A Few Extra Pounds Might Not Be So Bad
Alternative MedicineWritten by Estelle Toby Goldstein, MD1,060 views
Like many others, I am of the type who has been made to feel less. Less than healthy, less than human; whatever, the kind of feeling that sells diet food and diet plans.
When some of the wire services picked up on the latest meta-analysis about obesity and mortality, I had to smile. I’ve seen and read so many things about how horrible it is to lose weight, how wonderful it is to be thin; and then, this. Ah, at least a morsel of vindication. It makes me think of a classic Broadway song lyric, from “If I were a Rich Man,” in Fiddler on the Roof. “I’d see my wife, my Golde, looking like a rich man’s wife with a proper double-chin.” It was not that long ago, maybe the 1930s, that a couple of extra pounds said their bearer could afford to eat a little more, to satisfy their own hunger. I saw photos of a woman I met from the Ukraine, from before she made it stateside. To the modern eye, she looks thin and very glamorous. From what she told me, there was at least the worry of starvation. Both metaphorically and realistically, there has always been the idea that a little extra layer of fat protects — physically, from the cold; emotionally, from the attention of men. Such things come out often in psychotherapy. Even in my self-understanding of my own obese state, on at least one level, I was protecting myself from the unwanted attention of men while I was studying my ass off. Literally. The article indexed here is a meta-analysis. I have more and more trouble believing any individual article. I have to check it out, and I’ve become pretty damned compulsive. I need to know who has funded a study, what the interest is, and what somebody has to prove. It is a lot easier to give some credence to someone who reviews other articles. I know smart people who do this informally and decide whether or not the experts agree. More formally, people jump in quite aggressively with fancy statistics and clump together a bunch of research studies, looking at what is going on across the board as a way of accessing the truth. So there is probably something here that is on the way to an absolute truth. In such cases, one of my favorite preceptors would jump right in and tell me, despite the enthusiasm of me and others, it is almost never possible to prove causality — at least not when you are working with human organisms versus little bitty molecules. We have found, perhaps, an epiphenomenon. Maybe the diminished mortality that comes with being overweight is from something else. Maybe people who are overweight and not obese are more relaxed, or a little more prosperous, or something else. Whatever it is, if it is a couple of extra pounds and not wild obesity, maybe it is not so bad.
Once again, I find myself with a song cue – Allen Sherman’s Hail to Thee, Fat Person. When I was little, I got the same thing from my Mother and Grandmother-of-Blessed-Memory that Sherman did. I really believed that I was doing something to keep kids in Europe from starving when I was cleaning my plate. I did inquire about it fairly early, precocious child that I was. I got no logical answer, only that I was “lucky.”
It did take a while for me to figure out my own weight loss. When I did, I wrote a book. And nobody can or will make me feel like less or sell me on marketed weight loss boloney ever again.
About the Author
Estelle Toby Goldstein, MD is a board-certified psychiatrist in private practice in San Diego, CA.
Practicing Medicine Since 1981
In her medical career, she has studied in Europe and Canada as well as the USA. She has attended specialty training beyond medical school in the fields of general surgery, neurology and neurosurgery and psychiatry (specializing in psychopharmacology).
Experienced In Many Situations
She has worked in a variety of positions, including:
• Fireman/EMT
• Medical school professor
• General and Orthopedic surgeon
• Brain surgeon
• Army Medical Corps psychiatrist
• Prison psychiatrist
• Community Mental Health Center staff
• Consultant to a major transplant hospital
• Drug researcher
“Whatever It Takes!”
She currently has her own indepenent clinic in San Diego where she is concentrating on what she calls Mind/Body medicine — or Integrative Medicine. Her practice is cash-only, doesn’t accept insurance or government payments, and she operates on the concierge, or “private doctor” practice model to give her patients the absolute best quality of care and the highest level of confidentiality.
Dr. Goldstein’s philosophy is “Whatever It Takes!” Her goal is to do everything possible to solve whatever problem she is presented. This includes seeing patients as quickly as possible — not making them wait weeks for an appointment. This includes making appointments days, nights, weekends or holidays. This includes making house-calls. And it includes using the best, most innovative treatments available — most of which are unknown to standard, mainstream doctors.
He
focus is on transitioning patients away from prescription drugs and onto natural substances. She is also a master practitioner of Emotional Freedom Technique, a powerful and dynamic form of energy psychology that usually brings quicker results than traditional psychotherapy.
Further Reading
Article
Respiratory Infections and Pollution Effects - Causes, Symptoms & Prevention Tips
Abstract Respiratory infections are becoming increasingly common, and one of the major contributing factors is the rise in air pollution. Polluted air contains harmful particles, chemicals, and toxins that weaken the lungs and reduce the body’s natural defense mechanisms. As air quality worsens in cities, people of all age groups are experiencing more frequent coughing, breathing difficulties, allergies, and long-term respiratory diseases. How Pollution Increases Respirator
December 12, 2025
Article
Why Barometric Pressure Triggers Headaches - Causes, Symptoms & Prevention Tips
Many people notice that their headaches or migraines worsen when the weather changes. One of the most common culprits is barometric pressure, also known as atmospheric pressure. This pressure refers to the weight of the air around us, and even small shifts can affect sensitive individuals, often leading to headaches, sinus pressure, or migraines. What Happens When Barometric Pressure Drops? A drop in barometric pressure is common before storms, rainfall, or sudden weather c
November 22, 2025
Article
Research of Cell Membrane Nano Drug Delivery System and Its Application in Bionic Nanomedicine
Most of the old drugs are currently limited in their effectiveness because of poor pharmacokinetics, simple clearance by the body and cytotoxicity. Nanoparticle technology in particular, Nano drug delivery system is getting a lot of attention and application in medicine in the recent years. Since it is small (1100nm), targets well, and stays in the circulation long enough, NPs are a good candidate as a drug carrier, enabling an enhanced in vivo targeting capability and less n
January 21, 2025
Article
Research on Regulating cAMP Pathway to Chronic Obstructive Pulmonary Disease
The world's chronic disease, chronic obstructive pulmonary disease (COPD), is among the most incredibly morbid and mortal. A relatively common, preventable and curable condition, COPD most often reflects itself in chronic breathing problems and airway obstruction. Its cause is elusive and not well understood. The most important pathological processes involve oxidative stress, protease dysfunction, mitochondrial dysfunction and airway inflammation. Drug and oxygen treatment ar
January 21, 2025