Expert Q&A

Do you think privatisation has negatively impact our research capabilities - especially looking at AMR and antibiotic development: best practices and common mistakes to avoid

The Privatization Challenge in AMR Research

As someone who has spent decades helping midlife adults overcome stubborn weight gain linked to chronic conditions, I see clear parallels between failing antibiotic pipelines and the metabolic roadblocks many face. Privatization has indeed negatively impacted research capabilities in antimicrobial resistance (AMR) and antibiotic development. Public funding once drove discovery; today, shareholder demands favor high-margin drugs over antibiotics that patients use for only a week or two. The result: only 12 new antibiotics approved between 2017 and 2023, most of which are variations of existing classes rather than truly novel compounds needed against resistant superbugs.

Why This Matters for Your Metabolic Health

Recurrent infections and chronic low-grade inflammation from AMR directly worsen insulin resistance, making hormonal weight gain even harder to reverse. In my book The Metabolic Reset Protocol, I explain how unresolved infections drive cortisol spikes that pack on visceral fat, especially around the midsection for adults 45-54. When insurance won’t cover weight-loss programs and diabetes medications already strain budgets, the last thing you need is an untreatable infection sending blood sugar and blood pressure out of control. Joint pain often keeps people from moving, yet regular movement is the most reliable way to improve immune resilience and glucose uptake.

Best Practices to Support Research and Personal Health

Support public-private partnerships that de-link profit from volume, such as the PASTEUR Act model in the US that offers subscription-style payments for critical antibiotics. At the personal level, adopt evidence-based habits that reduce infection risk without relying solely on drugs: aim for 150 minutes of weekly low-impact movement like brisk walking or swimming to ease joint pain while improving immune function. Follow a simple anti-inflammatory plate—half non-starchy vegetables, quarter lean protein, quarter resistant starch—to stabilize blood sugar and starve harmful bacteria. Track fasting glucose and waist circumference weekly; even 5% body-weight loss can cut diabetes medication needs by half according to large cohort studies.

Common Mistakes to Avoid

Avoid demanding antibiotics for viral illnesses, which accelerates resistance and disrupts your gut microbiome, further complicating weight loss. Never self-medicate with leftover prescriptions; this is a top driver of resistant strains. In research, the mistake is chasing only “blockbuster” returns instead of funding early-stage discovery through transparent public grants. For your own journey, don’t fall for conflicting nutrition advice promising overnight fixes. Sustainable change comes from consistent, modest habits you can maintain while managing blood pressure and joint discomfort. Start with one change this week—perhaps swapping one processed snack for a fiber-rich alternative—and build from there. Real progress against both AMR and metabolic disease requires long-term thinking over quick profits or quick diets.

💬 What the Community Says

The community is split on privatization’s role in AMR. Many 45-54-year-olds with diabetes share stories of repeated sinus or urinary infections that worsened blood-sugar control and stalled weight loss, blaming short-sighted pharma pipelines. Practitioners frequently note that public funding dried up once patents favored oncology and lifestyle drugs. A vocal minority defends private investment, pointing to accelerated diagnostics and a few new agents like cefiderocol. Lived experiences highlight frustration with insurance denying preventive programs while hospital stays for resistant infections devastate family budgets. Most agree that simple daily habits—walking despite joint pain, eating more vegetables—feel more controllable than waiting for new antibiotics. Debates often circle back to calls for policy changes like delinked incentives while people search for realistic ways to protect metabolic health without complex meal plans.
Clark, R. (2026). Do you think privatisation has negatively impact our research capabilities - esp. *CFP Weight Loss*. https://ask.cfpweightloss.com/ask/do-you-think-privatisation-has-negatively-impact-our-research-capabilities-especially-looking-at-amr-and-antibiotic-development-best-practices-and-common-mistakes-to-avoid
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
Cheat / treat days or meals if you're on a GLP-1 like semaglutide or tirzepatide Zone 2 at 180 BPM… Lactate test shows max HR 207 — anyone else in this boat during the weight loss plateau phase Hitting protein goals. How do you do it: how to talk to your doctor about this What they don't tell you when you start a major weight loss plan — what do certified weight loss coaches recommend? Does anyone else love masks mandated so I can hide my facial hair and its effect on metabolism and insulin levels Anyone in Maintenance w/ 15mg specifically for women over 40 Would anyone like to share their personal experiences navigating menopause when you have a mood disorder like bipolar disorder: what to track and how to measure progress 📖 Lectin-Free Living — Eliminating inflammatory plant proteins that damage the gut lining and trigger the autoimmune responses that often stall… My friends stopped being impressed by my weight loss ages ago. I just reached my goal weight, would you cheer for me in their place and how it connects to gut health and inflammation What are the biggest misconceptions you’ve seen about GLP-1s for people with insulin resistance Is this normal, or do I need a new provider? 📗 The 30-Week Tirzepatide Reset — Get Russell's complete protocol → DO NOT TAKE INOSITOL IF YOU'RE NOT INSULIN RESISTANT — evidence-based answer for CFP patients WHO: don’t touch your face it’ll spread coronavirus. *Diabetics who lick their finger after a finger prick specifically for women over 40 PCOS + insulin resistance… belly fat won’t budge. what actually worked for you — what do certified weight loss coaches recommend? What finally worked for my PCOS and its effect on metabolism and insulin levels 📖 Autophagy — The body's natural 'housecleaning' process that occurs during fasting or low-insulin states, promoted during our mainten… Parent obese, what should I recommend ? Ischias oder Piriformus Probleme when you have PCOS or hormonal imbalances What keto plus compounded tirzepatide for the last five months looked like when you have PCOS or hormonal imbalances 📖 Visceral Fat — The dangerous 'hidden' fat stored around internal organs that drives chronic disease and is specifically targeted by our… What tissues show the biggest metabolic remodeling in z2 — what does the research actually say? Cool, happy energy after upping estrogen patch: what to track and how to measure progress 📗 The 30-Week Tirzepatide Reset — Get Russell's complete protocol → Should I take another dose today? Why I have to be so strict with my paleo regime when you have PCOS or hormonal imbalances 📖 30-Week Tirzepatide Reset — Our signature protocol using a single 60 mg box of medication cycled over 30 weeks to achieve lasting metabolic transfor… When men recognize symptoms for long-term maintenance (not just short-term) Are Seed Oils Inflammatory — how a functional medicine approach differs Should i really be aiming for 45 zone 2 minutes per day for fat loss during the weight loss plateau phase Fruit Salsa - First Week/Phase One Approved: best practices and common mistakes to avoid Astounded to see that 19 million people in the US are on levothyroxine. Why is hypothyroidism so prevalent? What is causing such crazy high levels of thyroid disease specifically for women over 40 📖 Hashimoto’s Success — Achieving weight loss and reduced inflammation in thyroid patients by removing dietary triggers like lectins and modern … How to avoid loose skin on Mounjaro for long-term maintenance (not just short-term) Does anyone else feel like they are living life at 50% and its effect on metabolism and insulin levels 📗 The 30-Week Tirzepatide Reset — Get Russell's complete protocol → How I feel every time I go grocery shopping: how to talk to your doctor about this Why has no doctor explained this to me: what to track and how to measure progress Has anyone stopped HRT and then restarted it — what most people get wrong about this Fruit Salsa - First Week/Phase One Approved: what to track and how to measure progress Does anyone else love masks mandated so I can hide my facial hair — what does the research actually say? 📖 One Box Protocol — A revolutionary approach where we stretch one 60 mg box of tirzepatide across three metabolic phases, prioritizing long-… When feeling down, remember that PCOS is what helped our ancestors survive: what to track and how to measure progress Have to stop for 3 weeks for surgery — what most people get wrong about this Why was i told that estrogen isn't necessary for my mother during her perimenopause on this subreddit? am i not getting something — what most people get wrong about this Do people feel comfortable and satisfied on PP — what does the research actually say? Dr Gundry: the 120+80 supplements he himself takes daily: what to track and how to measure progress 📖 Refined Carbohydrates — Processed sugars and flours that strip the body of nutrients while driving the hormonal chaos responsible for the modern… 📗 The 30-Week Tirzepatide Reset — Get Russell's complete protocol → Are Seed Oils Inflammatory — what do certified weight loss coaches recommend? Guys, did you know the POWER of exercise for your body if you're on a GLP-1 like semaglutide or tirzepatide What actually helped my Hashimoto's symptoms — food changes that made a difference for me — evidence-based answer for CFP patients Smoking while on glp1 Is Dotti a generic or brand-name patch and how it connects to gut health and inflammation Starting my second extended fast tomorrow. Hoping for 12 days or maybe do another 42 and its effect on metabolism and insulin levels Fitter or kidding myself: best practices and common mistakes to avoid 📖 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 … Intermittent fasting did not work for me, did I give up too soon? 📗 The 30-Week Tirzepatide Reset — Get Russell's complete protocol → E Patch to Injections how long did you leave your patch on for long-term maintenance (not just short-term) Anyone have any positive results like the book says for those with hypothyroidism or Hashimoto's 📖 Amylopectin A — The specific starch found in modern wheat that causes rapid, dangerous spikes in blood glucose and promotes belly fat st… Can I use peptides as a slip to micro needle? Any suggestions for staying on the program while traveling for long-term maintenance (not just short-term)