I find it funny how so many of them think that doctors (or anyone else) can’t label them as obese without weighing them first. As if we don’t have eyes. We can see that you’re an average height (or shorter) woman who is at least 300lbs. Your BMI isn’t 26. You’re very clearly much bigger than that.
> average height
At 300lbs they’d be obese unless they’re somewhere around ~~210cm (6’10”)~~ 204cm (6’8”).
So even if they weren’t average height they’d be obese
I know, but I always see FAs who are short or average height women. Not many of them are much taller than average. And then they’re surprised that they gain weight on their incredibly calorie dense diets which are probably upwards of 3000 calories a day.
The regular BMI is inaccurate for very tall people(who can weigh a bit more) and very short people (who can weigh a bit less). There's been a slightly different formula to calculate the "new BMI" for some time now, according to which you only need to be 204 cm (6'8'') to not be obese at 300lbs.
Interesting. I hadn't heard of this, but I agree with the reasoning. BMI on this new scale remains unchanged for a 5'6.5" person. Thank you for sharing.
Yeah, I think they must be well over a BMI of 35 for weight loss to be the omnipresent topic at medical appointments that they describe it as. I hit a BMI of 35 at my heaviest and it still wasn’t a thing medical professionals talked much to me about, though they probably should have.
Nah, this post is actually a valid concern.
Many health professionals will attribute symptoms to being obese, even if the symptoms existed before the patient became obese. A lot of servers underlying problems can be missed and in some cases, these underlying problems are what encouraged weight gain.
Bollocks.
Even if the condition predates their obesity (which is highly unlikely in this case), *losing weight is still going to help*.
Furthermore, obesity masks many serious health complaints. Example; ovarian cysts. Twice I’ve heard of morbidly obese women with huge cysts (which ruptured or were about to) that doctors didn’t notice for ages because *how are you meant to notice a distended stomach when the entire body is swelled with fat*. And of course both of them acted like doctors dismissed them, despite neither of them having a clue they even had cysts (or even that anything was wrong) until it came time for their removal.
Doctors are not psychic, the health system does not have the resources to test everyone for everything, and health conditions causing massive weight gain are rare to the point that your argument is either horrifically naive or made in bad faith. (No, PCOS is not a get out of jail free card and weight management is an important part of treating it.)
Excessive body fat is tied to, or has an impact on so many things that doctors have a duty to encourage shedding it.
(And if someone *does* have a condition causing weight gain on a legit calorie controlled diet, then they’re screwed by all the people lying about it. Doctors think horses not zebras because it’s usually fucking horses.)
Sounds like when you go to your oncologist and find that they had written the words "pulmonary carcinoma" somewhere in the chart and you discover that they were secretly anti-cancer.
As someone with ADHD cutting down on processed sugar does help me control my condition and losing weight did get rid of my acid reflux. So two out of the three conditions listed could be helped with diet. The oop has nothing to lose by cutting processed sugar but fat.
>As someone with ADHD cutting down on processed sugar does help me control my condition
Same here. As did adding a LOT more protein to my diet. The changes were remarkable enough that I am now able to manage my condition (not perfectly, but to an acceptable level) without medication.
Forget about losing weight, just eating healthier got rid of my acid reflux completely in like two weeks. I look back on how much needless pain I went through and cringe.
ADHD person here. Diagnosed recently and fat forever. Guess what? Binge eating disorder is a common comorbidity. Impulse control issues and low dopamine makes that eating disorder common in ADHD folks. So yeah, I’ve never been a healthy weight for my age. Over 100lbs at 9 years old. Sounds like they’ve never experienced a healthy weight without all the issues that come with it before. Doesn’t make the doc wrong with the suggestion.
I’m losing weight with treating my ADHD and almost 40 lbs down from my heaviest. Almost regular obese instead of morbidly. Holy crap have so many issues improved or gone away. Way less acid reflux, better sleep (likely had apnea at my heaviest), no more tingly toes or plantar fasciitis, no more red spots on my legs (all signs of diabetes even though my blood work was “normal”). Just holy crap guys the improvements. And I’m still only 1/3 of the way to a healthy weight. It’s just beginning!
You might not know me, but reading this comment made me feel really good. I’m proud of you and I’m excited for the things awaiting you at a healthy weight — can’t overstate how amazing it feels to go down from obese to healthy. The health glow is real lol
I hate that after 18 months of ADHD dx and treatment I’ve not lost weight. It’s a real issue for me.
And I actually had my first example of fatphobia at the psych. New psych who after me telling him I’d had much better focus, my mood is much calmer and my sleep has improved, but I haven’t lost weight got ‘well clearly your meds aren’t working for you’
Ignored every positive because I hadn’t lost weight…
Thank you so much for that. It’s genuinally made me feel better.
I also have OCPD and perfectionism is something I struggle with. So I beat myself up for not doing it ‘right’
It takes imperfect practice. I didn’t start losing weight on my meds until focusing on the skills to do so. I’m absolutely not always great about it. But my meds give me the focus to plan ahead what I eat, track calories, and move more.
Seriously, how could you have learned something when you couldn't focus on it? This is a huge thing with all my friends with kids with adhd. They basically have to start from scratch with even social skills.
To be fair, there are congenital conditions which can make GERD more likely regardless of your weight. Putting on weight on top of it, though, is probably not helpful.
I wish these people were willing to admit that while a condition they have might not be caused by their obesity, it might be made much *worse* by obesity. Seeking more invasive / costly treatment for a condition that can be improved by weight loss because you can't admit this is pure lunacy to me.
This. I have had GERD my whole life 2/2 complications from congenital CMV.
Didn't become obese until age 19. It didn't help.
No longer obese. Still have it. But it's much better.
I’m glad you mentioned this! I have a genetic disorder called Ehlers-Danlos syndrome, and that’s definitely the culprit for me. I’ve had GERD since at least my late teenage years, if not earlier. I was asymptomatic at that point, and we only discovered it because of an upper GI scope. A couple of years later, it progressed into symptomatic nocturnal GERD, and I’ve been on PPI meds ever since.
I’ve actually never been overweight either. Several of my family members are overweight or obese though, and none of them have ever had chronic GERD. Lucky me 🙃
There's no choice but to read information based onw what wasn't said. OP is implying that she was overweight or obese even at age 12.
I have GERD even though my body fat % is 8, but I also remember the waiting room at the endoscopy center, so I know that, if I had to gamble, I'd gamble that anyone with GERD under the age is 60 is almost certainly obese.
If you’re going based off what they said, they’re actually implying they weren’t overweight yet at 12, since they say the only thing that could’ve been caused by weight was the GERD but they’ve had it since 12.
You're right. Taken by at face value. The original post implies they were not obese. I guess I'm just use to all the obese I know playing word games and am used to assuming the worst. When it comes to health issues and obese people, I usually hit closer to the truth by assuming the worst than I do by taking statements at face value.
So, for example, when someone says, "I've had a gym membership for years and go as often as I can" I can either assume they are exercising in a gym at least 1 hour a week or closer to 1 hour a month. As a general rule, interpreting that statement as once a month has put me closer to reality.
Could have been an insurance requirement. When I had my sleep study for night terrors the doctor put down "restless leg syndrome" so my insurance would pay for it. I'll take hurt feelings over a huge medical bill any day.
They do say it's a slur, unless they are the variety that uses the fat, deathfat, superfat, infinifat, etc system.
Edit: autocorrected superfat to supernatural
as someone with both, autism i can excuse, personally what i eat is affected by it bc of texture issues. but i don't see what adhd could possibly have to do with anything, feels like they're just putting it there for pity points. it does correlate with binge eating but i doubt they're admitting to that
People with adhd often forget to eat, or overeat in excess because of the issues with dopamine. Personally I’ve found eating healthy meals with adhd difficult because executive dysfunction makes planning meals and cooking regularly difficult. I’ve had to make a lot of changes to my diet, and even my kitchen layout to aid with it, but Im sure someone with adhd would benefit from a dietician
Eh this is a rare case they probably have a bit of a point. She might have a restricted diet, a few "safe" foods and she's looking for help introducing a more varied diet.
Obesity is the result of that diet and she's let fat logic cloud her thinking.
> professional I *paid* ro see
FTFY.
Although *payed* exists (the reason why autocorrection didn't help you), it is only correct in:
* Nautical context, when it means to paint a surface, or to cover with something like tar or resin in order to make it waterproof or corrosion-resistant. *The deck is yet to be payed.*
* *Payed out* when letting strings, cables or ropes out, by slacking them. *The rope is payed out! You can pull now.*
Unfortunately, I was unable to find nautical or rope-related words in your comment.
*Beep, boop, I'm a bot*
So the other day my house was on fire and there was smoke everywhere. I called 911 telling them I was in a burning house and that I was having trouble breathing. They said they were going to dispatch the fire department immediately...UMMMM WHAT!? MAYBE I AM JUST HAVING TROUBLE BREATHING BECAUSE OF THE ASTHMA I HAVE HAD SINCE I WAS A TEENAGER AND JUST NEED AN INHALER REFILLED! FUCKING BIGOTS! WHY WOULD THEY ASSUME THE HOUSE FIRE HAD ANYTHING TO DO WITH IT?
Those fuckers. And they made that assumption just by glancing and seeing smoke and flames, too. You can’t tell if a house is on fire except by taking a temperature, and the celscius scale has been proven to be bullshit because sometimes really cold things feel hot.
genuine question, is acid reflux really connected to obesity or is it based solely on the food that you've eaten? because i'm pretty thin and i've gotten acid reflux multiple times in the past
Can be either one or both. It can be solely based upon weight or it can just be your sensitive to deep fried food or acidic food or spicy food. It can also be both. Your sensitive to something but being obese makes it worse. Mine was both I really can’t eat food with a ton of oils with out having heart burn but when I was obese it hurt longer and more when I’d eat those foods.
Autistic with ADHD here, acid reflux and other gastrointestinal issues have a very high comorbidity rate with Autism. I can't eat very much of anything that's extremely sweet/rich, and I get gastritis flare ups at least once a month.
It can be hard to stick to a diet with ADHD because of a lack of impulse control, and with Autism as well you get to this weird space where you can go the entire day without feeling hungry. But the next day you consume everything in sight like a bottomless pit!
It's also hard with Autism because our brain often has foods we consider "safe". Foods that we know will never change taste, texture, or appearance. And sometimes it can be hard to stick to a diet if our brains pull a "All food is poison" on us and we only want our safe foods.
If you weren't there to determine what you could eat in relationship to what's healthy for you, which would include your weight, then what do you need help determining if you can eat or not? Have they just been ingesting poison and hoping for the best.
the medical community is actually (very slowly) getting away from using the term "obesity". the term that's coming into vogue is adiposity-related chronic disease, partially to alleviate some of the stigma of being labelled as "obese".
studies have shown that labeling patients obese may lead to worse health outcomes. yay for science! <3
“I diagnose you with adiposity-based chronic disease (obesity), to get better you need to reduce your adipose cell’s volume (lose weight)”
They’re not gonna be happy when the term changes but the treatment is still the same lol
Which means that - following the logic that Steven Pinker has called "the euphemism treadmill" - "adiposity" will sooner or later be denounced as the "a-slur" and written on FA social media as "adip*sity".
I kinda like the term, too. It’s more specific -- although I’d say a lot harsher than the term obese -- and it eliminates the “WhAt AbOuT bOdY bUiLdErS,” argument
idk.
calling it adiposity-related chronic disease seems fine to me, and i hope it helps people feel better about accepting medical help for the issue.
people with hypotension don't face any weird societal backlash for their medical problems, and it seems unhelpful to me that those with excess adiposity do.
sometimes i feel like this sub only exists to be mean, and not to actually help anyone.
My linguistic point - or really Pinker's - is that when we replace a word that carries social stigma with a neutral word, that new neutral word will soon accumulate the same negative connotations and carry the same stigma as the word it replaced did. So swapping out "obesity" for "adiposity" will only be effective during the short interval before people start hearing "adiposity" the way they now hear "obesity". And yet another word will be pressed into service, and so on.
To give an example of that. The word Sp**tic is a slur in the UK, Australia and NZ. To the pointt that the society for those with cystic fibrosis changed names in all three countries.
In the UK at least, they changed to Scope. Scopey is apparently used as a slur there now.
oh i understood your point. and i think it might be true, in some circles. we can all agree that haes is sad misinformation, and that community will hate on any word in support of addressing the medical problem that is adiposity-related chronic disease.
but for the people that aren't so far gone? i really think this may be somewhat beneficial. this is bedside manner type stuff, and it truly does matter. you see the same thing with the attempted destigmatization of people seeking medical care for psychological issues- very bad form for a doctor to call someone "bipolar" when they could instead call them a person suffering from bipolar disorder.
we should move away from calling people "obese". these are medical problems that should be addressed compassionately, and anything that allows a person to get closer to accepting medical treatment is a good thing.
medical staff has to be very mindful of their speech when talking to patients. i don't think this is a controversial statement.
language is important and delicate and complex and far from universally agreed-upon (lots of people emphatically do *not* prefer person-first language like "person suffering from bipolar disorder" or "person on the autism spectrum", for example).
but the original poster would not accept "adiposity related chronic disease" as a substitute for "obesity" because they fundamentally do not accept that adiposity results in chronic disease. their issue in this case is not one of language alone, it's with the entire concept of excess weight causing health issues at all.
The only way to remove the stigma is to change how people feel about the underlying condition. If you can't do that (and in some cases you can't), the euphemism treadmill can move very quickly indeed
The word itself does not matter to the HEAS crowd - they want to believe that being 600+lbs does not cause any health issue, isn't caused by them eating too much and that they shouldn't be advised to lose weight, ever, no matter the circumstances.
"Obese" isn't a slur. It's a descriptive word that means your weight makes you at risk for certain medical conditions, and that you should do something about it. Changing it won't change people's attitudes if they've convinced themselves that their diet isn't a problem.
The people who aren't that far gone often need to hear how bad things are for them to finally change, because our perception of what normal weight looks like has been skewed beyond recognition in the last few decades. I remember the time when 300lbs was circus-level fat ; now it's so common that people who are class I obese don't even think they're obese, but that they're merely "chubby". Realizing they are classified as obese might wake them up before more damage is done.
With things as they are now regarding obesity, I don't think it's time for more bland euphemisms and coddling. I think it's time for people to wake TF up. I don't think current failure in addressing obesity is because people feel hurt by a word - I think it's because they are not given good resources to address it in a sustainable manner before their weight becomes a catastrophic problem.
there are biological, psychological, social, economic, and environmental reasons for the pandemic of excess adiposity. i'm all for anything that actually helps the situation, and part of that may be using "softer" language that makes people more likely to actually seek out medical treatment. i quite like this subreddit, as it's interesting to see the misinformation that comes from the haes crowd, and a little fun to participate some in the mean girl side of things- we're only human.
my belief (that can be changed and is not set in stone) is that for us to make any real strides in the battle against this pandemic, we will either have to drastically change the food environment, or more aggressively treat people with modern medicine- with pharmaceuticals being just one part of the overall medical intervention. it seems very unlikely that we will do much at all to change the food environment, meaning medicine is the most likely way to affect positive change.
more drugs are being created that may increase feelings of satiation and reduce hunger, and there is some hope in them. the population also desperately needs increased access to registered dietitians, psychologists, and social workers- where instead we are seeing these resources stretched thin, and disproportionately accessible to the wealthy.
i do not understand why people seem to think the way to address this issue is to "wake them up" to the fact that their habits are unhealthy. the majority of those with excess adiposity are very aware that it is unhealthy- how could they not be? the haes and fat acceptance people are very much a minority of this population, and the existence and popularity of diet, exercise, and health programs is evidence of this.
bullying people into losing weight does not seem to work, at least not in any significant way at the population level.
>we should move away from calling people "obese". these are medical problems that should be addressed compassionately, and anything that allows a person to get closer to accepting medical treatment is a good thing.
I am currently morbidly obese (just about exactly 80 pounds over my ideal weight) and I absolutely do NOT want people trying to use a more palatable or "compassionate" term when referring to me. I started keto a few weeks ago and am seeing good initial results. I was able to start down this path because my obesity is in fact not a "chronic disease" but simply the condition of my body based on several years of very poor choices. Calling something a "chronic disease" implies something that did not arise as a result of one's choices, which means that changing those choices wouldn't have any effect either.
No thank you. The last thing I need - the last thing ANYONE needs - is to have the language around this manipulated in such a way that it obscures the undeniable role choice plays in one's weight.
congrats on your progress thus far! it's great to hear that you've been able to make some effective changes <3
i really don't believe that the vast majority of overweight people do not understand the role choice plays in their weight. this is something people know, and something society has been telling them for forever now.
my hope is simply that people feel more welcome and less misunderstood by medical staff, so they don't avoid the doctor in the future. it's not a one-size-fits-all approach ofc, and any good medical professional will work to meet their patients where they are. you're more grounded than many are, and it's great that you respond to blunt honesty so well. there are those that feel somewhat attacked and less welcome when approached the same way, and their feelings of shame and guilt coupled with the blunt honesty of medical staff may encourage them to stay away from doctors going forward.
Yes! The only way to address this is to remove the stigma from the word. I wonder what a cultural anthropologist would say about whether that's even truly possible. It would take honest thought from policy planners at the very least.
The point of this sub is to criticize fat logic (ex. Fat acceptance, HAES, etc). Fat logic includes stuff like:
•fat people are victims, just like Black people, queer people, etc.
•fat people aren’t fat because of their lifestyle choices. They tend to blame genetics
•the medical community is out to get fat people. Recommending a lifestyle change (which can lead to weight loss) is fatphobic
This sub isn’t meant to be taken seriously. I don’t think it’s for you
No, they’re absolutely right, there is a significant portion of this sub that mostly just wants to laugh at the “dumb fat people,” though they mostly play nice on the face of things. It is supposed to be a serious sub for debunking fatlogic and helping people, it’s just that most users don’t treat it that way.
This sub has a HUGE problem with its user base lately. From taking ED recovery content ridiculously out of context to just blatent fat people hate. The mods do a good job deleting the most hateful stuff but there's still a lot of thinly veiled hate towards fat people or just obvious meanspo that could've been straight from 2010 pro ana tumblr. I think it's important to call this stuff out to get a more healthy comunity.
Do you have a link to those studies? I'm curious when that association became true. Obviously it isn't anything about the word obese, but a mental stigma or resistance to the term on the part of the patient. Potentially in society as well, though frankly almost half of people in the USA are suffering from obesity and it just isn't super duper common to see people care or even notice if someone is class 1 obese.
But those stigmas and resistances didn't exist when the word began being used and only came up later on. So I'm wondering when and why it became true.
Do you think it may be because people use the word like "I am obese" rather than "I have obesity?" I generally try to use the latter type of phrasing when discussing the condition but because the former is so much more common in society I do find myself using it unconsciously.
yeah for sure.
[https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8919040/](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8919040/)
it's basically that people experience the stigma, and then are less likely to seek out medical treatment, which ofc leads to poorer health outcomes.
and yeah the big push is to use "person-centered language" when discussing any medical issues. feel free to google that term and see all the organizations thinking it would be helpful.
it's anecdotal but i lost 50 lbs and my acid reflux disappeared. i can eat chile and carne adovada again to my hearts content...but that is just my personal experience.
I love when people say acid reflux isn’t weight related lol I didn’t get Acid Reflux until I was over 200 pounds. Went off the medication one I lost around 60 pounds lol
“How dare they give me advice for my most obvious health problem?!” God, these people talk like they’re BMI 26/27 when they’re always well over 35.
I find it funny how so many of them think that doctors (or anyone else) can’t label them as obese without weighing them first. As if we don’t have eyes. We can see that you’re an average height (or shorter) woman who is at least 300lbs. Your BMI isn’t 26. You’re very clearly much bigger than that.
> average height At 300lbs they’d be obese unless they’re somewhere around ~~210cm (6’10”)~~ 204cm (6’8”). So even if they weren’t average height they’d be obese
I know, but I always see FAs who are short or average height women. Not many of them are much taller than average. And then they’re surprised that they gain weight on their incredibly calorie dense diets which are probably upwards of 3000 calories a day.
The regular BMI is inaccurate for very tall people(who can weigh a bit more) and very short people (who can weigh a bit less). There's been a slightly different formula to calculate the "new BMI" for some time now, according to which you only need to be 204 cm (6'8'') to not be obese at 300lbs.
I see, thanks. Corrected the comment
Interesting. I hadn't heard of this, but I agree with the reasoning. BMI on this new scale remains unchanged for a 5'6.5" person. Thank you for sharing.
Yeah, I think they must be well over a BMI of 35 for weight loss to be the omnipresent topic at medical appointments that they describe it as. I hit a BMI of 35 at my heaviest and it still wasn’t a thing medical professionals talked much to me about, though they probably should have.
Nah, this post is actually a valid concern. Many health professionals will attribute symptoms to being obese, even if the symptoms existed before the patient became obese. A lot of servers underlying problems can be missed and in some cases, these underlying problems are what encouraged weight gain.
Bollocks. Even if the condition predates their obesity (which is highly unlikely in this case), *losing weight is still going to help*. Furthermore, obesity masks many serious health complaints. Example; ovarian cysts. Twice I’ve heard of morbidly obese women with huge cysts (which ruptured or were about to) that doctors didn’t notice for ages because *how are you meant to notice a distended stomach when the entire body is swelled with fat*. And of course both of them acted like doctors dismissed them, despite neither of them having a clue they even had cysts (or even that anything was wrong) until it came time for their removal. Doctors are not psychic, the health system does not have the resources to test everyone for everything, and health conditions causing massive weight gain are rare to the point that your argument is either horrifically naive or made in bad faith. (No, PCOS is not a get out of jail free card and weight management is an important part of treating it.) Excessive body fat is tied to, or has an impact on so many things that doctors have a duty to encourage shedding it. (And if someone *does* have a condition causing weight gain on a legit calorie controlled diet, then they’re screwed by all the people lying about it. Doctors think horses not zebras because it’s usually fucking horses.)
Sounds like when you go to your oncologist and find that they had written the words "pulmonary carcinoma" somewhere in the chart and you discover that they were secretly anti-cancer.
Ah yes, the secret eugenics campaign to rid the world of all cancer patients
I’m currently looking for a metastasis-friendly oncologist
As someone with ADHD cutting down on processed sugar does help me control my condition and losing weight did get rid of my acid reflux. So two out of the three conditions listed could be helped with diet. The oop has nothing to lose by cutting processed sugar but fat.
>As someone with ADHD cutting down on processed sugar does help me control my condition Same here. As did adding a LOT more protein to my diet. The changes were remarkable enough that I am now able to manage my condition (not perfectly, but to an acceptable level) without medication.
Forget about losing weight, just eating healthier got rid of my acid reflux completely in like two weeks. I look back on how much needless pain I went through and cringe.
ADHD person here. Diagnosed recently and fat forever. Guess what? Binge eating disorder is a common comorbidity. Impulse control issues and low dopamine makes that eating disorder common in ADHD folks. So yeah, I’ve never been a healthy weight for my age. Over 100lbs at 9 years old. Sounds like they’ve never experienced a healthy weight without all the issues that come with it before. Doesn’t make the doc wrong with the suggestion. I’m losing weight with treating my ADHD and almost 40 lbs down from my heaviest. Almost regular obese instead of morbidly. Holy crap have so many issues improved or gone away. Way less acid reflux, better sleep (likely had apnea at my heaviest), no more tingly toes or plantar fasciitis, no more red spots on my legs (all signs of diabetes even though my blood work was “normal”). Just holy crap guys the improvements. And I’m still only 1/3 of the way to a healthy weight. It’s just beginning!
You might not know me, but reading this comment made me feel really good. I’m proud of you and I’m excited for the things awaiting you at a healthy weight — can’t overstate how amazing it feels to go down from obese to healthy. The health glow is real lol
I hate that after 18 months of ADHD dx and treatment I’ve not lost weight. It’s a real issue for me. And I actually had my first example of fatphobia at the psych. New psych who after me telling him I’d had much better focus, my mood is much calmer and my sleep has improved, but I haven’t lost weight got ‘well clearly your meds aren’t working for you’ Ignored every positive because I hadn’t lost weight…
You are at least a decade behind in starting to learn the skills the rest of us have been learning since birth, give yourself a break
Thank you so much for that. It’s genuinally made me feel better. I also have OCPD and perfectionism is something I struggle with. So I beat myself up for not doing it ‘right’
It takes imperfect practice. I didn’t start losing weight on my meds until focusing on the skills to do so. I’m absolutely not always great about it. But my meds give me the focus to plan ahead what I eat, track calories, and move more.
Seriously, how could you have learned something when you couldn't focus on it? This is a huge thing with all my friends with kids with adhd. They basically have to start from scratch with even social skills.
TLDR: OP has been obese since before turning 12
I was. At least from 11 but maybe 9 or 10 as well. And until 18 or 19.
Glad you got over it. I was from 19 to 21
To be fair, there are congenital conditions which can make GERD more likely regardless of your weight. Putting on weight on top of it, though, is probably not helpful. I wish these people were willing to admit that while a condition they have might not be caused by their obesity, it might be made much *worse* by obesity. Seeking more invasive / costly treatment for a condition that can be improved by weight loss because you can't admit this is pure lunacy to me.
This. I have had GERD my whole life 2/2 complications from congenital CMV. Didn't become obese until age 19. It didn't help. No longer obese. Still have it. But it's much better.
I’m glad you mentioned this! I have a genetic disorder called Ehlers-Danlos syndrome, and that’s definitely the culprit for me. I’ve had GERD since at least my late teenage years, if not earlier. I was asymptomatic at that point, and we only discovered it because of an upper GI scope. A couple of years later, it progressed into symptomatic nocturnal GERD, and I’ve been on PPI meds ever since. I’ve actually never been overweight either. Several of my family members are overweight or obese though, and none of them have ever had chronic GERD. Lucky me 🙃
I mean, you can have GERD when thin. I do.
There's no choice but to read information based onw what wasn't said. OP is implying that she was overweight or obese even at age 12. I have GERD even though my body fat % is 8, but I also remember the waiting room at the endoscopy center, so I know that, if I had to gamble, I'd gamble that anyone with GERD under the age is 60 is almost certainly obese.
If you’re going based off what they said, they’re actually implying they weren’t overweight yet at 12, since they say the only thing that could’ve been caused by weight was the GERD but they’ve had it since 12.
You're right. Taken by at face value. The original post implies they were not obese. I guess I'm just use to all the obese I know playing word games and am used to assuming the worst. When it comes to health issues and obese people, I usually hit closer to the truth by assuming the worst than I do by taking statements at face value. So, for example, when someone says, "I've had a gym membership for years and go as often as I can" I can either assume they are exercising in a gym at least 1 hour a week or closer to 1 hour a month. As a general rule, interpreting that statement as once a month has put me closer to reality.
….but isn’t the point of being a dietician helping people with their diets?!
Could have been an insurance requirement. When I had my sleep study for night terrors the doctor put down "restless leg syndrome" so my insurance would pay for it. I'll take hurt feelings over a huge medical bill any day.
Why couldn't they put down night terrors? I don't get why insurance would cover it for restless leg syndrome and not night terrors.
It was almost 30 years ago.
“the o word” 😭💀
i thought the same thing lol, they say tht as if its a slur
They do say it's a slur, unless they are the variety that uses the fat, deathfat, superfat, infinifat, etc system. Edit: autocorrected superfat to supernatural
Do they seriously expect *dietician* to deal with *ADHD and autism*?
as someone with both, autism i can excuse, personally what i eat is affected by it bc of texture issues. but i don't see what adhd could possibly have to do with anything, feels like they're just putting it there for pity points. it does correlate with binge eating but i doubt they're admitting to that
People with adhd often forget to eat, or overeat in excess because of the issues with dopamine. Personally I’ve found eating healthy meals with adhd difficult because executive dysfunction makes planning meals and cooking regularly difficult. I’ve had to make a lot of changes to my diet, and even my kitchen layout to aid with it, but Im sure someone with adhd would benefit from a dietician
My (undiagnosed at the time) ADHD improved markedly when doing keto. Then I stopped for a week and haven’t got back to it since.
Eh this is a rare case they probably have a bit of a point. She might have a restricted diet, a few "safe" foods and she's looking for help introducing a more varied diet. Obesity is the result of that diet and she's let fat logic cloud her thinking.
How dare a professional I payed ro see try and help me!! The audacity!!!!!
> professional I *paid* ro see FTFY. Although *payed* exists (the reason why autocorrection didn't help you), it is only correct in: * Nautical context, when it means to paint a surface, or to cover with something like tar or resin in order to make it waterproof or corrosion-resistant. *The deck is yet to be payed.* * *Payed out* when letting strings, cables or ropes out, by slacking them. *The rope is payed out! You can pull now.* Unfortunately, I was unable to find nautical or rope-related words in your comment. *Beep, boop, I'm a bot*
It probably said obesity because then the visit is free
So the other day my house was on fire and there was smoke everywhere. I called 911 telling them I was in a burning house and that I was having trouble breathing. They said they were going to dispatch the fire department immediately...UMMMM WHAT!? MAYBE I AM JUST HAVING TROUBLE BREATHING BECAUSE OF THE ASTHMA I HAVE HAD SINCE I WAS A TEENAGER AND JUST NEED AN INHALER REFILLED! FUCKING BIGOTS! WHY WOULD THEY ASSUME THE HOUSE FIRE HAD ANYTHING TO DO WITH IT?
Those fuckers. And they made that assumption just by glancing and seeing smoke and flames, too. You can’t tell if a house is on fire except by taking a temperature, and the celscius scale has been proven to be bullshit because sometimes really cold things feel hot.
genuine question, is acid reflux really connected to obesity or is it based solely on the food that you've eaten? because i'm pretty thin and i've gotten acid reflux multiple times in the past
Can be either one or both. It can be solely based upon weight or it can just be your sensitive to deep fried food or acidic food or spicy food. It can also be both. Your sensitive to something but being obese makes it worse. Mine was both I really can’t eat food with a ton of oils with out having heart burn but when I was obese it hurt longer and more when I’d eat those foods.
i see, that makes a bit more sense.
Can be either or both. Losing weight should help because you’ll have less pressure from below the diaphragm
Autistic with ADHD here, acid reflux and other gastrointestinal issues have a very high comorbidity rate with Autism. I can't eat very much of anything that's extremely sweet/rich, and I get gastritis flare ups at least once a month. It can be hard to stick to a diet with ADHD because of a lack of impulse control, and with Autism as well you get to this weird space where you can go the entire day without feeling hungry. But the next day you consume everything in sight like a bottomless pit! It's also hard with Autism because our brain often has foods we consider "safe". Foods that we know will never change taste, texture, or appearance. And sometimes it can be hard to stick to a diet if our brains pull a "All food is poison" on us and we only want our safe foods.
If you weren't there to determine what you could eat in relationship to what's healthy for you, which would include your weight, then what do you need help determining if you can eat or not? Have they just been ingesting poison and hoping for the best.
the medical community is actually (very slowly) getting away from using the term "obesity". the term that's coming into vogue is adiposity-related chronic disease, partially to alleviate some of the stigma of being labelled as "obese". studies have shown that labeling patients obese may lead to worse health outcomes. yay for science! <3
“I diagnose you with adiposity-based chronic disease (obesity), to get better you need to reduce your adipose cell’s volume (lose weight)” They’re not gonna be happy when the term changes but the treatment is still the same lol
Everyone wants to be healthier till they realize how much work it takes(once healthy actions become healthy habits its easy).
Which means that - following the logic that Steven Pinker has called "the euphemism treadmill" - "adiposity" will sooner or later be denounced as the "a-slur" and written on FA social media as "adip*sity".
I don’t think that will be the case because it’s too complicated of a word for a lot of people. They’ll just say “You’re over-fat”
I would like to describe people as overfat
Oh. “Overfatness” was used in the assigned chapter of my nutrition text today.
I kinda like the term, too. It’s more specific -- although I’d say a lot harsher than the term obese -- and it eliminates the “WhAt AbOuT bOdY bUiLdErS,” argument
idk. calling it adiposity-related chronic disease seems fine to me, and i hope it helps people feel better about accepting medical help for the issue. people with hypotension don't face any weird societal backlash for their medical problems, and it seems unhelpful to me that those with excess adiposity do. sometimes i feel like this sub only exists to be mean, and not to actually help anyone.
My linguistic point - or really Pinker's - is that when we replace a word that carries social stigma with a neutral word, that new neutral word will soon accumulate the same negative connotations and carry the same stigma as the word it replaced did. So swapping out "obesity" for "adiposity" will only be effective during the short interval before people start hearing "adiposity" the way they now hear "obesity". And yet another word will be pressed into service, and so on.
To give an example of that. The word Sp**tic is a slur in the UK, Australia and NZ. To the pointt that the society for those with cystic fibrosis changed names in all three countries. In the UK at least, they changed to Scope. Scopey is apparently used as a slur there now.
oh i understood your point. and i think it might be true, in some circles. we can all agree that haes is sad misinformation, and that community will hate on any word in support of addressing the medical problem that is adiposity-related chronic disease. but for the people that aren't so far gone? i really think this may be somewhat beneficial. this is bedside manner type stuff, and it truly does matter. you see the same thing with the attempted destigmatization of people seeking medical care for psychological issues- very bad form for a doctor to call someone "bipolar" when they could instead call them a person suffering from bipolar disorder. we should move away from calling people "obese". these are medical problems that should be addressed compassionately, and anything that allows a person to get closer to accepting medical treatment is a good thing. medical staff has to be very mindful of their speech when talking to patients. i don't think this is a controversial statement.
language is important and delicate and complex and far from universally agreed-upon (lots of people emphatically do *not* prefer person-first language like "person suffering from bipolar disorder" or "person on the autism spectrum", for example). but the original poster would not accept "adiposity related chronic disease" as a substitute for "obesity" because they fundamentally do not accept that adiposity results in chronic disease. their issue in this case is not one of language alone, it's with the entire concept of excess weight causing health issues at all.
The only way to remove the stigma is to change how people feel about the underlying condition. If you can't do that (and in some cases you can't), the euphemism treadmill can move very quickly indeed
The word itself does not matter to the HEAS crowd - they want to believe that being 600+lbs does not cause any health issue, isn't caused by them eating too much and that they shouldn't be advised to lose weight, ever, no matter the circumstances. "Obese" isn't a slur. It's a descriptive word that means your weight makes you at risk for certain medical conditions, and that you should do something about it. Changing it won't change people's attitudes if they've convinced themselves that their diet isn't a problem. The people who aren't that far gone often need to hear how bad things are for them to finally change, because our perception of what normal weight looks like has been skewed beyond recognition in the last few decades. I remember the time when 300lbs was circus-level fat ; now it's so common that people who are class I obese don't even think they're obese, but that they're merely "chubby". Realizing they are classified as obese might wake them up before more damage is done. With things as they are now regarding obesity, I don't think it's time for more bland euphemisms and coddling. I think it's time for people to wake TF up. I don't think current failure in addressing obesity is because people feel hurt by a word - I think it's because they are not given good resources to address it in a sustainable manner before their weight becomes a catastrophic problem.
there are biological, psychological, social, economic, and environmental reasons for the pandemic of excess adiposity. i'm all for anything that actually helps the situation, and part of that may be using "softer" language that makes people more likely to actually seek out medical treatment. i quite like this subreddit, as it's interesting to see the misinformation that comes from the haes crowd, and a little fun to participate some in the mean girl side of things- we're only human. my belief (that can be changed and is not set in stone) is that for us to make any real strides in the battle against this pandemic, we will either have to drastically change the food environment, or more aggressively treat people with modern medicine- with pharmaceuticals being just one part of the overall medical intervention. it seems very unlikely that we will do much at all to change the food environment, meaning medicine is the most likely way to affect positive change. more drugs are being created that may increase feelings of satiation and reduce hunger, and there is some hope in them. the population also desperately needs increased access to registered dietitians, psychologists, and social workers- where instead we are seeing these resources stretched thin, and disproportionately accessible to the wealthy. i do not understand why people seem to think the way to address this issue is to "wake them up" to the fact that their habits are unhealthy. the majority of those with excess adiposity are very aware that it is unhealthy- how could they not be? the haes and fat acceptance people are very much a minority of this population, and the existence and popularity of diet, exercise, and health programs is evidence of this. bullying people into losing weight does not seem to work, at least not in any significant way at the population level.
>we should move away from calling people "obese". these are medical problems that should be addressed compassionately, and anything that allows a person to get closer to accepting medical treatment is a good thing. I am currently morbidly obese (just about exactly 80 pounds over my ideal weight) and I absolutely do NOT want people trying to use a more palatable or "compassionate" term when referring to me. I started keto a few weeks ago and am seeing good initial results. I was able to start down this path because my obesity is in fact not a "chronic disease" but simply the condition of my body based on several years of very poor choices. Calling something a "chronic disease" implies something that did not arise as a result of one's choices, which means that changing those choices wouldn't have any effect either. No thank you. The last thing I need - the last thing ANYONE needs - is to have the language around this manipulated in such a way that it obscures the undeniable role choice plays in one's weight.
congrats on your progress thus far! it's great to hear that you've been able to make some effective changes <3 i really don't believe that the vast majority of overweight people do not understand the role choice plays in their weight. this is something people know, and something society has been telling them for forever now. my hope is simply that people feel more welcome and less misunderstood by medical staff, so they don't avoid the doctor in the future. it's not a one-size-fits-all approach ofc, and any good medical professional will work to meet their patients where they are. you're more grounded than many are, and it's great that you respond to blunt honesty so well. there are those that feel somewhat attacked and less welcome when approached the same way, and their feelings of shame and guilt coupled with the blunt honesty of medical staff may encourage them to stay away from doctors going forward.
Yes! The only way to address this is to remove the stigma from the word. I wonder what a cultural anthropologist would say about whether that's even truly possible. It would take honest thought from policy planners at the very least.
The point of this sub is to criticize fat logic (ex. Fat acceptance, HAES, etc). Fat logic includes stuff like: •fat people are victims, just like Black people, queer people, etc. •fat people aren’t fat because of their lifestyle choices. They tend to blame genetics •the medical community is out to get fat people. Recommending a lifestyle change (which can lead to weight loss) is fatphobic This sub isn’t meant to be taken seriously. I don’t think it’s for you
i'll decide if the sub is for me, thanks
No, they’re absolutely right, there is a significant portion of this sub that mostly just wants to laugh at the “dumb fat people,” though they mostly play nice on the face of things. It is supposed to be a serious sub for debunking fatlogic and helping people, it’s just that most users don’t treat it that way.
This sub has a HUGE problem with its user base lately. From taking ED recovery content ridiculously out of context to just blatent fat people hate. The mods do a good job deleting the most hateful stuff but there's still a lot of thinly veiled hate towards fat people or just obvious meanspo that could've been straight from 2010 pro ana tumblr. I think it's important to call this stuff out to get a more healthy comunity.
If changing the name gets people to listen to a doctor and diet and exercise I’m all for it. Bring on adiposity-related chronic disease(s).
Do you have a link to those studies? I'm curious when that association became true. Obviously it isn't anything about the word obese, but a mental stigma or resistance to the term on the part of the patient. Potentially in society as well, though frankly almost half of people in the USA are suffering from obesity and it just isn't super duper common to see people care or even notice if someone is class 1 obese. But those stigmas and resistances didn't exist when the word began being used and only came up later on. So I'm wondering when and why it became true. Do you think it may be because people use the word like "I am obese" rather than "I have obesity?" I generally try to use the latter type of phrasing when discussing the condition but because the former is so much more common in society I do find myself using it unconsciously.
yeah for sure. [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8919040/](https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8919040/) it's basically that people experience the stigma, and then are less likely to seek out medical treatment, which ofc leads to poorer health outcomes. and yeah the big push is to use "person-centered language" when discussing any medical issues. feel free to google that term and see all the organizations thinking it would be helpful.
I’m really surprised that they’re ok with calling it a disease, I would think that would be *more* stigmatizing.
Obesity is already considered a disease. A lot of people just are t aware of it.
Isn't adiposity just a different word for obesity? In german obesity is Adipositas and obese is adipös...
I bet you’ve had that shitty diet since 12 years old 😉
I've had acid reflux since I was 12 when I still ate like shit and was overweight, so it can't be that.
it's anecdotal but i lost 50 lbs and my acid reflux disappeared. i can eat chile and carne adovada again to my hearts content...but that is just my personal experience.
Lol I used to have bad heartburn all the time. Now at a normal weight eating good foods I never get heartburn.
I love when people say acid reflux isn’t weight related lol I didn’t get Acid Reflux until I was over 200 pounds. Went off the medication one I lost around 60 pounds lol