Eat less, move more. Calories in less than calories out. Both are infallibly logical approaches to weight management that should guarantee weight loss but fail many patients. Science—microbiome metabolism and carbohydrate-insulin models—proposes some reasons why. Two recent memoirs from black American authors offer a different view. Hunger: A Memoir of (My) Body, by Roxane Gay (HarperCollins, 2017), and Heavy: An American Memoir, by Kiese Laymon (Scribner, 2018) provide important accounts of the origins and meanings of weight for some patients and the forces of history and culture some face in managing their body size.
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Carson TL. Heavy Hunger—Managing Weight and Obesity in Black American Communities. JAMA. 2019;322(16):1534–1536. doi:10.1001/jama.2019.15184
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