You can't be healthy at any size

Uncategorized Aug 19, 2019

 was watching an interview with a former Biggest Loser contestant who was talking about his time on the show.

He was isolated from the world, had no access to Internet or TV. All he had to every day was exercise 12-14 hours each day so he could lose as much as weight as he could to win the competition. 

He was 500 pounds before the show started, got down to 270, and then rebounded to 370 in a matter of months eating just 2000 calories a day. 

Now, I’ll give him benefit of the doubt, but I find it hard to believe the he gained that back in just a few months eating 2,000 calories a day. That’s quite a rebound!

But I was in an airport the other day and I saw a man who was at least 400 pounds. He could barely move. 

Earlier in my life, I would have said, “get it together, dude.”

Now I show empathy. Who knows what’s happening there. Maybe a diet that trigged an eating disorder. Maybe medications. Maybe genetics. I don’t know. It wouldn’t surprise me if he has a history of binge eating.

What I’m saying is that you cannot be healthy and live a good life at any size. Period. 

I was reading Robert Lustig the other day and he said, “losing weight will almost always make you healthy.”

I have my own opinions about Dr. Lustig at UCSF. I think he’s honest but I have good sources to counter what he says about insulin and fructose.

Be that as it may, being really fat (sorry, the f word) really can make your life miserable. And obesity is strongly correlated with diabetes, early death, high triglycerides, high levels of inflammation. It’s nasty crap.

I've had patients that weight that much and it's not a good quality of life. It's hard to move, hard to transfer, hard to leave the home, hard to do anything. It drives me insane when I hear people say, "healthy at any size." 

But there’s a movement in San Francisco, not far from where I live now, that doesn’t want weight loss or obesity prevention to be taught in schools because they want to promote a healthy body image.

Listen, I’m all in favor of promoting a healthy body image, but don’t lie to yourself. Don’t tell yourself everything is okay when it’s not. Don’t tell yourself you’re rich when you have nothing in the bank account. 

You cannot be healthy at every size. I don’t think being thin is necessarily healthier, and being 10-20 pounds “overweight” isn’t necessarily unhealthy. Maybe not pleasing aesthetically, but not unhealthy.

But if you can barely move, you’re short of breath, you can’t go up a flight of stairs, you can’t play with the grandkids, you avoid social events, and you’re on medications for high blood pressure and high cholesterol, you’re not healthy.

If you have any history of eating disorders or you just want to make sure your life is going to be easy and healthy later in life, then start here: https://bit.ly/2UQcLBW

Kevin

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