Woman offended by truthful advice from doctor

The reason this usually ends up turning into a hate-fest is because people are tired of hearing the same old thing from people who are overweight. People who have lost weight often have even less patience than those who have never been fat, because they were in the same situation and yet somehow managed to do something about it. Some of the points raised are legitimate, but an awful lot of the research out there has little to do with the average person. In addition, I’d like to point out that there’s no research out there, that I’m aware of anyway, on why a lot of people can, in fact, lose weight and keep it off. There’s no funding or interest in learning about why healthy, in-shape people are the way they are. All the focus is on people who are abnormally overweight. Of course you’re going to find tons of citations for reasons people are fat; there aren’t any studies on reasons people aren’t fat.

A side note, really, but hunter-gatherers are rarely on the edge of starvation. Even those living on crappy marginal land like desert and tundra (the only places they’ve got left now) manage to get more protein, a better balanced diet, and a better variety of food than urban poor in affluent countries. That’s not to say famines never affect them, but the reason they’re skinny is not because they’re starving, it’s because they have good diets and get lots of exercise. Agricultural societies are the ones who get hit with famines that kill millions. Hunter-gatherers simply move to where there’s more food.

That does sound pretty reasonable. It also sounds like a recommendation that is conducive to maintaining a healthy lifestyle. In the studies you cited, did they track whether or not people were actually exercising and eating a healthy diet? I kind of doubt that they were. They may have given excuses for lapsing, blaming it on biology or unchangeable behavior, but I’ll bet that the participants stopped exercising or started giving themselves leeway in their diet and that’s what led to the renewed weight gain. An excuse or reason for lapsing is not a cause, the change in diet or activity is the cause.

Also, any athlete knows that you go through stages where changes slow down or stop and they need to change their routine to keep making progress. The same thing is almost certainly true of weight loss. Maintaining a set routine will result in no further losses. Cutting calories too drastically will result in a protective response from the person’s body, resulting in rapid weight gain if either the exercise level decreases or caloric intake increases. Weight loss must be slow, steady, and the regimen continually adjusted if you want to have sustainable progress or even if you want to maintain the loss.

This is not my experience, nor that of most athletes. I saw a dramatic difference when I started doing a specific kind of exercise: weight training with heavy weights and low reps. I dropped 2-3kg in two weeks, exercising only 3 days a week, without a change in diet. The weight loss slowly tapered off after that, but to date I have lost about 10kg without a significant change in diet. Dieting is not the only component, nor is it more important than exercise.

Fit individuals eventually end up consuming more calories than they did when they were overweight because they need to maintain the muscle mass. I will eventually have to change my diet a bit if I want to get down to around 10-12% body fat, which is my goal for spring, but I have had little problem with losing weight through exercise alone. And, I had little problem packing on the fat when I was inactive yet eating a reasonably healthy diet with no bingeing and only a minor caloric surplus. I didn’t exercise, I got fat. I started to exercise semi-regularly, I lost it.

To those who cite Pima Indian studies and talk about thyroid problems: if you’re not a Pima Indian, those studies are probably 10-20 years away from having any application to your life, and maybe they will not have relevance even then. If you don’t have a thyroid problem, you have no business even bringing that up. There are legitimate medical reasons for a very small part of the population’s problem with weight loss, but it’s very doubtful that most of you have a medical condition. If you do, that excludes you from the “most people” part of the discussion. I’m sorry you have that problem, but it doesn’t mean the rest of the population who is overweight has the same condition or some other medical excuse.

That the problem is one of lifestyle is fairly clear. Other countries with population compositions similar to ours have a lower rate of obesity. Canada and most of the European countries don’t have anywhere close to the numbers of fat people the US does. The problem is endemic to First World countries. Even in non-First World countries where most of the population has little problem meeting their nutritive needs, but which are not primarily industrial or information economies, there are few who are obese. Genetic or other medical abnormalities cannot account for the widespread absence of an obesity problem in most of the rest of the world.

Americans are fat because they eat too much, eat the wrong foods, eat on a schedule that is conducive to fat gain, don’t exercise enough, and spend too much time working at sedentary jobs.

And they’re probably pretty scared of getting fat again, and fear is great for making people militant and shrill. Some years ago I was quite heavy, and felt very strongly that people should be accepting of all body types because it comes down to us all being human. I read Mode which discouraged judgment of people based on size, small or large. I started to eat dizzingly (literally) small portions and over a year lost 100 pounds. I knew that it was matter of time before I gained it back, but in the meantime I lost a lot of the acceptance I felt. I wanted to somehow distance myself from heavier people. I never became rude about it, but I had to put more thought into being accepting.

Now that I’m heavy again, I am much more empathetic to people on all levels and just try to accept people where they are. The only people I’ve seen in this thread giving medical reasons for being overweight are those with the medical reasons, and they say that they may apply to others. Other posters are perfectly honest about not choosing more healthful lifestyles. I just don’t see excuses here.

You don’t have access to statistical information about the participants here that would qualify you to make such a determination.

I have enormous patience now that I have found that the compulsion to eat can be turned on and off with the same medication that treats seizures. If some self-obsessed beefcake wants to attribute his well-maintained body to will power, regimentation, discipline and some vague, undefined superiority, the word narcisscist comes to mind.

I attribute my own successful weight loss to several decades of learning what did not work and why those things did not work and to two doctors who helped me find a combination of solutions that have worked for me.

(And I did it in spite of having two of the illnesses, one disorder, and one of the other factors that contribute to obesity. No one here said that a reason is an excuse. Those of you who claim we use them as excuses are liars.)

Weight loss: -150 for 7+ years

I’m amazed that so far no one has brought up psychological factors as often playing a significant role in being overweight.

In my case, they were the most important factor.

I don’t want to bore you with a ton of ‘me, me, me’ talk, so I’ll make it brief: I’d grown up with a lot of ‘wrong’ attitudes towards food and eating. For one example, I’d ingrained the belief (not on a conscious level, of course) that food was scarce and in undependable supply, and therefore I should always eat whatever was available whenever it was available. Basically, my eating habits were completely divorced from sensations of hunger or even appetite.

For another example, I’d deeply associated simply being ‘large’ with being ‘powerful.’ (Parents are larger than their children; parents are more powerful than their children. Makes sense, right? Well, in a warped way.) When I’d go on a diet I’d realize that I was getting smaller and thus ‘less powerful’ – and who’d want to continue on a trend towards being insignificant?

Understand, I didn’t realize I believed these ‘wrong’ attitudes. When they were pointed out to me, consciously I knew they were all crap – but on the primitive level where a lot of behavior stems from, I still believed them. It took quite a bit of time and work, both with my psychologist and in ‘home work’ assignments, before I could revise my attitudes into ones more closely aligned with reality.

And guess what? As those wrong attitudes weakened, I started losing weight. It took a long time for all the excess to go, but it was ‘effortless’ in the sense that I didn’t have to be always thinking about a diet, what I could or couldn’t eat, how many calories I had or hadn’t burned at exercise. I just ‘thought’ like a normal person which led to me eating normally and being normally active, and that inevitably led to me becoming a normal size.

Anyway, I thought I’d raise that subject, because it really isn’t ALL about biochemistry/genetics and will power.

Some of us just have crazy beliefs that cause us to make ourself fat. :wink:

Cite, please? Sounds like an interesting study.

In my experience, I think the two major reasons Ive seen that keep some very large people from getting smaller is 1. They go on totally non-sustainable diets and 2. they want to lose weight for the wrong reasons.

Personally, I think it comes down to just calming down, dont stress about it; eat what you normally do, just less of it and start getting exercise. People go on these hyper restrictive diets, lose weight, and then they have to go back to eating somewhat normally and boom they shoot back up in weight. Which starts a self-hatred/depression cycle, which often leads to binge/over eating, and the cycle starts all over again. I think the depression/self hatred part, for being weak or whatever, lacking will power and all that, is the single hardest part to get past.
Thats why I say stay calm, dont stress about it; so, you eat a hotdog one night, no big deal walk an extra half mile the next day or something. ~Dont~ pressure yourself; take your time, go at your own pace. Personally I dont think its a good idea to set yourself time limits, like ‘In two months Im going to lose x amount’. That just means that in two months, if you havent lost your target amount, a binge may be in the works.

If youre real big, start with easy excerise; walking usually. Myself, I found years ago that bike riding was the best all-around exercise for me, and have done it at least 3 times a week ever since.

But also, lose weight for the right reasons. Dont dont dont try to lose weight because of social stigma, opinion or whatever. Dont dont dont lose weight because someone else says you should. Fuck other peoples opinions. You arent going to lose weight until ~you~ really want to. If your wife or hubby, friends, neighbors and yes even your doctor all want you to lose weight, but you are perfectly happy with yourself as you are, then stay that way and tell them to go to hell. Otherwise, your just in for cycle after cycle of misery that you yourself dont even want to go through. Especially with friends or loved ones, theres something really screwy going on if they cant accept the fact that youre happy as you are. Yes, you need to accept and deal with the fact that you may well have a shortened lifespan due to your weight, but if thats acceptable to you, if youre willing to make that trade-off, then be yourself as long as you ~are~ here and to hell with anyone who cant deal with it.

Unless the people of this board are statistically anomalous, it’s not very likely that I’m wrong. There are not that many people in the general population who have a legitimate medical condition that makes them fat.

What makes you so sure that he isn’t a former fat person? Just because he’s now a beefcake doesn’t mean he wasn’t a scrawny little guy or a pudgy teenager before. Maybe will power, regimentation, and discipline was what it took for him to transform his body. Besides, getting into that kind of shape is not easy, even those who never had any problem with their weight. It is an accomplishment, one that can be helped by genetics, but an accomplishment none the less. You could have all the right physical traits to be a bodybuilder or a triathelete, but if you don’t train, and train rigorously, you will never be one of those beefcakes or iron-men.

That may be what gives him his air of superiority; the fact that he trains all the time, even when he doesn’t want to, even when he feels like crap, even when his brain is sending him a compulsion to stop torturing it by putting it through that kind of unpleasantness. Or, he could just be an asshole. The problem with your statement is that you are pre-judging someone based on his looks as much as someone who called you “fattie” in the past would have been judging you based on yours.

I’m very glad you were able to find something that works. I’m even more glad that you didn’t use your problems as an excuse, even though you had more than enough on your plate to engender sympathy. You are not the kind of person my last post was about. I wish more people would stop complaining about it, making excuses about it, and simply do something about it.

For you, it did take medical treatment. You did your homework, pursued a solution, and found out what you needed to do to lose weight. The difference between you and the people who tend to frustrate with their various conditions that somehow keep them from changing their lives is that you didn’t try and then give up, you did something about it. I’m fairly sure the lady the OP is about will never seriously try to do something about it.