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Is Your Obesity Genetic? Food Noise and Bardet-Biedl Syndrome Explained

Aug 3, 2026 · 39m

Summary

Hosts Dr. Spencer Adelsky and Dr. Carl Adelsky Jr. welcome back guest Dr. Jesse Richards to discuss updated diagnostic criteria for Bardet-Biedl syndrome (BBS). They explore BBS’s genetic basis, ciliary dysfunction, and clinical features like retinal dystrophy, polydactyly, and early-onset obesity. The episode covers a new screening tool for genetic testing and treatment options, including setmelanotide, GLP-1s, and bariatric surgery, emphasizing improved quality of life for patients.

Topics discussed

Introduction and guest Dr. Jesse Richards Overview of Bardet-Biedl Syndrome (BBS) and cilia Clinical manifestations: obesity, vision, and organs Diagnostic challenges and genetic testing limitations Updated clinical criteria: major and minor features Minor criteria details: brachydactyly, smell, and face The Richards Scale for screening hyperphagia Treatment options: GLP-1s, surgery, and quality of life Mechanisms of drug response in genetic obesity Conclusion, resources, and disclaimer
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