#weight acceptance

[fatliberation]

I saw a comment on your blog that says 'the way you eat does not cause diabetes'...are you able to expand on that or provide a source I could read? I've been told by doctors that my pre-diabetes was due to weight gain because I get more hungry on my anti psychotics and I'd like to fact check what they've told me! Thank you so much!

Pre-diabetes was rejected as a diagnosis by the World Health Organization (although it is used by the US and UK) - the correct term for the condition is impaired glucose tolerance. Approximately 2% of people with "pre-diabetes" go on to develop diabetes per year. You heard that right - TWO PERCENT. Most diabetics actually skip the pre-diabetic phase.

There are currently no treatments for pre-diabetes besides intentional weight loss. (Hmm, that's convenient, right?) There has yet to be evidence that losing weight prevents progression from pre-diabetes to T2DM beyond a year. Interestingly, drug companies are trying to persuade the medical world to start treating patients earlier and earlier. They are using the term “pre-diabetes” to sell their drugs (including Wegovy, a weight-loss drug). Surgeons are using it to sell weight loss surgery. Everyone’s a winner, right? Not patients. Especially fat patients.

Check out these articles:

Prediabetes: The epidemic that never was, and shouldn’t be

The war on ‘prediabetes' could be a boon for pharma—but is it good medicine?

Also - I love what Dr. Asher Larmie @fatdoctorUK has to say about T2DM and insulin resistance, so here's one of their threads I pulled from Twitter:

1️⃣ You can't prevent insulin resistance. It's coded in your DNA. It may be impacted by your environment. Studies have shown it has nothing to do with your BMI.

2️⃣ The term "pre-diabetes" is a PR stunt. The correct term is impaired glucose tolerance (or impaired fasting glucose) which is sometimes referred to as intermittent hyperglycemia. It does not predict T2DM. It is best ignored and tested for every 3-5yrs.

3️⃣ there is no evidence that losing weight prevents diabetes. That's because you can't reverse insulin resistance. You can possibly postpone it by 2yrs? Furthermore there is evidence that those who are fat at the time of diagnosis fair much better than those who are thin.

4️⃣ Weight loss does not reverse diabetes in the VAST majority of people. Those that do reverse it are usually thinner with recent onset T2DM and a low A1c. Only a tiny minority can sustain that over 2yrs. Weight loss does not improve A1c levels beyond 2 yrs either.

5️⃣ Weight loss in T2DM does not improve macrovascular or microvascular health outcomes beyond 2 years. In fact, weight loss in diabetics is associated with increased mortality and morbidity (although it is not clear why). Weight cycling is known to impacts A1c levels.

6️⃣ Weight GAIN does NOT increase the risk of cardiovascular OR all causes mortality in diabetics. In fact, one might even go so far as to say that it's better to be fat and diabetic than to be thin and diabetic.

Dr. Larmie cites 18 peer reviewed journal articles (most from the last decade) that are included in their webinar on the subject, linked below.

[scarybabe]

The way these pants squeezed the absolute hell out of my belly.. 🥵🥵

I’m in temporary insta jail now LOL, it happened randomly too. No posts or violations triggered it so I’m pretty positive I’ll get my 10 year long account back but in the meantime! If you wanna keep up with me, follow me on:

insta: @extrareiinapop

BlueSky: https://bsky.app/profile/reiinapop.bsky.social

[stealingyourbones]

DPxDC the Olympics AU.

Jazz is competing for sharpshooting

Dick is competing for team gymnastics

Y’all can work it out from there :)

[aingeal98]

More Jason and Cass thoughts (sorry but also not sorry) but if I was magically given full control over DC and could write what I'd want obviously I'd make Cass Batman but I've been thinking of what sort of reaction and role Jason would have in response. I think I'd write his version of "Congrats on the new job!" as a test, involving the Joker and civilians and gangs and Red Hood and a ton of explosives. Bruce failed me, and now he's given up. You're his successor, let's see how you handle this dilemma that freaked him out so badly he threw a batarang into my throat rather than let me avenge my own death in front of him.

So obviously Cass will overcome the traps and the puzzles. That's the fun part to show how competent both of them are and sprinkle in little character moments as we go. But then we reach the emotional crux of the matter, probably laid out as some sort of saw trap because it's Jason. Here I am, a victim of murder. You say nobody dies tonight but I did, and I want the man who did it dead. Not only did Batman fail to avenge me but he failed to stop the Joker from going on to create even more victims. What right do you have to stop me from getting justice for myself? What right does this man have to life after what he's taken from me and from countless others? I'm not trying to kill a random stranger, I'm specifically demanding justice for my own death that I never got while I was gone.

There are two ways this could go. The straightforward route if I knew my time on this run was limited would probably be a pyrrhic victory like the ones Cass's og series was so fond of. Just like Bruce in utrh, she acts on instinct and saves the Joker (and Jason this time) . A win technically, but she fails the test. Jason is once again vindicated but with nothing to show for it. The story ends with Cass sending the Joker back to jail and going back to the batcave, where the old Robin costume looms judgementally, highlighting her failure. It would be the most fitting end given their character molds, all tragedy and conviction and unstoppable force meets immovable object etc.

However... I think the option I prefer would be a little different. Cass levelling with Jason, a killer talking to a murder victim. She has no right to stop Jason from getting justice, she has no love for the Joker but she knows any death she allows to happen like this would devastate her, just like that death row inmate long ago she tried to break out but ended up letting go once the family of the victim talked to her and demanded justice. I think... In this specific situation, she'd just be honest. Morally she has no right sure. Personally she just really really doesn't want anyone to die. Give her one chance, please. Let her try it her way. Not demanding, not lecturing or insisting, just... Please. Don't do this. Let me try another way.

And then what? Jason asks.

In the end a deal is struck. Cass will take the Joker and lock him up, ensuring he never harms anyone again while also trying to rehabilitate him. But the second she fails and he gets free, Jason kills him and she won't stand in his way. It's the kind of deal that leaves both of them mildly disgusted and dissatisfied with themselves, neither of them naturally creatures of compromise when it comes to this specific topic. But Cass is willing to do anything to avoid death and Jason did not expect the new Bat to be so... Flexible? Kind of? Of course maybe she won't actually hold up her end of the deal and when the Joker gets loose she'll try and stop Jason from killing him and he'll get his miserable vindication, but right now this is something strange and new and he's mildly confused and curious about where it will go. He doesn't believe in her ability to contain the Joker forever but he's willing to let her try because her reaction to that future failure interests him. She's given him a sword of damocles to hang above her head and he didn't ask for it or expect it. It's the type of power he never thought the Bat would just... Hand to him.

The conflict ends with neither of them fully winning or losing. They both don't really know what to feel about this.

The thing is, the second Cass let's Jason kill the Joker she's hanging up the mantle. She's staking the Bat on this, because it's always go big or go home with her when it comes to saving others, even someone like the Joker. In this magical universe where I have unlimited power, Cass would lock the Joker in a secret bunker and have Leslie Thompkins talk to him daily, mostly because I think her pacifism speeches and debates in the comics would make a fun contrast to the Joker's evil sadism. (But what about his rights? Doesn't he deserve a trial and to be held in a regular prison? I'm going to be honest I think Cass would be very comfortable bending the rules on this specific situation. Morally questionable but I'd have fun with it. She's going to let Leslie treat Joker like her personal pet project to save his soul because yes she wants him to change but also she's got a city to save every night so go crazy Leslie, have fun.)

And the Batman series would continue with Cass as the lead, new challenges and new antagonists and every twenty issues or so for the first hundred we'll cut back to the Joker briefly if his chats with Leslie can help highlight some thematic element of the current arc. But bit by bit he'd slowly fade away onto oblivion, maybe getting referenced every hundred issues or so until eventually no one remembers or cares about him because there's so much else going on. Meanwhile Jason's got a good thing going as Red Hood, primarily based in Park Row and a tentative ally on the occasion when their vigilante work aligns. Unlike Joker he's a much more frequent character in the comics, and after say 10 years (this is my magical fantasy universe Cass's batman run is going to last for a very long time alright) when people think of DC characters they think of Red Hood long before they think of the Joker.

Is any of this realistic? Right now of course not. It's why I'd go with the pyrrhic victory if I actually got the chance, because it would be the best way to tell the story in the larger context of the Bat narrative. But it's my fantasy DC editor and writer daydream and I'm going to dream big. They're never going to be normal happy siblings, their personal demons will never fully let them be free and the looming possibility of losing everything they currently have narrative wise if Bruce comes back as Batman will always be there. But it's maybe the closest to peace they'll ever get. Unsatisfying and tame compromise that probably violates several laws and ethical codes but whatever. Cass has never read the Geneva convention and Jason's not going to shed tears over the Joker. Let him die relevancy wise if not physically.

[lukesfatties]

Face gains part 2!

(Beret Leone reporter, Rylie haze, fatmerida, weirdwood, chubbychiquita)

[doublequaterpounder]

All food tastes as good as fat feels

[bulking-texan]

Fuck I am getting big

[soft5ku11]

He's practising for the eating contest. NOBODY stands a chance after all this preparation!

OBSESSED with Tribal Hunter right now, and you cannot convince me that Boarus isn't just 'Guzma if boar'. Love this guy. Love this game. I deserve jail dungeon and prison for sleeping on it for so long.

[writeyourdarlings]

an early christmas fanart🤭❄️

[fatliberation]

they have a point though. you wouldn't need everyone to accommodate you if you just lost weight, but you're too lazy to stick to a healthy diet and exercise. it's that simple. I'd like to see you back up your claims, but you have no proof. you have got to stop lying to yourselves and face the facts

Must I go through this again? Fine. FINE. You guys are working my nerves today. You want to talk about facing the facts? Let's face the fucking facts.

In 2022, the US market cap of the weight loss industry was $75 billion [1, 3]. In 2021, the global market cap of the weight loss industry was estimated at $224.27 billion [2]. 

In 2020, the market shrunk by about 25%, but rebounded and then some since then [1, 3] By 2030, the global weight loss industry is expected to be valued at $405.4 billion [2]. If diets really worked, this industry would fall overnight. 

1. LaRosa, J. March 10, 2022. "U.S. Weight Loss Market Shrinks by 25% in 2020 with Pandemic, but Rebounds in 2021." Market Research Blog. 2. Staff. February 09, 2023. "[Latest] Global Weight Loss and Weight Management Market Size/Share Worth." Facts and Factors Research. 3. LaRosa, J. March 27, 2023. "U.S. Weight Loss Market Partially Recovers from the Pandemic." Market Research Blog.

Over 50 years of research conclusively demonstrates that virtually everyone who intentionally loses weight by manipulating their eating and exercise habits will regain the weight they lost within 3-5 years. And 75% will actually regain more weight than they lost [4].

4. Mann, T., Tomiyama, A.J., Westling, E., Lew, A.M., Samuels, B., Chatman, J. (2007). "Medicare’s Search For Effective Obesity Treatments: Diets Are Not The Answer." The American Psychologist, 62, 220-233. U.S. National Library of Medicine, Apr. 2007.

The annual odds of a fat person attaining a so-called “normal” weight and maintaining that for 5 years is approximately 1 in 1000 [5].

5. Fildes, A., Charlton, J., Rudisill, C., Littlejohns, P., Prevost, A.T., & Gulliford, M.C. (2015). “Probability of an Obese Person Attaining Normal Body Weight: Cohort Study Using Electronic Health Records.” American Journal of Public Health, July 16, 2015: e1–e6.

Doctors became so desperate that they resorted to amputating parts of the digestive tract (bariatric surgery) in the hopes that it might finally result in long-term weight-loss. Except that doesn’t work either. [6] And it turns out it causes death [7],  addiction [8], malnutrition [9], and suicide [7].

6. Magro, Daniéla Oliviera, et al. “Long-Term Weight Regain after Gastric Bypass: A 5-Year Prospective Study - Obesity Surgery.” SpringerLink, 8 Apr. 2008. 7. Omalu, Bennet I, et al. “Death Rates and Causes of Death After Bariatric Surgery for Pennsylvania Residents, 1995 to 2004.” Jama Network, 1 Oct. 2007.  8. King, Wendy C., et al. “Prevalence of Alcohol Use Disorders Before and After Bariatric Surgery.” Jama Network, 20 June 2012.  9. Gletsu-Miller, Nana, and Breanne N. Wright. “Mineral Malnutrition Following Bariatric Surgery.” Advances In Nutrition: An International Review Journal, Sept. 2013.

Evidence suggests that repeatedly losing and gaining weight is linked to cardiovascular disease, stroke, diabetes and altered immune function [10].

10. Tomiyama, A Janet, et al. “Long‐term Effects of Dieting: Is Weight Loss Related to Health?” Social and Personality Psychology Compass, 6 July 2017.

Prescribed weight loss is the leading predictor of eating disorders [11].

11. Patton, GC, et al. “Onset of Adolescent Eating Disorders: Population Based Cohort Study over 3 Years.” BMJ (Clinical Research Ed.), 20 Mar. 1999.

The idea that “obesity” is unhealthy and can cause or exacerbate illnesses is a biased misrepresentation of the scientific literature that is informed more by bigotry than credible science [12]. 

12. Medvedyuk, Stella, et al. “Ideology, Obesity and the Social Determinants of Health: A Critical Analysis of the Obesity and Health Relationship” Taylor & Francis Online, 7 June 2017.

“Obesity�� has no proven causative role in the onset of any chronic condition [13, 14] and its appearance may be a protective response to the onset of numerous chronic conditions generated from currently unknown causes [15, 16, 17, 18].

13. Kahn, BB, and JS Flier. “Obesity and Insulin Resistance.” The Journal of Clinical Investigation, Aug. 2000. 14. Cofield, Stacey S, et al. “Use of Causal Language in Observational Studies of Obesity and Nutrition.” Obesity Facts, 3 Dec. 2010.  15. Lavie, Carl J, et al. “Obesity and Cardiovascular Disease: Risk Factor, Paradox, and Impact of Weight Loss.” Journal of the American College of Cardiology, 26 May 2009.  16. Uretsky, Seth, et al. “Obesity Paradox in Patients with Hypertension and Coronary Artery Disease.” The American Journal of Medicine, Oct. 2007.  17. Mullen, John T, et al. “The Obesity Paradox: Body Mass Index and Outcomes in Patients Undergoing Nonbariatric General Surgery.” Annals of Surgery, July 2005. 18. Tseng, Chin-Hsiao. “Obesity Paradox: Differential Effects on Cancer and Noncancer Mortality in Patients with Type 2 Diabetes Mellitus.” Atherosclerosis, Jan. 2013.

Fatness was associated with only 1/3 the associated deaths that previous research estimated and being “overweight” conferred no increased risk at all, and may even be a protective factor against all-causes mortality relative to lower weight categories [19].

19. Flegal, Katherine M. “The Obesity Wars and the Education of a Researcher: A Personal Account.” Progress in Cardiovascular Diseases, 15 June 2021.

Studies have observed that about 30% of so-called “normal weight” people are “unhealthy” whereas about 50% of so-called “overweight” people are “healthy”. Thus, using the BMI as an indicator of health results in the misclassification of some 75 million people in the United States alone [20]. 

20. Rey-López, JP, et al. “The Prevalence of Metabolically Healthy Obesity: A Systematic Review and Critical Evaluation of the Definitions Used.” Obesity Reviews : An Official Journal of the International Association for the Study of Obesity, 15 Oct. 2014.

While epidemiologists use BMI to calculate national obesity rates (nearly 35% for adults and 18% for kids), the distinctions can be arbitrary. In 1998, the National Institutes of Health lowered the overweight threshold from 27.8 to 25—branding roughly 29 million Americans as fat overnight—to match international guidelines. But critics noted that those guidelines were drafted in part by the International Obesity Task Force, whose two principal funders were companies making weight loss drugs [21].

21. Butler, Kiera. “Why BMI Is a Big Fat Scam.” Mother Jones, 25 Aug. 2014. 

Body size is largely determined by genetics [22].

22. Wardle, J. Carnell, C. Haworth, R. Plomin. “Evidence for a strong genetic influence on childhood adiposity despite the force of the obesogenic environment” American Journal of Clinical Nutrition Vol. 87, No. 2, Pages 398-404, February 2008.

Healthy lifestyle habits are associated with a significant decrease in mortality regardless of baseline body mass index [23].  

23. Matheson, Eric M, et al. “Healthy Lifestyle Habits and Mortality in Overweight and Obese Individuals.” Journal of the American Board of Family Medicine : JABFM, U.S. National Library of Medicine, 25 Feb. 2012.

Weight stigma itself is deadly. Research shows that weight-based discrimination increases risk of death by 60% [24].

24. Sutin, Angela R., et al. “Weight Discrimination and Risk of Mortality .” Association for Psychological Science, 25 Sept. 2015.

Fat stigma in the medical establishment [25] and society at large arguably [26] kills more fat people than fat does [27, 28, 29].

25. Puhl, Rebecca, and Kelly D. Bronwell. “Bias, Discrimination, and Obesity.” Obesity Research, 6 Sept. 2012. 26. Engber, Daniel. “Glutton Intolerance: What If a War on Obesity Only Makes the Problem Worse?” Slate, 5 Oct. 2009.  27. Teachman, B. A., Gapinski, K. D., Brownell, K. D., Rawlins, M., & Jeyaram, S. (2003). Demonstrations of implicit anti-fat bias: The impact of providing causal information and evoking empathy. Health Psychology, 22(1), 68–78. 28. Chastain, Ragen. “So My Doctor Tried to Kill Me.” Dances With Fat, 15 Dec. 2009. 29. Sutin, Angelina R, Yannick Stephan, and Antonio Terraciano. “Weight Discrimination and Risk of Mortality.” Psychological Science, 26 Nov. 2015.

There's my "proof." Where is yours?

[chrispineofficial]

i’m so fucking annoyed by the recent proliferation of weight loss drugs disguised as health aids as if we did not literally live through phen-fen and learn absolutely nothing. maybe it’s time for humanity to call it a day skdjsk like i promise you that your body does not need weight loss drugs your body needs good food, regular exercise, and self-acceptance

[bielbunny]

Based off a true story, perhaps. Get bigger it's fun

[fumifooms]

[doublequaterpounder]

Been seeing a lot of body positive influencers share stuff along the lines of “your not defined by your body” or “it doesn’t matter what your body looks like”

which like slay yes ofc but it always feels like they’re saying “you deserve love despite your body” although that’s the tone i feel

i’m here for the “you deserve fat love��, “fat deserves to be loved”. people can love you and your fat, actively love the fat, want the fat!

the gross norm is that people’s preference slant skinny but i’m here for the people that prefer fat! and they should be celebrated for what they like instead of having to like their partners despite their weight.

idk if this makes sense my foot could fully in my mouth but just my fat thoughts

[gentleaffirmations]

This is a little more specific than usual, but I think it's important.

I want to send my love specifically to young people growing up in this era of new weight loss medications and the advertisements that come with them.

I just want to acknowledge how hard it is right now when even it seems like everyone is using these medications and more than ever weight stigma is being tied to social class.

I want to remind you that your weight and body size don't determine your worth. Your value is not determined by your health or how attractive you are either. You are inherently valuable. You deserve love and respect.

[aq2003]

shoutout to the marketing that made everybody think fourteen was going to be a grumpy jaded version of ten but in reality he's ten with more character development. more at peace with himself more willing to communicate to others the immense amount of love he has for them. of course if you get david tennant back you simply have to make the doctor be prone to Screaming Sobbing With Their Entire Chest Over The Prospect Of Losing Someone And Willing To Die If It Means They Can No Longer Be With Them but like. the flavors are different regardless and in such a sweet and heartwarming direction