Buying this slice of “Chocolate Decadence Cake” at Whole Foods was the best decision I’ve made in weeks.
My response to the AMA’s decision that “obesity” is a disease.
Sadly they had to list it as a disease to get the insurance companies to cover a lot of things, like lap bands. I don’t view the woman in the picture as obese. To me obese is the people you read about who need cranes to get them out of the house after they pass away.
There is a difference between being curvy and obese.
Hopefully this will help people who want help, will be able to get it now.
That’s… Not how obesity is defined. At all. Obesity in a medical context is defined as a BMI of 30 or more. At my height, that would mean I’m obese at 175 lbs. The woman in this image is almost certainly defined as obese.
If that seems ridiculous, that’s because it IS. BMI is a poor indicator of obesity and an even worse measure of health. That’s the reason people are standing up against this new medical designation - it’s inaccurate, unhelpful, and medicalizes the bodies of people simply based in their weight, no matter how healthy they are and no matter how related or unrelated their health issues are to their weight.
What Jenna said.
I don’t know what Jenna’s experience is, but at nearly 50 lbs. heavier than her I’ve been yelled at in the street by strangers who are “just looking out for my health” and I really don’t need the word “disease” on their side when they know nothing about me except that I am fat.
Ditto all of this about BMI, which is an absurd way to try to quantify health. (Fun side note, multiple gold-medal winners are technically medically obese. Right.)
But I find this new definition especially frustrating because obesity is a form of malnutrition. The theory of calories-in/calories out supports the cultural notion of fat being because of laziness and/or gluttony. But, shockingly, the processes of the human body cannot be that simplified. The type of food you’re eating matters, your genetic background matters, how much estrogen you have matters, etc etc. (Here is a good NY Times article about this if you’re interested in reading more. There is some fat-shaming, which is eventually disproved).
Tl;Dr Obesity is essentially a sign that some of your cells (your muscle cells, specifically) are in semi-starvation neuroses, while others are stuffed with energy (in the form of glucose, which is in the form of fat) that your body can’t/won’t use. Your body won’t pull the fat out of the fat cells because your cells have become more insulin-resistant over time. This resistance meant that your pancreas just produced more insulin, which has built up in your system and now prevents your body from pulling the stored fat out of your cells.
I SWEAR TO GOD IF THE NEXT BOOK ISN’T ABOUT BRINGING PRITKIN BACK I WILL BE SO DAMN MAD OH MY GOD
HE IS MY SECOND-FAVORITE CHARACTER AND IF HE’S JUST SLOPPILY WRITTEN OUT AND FORGOTTEN LIKE TOMAS I WILL BE ENRAGED FOREVER