MountainMornings

I just had my annual physical with Dr M, an internist/palliative care doctor I love. She sits and faces me, not the computer, she talks about life in general and listens to me, she asks questions about my health and the family (spoiler – she’s a friend of the Bride and Groom). My doctor looks in my ears, listens to my heart and figures out what immunizations I need, like the pneumonia vaccine. Ouch, that hurts going in! Then just before giving me a clean bill of health, right as I was about to hop off the table, she looked at the weight her nurse had noted in my chart that day.

In fact, she flipped all the way back to 2016 and spoke aloud my weight each year…

It wasn’t an actual surprise and I should have seen it coming. After all, I rarely get on a scale and the past 18 months has seen my mobility greatly compromised by my bone density. In other words, I knew I needed to work on building up my strength and endurance, on walking more and starting to lift small weights again. And I’d just gone through my closet for the winter, unearthing sweaters that did feel a bit snug. Subconsciously I knew it was time to move more and eat less. Still, having my doctor point out the obvious facts in such a kind, non-judgmental way was edifying.

I need to lose weight! My AHA moment had arrived. No more blaming the incremental, ballooning pounds on a Mr T presidency, a Pandemic, and my osteoporosis. It’s time to try to pull up those big girl pants and get down to business. Dr M suggested smaller portions while also telling me not to worry about it until after the holidays. Sure, right at the bell of a New Year I could join the throngs of people starting their weight loss journey like salmon swimming upstream. Until then, don’t worry about it.

Well if you know me, telling me NOT to worry about something is a perfect way to keep me worrying, especially since I hadn’t been worrying about my weight so much to begin with. I was just avoiding scales! Call me a humbug, but I’m not starting a food journal, never did and never will. I’m not paying someone else to keep me on track, like Weight Watchers (WW) or Noom. And I told Dr M that I absolutely won’t take Ozempic, and she immediately agreed with me… even if Oprah has decided to jump onboard the diabetes drug weight loss train.

I’ve watched Oprah pull a wagon of fat across the stage in her heyday. Oprah is the Phil Donahue to my generation of women; the second wave of feminists who threw out pantyhose and girdles but decided to try and emulate Twiggy anyway. The big O is still on WW’s Board and stands to make millions more by endorsing an easy fix – the shot that costs hundreds of dollars and promises to curb your appetite. It’s like our whole country has just given up, willpower and lifestyle be damned. And Oprah has given us her blessing to shoot up (It’s not a magic pill, it’s a once-weekly injection for Type 2 diabetes). Let’s see what Sima Sistani, the new CEO of WW had to say when she spoke with All Things Considered:

Ms. Winfrey, along with the rest of our board, stands by our business vision and our program offerings. But we all know that her story has been one that has been a generational story and one that mimics so many people who, on a day to day basis, struggle with the same shame and bias where weight loss has been associated with a preoccupation around thinness. And what we’re trying to do is reshape that conversation around weight health. It’s not a matter of vanity. This is about the degree to which weight impacts your health and your quality of life. And for decades, we’ve discussed weight and dieting and obesity in terms that isolate people and often demotivate them.

https://www.npr.org/2023/12/18/1219710239/weightwatchers-oprah-ozempic-drugs-wegovy

When I confessed my conversation with Dr M to the Bride, she said, “DIETS DON’T WORK!” She knew Sistani at Duke; they were undergrads together and Sistani belonged to the same sorority as the Bride’s roomie. Disordered eating was everywhere on the Duke campus in the 90s, but when wasn’t a woman trying to fit into her culture’s idea of beauty? Tattoos, piercings, foot-binding, neck-lengthening chokers, corsets. Even Egyptian women wore eyeliner! So why shouldn’t we starve ourselves today? The thing is, I’m already injecting a drug to build back bone, I’d rather not inject something else for a disease I don’t have.

I’m not here to shame you if Ozempic or Wegovy are your golden tickets. Just don’t think any of these companies are acting as your fiduciary. Maybe the problem is simply capitalism. After all the pharmaceutical industry wins, Weight Watchers wins, and the consumer pays to lose weight. I told the Bride to fight back, weave her yoga teaching into her medical practice for an integrative approach to health and wellness. Borrow from the East and practice preventative medicine. Let’s all eat like we live in a Blue Zone. Break the next generation of feminists free of body dysmorphia, our last self-loathing trap.

At least my shoe size hasn’t changed! Merry Christmas Everyone, be kind to yourselves.

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