A couple of days ago, laid out on the table for a pap smear, my gynecologist said, "Have you seen a dietitician? Skinny people live better, longer lives." This seems underhanded, no pun intended, when said by someone who is pushing your soft inner thigh fat around.
I don't really deny she's right, although the "better" part is subjective, and some might argue that life is better with cheese fries and alcoholic milkshakes. Healthwise, and social-advantage wise, the evidence is clear that she's speaking truth.
I am starting to doubt it's possible for me to be thin, though. Certainly not "skinny," as she referenced. I've never been skinny in my life - I was born 10 pounds, 4 ounces, and am chubby in my kindergarten graduation cap and gown pics. I've been hot and healthy and curvy, as a teenager, but I was never a thin girl - let alone skinny.
Maybe you watch SciShow and you've seen how Hank Green says in his obesity video that being fat is objectively bad, but also that it's caused by everything from genetics to industrial chemicals, and linked as much or more to gut bacteria as diet and exercise. That is a heavily researched and cited video that is hard to refute. Many other scientific voices are saying the same things as Hank.
Or maybe you saw that Salon article quoting a bunch of new research, earlier this year:
If you’re one of the 45 million Americans who plan to go on a diet this year, I’ve got one word of advice for you: Don’t.
You’ll likely lose weight in the short term, but your chance of keeping if off for five years or more is about the same as your chance of surviving metastatic lung cancer: 5 percent. And when you do gain back the weight, everyone will blame you. Including you.
This isn’t breaking news; doctors know the holy trinity of obesity treatments—diet, exercise, and medication—don’t work. They know yo-yo dieting is linked to heart disease, insulin resistance, higher blood pressure, inflammation, and, ironically, long-term weight gain. Still, they push the same ineffective treatments, insisting they’ll make you not just thinner but healthier.
In reality, 97 percent of dieters regain everything they lost and then some within three years. Obesity research fails to reflect this truth because it rarely follows people for more than 18 months. This makes most weight-loss studies disingenuous at best and downright deceptive at worst.
There's a great docuseries called The Weight of a Nation that also explores how cultural forces, environmental factors, and more, are combining to make us fatter and make it really, really hard to lose weight and keep it off. I believe it was the 3rd episode that explored metabolic changes that happen when you lose a great deal of weight, that make it much harder to maintain a weight afterward than it is for someone of a similar weight who had never been morbidly obese. As in, the person who lost the weight would need to consume about 300 less calories per day, vs the person who'd always been thin, when controlling for every other variable.
All of that (frustratingly) backs up Grant's and my experience these past couple of years. We both lost around 30 pounds, and then promptly gained it all back plus some, to be at mutually all-time-highest weights. We're both looking at round 2 - which is more like round 22, let's be real - and feeling more than a little disheartened.
Part of me really, REALLY responds to fat- and body positivity campaigns. I have a bathingsuit I think is super flattering, and I swim in public. I live in public. I have a husband who thinks I'm ravishing. I've found a few places I can reliably shop for clothes I genuinely like, on and off. I'm not afraid to do just about anything, and get pretty shocked when I find out other overweight people avoid being SEEN in public, eating in public, etc. I've got a good and full life, over here.
And my blood sugars, blood pressure, and cholesterol are all still awesome - probably due at least in part to us cooking from scratch often and eating tons of fresh fruits and vegetables. Aside from the occasional coffee, tea, or wine, I only drink water. Don't be fooled, now, I eat A LOT and I know it, and I eat a lot of fat - even when I'm eating very healthy, I just want fat all the time (olives, avocado, whole eggs, cheeses, etc). But I also think I eat a lot of healthy foods, and that helps me out in the body chemistry department vs someone fat who chows down on more cake, coke, and McDonald's? Who knows, maybe I've just been lucky.
Except that I get sick - a lot.
And I stay sick for a long time, when I do.
I never really connected that to being fat. Just now I was reading online, though, and I saw that a really disproportionate number of those hospitalized for flu are obese. Obesity was proven to be an independent risk factor for getting the flu, in 2009.
Basically, being fat screws up your immune system. You get sick more - in general, not just with the flu - and you get sicker when you get sick. Here's the National Institute of Health, explaining it in more technical terms via PubMed. The
CDC actually lists those with body mass index greater than 40 as one of the subsets of people who need a flu shot, along with infants and the elderly and immunocompromised!
But, guess what? Flu shots don't work as well for the obese.
Kinda like how the morning-after pill doesn't work as well for overweight women. And who knows how many other medications.
I know someone (online) who is super active, fat positive, and strong. She bikes and walks often, is in circus school for crying out loud - she's also got a badass career and is a great mother. She had a terrifying pulmonary embolism a couple of years ago, related to the Nuva ring - which is much more likely, if you're fat. Like how ovarian cancer is more likely if you're fat. And about a million other things. I don't have the will to keep linking everything, but I assure you, this shit is easy to find if you go looking independently.
Basically, obese is not something you want to be. These health risks are freaking me out tonight on a level that nothing else I know about my weight ever has. This is going to be on my mind in a big way now, every time I come down with anything.
What good is my full life, if it's cut short? By infirmity or death, or both (one after the other)?
So... do I just believe I can be in that tiny sliver of people who manages what is basically statistically impossible? Even if the reality is that losing and regaining over and over is much worse for you than just staying the same amount of fat, over time? My therapist, annoying ass that he is, really likes to say it's just a matter of "making a decision, and sticking to it." Which is sort of hilarious, since he's a type 2 diabetic with a pot belly that's been on some diet or other as long as I've been going to see him (about 2 years now) with little if any result. Obviously everyone does better at doling out accurate advice than following it?
I'd give a long sigh right now, but I'd go into a coughing fit.
I don't really deny she's right, although the "better" part is subjective, and some might argue that life is better with cheese fries and alcoholic milkshakes. Healthwise, and social-advantage wise, the evidence is clear that she's speaking truth.
I am starting to doubt it's possible for me to be thin, though. Certainly not "skinny," as she referenced. I've never been skinny in my life - I was born 10 pounds, 4 ounces, and am chubby in my kindergarten graduation cap and gown pics. I've been hot and healthy and curvy, as a teenager, but I was never a thin girl - let alone skinny.
Maybe you watch SciShow and you've seen how Hank Green says in his obesity video that being fat is objectively bad, but also that it's caused by everything from genetics to industrial chemicals, and linked as much or more to gut bacteria as diet and exercise. That is a heavily researched and cited video that is hard to refute. Many other scientific voices are saying the same things as Hank.
Or maybe you saw that Salon article quoting a bunch of new research, earlier this year:
If you’re one of the 45 million Americans who plan to go on a diet this year, I’ve got one word of advice for you: Don’t.
You’ll likely lose weight in the short term, but your chance of keeping if off for five years or more is about the same as your chance of surviving metastatic lung cancer: 5 percent. And when you do gain back the weight, everyone will blame you. Including you.
This isn’t breaking news; doctors know the holy trinity of obesity treatments—diet, exercise, and medication—don’t work. They know yo-yo dieting is linked to heart disease, insulin resistance, higher blood pressure, inflammation, and, ironically, long-term weight gain. Still, they push the same ineffective treatments, insisting they’ll make you not just thinner but healthier.
In reality, 97 percent of dieters regain everything they lost and then some within three years. Obesity research fails to reflect this truth because it rarely follows people for more than 18 months. This makes most weight-loss studies disingenuous at best and downright deceptive at worst.
There's a great docuseries called The Weight of a Nation that also explores how cultural forces, environmental factors, and more, are combining to make us fatter and make it really, really hard to lose weight and keep it off. I believe it was the 3rd episode that explored metabolic changes that happen when you lose a great deal of weight, that make it much harder to maintain a weight afterward than it is for someone of a similar weight who had never been morbidly obese. As in, the person who lost the weight would need to consume about 300 less calories per day, vs the person who'd always been thin, when controlling for every other variable.
All of that (frustratingly) backs up Grant's and my experience these past couple of years. We both lost around 30 pounds, and then promptly gained it all back plus some, to be at mutually all-time-highest weights. We're both looking at round 2 - which is more like round 22, let's be real - and feeling more than a little disheartened.
Part of me really, REALLY responds to fat- and body positivity campaigns. I have a bathingsuit I think is super flattering, and I swim in public. I live in public. I have a husband who thinks I'm ravishing. I've found a few places I can reliably shop for clothes I genuinely like, on and off. I'm not afraid to do just about anything, and get pretty shocked when I find out other overweight people avoid being SEEN in public, eating in public, etc. I've got a good and full life, over here.
And my blood sugars, blood pressure, and cholesterol are all still awesome - probably due at least in part to us cooking from scratch often and eating tons of fresh fruits and vegetables. Aside from the occasional coffee, tea, or wine, I only drink water. Don't be fooled, now, I eat A LOT and I know it, and I eat a lot of fat - even when I'm eating very healthy, I just want fat all the time (olives, avocado, whole eggs, cheeses, etc). But I also think I eat a lot of healthy foods, and that helps me out in the body chemistry department vs someone fat who chows down on more cake, coke, and McDonald's? Who knows, maybe I've just been lucky.
Except that I get sick - a lot.
And I stay sick for a long time, when I do.
I never really connected that to being fat. Just now I was reading online, though, and I saw that a really disproportionate number of those hospitalized for flu are obese. Obesity was proven to be an independent risk factor for getting the flu, in 2009.
Basically, being fat screws up your immune system. You get sick more - in general, not just with the flu - and you get sicker when you get sick. Here's the National Institute of Health, explaining it in more technical terms via PubMed. The
CDC actually lists those with body mass index greater than 40 as one of the subsets of people who need a flu shot, along with infants and the elderly and immunocompromised!
But, guess what? Flu shots don't work as well for the obese.
Kinda like how the morning-after pill doesn't work as well for overweight women. And who knows how many other medications.
I know someone (online) who is super active, fat positive, and strong. She bikes and walks often, is in circus school for crying out loud - she's also got a badass career and is a great mother. She had a terrifying pulmonary embolism a couple of years ago, related to the Nuva ring - which is much more likely, if you're fat. Like how ovarian cancer is more likely if you're fat. And about a million other things. I don't have the will to keep linking everything, but I assure you, this shit is easy to find if you go looking independently.
Basically, obese is not something you want to be. These health risks are freaking me out tonight on a level that nothing else I know about my weight ever has. This is going to be on my mind in a big way now, every time I come down with anything.
What good is my full life, if it's cut short? By infirmity or death, or both (one after the other)?
So... do I just believe I can be in that tiny sliver of people who manages what is basically statistically impossible? Even if the reality is that losing and regaining over and over is much worse for you than just staying the same amount of fat, over time? My therapist, annoying ass that he is, really likes to say it's just a matter of "making a decision, and sticking to it." Which is sort of hilarious, since he's a type 2 diabetic with a pot belly that's been on some diet or other as long as I've been going to see him (about 2 years now) with little if any result. Obviously everyone does better at doling out accurate advice than following it?
I'd give a long sigh right now, but I'd go into a coughing fit.