Throughout my life, weight and body image have been a complex struggle, stemming from early childhood trauma rather than any tangible weight issues. Having battled through the depths of anorexia and bulimia, I've come to realize that one's relationship with nourishment is far from simple. With lived experience, years of education and practice, I can confidently assert that this struggle is a dynamic interplay of genetics, learned behaviors, trauma, socioeconomics, access, education, and at times, the power of choice. Despite knowing this, and working in a field that is purportedly dedicated to working towards a real solution, the question remains: why do real sustainable improvements elude us?

In a perfect world, governments would cease subsidizing unhealthy foods, while food companies, grocers and restaurant chains would halt the production and promotion of ultra-processed foods and sugary beverages.

Systemic change is desperately needed but it requires a comprehensive overhaul of entrenched attitudes, policies and structures to address root causes rather than surface symptoms. It necessitates active participation and collaboration from governments, corporations, institutions, communities and individuals to dismantle barriers and cultivate solutions that promote the well-being and flourishing of all members of society. 

If society supports a better way, then the people within, foundationally, have a better way.

In a perfect world, governments would cease subsidizing unhealthy foods, while food companies, grocers and restaurant chains would halt the production and promotion of ultra-processed foods and sugary beverages. Schools, universities, and hospitals would revolutionize their purchasing, food preparation, and selling practices, backed by collaborative efforts from both government and industry. Medical schools would incorporate nutrition and culinary education into their curriculum. Such sweeping changes could pave the way for systemic transformation. If society supports a better way, then the people within, foundationally, have a better way. Yet, I am skeptical that this utopian vision will materialize in my lifetime.

So that leaves us with this: losing weight (and keeping it off) is for most a deeply personal process of unlearning, relearning, and acceptance. So where to start:

Awareness and Mindful Eating

Start by becoming aware of your current relationship with food. Notice any emotional triggers, habits, or patterns that lead to unhealthy choices or overeating. Pay attention to the taste, texture, and sensation of each bite. This can help you become more in tune with your body's hunger and fullness cues, leading to more balanced eating habits. Keeping a journal (including what you eat, why, and how it makes you feel), can be very helpful. 

Challenge Beliefs and Assumptions

Seek out reliable information from reputable sources and work with a qualified nutritionist, therapist or counselor to address any underlying issues. Questioning beliefs or assumptions you have about food, nutrition and health can be life changing. 

Reframe Your Relationship with Food

Shift your mindset to seeing food as nourishment for your body and enjoyment for your senses. Instead of labeling foods as "good" or "bad," get educated, read food labels, and focus on balance and moderation. Allow yourself to enjoy a variety of foods in appropriate portions without guilt or shame.

Create Sustainable Habits

Instead of following restrictive diets or quick-fix solutions, focus on making small, sustainable changes to your eating habits and lifestyle. This could involve meal planning, incorporating more whole foods into your diet, staying hydrated, getting regular physical activity, and prioritizing sleep. Transforming habits takes practice and patience. 

Body Acceptance

Our genetic makeup significantly influences both our body composition and metabolism. Thus, it's crucial to cultivate acceptance toward our body's natural shape and weight distribution. This can be a difficult task for many so seek the guidance of a nutritionist, therapist or counselor to support you. 

All of these tactics are tried and true. However, if your weight has become a medical concern, please seek the care of a qualified medical doctor who can walk you through your options, all of which will need thoughtful and careful consideration.