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Obesity is a disease, so it should be treated as such. It’s not more of a personal failure then getting lung cancer from smoking.
Yet tobacco companies are shamed and taxed, while the sellers of addictive junk foods and sugary waters are thrivingcand marketing for children.
And at the end, people are dying, and taxpayers are paying the cost for capitalist greed.
There's a saying: "it's not your fault, but you are the only person who can solve it".
Only you can reduce your calories, only you can stop smoking and only you can quit alcohol. That's shitty that you have to, and in an ideal world it wouldn't be like this, but it is.
Got a lot to say but I'll keep it brief-ish. Corporations love unhealthy people. They will artificially celebrate this and reinforce unhealthy lifestyles. This extends beyond weight.
Once entrapped, escape is hard. Some are passive and depressed. Some are dismissive and defensive. No matter which cycle you are in, it's unhealthy.
I think smoking is bad like I think being overweight is bad. If a doctor says alcohol is killing you, it probably is. I don't think hatred is deserved, but don't expect any validation for those choices.
The meme isn't about that, I've read stories of some doctors refusing to perform surguries to overweight people, but other doctors doing the surgery anyway.
The same way a lot of women get told stuff is just from their period by doctors.
The reason for that is that surgeons are rated based on their success percentages meaning they'll recommend against risky surgeries.
The upside of this is that surgeons aren't operating willy-nilly on people and will make a proper risk assessment. The downside is that overweight people have an inherently higher risk of complications from surgery, so some surgeons will pass.
It's not because they think these people don't need it, it's because they think it's too risky. They're usually not wrong about that, you just need to find a surgeon willing to take the risk or, if possible, reduce the risk by losing weight.
There's also no point to surgeries if the people aren't committed and are just going to eat even more and put the weight back on. It's like consolidating debt to make one payment easier but keeping all the credit cards and building up the debt again. It just makes you worse off
Look. Shitty doctors exist, but when 1/3 of the US is overweight, there are underlying issues that need addressing. I only hear horror stories when an addict, alcoholic, or overweight individual in my life is feeling insecure or defensive about a prognosis. Too many people deflect and it's enabling a much larger issues. Our basic instincts are being exploited.
Look. Shitty doctors exist …
Yes. They're in the meme.
Surely no coincidence that being obese is a gateway to hyperconsumerism anyway. Sugary, fatty, processed snack foods are way more profitable than healthy meals.
Walking around town is free, can't have that. Sit at this computer chair, watch advertisements and play video games instead.
Heart disease at 26? That'll be $2k/month until you die.
Get depressed, buy the meds, never leave your couch, don't fight back, you're the evolution of humanity and - most of all - you are beautiful.
Or lgbtq
I can't blame doctors for letting obesity color their opinion. Look around your doctor's waiting room. Everyone is fat. Imagine the suffering and illness they see daily due to fat. How can those observations not color their general attitude?
Everyone is fat
Exactly, which points squarely at an environmental cause, not at individual sloth/gluttony or some shit like that.
The conclusion you're saying doctors arrive at—which I don't doubt you're correct about—is actually completely fucking backwards.
Yeah but your doctor cant prescribe you burning down capitalism, they can prescribe you lower your caloric intake.
Look around your doctor’s waiting room. Everyone is fat.
Lots of people are old and age correlates with weight gain. But the volleyball player who blew out her ACL isn't fat. Neither is the chemo patient who is back for a final round.
How can those observations not color their general attitude?
Doctor: "Feels like everyone I see is either sick or injured"
Nurse: "Try spending less time in the ER"
I'm not sure your second point works, or maybe I just don't understand it. It's not like the doctor is making judgements that people are fat outside a hospital- they're doing their job. You've got a car and it's starter goes out every year, last time being a year ago. Your car wont start. Whats the first assumption?
It's not ableist or bias to assume that the most common issue is the most likely issue. They see a ton of people whos problems are irrefutably due to their weight. It's not the doctors job to make judgement calls on whether that person is wholly responsible for their situation, it's their job to doagnose the problem and help take steps to fix it. The problem being their weight, the steps include: burn down capitalism and replace it with a system that doesnt incentivise companies to use the cheapest least healthy ingredients, or tell the patient unless they lose weight they're going to die. One of these is completely pointless to tell the patient, the other gives them an unfair opportunity to potentially save themselves.
The patient is a women, in poverty, disabled, mentally ill…
Medical culture is unbelievably bigoted.
And all of that would be made worse if she was fat as well. Being fat is unhealthy. I was a medically obese child. 250lbs at 12. Losing 80lbs is one of the greatest changes I've ever made in my life, if not the best, for my daily quality of life.
they must harm the fat in order to save the patient
/s
The patient needs fat to live.
Now we have weight loss drugs, though. Those are apparently unbelievably effective
I'd there's one thing I've learned in all my studies, it's that weight los drugs are shiiiiiit
Not because they don't work, but because a general effect like "weight loss" usually comes with more than a few downsides
They are, and they absolutely changed my life. I was never obese, but almost always overweight since childhood.
As an adult, I used Saxenda (liraglutide) for almost 3 years, prescribed by my gastro doc. I lost 25 kgs with it, out of which only 3 was muscle mass. I only needed half the max dose, and now they even have a newer and more effective formula.
I was afraid I would gain it back after stopping, as I was warned, but I stopped half a year ago, and I lost 5 kg more with only diet since then. And by diet I don’t mean starving myself, just switching to super healthy and natural stuff, and staying away from processed food.
Before this med, I ate too much, and even though I tried to stay away from stuff with added sugar or too much fat, it just added up. The drug took away my excessive hunger, and at the beginning I just ate less, but after a few months I also changed my diet to be more fresh and healthy, and the fat just kept melting away.
Now I’m in my mid 30s, and look better then ever, and also got rid of health conditions (like minor high blood pressure) that would cause a mess later. And again, I was never obese, only overweight, so I can’t even imagine the impact this would have on dangerously obese people.
Incredible technology, I think a lot of people will take these in the future. And my case shows that it’s not true that you have to take it forever: if you can adjust your diet and life over a period of a few years, your body will “heal” and help you to keep the fat down later.
Friend of mine has been on wegovy and has lost almost 40 pounds in 4-5 months. It was almost discouraging to hear that as it has taken me two years to set the correct habits to lose almost 35 pounds (and keep it off).
The side effects of those drugs are real though. My friend says she constantly feels nausea and it's weird to see her eat so little... When we go out I would be surprised if she even eats half her plate, if that.
It's been a long journey for me personally to lose weight. I had to teach myself how to use gym equipment, cut out all sodas, and to suppress my cravings. To see people take what looks like "the easy way out" can sting... but in the end, I feel better then ever.
Sort of. We have drugs that can help you lose weight, but they come with their own challenges and risks, and you still need to eat right and exercise. And even then, it's prescribed and covered for diagnosed diabetes. If you want it to lose weight, you probably have to pay for it.
Eating right is much more difficult than people pretend it is, and exercise is simply not possible for a lot of overweight people. You might as well say "don't be poor, and also don't be poor."
So when you say on top of that, "we've made it easier for you to lose weight with this new drug, as long as you aren't poor," that's not really helpful.
Now it is also prescribed for obesity, not just diabetes. And I think very much worth it from a societal perspective, as the healthcare costs of obesity are extreme.
exercise is simply not possible for a lot of overweight people.
I'm not fat, but that seems simply untrue unless the person is fat due to a serious disability in the first place. Maybe doing intense exercise isn't possible, but fat people can absolutely start with small, little exercises and work their way up over months or years.
Like going to a pool if there's is one available near them.
...if there's [a pool] available near them.
Speaking of institutional racism...
This validated a new normal across America: When legally required to share public pools with Black children, many white families decided they’d rather not go at all. Closing public pools to avoid racial integration became official policy for many cities across the U.S.
Not only did racism deprive black people of access to pools (leading to stereotypes like "black people don't swim" etc.), it also greatly reduced it for white people, especially ones not wealthy enough to pay for membership to one of the private pools that sprang up in the wake of the closures of the public pools.
We are all sicker because of the bigots' hate.
My parents and my fiancee have gotten on an equivalent of Ozempic specifically for weight loss and covered by insurance. It seems to be easier now than it was, because if my fiancee wasn't covered we absolutely couldn't afford it.
WeGovy?
Excellent question, but I have no idea. She tears the medicine labels off for some reason so I'll ask her when she gets home and edit with more info. It's a capsule and a tiny pill, taken morning and night respectively, if that means anything to you.
Edit: Phentermine and topiramate
And unbelievably expensive, and unbelievably good at regulating an A1C.
Now if you excuse me, I am gonna go and break down crying to the insurance rep about how Ozempic is way better than metformin at not making me shit my pants. I swear I am not making excuses just to lose weight. (Please someone, stop the madness, if I can get semiglutides that doesn’t make you lose weight but regulates my A1C I would be so happy)