{"id":19047,"date":"2021-04-06T13:39:41","date_gmt":"2021-04-06T18:39:41","guid":{"rendered":"http:\/\/thepapergown.zocdoc.com\/?p=19047"},"modified":"2023-03-06T12:13:36","modified_gmt":"2023-03-06T17:13:36","slug":"whats-it-like-to-see-a-fat-friendly-doctor","status":"publish","type":"post","link":"https:\/\/www.zocdoc.com\/blog\/guides\/whats-it-like-to-see-a-fat-friendly-doctor\/","title":{"rendered":"What&#8217;s It Like to See a &#8216;Fat-Friendly&#8217; Doctor?"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">We\u2019ve been told our whole lives that being fat is bad for you; that a high BMI is a recipe for poor health. But not everyone fully endorses that view. In fact, some medical experts flatly reject it.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cFat-friendly\u201d or \u201cweight-inclusive\u201d doctors support patients in becoming their healthiest selves, both physically and mentally. One thing they don\u2019t do? Pressure anyone to lose weight.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">We talked to fat-friendly doctors to better understand how they think about health and weight, and how their approach to patient care deviates from the norm. Here\u2019s what to know about these proactively non-judgmental medical professionals.<\/span><\/p>\n<hr \/>\n<h3>What does it mean for a doctor to be \u201cfat-friendly\u201d or \u201cweight-inclusive\u201d?<\/h3>\n<p><span style=\"font-weight: 400;\">Doctors, as well as non-physician healthcare providers like dietitians, can choose to describe themselves as \u201cfat-friendly\u201d or \u201cweight-inclusive.\u201d Currently, there\u2019s no specific training required to use either label. HAES, which stands for Health at Every Size, is a paradigm within the larger fat-friendly movement anchored by a set of principles for weight-neutral care. Some but not all fat-friendly doctors identify as HAES. Across the board, fat-friendly doctors largely avoid the word &#8220;overweight&#8221; because it implies that an ideal standard weight exists and fat patients exceed it. &#8220;Fat&#8221; is embraced because it&#8217;s more inclusive.\u00a0<\/span><\/p>\n<p>Fat-friendly doctors recognize that people can be healthy in both thin and fat bodies, says Dr. <a href=\"https:\/\/lesleywilliamsmd.com\/\">Lesley Williams<\/a>, a family medicine physician and eating disorder specialist. On the flip side, they don\u2019t assume thin patients are exempt from health issues often associated with fatness. Regardless of a patient&#8217;s size, a weight-inclusive physician would pay attention to <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC4132299\/#B109\">symptoms<\/a> of type 2 diabetes or sleep apnea, for instance.<\/p>\n<p><span style=\"font-weight: 400;\">In general, these providers are as vigilant about detecting, preventing and treating disease as anyone else in a white coat. They just pay far less attention to BMI when assessing how patients are doing and recommending ways to optimize their wellbeing. They believe patients can manage conditions like <\/span><a href=\"https:\/\/haeshealthsheets.com\/heart-disease\/\"><span style=\"font-weight: 400;\">heart disease<\/span><\/a><span style=\"font-weight: 400;\">, <\/span><a href=\"https:\/\/haeshealthsheets.com\/type-2-diabetes\/\"><span style=\"font-weight: 400;\">diabetes<\/span><\/a><span style=\"font-weight: 400;\"> and <\/span><a href=\"https:\/\/haeshealthsheets.com\/pcos\/\"><span style=\"font-weight: 400;\">polycystic ovarian syndrome<\/span><\/a><span style=\"font-weight: 400;\"> without pursuing weight loss.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400;\">If a fat patient says they\u2019ve lost weight, a fat-friendly doctor won\u2019t automatically assume it\u2019s a good thing. Instead, they&#8217;ll assess the weight loss like any other physiological change that can indicate an underlying health issue. For instance, they might ask the patient about their eating patterns or check for hyperthyroidism.<\/span><\/p>\n<h3>Why don\u2019t fat-friendly doctors encourage patients to lose weight?<\/h3>\n<p><span style=\"font-weight: 400;\">For starters, <\/span><span style=\"font-weight: 400;\">p<\/span><a href=\"https:\/\/nutritionj.biomedcentral.com\/articles\/10.1186\/1475-2891-10-9\"><span style=\"font-weight: 400;\">roponents of fat-friendly care cite<\/span><\/a><span style=\"font-weight: 400;\"> ethical motivations, such as providing inclusive, non-discriminatory care that helps reduce, not amplify, health disparities. Weight doesn\u2019t always boil down to individual choices and genetics; social factors are part of the equation too.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Weight-inclusive clinicians also believe there\u2019s reason to doubt the reliability of research linking being fat to being in worse health. There\u2019s not much evidence to show large body size causes many of the medical issues people associate with fatness, says Dr. <\/span><a href=\"https:\/\/www.uwmedicine.org\/bios\/lisa-erlanger\"><span style=\"font-weight: 400;\">Lisa Erlanger<\/span><\/a><span style=\"font-weight: 400;\">, clinical professor of family medicine at the <\/span><span style=\"font-weight: 400;\">University of Washington School of Medicine.<\/span><span style=\"font-weight: 400;\"> While plenty of studies do connect obesity to poor health outcomes, correlation isn\u2019t causation. Even if being heavier does exacerbate some diseases, weight-inclusive physicians say the most effective treatment plan doesn\u2019t necessarily require shedding pounds<\/span><\/p>\n<p><span style=\"font-weight: 400;\">When a disease occurs more frequently in fat people, experts have historically been quick to blame their size.<\/span> <span style=\"font-weight: 400;\">Both Erlanger and Dr. <\/span><a href=\"https:\/\/www.instagram.com\/everything_endocrine\/\"><span style=\"font-weight: 400;\">Gregory Dodell<\/span><\/a><span style=\"font-weight: 400;\">, an endocrinologist at <\/span><a href=\"https:\/\/www.centralparkendocrinology.com\/\"><span style=\"font-weight: 400;\">Central Park Endocrinology<\/span><\/a><span style=\"font-weight: 400;\"> in New York City<\/span><span style=\"font-weight: 400;\">, say a well-designed study wouldn\u2019t implicate weight without first exploring other things larger patients have in common. For instance, do they have high stress levels? Are they financially stretched?<\/span> Do they live near affordable grocery stores? Is regular exercise feasible and safe?<\/p>\n<p><span style=\"font-weight: 400;\">Additionally, research <\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC6650789\/\"><span style=\"font-weight: 400;\">suggests<\/span><\/a><span style=\"font-weight: 400;\"> framing fatness as intrinsically unhealthy is an ineffective strategy. Weight stigma can make patients less likely to seek care, and thus more likely to develop diseases that could have been prevented or treated through early detection. <\/span><span style=\"font-weight: 400;\">Intentional weight loss, Erlanger says, \u201cincreases risk for <\/span><a href=\"https:\/\/onlinelibrary.wiley.com\/doi\/abs\/10.1111\/jan.13511\"><span style=\"font-weight: 400;\">weight stigma<\/span><\/a><span style=\"font-weight: 400;\">, disordered eating, eating disorders, depression, and being sedentary.\u201d What\u2019s more, weight loss can be a counterproductive goal, as it frequently results in long-term <\/span><a href=\"https:\/\/journals.sagepub.com\/doi\/10.1177\/2158244018772888\"><span style=\"font-weight: 400;\">weight gain<\/span><\/a><span style=\"font-weight: 400;\">. A number of studies have found <\/span><a href=\"https:\/\/journals.sagepub.com\/doi\/10.1177\/2158244018772888\"><span style=\"font-weight: 400;\">weight cycling<\/span><\/a><span style=\"font-weight: 400;\"> (repeatedly losing and regaining weight) can actually be more <\/span><a href=\"https:\/\/onlinelibrary.wiley.com\/doi\/full\/10.1111\/jdi.13380\"><span style=\"font-weight: 400;\">harmful<\/span><\/a><span style=\"font-weight: 400;\"> than maintaining a steady weight, even one that&#8217;s higher than average.\u00a0<\/span><\/p>\n<h3>How can they help me?<\/h3>\n<p><span style=\"font-weight: 400;\">A fat-friendly doctor will recommend lifestyle changes and medical interventions that are conducive to lasting health improvements. \u201cYou\u2019ll see that a lot of the <\/span><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/16217001\/\"><span style=\"font-weight: 400;\">benefits<\/span><\/a><span style=\"font-weight: 400;\"> [from weight loss interventions] come from <\/span><a href=\"https:\/\/haeshealthsheets.com\/the-health-sheet-library\/\"><span style=\"font-weight: 400;\">things that people do<\/span><\/a><span style=\"font-weight: 400;\">, that are <\/span><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/22218619\/\"><span style=\"font-weight: 400;\">separate from weight<\/span><\/a><span style=\"font-weight: 400;\">,\u201d says Erlanger. Increasing vegetable consumption and physical activity, investing in mental wellbeing and taking medication (when needed) are all evidence-backed ways to help manage diabetes, cardiovascular disease, fatty liver disease and other chronic conditions. As a weight-inclusive physician helps you adopt better habits, they\u2019ll monitor your health using metrics such as blood pressure, blood chemistry and blood sugar levels.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Another reason why these physicians don\u2019t prescribe weight loss: If you\u2019re primarily focused on becoming a certain size and don\u2019t get there, you might <\/span><a href=\"https:\/\/onlinelibrary.wiley.com\/doi\/full\/10.1111\/obr.12701\"><span style=\"font-weight: 400;\">give up<\/span><\/a><span style=\"font-weight: 400;\"> on newly formed health habits, says Williams. Doctors want to set you up for long-term success. An enduring commitment to personal health needs to be about more than a number on a scale. Also, fat-friendly doctors want to encourage you to keep getting care, not avoid it.<\/span><\/p>\n<h3>Does this mean the doctor will discourage weight loss?<\/h3>\n<p><span style=\"font-weight: 400;\">A weight-inclusive doctor won\u2019t express disappointment if your weight drops because of healthy activities. But they also won\u2019t be upset if it goes up, says Dr. Vicky Borgia, a family medicine physician at <\/span><a href=\"http:\/\/www.radiancemedicalgroup.org\/\"><span style=\"font-weight: 400;\">Radiance Medical Group<\/span><\/a><span style=\"font-weight: 400;\"> in Philadelphia. What matters is that good health is rooted in sustainable behaviors. If you do want to lose weight, don\u2019t be afraid to tell a weight-inclusive physician. Ask them how they can support you.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">\u201cI have many patients who are pursuing potential weight loss and I welcome them to my practice. I don&#8217;t lecture them or try to take it away,\u201d says Erlanger. But expect a fat-friendly doctor to discuss the potential consequences of reducing your body size. \u201cIf the pursuit of intentional weight loss means other aspects of their health and wellbeing is being neglected,\u201d Erlanger says, \u201cI will continue to advocate for health and wellbeing.\u201d<\/span><\/p>\n<hr \/>\n<h1 class=\"p1\" style=\"text-align: center;\"><span class=\"s1\">Ready to book a doctor&#8217;s appointment? Visit <a href=\"https:\/\/www.zocdoc.com\/\"><span class=\"s2\">Zocdoc.<\/span><\/a><\/span><\/h1>\n","protected":false},"excerpt":{"rendered":"<p>Providers who practice &#8220;fat-friendly&#8221; or &#8220;weight-inclusive&#8221; care focus on long-term health, not BMI.<\/p>\n","protected":false},"author":63,"featured_media":19048,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[227],"tags":[56,73],"class_list":["post-19047","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-guides","tag-primary-care","tag-weight","reviewer-dr-nassim-assefi","specialist_by_city-find-primary-care-physicians-near-you"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v25.5 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>What&#039;s It Like to See a &#039;Fat-Friendly&#039; Doctor? - Guides<\/title>\n<meta name=\"description\" content=\"Providers who practice &quot;fat-friendly&quot; or &quot;weight-inclusive&quot; care focus on long-term health, not BMI.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.zocdoc.com\/blog\/guides\/whats-it-like-to-see-a-fat-friendly-doctor\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"What&#039;s It Like to See a &#039;Fat-Friendly&#039; Doctor? 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