Freedhoff says learning what variables are most important for each person–be they psychological, logistical, food-based–matters more to him than identifying one diet that works for everyone. “So long as we continue to pigeonhole people into certain diets without considering the individuals, the more likely we are to run into problems,” he says. That’s why a significant portion of his meetings with patients is spent talking about the person’s daily responsibilities, their socioeconomic status, their mental health, their comfort in the kitchen. Once she started working with the team at the Bariatric Medical Institute, Casagrande also tracked her food, but unlike Jeans, she never enjoyed the process.
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