“Fat Acceptance” and the Real Medical Cost of Obesity

The fat acceptance movement (also known as size acceptance, fat liberation, fat activism, fativism or fat power movement) is a social movement seeking to change anti-fat bias in society. At its core, this movement is a very positive thing. Self love and freedom are concepts that are important in living a healthy, happy life. Many of these activists argue that the health risks of obesity is grossly overstated. In reality, the correlation between obesity and things like diabetes, high choles [...]

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Losing Weight with the Goal of a Better Life In Mind

Inevitably, I will have a patient that is successful in weight loss, losing 10, 20, even 30lbs but still feeling as if they have not accomplished anything. I even had one patient reply "But I am still fat." Weight loss is not about becoming a size 3. It is about: Being able to walk up stairs without feeling short of breath Playing with the kids whenever and however long you want to Treating chronic medical problems like COPD, high blood pressure, high cholesterol “If you want to build [...]

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Childhood Obesity, Not Just About the Child

During my residency in South Texas, it was not an uncommon event: Grandmother/mother brings her child in with a chief complaint in the chart of "Concern about weight". I would calculate the child's BMI percentile prior to going into the room and confirm that, yes, he or she was overweight. After entering the room, the grandmother confirms that yes, she is very worried. Her child barely eats anything and is underweight. With a preconceived notion that extra weight=healthy, the parent/grandparent [...]

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The Link Between Obesity and Infertility

It is not an uncommon event in my clinic: A young couple, recently married, who has been trying for more than a year to conceive without success. They are ready to grow their new family but it is not happening. I probably care for a patient with concerns for delay in conceiving 1-2x per month. Unfortunately, many of these patients share the same general profile. For the female, she shares a history of a lifelong irregular periods, with as little as 2 menstrual cycles in a calendar year. She m [...]

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