Nutrition For Mortals Send This To Your Doctor
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Feb 4, 2026 Stories from patients who were dismissed, blamed, or finally heard in medical settings. Discussion of weight stigma in health care and the contrast between weight-normative and weight-inclusive approaches. Practical tips for clinicians like focusing on metabolic markers, asking about disordered eating, and respecting patients around weighing. Conversation on GLP-1s framed as metabolic care, not just weight loss.
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Patient Confronts Dismissal Then Doctor Changes Practice
- Shelby was dismissed by an OB-GYN who said “fat women don't get endometriosis,” delaying diagnosis until another doctor performed surgery that changed her life.
- She later confronted that doctor, who apologized, learned about stigma, and later provided excellent pregnancy care.
Patient Demands Partnership And Doctor Changes Approach
- Patrick described a PCP who focused on weight despite his A1C improving then worsening, creating a pass-fail appointment dynamic that he hated.
- After he spoke up about wanting partnership, the doctor began asking open questions and stopped weighing him at visits.
Weight Is An Outcome Not An Action
- Matt argues weight-inclusive doctors talk about weight far less and focus on health measures patients can't see, like A1C and lipids.
- He reframes weight as an outcome, not a behavior, so clinicians should target actionable behaviors instead of saying "lose weight."
