Rukmer,

I’m 265 and 5’9", and I spent my whole life feeling like this was my fault. I’ve changed my diet, I’ve tried exercising, but I was always met with extreme difficulty. I thought exercise was supposed to be difficult and I was just a big baby. People would say, you just have to build up stamina. It gets easier. But it never did. It would get to the point where I’d be crying and pushing myself and still not accomplishing as much exercise as even an average unfit person could. I’d walk a few miles every day and never build stamina, never feel better, never lose weight.

I just found out I have an issue with my pituitary gland, likely a tumor (going for a scan). I just had the tests to confirm the issue is in my pituitary (the tests were miserable). I’m actually not producing certain hormones, so it turns out I’m incapable of building muscle. That’s why I can’t build stamina or convert my fat into muscle. I’ve been told this was “almost certainly” my issue for 2 months, (after my mom, aunts, and cousins were all diagnosed; we likely share a genetic defect causing pituitary tumors) and I’ve had the confirmed test results for over 2 weeks. It’s really hard to shift my perspective away from “this is my fault, I just need to try harder.” I expect to battle with health insurance a couple weeks to months before getting my hormone replacement. My mom only took 2 weeks (averages 2 months), so fingers crossed.

I’ve always thought more people were overweight for medical reasons than assumed by the general population, I just didn’t think I was one of them. I see a lot of moms like me hustling after their toddlers, eating well, trying their best, and still being overweight. I wonder if it has something to do with all the “endocrine disruptors” I’m always hearing about. I definitely think some people are overweight “by choice” (or by a mental disorder rather than a physical one), and I have major problems with “fat positivity” (I believe in body neutrality), but I think it’s more people having a medical problem than you’d expect. Same with my wife and child who both eat like horses but have BMIs of 13. It’s not like they’re not trying to gain weight.

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