Obese Person Quotes

In a massive, long-term study of 17,000 civil servants, an almost unbelievable conclusion emerged: the status of a person's job was more likely to predict their likelihood of a heart attack than obesity, smoking or high blood pressure.

America is one of the few places in the world where a “poor” person can still be obese.6

Eating a salad (in public) is an overweight person’s attempt to appear in control.

Some people who have been working out regularly for months or even years are still out of shape because the number of cheat days they have in a week exceeds six.

There is something about the act of studying an unclothed body, as an artist does, that allows a person to appreciate it as pure form, regardless of the kinds of traits traditionally regarded as imperfections. In a figure drawing class, an obese woman's folds of flesh take on a kind of beauty. You can look at a man's shrunken chest or legs or buttocks with tenderness. Age is not ugly, just poignant.

Telling a fat person Eat less and exercise is like telling a boxer Don’t get hit. You act as if there’s not an opponent.

Regardless of what you do, your body is the subject of public discourse with family, friends, and strangers alike. Your body is subject to commentary when you gain weight, lose weight, or maintain your unacceptable weight. People are quick to offer you statistics and information about the dangers of obesity, as if you are not only fat but also incredibly stupid, unaware, delusional about the realities of your body and a world that is vigorously inhospitable to that body. This commentary is often couched as concern, as people only having your best interests at heart. They forget that you are a person. You are your body, nothing more, and your body should damn well become less.

Ascribing personal responsibility to the obese individual is not a rational argument for an eminently practical reason: it fails to advance any efforts to change it. The obesity pandemic is due to our altered biochemistry, which is a result of our altered environment.

When a fat person goes in the water naked, would it still be called skinny-dipping?

I always think in this connection of the Rumanian saying my in-laws use when they see an extremely obese person: “So, you ate what you wanted.

Love can die. It's a mysterious thing, the death of love. Sometimes it fades slowly, like a long sunset with amazing and rare color that lasts in the memory forever. Sometimes it becomes obese and dies from its own weight, the density and slowness that come with things grown too large. It is often killed on purpose, by someone who is in love with someone or something else. But the other person, the one still in love, is a loose end, snapping and cracking in the high wind of life passing them by. Life moves so fast it creates a back draft, that leaves things scattered and blowing in its wake. Life, of all things, is alive. It is everywhere and moves beyond speed.

Of all the dangerous ideas that health officials could have embraced while trying to understand why we get fat, they would have been hard-pressed to find one ultimately more damaging than calories-in/calories-out. That it reinforces what appears to be so obvious - obesity as the penalty for gluttony and sloth - is what makes it so alluring. But it's misleading and misconceived on so many levels that it's hard to imagine how it survived unscathed and virtually unchallenged for the last fifty years. It has done incalculable harm. Not only is this thinking at least partly responsible for the ever-growing numbers of obese and overweight in the world - while directing attention away from the real reasons we get fat - but it has served to reinforce the perception that those who get fat have no one to blame but themselves. That eating less invariably fails as a cure for obesity is rarely perceived as the single most important reason to make us question our assumptions, as Hilde Bruch suggested half a century ago. Rather, it is taken as still more evidence that the overweight and obese are incapable of following a diet and eating in moderation. And it put the blame for their physical condition squarely on their behavior, which couldn't be further from the truth.

When a woman understands the uniqueness of the female brain—how to care for it, how to make the most of its strengths, how to overcome its challenges, how to fall in love with it, and ultimately, how to unleash its full power—there is no stopping her. In her personal development, at work, and in her relationships, she can bring the best of herself to her family, her community, and her planet. By contrast, a woman who is not caring optimally for her brain, who is not giving it the full range of nutrients, exercise, sleep, and emotional support that it needs, is squandering her most valuable resource. If you are not taking good care of your brain, you are at a significantly higher risk of brain fog, memory problems, low energy, distractibility, poor decisions, obesity, heart disease, cancer, and diabetes.

The realms of dating, marriage, and sex are all marketplaces, and we are the products. Some may bristle at the idea of people as products on a marketplace, but this is an incredibly prevalent dynamic. Consider the labor marketplace, where people are also the product. Just as in the labor marketplace, one party makes an offer to another, and based on the terms of this offer, the other person can choose to accept it or walk. What makes the dating market so interesting is that the products we are marketing, selling, buying, and exchanging are essentially our identities and lives. As with all marketplaces, every item in stock has a value, and that value is determined by its desirability. However, the desirability of a product isn’t a fixed thing—the desirability of umbrellas increases in areas where it is currently raining while the desirability of a specific drug may increase to a specific individual if it can cure an illness their child has, even if its wider desirability on the market has not changed. In the world of dating, the two types of desirability we care about most are: - Aggregate Desirability: What the average demand within an open marketplace would be for a relationship with a particular person. - Individual Desirability: What the desirability of a relationship with an individual is from the perspective of a specific other individual. Imagine you are at a fish market and deciding whether or not to buy a specific fish: - Aggregate desirability = The fish’s market price that day - Individual desirability = What you are willing to pay for the fish Aggregate desirability is something our society enthusiastically emphasizes, with concepts like “leagues.” Whether these are revealed through crude statements like, “that guy's an 8,” or more politically correct comments such as, “I believe she may be out of your league,” there is a tacit acknowledgment by society that every individual has an aggregate value on the public dating market, and that value can be judged at a glance. When what we have to trade on the dating market is often ourselves, that means that on average, we are going to end up in relationships with people with an aggregate value roughly equal to our own (i.e., individuals “within our league”). Statistically speaking, leagues are a real phenomenon that affects dating patterns. Using data from dating websites, the University of Michigan found that when you sort online daters by desirability, they seem to know “their place.” People on online dating sites almost never send a message to someone less desirable than them, and on average they reach out to prospects only 25% more desirable than themselves. The great thing about these markets is how often the average desirability of a person to others is wildly different than their desirability to you. This gives you the opportunity to play arbitrage with traits that other people don’t like, but you either like or don’t mind. For example, while society may prefer women who are not overweight, a specific individual within the marketplace may prefer obese women, or even more interestingly may have no preference. If a guy doesn’t care whether his partner is slim or obese, then he should specifically target obese women, as obesity lowers desirability on the open marketplace, but not from his perspective, giving him access to women who are of higher value to him than those he could secure within an open market.

But humans have a built-in weakness for fats and sugar. We evolved in lean environments where it was a big plus for survival to gorge on calorie-dense foods whenever we found them. Whether or not they understand the biology, food marketers know the weakness and have exploited it without mercy. Obesity is generally viewed as a failure of personal resolve, with no acknowledgement of the genuine conspiracy in this historical scheme. People actually did sit in strategy meetings discussing ways to get all those surplus calories into people who neither needed nor wished to consume them. Children have been targeted especially; food companies spend over $10 billion a year selling food brands to kids, and it isn't broccoli they're pushing. Overweight children are a demographic in many ways similar to minors addicted to cigarettes, with one notable exception: their parents are usually their suppliers. We all subsidize the cheap calories with our tax dollars, the strategists make fortunes, and the overweight consumers get blamed for the violation. The perfect crime.

I'd always assumed Beth and I would be friends forever. But then in middle of the eighth grade, the Goldbergs went through the World's Nastiest Divorce. Beth went a little nuts. I don't blame her. When her dad got involved with this twenty-one year old dental hygienist, Beth got involved with the junk food aisle at the grocery store. She carried processed snack cakes the way toddlers carry teddy bears. She gained, like, twenty pounds, but I didn't think it was a big deal. I figured she'd get back to her usual weight once the shock wore off. Unfortunately, I wasn't the only person who noticed. May 14 was 'Fun and Fit Day" at Surry Middle School, so the gym was full of booths set up by local health clubs and doctors and dentists and sports leagues, all trying to entice us to not end up as couch potatoes. That part was fine. What wasn't fine was when the whole school sat down to watch the eighth-grade cheerleaders' program on physical fitness.

Healing from grief is about finding a new dimension to an old relationship.  The person you love, the place you lived, or the pet you had may be gone, but the experience you had with that beloved, and how you have changed as a result of that relationship, are with you forever.

It occurred to Liz one day, as she waited on hold for an estimate from a yard service, that her parents’ home was like an extremely obese person who could no longer see, touch, or maintain jurisdiction over all of his body; there was simply too much of it, and he—they—had grown weary and inflexible. During

We become fat by overeating, not by not exercising.

being overweight does not increase a person’s risk of dying prematurely, and being mildly obese increases it only slightly.

As every close observer of the deadlocks arising from the political correctness knows, the separation of legal justice from moral Goodness –which should be relativized and historicized- ends up in an oppressive moralism brimming with resentment. Without any “organic” social substance grounding the standards of what Orwell approvingly called “common decency” (all such standards having been dismissed as subordinating individual freedoms to proto-Fascist social forms), the minimalist program of laws intended simply to prevent individuals from encroaching upon one another (annoying or “harassing” each other) turns into an explosion of legal and moral rules, an endless process (a “spurious infinity” in Hegel’s sense) of legalization and moralization, known as “the fight against all forms of discrimination.” If there are no shared mores in place to influence the law, only the basic fact of subjects “harassing other subjects, who-in the absence of mores- is to decide what counts as “harassment”? In France, there are associations of obese people demanding all the public campaigns against obesity and in favor of healthy eating be stopped, since they damage the self-esteem of obese persons. The militants of Veggie Pride condemn the speciesism” of meat-eaters (who discriminate against animals, privileging the human animal-for them, a particularly disgusting form of “fascism”) and demand that “vegeto-phobia” should be treated as a kind of xenophobia and proclaimed a crime. And we could extend the list to include those fighting for the right of incest marriage, consensual murder, cannibalism . . . The problem here is the obvious arbitrariness of the ever-new rule. Take child sexuality, for example: one could argue that its criminalization is an unwarranted discrimination, but one could also argue that children should be protected from sexual molestation by adults. And we could go on: the same people who advocate the legalization of soft drugs usually support the prohibition of smoking in public places; the same people who protest the patriarchal abuse of small children in our societies worry when someone condemns a member of certain minority cultures for doing exactly this (say, the Roma preventing their children from attending public schools), claiming that this is a case od meddling with other “ways of life”. It is thus for necessary structural reasons that the “fight against discrimination” is an endless process which interminably postpones its final point: namely a society freed from all moral prejudices which, as Michea puts it, “would be on this very account a society condemned to see crimes everywhere.

The American food industry produces 3,900 calories per person per day, with about 29 percent wastage, but we should rationally eat 1,800–2,000. Who eats the difference? We do! Throughout evolution, humans could eat only a fixed amount, but today that amount is limitless.

Every fat person, and every fat person’s family, pays with anger and heartache and pain. For every one of us who can’t shed the weight, there are spouses and parents and kids and friends who grieve for us. We carve lines in their faces. We sentence them to long years alone.

justice, n. I tell you about Sal Kinsey, the boy who spit on me every morning for a month in seventh grade, to the point that I could no longer ride the bus. It’s just a story, nothing more than that. In fact, it comes up because I’m telling you how I don’t really hate many people in this world, and you say that’s hard to believe, and I say, “Well, there’s always Sal Kinsey,” and then have to explain. The next day, you bring home a photo of him now, downloaded from the Internet. He is morbidly obese — one of my favorite phrases, so goth, so judgmental. He looks miserable, and the profile you've found says he’s single and actively looking. I think that will be it. But then, the next night, you tell me that you tracked down his office address. And not only that, you sent him a dozen roses, signing the card, It is so refreshing to see that you've grown up to be fat, desperate, and lonely. Anonymous, of course. You even ordered the bouquet online, so no florist could divulge your personal information. I can’t help but admire your capacity for creative vengeance. And at the same time, I am afraid of it.

THE RELIABLE WAY OUT OF OBESITY IS VIA PERSONAL RESPONSIBILITY. This point has been lost on the hundreds of folks who have railed against my arguments for food addiction in periodicals, so I"m eager to make it here: No one but me put the food in my mouth. Even if I had grown up imprisoned in a crawl space under the basement stairs (I wasn't), even if tragedy has befallen me every 15 minutes since (it hasn't), I"m still responsible for what I eat. If my food is out of control (it was), then I'm responsible for finding, requesting, and accepting the help I need.

For example, obesity costs the average person an extra $1,429 per year in increased health care costs. But since we’re not required to set aside money for every burger we consume (to cover the real financial cost of the burger), the long-term costs of carrying extra weight remain invisible.

Some entertainers have tried to make art of coarseness, but in their public crudeness they have merely revealed their own vast senses of personal inferiority. When they heap mud upon themselves and allow their tongues to wag with vulgarity, they expose their belief that they are not worth loving and in fact are unlovable. When we as an audience indulge then in their profanity, we are like the audience at the Roman Colosseum being thrilled as the raging lions kill the unarmed Christians. We not only participate in the humiliation of the entertainers, but we are brought low by sharing in the obscenity. We need to have the courage to say obesity is not funny and vulgarity is not amusing. Insolent children and submissive parents are not the characters we want to admire and emulate. Flippancy and sarcasm are not qualities which we need to include in our daily conversations.

Six years later the lead scientist, pharmacologist Kenneth Blum, published a much more subdued assessment: Unfortunately it was erroneously reported that [we] had found the “alcoholism gene,” implying that there was a one-to-one relation between a gene and a specific behavior. Such misinterpretations are common— readers may recall accounts of an “obesity gene,” or a “personality gene.” Needless to say, there is no such thing as a specific gene for alcoholism, obesity, or a particular type of personality.… Rather the issue at hand is to understand how certain genes and behavioral traits are connected.

We must also consider the enormous social-class differences in addiction rates. That is, the farther down the social and economic scale a person is, the more likely the person is to become addicted to alcohol, drugs, or cigarettes, to be obese, or to be a victim or perpetrator of family or sexual abuse. How

A genetic fundamentalism permeates public awareness these days. It may be summed up as the belief that almost every illness and every human trait is dictated by heredity. Simplified media accounts, culled from semidigested research findings, have declared that inflexible laws of DNA rule the biological world. It was reported in 1996 that according to some psychologists, genes determine about 50 percent of a person’s inclination to experience happiness. Social ability and obesity are two more among the many human qualities now claimed to be genetic. True or not, narrow genetic explanations for ADD and every other condition of the mind do have their attractions. They are easy to grasp, socially conservative and psychologically soothing. They raise no uncomfortable questions about how a society and culture might erode the health of its members, or about how life in a family may have affected a person’s physiology or emotional makeup. As I have personally experienced, feelings of guilt are almost inevitable for the parents of a troubled child. They are all too frequently reinforced by the uninformed judgments of friends, neighbors, teachers or even total strangers on the bus or in the supermarket. Parental guilt, even if misplaced, is a wound for which the genetic hypothesis offers a balm

The daily consumption in South Korea, which has a fairly meat-heavy diet, is about 3,070 calories per person per day, slightly above the world average. However, the obesity rate there is only about 3 percent. The Pacific island nation of Nauru, by contrast, consumes about as many calories as South Korea per day,6 but the obsesity rate there is 79 percent.

Eat carbohydrates and blood sugar rises. Every first-year medical student knows this, every nurse or diabetes educator knows this, every person with diabetes who performs finger-stick blood sugars before and after meals knows this. Eat any food with more than just a few grams of carbohydrates and blood sugar will rise; the more carbohydrates you eat, the higher blood sugar will rise. Everyone also knows that foods like butter do not raise blood sugar, nor will a fatty cut of meat, olives, green bell peppers, broccoli, or chicken liver. And since the 1980s, when the sharp upward climb in type 2 diabetes (and obesity) began, the only component of diet that has increased is carbohydrates, not fat or proteins.4

There’s a lot more to the Paleo diet than removing food toxins from your diet. That said, if everyone on a standard American diet stopped eating cereal grains, industrial seed oils, and excess sugar tomorrow, I’m willing to bet that the rates of obesity, diabetes, heart disease, and just about every chronic inflammatory disease would plummet over the next decade.

In a study conducted on a selection of cities, it was shown that the higher the walkability of the city, the lower the activity inequality (a measure of the degree to which each person walks a similar amount as other people; it is a similar measure to income inequality – the extent to which incomes are the same or different in a population), meaning that overall population obesity was also lower.5

I backed off. Ever since obesity had become a social issue on top of a personal one, big people must have encountered the conviction that what they ate was everyone else's business. In truth that chocolate bar did feel intensely like my business, but only because he was my brother. Whenever he ate rich or sweet things around me I got agitated, no less so than if he'd carved himself with a razor blade in plain view.

Whatever may be said of the possibility of love at first sight, in which theory George was now a confirmed believer, there can be no doubt that an exactly opposite phenomenon is of frequent occurrence. After one look at some people even friendship is impossible. Such a one, in George's opinion, was this gurgling excrescence underneath the silk hat. He comprised in his single person practically all the qualities which George disliked most. He was, for a young man, extraordinarily obese. Already a second edition of his chin had been published, and the perfectly-cut morning coat which encased his upper section bulged out in an opulent semi-circle. He wore a little moustache, which to George's prejudiced eye seemed more a complaint than a moustache. His face was red, his manner dictatorial, and he was touched in the wind. Take him for all in all he looked like a bit of bad news.

Such a one, in George's opinion, was this gurgling excrescence underneath the silk hat. He comprised in his single person practically all the qualities which George disliked most. He was, for a young man, extraordinarily obese. Already a second edition of his chin had been published, and the perfectly-cut morning coat which encased his upper section bulged out in an opulent semi-circle. He wore a little moustache, which to George's prejudiced eye seemed more a complaint than a moustache.

A survey of more than three hundred international policymakers found that 90 per cent of them still believed that personal motivation – aka willpower – was a very strong cause of obesity.6 This is absurd. It makes no sense to presume that there has been a sudden collapse in willpower across all ages and ethnic groups and each sex since the 1960s. What has changed most since the sixties is not our collective willpower but the marketing and availability of energy-dense, nutrient-poor foods.

Critical Social Justice texts—which form a kind of Gospel of Critical Social Justice—express, with absolute certainty, that all white people are racist, all men are sexist, racism and sexism are systems that can exist and oppress without even a single person with racist or sexist intentions, sex is not biological and exists on a spectrum, language can be literal violence, denial of gender identity is killing people, the wish to remedy disability and obesity is hateful, and everything needs to be decolonized.

I know I don't have all the answers about weight loss; this is an evolving challenge, and I know I'll always be learning new things. I don't feel like I've uncovered some big mystery, but I've learned what it takes to overcome being overweight--and that it's not just about the food. It's about becoming the person you are meant to be in all aspects of your life. It's about removing the fears in life that keep us blocked. It's about being brave and learning to love yourself--no matter how you may feel about yourself.

Humeyra believed there was something markedly similar about the experience of being overweight and being prone to melancholy. In both cases society blamed the sufferer. No other medical condition was regarded this way. People with any other illness received at least a degree of sympathy and moral support. Not the obese or the depressed. You could have controlled your appetite … You could have controlled your thoughts … But Humeyra knew neither her weight nor her habitual despondency was really a personal choice. Leila had understood this.

This should not be the only book you read by a fat person about fatness and anti-fatness. Read Sonya Renee Taylor’s The Body Is Not an Apology, Da’Shaun Harrison’s Belly of the Beast, Charlotte Cooper’s Fat Activism, Roxane Gay’s Hunger, Caleb Luna’s Revenge Body, Kiese Laymon’s Heavy, Nicole Byer’s #VeryFat #VeryBrave, Esther Rothblum and Sondra Solovay’s The Fat Studies Reader, Rachel Wiley’s Fat Girl Finishing School, and more. Whether you’re new to thinking critically about anti-fatness or a longstanding fat activist, be sure to locate this book, accurately, as just one of many fat perspectives available to you. Writers who aren’t fat have made substantial contributions here too. Sabrina Strings’s Fearing the Black Body: The Racial Origins of Fat Phobia is an indispensable history linking anti-Black racism to anti-fatness. J. Eric Oliver’s Fat Politics analyzes the emergence in the 1990s and 2000s of the United States’ so-called obesity epidemic. Each of these works offer vital analysis of the mechanics and history of anti-fatness. And each will deepen your thinking about anti-fatness and your clarity in countering anti-fatness.

The succession of financial bubbles, and the amassing of personal and public debt, Whybrow views as simply an expression of the lizard-brained way of life. A color-coded map of American personal indebtedness could be laid on top of the Centers for Disease Control’s color-coded map that illustrates the fantastic rise in rates of obesity across the United States since 1985 without disturbing the general pattern. The boom in trading activity in individual stock portfolios; the spread of legalized gambling; the rise of drug and alcohol addiction; it is all of a piece. Everywhere you turn you see Americans sacrifice their long-term interests for a short-term reward.

The ACE study group concluded: “Although widely understood to be harmful to health, each adaptation [such as smoking, drinking, drugs, obesity] is notably difficult to give up. Little consideration is given to the possibility that many long-term health risks might also be personally beneficial in the short term. We repeatedly hear from patients of the benefits of these ‘health risks.’ The idea of the problem being a solution, while understandably disturbing to many, is certainly in keeping with the fact that opposing forces routinely coexist in biological systems. . . . What one sees, the presenting problem, is often only the marker for the real problem, which lies buried in time, concealed by patient shame, secrecy and sometimes amnesia—and frequently clinician discomfort.

Some researchers, such as psychologist Jean Twenge, say this new world where compliments are better than sex and pizza, in which the self-enhancing bias has been unchained and allowed to gorge unfettered, has led to a new normal in which the positive illusions of several generations have now mutated into full-blown narcissism. In her book The Narcissism Epidemic, Twenge says her research shows that since the mid-1980s, clinically defined narcissism rates in the United States have increased in the population at the same rate as obesity. She used the same test used by psychiatrists to test for narcissism in patients and found that, in 2006, one in four U.S. college students tested positive. That’s real narcissism, the kind that leads to diagnoses of personality disorders. In her estimation, this is a dangerous trend, and it shows signs of acceleration. Narcissistic overconfidence crosses a line, says Twenge, and taints those things improved by a skosh of confidence. Over that line, you become less concerned with the well-being of others, more materialistic, and obsessed with status in addition to losing all the restraint normally preventing you from tragically overestimating your ability to manage or even survive risky situations. In her book, Twenge connects this trend to the housing market crash of the mid-2000s and the stark increase in reality programming during that same decade. According to Twenge, the drive to be famous for nothing went from being strange to predictable thanks to a generation or two of people raised by parents who artificially boosted self-esteem to ’roidtastic levels and then released them into a culture filled with new technologies that emerged right when those people needed them most to prop up their self-enhancement biases. By the time Twenge’s research was published, reality programming had spent twenty years perfecting itself, and the modern stars of those shows represent a tiny portion of the population who not only want to be on those shows, but who also know what they are getting into and still want to participate. Producers with the experience to know who will provide the best television entertainment to millions then cull that small group. The result is a new generation of celebrities with positive illusions so robust and potent that the narcissistic overconfidence of the modern American teenager by comparison is now much easier to see as normal.

Some people live longer than they ought to by any known measures. As Jo Marchant notes in her book Cure, Costa Ricans have only about one-fifth the personal wealth of Americans, and have poorer health care, but live longer. Moreover, people in one of the poorest regions of Costa Rica, the Nicoya Peninsula, live longest of all, even though they have much higher rates of obesity and hypertension. They also have longer telomeres. The theory is that they benefit from closer social bonds and family relationships. Curiously, it was found that if they live alone or don’t see a child at least once a week, the telomere length advantage vanishes. It is an extraordinary fact that having good and loving relationships physically alters your DNA. Conversely, a 2010 U.S. study found, not having such relationships doubles your risk of dying from any cause.

You leave the womb sterile, or so it is generally thought, but are liberally swabbed with your mother’s personal complement of microbes as you move through the birth canal. We are only beginning to understand the importance and nature of a woman’s vaginal microbiome. Babies born by Cesarean section are robbed of this initial wash. The consequences for the baby can be profound. Various studies have found that people born by C-section have substantially increased risks for type 1 diabetes, asthma, celiac disease, and even obesity and an eightfold greater risk of developing allergies. Cesarean babies eventually acquire the same mix of microbes as those born vaginally—by a year their microbiota are usually indistinguishable—but there is something about those initial exposures that makes a long-term difference. No one has figured out quite why that should be.

Consequently, we now have Social Justice texts—forming a kind of Gospel of Social Justice—that express, with absolute certainty, that all white people are racist, all men are sexist, racism and sexism are systems that can exist and oppress absent even a single person with racist or sexist intentions or beliefs (in the usual sense of the terms), sex is not biological and exists on a spectrum, language can be literal violence, denial of gender identity is killing people, the wish to remedy disability and obesity is hateful, and everything needs to be decolonized. That is the reification of the postmodern political principle. This approach distrusts categories and boundaries and seeks to blur them, and is intensely focused on language as a means of creating and perpetuating power imbalances. It exhibits a deep cultural relativism, focuses on marginalized groups, and has little time for universal principles or individual intellectual diversity.

tried to go to a counselor, but it was just too weird. Talking to some stranger about my feelings made me want to vomit. I did go to the library, and I learned that behavior I considered commonplace was the subject of pretty intense academic study. Psychologists call the everyday occurrences of my and Lindsay’s life “adverse childhood experiences,” or ACEs. ACEs are traumatic childhood events, and their consequences reach far into adulthood. The trauma need not be physical. The following events or feelings are some of the most common ACEs: •​being sworn at, insulted, or humiliated by parents •​being pushed, grabbed, or having something thrown at you •​feeling that your family didn’t support each other •​having parents who were separated or divorced •​living with an alcoholic or a drug user •​living with someone who was depressed or attempted suicide •​watching a loved one be physically abused. ACEs happen everywhere, in every community. But studies have shown that ACEs are far more common in my corner of the demographic world. A report by the Wisconsin Children’s Trust Fund showed that among those with a college degree or more (the non–working class), fewer than half had experienced an ACE. Among the working class, well over half had at least one ACE, while about 40 percent had multiple ACEs. This is really striking—four in every ten working-class people had faced multiple instances of childhood trauma. For the non–working class, that number was 29 percent. I gave a quiz to Aunt Wee, Uncle Dan, Lindsay, and Usha that psychologists use to measure the number of ACEs a person has faced. Aunt Wee scored a seven—higher even than Lindsay and me, who each scored a six. Dan and Usha—the two people whose families seemed nice to the point of oddity—each scored a zero. The weird people were the ones who hadn’t faced any childhood trauma. Children with multiple ACEs are more likely to struggle with anxiety and depression, to suffer from heart disease and obesity, and to contract certain types of cancers. They’re also more likely to underperform in school and suffer from relationship instability as adults. Even excessive shouting can damage a kid’s sense of security and contribute to mental health and behavioral issues down the road. Harvard pediatricians have studied the effect that childhood trauma has on the mind. In addition to later negative

Chubby: A regular-size person who could lose a few, for whom you feel affection. Chubster: An overweight, adorable child. That kid from Two and a Half Men for the first couple of years. Fatso: An antiquated term, really. In the 1970s, mean sorority girls would call a pledge this. Probably most often used on people who aren’t even really fat, but who fear being fat. Fatass: Not usually used to describe weight, actually. This deceptive term is more a reflection of one’s laziness. In the writers’ room of The Office, an upper-level writer might get impatient and yell, “Eric, take your fat ass and those six fatasses and go write this B-story! I don’t want to hear any more excuses why the plot doesn’t make sense!” Jabba the Hutt: Star Wars villain. Also, something you can call yourself after a particularly filling Thanksgiving dinner that your aunts and uncles will all laugh really hard at. Obese: A serious, nonpejorative way to describe someone who is unhealthily overweight. Obeseotron: A nickname you give to someone you adore who has just stepped on your foot accidentally, and it hurts. Alternatively, a fat robot. Overweight: When someone is roughly thirty pounds too heavy for his or her frame. Pudgy: See “Chubby.” Pudgo: See “Chubster.” Tub o’ Lard: A huge compliment given by Depression-era people to other, less skinny people. Whale: A really, really mean way that teen boys target teen girls. See the following anecdote.

Starting a little over a decade ago, Target began building a vast data warehouse that assigned every shopper an identification code—known internally as the “Guest ID number”—that kept tabs on how each person shopped. When a customer used a Target-issued credit card, handed over a frequent-buyer tag at the register, redeemed a coupon that was mailed to their house, filled out a survey, mailed in a refund, phoned the customer help line, opened an email from Target, visited Target.com, or purchased anything online, the company’s computers took note. A record of each purchase was linked to that shopper’s Guest ID number along with information on everything else they’d ever bought. Also linked to that Guest ID number was demographic information that Target collected or purchased from other firms, including the shopper’s age, whether they were married and had kids, which part of town they lived in, how long it took them to drive to the store, an estimate of how much money they earned, if they’d moved recently, which websites they visited, the credit cards they carried in their wallet, and their home and mobile phone numbers. Target can purchase data that indicates a shopper’s ethnicity, their job history, what magazines they read, if they have ever declared bankruptcy, the year they bought (or lost) their house, where they went to college or graduate school, and whether they prefer certain brands of coffee, toilet paper, cereal, or applesauce. There are data peddlers such as InfiniGraph that “listen” to shoppers’ online conversations on message boards and Internet forums, and track which products people mention favorably. A firm named Rapleaf sells information on shoppers’ political leanings, reading habits, charitable giving, the number of cars they own, and whether they prefer religious news or deals on cigarettes. Other companies analyze photos that consumers post online, cataloging if they are obese or skinny, short or tall, hairy or bald, and what kinds of products they might want to buy as a result.

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None of the suggestions in this chapter is remotely actionable today, because government has been co-opted in what is known as “elite capture.” By this we mean that the government bends the regulatory systems in the food industry’s favor, to maintain a decidedly lopsided power structure. Either the legislative branch won’t act because the food industry is paying it off, the executive branch won’t act because it’s afraid of the political repercussions, or the populace won’t act because as far as they are concerned, “a calorie is still a calorie” and they still believe in personal responsibility—and they’re addicted anyway.

If the person is obese, with more than fifty pounds of excess fat, his body will demand huge loads of insulin from the pancreas, even as much as ten times more than a person of normal weight needs. So what do you think happens after five to ten years of forcing the pancreas to work so hard? You guessed it—pancreatic poop-out.

According to the data, if one person became obese, the likelihood that his friend would follow suit increased by 57 percent. (This means that the network is far more predictive of obesity than the presence of genes associated with the condition.) If a sibling became obese, the chance that another sibling would become obese increased by 40 percent, while an obese spouse increased the likelihood that the other spouse would become obese by 37 percent.

Atkins diet is not a "quick diet" as it is often presented. It is more a way of life. In obese individuals with cardiovascular disease, high blood sugar or triglycerides, or persons with epilepsy Atkins diet shows up as very successful long-term solution.

Because sugar has no nutritional value and is something that brings pleasure, many nineteenth-century Americans identified it as a source of various societal maladies. Victorian medical advisers and reformers alike, preoccupied with personal respectability and good conduct, believed that sugar was slightly addictive and would lead to other vices, such as gambling and drinking. In the late twentieth century people blamed hyperactivity, obesity, attention deficit disorder, diabetes, and other debilities (especially among children) on sugar consumption.

There is a war going on. All talk of a Christian’s right to live luxuriantly “as a child of the King” in this atmosphere sounds hollow—especially since the King Himself is stripped for battle. It is more helpful to think of a wartime lifestyle than a merely simple lifestyle. Simplicity can be very inwardly directed and may benefit no one else. A wartime lifestyle implies that there is a great and worthy cause for which to spend and be spent (2 Corinthians 12:15). Winter continues: America today is a “save yourself” society if there ever was one. But does it really work? The underdeveloped societies suffer from one set of diseases: tuberculosis, malnutrition, pneumonia, parasites, typhoid, cholera, typhus, etc. Affluent America has virtually invented a whole new set of diseases: obesity, arteriosclerosis, heart disease, strokes, lung cancer, venereal disease, cirrhosis of the liver, drug addiction, alcoholism, divorce, battered children, suicide, murder. Take your choice. Labor-saving machines have turned out to be body-killing devices. Our affluence has allowed both mobility and isolation of the nuclear family, and as a result, our divorce courts, our prisons and our mental institutions are flooded. In saving ourselves we have nearly lost ourselves. How hard have we tried to save others? Consider the fact that the U.S. evangelical slogan, “Pray, give or go” allows people merely to pray, if that is their choice! By contrast the Friends Missionary Prayer Band of South India numbers 8,000 people in their prayer bands and supports 80 full-time missionaries in North India. If my denomination (with its unbelievably greater wealth per person) were to do that well, we would not be sending 500 missionaries, but 26,000. In spite of their true poverty, those poor people in South India are sending 50 times as many cross-cultural missionaries as we are!11

The Paleo diet is about eliminating carbs Going along with the “caveman” image, many people mistakenly think that Paleo eating is all about tearing into endless plates of meat and nothing else. This is not true. On a Paleo eating plan, carbs are usually kept below 100 or 150 grams per day, which is actually ample. The kind of carbs is more important, and Paleo eaters get their carbohydrates from starchy vegetables, nuts and seeds instead of the empty calories from bread, rice or pasta. Paleo dieters will occasionally fast and put their bodies into ketosis, but this is not automatically a very low carb plan and has very little in common with the infamous Atkins diet. The Paleo diet is not practical Many people reel in horror at the thought that you could stay alive without grains. The truth is grains, especially wheat, are nutrient poor and usually only serve to disrupt blood sugar and insulin levels, promote fat storage and increase over time allergies, obesity and even the initial stages of type II diabetes. Grains contain phytates and other plant proteins that damage the intestinal lining and lead to leaky gut syndrome and a host of other complaints, not to mention overweight. A diet rich in empty carbohydrates is nutrient deficient, fattening and even addictive, if white sugar plays a big role. You can eat as much fat as you like on the Paleo diet Partly true. Again, it’s not so much the quantity but the quality of the fat in question. While eating fat has been shown again and again not to make you fat, it’s also important to choose the right kinds. Butter, good quality animal fats, avocado, coconut and olive oil as well as the fat found in eggs and good quality dairy are excellent for the health in every way. Avoid refined, deodorized and hydrogenated oils such as sunflower, cottonseed or canola oil. These are incredibly toxic to the body and high in inflammation causing Omega 6 fatty acids. Dairy is forbidden on the Paleo diet Always a point of debate, whether to eat dairy or not comes down to a matter of personal choice. Some of us possess the enzymes to properly digest milk, other do not. The only way to test for your own sensitivity is to experiment and listen to your body. If lactose is a problem, eat cultured dairy like yogurt, kefir and cheese. If milk forms a good part of your diet, be sure that you’re getting hormone free, grass fed milk from a quality source and don’t binge on milk as it’s also quite high in carbohydrates. If fat loss is your main goal, eliminate dairy until your goal weight is reached.

Though the traditional response to the failure of semi-starvation diets to produce long-term weight loss has been to blame the fat person for a lack of willpower, Bruch, Rony, and others have argued that this failure is precisely the evidence that tells us positive caloric balance or overeating is not the underlying disorder in obesity.

When it comes to fat, there has to be a reason. We need to be able to trace the genealogy of obesity. Without that genealogy, we are simply mystified. People need an explanation for how a person can lose such control over her body. They want to know if you come from a fat family or if you have some kind of medical condition or if you are simply weak and really love food that much.

When I use this example with my students, sometimes a student will say that the mother is just teaching her child to be polite. In other words, naming this man’s race would be impolite. But why? What is shameful about being black—so shameful that we should pretend that we don’t notice?31 The mother’s reaction would probably be the same if the man had a visible disability of some kind or was obese. But if the child had seen a white person and shouted out, “Mommy, that man’s skin is white!” it is unlikely that the mother would feel the same anxiety, tension, and embarrassment that would have accompanied the first statement. Now imagine that the child had shouted out how handsome the man was, or how strong. These statements would probably be met with chuckles and smiles. The child would not likely be shushed, because we consider these statements compliments. The example of a child publicly calling out a black man’s race and embarrassing the mother illustrates several aspects of white children’s racial socialization. First, children learn that it is taboo to openly talk about race. Second, they learn that people should pretend not to notice undesirable aspects that define some people as less valuable than others (a large birthmark on someone’s face, a person using a wheelchair). These lessons manifest themselves later in life, when white adults drop their voices before naming the race of someone who isn’t white (and especially so if the race being named is black), as if blackness were shameful or the word itself were impolite. If we add all the comments we make about people of color privately, when we are less careful, we may begin to recognize how white children are taught to navigate race.

Why do so many people who experience violence in childhood feel the same way? Why does it lead many of them to self-destructive behavior, like obesity, or hardcore addiction, or suicide? I have spent a lot of time thinking about this. When you’re a child, you have very little power to change your environment. You can’t move away, or force somebody to stop hurting you. So you have two choices. You can admit to yourself that you are powerless—that at any moment, you could be badly hurt, and there’s simply nothing you can do about it. Or you can tell yourself it’s your fault. If you do that, you actually gain some power—at least in your own mind. If it’s your fault, then there’s something you can do that might make it different. You aren’t a pinball being smacked around a pinball machine. You’re the person controlling the machine. You have your hands on the dangerous levers. In this way, just like obesity protected those women from the men they feared would rape them, blaming yourself for your childhood traumas protects you from seeing how vulnerable you were and are. You can become the powerful one. If it’s your fault, it’s under your control. But that comes at a cost. If you were responsible for being hurt, then at some level, you have to think you deserved it. A person who thinks they deserved to be injured as a child isn’t going to think they deserve much as an adult, either.

Today finds us facing an unprecedented healthcare crisis. Despite spending over $22 billion a year on fad diet and weight-loss products, 70 percent of all Americans are obese or overweight. One out of every three deaths in America is attributable to heart disease, our number one killer. By 2030, 30 percent of Americans will be diabetic or pre-diabetic. And depression is the leading cause of ill health and disability worldwide. Despite the heartbreaking fact that a vast majority of these chronic diseases can be prevented and often reversed through some simple diet and lifestyle changes, we instead divest ourselves of personal responsibility and become willing indentured servants to the pharmaceutical industry, popping pills that effectively mask symptoms but, more often than not, do little or nothing to prevent or cure the underlying chronic illnesses that ail us.

If I follow a standard prescription of briskly walking thirty minutes a day, almost two extra miles, I’ll spend about a hundred extra calories per day, theoretically allowing me to shed approximately five pounds in half a year—about the reductions most studies report. If a skinny hunter-gatherer mother loses five pounds in six months, she’s in trouble, but many obese American dieters aim to lose about fifty-five pounds.39 Losing that many pounds that quickly through exercise alone would theoretically require Herculean efforts like running eight miles a day. Although far from easy, dieting is unquestionably more effective for shedding many pounds. While walking 30 minutes a day won’t lead to rapid, spectacular weight losses, an evolutionary and anthropological perspective puts a different spin on the argument that walking expends too few calories to shed excess pounds. While the commonly prescribed two-mile daily walk expends a pittance—just 4 percent—of the average person’s daily energy budget of twenty-seven hundred calories, that pittance is partly attributable to setting the exercise bar so low. It bears repeating that the standard public health recommendation is 150 minutes of moderate exercise every week. This amounts to a paltry 21 minutes a day, one-sixth the level of physical activity among nonindustrial people like the Hadza.40 Although jobs, commuting, and other obligations fill our days with necessarily sedentary activities, the average American still spends at least eight times as much time (170 minutes per day) watching television.41 It is no wonder that studies using modest exercise doses report modest weight losses.

On the face of it, it seems preposterous to think that walking doesn’t help with weight loss. Recall that energy balance is the difference between the calories one ingests and the calories one spends. You probably burn roughly 50 calories more by walking a two-thousand-step mile than driving the same distance. So trudging ten thousand additional steps a day (five miles) will expend a respectable extra 250 calories per day.30 To be sure, those ten thousand added steps might make you hungrier, but if you snack sensibly and consume 100 calories less than you walked off, those supplementary steps will eventually amount to a deficit of about 3,000 calories a month. That amount is just shy of 3,500 calories, the supposed number of calories in a pound of fat according to a much-cited, overly simplistic, and inaccurate 1958 study.31 Further, low- to moderate-intensity activities like walking burn relatively more fat than carbohydrates (hence the “fat-burning zones” on some exercise machines).32 As a result, lots of people try to trudge away extra pounds. Biological systems such as bodies are messy, and anyone who has struggled to lose weight knows that simple theories rarely apply to the convoluted realities of weight loss. What works for one person fails for another, and while many people successfully shed pounds when they start a new weight-loss plan, satisfaction often turns to frustration as the initial rate of weight loss diminishes and then reverses. Study after study has shown that overweight or obese people prescribed standard doses of exercise for a few months usually lose at most a few pounds. For example, one experiment with the clever acronym DREW (Dose Response to Exercise in Women) assigned 464 women to 0, 70, 140, and 210 minutes of slow walking a week (140 minutes is about five added miles). Apart from their prescribed exercise, the women took about five thousand additional steps per day as they went about their normal activities. After six months, those prescribed the standard 140 minutes a week lost only five pounds, while those assigned 210 minutes lost a paltry three pounds (more on this unexpected result below).33 Other controlled studies on overweight men and women report similarly modest losses.34

Compared to other killers from a public health standpoint, ADHD is bad. Smoking, for example, reduces life expectancy by 2.4 years, and if you smoke more than 20 cigarettes a day you’re down about 6.5 years. For diabetes and obesity it’s a couple of years. For elevated blood cholesterol, it’s 9 months. ADHD is worse than the top 5 killers in the U.S. combined. Having ADHD costs a person nearly thirteen years of life, on average. Barkley adds, And that’s on top of all the findings of a greater risk for accidental injury and suicide….About two-thirds of people with ADHD have a life expectancy reduced by up to 21 years.

SO WE KNOW that insulin causes insulin resistance. But insulin resistance also causes high insulin—a classic vicious or self-reinforcing, cycle. The higher the insulin levels, the greater the insulin resistance. The greater the resistance, the higher the levels. The cycle keeps going around and around, one element reinforcing the other, until insulin is driven up to extremes. The longer the cycle continues, the worse it becomes—that’s why obesity is so time dependent. People who are stuck in this vicious cycle for decades develop significant insulin resistance. That resistance leads to high insulin levels that are independent of that person’s diet. Even if you were to change your diet, the resistance would still keep your insulin levels high. If your insulin levels stay high, then your body set weight stays high. The thermostat is set high, and your weight will be drawn irresistibly upward. The fat get fatter. The longer you are obese, the harder it is to eradicate.

Let's consider an overweight person, who is obese not because of a medical condition, but simply through eating junk food and being a couch potato. If that person checks their weight, looks in the bathroom mirror, and says, "Look at me, I'm fat and ugly. I'll never lose this weight." Then that person has just shut themselves in the prison of their own negativity. Their prophecy will be self-fulfilling. They will continue to live a lifestyle of excess, thinking "What's the point, might as well enjoy it!

The reality of the situation for an overweight or obese person is that they have OVER-enjoyed food. They need to understand that they have overindulged consistently for far too fucking long, and they are now hurting their very own lifespan. They do not need to enjoy every fucking meal like it was their last.

This resistance to weight loss has been proven both scientifically and empirically.2 Obese persons that had lost weight required fewer calories because their metabolisms had slowed dramatically and desire to eat accelerates. The body actively resists long-term weight loss.

The transition from the fed state to the fasted state occurs in several stages:3 1.Feeding: During meals, insulin levels are raised. This allows glucose uptake by tissues such as the muscle or brain for direct use as energy. Excess glucose is stored as glycogen in the liver. 2.The post-absorptive phase (six to twenty-four hours after fasting starts): Insulin levels begin to fall. The breakdown of glycogen releases glucose for energy. Glycogen stores last for roughly twenty-four hours. 3.Gluconeogenesis (twenty-four hours to two days): The liver manufactures new glucose from amino acids and glycerol. In non-diabetic persons, glucose levels fall but stay within the normal range. 4.Ketosis (one to three days after fasting starts): The storage form of fat, triglycerides, is broken into the glycerol backbone and three fatty acid chains. Glycerol is used for gluconeogenesis. Fatty acids may be used directly for energy by many tissues in the body, but not the brain. Ketone bodies, capable of crossing the blood-brain barrier, are produced from fatty acids for use by the brain. Ketones can supply up to 75 percent of the energy used by the brain.4 The two major types of ketones produced are beta hydroxybutyrate and acetoacetate, which can increase more than seventy-fold during fasting.5 5.Protein conservation phase (after five days): High levels of growth hormone maintain muscle mass and lean tissues. The energy for maintenance of basal metabolism is almost entirely met by the use of free fatty acids and ketones. Increased norepinephrine (adrenalin) levels prevent the decrease in metabolic rate.

Obesity is a major risk factor for the loss of mobility. An obese person puts far greater demands on his skeletal muscles than a healthy weight person does. High levels of adipose tissue (fat) have also been associated with reduced functional muscle ability and strength. Lack of flexibility and control over muscles is also more readily seen among overweight individuals.

Many scientists and researchers themselves now advocate these methods, most prominently the Physicians Committee for Responsible Medicine. There is no longer any rational basis, they tell us, for the Draize test, dripping chemicals and personal-care products into the eyes of immobilized rabbits. We can now test for eye irritancy by use of human tissue systems mimicking characteristics of the eye. We can stop pouring commercial and industrial chemicals into animals. Acute toxicity is determined more accurately by in vitro methods using human cell cultures obtained from cadavers. Damage to DNA can be studied in bacteria, as in the Ames assay developed thirty years ago, adopted slowly by the EPA and yet now internationally accepted. Further experiments on animals for diseases of the heart, nicotine addiction, obesity, and many other disorders are unwarranted because we have already identified their primary causes by studying human populations.

Not only does our individual and societal sanity depend on connection; so does our physical health. Because we are biopsychosocial creatures, the rising loneliness epidemic in Western culture is much more than just a psychological phenomenon: it is a public health crisis. A preeminent scholar of loneliness, the late neuroscientist John Cacioppo and his colleague and spouse, Stephania Cacioppo, published a letter in the Lancet only a month before his death in 2018. "Imagine," they wrote, "a condition that makes a person irritable, depressed, and self-centered, and is associated with a 26% increase in the risk of premature mortality. Imagine too that in industrialized countries around a third of people are affected by this condition, with one person in 12 affected severely, and that these proportions are increasing. Income, education, sex, and ethnicity are not protective, and the condition is contagious. The effects of the condition are not attributable to some peculiarity of the character of a subset of individuals, they are a result of the condition affecting ordinary people. Such a condition exists — loneliness." We now know without doubt that chronic loneliness is associated with an elevated risk of illness and early death. It has been shown to increase mortality from cancer and other diseases and has been compared to the harm of smoking fifteen cigarettes a day. According to research presented at the American Psychological Association's annual convention in 2015, the loneliness epidemic is a public health risk at least as great as the burgeoning rates of obesity. Loneliness, the researcher Steven Cole told me, can impair genetic functioning. And no wonder: even in parrots isolation impairs DNA repair by shortening chromosome-protecting telomeres. Social isolation inhibits the immune system, promotes inflammation, agitates the stress apparatus, and increases the risk of death from heart disease and strokes. Here I am referring to social isolation in the pre COVID-19 sense, though the pandemic has grievously exacerbated the problem, at great cost to the well-being of many.

Who’s happiest? People in the city, the suburbs, or the country? Being around nature makes you happier and has mental health benefits.91 People who live in rural areas tend to be happier and have better mental and physical health.92 Even though there are fewer people around, social connections tend to be better in smaller communities.93 However, rural residents have a shorter longevity. They’re more likely to have several health problems, including high blood pressure, obesity, and diabetes.94

And still. They are my personal Obesity Crisis Intervention team. They have been actively pursuing the problem of my body since I was fourteen years old. I love them so I accept this, sometimes with grace and sometimes without. It is only now, in my early forties, that I have started to put my foot down and say, when they try to broach the conversation of my body, "No. I will not discuss my body with you. No. My body, how I move it, how I nourish it, is not your business.

One groundbreaking study tracked twelve thousand people for thirty-two years and found that “a person’s chances of becoming obese increased by 57 percent if he or she had a friend who became obese.

As if to confirm the difference between Korean and European anti-Americanism, Salman Rushdie sees parallel patterns in the difference between the anti-Americanism of the Muslim and European worlds. The former, according to Rushdie, chiefly enlists political reasons for its antipathy to America, but the latter is anti-American in its essence and entire behavior: These days there seem to be as many of these accusers outside the Muslim world as inside it. Anybody who has visited Britain and Europe, or followed the public conversation there during the past five months, will have been struck, even shocked, by the depth of antiAmerican feeling among large segments of the population. Western anti-Americanism is an altogether more petulant phenomenon than its Islamic counterpart and far more personalized. Muslim countries don’t like America’s power, its “arrogance,” its success; but in the nonAmerican West, the main objection seems to be to American people. Night after night, I have found myself listening to Londoners’ diatribes against the sheer weirdness of the American citizenry. The attacks on America are routinely discounted. . . . American patriotism, obesity, emotionality, self-centeredness: these are the crucial issues.”37

Consequently, we now have Social Justice texts -forming a kind of Gospel of Social Justice- that express, with absolute certainty, that all white people are racist, all men are sexist, racism and sexism are systems that can exist and oppress absent even a single person with racist of sexist intentions or beliefs (in the usual sense of the terms). sex is not biological and exists on a spectrum, language can be literal violence, denial of gender identity is killing people, the wish to remedy disability and obesity is hateful, and everything needs to be decolonized.

What about insulin resistance? At the very beginning of obesity, a person will manifest little insulin resistance, but it develops over time. The longer you are obese, the more insulin resistance you have. Gradually, that insulin resistance will cause even your fasting insulin levels to rise.

Unless a person burns off the sugar present in his or her system through activity, insulin is released by the body to take the glucose out of the blood stream and into fat cells for storage. If the body keeps getting flooded with refined carbohydrates and sugar, its sugar-removal system begins to break down, resulting in more and more insulin production. This puts the body at risk for developing diabetes, obesity, and heart disease.

It’s estimated that the average person consumes 400-800 calories worth of added sugars per day, which on a 2000 calorie diet equates to 20-40% of empty calories with no nutritional benefit[843],

It is a well-known fact now that one round of antibiotics will destroy 90 percent7 of your gut bacteria—90 percent! How many rounds of antibiotics have most people been on, 10 . . . 20? I have had consultations with patients who tell me that they have been on more rounds of antibiotics than they can count. We also have evidence that the simple act of taking one round of antibiotics can change your delicate microbial balance to favor storing your food as fat. Two of the most abundant bacteria phyla you have in your gut are Bacteroidetes and Firmicutes. Research is proving that obese individuals have more Firmicutes than Bacteroidetes, causing them to store more of their calories as fat.8 You can give two people the same diet and the one whose ratio of Firmicutes to Bacteroidetes is out of balance will gain weight, while the other person won’t gain a pound.

subsequently had bariatric surgery but that after she’d lost ninety-six pounds she’d become suicidal. It had taken five psychiatric hospitalizations and three courses of electroshock to control her suicidality. Felitti points out that obesity, which is considered a major public health problem, may in fact be a personal solution for many.

Although widely understood to be harmful to health, each adaptation [such as smoking, drinking, drugs, obesity] is notably difficult to give up. Little consideration is given to the possibility that many long-term health risks might also be personally beneficial in the short term. We repeatedly hear from patients of the benefits of these ‘health risks.

Sometimes, a bold, sort of callous person will ask me how I got so fat. They want to know the why. “You’re so smart,” they say, as if stupidity is the only explanation for obesity.

Social epidemics—like the spread of obesity or smoking—follow a pattern of complex contagion . It is not enough to come into contact with a person who is a “carrier” of the behavior. Your relationship to that person matters.

When white people are asked what the mother might be feeling, most agree that she is likely to feel anxiety, tension, and embarrassment. Indeed, many of us have had similar experiences wherein the message was clear: we should not talk openly about race. When I use this example with my students, sometimes a student will say that the mother is just teaching her child to be polite. In other words, naming this man’s race would be impolite. But why? What is shameful about being black—so shameful that we should pretend that we don’t notice?31 The mother’s reaction would probably be the same if the man had a visible disability of some kind or was obese. But if the child had seen a white person and shouted out, “Mommy, that man’s skin is white!” it is unlikely that the mother would feel the same anxiety, tension, and embarrassment that would have accompanied the first statement. Now

When you’re overweight, your body becomes a matter of public record in many respects. Your body is constantly and prominently on display. People project assumed narratives onto your body and are not at all interested in the truth of your body, whatever that truth might be [...] People are quick to offer you statistics and information about the dangers of obesity, as if you are not only fat but also incredibly stupid, unaware, delusional about the realities of your body and a world that is vigorously inhospitable to that body. This commentary is often couched as concern, as people only having your best interests at heart. They forget that you are a person. You are your body, nothing more, and your body should damn well be less

As a general rule, the closer we are to someone, the more likely we are to imitate some of their habits. One groundbreaking study tracked twelve thousand people for thirty-two years and found that “a person’s chances of becoming obese increased by 57 percent if he or she had a friend who became obese.

Bauer considered the fat tissue in obesity akin to malignant tumors. Both have their own agendas, he explained. Tumors are driven to grow and spread and will do so with little relation to how much the person who has that tumor might be eating or exercising. In those who are predisposed to grow obese, fat tissue is driven to grow, to expand with fat, and it will accomplish this goal, just as the tumor does, with little concern about what the rest of the body might be doing. “The abnormal lipophilic tissue seizes on foodstuffs, even in the case of undernutrition,” Bauer wrote in 1929. “It maintains its stock, and may increase it independent of the requirements of the organism. A sort of anarchy exists; the adipose tissue lives for itself and does not fit into the precisely regulated management of the whole organism.

Dr Saurabh Patel-Best Piles Doctor in Ahmedabad Piles are the swollen and enlarged viens that form inside and outside of the anus and rectum. This can make person uncomfortable and cause lot’s of pain and also cause rectum bleeding. They are common and affect people of all the age. Piles can be of different sizes. If you have any problem related to the piles then you can consult the doctor Dr. Saurabh Patel who is the Best Piles Doctor in Ahmedabad. Causes of Piles: People who are at risk of getting piles: 1. Who are more overweight/obese. 2. Pregnant Women 3. People don’t eat fiber rich diet. 4. Have chronic constipation or diarrhea. 5. People lift objects which are very heavy. 6. Strain while having bowel movements. Symptoms of Piles: 1) When you poo there is right red blood. 2) An itchy anus. 3) You still feel like going to the Poo after going to the toilet. 4) When you wipe the bottom portion then there is mucus in your underwear or toilet paper. 5) Pain and Lumps around your anus. Prevention: 1) Eat fiber rich food and keep yourself hydrated to make it easier for the stool to pass. 2) Avoid Straining when you pass the stool. 3) You should avoid lifting the heavy objects as it can cause the risk of developing the piles. 4) You should maintain the proper weight. 5) You should exercise regularly which can help you to keep yourself active and helps you to reduce the risk of developing the piles. Piles Diagnosis: First the doctor will examine you and ask the symptoms if you have of Piles. They insert the fingers with gloves into the anus to feel the rectum and if there is any lumps present there. The Physician may also recommend patient to get the blood test done if you are suffering from anaemia. Piles Treatment: At Home: 1) Eat fiber rich foods like fruit, vegetables, and grains. 2) Drink more water and don’t strain the bowl movement. 3) Apply ice packs which can help to ease the pain and the swelling. Surgical Treatment: If you have larger piles or if the treatment have not helped then then you have to go for the surgery. Your doctor will: 1) Inject chemicals into the piles which will shrink it. 2) Use a laser to seal off the vessels that provide blood to the hemorrhoid. 3) Place a tiny rubber band around it to block its blood supply. 4) Use a staple to cut off its blood flow.

Individual fat-storage capacity seems to be influenced by genetic factors. This is a generalization, but people of Asian descent (for example), tend to have much lower capacity to store fat, on average, than Caucasians. There are other factors at play here as well, but this explains in part why some people can be obese but metabolically healthy, while others can appear “skinny” while still walking around with three or more markers of metabolic syndrome. It’s these people who are most at risk, according to research by Mitch Lazar at the University of Pennsylvania, because a “thin” person may simply have a much lower capacity to safely store fat.

Obesity depends on both the number and the size of an individual’s fat cells. Among moderately obese people, fat cells are typically large, but there is not an unusually large number of them. Among the severely obese, there are a large number of fat cells, and the fat cells themselves are exceptionally large (Brownell, 1982). Childhood constitutes a window of vulnerability for obesity because the number of fat cells a person has is typically determined in the first few years of life, by genetic factors and by early eating habits (Wilfley, Hayes, Balantekin, Van Buren, & Epstein, 2018).

Whilst the experts know how cancers are formed, they don’t always know why one person contracts cancer and another doesn’t. Once the well-publicised triggers such as smoking, excessive alcohol, obesity, sun exposure and genetics have been discounted, medicine puts it down to bad luck. In this case we’re grateful for the brilliance of modern treatment and hope that we’re not unlucky again.

Obligatory calorie labeling is reasonably benign, but ultimately pointless. If someone honestly doesn’t realize that a double quarter pounder with cheese is more likely to perpetuate their obesity than eating a bag of carrots, then they’re probably not observant enough to notice mandated calorie displays. Such a person is not awaiting a federally-induced epiphany. What

Trump had little or no interest in the central Republican goal of repealing Obamacare. An overweight seventy-year-old man with various physical phobias (for instance, he lied about his height to keep from having a body mass index that would label him as obese), he personally found health care and medical treatments of all kinds a distasteful subject. The details of the contested legislation were, to him, particularly boring; his attention would begin wandering from the first words of a policy discussion.

When a person is exposed to cold, his body is stimulated to produce these brown fats. This is a result of the body trying to keep warm by increasing heat production through cell metabolism. More brown fats and improved metabolism means a faster and more efficient way of losing weight and keeping it off. The increased levels of brown fats in the body help to retard the signs of aging and help to fight against obesity, diabetes, and heart disease.

have been associated with obesity, depression, cognitive impairment, heart disease, reduced immunity, cancer, psychosis, and all causes of mortality. Check your 25-hydroxy vitamin D level, and if it is low, try to get more sunshine in a safe way and/or take a vitamin D3 supplement. A healthy vitamin D level is between 75 and 250 nmol/L (nanograms per liter). Optimal is between 125 and 250 nmol/L. Personally, I never wanted to be in the bottom of any class I was ever in. Two-thirds of the population are low in vitamin D; this is the same percentage of U.S. residents who are overweight or obese. According to one study, when vitamin D is low the hormone leptin that tells us to stop eating is not effective. One