Expert Q&A

Do you think privatisation has negatively impact our research capabilities - especially looking at AMR and antibiotic development?

The Privatization Shift in Antibiotic Development

I’ve spent decades examining how systemic changes affect public health, particularly for adults aged 45-54 struggling with hormonal changes, joint pain, and metabolic conditions like diabetes. Privatization of pharmaceutical research has indeed slowed progress against antimicrobial resistance (AMR). Since the 1980s, major drug companies shifted focus to chronic therapies yielding higher returns—statins, diabetes medications, and weight-loss drugs—rather than antibiotics that patients use for only 7-14 days. This economic reality left a void: only 12 new antibiotics reached approval between 2010 and 2020, compared to dozens in prior decades.

Direct Effects on AMR Research Capabilities

Public funding for basic AMR science dropped as private capital dominated. Universities now rely on industry grants, steering research toward patentable compounds instead of broad-spectrum or novel mechanisms. The result? We face “superbugs” resistant to last-line treatments, complicating surgeries, chemotherapy, and even routine infections. For our middle-income readers managing blood pressure and obesity, this matters deeply—an untreated resistant infection can derail any weight loss effort. In my book, I detail how unresolved inflammation from recurrent infections exacerbates insulin resistance, making fat loss 30-40% harder during perimenopause and andropause.

Linking AMR Challenges to Metabolic and Weight Health

Repeated antibiotic courses disrupt the gut microbiome, directly impacting weight. Studies show a single course can shift bacterial populations for up to two years, increasing calorie harvest from food by 10-15%. This is why so many in our community feel they “failed every diet.” My CFP Weight Loss methodology prioritizes microbiome restoration alongside gentle movement that respects joint pain. We recommend 20-minute daily walks, resistance bands at home, and fiber-rich meal plans requiring under 30 minutes prep—practical solutions insurance rarely covers.

Actionable Steps You Can Take Today

While awaiting policy changes, protect yourself. Rotate between fermented foods and targeted prebiotics to rebuild diversity. Track blood glucose responses to meals using affordable monitors. Choose meats raised without routine antibiotics. Most importantly, focus on sustainable fat loss that reduces chronic inflammation, lowering infection risk. My approach has helped thousands reduce HbA1c by 1.5 points while losing 25-40 pounds without extreme measures. Small, consistent habits beat complex plans every time. Start with one change this week—your joints and metabolism will thank you.

💬 What the Community Says

Forum participants express deep concern that privatization has starved antibiotic innovation, with many sharing stories of family members facing resistant infections after years on multiple courses. Most agree big pharma prioritizes profitable chronic drugs over AMR solutions, leaving public research underfunded. A vocal minority points to successful public-private partnerships like CARB-X as hopeful signs, yet skepticism remains high. Middle-aged users frequently connect gut damage from antibiotics to stalled weight loss, hormonal issues, and rising diabetes rates. Many feel overwhelmed by conflicting nutrition advice and embarrassed to discuss obesity-related complications with doctors. There is broad consensus that practical, low-cost lifestyle changes respecting joint pain are more realistic than waiting for new miracle drugs. Insurance limitations and time constraints dominate conversations, with users seeking simple routines that fit real lives rather than theoretical overhauls.
Clark, R. (2026). Do you think privatisation has negatively impact our research capabilities - esp. *CFP Weight Loss*. https://blog.cfpweightloss.com/ask/do-you-think-privatisation-has-negatively-impact-our-research-capabilities-especially-looking-at-amr-and-antibiotic-development
Russell Clark, FNP-C, APRN
About the Author

Russell Clark, FNP-C, APRN, is the founder of CFP Weight Loss in Nashville and CFP Fit Now telehealth. Over 35 years in healthcare — Army Nurse Reserves, Level 1 trauma ER, hospitalist — he developed a 30-week protocol integrating real foods, detox, and low-dose tirzepatide cycling that has helped hundreds of patients lose 30–90 pounds. He and his wife Anne-Marie lost a combined 275 pounds using the same protocol.

Have a follow-up question?
More Questions 200 answered
Has anyone been diagnosed with Hashimotos after going through emotional distress or chronic stress in general for those with hypothyroidism or Hashimoto's When men recognize symptoms: how to talk to your doctor about this Anyone Here Successfully Reversed Insulin Resistance? What Actually Worked when you have PCOS or hormonal imbalances PCOS linked to childhood trauma — how a functional medicine approach differs Has Gundry ever explained why he thinks APOE4 carriers love cheese so much while doing intermittent fasting 📖 Lectin-Free Living — Eliminating inflammatory plant proteins that damage the gut lining and trigger the autoimmune responses that often stall… Had my annual physical today — how a functional medicine approach differs Does the estradiol gel-associated bloating subside? Can anyone recommend a good, reliable source for Mounjaro injections which costs less than 200 bucks for four injections please — how a functional medicine approach differs Had my hashi’s annihilated thyroid removed today and its effect on metabolism and insulin levels 📗 The 30-Week Tirzepatide Reset — Get Russell's complete protocol → Can’t stand avocados or guacamole. Help on a low-carb or ketogenic diet 📖 Modern Wheat Dangers — The hidden threat in hybridized grains that causes gut inflammation and spikes blood sugar more aggressively than pure t… Ladies over 40, how are you losing weight with Insulin Resistance — how a functional medicine approach differs Anyone in Maintenance w/ 15mg and the role of cortisol and stress hormones Can deep extended autophagy reverse deep cavities, does anyone have any experience regarding this and its effect on metabolism and insulin levels Two week pause, ok to return to current dose and its effect on metabolism and insulin levels Guys, did you know the POWER of exercise for your body and its effect on metabolism and insulin levels When feeling down, remember that PCOS is what helped our ancestors survive and the role of cortisol and stress hormones Did anyone else feel like Trintellix completely blunted their GLP-1 (Mounjaro/Wegovy) effect while doing intermittent fasting 📖 Metabolic Stall — A plateau in weight loss often caused by hidden inflammation or hormonal adaptation, which we break using our specific 7… 📗 The 30-Week Tirzepatide Reset — Get Russell's complete protocol → PCOS + insulin resistance… belly fat won’t budge. what actually worked for you — evidence-based answer for CFP patients Flexibility in the meal plan while doing intermittent fasting What would be the cause of insulin resistance: best practices and common mistakes to avoid 📖 Adipose Tissue Signaling — The way fat cells communicate with the brain; our goal is to fix these signals so the body stops defending an unnaturall… Is tomato paste lectin free — what do certified weight loss coaches recommend? Has anyone with multiple sclerosis seen improvement while on PP and its effect on metabolism and insulin levels When period stopped did you feel like the worst pmdd of all time daily or for people with insulin resistance Anyone stopped responding to Mounjaro and had better results with retatrutide and the role of cortisol and stress hormones When the clock starts over for those with hypothyroidism or Hashimoto's Is tomato paste lectin free — what most people get wrong about this 📖 Anti-Inflammatory Protocol — A way of eating that prioritizes whole foods and eliminates triggers to quiet the internal 'fire' that prevents fat cell… Fuck is Almond milk — what does the research actually say? 📗 The 30-Week Tirzepatide Reset — Get Russell's complete protocol → Anyone worried about the FDA crackdown and its effect on metabolism and insulin levels How I reversed insulin resistance in 6–8 months — what do certified weight loss coaches recommend? How I found out I had uterine cancer, what I wish I had known, and what everyone with PCOS should know about their period for people with insulin resistance 📖 GLP-1 Receptor Agonist — A class of medication that mimics natural hormones to improve insulin secretion and slow gastric emptying, used strategi… What is the Role of Metabolism in Immune System while doing intermittent fasting DO NOT TAKE INOSITOL IF YOU'RE NOT INSULIN RESISTANT for long-term maintenance (not just short-term) Did anyone else feel like Trintellix completely blunted their GLP-1 (Mounjaro/Wegovy) effect — what do certified weight loss coaches recommend? Resting heart rate unchanged after 2 years of consistent running — how a functional medicine approach differs 📖 Caloric Deficit Myth — The false belief that weight loss is purely 'math'; we focus on hormonal signaling rather than just counting calories to… How many of you with PCOS had a narcissistic parent growing up while doing intermittent fasting Was so tempted to hit the drive thru today. Went to the store instead and how it connects to gut health and inflammation 📗 The 30-Week Tirzepatide Reset — Get Russell's complete protocol → When men recognize symptoms — how a functional medicine approach differs When feeling down, remember that PCOS is what helped our ancestors survive for people with insulin resistance How do you know you are in meno if you take continuous bc while doing intermittent fasting Why has no doctor explained this to me for people with insulin resistance What a 55 water fast did for me: what to track and how to measure progress 📖 Gut-Brain Axis — The complex communication network between your digestive system and your brain that controls satiety, mood, and metaboli… Anyone have recipes or grocery lists — how a functional medicine approach differs Smoking while on glp1 What tissues show the biggest metabolic remodeling in z2: best practices and common mistakes to avoid 📗 The 30-Week Tirzepatide Reset — Get Russell's complete protocol → Can I get an upvote for the true enemy of diabetes while doing intermittent fasting 📖 Inflammatory Markers — Clinical indicators like CRP that we monitor to ensure the body is moving from a state of disease to a state of vibrant … Carbon Dioxide Breathalyzer — how a functional medicine approach differs Semaglutide Not Working At All... What am I doing Wrong while doing intermittent fasting Two week pause, ok to return to current dose — how a functional medicine approach differs Anyone stretching out to 3 weeks between shots: best practices and common mistakes to avoid Has anyone switched from brand name Premarin to the new recently released generic conjugated estrogens and feels like it is not working as well for people with insulin resistance