yes, and that doctor should do whatever they can to make sure you have the tools and education to healthily get there.
also, doctors are also people and are often subject to the same biases around weight as society (despite being trained to know better) so unfortunately some of them will spout weight loss garbage without making sure their patient is actually in good health while doing so.
No, fuck doctors telling people to lose weight. it is even more dangerous than pills because they carry the weight of a medical degree.
When I moved to Melbourne on January 23, 2010, I weighed 125kg. I was healthy as a horse. Every time I had been to a doctor in the past 10 years they had told me my condition (colds, anxiety, what the fuck ever) would be solved by losing weight. I was sent to weight watchers at age 10. When you are fat, doctors will look at that above anything else as the thing you should work on. It’s fucking perverse, and Hammond is the only one I’ve found who hasn’t pulled that shit on me.
Heavy eating disorder/weight/health/weight loss talk to follow.
So, back to 2010. Between an illness, moving out of home and discovering how easily I could subdue my appetite, I’d lost 40kg in six months. I thought it was healthy because I never did intense exercise. But I went to a doctor at this time in 2010 to double check that my clearly unhealthy life choices were okay. By that point, a lot of my hair was coming out and I had blood pressure low enough that standing up would make me black out at least once a day. I told her I was worried I was losing weight too fast. And she said ‘well, you’re still overweight, so it will help your conditions to lose more.’ My caloric intake by that point was somewhere between 300 and 800 per day.
This same doctor seemed very shocked when I came back to her in January 2012 requesting a referral to the psych because the behaviours she and every other doctor had encouraged throughout my life had led to several incredibly intense eating disorders that would take nearly another year and a complete reorientation of my life to start reversing.
Further, none of my actual psychological problems were ever acknowledged or diagnosed when I was younger because doctors so firmly believe that losing weight will solve everything for fatties.
I’d put the toll of the medical malpractice I’ve personally suffered at at least $70,000
To encourage anything to do with ‘health’, a complete unlearning of all aspects of culture around diet, appearance, weight, exercise and fashion needs to be completed. Without it, the same old traps will be fallen into. I would bet anything on it.
Yeah look, I spend a lot of time around doctors and sophisti-cunted’s right.
I’m not going to cite my statements because it’s work, but I do have sources for stuff I say if you want them.
The evidence we have suggests that people in the BMI class of overweight (25-30) live the longest out of any of the weight classes, but try telling that to most doctors (hah! hah!).
Doctors think it’s fucking easy as to just drop 5-10 kg, but the reality is we have a metabolic setpoint which our body uses to keep the same weight (ish) no matter whether food is scarce or plentiful, and some people have a higher setpoint than others.
In med school we get taught to classify risk factors into modifiable and non-modifiable, and weight is put in modifiable, but that’s generous at best.
You CAN be healthy at any weight. Obesity CAN cause you no medical issues.
But most doctors (there are some exceptions) will assume that weight loss is always good, when in reality it’s much more of a mixed bag and a lot harder to achieve without major other issues.