Understanding Obesity
Obesity is a complex, chronic disease characterized by excessive body fat that can significantly impair physical health and overall quality of life. While traditionally defined as a Body Mass Index (BMI) of 30 or higher, medical standards in 2026 have shifted toward a more comprehensive diagnosis that includes anthropometric measures like waist circumference and waist-to-hip ratio.
This updated framework categorizes the condition into "clinical" (with existing complications like hypertension or diabetes) and "pre-clinical" (where complications have not yet developed) to better reflect an individual’s true health status. Far from being a simple matter of willpower, obesity is driven by a deep interplay of genetics, biology, and an "obesogenic" environment that can make maintaining a healthy weight a significant biological challenge. However, each of us has within the tools to overcome and return to our desired weight.
The Pervasive Impact of Weight Stigma
Despite its medical complexity, obesity remains one of the last widely accepted forms of social discrimination. Weight stigma, or fat-shaming, is rooted in the misconception that body size is a moral failing or a lack of discipline. This shame does not motivate health; instead, it often backfires by increasing cortisol levels, lowering self-esteem, and triggering "numbing" behaviors like emotional or binge eating.
In 2026, healthcare professionals are increasingly focused on eradicating this bias, as internalized shame creates a barrier to seeking preventative care and can lead to a cycle of psychological stress that makes weight management even more difficult.
I like to focus on one aspect of weight loss at a time. This helps make the weight-loss journey much more manageable and feels less intimidating. Each “thin” person is unique in how the person got there and also in how the person maintains it. It is a very patient-centered and unique approach. I enjoy active listening and helping patients find their own way and on their own time frame to achieve their weight-loss goals.
Please check out the blog I wrote on GLP-1s or weight-loss peptides.
The Sustainable Benefits of a Calorie Deficit
A calorie deficit—where the body burns more energy than it consumes—remains the scientific cornerstone of fat loss, but its benefits extend far beyond the scale. When approached without rigid time constraints like intermittent fasting or restrictive windows, a moderate daily deficit can be more sustainable and less stressful for many. Research shows that even modest calorie restriction can improve insulin sensitivity, lower blood pressure, and reduce systemic inflammation.
By removing the pressure of "when" to eat and focusing on a consistent, nutrient-dense intake, individuals can achieve significant metabolic health improvements and potentially increase longevity while maintaining a more flexible, healthy relationship with food.
Dr. Evelyn Cordova | Telemedicine Naturopath