How a Former Fat Girl Got Thin (Pre- and Sans Ozempic)

“Wide load!” snickered Eric K., not slight himself, as I walked away from him in the cafeteria in tenth grade.

His comment was just one of many I received about my body growing up. Most of the other commentary was a gift from my (Indian) relatives.

“My brother said you’ve put on weight,” tattled my older cousin, whom I hadn’t seen in over a decade.

“You’ve got big thighs!” yelled another cousin during a heated argument.

Therefore, I had the rep of being overweight.  Today, I know I wasn’t obese, but about 20-25 pounds above what I should have weighed.  They had decided to label me as fat, so they all helped themselves to a constant critique of my weight and/or eating habits, even though none of them were in particularly good shape or worked out regularly.

My relationship with food was complicated, to say the least.  I dove into my first diet in the fourth grade, when my jeans size surpassed my mother’s.  While other kids were eating Twinkies and Bon Bons, I would nosh on lettuce with Realemon lemon juice, salt, pepper, and drink Diet Pepsi.  It wasn’t until seventh grade that I started starving myself and pretending I didn’t like any of the food at lunch.  When I started eating again, I learned to purge after meals from an NBC Afterschool special on eating disorders, and with that came a sense of relief and euphoria from any and all stress.

In college, I stopped purging because I no longer had my own bathroom.  Instead, I simply tried to starve myself, but more often than not, I failed.  I remember when the Wash U student paper announced that chicken fingers were 1200 calories and I had definitely been drunkenly devouring them on a weekly basis shortly after my arrival. I started eating more healthfully and exercising in medical school, and then toyed with high-protein/minimal-carbohydrate eating in residency, with little to no exercise, until I got pregnant with my son.

High protein with minimal carbs puts one’s body into a ketotic or starvation state.  That obviously can’t be healthy for a baby, so I stopped that diet/lifestyle and reintroduced carbs into my diet in the form of an English muffin or sweetened yogurt.  Once I did that, I never wanted to go back to my old habits.

I felt a lot of anxiety during the first few months following the birth of my son due to prolonged sleep deprivation.  I hadn’t slept in my last trimester and after he was born, I would breastfeed or pump at night.  As my anxiety increased, I knew I had to do something to maintain my functioning in the world.  Along with quitting nightly feeds, I began working out and meditating.

Once I began exercising for my mental health, after a few years, it simply became part of my identity.  Today, eight years later, I work out around six days a week.  It was a natural upward progression, in terms of frequency.

Today, I have a healthy body, a healthy relationship with food, and a very decent body image.  I attribute this to my mindset and my true belief that “I am thin no matter what I eat.”  I do tend to eat healthfully, but occasionally, I will indulge in a piece of cake and not obsess over it or think it’s going to make me fat;  I used to think that way.

I have embodied the belief and mindset that are the opposite of the ones bestowed upon me by my relatives.  My grandmother once told me that she, my aunt, and I all had a “fatty tendency.” I now know that I actually have a “thin tendency.”

My mindset is what has really shifted.  My body weight, size, and shape have stayed the same for years, regardless of my day-to-day behaviors.  This is truly because you are what you believe more than you are what you eat.  I have trained my brain to know that I am a person who works out, eats healthfully, and has a healthy, thin body no matter what.

And so it is.

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