• doubtingtammy@lemmy.ml
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    7 months ago

    Fat people: I should be able to get medical care beyond being told “you should lose weight”.

    Dummies like OP: 😡

    • SanndyTheManndy@lemmy.world
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      7 months ago

      But what if the medical care is loosing weight?

      What do you expect them to do when a 160kg dude is rolled into the ICU with his third heart attack of the month? A transplant?

      • TheSambassador@lemmy.world
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        7 months ago

        Every time people talk about this, they always envision the most morbidly obese example that they can think of, when we’re really just talking about the average slightly overweight/obese people. Those people often have their actual medical needs ignored by doctors and are given “lose weight” as a cure all. There are literally hundreds of millions of people who experience this.

        • TexMexBazooka@lemm.ee
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          7 months ago

          Because in a lot of ways “lose weight” really is a cure all, and it’s not some grand mystery as to why people gain weight.

          It isn’t a doctors job to drug the people up so they don’t have to live a healthy lifestyle. Most people aren’t told too lose weight because they go to the doctor to lose weight, they’re told to lose weight when they go to the doctors for the litany of health affects surrounding obesity.

        • papertowels@lemmy.one
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          7 months ago

          Lose weight often IS the cure-all as obesity is clearly linked to a litany of health issues.

          Do you want to treat the symptom or the cause? Folks can take pain killers for their knees, but the issue here is often that the knees are overloaded with too much weight.

          Idk much about ozempic, but before that, “Lose weight” was rough to hear because a doctor can’t wave a magic wand to fix the patients problems - the patient had to work to fix things. And if you’re honestly putting in the work, eating a healthy diet and exercising and you’re still struggling with weight, then I feel for you, because that suggests there’s a hormonal or other medical cause for the obesity, that the doc needs to go over. However I am certain that the majority of the hundreds of millions of people you cite don’t.

          • ChexMax@lemmy.world
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            7 months ago

            Studies show there isn’t an actual diet people can go on to lose weight and keep it off. The diet just doesn’t exist for the vast majority of people. People gain the weight back almost 100% of the time. The only thing you can do is prevent the weight gain in the first place, which isn’t that simple given our lack of walkable cities, cheap food being the least healthy etc

            Given how seriously bad doctors say obesity is, I don’t understand why people are mad at fat people for taking ozempic.

            Another thing to be mad about: the most expensive component of the ozempic shots is the plastic container it comes in.

            • papertowels@lemmy.one
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              7 months ago

              I’d appreciate it if you can link some examples of those studies.

              When I say “eat a healthy diet”, I don’t mean go on keto. I mean have some fruits and vegetables, and try to limit processed food intake.

              EDIT: like I said, I don’t know much about ozempic so I have nothing to contribute to that end of the conversation, sorry.

              • ChexMax@lemmy.world
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                7 months ago

                Two studies (each reviewing a number of other studies) and an article putting it in lay terms:

                "He and others have estimated that for every two pounds of weight you lose, your metabolism slows by about 25 calories per day, and your appetite increases by about 95 calories per day. So in other words, if you lose 20 pounds, your body will burn roughly 250 calories less each day while craving about 950 calories more.

                To maintain your weight loss through dieting over time, you’ll have to continue eating less while resisting a rising appetite and slower metabolism, which is “increasingly difficult,” Dr. Schur said.

                The drive to eat more is so strong because our brains “sense that our energy stores are being depleted,” she added, and “that’s a threat to our survival.”"

                So diets mostly all work in the short term, but people just return to their top weight over time. Your body is always trying to get you back to your top weight.

                https://pubmed.ncbi.nlm.nih.gov/32238384/

                https://onlinelibrary.wiley.com/doi/abs/10.1111/obr.12949

                https://www.nytimes.com/2024/01/11/well/eat/dieting-weight-loss.html

            • SanndyTheManndy@lemmy.world
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              7 months ago

              Such a diet exists. It’s called eating less meat and sugar.

              And don’t get me started on only unhealthy junk being cheap. Not only have all fast food chains hiked up their prices to near uncompetitive levels, but even fruit and veggies are dirt cheap in America. Europeans pay far more, especially when comparing PPP, than Americans, when it comes to healthy eating. Yet they manage.

              • CaptSneeze@lemmy.world
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                7 months ago

                I’m interested that you suggested “less meat and sugar”. I don’t think I’ve seen anyone claim protein to be a major contributor to obesity in the last 40 years. I usually see sugars and carbs as the main culprits. Is there some new info I should read about?

                I (luckily) have always had my weight and nutrition under good control, so I’m more interested for the sake of knowledge.

                • SanndyTheManndy@lemmy.world
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                  7 months ago

                  Meat is just so calorie dense that even switching to carbs is a massive upgrade.

                  The carbs they talk about are simple carbs, with high glycemic indexes. Something like whole wheat is going to be a lot healthier for your health than white rice.

                  Meat may also promote consumption of alcohol, which isn’t great for weight loss.

    • RGB3x3@lemmy.world
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      7 months ago

      Even on shows like My 600 lb life, they have to actually lose weight and maintain a healthy diet for months before they’re considered for Liposuction and other surgeries.

      Sure, that care should be available, but you have to lose the weight first and maintain healthy habits. There’s no excuse for it.

      • JargonWagon@lemmy.world
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        7 months ago

        There’s more to it than just “develop healthy habits” though. There are psychological reasons one could have for overeating like having eating disorders or using food to treat depression which could require psychiatric assistance. My brother died at 600+ lbs after breaking two lap bands. He required some serious intervention, but we couldn’t afford what he needed, he was homeless and he couldn’t hold down a job, so he died instead.

        Mind you, being overweight wasn’t the only cause for his death. He was eating very unhealthy foods because they were a cheaper means to fill himself up since his stomach was huge. His severe ADHD prevented him from being able to hold down a job despite being a fairly intelligent person.

        He did some shitty things in his life, so don’t give too much sympathy, but in retrospect doing something to help his ADHD early on could have helped to prevent the train wreck that became his life. Maybe that would have helped him do better in school, be better to our parents, be able to hold down a job, etc. which could have prevented overeating to treat his depression.

        • RGB3x3@lemmy.world
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          7 months ago

          I get that, I really do. Mental health is a really really important part of being healthy.

          But at the end of the day, eating less is the solution to the weight loss. Mental healthcare is the solution to mental health problems. They’re interconnected, but one can be solved independent of the other. And I do realize that it’s difficult.

          • captainlezbian@lemmy.world
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            7 months ago

            Ok but also doing something very difficult at the best of times is particularly difficult while also struggling with mental health issues. And beyond that even if you succeed you’re not unlikely to swing hard the other way. People with serious mental health issues that manage to lose a lot of weight have a nasty habit of doing so using an eating disorder.

          • doubtingtammy@lemmy.ml
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            7 months ago

            But at the end of the day, eating less is the solution to the weight loss

            And abstinence is the solution to unwanted pregnancies and STDs. The solution to alcoholism and all other drug addictions? Stop taking drugs/drinking.

            Did I just provide medical advice? Or did I just make it clear that I don’t know anything about sex education and drug addictions? I think it’s the latter, and I think you’re making similar arguments wrt fat people.

            You’re flattening the realities of life, and needlessly stigmatizing and moralizing eating . for every fat person you save with this gospel, there’s many more anorexic people absorbing the same message.

      • Maggoty@lemmy.world
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        7 months ago

        That’s not what they’re talking about. Doctors will attribute anything they can to your weight instead of actually testing and treating you. There are a lot of problems with being over weight but there’s also legitimate illnesses being missed.

    • daltotron@lemmy.world
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      7 months ago

      I mean it didn’t take long for the new atheist types to spawn, or the classic neolibs, so I wouldn’t be surprised if more dookie ends up flooding the site. I’ve definitely seen some MRA shit here already. Any comic or meme underneath like, a woman’s experience being recounted, is sure to be full of it, and if you ever bring up disparities in men’s and women’s sexual assault, that’s also a pretty easy trigger.

    • GBU_28@lemm.ee
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      7 months ago

      I thought he was a kitchen sponge that fell in the ocean and was irradiated to life because they live at the bottom of bikini atoll

  • Fedizen@lemmy.world
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    7 months ago

    I say, as I slowly roll over a 5 year old in my four door f150 “kids just don’t exercise anymore, they just stay in their houses and look at their phone” then I end my tiktok video.

  • XIIIesq@lemmy.world
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    7 months ago

    Diets don’t work for me. I get hungry before bed time. My body doesn’t tolerate healthy foods. I can’t lose weight because I don’t have time to make it my No1 priority. Losing weight isn’t as simple as “just eating less” , , ,

    I love fat people excuses, just admit that you’d rather have an unhealthy body than put the effort and self control in to gaining a healthy one. I’ve heard literally every imaginable excuse except “I’m being force fed!”

    Some overweight people pretend that they are happy at their size, but give them a magic button that will turn their body fit and healthy in an instant and see how many of them refuse to press it. They literally can’t not just delay the gratification of excess food now in return for a healthy body that could months or years away.

    Whilst I do have sympathy for people with severe medical or mental issues which are a primary cause for their excess weight, these causes are just not applicable for the vast majority of obese people.

    • silly goose meekah@lemmy.world
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      7 months ago

      As an overweight person, I mostly agree. I just think there are way more people with mental issues than you seem to think.

      • metallic_z3r0@infosec.pub
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        7 months ago

        I think anyone addicted to the dopamine rush of food to the point they are an unhealthy weight has a mental issue, same as someone addicted to tobacco, alcohol, or any drug where overuse is unhealthy. It’s incredibly common, it’s just that obesity seems to be the most outwardly visible of those addictions and therefore gets shamed more. I don’t think shaming people into quitting an addiction is an effective strategy, but I also don’t believe affirming their choices with misinformation is favorable either. I think promoting awareness and giving compassionate support are the only real effective strategies, and while I think that’s commonly understood and used by most caring people, that doesn’t seem to be a viewpoint that gets attention on the Internet.

        • FlorianSimon@sh.itjust.works
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          7 months ago

          Finally someone with a point of view that is not incredibly bigoted.

          I’d just add that we shouldn’t be tricked by social media. Obese people, by and large, know all too well how being obese is a health condition. Not a lot of people are delusional enough to believe that being obese is worth celebrating, unless they’re on Facetagram.

      • colforge@lemmy.world
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        7 months ago

        Not to mention the fact that mental health issues are not handled well by the general public at all. I have seen so much vitriol, dismissal, and skepticism towards anyone who talks about their mental health journey. And in my experience those who will shame me for being overweight will often insinuate that I made up my diagnoses or doctor shopped until I got what I wanted. You really can’t win for losing.

    • Fern@lemmy.world
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      7 months ago

      I don’t really understand why people get so aggro like this and start fat shaming. Like, do you react this way whenever someone smokes cigarettes or drinks alcohol? It’s other people’s bodies. I have honestly never heard anyone say these excuses. I normally see fat people shaming and beating up on themselves. This kind of shit makes them feel like it’s not even okay to be seen because of this shit. Shame is not the answer.

      • Cruxifux@lemmy.world
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        7 months ago

        …what? People shame others for drinking and smoking all the time. Bad example.

      • madcaesar@lemmy.world
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        7 months ago

        What are you on about? We’ve literally kicked smokers out of public spaces and increased their insurance rates. Alcohol in excess will also get thrown in jail.

        It’s not shaming anyone, to point out when something is objectively unhealthy. No-one is going around hounding people for eating an extra slice of pizza or having a drink with dinner.

        But,when you are eating a whole pizza a day or are drunk at 8am people should point out that hey maybe that’s not the way to go.

      • Xanthrax@lemmy.world
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        7 months ago

        I smoke cigarettes and drink alcohol. I’m an unhealthy addict. Obesity is a disease that shouldn’t be shamed, like any other addiction/ condition. It should definitely be acknowledged/ treated, though.

        • XIIIesq@lemmy.world
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          7 months ago

          Obesity is a disease

          To imply that every obese person is “food addicted” is actually just another excuse, this might come as a suprise, but skinny people like to eat too! Just as the people at the pub on Friday and Saturday night are not necessarily addicted to alcohol. It’s only really true in a minority of cases.

          Not being willing to say, “no I’ve eaten enough, I don’t want dessert” is not proof of an addiction, it’s just proof that you value your health less than a cake.

          • agent_flounder@lemmy.world
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            7 months ago

            Do you also blame people with anorexia for not eating enough?

            The obese people I know all had childhood abuse, neglect, or CSA or something else going on. Eating is a maladaptive coping mechanism just like how some CSA survivors act out in various ways.

            Other people have different life experiences than you.

            • XIIIesq@lemmy.world
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              7 months ago

              I don’t blame anyone for the manifestations of any severe medical or mental issues that they might have and I have already stated as such.

      • IsThisAnAI@lemmy.world
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        7 months ago

        Are there advocates telling people it’s okay and healthy to smoke? Oh, it’s universally shit on with more laws every day on who can smoke?

      • Ilovethebomb@lemm.ee
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        7 months ago

        Most smokers I know are well aware of how unhealthy their habit is, and would quit if it was easy. They don’t make excuses.

      • XIIIesq@lemmy.world
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        7 months ago

        I’m not shaming all fat people. Just the ones that only make excuses for their weight or pretend that it is healthy.

        I couldn’t be prouder or more supportive of an overweight person that decides enough is enough, takes ownership of their body, that they’re going to lose weight and stick with it until they reach their goal.

        To use your analogy, I don’t care if someone drinks or smokes, but if they start pretending that it’s not a choice they make it or that it’s healthy, then yh, that’s a problem and I don’t think it’s a bad thing to call them out for that.

      • GBU_28@lemm.ee
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        7 months ago

        To your hypothetical: no one talks bad about a consumer until they do so at an excessive level.

      • agent_flounder@lemmy.world
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        7 months ago

        If shame was the answer, nobody would still be obese. There is always an underlying cause, and it isn’t because of a character flaw. Often people use food as a maladaptive way of coping with emotional abuse or neglect, SA, or other things.

        It’s another example of people being shallow, self-righteous assholes with a narrow perspective and no willingness to understand or empathize with fellow humans.

        Sort of like how some people are anti-trans (usually anti MtF trans). Often these people are so pathetic they have to bash others to feel better about themselves. It’s the same mentality as blaming poor people for not having more money. Or dismissing drug addicts as subhuman garbage rather than fucked up people with a disease.

        This kind of shit makes them feel like it’s not even okay to be seen because of this shit.

        That’s exactly their intent. They don’t see fat people as equally human. They see them as people who aren’t as good as they are and they would just as soon fat people “go away”.

        People born on third base thinking they hit a triple. As if having well adjusted parents and not having a mental disorder and not experiencing CSA and so on was somehow all their own doing and not just the luck of the draw.

    • FizzlePopBerryTwist@lemmy.worldM
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      7 months ago

      I was once 300 pounds. If you can’t eat healthy foods just fast. Be hungry. Make it your #1 priority. Yes, some of these comments are mean, but your stance that healthy foods are intolerable seems ridiculous.

  • taanegl@lemmy.world
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    7 months ago

    I’m about the Buddy positivity movement…

    Meanie-meanie-meanie-meanie~! (Say what?!)