Click Here to Leave a Comment Below

Courtnay Power Reply

Just my intitial thought on this article , I think that is a step ahead for Canada.

Vintage Camera Girl Reply

Well you can weigh the same as another person but you’re muscled and they’re not. You’d both be obese on your bmi.

    Luis Rojas Reply

    @Vintage Camera Girl just because you were the exception doesnt mean its not the case for other people stop bitching and moaning boomer

    Vintage Camera Girl Reply

    @Luis Rojas how many fat friends do you have? I have a lot. All of them have simular stories. None of us are even about 250lbs either…so can you imagine the 300lbplus girls.

    Once didnt get a job because I was the largest size the shop sold and I didn’t meet their ‘style’

    optimine Reply

    @Vintage Camera Girl interesting, thanks! Ya, I suppose the “cookie cutter” approach to what is the ration of weight to health is far from beneficial!

    Personne Ici Reply

    Alan Roberts goes on about how muscle still impacts joint health and I do agree that it’s not a good idea to be on the obese weight range whether it’s adipose tissue or muscle fiber.

    Tyler Bruce Reply

    @Personne Ici i think being “overmuscled” certainly can lead to issues such as joint strain and mobility issues. But these arent really in the same realm in terms of impact nor in terms public health.

    The percentage or people who are suffering issue because of being “over muscled” is negligible.

Alix Randall Reply

Obesity is not JUST about weight, would be a better title for this video.

    Personne Ici Reply

    Gotta bait those clicks! I knew what this would be about since I read a news article on it already.

Kartashuvit Reply

I mean… obesity shouldn’t be determined by weight alone in the first place because it doesn’t make sense. Your weight should be related to other features like height, body composition (fat vs muscle), etc. Body fat percentage is way more accurate in determining whether someone is obese or not.

    Stanislas De Nijs Reply

    Above 25% is obese for men.

    NineTailedFate Reply

    @Klara Zarjebitno Body builders suffer issues related to their weight too, despite it being muscle. Too much weight on the body is too much weight.

    Andyholle Reply

    @Klara Zarjebitno don’t you think a bodybuilder would know why his weight falls under the obese category ?

    And it’s not like carrying that amount of muscle around all day is the healthiest thing for your joints…

    lushpapaya Reply

    @Klara Zarjebitno Ive met plenty of bodybuilders and none of them had 100 lbs excess musclemass.

    JohnNathanShopper Reply

    Yes, but there is such a thing as too much muscle mass, really only at the point of steroids. So in practice, weight is a good estimate.

th1smomentisfate Reply

Hopefully people don’t start suing doctors for not warning them of health issues. When they were the ones that don’t want to discuss their weight.

    Kat Reply

    We don’t sue people in canada.

    April G Reply

    Not how it works anyways, there has to be intent.

    th1smomentisfate Reply

    @April G you mean, intentionally not telling your patient that their weight is causing their health issue? How do you prove intent? How do you prove the patient didn’t want the info related to their weight? If my gyno was stopped from discussing my weight he wouldn’t have given me a lecture today. He told me my current weight isn’t allowing my hormones to normalize. If I don’t lose weight the treatment will fail and I’ll need a hysterectomy.

    I don’t think it’s wise to filter doctors. It’s not easy to hear, but I needed to hear it.

    Carla Reply

    Canadians aren’t litigation-happy like Americans. It wouldn’t happen.

    kazzuo The Great Reply

    Actually this is what I was thinking about while John was talking becuase lets be honest you know somebody will do a “he didn’t tell my obesity can cause DM and that can get complications with CKD and thats why Im in dialysis now. The doctors fault”

Dee's Wellness Journey Reply

I think the guidelines are overall a good thing, shifting focus and treatment plans based on what works for the individual patient, rather than on an old one-size-fits-all model that’s been shown to be less effective. I also think some people have misunderstood them – I’ve seen some tweets talking about how the new guidelines say dieting doesn’t work, when really it’s just saying weight is often more complex than just dieting.

    valerie poulin Reply

    Making it more personalized also promotes giving specific advice in my mind and not just eat healthy and exercise. Treatment plans need to be extensive and comprehensive.

JohnNathanShopper Reply

Isn’t Alan Roberts gonna tear this to shreds ?

    JohnNathanShopper Reply

    Straight Talkin Fedora Chic Straight Talkin Fedora Chic It’s a judgment of myself, not society, other people, or credentials. Just because your expert is (nominally) better than mine doesn’t automatically make them right in all things, not when our lives are so complicated. Alan serves a need for some people to hear the truth in and break through their walls. Dr. Sharma clearly has good intentions, but it’s possible that some people need her way of treating patients tenderly, whereas some people need jerks like Alan to shake them back to reality. I just know which group I fall into.

    Straight Talkin Fedora Chic Reply

    @JohnNathanShopper nominally? Did Alan go to med school? That’s the hardest thing to get through actually. Most never complete med school. There’s a reason for that.

    JohnNathanShopper Reply

    Straight Talkin Fedora Chic Then what about the majority of doctors who have previously treated obesity as a numbers-only problem? Surely she is fighting uphill against her peers. Isn’t this whole argument about how so many credentialed doctors have gotten it wrong? But it’s not about credentials. It’s about the problem itself, do we treat the pounds or the person? All I’m saying is Sharma’s perspective is polar opposite to Alan Roberts’s way, and is therefore susceptible to criticism that she’s just pandering.

    Deferring to credentials is gate keeping, isn’t it?

    Straight Talkin Fedora Chic Reply

    @JohnNathanShopper A) because most did not choose bariatrics as a specialty and received little if any training in it.
    YOu choose to simplify it so you can with a good conscience, continue to fat shame people.

    JohnNathanShopper Reply

    Straight Talkin Fedora Chic The only person I fat shame is MYSELF. Do not assume my character. If I am wrong for fat shaming myself, feel free to prove me wrong. Feelings change. Opinions grow.

Shawn McRoberts Reply

If they are not losing weight while moving more, eating less and seemingly getting healthier in aspects other than weight then it is the doctor’s job to find out why. The patient cannot defy physics so what is responsible for that weight? Is it fat, muscle, tumor, vestigial twin, etc?

    Kaitlyn Elizabeth Reply

    This is how my mom found out she had hypothyroidism. By the time she found out, over half her thyroid was gone. Since it can be genetic, I ask my doctor to test my thyroid every year so that what happened to my mom doesn’t happen to me.

    Anne Tidwell Reply

    @Kaitlyn Elizabeth same thing happened to me. I had minor swelling and wasn’t losing weight but I was training for a marathon and eating super healthy. Turns out my thyroid was destroyed. Had it removed the day I was supposed to run the race.

    Straight Talkin Fedora Chic Reply

    I also have hypothyroidism. I suspected it for many years yet had trouble getting a doctor to add that screening to regular blood tests they sent me for. Finally the doctor I currently have, did just that– ordered the blood tests and now does it every year. It was relief for me to find out. Not that I had the condition I suspected I was having but that a doctor found it.
    There are plenty of other conditions — Cushing’s Syndrome / disease – Rathke’s cleft cyst or any other condition pertaining to high blood cortisol levels and the pituitary gland. More common than we think and those people have a distinct appearance (“moon” face, skinny limbs and hips but a round large belly and upper body). It’s more common than we may think because again, doctors don’t think of testing for those ailments despite the appearance of the patient being a red flag.
    There’s also prader-willi syndrome which is rare, but apparently a leading genetic cause in obese children in the UK. Characterized by intellectual delays and behavioural issues among other things. There are plenty of British and Australian documentaries on the condition here on youtube. Just search Prader-Willi syndrome.
    Also menopausal women not on HRT (there are many reasons women would not be on HRT– not all are suitable candidates due to genetics and pre-existing conditions).
    Low testosterone levels in men over 50 — one of the symptoms being increased belly fat.
    Steroid use (drugs like prednisone) and SSRI use.
    I also remember my father appearing overweight during the last year of his life despite eating very little as he had difficulty holding food down. His liver was so far gone (from life long alcoholism) that he was having ascites in his legs and belly keeping those large.
    Because of those conditions, that fat acceptance activist in the article is being irresponsible if she does not encourage obese people to advocate for themselves to their doctors to look deeper into those medical conditions.

libertines Fink Reply

Since I was a kid I never understood people’s feeling with weight. Been fat most of my life and someone calling me fat isn’t an insult. It’s crazy a whole movement started because people can’t deal with reality

    Straight Talkin Fedora Chic Reply

    But it is an insult.
    Furthermore, overweight people — particularly overweight women are highly discriminated against– employment for one, education, medical system and interpersonal relationships. Overweight women are more likely to be abused by a spouse, even.

rina Reply

Obesity is so often linked to poor mental health – fix the mental and trust me, more often than not, the weight will start to go down.
Naturally not ALWAYS, but a lot of the time this is it. More mental health care pls.

    Shivani Vasanth Reply

    so true… overeating is a pretty common coping mechanism for depression, and even people who might not have depression can still engage in emotional eating as a response to stress. anxiety and panic disorders can also affect on someone’s willingness to actually go to a gym and exercise around others, which can be a huge obstacle in learning how to exercise safely and effectively, esp if you’re morbidly obese… people should take the mental health side into account more often

    Tyler Bruce Reply

    Unfortunately treating mental health is not a simple issue. Probably not even possible to eliminate it.

    I mean much of mental health relies on a person with mental health issues seeking or wanting help.

    DeterminedDani Reply

    I had a therapist tell me my weight was not a factor in my depression. I tried to explain its a symptom of whatever is going on in my mind and she wouldn’t consider it.

    Tyler Bruce Reply

    @DeterminedDani you mean depression wasnt a factor in your weight or your weight wasnt a factor in your depression.

    Fox Den Reply

    I can attest to that. For me personally it’s a combination of poor self care (irregular eating schedules, unbalanced diet) and an extremly slow metabolism due to my disorders. The more I work on my mental health, the better my physical health gets, but there are disorders that take MANY years to even scratch the surface in treatment. (C-PTSD and other trauma relatied disorders for example) It’s so frustrating sometimes, because I know I need to eat cleaner and regularly, move more and so on, but often I just physically can’t and the frustration over that makes the symptoms even worse.

Claire P Reply

Doctors don’t always see weight as a symptom of something else, and it often is. Sudden weight gain can mean increased insulin resistance. Difficulty in gaining or losing weight can be related to thyroid imbalance or other hormonal issues. Sometimes it is even a mental health issue. Exercising when you are chronically depressed is HARD, taking care of your body and eating healthy? Forget about it! Depression can play a major part! I think the problem is doctors just telling you to lose weight without instead setting small, achievable health goals with you.

    Ty Bey Reply

    It’s kind of ironic, yeah exercising when your (chronically) depressed is hard, but at the same time from my own experiences it is also the most effective cure.

    Marley Reply

    I think chronic depression in most cases when it doesn’t have a clear cause can be diet related. The gut microbiome is responsible for the majority of neurotransmitters used in the body. I think the first step is to really have a clear healthy food guideline that is given to every patient. Educating all patients on nutrition could have a profound effect on the medical care system. Knowledge on micronutrients seems to be lacking for that majority of the world’s people. Same with knowledge for patients on carcinogens in food products. One thing is for sure. If you are already going to a counsellor or being treated with anti-depressants. Diet should be addressed in the treatment plan too. Not to lose weight. Just to have healthier lifestyle practices that set you up for success in getting well.

    Isabelle N Reply

    Marley hate to break it to you but depression doesn’t always have a “clear cause” and the lack of one does not mean it’s automatically diet related. Diet CAN be part of the problem, but also remember that people who are depressed are far less likely to make healthy food. As someone who suffered with it I ended up hardly eating because I didn’t have the energy- my doctor giving me diet recommendations wouldn’t have done anything for me because I wouldn’t have been able to follow it. I think you miss the point that depressed people often are in a stage where they CANT make these healthy habits you want them to, if you’re in treatment and getting better than for sure it can help, but I think it’s silly to pretend that all people need to do is make healthier choices

    AnnathePiana Reply

    @Isabelle N This. I was thinking of a way to say what you’ve just said. I struggled to shower a lot of the time. Didn’t brush my teeth. I just ate junk food, and it didn’t even enter my head to eat anything else. Even thinking about improving yourself is hard, even though you know all you want is to be better (and we are actually the lucky ones who didn’t give up)!

    Isabelle N Reply

    AnnathePiana same here, daily tasks seemed impossible to me for the longest time- I’m glad we both made it through! It makes me a bit upset when people suggest it’s just about healthy choices, especially since I was at my healthiest at the beginning of my depression

C.S. Wells Reply

I think the issue in the fat activist mindset is that they think “I am a fat person.” Not “I am a person with Fat.” You’re body does not define you, just as your skin color does not. You are a person. Period. But you might be a person who’s weight is having a negative effect on your health. And that’s ok to acknowledge. It doesn’t make you less of a person. And that’s what the fat activists seem to not know. Which is oddly dehumanizing in its own way.

Chris Atchley Reply

I have never taken care of a patient with a BMI>35 that did not affect their health and difficulty to maintain vitals signs easily while under anesthesia. Restrictive lung disease or airway issues are prevalent in every patient. I’ve had people with BMI of 30 be amazingly fit, but never seen a patient pack on so much muscle their BMI is 35. Smoking use to be what made my job the most difficult in early 2000, now obesity has easily trumped it making it much more difficult. The time it would take to deal with obesity in a single office visit would keep doctors from seeing more patients. There are already huge back logs of patients to be seen. If a doctor says weight loss is needed it’s up to patient to find the way. Just like it’s their job to go to pharmacy to get meds. An obesity program would take a true weight loss specialist. Obesity kills more than COVID by ridiculous numbers. It is an epidemic

    Erik Farkaš Reply

    @Tyler Bruce i know, i was 110 kg, im 67kg now and understand nutrition. But doctor telling me to lose weight didnt do anything for me.

    Tyler Bruce Reply

    @Erik Farkaš congrats on you success. I think the problem is expecting doctors to understand something like nutrition when 1) it is as simple as calories in calories out 2) when most governments do not understand or at least promote antiquated and sometimes harmful nutrition advice.

    Doctors really are for acute issues. Lifestyle issues they can mention but lifestyle is such a complex thing that takes a lot of involvement.

    Think of raising a kid for example. As a parent you cant just tell your kids what they should and shouldnt do once every 6 months. It takes constant often daily reinforcement.

    Not much different when talking about an adult making a lifestyle change.

    Really it up to individuals to learn about something they are going to be responsible for managing 99% of the time. Which is what a lifestyle change entails.

    Erik Farkaš Reply

    @Tyler Bruce exactly, thats why i said doctors should refer you to a specialist with knkwledge on nutrition that can help make this change. Its hard to finf someone who has real knowledge on this stuff. I tried many diets proposed by many people, before i found a friend who studies nutrition and explained me how it all works. 🙂 But those stupid diets make people money and arent suitable for a lifetime.

    Less Waste KY Home Reply

    you do not need to have a mental illness to see a therapist @most everyone in this thread

    Elise Nieuwe Reply

    @Tyler Bruce Most governments seem to understand it fine. People just don’t follow their advice at all.
    Don’t eat too much, don’t eat processed stuff regularly, make sure to eat enough vegetables, fruits, fiber, healthy fats and lean protein sources.
    That’s basically the advice from every government and it’s good advice.

sari Reply

I have mixed emotions about this. My main question is: where does the preventative part in preventative medicine come in if some patients won’t even want to discuss their weight in the first place?

    Tyler Bruce Reply

    It will have to come at the front end eg taxing calories, tightly regulating food advertising etc.

    Otherwise it wont happen.

    Trying to “happy talk” the problem away wont work anymore than it would with alcohol consumption or smoking.

    angrytigger83 Reply

    @Tyler Bruce There is no way to implement a food tax that would discourage someone with a food addiction from eating without devastating low income families.

    Sabrina Lundquist Reply

    Just because someone doesn’t want to talk about their weight on one appointment doesn’t mean they will never want to talk about preventative health care including losing weight. If someone is going to the doctor for a sprained ankle or tonsillitis they may not want 2 add in a conversation about long-term Health Care while they are feeling shitty.

    Georgina Martinez Reply

    No prevention anymore, only feelings, and SJW agendas everywhere 😪

    Lina K Reply

    Yeah, what are they gonna suggest to do with cigarette smokers? If a patient doesn’t have cancer, don’t encourage them to quit?

Stephanie Reply

I’m from Alberta, Canada. My doctor has never once fat shamed me since I’ve started seeing him. Have I been fat shamed by medical professionals yes and they missed a clearly treatable condition, yes. My doctor has honestly been practicing the flow chart they mentioned in the article. He has never assumed my weight was the immediate answer. He’s the same with my husband who’s skinny and now an ex smoker but was a heavy smoker up until last year when he quit. But I always make a point to talk about my weight with him and have it be an open conversation he’s my doctor but for those who don’t have a family doctor and go to walk in clinics this could be truly impactful.

But what’s different with my doctor he is part of the Primary Care Network in my province which with a referral from him I get me access to free sessions with nutritionist, pt, mental health counsellor, chronic pain clinic and a couple other services. After being diagnosed with hypothyroidism I went for 3 months of sessions with the nutritionist who also happen to have a thyroid condition she struggled with putting on weight, me taking it off. Our health care system isn’t perfect but having access to those services I believe can majorly combat rising obesity while also focusing on more then just numbers.

I’m on my own health journey it started with my mental health a few years, I’ve always enjoyed being active. I am finally finding my way with losing weight slowly but surely.

RHot Reply

My doctors were not that influential in my weight loss. They tended to prescribe more and more pills as my body fat and poor lifestyle caused more and more health problems. When I was young, I could get away with it and feel relatively healthy. But as I got older my obesity and lack of exercise just wore my body down. Much of the expert advice when I was younger was not very helpful and much of it turned out to be just wrong. (Like the infamous USDA food pyramid). I took matters into my own hands and researched information from a lot of sources such as this channel. I adopted exercise routines that worked for me. Rather than diet I found out which foods were good for my mind and body and which foods were not. I have lost a lot of weight but that was not the point. My physical and mental health has greatly improved and I feel better than I have felt in decades. My BMI says I am still overweight and that’s OK because it leaves me a goal to continue to strive for. My advice is to get healthy while you are young because I did permanent damage to my body and I will always have to take pills. Sooner or later you will hit that wall called reality where your body tells you it can’t support your excess body fat or bad habits anymore.

P M Reply

But wouldn’t it be better to address obesity before it’s caused noticeable health/physical/… problems? Idk, it’s like if they paid attention to the fact that a person smokes when they’ve developed cardiovascular or respiratory diseases and not before to be able to prevent them.

Farquharson Reply

while thats true, most people aren’t body builders or pregnant and usually weight is correlated with high fat storages

Physical's mental wellness Reply

I appreciate this article and wish more doctor’s took a more active and partner role w patients who want to lose weight. I scheduled appointments specifically to address my weight and always came out feeling defeated and on my own. I’ve lost weight and have gained it back twice, it is a long term treatment type thing. I’ve lost almost 90 pounds currently since September of 2019 and I do not credit any doctor. I credit Beachbody workouts and doing research on YouTube and other resources. That’s not a bad thing, but it would be nice to have medical guidance.

Holly Putnat Reply

I do like the asking permission part of talking about weight because even if an individual seems comfortable in their overweight skin, it may plant the seed of “should I be concerned about my weight” in some patients. But just because it is not currently immediately affecting your health, your weight can catch up to you and start compounding negatively. I feel like it is negligent bordering on malpractice if weight loss isn’t at least suggested. You can’t make patients comply, but you still have to give them their option.

Leave a Reply: