A physician decided to stop talking to patients about weight, and focus on health instead. But the new weight-loss drugs forced her to rethink how to help patients without feeding into stigma.
Right around the time Ozempic came out, I started to change the way I practice medicine. As the new class of weight-loss druga highly medicalized era of Americans' obsession with being thin, I decided I was done with trying to get my patients to lose weight.
Then, when I lost weight in my 20s, appointments with the doctor were transformed. I could focus on the issues I wanted to discuss, rather than visits being dominated by talk of cutting calories. I also started reading more about the history of the body mass index and exactly how unscientific it is. The concept of BMI – weight relative to height – wasby a Belgian astronomer and mathematician who wanted to define the"average man." But his"average" was white, European and male, and didn't take into account genetic differences or muscle mass.
I don't pretend that diet and exercise are unrelated to those metrics. Cutting back on processed foods is a great way to prevent hypertension and diabetes.is the cornerstone of a healthy lifestyle – it can help you sleep, improve your mood, stop back pain. These things might help you lose a few pounds. But as a doctor – and in my own life – I try to focus on the health benefits, rather than making a certain body weight the goal.The change in my clinical practice has been palpable.
Still, I started to understand that it wasn't my job to withhold Ozempic from my patients simply because it didn't align with my ethos.I remember tears streaming down the face of one patient, who had tried for years to make peace with her bigger body, but said she was sick of fighting for body acceptance. Even though her blood pressure and blood sugar levels were well-controlled, she was ground down by the fatphobia she experienced every day. She wanted Ozempic.
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