this post was submitted on 11 May 2025
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Weight Talk: Fitness, Health and Society

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As I understand it, the current medical consensus is that fat protects muscle, and has health benefits when it is in moderation, but increases risks for bad outcomes when in excess. And muscle weighs more than fat, and aside from heart disease, generally protects against death of all causes. If muscle is generally good, and fat is good in moderation, why do we still popularly conflate skinniness as healthiness?

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[–] southsamurai@sh.itjust.works 2 points 3 days ago

Yup, it's a real issue.

I've had members of my disability support group have to switch doctors after gaining weight from the various barriers disability throws in the way. They go in and all of a sudden, the overweight becomes the focus of care, rather than the thing that has been a problem for years. I've had people be told that the weight is the cause of their problems. Which, that's just shitty doctors more than anything else, but still.

But, you go to an actual bariatric medicine practice, and they're treating holistically. Like you said, addressing all the components rather than starting from dietary exclusively. Not all of them, but it's becoming more the norm.

If discipline was the sole cause, none of the medications would work.