A “Weighty” Conversation

Everyone wants to present the best version of themselves. We all have an image of how we’d like to look and often the image in our minds, falls short of the reality we see in the mirror.

Of course some mirrors give a very distorted view. I have in my home what I call “nice and naughty” mirrors. The nice mirrors reflect a slimmer version than the naughty mirrors. The latter seem to squash and expand my naturally ever growing body. A distorted view I definitely don’t need to see.

A Tricky Discussion

I always feel discussing weight is like skating on thin ice. It’s so often the elephant in the room. A skinny person at a social occasion will be heard saying how fat they feel, while standing next to someone who’s just signed up for a weight loss program and is currently 120kgs!!

We can all be so insensitive sometimes, without even trying.

I don’t want to talk about weight loss in this “weighty” conversation article. I want to talk about battling disabling chronic illness. The kind where you have no choice but to take a meal full of medications everyday. All of which cause weight gain or weight loss, even if you go on a healthy diet.

I’m talking about the debilitating kind of chronic illness which cripples you and takes away the ability for physical exercise, no matter how hard you try to stick to any kind of movement regime.

I’m talking about the debilitating kind of chronic illness which makes you so sick, you are underweight and unable to get into a healthy weight range.

How do we manage living with these kinds of chronic diseases and adjust to the physical changes accompanying them?


You’re Doing All You Can

I’m on a range of medications renowned for weight gain. Lyrica, Prednisone, Hydrocortisone, Tazac to name a few.

I’ll be on these for life. I simply don’t have the option of stopping them and I’m ok with that. I have to be. My disease has no cure or treatment, so palliative care by way of managing symptoms, is the extent of what’s on offer. Each of my medications give me a certain quality of life, albeit limited, which is so important to my overall well-being and survival.

These medications have not been without side effects, the most obvious is my weight gain. I’ve gained 20kgs in 5 years. Part of the weight gain is fluid retention, increased bone density due to my rare bone disease and a redistribution of fat to my abdomen, face and neck, due to requiring long term steroids.

My diet couldn’t be healthier. I don’t binge eat. I don’t eat processed food or drink soft drinks. I have a colostomy so I need to be very careful what I eat.

I eat a balanced diet of fruit, vegetables, cereals, eggs, yoghurt, lean meat etc. I count my calories. I drink plenty of water and I have small meal portions.

Most importantly, I have been assessed by a Dietician. She reviewed all I was eating, my medications, my diseases, my mobility etc.

Her final assessment…

Sam, you are doing all you can”

There was nothing I could change. She admired how I pushed through my mobility issues to try and walk around the house, or outside a little, and potter with housework.

She admired my eating habits and didn’t change a thing. She even said a weekly sweet treat was not only acceptable but necessary when living with such complex health issues. It’s all about balance and quality of life.

She told me not to focus on how much I weighed at all. It served no purpose.

Sure, if I was eating the wrong things then changes could be made but I’m not. In some regards it would have been easier to know I was making unhealthy choices and could do something about my weight gain.

I’m not and I can’t.

It is what it is and for those of us with debilitating chronic disease, who are making healthy choices already, I want to reach out and let you know, you are doing all you can.

Celebrating With Others

We will all have friends and family in our lives, who at times will be celebrating weight loss, while we continue to grow in size.

It’s not easy is it.

However, it’s so important to show love and kindness and celebrate with them. Their situation is different from yours and mine. Being an optimum weight, when possible, is a healthy choice. It’s a good thing and should be encouraged in those able to achieve it.

A simple “well done” is all that’s needed.

Make sure you remind yourself you are doing really well with maintaining a healthy diet. You are doing really well moving as much as possible. Celebrate the fact you are living as well as possible with debilitating chronic illness.

Embracing The New You

If your weight gain or loss is outside of your control, the time has come to embrace the new you.

No point hoping for the “naughty mirror” to suddenly project a different image.

So how can we embrace our new image when we really would prefer to have a slighty better version?

I’ve been grappling with this for months as I continue to grow through no fault of my own.

Two weeks ago I decided enough was enough and created an “Embracing The New Me” plan:

  1. Cut my hair short to lessen the new “bald look”
  2. Removed all my skinny clothes from my wardrobe. I kept a few items just incase a new med caused sudden weight loss.
  3. Went online shopping and bought some clothes a size bigger than needed so I could be super comfortable on days when my fluid retention was out of control.
  4. I chose tops that were loose fitting but stylish with bright colours or patterns. It was important they were pieces I felt excited about wearing.
  5. I got on the scales so I wasn’t being delusional about my weight. While I was 20kgs heavier than my ideal weight, I was actually 10kgs less than I thought. That was an unexpected surprise I wouldn’t have experienced had I not weighed myself. It was strangely liberating to own my new weight and give myself permission to accept “the new me”.
  6. I sat down to chat with my husband and asked him to tell me honestly how he felt about the “new me”. He said he could see how my skeleton had thickened as my disease has progressed. He could see how my inflammation and fluid retention changed my look throughout the day, as the overall swelling goes up and down. He told me he still loves me and thinks I’m beautiful. I can’t ask for more than that!

You are altogether beautiful, my darling; there is no flaw in you

Song of Solomons 4 v 7 (NIV)

You Are Beautiful Too

Crippling Chronic Disease is hard enough, without you trying to conform to the goals of others not walking in your shoes.

Don’t be scared to speak to a Dietician, or your Medical Team, about the right expectations for you. Once you have your own “Embracing The New Me” plan, and you know you’re doing the right thing for your situation, you can take unnecessary pressure off yourself.

You can then relax, have a greater sense of well-being, and focus on enjoying what quality of life activities are within your capabilities.

Above all else, remember this….You are beautiful!


Sam xx

If you’re looking for genuine support, care, understanding & friendship, you are so welcome to join my closed Facebook support forum, Medical Musings with Friends . It’s a safe place to connect with others living with chronic & complex diseases, who truly understand the daily challenges. A warm welcome awaits.

I’m also a Contributor at “The Mighty”. You can check out my published articles at My Author Page

I also write @ Blogs by Christian Women

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17 thoughts on “A “Weighty” Conversation

  1. Beautiful! You are beautiful and so is this blog piece! I have gained a lot of weight since my diagnosis 5 years ago as well, and I have had to look at what I was doing to contribute to it vs what I wasn’t. I got off my migraine preventative med in late July due to other side effects on top of the weight gain I knew it had caused, and I began a diet. I am 7 weeks into it and have lost about 7 lbs. I don’t know if I will be able to erase the entire weight gain caused by inactivity, prednisone and other meds related to my illnesses, but I am okay with that! I now measure my success with how I feel, not how much I weigh. Before my recent diet, I was feeling my body ballooning and was very uncomfortable. I also knew I was NOT doing all that I could. Today, I am starting to feel a lot better, and so I know my efforts are paying off. I don’t feel the need to be at my ideal weight anymore. I feel the need to just be the best I can be, where I am at, today…and that includes enjoying a little piece of chocolate with my coffee now and then!

    Liked by 1 person

    1. Oh Linda, I love your comment.
      I’m absolutely with you on not needing to be at my ideal weight anymore but to just aim at feeling comfortable. I was actually just saying that to Peter.

      I also love that you are including a little chocolate with your coffee…me too! A square or two of dark chocolate is my little treat each day.

      Love you my beautiful friend xx


  2. A very tricky subject to traverse but you’ve done it with aplomb. I find weight to be a difficult area due to my own history with eating disorders, but then, even years later, I’m finding my weight has a mind of its own. As you say there are lots of factors involved with chronic conditions, and I’ve found that my stoma, medications, my immune system and surgeries have all played a role in fluctuations. I’m now underweight, even though I don’t feel it per se. I certainly don’t feel good about how I look, no more so than when I used to be overweight for my BMI when I was in my teens. No matter the clothes size or number on the scale, weight can affect how we feel and it’s hard when vary things are out of our control, meaning we can only focus on what we can control and to remember that we’re doing our best. Your dietician was right, and it’s so reassuring to remind ourselves of that. I needed to read this today. My brain is a bit all over the place at the moment and I think most of us probably need to give a little more kindness to ourselves where our diet and weight are all concerned. Fantastic post, Sam  ♥
    Caz xx

    Liked by 1 person

  3. I really love this. i recently started medication that causes weight gain and it’s been really hard for me to accept. I’m a work in progress!


  4. Sam, thank you for this word of encouragement. Weight control had been a challenge for me so my life. Chronic pain has not helped. Most days i am cool with the me that I am. But there are those days…

    I pinned this and will be sharing on my FB page

    With love

    Liked by 1 person

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