Medical Tests of the Itchy Sort

In May 2018 I was short of breath. I thought I might have pneumonia.  Turned out they  found a pulmonary embolism and I spent 4 days in ICU. I was finally discharged to go home and rest. This also came shortly after a kidney stone and high blood pressure diagnosis, and I was really, really, tired.

But my lung capacity, while better than with the PE, still sucks. “It takes time to recover from a PE”.  Uh-huh. Also I was busy trying to hit deadlines at work, despite being tired all the time, and I only had so much time and energy to deal with crap. So I didn’t push to hard on why my lung capacity is still smaller than normal.

It’s over a year later. I still get short of breath trying to walk any distance. Slowing down helps but is frustratingly slow. So this week I’m going to the Pulmonary Clinic for lung capacity testing!  Good!  And to find out my unmedicated state, I’m not taking asthma meds and anthistamines for a day beforehand!

Oof.

“You can use a rescue inhaler like albuterol if needed up to 4 hours before the appointment.”

Uh, right.

What really worries me is that I’ll end up itching. I did confirm I can use topical meds, like hydrocortisone cream or antihistamine eyedrops.  I may be focusing on itching to avoid thinking about shortness of breath.  But still. No Zyrtec. Eek. 

Carol Gwenn Interview

Carol emailed me after I mentioned BBW Magazine in a post to tell me she used to write for it!  I asked her to do an interview as someone who’s been around fat acceptance since the 70s…

Q: How would you introduce yourself?

I’m Carol Gwenn, former writer and lifelong big person. I’ve had numerous occupations, almost all of them in & around the entertainment industry (performer, writer, teacher, agent, etc.). I currently function as sort of caretaker/watchful eye over a building belonging to the owner of the company I work for. We use it as office space & I’m kind of the babysitter for the property.

Q: Are you comfortable with the word “fat” for yourself?

Sure – am confortable with “fat” for myself because it’s what I AM. Have never seen anything wrong with the word fat when it’s used for what it is: a descriptive word, like “tall” or “blonde”.

Q: How would you describe your body size?

I’d describe my size as fat-to-middling (5’6″ and a size 18, 1X ). I’ve been larger & smaller, but my current size (where I’ve been for the past 13 years or so) is comfortable for me.

Q: How has being fat affected your life?

Only as much as I’d allow it, which is VERY little. I always put myself out in the world as a great looking, sexy broad, and with VERY few exceptions that’s how I was perceived. Have always believed in the principle of mind over matter in many parts of life, and one of those things is that if I believe in my own value & in my own terrific looks, then that’s how the world will see me. The down side to that is that, now that I’m past middle age & into the stage of life where things are disintegrating before my eyes, trading on my looks is something that will no longer work: you can’t trade on something you no longer have. But it sure was fun while it lasted!

Q: How did you encounter fat lib/fat acceptance?

5. I came upon the fatosphere as an entity sometime in the late ’70s. There was an article in my local newspaper (the Los Angeles Times) about NAAFA and the Fat Underground, and shortly after that the original BBW Magazine started up & I began to write for it. The sad thing is that we don’t seem to have gotten terribly far in the past 40-off years: if anything, I see more rampant fat phobia out there then ever, people becoming more and more obsessed with being thin and regarding fat people as alien beings. Wish I could think of a way to fix this -suppose we ALL would like that – but there doesn’t seem to be one. There seems to be something in human nature that compels people to find someone to dislike and/or look down on. Unfortunately, in many cases, it’s us.

Q: What’s the worst part of being fat for you?

The worst part of being fat for me …all the people I’ve encountered in my life who persist in telling me that I’m somehow broken and that they can fix me, if only I would torture myself via eating disorders (i.e., diets) and crazed physical exertion to make myself smaller. The other worst part? It’s SO not legal to stomp those annoying people into little blobs on the ground.

Q: What’s the best part of being fat for you?

The best part of being fat for me…it’s that wonderful song title from “La Cage…”: ‘I am what I am!’ I wake up each morning & say “Thank you!” for my nice, big, healthy body that does so many nice things for me. Also – and this is SERIOUSLY important – being able to make use of as many teachable moments as possible when I encounter diet talk or fat phobia, trying to combat that attitude of “But YOU’RE not that fat…” Hey – fat is fat, however much of it we’re wearing this year, and it’s great to be able to put it out there that we ALL deserve the same respect.

Q: What’s your favorite place to buy clothing?

TJMR (That’s TJ Maxx – Marshall’s – Ross). I’ve been buying clothes at these stores for a LONG time, and have found a good selection of clothes at VERY reasonable prices in everything from my current size up to a 4X when I needed it. There’s a shopping center in L.A. that I refer to as heaven: the above-mentioned stores PLUS Nordstroms Rack, Off 5th, Target…ALL IN ONE PLACE! It’s not just fabric clothing I buy – am one of those gals with a need for shoes in a size not always easy to find – and Marshalls has been great about stocking the size I wear.

I understand that for someone my size, finding clothes is relatively easy – have shopped Macy’s, Target, etc. and there have always been items available . Friends who were much larger than I have told me how tough it can be to find nice things in sizes above 26 or 3X.

Barry Deutsch Interview

I first encountered Barry at via “Alas, a Blog“, which led me to his political cartoon site Lefty Cartoons and Twitter.

Q: How would you introduce yourself? 

I’m Barry Deutsch, a cartoonist who does graphic novels and political cartoons. I sometimes do political cartoons with fat acceptance themes (and I want to do more). I’ve been very hesitant about doing fat-acceptance political cartoons, because it’s such a personal subject for me.

Barry

Q:   Are you comfortable with the word “fat” for yourself?

Definitely!

Q:   How would you describe your body size?

I’m fat enough so that anyone looking at me would say I’m fat. I’m fat enough so that people have sometimes yelled derogatory comments about my weight from cars as they pass me.

But I’m thin enough that many of the ways society routinely exclude fat people don’t really effect me. I can get through turnstiles (occasionally with a struggle), sit in theater and airplane seats (although sometimes that’s a close thing), and once in a blue moon I find clothes that fit me in stores. I need an extension to buckle my seat belt on an airplane, but usually I don’t need an extension in a car. And I simply face less frequent and less vicious anti-fat discrimination than my fatter peers. I think Caleb Luna would describe me as having a “smaller fat body.”

Q:   How has being fat affected your life?

Well, aside from pragmatic inconveniences – difficulty finding clothes, being careful not to sit on delicate chairs, and so on – the main effect is that I’ve been taught to carry around a great deal of self-hate, which I struggle to leave behind.

Q:   How did you encounter fat lib/fat acceptance? 

I read a book questioning everything I’d been taught about fat and about weight loss diets. I’m not sure which book it was – it might have been “Big Fat Lies” by Glenn Gaesser, published in 2002, or maybe it was an earlier book that’s since been lost down the memory hole. Whatever book it was, it completely blew my mind.

Later on I had a job at Oregon State Health University, and so had daily access to a medical library. I’d haunt the stacks, reading journal articles, and I confirmed for myself that something that everyone I knew had always accepted as uncontested fact – being fat is deadly, diets work – was actually a subject of enormous controversy among researchers and experts.

Q:   What’s the worst part of being fat for you?

Having been taught to hate myself; that I am gross; that I’m not worthy of being loved.

But also, sometimes the realization that people I love are carrying around a great deal of anti-fat bigotry. I once wound up seeing a fat suit comedy with a close relative (bad idea, I know, I know). The movie was bad enough, but what was a thousand times worse was my relative sitting next to me, cracking up at every anti-fat joke. I don’t blame them – they were raised in this society too. But the memory stays fresh, many years later.

Q:   What’s the best part of being fat for you?

Finding solidarity with other fat people.

Q:   What’s your favorite place to buy clothing?

I don’t have much money, so I frequently look for clothes on ebay. I’ve splurged on a couple of t-shirts from Rage On that I love (their sizes only go up to 5x, though).

My new favorite item is suspenders with a musical note pattern, which I got from Amazon; I’ve been getting a lot of compliments when I wear them. A couple of years ago I decided to wear suspenders all the time, and I’m so glad I did – I like the line better, and I feel much more comfortable. (And, oddly enough, it’s made me more comfortable wearing body-hugging shirts than I used to be).


Thanks Barry!  If you would like to be involved, email me at living400lbs AT gmail DOT com!

New Series – Interviews

I’ve started interviewing fellow fats to include here.  But, if I’m going to ask others to do this, I thought it might be best if I did as well.  So…

Q: How would you introduce yourself?

Hi, I’m Jen. I’ve been writing here about being fat since September 2008. There are linked Twitter and Tumblr accounts: @Living400lbs and Living400lbs.tumbler.com.

In my normal life, I’ve been a software tester over 20 years, along with doing tech support, project management, and technical writing.

Q: Are you comfortable with the word “fat” for yourself?

Yes. It’s a simple descriptive word.

Q: How would you describe your body size?

I often say I’m “too fat for Lane Bryant”, since with few exceptions their clothes are too small for me. I’m about 5’8″ tall and round, often called an “apple” shape. My waist is about 65″ around when standing, 76″ around when sitting. Yes, I like elastic waists.

Q: How has being fat affected your life?

It’s just always been there. It’s what I got picked on for in school. It’s what doctors told me to change. It’s what my mother told me was wrong. It’s become a topic I’ve read a lot about, if only in self-defense.

In the day-to-day, it also affects which chairs I can sit in at restaurants. I use a seat extender in most cars. Flying is definitely uncomfortable and more expensive. So’s clothing,.

Q: How did you encounter fat lib/fat acceptance?

Via BBW Magazine in the 80s, a glossy fashion-for-fats magazine with articles on how dieting tends to lead to weight gain and many people “dieted their weight up” and only stabilized after they quit dieting.  Later I discovered UseNet and with it, various fat acceptance discussion groups.  This lead me to books like Big Fat Lies and Fat!So?.

Q: What’s the worst part of being fat for you?

Trying to get medical personnel to focus on the reason I’m there, and not that I’m fat. (It’s not like just woke up this way today.)

Q: What’s the best part of being fat for you?

As I accepted that I would probably stay fat, I became less afraid of being the odd one one in other ways, which helped me deal with criticism for majoring in computer science.  I’ve been able to work on cool software and, incidentally, make a good living because I stood up to peers telling me computer science was “icky”.

Q: What’s your favorite place to buy clothing?

Most of my wardrobe is from On The Plus Side (formerly Making It Big) either directly or secondhand on eBay. I have items I bought in the 90s that still fit, and their stock is mostly made in the US.  I also love Torrid t-shirts, though they don’t last as well. But … A “The Dark Side Made Me Do It” shirt! “Be Nice Or Go Away” shirt! “But First, Coffee!”  I doubt their more fitted stuff would fit me well, but the tshirts are my friends. 


Anyway, that’s the first interview! If you would like to be involved, email me at living400lbs AT gmail DOT com!

It came from the search terms

In the tradition of Captain Awkward I’m going to treat the search terms people used to find the site as questions.

im 400lbs is it too late for me to get healthy? 

This is completely up to you and to how you view health. If you are sedentary, you can probably be more active, and ideally have fun with it.  Depending on how you eat, you may want to add more veggies or whatever makes your body feel better – The Fat Nutritionist may be able to help with that as well. Research has found that focusing on eating healthy foods and being active can reduce blood pressure and cholesterol as well as psychological benefits. This is called a “Health At Every Size” approach, and focuses on improving health. 

If you mean thinner, then that’s a different question. Medicare’s Search for Effective Obesity Treatments: Diets Are Not the Answer (PDF) by UCLA reviews 31 studies on diets and recommended that Medicare not cover diet programs because they are not effective enough to be worth Medicare coverage.

350lb flying cross country?

OK. That sounds like a lot of time to sit still. It’s probably going to be uncomfortable. 

if i weigh 450 pounds do i need an extra airline seat? 

Very likely. Airlines have some choice on how many seats they squeeze into a plane. Seat Guru has information on seat sizes by plane and airline so you can check. One method is to check the size of the seat, then measure chairs to see what the airline seats will be like.  Note the “pitch” is the distance between seats, and affects how much legroom there is. 

If you do need an additional seat, you will probably have to call the airline to make the reservation, and the airline will probably warn you the seats may not be together. Yes, this is a problem.  

More on this: 

what can a fat person spray on body to prevent yeast?

I have mostly rely on baby powder (cornstarch) to prevent chafing and yeast infections under my belly. Anti-jock itch spray like Lotramin can work as well.  Lately I’ve been experimenting with Fresh Breasts lotion, which dries as a powder.  This can be easier to apply than a powder.  

 

 

 

Weight Watchers Continues To Spew Waste

I probably don’t need to say I think WW’s app for kids is poised to mess up kids’ lives.  That research shows dieting leads to long-term weight gain. Or that disordered eating is often dieting with a different name.

But if you are looking for more info:

Diets don’t work, let’s stop.

Change.org petition is here if you want to sign.

This cake is great

I occasionally get comments about the “and believe me I am still alive” subhead on the blog and how “defensive you have to be to have that on your blog”.  Er, mostly it’s a joking reference to the Jonathan Coulton song. (Lyrics here.)  And it’s a way of metaphorically rolling my eyes at all the people who (still) say I’ll be dead at age 30 or 40.

(Never mind that I just turned 50.)

 

It also expresses that despite being very fat, I’m still alive.

It also expresses that I may not be always posting, but yeah, still alive.

 

It’s Too Late

Ever dream of “If I win the lottery” or “If I met someone rich” or “If I got in on the next big startup” or “If I get on a reality show and become famous”?  Or heard that “Oh, you don’t want to be too set in your ways, when you meet a partner you’ll want to build your life around his”?

Next month I turn 49 years old.

Now I’ve slayed some dragons
And I’ve found a treasure or two
Journeyed to mysterious lands both far and near
Sometimes I’ve been lonely
Sometimes I’ve been afraid
And no fairy godmother came to save the day
Pulled up my own bootstraps and did things my own way

– Cathy McManamon

What I’ve done so far in life is part of who I am. I’ve been married 15 years; I’ve been a home owner 16 years; I’ve been in the software industry for 25 years; I’ve lived in Seattle for 1 month shy of 49 years. I may still change careers or go back to school or move away from the Pacific Northwest, but it’s a LOT less likely.  And I’m comfortable with that.

Are you a pirate?
Or a prince, charming and brave?
Did you think you could turn me so easily?

I don’t need someone to sell me something to prove my worth. I have my own self, and it’s worth enough.

It’s too late to convince me I might be a princess
It’s too late to help me discover my secret magic skill
It’s too late to make me believe I’m inheriting a kingdom
It’s too late to be my savior in shining armor bright
Go fade into the night
I’ll be all right

– Cathy McManamon

These musings were inspired by Cathy McManamon’s song “It’s Too Late”, available on BandCamp.

Hm, maybe I should post more often

The 2nd-most-recent post on the blog is from February and mentions that I’d gotten my silver Translator badge that week.  I got my gold Translator badge* last week.  Maybe I should post more?

Harriet Brown has been writing more about weight and health of late.  The most recent, in Slate, is worth reading (though the comments are NOT supportive and can be easily skipped).

Harriet also tackled 4 lies at Psychology Today:

  1. Americans keep getting fatter and fatter – nearly half with will be obese by 2030
  2. Being fat takes years off your life
  3. Being fat makes you sick
  4. Diets make you thinner – and healthier

Meanwhile, at Everyday Feminism, Liz Boltz Ranfeld asks what would happen if fat people were allowed to be happy?

My native Seattle is getting more inequal; the rich’s income is going up more than in other US cities. The median income is up to $100K here now too. I think it’s good that franchises didn’t win their injunction against raising the minimum wage.

Oh, and the Sounders season started :)

Major League Soccer (Football to the rest of the world) has scarves. It's a Football thing.

Major League Soccer (Football to the rest of the world) has scarves. It’s a Football thing. This is my 2015 season ticket and Alliance member scarf. 

*I realize that last may make no sense if you don’t know about Ingress, but in sum, I did a lot of game-playing to go from silver to gold.

Frustration

[Note: Includes discussion of weight loss and history of intentional weight loss. Please avoid if you don’t want to read it.]

Visited the endocrinologist again to follow up on my med changes. On my way into the office, the doc asks how the meds have made me feel; I said that I haven’t noticed much change except my step counter says I’m walking more. She weighs me and happily congratulates me for losing 8 pounds in a month. I mumbled something like “Uh huh” and we moved onto the rest of the appointment.

The doctor’s congratulations brought up feelings that I didn’t try to unpack during the appointment. After the appointment I began to think about it, and why it upset me.

  • First: Why congratulate me? I haven’t changed my eating habits. I haven’t been counting calories, or carbs, or points, or anything that I would normally do when I’ve intentionally tried to lose weight. I have been a bit more active, but I’ve been MUCH more active in the past without losing weight. This is not something I have made or built or achieved.
  • Third: There have been times in the past when I was trying very hard to lose weight, and lost weight, and felt like I’d won something. I reveled in congratulations and people’s happiness. Right now? I feel like a bystander.
  • Fourth: There have been times in the past when I was trying very hard to lose weight and didn’t. I followed the diets. I’d do the exercises. And, despite doing it all “correctly,” I did not lose weight. Did I get congratulated on my effort then? Nope. I’d be blamed.  I’ve been told I was not measuring correctly, or I should use a scale, or a different diet, or more exercise.  I’ve been told I was lying about my intake and exercise, because I “couldn’t” not be losing weight if I was really eating and exercising like I said.
  • Fifth: Maybe I was a bystander before, too.
  • Sixth: I’ve been trying to build my arms up for the next higher weight dumbbells but noooo, body has other plans….

So, I guess I’m having some feelings here.

Finally, I reminded myself that the reason I pursued treating my borderline hypothyroid (which led to seeing an endocrinologist etc) is to feel better and have more energy. That my weight went up about 30lbs in the last few years without a change in eating habits is one of my symptoms; my weight may change as part of correcting it.  It’s OK to be a bystander here.

Tonight I tried out some shoes from Zappos on the treadmill and this Mary Lambert song came on.

We are, we are more than our scars.
We are, we are more than the sum of our parts.
— Mary Lambert, “Sum Of Our Parts (Alternate Version)”

Quote of the Day

In dealing with the “encouragers” who want you to eat less, move more, and maybe have a few organs amputated to lose weight:

These fat hating types don’t know you and they don’t want to. They don’t care to know if you are or aren’t doing sit ups or exercising or what you really eat. And they don’t care. Their objective is to make you feel bad for being fat. It’s that simple. They’re sadists and nothing but suffering satisfies them.

These assholes will scream “why don’t you get on a treadmill fatty!” even if you’ve just gotten off one. They’ll just shout, “Stay on longer until you’re thin, lard ass!” They don’t care if you just found out you’re 25lbs lighter, even. So long as you are fat, they hate you and want you to suffer.

But when you figure that out, things can come into focus. You can start understanding that you’re not gonna argue your way to them being lesser douchewads than they were. They will never not hate you. That makes them the one with something deeply wrong about them, not you.

The winning move here is simple (but not easy): live the happiest and best life you can right this minute, as you are. Be good to others and yourself, try your hardest, and enjoy as much as you can about being on this Earth while you are here.

Sadists hate your happiness, so I suggest cultivating as much of it as you can, as you are, right this minute, as you are.

Madame Thursday

Quotes: Pregnancy Fairness

“The point of the Pregnancy Discrimination Act,” [Solicitor General Donald B. Verrilli Jr.] said, “is to reduce the number of women who are driven from the work force or forced to go months without an income as a result of becoming pregnant.”

NY Times article on a pregnancy discrimination case

If I were a capitalist I would not give my employees health insurance with no deductible, which I do, including dental, and paid pregnancy leave. That’s not called capitalism, that’s called being a Christian and someone who believes in democracy, so that everyone should get a fair slice of the pie.

Michael Moore

The Pregnant Workers Fairness Act has been re-introduced in the U.S. House and Senate. […] Without this legal protection, thousands of American women are forced to choose between keeping their jobs or keeping their pregnancies.

And for most people, not keeping your job is not a choice you can afford to make.

So let me be very clear: If you claim to be “pro-life” and yet you don’t support this bill, I have to conclude you are, at best, a sanctimonious hypocrite and not someone whose proclamations on “morality” are deserving of any attention or respect.

Fred Clark at Slacktivist

In some cases, care providers lay on the scare tactics so strongly that they bully women into weight loss surgery, risky diets, over-intervention, and even terminating the pregnancy.  That is NOT good health care, that’s medical bullying.

The Well Rounded Mama

It Came From The Search Terms

Delving into what WordPress says folks searched on…

for over 6 years i have no where to exercise unemployed can’t afford to go gym over weight has a massive amount of stress

Exercise has become something that many people can’t afford. Often it’s due to the lack of some or all of:

  • Time
  • Safe space
  • Equipment
  • Money

Yes, you can work with body weight exercises and other things that require little equipment.  I’ve written some suggestions:

  1. Starter Strength Training Moves – no equipment necessary.
  2. Stretching for Flexibility – no equipment necessary.
  3. Aerobics at Home– most needs no equipment, but there is one item I suggest.

All in all, the best exercise is one you’ll do. If there’s a library nearby, they may have books or videos to try that you may enjoy. On the other hand, if you are dealing with an injury or have been extremely sedentary (for example, if walking around your home is a challenge) you may want to investigate physical therapy to help you rebuild mobility.  Best of luck!

is a guys 5x bigger than a woman’s 5x

Depends on the clothing and how it’s cut.  In t-shirts, almost definitely. Comparing polo shirts, probably. Comparing men’s pants to women’s, not always – men are assumed to have the same hip & waist size. I do sometimes buy men’s drawstring sweatpants that fit my hips and use the drawstring to fit my waist.

does anyone make 8x womens activewear

Making It Big has a sports bra, leggings, tank top, and a variety of knit tops, pants and shorts suitable for working out in.  Not all their clothes go to 8X but they have the ability to filter clothes based on size while browsing. Plus Woman has leggings, knit tops, and pants up to 10X and can make to measure.

can you drink out of date slim fast

Do you want to?

Bad For My Blood Pressure

First visit at the endocrinologist to treat hypothyroid. Waiting in the lobby with chairs whose arms are a bit too tight. I am weighed. The doctor asks me to sit on the exam table, so I do – no back support, legs dangling. In taking my medical history she asks about my weight history.  After more history, the doctor decides to take my blood pressure. While she wraps the blood pressure cuff around my upper arm, she asks why I’m not dieting. We discuss it while she takes the reading.  146/92.

A visit to urgent care for a UTI that may have moved to the kidneys. I’m feverish. The automatic blood pressure reader inflates suddenly enough that the large cuff won’t stay closed on my arm. The nurse insists on using a standard cuff on my forearm. 160-something.

Arrive at my usual nurse practitioner’s office with coffee. Walking, walking. Sit, tech immediately wraps the large cuff around my arm, holds the cuff closed while triggering the automatic blood pressure reader. 138/88.

At the allergist for a checkup. Arrive early so I can get my allergy shot – I’ve been getting shots weekly for over a year. The usual routine of sitting until my name is called, confirming that I took antihistamines, confirming my name and birthdate, and so on is calming.  This time I’m going back for a checkup instead of reading twitter or a book in the lobby, but I’m still feeling relaxed as I sit on a chair with my feet flat on the floor, go over my med list, and then get my blood pressure taken. 126/80.

I finish a slice of toast with peanut butter and a can of diet Pepsi as I arrive at the endocrinologist’s office. I rest 5 or so minutes in the waiting room.  Once in the exam room I sit in an armless chair. When the doctor takes my blood pressure, I stay seated, feet on the floor, resting my arm at heart level on the counter, and we both stay silent. 132/82.

It Came From the Search Terms

Things people searched on to get to this site!

clothing for obese people

Yes, we wear clothing!  The types and sizes vary though.

seat belt extenders walmart

I’ve had better luck with car manufacturers & Amazon, myself.

im sore from girl dancing

I’m not sure what “girl dancing” is, anybody?

a guy got out of his car and yelled at me

That can be frightening.  It can be scary when they person yelling is in a car, but getting out is an aggressive move.  I hope that you’re OK.

fat acceptance

Check this out.

A Hypothetical Doctor’s Visit

Jasmine is waiting in the exam room and her chart shows that her weight today is up five pounds from her last visit two years ago, putting her BMI at 32. Her blood pressure was borderline high in contrast to the normal readings in previous visits. Although Jasmine’s labs were normal in past visits, they are out of date. When Dr. Johnson greets her today, Jasmine seems anxious and tells Dr. Johnson, “I almost did not come in today knowing my weight is up from the last time I was here and you suggested a diet. I feel like such a failure. However, I need help for my migraines, so here I am.” Dr. Johnson and Jasmine look at each other, there is a beat of silence, and they both sigh.

Dr. Johnson says, “You know, Jasmine, I have been reading the research on weight loss interventions and weight-cycling and I’m realizing that if the same thing happens to almost everyone, it probably is not the fault of the person, it is probably more about the process itself. So, instead of focusing on weight loss, I’m encouraging my patients to think about what makes them feel better in their everyday lives; emotionally and physically. For example, do you feel better when you eat more fruits and vegetables, drink more water, take a walk with a friend, meditate to relieve stress, and get enough sleep? There’s good evidence that those behaviors are going to make you healthier and feel better even if your weight does not change.”

Jasmine is a bit surprised by Dr. Johnson’s shift and says, “Well, typically, when my weight loss slows down or stops completely, I stop doing any of those things you mentioned that would help me feel better and be healthier.” Dr. Johnson says, “I understand, but we’re going to turn the focus from your weight to your health. Because those behaviors are linked to health, why not do them anyway?”

Jasmine smiles at Dr. Johnson and says, “It sure would be easier to come back and see you the next time I’m supposed to if I did not have to lose weight first.”

Dr. Johnson replies, “I do not want anything to stand in the way of you getting your medical care, including worrying that I might scold you. Now that we have a better plan, I am going to have the nurse retake your blood pressure.” Jasmine and Dr. Johnson then discuss treatment options for Jasmine’s migraines.

— from The Weight-Inclusive versus Weight-Normative Approach to Health: Evaluating the Evidence for Prioritizing Well-Being over Weight Loss published in the Journal of Obesity.