Talk references & further reading
Achieving better health with fewer pills
Declarations/COIs
NHS Salaried GP - Brackley Medical Centre, Northants
Medical Consultancy - NHS Paths to Remission, Liva-Momenta
Clinical Lecturer - Oxford University Lifestyle Medicine Student Selected Unit
Partner/investor - OneWelbeck Oxford (opening 2027)
Business Owner - Whole Health Oxford (starting Winter 2026)
Textbook Honoraria - Essential Lifestyle Medicine, Cambridge University Press
Speaking fees - Medical conferences, GP training, Medical Student training
The Future of Lifestyle Medicine
- BSLM 2026
Slide 7
The National Portrait Gallery "Hold Still" Exhibition: www.npg.org.uk/hold-still/
30,000 deaths from Covid-19 in England and Wales in April 2020:
Slide 10
"Vaccines work". By June 2021 all adults able to get first dose – only a year after first confirmed case in the UK;
https://www.cochrane.org/about-us/news/cochrane-review-covid-19-vaccines-shows-they-are-effective
https://www.thelancet.com/journals/lanres/article/PIIS2213-2600(21)00380-5/fulltext
https://www.thelancet.com/journals/laninf/article/PIIS1473-3099(22)00320-6/fulltext
https://www.imperial.ac.uk/news/237591/vaccinations-have-prevented-almost-20-million/
https://www.ecdc.europa.eu/en/news-events/covid-19-vaccination-reduces-risk-long-covid-adults
Slide 13
https://globalwellnessinstitute.org/industry-research/2025-global-wellness-economy-monitor/
Slide 14
Global Wellness Economy Versus Other Major Industries 2023
Slide 15
Uk Supplements Industry Statistics: 2026 Market Report
https://store.mintel.com/report/uk-vitamins-and-supplements-market-report
The majority of non-fiction purchases are for self-help and positive psychology and the majority are purchased by under 35 year olds
Top 60 health TikTok Influencers - only 2 have a medical qualification.
https://creators.feedspot.com/uk_health_tiktok_influencers/
The Scale of Repeat Prescribing;
https://bjgp.org/content/46/412/649
The Scale of Repeat Prescribing - time for an update;
https://link.springer.com/article/10.1186/1472-6963-14-76
Slide 24
Medication usage change in older people (65+) in England over 20 years: Findings from CFAS I and CFAS II:
Weight regain after cessation of medication for weight management: systematic review and meta-analysis
https://www.bmj.com/content/392/bmj-2025-085304
Cost for adult to eat for a year according to UK Eatwell Guide:
https://www.phc.ox.ac.uk/publication/1391860
Costs of Mounjaro and its management to NHS NICE Supporting Documentation:
https://www.nice.org.uk/guidance/ta1026/documents/supporting-documentation-5
Cost of Obesity and its complications:
https://ifs.org.uk/sites/default/files/2023-07/The-costs-of-obesity-final-IFS-report.pdf
Slide 29
The UK Industrial Strategy:
https://assets.publishing.service.gov.uk/media/688c90a8e8ba9507fc1b090c/Life_Sciences_Sector_Plan.pd
The NHS 10 Year Health Plan for England:
Slide 32
Human care is expensive and being cut.
Decline in District Nurses
Decline in Health Visitors:
https://www.cypnow.co.uk/media/vrrb1nhu/the-first-1000-days.pdf
Slide 33
We have fewer doctors and nurses than OECD peers:
Slide 34
Health costs of the UK-US Trade deal on pharmaceuticals
https://www.bmj.com/content/394/bmj-2026-340588
Slide 35
The New Medical-Industrial Complex:
https://www.nejm.org/doi/full/10.1056/NEJM198010233031703
The Growth of Healthcare Capitalism:
https://tribunemag.co.uk/2019/11/the-growth-of-healthcare-capitalism
Selling Sickness: the pharmaceutical industry and disease mongering:
https://www.bmj.com/content/324/7342/886.1
Funding The Future: Is the NHS captured?
https://www.podbean.com/media/share/pb-dm74g-1a4e37d
Slide 37
An engine for economic growth? Why it won’t be a piece of cake for the NHS;
Slide 38
Gross Value Add; The Industrial Analysis:
Climate change and food prices
Slide 40
Slide 50
The attention economy:
https://www.law.georgetown.edu/denny-center/blog/the-attention-economy/
Slide 56 and 57
https://www.vatican.va/content/leo-xiv/en/encyclicals/documents/20260515-magnifica-humanitas.html
Talk: How to Lose Weight Well
Slide 1
"Being an expert generalist" - Celebrating the expert generalist, BMJ, 2016
Slide 3
"people with obesity complain of fatigue" Lim, Weonjeong, et al. "The association of obesity, cytokine levels, and depressive symptoms with diverse measures of fatigue in healthy subjects." Archives of internal medicine 165.8 (2005): 910-915.
"people with obesity complain they feel hungry"
Slide 4
NICE overweight and Obesity Management Guidelines 8th Jan 2026
Slide 5
What is a calorie? Wikipedia
Slide 10
What factors affect brain centres that control appetite and drive to eat?
-
Poverty; impact on brain function,
-
Stress: association with increased appetite and obesity in children and adults
-
Obesogens
-
Inactivity
-
infections
-
Social isolation
Slide 13 The gut microbiome in obesity
Slide 15; The Constrained Energy Hypothesis
Slide 16; Relative Energy Deficiency Syndrome
Slide 17; physical activity reduces activity in the immune system
Slide 21: mitochondrial function & obesity
Slide 26; shame and stigma in obesity
Slide 27; food poverty and malnutrition in obesity
Slide 29; Malnutrition with GLP1 - Wernike's Encephalopathy case 1, 2, 3, 4, 5, 6 and Scurvy reports
Slide 30; individual sustainability of GLP1 weight loss effect
Slide 31: societal sustainability of GLP1; cost of Eat Well for a year in the UK, cost of Mounjaro care on NHS for a year
Slide 36; what is lifestyle medicine? The British Society of Lifestyle Medicine
Slide 36; what is person centered care? The Personalised Care Institute
Slide 39; the commercial determinants of health
Slide 40; John Snow and Cholera in London 1880s
Further Reading
