The hardest decision I’ve ever made

Trigger Warnings: Eating disorders, WLS (weight loss surgery), Poor Medical Care

Sharing this is hard. Which is weird, since I am, by nature, an oversharer. I share because writing things out helps me process my feelings. I share because I remember when I was 15 and in a eating disorder unit and realized during group therapy, for the first time in my life, that I was not alone in some of the “crazy” thought processes I had. That feeling of someone understanding where I was coming from was priceless. If I can give that back to someone who is struggling, I very, very much want to try.

I hope people will not knee-jerk react to this and will read through my thoughts because I feel there are always many sides to a story and it’s easy to get caught up in our own feelings about someone else’s story, without giving them their safe space and chance to share. It’s a lesson I’ve learned slowly over the past decade or so, but a valuable one. No one is responsible for my feelings but me, and people are allowed to share whatever they want in their own spaces, even when I disagree. If they are respectful I will even try to put aside my personal feelings and not just listen, but hear the other person’s point of view. That is easier said than done, and I am stubborn and thorough in my decision making process. That means my beliefs and opinions are not easily swayed. Which is why, in part, what I’m about to share will shock so many people.

On Tuesday, March 6th 2018 I did something that seems to, on the surface, contradict all I stand for and believe in. I had a procedure called vertical sleeve gastrectomy. During this surgery about 80% of my stomach was amputated. Yes, I said amputated. This is a word that people who have WLS will likely find offensive but it’s also accurate. My stomach was a healthy organ and I chose to have most of it sliced away and removed from small holes in my body (the surgery was laparoscopic).

Why would I do this? I said for years that WLS was off the table for me. My body doesn’t have a great history with surgery. I’ve had complications from all three past surgeries I’ve had. I’ve spent over a decade as a non-dieter, happier and – in many respects – healthier than I’ve ever been. I’ve been working at body positivity, at promoting body acceptance, fat acceptance, body diversity… so why would I join the “dark side” and undergo a risky, possibly deadly and definitely life-altering procedure? The simple answer would be “to be thinner,” but few things in my life are ever simple.

In October 2016 I fell while on vacation. I was leaving a crowded little cafe in Minnesota. There was a rather high step down to the sidewalk I had somehow not really noticed on the way in. A large crowd had gathered by the door and crowds make me anxious for two reasons. First, I just hate people and I get claustrophobic. Secondly, when you’re my size getting through a crowded space is not easy. So given my anxious state I was definitely not paying attention and before I knew it I was on the sidewalk. My poor instinct to try to hold on to the door led to a massive injury to my right bicep. It was suspected I tore it, but there was no way for me to know for sure.

Why? Because in our fucked up culture, despite fat bodies existing (and based on the media hysteria, taking over the planet like some kind of zombie apocalypse), medical accommodations are not made for them. I could not get an MRI to see the extent of the damage. There are those who will say, good. People like you shouldn’t be accomodated, as a response to this statement. To those I say, fuck off. No, seriously. You don’t have the right to tell a fat person they don’t deserve proper medical care because you find their body size whatever negative thing you find it. And you can’t turn it around and say it’s about concern for health when you start from a place that wants to deny fat people the very healthcare they need, the same healthcare given to a thin patient, so don’t even try spinning it into that old “it’s about their health” yarn.

I won’t get into the details of what my life became after that injury, but suffice it to say that it has been a brutal and often humiliating 18 months. I lost so much mobility. It was impossible to treat my injury properly when they could not diagnose it properly. It made me realize that if I ever got cancer (which there is quite a lot of in my family history), or if I was ever in a much more serious accident, I’d be screwed. I would probably die and then, because of how twisted this world is, I’d be blamed for my own death… it would be my fault for being too fat to get proper treatment, and not the fault of a medical community that has failed fat people.

I had already researched WLS for many, many years. First when I was dieting, as another option – the “quick” option. The “easy way out,” is how it was often perceived by myself and fellow Weight Watchers forum members. Let me just tell you, as someone who has since had 3 surgeries (unrelated and not counting this one), surgery is never an “easy” option. I had already come to that conclusion before my gallbladder surgery (which was the first) in 2010 and I certainly didn’t look down on people who had WLS the way I did when I was dieting and doing it the “hard” or “right” way.

If you think WLS (or any surgery) is easy you need a massive reality check. Doubly so if you’re considering doing it yourself.

I’ve been very outspoken against WLS in the past. Some of you reading this will probably think I’ve now become pro-surgery. Nope. But I’m pro-choice, and I think people have the right to make their own decisions for themselves. As far as WLS is concerned, I think it is pushed very quickly on people that don’t have a real need for it. I think a lot of surgeons prey on a marginalized group and offer them false promises and hope of a shiny, thin, healthy life post-surgery. I think the risks are often downplayed and that the benefits are overhyped, especially for a person who isn’t really that big. I think the surgery is often given to people who are not even remotely ready for it psychologically speaking. I think self-pay patients – the ones who don’t need insurance approval – are those at greatest risk of not getting thorough psych evals beforehand, and also the most at risk of being pushed to do something that maybe isn’t such a great idea for them. When you consider these self-pay patients are shelling out anywhere from $8k – 25k, however, it’s hardly surprising doctors will try anything to get them to sign up.

Just like the diet industry, weight loss surgery is a highly profitable industry. It’s business, and business and medicine often make for messy bedfellows. The funny (not in a haha way) part is that weight loss surgeons are often the only doctors willing to be honest about how dieting fails the vast majority of people. Go to any surgeon’s website and you’ll likely see the statistics, often even with citations posted, on the decades of research that have demonstrated this fact. There’s also no denying that WLS works better than conventional dieting… but long term results are still not necessarily stellar, so it’s a huge decision to make and if you go into it expecting or hoping to be thin or to have a “normal” BMI weight there’s a good chance you’ll wind up disappointed.

When I went to the surgeon’s office last summer I was about 517 pounds. My body used to settle around 350 – 375 when I’d diet (this was the point at which I’d “plateau” and stop losing weight). I’m the ideal “candidate” these surgeries were originally intended for, before the obesity epidemic bullshit made people panic and it became evident that doctors could push much, much smaller people than myself into a surgical “solution” for their “obesity” problems. My surgeon has done over 6,000 surgeries. That’s a lot of fucking money, and while I trusted him as a surgeon I disagree with a lot of his viewpoints. I made that very known to him during my consult, and to his credit, he accepted my criticisms and feelings with grace. He was also willing to accept my caveats (like no, I’m never sharing a before or after pic with the office and at some point I may stop viewing my weight, if it becomes problematic for me). When he said a goal of 240 pounds was “reasonable” for me I quite literally laughed in his face. I’ve been over 300 pounds since I was 15. I’m not viewing this through rose colored glasses.

So here are the things you need to know about how I feel about WLS, and specifically my having had it.

1. I don’t think having had WLS will neccessarily make me healthier. In fact, it may very well cause health problems I didn’t have before, so it could maybe help some issues but replace them with new ones. I’m diabetic, but between PCOS and genetics, I likely always will be, and even if WLS seems to “cure” it, that is going to be temporary. I have multiple genetic risks for diabetes (and I can say that with absolute certainty since I’ve done DNA testing) and long term studies have shown that many people who are “cured” of diabetes post-op redevelop it later on in life – and this has been true even in people who maintain their weight loss. My blood pressure is always good, my cholesterol is normal and so there was no need to “fix” any of that going into this.

2. I don’t expect to be thin, nor is that my goal. In fact, even if I got to the weight I gave the surgeon as the weight I’d like to be after having done this, I will still be “morbidly obese” if you use the BMI charts (which, btw, you shouldn’t).

3. You will never hear me talk about how much weight I’ve lost, at least not in a celebratory context. There may be a factual context where I mention it, so I won’t say it will NEVER come up but it won’t be an “omgilostsomanypounds” sort of way. This doesn’t mean that I expect YOU not to share your own weight loss in your own space, whether you’re dieting or have had surgery. But I am not going to comment on it or congratulate it, either for reasons I’ve previously discussed on this blog.

4. You will also never see me post an unflattering “before” picture next to a flattering “after” picture. Just as I won’t give them to my doctor’s office, I won’t share them in my personal space. Any pictures of myself I share I do because I’m having fun in said pictures, whether they be silly selfies, makeup selfies, vacation pics… etc.

5. I really, really don’t want to hear your “compliments” on my weight loss, no matter how well intended they may be. That’s not my goal and I don’t intend to let myself be sidetracked into, what is for me, a negative headspace where I let it become my goal.

6. I still don’t want your diet “tips” or “tricks” or “suggestions.” If I think you have information that might be beneficial to me, I will ask you directly. Otherwise, please consider it unsolicted and unwanted advice and just don’t. I have never deleted someone simply because they had WLS surgery or they are dieting or eating in a certain restrictive way, but I have removed/unfollowed people who cannot seem to talk about ANYTHING else because that’s too much for me to deal with personally, given my ED history. I’ve been that person and I don’t want to go back to that place. It was deeply unhealthy for me and I have to do what’s best for me. You get to control your content in your space, so I’d never, ever ask someone to change what they talk about… but I reserve the right to remove someone from my life if what they talk about is simply too harmful for me – and I respect your need to do the same.

7. I will NEVER tell you that YOU should do this. I won’t ever push anyone towards this surgery. I won’t push anyone towards dieting. I’m more likely to tell you the reasons not to do it, in fact. But only if you asked, of course. Otherwise, it’s just not something I’d ever bring up.

8. I most definitely will not speak of this in safe spaces that have been created for fat people to be themselves without pressure from the outside world.

So what are my goals? Why did I do this? I know people will wonder, and while I don’t owe anyone explanations, I like talking things out. So I’ll share on my terms, in my way.

I’ve already explained the medical shit. Sort of. I explained the logistics of it. What I haven’t really explained are the emotional feelings that came with that injury. Not being able to do some very basic things because of that injury really robbed me of my pride and fueled a sense of helplessness. But it wasn’t just from that fall. In the past 7 1/2 years I’ve had 3 surgeries, two broken bones that kept me off my feet for 8 weeks each time and a number of other minor injuries that, when combined with the others, add up. All of these things resulted in decreased mobility, which resulted in weight gain despite the fact that my eating habits remained the same (and my weight had previously been stable for several years), which then further reduced my mobility.

You never know what your “breaking point” will be, or if you’ll have one. But I did. It came about 18 weeks after my accident, when I realized my bicep was as good as it would get. That was the time my doctor gave me to heal, while I (yet again) restricted my movement. I felt a lot like I did when I stopped dieting in 2007… I was desperate for another way, whatever it was. I took my years of research and began investigating sleeve surgery because it has (so far, at least) demonstrated the lowest complication rates of any of these surgeries. I also picked it because it was (ultimately, after I heal) going to be most compatible with Intuitive Eating. In theory, I eventually will be able to eat pretty much anything I could before, just in amounts that work with my altered physiology. With my history with binge eating disorder this was absolutely critical to me. Deprivation/restriction and I don’t mix well together.

Ironically, had I gone into this process from my dieting days I’d have been in an absolutely horrible place for the consequences of this surgery. Psychologically speaking, it would’ve been devastating for me. It was the 10+ years of eating disorder therapy, working on mindful eating, learning to recognize when I was eating for emotional reasons or boredom that led me to a place where this was an option that wasn’t potentially life threatening from an ED standpoint.

I’m still me. I still stand by all of the statements I’ve made in the past about WLS, or at least the ones I’ve made since I stopped being an asshole and stopped claiming surgery was “an easy way out.” I was not superior to anyone for losing 25 pounds through Weight Watchers, trust me. I may have wanted to believe I was at the time, but I definitely was not. Nor would I have been in any way morally superior because of following X (insert keto, paleo, raw food, vegan, Whole30, Jenny Craig, etc here) diet (or “lifestyle”) plan. I look back at the person I was when I was dieting and I cringe. I was a person who told a dying friend that at least losing 100 pounds because she had scleroderma was a “silver lining,” and I did not understand how she could possibly mean it when she said, trust me, Jess. No one wants to lose weight this way. Because I sure thought I did. I’d have done anything to lose weight and, more importantly, be thin. “Healthy” never entered the equation, though I certainly claimed it did.

When I stopped dieting, people said, but your health! You’re going to die young because of your fat! My response to that? Even IF that’s true (and that’s questionable, as there is much contradictory research/evidence on the matter), I’ll die happier and mentally healthier. That matters more to me.

Well, that still matters more to me. Maybe the surgery means I’m less healthy and maybe not. Only time will tell, and frankly even then I likely won’t really know for sure what has made me healthier (or less healthy). But if it gives me a chance to do more of the things that the extra weight I gained because of health shit over the past 8 years has robbed me of, it will be worth it. If it means the next time I fall I can get an MRI and not have permanent damage and lifelong pain because of an injury I couldn’t get proper treatment for, it will be worth it. If it means I can get treatment should I develop cancer, it’s worth it.

I plan to continue to be a warrior for fat acceptance and for changing the world in which we live so no one feels they are backed into a corner with no other options than surgery. That’s just not a fun place to be, and I know that from experience. No one should have to resort to something so drastic to get adequate healthcare. It’s one thing to make a choice for yourself because you want to for whatever reasons, and quite another to do it because you feel it’s your last resort. So I’ll keep fighting for a world where one doesn’t have to feel that way, but in the meantime I live in this world. This was hardly the only thing that factored into my decision, but it was definitely a major reason I went through with the surgery.

And there you have it… the hardest decision I’ve ever made. Hopefully, in the long run, I don’t regret it, but just as it is for everyone else, it was my decision to make. It’s my body and I get to choose how to take care of it. You don’t have to agree with it. You can try to use it as “proof” a fat person can’t be happy, if you want. But I have been and will continue to be a happy fat person, so I have to burst your bubble there. If you feel it’s a betrayal of what I’ve said I stand for, I’m not sorry because you don’t get to decide for me and because I still stand for all of the same things I have over the past decade. I understand the feeling of betrayal because I’ve been there myself, any time a body positive actress or celeb suddenly has had WLS or signs on with WW or Jenny Craig. But what I’ve realized is that I have no right to that thought process. No one owes me their fat body, anymore than they should expect to be in some way obligated to try to make their bodies thin for the sake of societal beauty standards and ideals. It is just as wrong of me to expect a person to decide to stay fat for me for X reason as it is to want them to become thin for X reason. It’s just as fucked up. Yes, it’s disappointing to hear someone formerly body positive start trashing their bodies or start pimping diet products, but it’s not my choice to make. And we very often don’t know what led them to that decision, either. Regardless, body autonomy is something very precious to me. I respect a person’s right to make decisions for themselves, even when I don’t personally agree with said decisions. Your life, your choices.

It’s honestly really that simple, if only we let it be.

~JK

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The People of Walmart

I’m not going to link to the site here, but I’m sure most of you are familiar with the meme The People Of Walmart. Basically, strangers take pictures of other strangers that they find, for some reason, odd or hilarious or whatever… and they post them online and make fun of them. TPOW is hardly the only such site that does this… there are many out there that do it. It happens on reddit, it happens in forums all over the net.

At first glance, it’s pretty easy (in most cases) to tilt your head and go WTF? to some of these pics. Like the infamous one of the woman wearing her nightgown, fur coat and vacuuming her front yard. It’s easy to judge that pic and go… well clearly she’s high. And maybe she was high.

Or maybe she’s mentally ill. Or maybe she has Alzheimer’s. We don’t know because we don’t her. We have no idea what led to her being outside, on what looks like a rainy day, wearing that fur coat and nightgown and vacuuming her yard (or trying to). But whatever the story is, it’s hers.

My grandfather has dementia. We don’t know what the cause of it is, but he often forgets to shave and his hair will be a mess. He used to be the sort of man who never, ever went outside unkempt. He was very neat and put great care into his appearance, at least outside of the house.

When my grandmother needed emergency surgery in November, and the doctors really didn’t know if she’d survive, he had to rush with my mom to the hospital. All he kept saying, while they were waiting in the family room for news, was that he hadn’t shaved. This upset him so much that when she wanted to say goodbye a few weeks down the road, he didn’t want to go because he hadn’t shaved. My mother, as gently as she could, told him it was going to be his last chance to see his wife.

So he went out, unkempt, disheveled…

A friend of mine went to the Walmart pharmacy late at night because her 2 month old had a fever. She was wearing pajamas, flip flops and realized after the fact that her top was inside out (and had spit up on it). Her hair hadn’t been washed in two days because, as a new mom, she just hadn’t gotten the chance to wash it. She told me later she worried about someone taking pics of her while she was in Walmart, since her pajamas were hot pink and had animal print. And it was December in New Jersey and rather cold for flip flops.

As a fat person in a digital age that so greatly enjoys mocking people for no reason other than they’re out in public and dare to look somehow different than other people think they should, I never shop without fear of winding up on some fat shaming site. It’s always in the back of my head. It doesn’t stop me from living my life, but the fact that I have to think about it at all is pretty fucked up, really.

I’m fortunate to live in a place where the majority of people aren’t assholes. No, really… I regularly have teenage boys hold the door for me. That doesn’t happen where I come from, not unless said teenage boy thinks the woman he’s holding the door open for is hot, anyway. And maybe not even then. But certainly no one ever held the door open for me where I grew up on the east coast.

But then hell, I saw a little old woman with a walker struggle to get into a bank in Manhattan that didn’t have automatic doors for 5 fucking minutes. I was prepared to help, but stuck on the other side of the street. People went into the bank, came out of the bank. No one helped her. It broke my heart. When I went and helped her, the look of gratitude in her eyes was just… overwhelming. It literally made me tear up because I could not imagine how anyone could be so oblivious, self-absorbed or cruel as to let this poor woman struggle that way.

So certainly, it wasn’t limited to fat people… which is the point. People here are, in general, just much kinder and nicer than the people where I used to live. So given that, I worry a LITTLE less. But I still worry.

I’ve had strangers (again, back east) come up to me in a store, look at me and give me their diet business cards. This is when I was dieting, btw, and nothing in my cart was even remotely “questionable.” I was once walking home from the deli, where I’d gone to get my husband and myself some ice cream on a hot summer day, after he’d had a rough day at work. The bag I was carrying was a brown paper bag… some asshole stopped at the red light where I was crossing shouted out, “hey fatty… what’s in the bag? Ice cream?”

Yes, because being fat means you can’t have ice cream. Or it means ice cream is all you eat. I’m never sure which one, tbh. But at the time, that comment destroyed me inside. It made me feel so much guilt and shame that I didn’t even eat the ice cream, despite the fact that, again I was dieting and had worked the ice cream into my daily diet allowance.

I was eating a fat free frozen fudge bar before class started on a warm May Saturday, when a classmate I barely knew came over and asked “should you be eating that?” I looked at her and said, “well since it’s 2 Points and I’m on Weight Watchers, yes, I should.” But I wish I’d said, “how the fuck is it any of your business what I’m eating?” Because that’s EXACTLY the sort of reply that question deserved. And today, after years of eating disorder therapy and time to learn to accept myself, that’s more or less the response I’d give. But I only was able to start this therapy after leaving the toxic fat bashing environment I grew up in and moved to Colorado, which ironically despite being repeatedly reported to have the lowest obesity rates also happens to be far more fat friendly. I’m sure people think things, but I’ve only once in almost 10 years of living here had anyone say something, and it was the second week after we moved here. And, not that it excuses it, because it doesn’t, the person in question thought I was out of earshot when he made the snarky comment. It was at the Wendy’s drive through, and the kid who took our payment said, “that dude’s wife was BIG.” But it was after we’d driven up… he just happened to have said it before the other kid had closed the window. Or I’d never have known.

This sort of shit was bad enough when it was limited to what happens in a store with one person coming up to you or shouting shit from a car at you or making the odd rude comment to you at a restaurant or anywhere else. But now? Now we’ve moved into an entire other realm, one where strangers can take your photos while you’re eating, and you never know it. And then they post said photos and judge you for daring to eat while fat. Sometimes the person in the question probably doesn’t even meet the BMI chart standard for “overweight (not that that’s anything other than money-making BS anyway),” but the photographer thinks she does…

Or the person is wearing a tank top in public, and she’s fat so of course she shouldn’t be daring to show her arms. Or he has chocolate in his cart, and he’s fat, so he deserves it, right? Uhm, no. Actually, he doesn’t.

You might think, “oh, this is ridiculous, she’s being dramatic or overly sensitive.” And perhaps I am, to some degree. My rant about this is inspired by two friends that I know love me and wouldn’t want to hurt me sharing pics from The People Of Walmart. But my grandmother just died, I’m in a fibro flare from hell, and every time I see pics like these I imagine how easily it could happen to me… because I’m both fat and disabled, but my disability is one that is an invisible illness. It’s fibromyalgia, and I have a handicapped placard so I can park closer to stores, and in doing so save myself some spoons. I won’t even use a scooter… because I know people will make snap judgments (another thing that does happen to thin people or young people) about why I’m in a scooter. That and, well… I’m kind of afraid I’d drive one into the display at the end of the aisle. But my husband (who is also fat) has multiple sclerosis and he’s had to use one before, too. Once when I was in Walmart, there was a young kid in a scooter… a teenage boy. With his mother and sisters. He was checking out at the aisle behind ours. My husband had his cane. The – also young – cashier we had went on a loud rant about how much it annoys him to see people using scooters who don’t need them. Well, guess what? When we got out to the parking lot that kid was handed his crutches by his mother to get from the scooter to the passenger door, and she then took the scooter back. So this doesn’t happen just to fat people, but having a fat body in a fat phobic, fat hating society certainly puts an extra target on your back to be the butt of someone’s joke.

When it comes to the internet, I think because they’re strangers in a picture we’re seeing it’s so easy to become desensitized to the fact that The People of Walmart are, in fact, PEOPLE. Real people. People who have jobs, feelings, families, children… etc, etc. People for whom your two minute laugh have to live, in some cases, a lifetime of ridicule and shame over something that you really, when it comes right down to it, don’t know anything about.

The man whose ass crack is out of his pants… maybe he’s undergoing chemo and has lost weight. The woman who has on jeans that are too tight (in your opinion). Maybe she’s gained weight and can’t afford to buy new clothes. The woman in the crazy platform shoes who gets a comment about being a stripper running errands might be a single mom who really IS a stripper, and that’s how she supports her kids. Or maybe she’s just a stripper because she wants to be. And guess what? She fucking allowed to be a stripper, and she’s allowed to wear those shoes to Walmart or anywhere else she wants.

Our bodies don’t belong to strangers in stores or online. They belong to us. We get to do with them whatever makes us happy, whether that means dyeing your hair fuchsia, shaving it all off, having 22 tattoos or 32 piercings. Or just something as simple as wearing shorts  This is true whether we’re a random unknown person or even a celebrity, although at least celebrities go into it knowing the cost. It is still fucked up, but it’s an unfortunate part of the job, and in many cases the publicity turns into profit, even if it’s unfair or undesired. For us just doing our regular grocery shopping, there’s no “perk”to being photographed by a stranger and turned into a joke.

This world we live in where it’s become not only okay, but often encouraged, to take photos of strangers for the sole purpose of mockery is shit. I think that any one of us could, for any number of reasons we can’t necessarily conceive of, wind up on one of these sites. Whether it’s because we’re shopping in our pajamas because we’re sick and don’t give a fuck and just wanna get what we need and get out, or because we want chocolate and don’t buy into the BS that a fat person isn’t allowed to eat chocolate, or we have crazy colored hair that someone thinks is “weird” or we have a lot of piercings or we have a tattoo that someone thinks is dumb or we’re mentally ill and have no idea where we are, let alone what we’re wearing… it could happen to any one of us.

You could very easily someday be the person being laughed at. So next time you mock someone try – just try – to put yourself in said person’s shoes. Because while some people manage to take their unintended internet fame (though these cases usually involve people who put themselves or a family member online in the first place, like David After Dentist or Charlie Bit Me) and turn it into something positive, others contemplate suicide or experience serious mental health struggles.

~JK

 

 

Why I don’t comment on your weight loss posts

I wrote this as a facebook post, but decided to turn it into a blog post because it got very long. It’s been a long time, as I don’t tend to write here until I really have something to say… and tonight, I did.

Two of the hardest things about being in eating disorder recovery (for me) are reading/hearing about dieting and negative body talk. Eating disorder recovery is an ongoing process. I think for many of us who have experienced the hell of an ED, it never completely goes away and often requires, to quote Mad Eye Moody, “constant vigilance.” I know for me this is true.

Now, just to clarify up front, you have every right to do with your body whatever you feel you need to do for it… whether or not that is pursuing intentional weight loss. And while I wish you wouldn’t, because it makes me sad for you (it really makes my heart hurt), you also have the right to talk badly about your bodies. That’s true whether or not you are currently dieting, btw. I don’t think self-hatred is conducive to being healthy. I know from personal experience that it’s not for me.

I don’t tend to comment on weight loss or dieting posts, beyond maybe saying something along the lines of “you’ve always been beautiful.” Because that’s true. Beauty isn’t about a number on a scale or the size of your jeans. It’s about who you are as a person. And I’m really sorry if you felt ugly today, or if you feel it every day… and I understand that struggle and that heartbreak. But you’re not ugly. I’m not friends with ugly people. And I don’t comment because I don’t want your sense self-worth to be tied up in how much you weigh, or how you look. It’s not because I don’t care; quite the contrary, it’s because I do.

However, I recognize that my extreme aversion to seeing you talk about your diet is my problem and not yours. So I stay silent. Your body belongs to you, even if you choose to talk about it publicly, even if you’re sharing intimate details about it. You get to decide what to feed it, how to dress it and how to treat it in general. Just as I do with my own body, even when I share intimate details about it publicly.

My journey from a practically life-long diet to a mindful eating or Intuitive Eating approach is an ongoing one. What I put myself through, what my family members (NOT my mom, FYI) put me through… that is something that I will always struggle with because there are some wounds that cut so deep they never quite heal over all the way. For me, this is one of them. Being in a world with a constant obsession about weight and appearances and dieting does not help with that struggle.

Despite the struggle, I am so much happier now. I’m much more mentally healthy, and I believe 100% that without my mental health I have nothing. My physical health is irrelevant if I am as mentally unwell as I was in the throes of my eating disorder. I know some of you will read this and go “but – but – but… your health,” even if you don’t say it… and please don’t, by the way. If you’re truly interested I can point you in the direction of plenty of research that will explain my position on this, but otherwise I am not looking for a debate on the topic with this post. Believe me when I say that as a fat person living in today’s world, there’s rarely a single day without some OMG BUT YOUR HEALTH message, whether personally aimed at me or just aimed at fat people in general. In fact, I get these messages so often I’m fearful of one of the medications that helps me function daily, because in people with cardiac issues, it can cause problems. But I don’t have cardiac issues. I’ve been checked out. My cholesterol is normal. In fact, my triglycerides were always high (common in women with PCOS) and they normalized when I began IE, and stopped being fearful of the calories in healthy fats. So why am I so scared when I have no known medical reasons to be afraid? Because I cannot tell you how many times in an average month I hear that I (or people who look like I do) am going to “drop dead” at any moment of a heart attack. It’s simply not true, but the message is out there for all of us fatties to absorb. And my anxious brain grabs onto things like this in a way that the brain of a person without an anxiety disorder does not. So believe me when I tell you there is absolutely nothing you can tell me about how my fat will supposedly affect my health that I do not already know, that I have not already heard literally thousands of times in the past 31 years. And I’m 39. So yeah. Since I was a little girl. I know. I’ve researched. I’ve formed my own opinions. But it doesn’t mean I am immune to the constant bombardment of OMG FAT IS DEATH messages, either.

Here’s the bottom line… even IF everything bad we’re sold about being fat were true – and it’s so very much not – I’d honestly rather be mentally healthy than struggle to accomplish something I never did in literally decades of trying. The only thing I got for all my years of effort in dieting was fatter and more unhappy. I was so unhealthy and so unhappy, and life is just too fucking short for that degree of unhappiness. That’s my story and my choice, and that’s my right… just as you have the right to your stories and your choices about your bodies.

So if I don’t comment on your weight loss or your diet posts, it’s not because I don’t care about you. It’s because I know I have nothing to say that you want to hear. It’s because it’s too painful for me, and I need to quietly walk away. It’s because, since I care for you, it makes me very sad when you say negative things about yourself. It’s because it triggers a lot of unhappy memories for me. It’s because even now, despite being so much happier, I struggle myself, and I don’t need to see or hear those messages. It’s because of a lot of reasons, but it’s not because of you, and it’s definitely not because I don’t care or because I think you don’t have the right to make those choices for yourself. In fact, it’s because I think you do have that right that I stay silent, and it’s because I do care that I tell you you’ve always been beautiful.

It’s also very much because of me, of what I need. And all I can do is hope you respect my right to make these choices the way I respect your right to make yours.

~JK