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Evangeline Gardiner's avatar

Thank you so much for sharing. These perspectives on weight loss and weight loss surgery/drugs are so important to share. It’s not straightforward. So thank you for your openness and dissecting the NYT piece!

I remember the pain of losing weight and suddenly being accepted wholly by society. The relief but also the anger- why am I only acceptable now? After putting myself through so much shit? Although diet culture teaches us that shrinking ourselves will “fix everything”- it actually causes so much physical and mental turmoil.

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Amanda Martinez Beck's avatar

There is so much mental and physical turmoil! Thanks for sharing part of your story.

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MD's avatar

I'm at my year's anniversary of bariatric surgery and have so many thoughts about the mental health aspects. The first three months in particular were extremely rough psychologically. A big aspect for me was this expectation that everything was going to be great and then I did it and it was much tougher than I realized it would be. Nothing can prepare you for life post op. Many people blame it on "food addiction" and there's definitely a component of mourning food, but it's more than that as you mention. Thanks for the great piece.

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Amanda Martinez Beck's avatar

“Nothing can prepare you for life post-op…” —I wonder if you had any preparation for the mental health effects of the surgery? Or were your docs focused on the physical aspect?

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MD's avatar

I was warned about it somewhat, but I was not at all ready. But they position it as being worth it since you are losing weight, the generic "choose your hard" advice you see on memes.

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Amanda Martinez Beck's avatar

Ah. I’m sorry you were adequately prepared. Thanks for sharing some of your journey with me!

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Becky's avatar

Thank you for this, I’m a healthcare professional working in diabetes so I see the benefit of Mounjaro / GLP-1 for people’s blood glucose levels, but it’s really important to understand the other less positive impacts.

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Amanda Martinez Beck's avatar

So important. Thank you for the work you do!

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Kitty's avatar

I’ve been every size from 2-22, and it’s crazy the difference in how people treat you. I was at my thinnest after my pregnancies(thanks, hyperemesis!) My doctor was considering a feeding tube, and people just kept telling me how great I looked, how lucky I was not to gain weight with pregnancy. It was awful, but hey, I was thin, so that’s the important thing I guess.

Because I lose weight when I’m sick or very stressed, and his first wife died of cancer(and obviously got very thin) my husband struggles when I’m at a lower weight. Because of the way I was treated growing up, I struggle when I’m at a higher weight. We try to have the mentality of “all bodies are good” but it’s hard.

My husband is on mounjaro now for diabetes, so he’s been losing weight. I want him to do what he needs to do for his health, but I’m not loving the effect on his mood(and sex drive) I don’t care what he looks like, I just want him healthy and happy.

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Amanda Martinez Beck's avatar

Thanks so much for sharing part of your journey with me. I hope you both find peace together in your today bodies. ❤️

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Jill Lahnstein's avatar

Ah—the complexity of fatness and weight loss, body identity and body acceptance. I feel it so deeply and personally. Thank you for sharing.

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Amanda Martinez Beck's avatar

Thank you for reading!

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Nan Tepper's avatar

I love that you're writing these articles. It's a most important conversation. I'm in a 12-Step recovery program for disordered eating. And I've been thinking about the GLP-1s but I'm really on the fence about them. I was on the fence about bariatric surgery too, and opted out, because it didn't address the deeper concerns of my behaviors with food. I'm not in a place of total acceptance of me as a fat woman, but that's my primary goal, not weight loss. Self-love. I've ridden the up/down rollercoaster my whole life and I want off! I've been anorexically tiny and right now I'm at my largest. When I was skeleton-thin people gave me positive attention for it, and I wanted to scream. I write about all of it here on Substack. I'm so glad you're here, too, Amanda. Thank you.

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Amanda Martinez Beck's avatar

Thank you so much, Nan. Glad to have found each other.

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