Weight can be a sensitive issue to talk about, and rightfully so. It is often a deeply personal topic since it can come with a lot of stigma and misunderstanding. Biological factors such as genetics and hormones can also play a role in weight gain, and a healthy diet and exercise alone may not be enough. The good news is that your doctor and other healthcare providers can be allies in helping you meet your weight management and health goals.
Here are some tips to consider when speaking to your healthcare provider (HCP) about your weight, health and body size.
How to prepare for the conversation ahead of time
Before your appointment, be sure to write down any questions you have, along with the medications you’re currently taking so you don’t forget to mention them. Your questions could include:
- What is a healthy weight range for me and if this will help with my overall health?
- Are my current medications (or other health issues) contributing to my body size and if so, what can I do about it?
- What are the current evidence-based treatment strategies for overweight and obesity?
- Where can I find further support if needed?
If you’re looking for additional support, consider connecting with a registered dietitian or joining a lifestyle support program. Your HCP can help guide you to the right resources. Keeping a food and activity journal for a few days or weeks may also be helpful. Try noting what and when you eat, how you feel before and after meals or activity, and any patterns you notice. This information can help your HCP tailor recommendations and connect you with the most appropriate support.
How to start the conversation
Be proactive by talking to your HCP about any concerns regarding your body size, if weight loss would improve your health and if there are treatments that may be helpful. Research shows significant communication gaps between Canadians with obesity and their HCPs and employers, which highlights the need for evidence-based care for obesity and overweight and a collaborative approach to managing it.
Let your HCP know you are ready to discuss your body size and if losing weight in a healthy, sustainable way would help with your health goals.
What to expect from your HCP during this conversation
Your HCP can discuss evidence-based treatments and support you in achieving your health goals. Management generally progresses from lifestyle changes — including diet, physical activity, and behaviour modification — to adding medications. Ongoing support and monitoring are essential at every stage to help maintain weight loss. Your HCP can also review your current medications and check for any underlying health conditions that may need attention.
Your HCP may also refer you to other health professionals for additional information and support, such as a dietitian, psychologist/social worker, physical therapist or an obesity specialist. They may also suggest in-person and online programs that could be useful in supporting your weight-loss goals.
What if you feel judged?
If you’re feeling judgement or shame about your body size, you’re not alone. Unfortunately, weight bias is still present in some healthcare settings—and some HCPs aren’t even aware they are making their patients uncomfortable. Speak up about how you’re feeling and emphasize the fact you are seeking some positive support in your health journey. Remember that you have the right to be treated with respect and consider bringing someone you trust to your appointments for support.
If you do not feel that you are getting the support you need, seek out other providers and healthcare resources that can support you on your health journey.
How to set healthy weight management goals
You can discuss your health and body size with your HCP in order to move forward with their support. Finding realistic lifestyle changes that are sustainable in the long-term is key. You can discuss a healthful weight range and safe weight loss with your HCP. Often healthy weight loss is approximately 0.5 to two pounds per week. Regular follow-ups with your HCP will help you track your progress and ensure you are making adjustments as needed.
For many people, losing even a modest amount of weight—such as 5% to 10 % of total body weight—may improve the body’s ability to lower blood glucose levels and reduce heart disease risk factors.
Additionally, it is important to work with your HCP to ensure you are optimally managing any other conditions that could be impacting your body size and health, such as diabetes, arthritis or mental health issues.
Other resources for help with weight and diabetes management
There are reputable online healthcare providers such as Felix Health who can provide support and information on treatment options for weight loss.
Even though it can feel intimidating, remember that physicians and other HCPs are trained to help you along your journey. By being prepared for your appointment, discussing your health and asking for what you need, you and your healthcare team can work together to help you achieve your goals. Maintaining a healthy weight and overall health is a life-long process, so don’t be afraid to keep asking for support along the way as needed.
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