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Navigating Medical Appointments: Advocating for Non-Weight-Based Health Care

In a healthcare system that often prioritizes weight over overall well-being, advocating for weight-neutral care can be challenging yet crucial for many patients. If you seek a holistic approach that respects your body without focusing on weight, here are strategies and resources to help you navigate these conversations with your medical provider.

Understanding Weight-Neutral Care

Weight-neutral care focuses on overall health and well-being rather than weight as a primary indicator of health. This approach is aligned with the Health at Every Size (HAES) movement, which promotes body diversity, intuitive eating, and respectful care.

Learn more about HAES to understand its principles and how it can support your health journey.

The Origins of BMI and Its Limitations

The Body Mass Index (BMI) is a widely used measure in medical settings to assess body weight relative to height. It was developed by Adolphe Quetelet in the 19th century as a simple tool for statistical analysis of populations, not for individual health assessment. Despite its prevalence, BMI has significant limitations:

  • Historical Context: Adolphe Quetelet developed BMI between 1830 and 1850, intending it as a quick way to assess population trends, not as a diagnostic tool for individual health.

  • Lack of Individual Consideration: BMI does not differentiate between muscle and fat mass, nor does it consider other factors such as age, sex, ethnicity, and distribution of fat.

  • Health Outcomes: Research shows that BMI is not a reliable predictor of health outcomes. For instance, many individuals classified as overweight or ob*se according to BMI are metabolically healthy, while those in the normal range can have metabolic issues.

For a deeper dive into the historical and scientific context of BMI, you can explore articles such as those in the Nutrition Journal.

Preparing for Your Appointment

  1. Follow Up: If your provider agrees to a weight-neutral approach, follow up with a thank-you note and reiterate your goals. This can help strengthen your relationship and ensure ongoing support.

  2. Evaluate Your Options: If your provider is unwilling to respect your preferences, it may be time to seek a new healthcare provider. The Association for Size Diversity and Health offers a directory of HAES-aligned professionals.

  3. Join Support Networks: Connect with communities that support weight-neutral health care. Online forums, local support groups, and social media communities can offer encouragement and advice.

Additional Resources

By advocating for weight-neutral care, you are taking an important step towards ensuring that your health needs are met with respect and understanding. Remember, you have the right to compassionate and individualized healthcare that honors your body and your well-being.


Bacon, L., Aphramor, L. Weight Science: Evaluating the Evidence for a Paradigm Shift. Nutr J 10, 9 (2011).

Photo by Karolina Kaboompics:


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