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> But it's considered rude even for doctors to say you need to lose weight

Really? Is it a US thing?

I'm overweight but not obese, and basically every doctor I've seen for various issues (blood pressure, back pain, sprained ankle) told me to lose weight, in two european countries.




> Really?

I don't think so. They may be referring to the fact that it is increasingly becoming an issue of political correctness. But science is pretty clear about the risks of obesity and the medical professions follow that.

https://www.nytimes.com/2013/06/19/business/ama-recognizes-o...

I have a friend who's (US) doctor told he needs to lose weight or he will die. It got him to join a gym at least.


There is a Far Side cartoon with an obese doctor talking to an obese patient, and the patient says to the doctor, “you’re the first doctor who has not told me to lose weight!“

Obesity is more or less considered to be normal now, it’s a real shift in the last few decades.


Anecdotal from SoCal, 2 years ago I saw on my doctor’s chart that my BMI placed me in the obese category. She said nothing to me about it. I wish she had bc it was a shock to me. I had become so accustomed to that weight, and everyone I was around was a similar weight so I just didn’t know. If I hadn’t seen it on her chart I would not have made any changes.

With my new doctor, I was looking at my last 2 yrs of blood tests and my LDL cholesterol has been at 105. Losing more weight will help with that, so will changing my diet - but my doctor didn’t point my LDL out as a problem even though it is.


It would've been the right thing for her to tell you. But unfortunately, if she tells the wrong person she could get called out for fatshaming on social media and probably lose her career nowadays. It's the rational choice to not offend anyone's feelings, when those feelings can be used to crush you and your livelihood.




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