12 Comments
Jun 16Liked by Mikala Jamison

THANK YOU for calling this out! In our judgy, sizeist, ableist and impatient society we want to see the quick fix and the before-and-after success story with someone “deciding to make a change” and holding up their “fat clothes” from before. What about addressing social determinants of health? It’s the whole picture. Where you live, what your work situation and budget look like, your metabolism, disability status and energy levels, and whether you are a caregiver make such a difference. Even with surgical weight loss, the life circumstances of the person can lead to a backslide so easily. There are so many barriers to accessing and preparing “healthy” options and moving more. There’s also a lack of knowledge about reading food labels and understanding your nutritional needs. Thankful for sites like Budget Bytes that exist to help folks afford to make home cooked meals that best fit their situation.

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Our dysfunctional medical system is a major player here — and it's not only because primary care physicians don't generally having much worthwhile, actionable advice for people whose weight is a legitimate health concern. My aunt is on the minimum end of qualifying for bariatric surgery. She's afraid of losing weight on her own, because then she would no longer qualify for the procedure — and her insurance won't cover her working with a dietician until after the procedure. If her insurance covered her seeing a dietician now, not after a major invasive surgery, she could lose weight in a healthy, sustainable way and build better habits along the way. It's totally backwards.

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Jun 16Liked by Mikala Jamison

This was so well written and I agree 100%. I'm 50 years old and it took me years of yo-yo dieting and trying everything under the sun until about a decade ago when I finally just calmed down and did it the correct way.

I had all the tools in my box. I loved exercise, I enjoyed healthy food, I even loved tracking my intake on certain apps, but I needed to take it slow & steady. I finally learned to accept myself and found the discipline to reach my healthy ideal weight. For me that's 140 lbs since I'm 5'9 and athletic. I've maintained this, like you, for quite some time without much effort. It's just routine now.

But it wasn't like this for 20 years. I took diet pills, did fad diets, dropped 15 lbs, gained it back, wash/repeat. It was exhausting. But I feel like everyone is on their own unique journey and if they need gastric bypass, that is their preference. And if they need a shot of the new miracle drug- go for it. We all need a little Grace and love. And support, most importantly, not shame.

Thank you fir sharing this article. It brought up a lot of positive emotions of gratitude.

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Jun 16Liked by Mikala Jamison

This hits the nail on the head down to the doctor who gives unhelpful annual advice in the conversation that lasts 1/8 the waiting room time.

Everyone wants to have an opinion and moral high ground on how much weight someone loses, and how they lose it. Just let people lose weight in the way that makes sense for them and is healthy, and if they didn’t ask for your opinion, don’t give it.

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I'm angry and it makes me say and think stupid shit I normally wouldn't.

Here's some background, I'm in my doctors office and he's reading my test results, "Your A1c is 12.5" the nurse runs out of the room. I said, "I guess that's bad?" Yeah normal is 5, 5.5 or so. He said my blood sugar is averaging 300 all day every day at that level and should be about 100. The nurse comes back with insulin, shows me how to use it, but I still have difficulty controlling my blood sugar. 4 months ago I'm put on Mounjaro, almost immediately my sugar is dipping low and I'm backing off on the dose of insulin until I finally stopped using it at all. Great!

Then there is a shortage. I'm discussing it online and saying that it should be prioritized for diabetes since that's what it's approved for. All the dieters come out, but we need it as much or more, we're unhealthy! So I should go back to uncontrolled diabetes with insulin, so they can lose their 5lbs per month. Also, we can agree that health at every size was a load of BS, since now suddenly they're worse off than insulin dependent diabetics.

Yes they tried throwing, but you're obese too, since most type 2 diabetics are, except I'm not. I'm Native American, we are genetically predisposed. Everyone in my family is, from the thinnest to the fattest.

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You are 100% right that the American food system is twisted and that eat less and move more is pretty much never helpful to losing weight. In fact losing weight as a goal is probably a terrible one because it almost always means losing lean body mass if you do it wrong. Instead, losing body fat is a better goal.

One of the ways that science says works to lose fat is by eating specific kinds of plant based carbs. This sounds counterintuitive, but the science is real. And it's a whole lot better than eating processed "diet" foods - which are terrible for you!

https://mattcook.substack.com/p/these-are-the-carbs-men-should-be

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