Pub. 7 2023 Issue 2

are immediately perceived as an indictment of themselves. The worse outcomes for people of heavier size almost disappear when correcting for microaggressions and social determinants of health.31,32,34-40 Health is not a function of your size. Hypertension is a disease. Diabetes is a disease. Anorexia is a disease whose risk of mortality is based on the degree of disordered behaviors, not weight. Medical training and the healthcare community have taught us that being at a higher weight is a disease. Let’s recognize that last statement as being part of the 50% that gets later proven wrong. Let’s treat our patients as people deserving of care, no matter what their demographics. Sara is a HAES-aligned family- and sports-medicine physician who practices at her clinic, The PEAAC, in Millcreek, UT. She specializes in treating people with eating disorders and performing artists/athletes/ musicians. She serves as a Team U.S.A. doctor for U.S. Figure Skating, U.S.A. Gymnastics and U.S.A. Archery. You can reach Sara at or References 1. Nuttall FQ. “Body Mass Index: Obesity, BMI, and Health: A Critical Review.” Nutr Today. 2015. 50(3): 117-128. 2. American Psychiatric Association. Diagnostic and statistical manual of mental disorders (5th ed.). 2013. 3. Harrop EN, Hutcheson R, Harner V, Mensinger JL, Lindhorst T. “’You Don’t Look Anorexic’: Atypical anorexia patient experiences of weight stigma in medical care.” 2023. 46: 48-61. 4. National Institutes of Health. Clinical Guidelines on the Identification, Evaluation, and Treatment of Overweight and Obesity in Adults: The Evidence Report, 1998. 5. Andres R. “Beautiful Hypotheses and Ugly Facts: The BMI-Mortality Association.” Obes Res. 1999. 7(4): 417-19. 6. Troiano RP et al. “The Relationship between Body Weight and Mortality: A Quantitative Analysis of Combined Information.” Int J Obes Relat Metab Disord. 1996. 20: 63-75. 7. Ernsberger P, Koletsky RJ. “Weight Cycling.” JAMA. 1995. 273(13): 998-99. 8. 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