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What do you do if a doctor tells you to lose weight?
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TW: BMI, classification of "obesity"

I had an appt with a new cardiologist the other day. It was my first time seeing her (I was looking to establish care again with a physician). During the appt, we talked about my reason for being there. I asked her if she had any long-term concerns about my health (meaning related to my syndrome!) and she brought up my weight. My current BMI is 37. She said she'd like to see me at a BMI of 27 and that I should make that a goal to achieve within the next 10 years. She said that at my current BMI I am at higher risk for diabetes and cardiovascular disease. She suggested I try calorie counting (which I've done and I developed some strongly disordered eating habits). She also mentioned that the strength training program she provided me (which is given to a lot of POTS patients, since it can improve symptoms) has helped patients lose weight as well. At some point during the conversation, she even said "I don't fat shame or anything." Which makes me wonder, if she doesn't fat shame, why was the documented reason for my visit listed as "Class 2 obesity due to excess calories without serious comorbidity"?

For the past few months, I've really been trying to work on accepting my body and practicing intuitive eating. Even though I knew that doctors can have a very strong, biased view towards weight, it feels different to be told that to my face. What have you done if this has happened to you?

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1 year ago