Dr Julie Friedman’s sleep medicine fellowship was succeeded by an obesity medicine fellowship, and she is now the the executive director of Binge Eating Treatment and Recovery with the Eating Recovery Center in Bellevue.

“I found that a lot of our patients were high weights and a lot of our patients were basically given the directive: Lost weight,” she said of her patients with sleep issues. “Lose weight and your obstructive sleep apnea or your organic sleep disorder of some sort will get better.”

But her patients continued to come back each month heavier and more miserable.