It's the 30th Anniversary of the US publication of a book called "Shadow on a Tightrope" this Friday. For many its an inspirational and seminal FA text. It's a collection of all sorts of writing, personal testimonies to poems on being fat. I got a hold of it at some point, it wasn't for me to be honest, but its worth a look. Maybe I'll peruse it at some point.
I do remember reading a horrible piece that felt like it went on forever, about a woman who had, I think, more than one weight loss operation. In those days, progressing to a figure of 1- 2 in 100 deaths-post surgery had yet to be reached.
It was horrible in so many ways and totally convinced me of what an insult "weight loss surgery" is to human beings. Even writing the term disgusts me, surgery for weight loss. Unbelievable. There's no doubt in my mind that there are potential avenues (always have been) for reversing or advancing weight. Such as manipulating gut bacteria. The issue with that is the same as that of calorie restriction; homeostasis overruling it. However, barring any problems with infection, it doesn't hurt, seek to attack the body, or cause pain. I really don't give much of one about those who think everyone should just live with being fat or thin. That's not really for anyone else to say.
The problem as I keep saying is the calorie restriction/wastage strategy.
Not only that, it doesn't make sense. Human metabolism is a biological function. Understanding it and being able to manipulate it must occur, even if weight woes didn't exist, because of metabolic disorders like diabetes-all types, PCOS. And even mental disorders from neuroses like depression, to eating disorders. Even psychotic conditions too, given some anti-psychotic meds can also cause weight gain. There's no doubt that there's a relationship between metabolic function and mental health. Understandably, as its the basis of our bodies regulation and restoration of our material selves.
I wouldn't be surprised if there's potential for some resolution for something like alcoholism perhaps some ideas on correcting the underlying dysfunction of drug addiction too. Because that's caused by the body's reaction to ingesting an external supply of chemicals (drugs) that it makes itself. The body reduces production, to avoid overdose-when drugs are taken.
The key to reversing addiction more successfully, is to get the body to restore normal levels, which may have been compromised slightly in the first place-leading perhaps to drug seeking behaviour in the first place.
Alcoholism is different, but there too, metabolic rebalancing could assist even the more chronic and intractable cases. Anyone who's seen long term alcoholic decline even its dementia knows how much suffering that could end.
For many, especially the archetypal story of a traumatic upbringing, it's really a cycle. Manipulation via nervous system and/or metabolism, could aid recovery from such and other kinds of trauma. Grief that becomes impacted and even things like PTSD.
I'm getting ahead of myself, but the point is, metabolic function is either resolution or a stepping stone to getting closer to resolutions of many conditions as it is central to maintaining our existence. As you know, sometimes, a development doesn't in itself provide answers, but becomes a stepping stone to putting you in a position to see what you couldn't see from your previous position. Even if you cannot quite reach from there.
So, the idea of treating being fat as like being gay in that it's offensive to even go any where near changing it has never been tenable for a second, though I understand why some feel that way. And shocking though it may seem, I'm not even convinced gay people will avoid options on that score either.
It just doesn't work like that. Things are discovered often because they're needed for something perfectly innocuous or righteous, only for the underlying mechanics to be applicable elsewhere. Because guess what?
Biology is biology and it doesn't give a damn about any ideology of offense. No matter how justified.