The American Weight Gain Epidemic

The Gajer Practice Blogs

April 9, 2024

Dear readers,

Over the past few decades, obesity has emerged as a severe public health challenge in our nation. Unraveling the roots of this issue reveals a complex interplay of various factors, but four major contributors stand out. These include a genetic-environmental mismatch, the disappearance of whole foods, our increasingly sedentary lifestyles, and exposure to environmental toxins.

Today, let’s delve into the first factor: The genetic-environmental mismatch.

Throughout millions of years of evolution, humans have adapted to an environment where food scarcity was the norm. Periods of abundance were rare, usually occurring after successful hunts, and were interspersed with long stretches of having to search for nutrient-dense foods. Our genetic makeup reflects this history, with numerous genes developed to safeguard against starvation.

Our taste buds and hormonal systems evolved to seek out foods high in fat and sugar, as these macronutrients provide efficient energy sources. Furthermore, our bodies became proficient at storing excess sugar and fat as reserves for times of scarcity.  Given the scarcity of high-sugar, high-fat foods In the natural environment of our ancestors,  we evolved to crave these substances and consume them beyond our immediate energy needs. Those individuals among our ancient predecessors who could store fat most efficiently were more likely to survive in times of famine.

In the past century, we’ve encountered a completely new and opposite challenge. The abundance of food has clashed with our ancient genes, leading many of us down a path of weight gain and illness. What’s even more disheartening is the blow dealt to our self-esteem. For many years, the medical community mistakenly attributed our weight issues to a lack of willpower, rather than recognizing the intricate genetic and environmental factors at play.

Our inherent biology grants us a daily reserve of willpower to tackle our responsibilities and attend to our own and others’ needs. While many aspire to maintain a healthy diet, the demands of life gradually deplete this reserve, often leaving our primal hunger instincts—shaped by millennia of evolution—victorious over our conscious intentions.

Luckily, the human species is highly resourceful and more people are speaking about the conundrum we find ourselves in.  Although a sweeping change to our food environment does not seem imminent, we can work on the factors we can control, namely our personal environment.  The best solution is to create a personal ecosystem for ourselves and our families where healthy choices are easy and unhealthy choices are hard.  This way we can work with our biology rather than waste our precious willpower working against it.

How can you cultivate such an environment for yourself?

Organize your home and workplace to ensure that healthy food options are readily accessible and simple to prepare. Eliminate temptations that may lead you astray. While occasional indulgences are inevitable, it’s preferable to enjoy them outside the confines of your home. In the past century, our society has undergone exponential and sweeping changes. To prosper in this new landscape, we must confront unforeseen consequences head-on and devise innovative strategies to flourish.

Warm regards,

Dr. Gajer

SHARE THIS
Search
RECENT POSTS
RELATED ARTICLES
March 24, 2026

Hard Enough? The Science Behind Erectile Rigidity

There’s a conversation happening in men’s health that most doctors aren’t having — and most men aren’t asking about. It’s not whether an erection is possible. It’s whether it’s firm enough. And that distinction matters more than most people realize, both for sexual satisfaction and as a window into overall health.
March 19, 2026

Why You Have PCOS — And Why the Answer Is Different for Every Woman

I was 28 years old, in the middle of medical school, and trying to get pregnant. After a year with no success, I went to see my OB-GYN. She ran some labs, and a few days later I got a call from a medical assistant.
March 17, 2026

Mighty Mitochondria

Mitochondria are not simply a power plant. They are the master regulators of how your body ages, how your hormones signal, how your metabolism responds under stress, and whether your cells repair or surrender into disease. When I began seeing patients through this lens, everything changed.

Submit a contact form to be contacted by our team!

Special

SPRING RESET SALE!

30% off Everything in our app.

BONUS: First 10 purchases of $500 or more will receive a NAD+ Energy Injection.

March 27th - April 6th, 2026

CODE: SPRING26

The Peptide Revolution

Reserve your seat now for the 30-Minute Webinar & take the first step toward next-level performance