know some the facts right? 40% of people are obese. Almost 94 million here in the US. All these related conditions, diabetes, hypertension, stroke, some cancer. There is, actually an article that said that if you're obese have a high risk for cancer, which is crazy. You know how much obesity cost this country and in fact the rate of obesity is triple since 1975 right? So this problem that we really need to get a hold of and as an internist, I take care of the old those who are, who are trying to lose weight right but precious article able tell us right like they didn't just get obese right when they hit 18 right? It's been something that kinda starting the beginning. I thought it was only right to get on the chemist on the shoulder. Really does, again, guys I said it before and I'm terrify that kids, like I love minds right? But when they get sick, I get scared too. I know my limits so I want to get someone who like this is their field, this is the expert. So why not give it to the kid experts, talk to us about her experience on child obesity and what she kinda sees on a day-to-day basis.

Dr. Candice Jones:
Right, so we know that epidemic that you talked about, those dark stats are similar in children. So one in five children are obese in the United States. That's about 13.7 million children. So that epidemic stat is and what so concerning is that the incident or the health disparity there of being higher in African-American and Spanish communities. And so we definitely, we know all the fallout and I'm sure we gonna talk about that from obesity is not just about looks or body image. It's about real health problems, mental and physical and so that's why we have to do something about it.

Dr. Berry:
It's so strange especially, we just talk about obesity because I think a lot of times people really do look at it as an adult related illness, but it tells, it’s like something that you guys have to think about as early as newborns in stand point.

Dr. Candice Jones:
Yes, we definitely have obese babies and I talked about that a lot. And what we know now. See, parents are relaxed and they don't think about how obesity in their newborn or their toddler because there's the old adage of, as she gets taller or as they start running around and outgrow it and we do see plateau like that and development. But what we're seeing now because this epidemic is really bad. We are saying obese babies turning to obese children, turning to obese adolescents and turning to obese adults, it never goes away. You are not outgrowing it, you are not running it. You know, want it all and we know the reason there. All the screen time and sedentary lifestyle and terrible eating habit. Kids are not outgrowing, their thickness, their baby fat. Like what you said, that happened 30 years ago, that tripling obesity rate we seen over the past 30 years. So that's why we have to do something about this. Obesity, childhood obesity, obesity and all of it, is preventable and manageable. And so that's what I try to stress appearance that let's start thinking about this now because I don't want you coming to me with 10 or 15 and they were complaining we had all the fallout and you are upset about his weight when we can talk about and present this from an early age.

Dr. Berry:
I guess, a question I have, what do you tell the parents? Like, what the parents said, my baby is overweight, they big, like what did I do wrong? Every time I figure out, is this something that they could have done to prevent?

Dr. Candice Jones:
Right, you know most of the time, in my clinical experience, parent have not cope a child overweight or obese and told her that pre-teen and teenage years where is causing problems with bullying or the child that liken their size or people starting to tease them or the parents right in their face, oh this is the problem. There is the point where we get like, you weight too much. We gonna do something about it. But they missed it for years. So I'm telling, you know, for those parents we know, most parents gonna bring their children to the pediatrician, whether they sick, or they well, to get shot for their physical. So years before, I have been telling you that your child is here on the growth chart. Your child's body mass index is here. This is overweight range. So I telling parents and young people that your child's fall in the overweight category or they getting close. They sterling defense. Often times I tell my teenage girl because they really care. You know, your own defense of overweight. Couple more potato chips. And they started laughing. I'm like, literally that's what it translates into a big girl on some potato chips. You're over defense. Right. And so, we took, that's why you need to be seeing, taking your child into their pediatrician to have regular well visit at least yearly and having that discussion. How having that growth? How's their weight? How's their blood pressure? How would you know that doctor should be doing that and telling you what these numbers are showing you the growth chart. It shouldn't be a surprise. Now, the second issue is, parents not accepting that. A lot of parents do and they receive the information. Can you hear me? Talking?

Dr. Berry:
Oh yes. I talk to Lunch and Learn community because I know some of you parents who listen, no, she isn’t talking to me. No, she is, she is.

Dr. Candice Jones:
Right. Let me tell you. I have parents who coming to the clinic and they have a paper which I love this program, I love initiative from the school and it says, they're telling the parent they have to bring their child to me because they met criteria for overweight and obesity. So the children, the schools are screening. (Interesting). Right. Yes, love it, and I go ohm.

Dr. Berry:
When did it started?

Dr. Candice Jones:
Oh! my God, I can see it now for about three years. (Wow! Ok.) I'm not like, sure. I should know that, I don't know is there any date. But I go, uhm. According to my note, I've been telling you that four or five. You know, but I go, but whatever it takes to make you hear it. But they upset, they are offended. There, that's embarrassing to my baby. How dare you to say my baby is fat. I don't appreciate this. They have to come in because you said my baby is fat. They mad on the school. Not all the time, but sometimes. And so, but I welcome and I tell them, I really commend school for doing this because this is how serious this is. They feel that they are lane. Like, school shouldn’t be getting involved with this. Yes, they should. You know, this is what public health is all about. And so I explained that and I say, I'm glad you're here. I've glad they've done this. But this is what we've been showing you. This is what this means. Let's talk about it again. And so a lot of times, then I hear, all of us are big, right? This gonna be big. Like everybody's uncle. Everybody. And I heard, these excuses come. So is just have big bone. She outgrow anyway. Don't worry about it. I think she looks fine. I think she looks good. She's strong, she's healthy, she's keeping with other kids. They literally look at their child and think they look great. And then I also have parents with multiple kids, they bring the normal weight, we're in the right range on your growth chart and say this baby is too skinny, do something about it if she sick. And they have other kids who are off the chart, and that child looks healthy. They don't get it. So we're eyeballing it.

Dr. Berry:
Too many cultural differences associated with?

Dr. Candice Jones:
Absolutely. You know, different cultures eyeballing differently. You know, we like PHHT set, right? We like little, you know, kids to be little don't like fat and hefty looking right? It is definitely culturally. I heard the stories of and read about the phenomenon of cultures. From India to Africa, all over. Where, if you're wealthy, you're fit, right? You have money. You have food. You have everything. That's the sign of richness and having it all and great. But when you're skinny, that maybe the people who are perceived as being examined, not half, right? And so definitely, I definitely see it with my Asian families. You know, here in Orlando we're very diverse. Hispanic, Caribbean families, African, it just huge diverse in my patient population. I hear Spanish, I hear Korean, I hear French, I hear English, I hear everything. And so I definitely see it with my Hispanic families, my Haitian families. They concerned about their child is underweight, when the child is perfectly normal.

Dr. Berry:
It is so funny. You start losing some weight around some Haitian families and they start looking at you (Oh yeah, that's the problem). You are sick? What's happening?

Dr. Candice Jones:
And to the extent of, I have sat down of my best friend and office manager in our clinic station. And so we can go in the room together, we text him, we talked and some of the dishes the things they do to sat kids up is absolutely amazing. The recipe is…

Dr. Berry:
As a proud Haitian, I can tell you my diet growing up, they are joking, like it was really rice, some type of sauce and some type of meat. I was like, five to six days a week.

Dr. Candice Jones:
Right, rich season, all of that. Yes.

Dr. Berry:
Taste amazing. But you are like, oh my God. Oh yeah.

Dr. Candice Jones:
Yeah, absolutely and you know, it is dish is so rich more than pedia sure. Be pedia sure, any of that. Yeah.

Dr. Berry:
It is very interesting, especially when you have these parents who are who are such kind of deflecting, right? They don't want to say that. I'm the one putting the food in my child mouth. Because I feel especially when we talk about child who are, obesity. I don't wanna say victim. I feel like, what can the child actually do? My parents are the one giving me the food. I just eat.

Dr. Candice Jones:
It's a learn behavior. It's behaviors. It’s practices. Let's go back a little bit. Obesity even in adults or in children is most factorial. People want to know why. And so there is a component of what you eat. If you said interior activity level and that's behavioral and lead by what and how your environment is and all that stuffs. There still though, components to genetic. Those previous position and also even medical history. So some children. I ask some, fully control. I'm not gonna running around like everybody else I have thyroid condition. I had an increased risk of gaining weight. And so, there is some of that. We don't totally blame the parents. But a lot of it is behavioral and learned behaviors that promote, put us at risk for gaining weight and keeping weight on. Absolutely. Yeah.

Dr. Berry:
Of course you gonna hear, I already hear my listeners of Lunch and Learn, what about the video games?

Dr. Candice Jones:
Yes. Let's talk about it. That a huge, you know, that is, this the trend now, this generation. And I think, it has added to that tripling over the last 30 years. Because we know, this screen time thing is causing comes in every area. It's causing constant sleep which can affect the obesity. Is causing problems with learning. Is causing problems with behavior and is causing problems with obesity because of promoting a sedentary lifestyle. So when your child becomes addicted or spends too much time on screens, whether it's their smart phone, social media, playing video games or just watching TV. They are not moving and you know what else goes with that? Snacking. Having something and drinking, eating, and playing and that's it. And then also psychological. They isolate. And so there's those effects as well. So it's affecting everything about our children and so we definitely need to be cutting back on screen time and you know, there's a whole. I will just differ people to maybe the American Academy Pediatric, healthychildren.org website. They have a family media use clan and it so important to develop a customized plan for your family. What's fit your family for all ages of your children. Because you know, babies on that stuff now and then make that plan with your family. Put it up and that gives you all the guys to make sure your limiting, so your children can go out and play. You guys can play together. They can do their homework. They get enough sleep. Especially our teenagers, we cut all that stuffs. But it all plays in together and that's promote obesity.

Dr. Berry:
When we talk, when we have these kids who kick the school, sending letters and you're saying like, hey a child is overweight, a child is obese and in your having to explain to parents, like if we don't get a whole that is not right, they become adult with all these related issues right? Is there any issue that you tend to see happen even when they're young at that age? Because they are overweight. Because they are obese. I know we talk about not sleeping, the school…

Dr. Candice Jones:
I sure do. I sure do. So we are saying children developing conditions, obesity related conditions in childhood. So children developing type II diabetes. Children do have. I have patients with elevation in their cholesterol. That may be familial. But a lot of his weight and we can get down once they lose weight. We do have children who are depressed, suicidal, being bullied. So all the psychological ramification of obesity.

Dr. Berry:
Hearing all of this issues that in complications that foreseen now being seen in children. Like what are some of the treatment options and treatment recommendations that you give the parents?

Dr. Candice Jones:
Right. So what I first tell parents to explain what's going on and probably scared them to death right? I definitely tell them the good news is our hope is not lost right? Kids are resilient and we can dealt this back and that's the goal of my recommendation. So again it's preventable and it's manageable. This is what I recommend. We gonna work on this together right? And so first, I will have regular follow-up in check. So like I said before, you should know where your child. Is your child over weight? Is your child obese? And says those fact. Regular checkup right? And then once they're obese. We gonna have follow-up. We gonna have this plan. We gonna have follow-up to try to see how you're doing with your weight. Second, I talk to parents about those recommendations. I like to tell them about things that they can remember the 5210 rule. 5210 rule and so that's my 5. You want to make it simple for them. 5 to 6 servings of foods and vegetables every day. We talking about having the healthy diet, right? Less than 2 hours of screen time. That not only cuts down on all the issues of screen time but also will push them to be more active, which ties into the one which is one hour of physical activity every day. So I'm encourage them to get their children involve in activity. Work out together, walk right, bike, hit more, get outside more or put them in a sport that every day in small increments for an hour. They need to be doing some moderate activity where, they can't just talk through it. They sweat a little bit, right? And then zero is really trying to strive for zero sugary drinks and snacks. (You gonna) (laughing) You gonna tell parents there. I told parents the 80-20 rule. 80% of the time, if you do this things, especially the sugary drinks because I'll be realistic. 80% of the time, if you can do that. At least don't have it in your house. You know what I mean? If you guys go out in the weekend or you have something coming up. Then don't stress about and do what they want to do. But you gonna start cutting that. And that's the goal. To get the sugar out of the snack and the sugar out of the drink because you know kids... I just read this stat that I shared in social media. They drinking the equivalent of bathtub full of sugar. Just in their drinks alone. So if we can cut that. In a year time. If we can cut sugar on drinks and some of the snacking. Well put it that. So they’re eating fruits and vegetables, limit their screen time, exercising and cutting back on sugar drinks and snacks. That's it. I think. I believe it.

Dr. Berry:
Do you find especially the parents that you take care of that seems to be a huge, like maybe not eating a lot of food, but their drinking a lot of calories from a general total calories sample? Do you feel like drinking more than eating or got some who eat just as much as they drink?

Dr. Candice Jones:
I have a little bit of both. I have some kids that parents say I cannot stop this child to eat and we know kids go through growth spurt. And he or she just wants to eat all the time. We couldn't just eat the meal and she says she is hungry again. So we know there's a whole group of kids are like that. They're just overeating, they're hunger, center. Is just always on, right? And so we have to work around that. And there are programs for that maybe. And we do have some kids that just constantly drink sweet drinks. They don't want water, they can't stand water. So there are sugar, juice, sweet tea, everything. And parents see that innocent. They’re not counting that in. Even if you talking people about their eating, they just equate obesity to eating. They not even counting the drinks. So we really have to talk to them about that. My other thing I talk to parents about is eating clean, green, lean and as a teen.

Dr. Berry:
I just want to stress that. Nobody think about, your kid gotta eat.

Dr. Candice Jones:
You have to model it. You can't isolate that child who’s overweight or obese and cut everything out of their life and focus on them losing weight. And you are in the same predicament or you know is just not fair. It's a family affair. You need to support them. Everybody needs to change. We need to take inventory the house, what is in the house. And change the stuffs and what we’re buying, bringing into the home. That's how we support that child, for sure. So quickly, clean eating is, as we know, reading labels and trying to eat real, whole foods and not all of these packaged process high -salt, high-fat, high calorie, sugary things. So I have a whole lot of kids that their main staple of eating is cereal and noodles. That's a problem. (Well,ok) Yeah, that's a lot of unclean eating. Right? Green eating, as we say, 5 to 6 servings of fruits and vegetable every day, that make sense Lean. I have families who only wanted to drink cold milk. Child's 200 pounds, you still to drink cow milk. That's the problem. You know what I mean? We can make tweaks. You know. Cooking with olive oil. Not frying everything. You know. Learning how to steam and bake can all these, other ways to cook. To make sure that those unhealthy fat are out of our food. That's so important. And we talk about teen. It's so important to do it together. (I love it.) And you know, for those children who are overweight or obese. Or even children were not and they had abnormalities with their exam. So the child has a chance to diagnosis cans around the back of the neck. You see that in an adult. As a sign of insulin resistance, which is a sign of pre, possibly will be called pre-diabetes, right? That the pancreas on or insulin and this fat is causing problem in the body, right? If I see that or you're at 95% top of bodies index over and I'm doing some lab work and you have elevation in your cholesterol. Your A1C is elevated or your insulin level is elevated. Your blood pressure. Maybe a little elevated. So by getting any of that data, then those of the children that we need to be a little bit more focused on losing weight. Because most of the management of that, is to get them to lose weight. In so we can work with nutritionist, dietitian. There are comprehensive weight loss programs for children and most academic centers. We can put those children in those programs. Even on my podcast, I have spoken with bariatric surgeons were now seeing bariatric surgery in adolescent way to treat some of those you know, reverse cholesterol issues, diabetes in those types of things.

Dr. Berry:
So now, actually a very interesting episode, because now, like magic. Because again, I'm naive, right? If you not 18, I don't even see you. I don't even see you and I don't care. So, I was like, wow! Pediatric surgery? There is a type of this now? I don't even know that was lane for them.

Dr. Candice Jones:
Yes, some of these kids are 3, 400 pounds, they're severely obese and have all of the problems of obesity and certainly that is an option for them to start reversing those, those medical problems.

Dr. Berry:
Wow! Yeah. I know. This episode definitely kinda do me because I was like, oh ok, alright.

Dr. Candice Jones:
It's serious. (laughing)

Dr. Berry:
It's a problem. Again, I think a lot of my patients, I work in the hospitals so I get. When we talk about complications, I get the ones, who get stroke. I get the ones to get a heart attack. I get the ones with uncontrolled diabetic. And now we talk about kinda foot off. Like I get the end-stage, end-stage. And you here Dr. Candice telling you if we can get you early.

Dr. Candice Jones:
Yes. Early detection.

Dr. Berry:
If we could stop that early, you wouldn’t have to see me. You wouldn’t have to see me with a heart attack. You wouldn’t have to see me with a stroke. You wouldn’t have to see me because your blood sugar is out of controlled. But the problem is you and you see me because you're not taking care of it. Again, I don't want to blame the kids. That's why I'm talking to Lunch and Learn community, I'm talking to you parents that you know that your child is a little bit on heavier side, right? You know. You've been told. Now, that the schools are telling you all now. So, (laughing) a lot of times, sometimes toward, going to the doctor, right? But now the schools are saying, oh oh you got hammered with, wow, it's interesting.

Dr. Candice Jones:
So there is no, you know, there's one thing about awareness. I didn't know. But, in most cases you are aware. So let's stop rushing this on the rug, to being in denial and let's do the work, need to do for our kids.Because you are so right. We, I don't want any child as an adult to have to go to the things that you're dealing with as an adult medicine position. We can prevent this though. In most cases, we can prevent these stff. And I always say, in our community, we love calling Jesus and with all prayer warriors togeher. Like you said, when the heart and slip getting cut-off, I'm always thinking, that's fine now but that's reactionary. We need to be more proactive and prevent it in the first place. That God is in that too. Yes. Yeah.

Dr. Berry:
I love it. I have questions. From obesity standpoint, I know as an adult physician, a lot of the stuffs that I will learned, I've had to learn outside of my traditional training. Do you feel like, this is this is something that's kind of being intertwined in the training as a pediatrician or this is something awful that you kinda have to, you kinda go outside to get really a good handle on what was happening?

Dr. Candice Jones:
Absolutely, you know, as physicians, with most things, as physicians we definitely have to be lifelong learners and you have to know how you learn and for me I think that God put this interest in me. Because He knew that's how I would best learn. So not only this is for my patients, in the masses and parents etc. It's for me. I'm learning. It constantly keeps me reaching out to the experts, reading the latest studies, staying current with management so I can come back and share with my parents and with my patients. So we definitely have, if we just, are operating as doctors on what we learned in medical school, we're already behind. We're not up to date. So we definitely have to stay on it. And then, you know, medical school and residency can’t teach us everything so we are responsible for filling in the gap. You know a perfect example of that, and something that can tie in obesity and how it so difficult for some people to lose weight even children and families is aces. I just learn about ever childhood experience or childhood trauma and toxic stress about three or four years ago in the process of my, doing my podcast never was taught in medical school never was taught in residency and here now I know it is a silent epidemic that takes every part of our life and in our health. (Wow).You know what I mean? We should be screaming and wasn't doing screening or anything. Yeah. You know, it's amazing that I learned on my own, just in the last few years so we always have to be learning.

Dr. Berry:
Always learning. Aright physicians, you heard that. You gonna learn. You keep learning. Really it's a life or death situation. Again, it may seem like a cookie here in a juice box there but again it's it's medications over here and medication over there in the hospital visit over its add and builds. So, for my parents were listening, we definitely want to stress, like we gotta be on it for our kids and not to our kids. Chemist said, it's a team thing right. So when you have sweet and yum, making stages very good. You most likely, again not all the time. But most likely you got to make some of the changes in your own health and your own diet as well.

Dr. Candice Jones:
That's right. I always tell parents, its start to have to, for the very first time we started, we start putting food in their mouth, even the cereals. Packing in cereals in the bottles. Before we have to alter the nipples. I mean, we just to start over feeding and giving. Can't wait to give you french fries and chicken. You know (laughing). Why? Slow down. Start with the high chair and we have to figure out our problem's area. This child's problem area may not be over eating, but this child maybe he just eat for some vegetables. Whatever your problem area is and work on that and make those small adjustments and keep working with your doctor and you can do it.

Dr. Berry:
Perfect. Before we let you go, I always like to ask, how can, what you do empower other parents to really take better control of their children's health overall?

Dr. Candice Jones:
Well, I would say taking all this information. Dr. Berry, what he's putting out for adults and all of these information that doctors and professionals, experts in their fields are trying to put out there. This information is to raise your awareness which empowers you because it gives you the power to be the change agent, change agent for your life and for your family. So what I'm doing is, is the work. Take it. Share it. Listen to it. Internalize it. Make the adjustment. Because sometimes, you know we say knowledge is power. You know, know better, you do better. But we know, but we still have to do the work to make the change. Breaking those cycles and habits and changing behavior is another whole beast. But I hope that just giving you knowledge gives you the power to make the change. (I love it). Absolutely.

Dr. Berry:
So before you go, where, first of all, we need to have, to find your podcast, just everything associated with Dr. Candice and of course if you listening to this, you’re in the shower, you're at work, where at you, all of this information will be in the show notes and will make sure you know, you find a way to Dr. Candice. Because her podcast is amazing, especially for parents. I got three kids. I'm actually way for vaccine one. I got lot of love of discussion on that but I keep it. I got a lot of thoughts associated with the vaccine. I will wait for her to talk kinda critique. Especially because I have to deal with it as an adult.

Dr. Candice Jones:
I'm on it. I'm on it. I'm all about filling request. I'm on it. I'll do that for you. It is actually on my list. So I'll move it to top list for you. (laughing) But you can find me at drcandicemd.com D R C A N D I C E M D .com that’s my website. It has, open the right-hand border there. It links to all of my social media platforms. You know, Facebook, Instagram at drcandicemd. I'm on YouTube Candice W Jones. Linkedin, whatelse is there, the podcast, kiding around with Dr. Candice. So it's K I D I N G. So kid is the focus. Kiding around with Dr. Candice. Anywhere you can listen to podcast. The mainly, SoundCloud, Google play and Apple podcast. You can hear it I heard radio tuning anywhere you can listen to podcast. And I would love for you to subscribe, rate and review, especially on Apple podcast, that matters.

Dr. Berry:
We need her to get five stars review.

Dr. Candice Jones:
Yes. Thank you and you know, definitely follow me on all those platforms. I love to hear from you. Give me feedback. Tell me if you want a certain type of topic just like Dr. Berry just did. I mean, I have people all the time asking me questions and I'll try. I'm not a replacement for medical advice, from the advice of your doctor. But I can give you general direction and I love to do that. So I think that's it.

Dr. Berry:
We stress all the time. Remember you, even though you hear us talk. I want you to take that grain of salt and go right to the doctor that you supposed to. Because we obviously can't legally give you any help or advice. We can just give you what our opinion is but we gonna sure about our opinion.

Dr. Candice Jones:
That's right, that's right and there's one resource to further help you, to ask to help you. Do food diaries to see where you fall. Because a lot of people think, you don't eat a lot. If you plug it in for two or three days. You'll find out especially it's point to all sugary drinks.

Dr. Berry:
Oh yes. Don't forget the drinks.

Dr. Candice Jones:
That's right, add that in. But here's a wonderful doctor, African-American woman. Dr. Cody Stanford out of Harvard. She’s obesity medicine doctor with children and adults. And she's put out a wonderful book. I just got, I gonna bring her on the podcast sometime in the next couple months. Facing overweight and obesity. A complete guide for children and adults. And I think she has wonderful approaches. She does a lot of research and it looks great. I'm reading it now. So that might be a resource if you like books.

Dr. Berry:
Yes we like books. Yes we like books. Her book will be on the show as well too. Make sure we support. (Awesome.) And Dr. Candice thank you for coming to Lunch and Learn. Much appreciated. I already know, my parents are going crazy because they been asking for, like, talk about some kids. I'm like, I don't know kids but I know someone do that.

Dr. Candice Jones:
We can do it anytime. Let me know.

Dr. Berry:
Yes. Thank you very much.

Dr. Candice Jones:
Thank you for having me. I enjoyed this.

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