Sometimes a person appears “overweight,” and may even be overweight per the NIH guidelines (shakes fist!), but for that person, it’s actually an anorexic weight because of the extreme and harmful measures they are taking to maintain it. Hellner’s goal with patients as far as weight is concerned, is to “honor their genetic blueprint,” she told me. As far as behaviors go, are they eating with regularity, not distressed around food, not preoccupied with weight loss. “Eating just for fun or purely for enjoyment, and not always focusing on the distant health outcomes,” she said.
