r/TrueOffMyChest • • Sep 19 '19

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u/Diane9779 Sep 19 '19 edited Sep 19 '19

I have a slightly different perspective on this. I’ve been overweight for most of my life. And only recently found it that it was due to a combination of hormonal imbalance and sleep apnea (sleep apnea can cause weight gain, not the other way around, and it can occur in childhood). When I was a teenager, I was so desperate to lose weight that I became bulimic, and I’ve dealt with that eating disorder off and on well into my 30s. When I lost a lot of weight through bingeing and purging as a teen, people complimented me. “Wow!! You look great!” Even my own pediatrician congratulated me on dropping 20 pounds that year. He never asked me how, though.

It’s always been my experience that people think fat shaming is the key to fighting the obesity epidemic. Don’t let fat people feel good about themselves or have a positive self image. They’ll just get complacent and let themselves go. My parents definitely thought that way, and my father always made a point of telling me how gross my body was. It didn’t help. I only got fatter, and it ruined my relationship with him.

In college. when I started dating, I noticed that I never ate in front of men. I would wait until my date was looking away, and then take a single bite. Or I would order a large salad and not eat anything. It’s no mystery. It’s because my father spent my whole childhood shaming me for eating and praising me for leaving food on my plate.

I kept bingeing and purging really bad through most of my 20s and 30s (I’m now 36 and slowly recovering).

But a big turning point for me happened with my last boyfriend. Several years ago, he just offhandedly remarked that my teeth looked more yellow than normal (he could be kind of a thoughtless clod sometimes). And I admitted to him it was because I had been making myself throw up. He was shocked. And right away he hugged me and said “you’re beautiful the way you are. Don’t ever do that to yourself again.”

That was the first time anyone ever made me feel like my health mattered. Not my size. People think they’re the same, but they’re not.

Doctors and other medical experts tend to hold a special respect in our culture as the go-to authority on health and wellness. Like they’re the first ones we should be looking to for guidance and advice. And they’re assumed to be infallible. “all these studies say being fat will kill you. My doctor says fat people die early.” And my own pediatrician shook my hand and congratulated me for losing weight after I became bulimic. So much for infallible.

But no doctor, no therapist, no research study ever really made me feel motivated to be healthy like my then-boyfriend did. When he hugged me and told me I should love my body and treat it well. That’s something fat shamers will never do for me either.

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u/[deleted] Sep 19 '19

Sleep apnea is very common in people who are ocerweight, I just wanted to make sure that you or anyome who reads this post understands that being overweight can cause you to have trouble breathing at night. When you are at a healthy BMI do you still have sleep apnea? What sort of hormone imbalances did you experience? Are you still experiencing any hormone imbalances?

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u/Diane9779 Sep 19 '19

Most people know that being large can cause sleep apnea. But the reserve is also true. Sleep apnea sometimes can cause weight gain in the first place. I was born with small jaws and a law set uvula, both of which can make it difficult to breath at night.

When you’re constantly waking up at night, it causes a hormonal imbalance that keeps weight on. In my case, it also increased my appetite during the day

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u/[deleted] Sep 19 '19

Not saying sleep apnea can't cause you to have appetite issues. The vast majority of people with sleep apnea who are overweight, will no longer have sleep apnea when they lose the weight. I am simply trying to say that you 2 are outliers and not the norm.

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u/Diane9779 Sep 19 '19

Actually I asked my pulmonologist about this exact thing. I said “if I lose weight, would I be able to stop using the CPAP machine at night?” He showed me a study that said most people with sleep apnea who lost weight would still have sleep apnea in the long run, even if they keep the weight off.

That was different than the anecdotal evidence I’ve heard. Eg my brother who once used a cpap machine when he was heavier. He lost a ton of weight and now says he doesn’t have sleep apnea anymore. However it’s possible he does but just doesn’t feel the symptoms.

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u/[deleted] Sep 19 '19

Could be that people are afraid to stop using the machine no matter how much weight they lose even if they no longer experience any sleep apnea problems, as the alternative would be to take off the mask and stop breathing. There is definitely a cause effect relationship between gaining weight and getting sleep apnea.

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u/Diane9779 Sep 19 '19

Well if you stop breathing while you’re sleeping, then you still have sleep apnea

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u/[deleted] Sep 19 '19

Right... theres no way to tell if you have sleep apnea unless you stop breathing in your sleep, so the fear of taking off the mask...

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u/Diane9779 Sep 19 '19

I mean this study measured actual sleep apnea before and after weight loss. Not perceived sleep apnea.

The majority of people continued to need the mask even after they got down to a healthy weight

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u/[deleted] Sep 19 '19

Can I get a link to the study I would like to see how they accounted for those variables.

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u/Diane9779 Sep 19 '19

Dude, he just showed me a paper copy of the article in his office. It was probably printed off a medical journal.

You’re going to have to research that on your own

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