Sunday, July 12, 2009

More Notes on the Fat Acceptance Movement

I've started kind of following along with The Fatshionista blog and Living At 400 lbs blog lately. I guess the Fat Acceptance movement kind of interests me since obviously I'm overweight.

I'll start off by saying that if you're happy with the way you are, more power to you. If you're 300+ pounds and say you're happy and fit and you feel good about yourself, then really it's not my business to argue with you. It's great that you feel good about yourself.

Nothing I'm saying here is to attack someone personally. My thoughts are focused on the group, the Movement, as a whole.

When I was overweight I accepted my obesity too. I accepted it because change is hard. I liked food. I liked not riding this @#$ bike ten miles a day. I liked not sweating on purpose (I sweat all the time in Summer...isn't breathing supposed to be an exercise?). I saw joggers running on the sidewalk and they never looked happy. They looked like someone was chasing them to give them a proctology exam. Why would I want to cut back on food (I'm hungry, @#$!!), waste my time doing something that normal people looked thoroughly unhappy doing, and ruin my already low supply of clothes with sweat and holes from having to exercise?

So I guess I was part of the fat acceptance movement. Accept me as I am or get out of my way. It helped that I was an introvert and didn't really like people or social situations too.

Gradually I gained high blood pressure. And high cholesterol. Then the diabetes...I was on Metformin and later coupled it with Byetta. I noticed myself hating having those usual fat-thoughts...you know, will this bench hold me? Will this seatbelt reach? On a plane flight I needed an extender for the belt. It sucked. But it was who I am. I just wrote it off as another reason to hate getting up in the morning.

My new doctor at the time...I'll call her Dr. K...seemed like she was ready to just give up on me. Another patient who doesn't give a damn about dying young, ignoring her medical advice...the usual. And she reminded me that I would most likely not live to see my young son graduate or get married or suffer the wonders of marriage and children himself.

*sigh*

She was right.

She referred me to a specialist who took a glance...literally...at my list of comorbids (blood pressure, apnea, etc.) and then tossed his notebook on the desk and said, "Weight loss surgery. You need it. Anything else?"

Dude. He sounded pretty sure.

He gave me the referral and out of his office I went. I'm pretty sure he was used to patients ignoring him...at least that's the feeling I got. Another idiot wasting his time; state (to him) the obvious and move on to the next in line.

I hate it when they do that. I'm not your average idiot and hate being lumped in with them. I'm my own special brand of idiot.

Anyway that's when I started in earnest trying to get the surgery and lose weight. That's also some background on my perspective on weight loss.

So when people in the Movement say they're healthy and all, it's kind of interesting to me.

I've read them saying that doctors are surprised they don't have the comorbidities that overweight people are supposed to have. "My cholesterol and blood pressure are normal!" I used to say that. Then I developed them.

I've read them saying that they eat salads and relatively healthy foods and they're still near whatever weight. I ate salads sometimes. Have you read the labels on dressing? Once you put a decent amount of dressing on a salad so you're not eating something that tastes like yard clippings you end up with a pretty high calorie count, one that easily rivals anything you get at the menu at Olive Garden or (I assume, since those jackholes won't publish calorie information) Applebees.

I'm very interested in whether people in the Movement have honestly done any tracking of calorie counts. It's not hard to do if you're somewhat organized. I was very anal retentive about it when I ended up having to track numbers but I'm even happy hearing ballpark figures. I was shocked to learn that I was probably in the neighborhood of three to four thousand calories a day...I was supposed to be, for a sedentary person, sixteen hundred to eighteen hundred, if I recall correctly.

And anyone in the Movement who claims to not overeat all that much and put in exercise by walking stairs, etc...I can't help but think they're full of it. Weight isn't magical. You put it on by taking in more calories than expending. It's not just a genetic thing that you're fat. You may be predisposed to it, but it still is getting the fuel somewhere to store it...any time I read these claims I wonder if they think they're getting fat from their feet drawing nutrients from the soil or air.

One thing has been consistent in my trials and tribulations. I eat less, I lost weight. I eat more, I gain. The surgery itself doesn't do much more than try forcing you, for a short time, to eat less and feel better with less food...eventually that effect wears off. Somewhat. From what I can find, if you don't stretch the pouch you should still feel satisfied with smaller meals. Can you short-circuit that? Yeah. You can sabotage it. But you'd be an idiot to try to do it.

In the end it's a tool for learning new habits. I could have tried eating this small amount of food without the surgery. I'd have been more miserable for it though, and my stretched stomach would constantly nag me for more until my intake kept creeping higher. I know it would have. Well, I'm pretty sure from past efforts that's what would happen.

So those are my curiosities for the Fat Acceptance Movement. I have been toying with the idea of trying to email the some of the "fat-o-sphere" bloggers and get their perspectives on my questions. I'd be really interested in the answers...any others ever read these blogs and consider themselves part of the Movement? Have you ever tracked calories for your intake before and if so what was it?

6 comments:

  1. Salad tastes like grass until you've been eating really healthily for a while. Once you cut out all the junk, your taste buds change, and plain, fresh food tastes really good. It's just agony getting there.

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  2. I still don't eat salads unless I have to.
    Healthy foods as I listed are the way to go for me.
    You were lucky to find the doctor you did. It was the right thing to do.

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  3. Yes, I have definitely tracked my caloric intake before, since I'm a nutrition student!

    I do eat more than the "average" person, I think, but I don't consider this overeating, since I genuinely eat when I'm hungry, and I don't eat past the point of comfort.

    I don't have much interest in losing weight, and I haven't for...oh...about nine years now. But I am interested in health. Which is why I'm into nutrition.

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  4. Paula: I agree...training your palate is a real pain, even if you're just changing from, say, primarily fast food to eating from the home pantry!

    Lee: I avoid salads for the most part because there's not much in the salad to fill up on compared to the nutrition requirements of post-weight loss surgery patients. And it does tend to lack a lot of taste without fillers.

    Fatnutritionist: Thank you for the feedback! If you don't want to answer this I would understand, but I don't see it on your site yet and wondered whether you'd share whether or not you have (or had) any issues that are linked with being overweight? Thanks again for checking out the blog!

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  5. Hey again Barry -- I don't think I've (yet) had any issues related to my weight, but I am young as yet. I just know that, from my own experience, pursuing weight loss as a goal was very destructive to my mental and physical health (I developed some disordered eating and exercising patterns, though I never had a clinical eating disorder), and I'd rather run the risk of being fat. And I do believe many of those risks are exaggerated anyway, and that many of the health issues commonly associated with high weight can be dealt with independent of weight loss.

    Sometimes fat people get backed into a corner, healthwise, and I can understand why they'd opt to go on a weight loss program or even have surgery. But that's just not the route I want to go, and nothing related to my health has ever made it seem necessary, or even like a reasonable option.

    I'm sort of a weird radical fat acceptance person, and have been for many years now. But I also understand why people choose different things for themselves than I would. And I try not to take my present state of health for granted.

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  6. I can see that perspective and relate. I didn't feel a real impetus to change until the health problems piled on one too many and the opportunity for a tool to assist in making a lifestyle transition presented itself (the surgery). It's a major priority shift.

    Before that point I had my health kept in check at first by nothing, then by adding blood pressure medication, then the cholesterol drugs, diabetes medication....each layer I convinced myself it was okay enough to live with the compromise.

    There was also an emotional toll. You are educated in your field and obviously have a firm opinion on your situation (which is great, no criticism from me there) but you must be able to relate to people who have a state of affliction...cholesterol is too high, for example...and because they are in the overweight bracket every doctor's visit (or shopping trip, for that matter) is told that their problems stem from weight. It definitely becomes a factor in their life quality.

    I hope you enjoy other entries in the blog. I would look forward to your input!

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