So I'm actually the OPs friend. I am 5'6", 204, and have a BMI of 32 so I am obese. I think I carry it pretty well because usually people just think I am chubby (don't have to wear plus sizes or anything) but still, I'm sure you are all right that I would be better received if I was thin and generally more attractive looking.
My problem is that I don't think I can accomplish this in... the 4 or so months that I have before secondaries come out and pictures are requested. So I am really worried about this. Do you guys think I should wait until next year to apply just to give myself more time to get in shape? I've already been out of school for one year so I really don't want to have to wait another just for this. I was planning on submitting my entire app by July 1st. If I can do this, do you guys have any idea of how much time I'll have before I need to start sending photos/going on interviews?
I don't really know what else to do besides either really strict dieting for the next few months or delaying my whole app. I think I could probably lose 10/month but still, that would only get me down to about 170 and a bmi of about 27 (still overweight) by July.
Please spare me that "it's your fault that you're fat and in this position" speech. I gots it. I'm pretty healthy in every other aspect of my life but I'll be honest, I just really like food and after my parents died, I ate too much of it.
NOOO!
Apply now. Don't worry about your weight.
You say you carry it well, and you're certainly not morbidly obese. You are able-bodied and relatively healthy. Don't delay a year off your dreams just because of weight...
And sure - you should start eating healthy and exercising NOW, but do it for yourself. Eat healthy and exercise, and don't focus so much on weight. Remember - while being attractive will help you in your interviews, so will being well groomed, articulate, and friendly. Good luck
Also, if you're interested, I suggest you check out the writings of Gary Taubes. Good Calories, Bad Calories is an epic book containing hundreds of pages of citations. Here's a NY Times article he wrote:
http://www.nytimes.com/2002/07/07/magazine/what-if-it-s-all-been-a-big-fat-lie.html
Bias? Maybe? What inspired me was this popular article from the New England Journal of Medicine a few years back:
http://www.nejm.org/doi/full/10.1056/NEJMsa066082
Sure genetic factors and environment are important but they aren't everything. The study shows, among other things, that obesity is most strongly correlated among peers regardless of whether environment or genes are shared and regardless of geographic distance. The authors suggest that obesity "spreads" as perceptions regarding obesity or lack of concern with weight (self-control/discipline) spreads through a social group.
People usually get fat because they lack discipline/self-control regarding food. This may be due to a relaxation of their negative perceptions on obesity as these perception spread through a social group.
Speaking about the highly selected cohort of US medical students, it is my opinion that characteristics such as determination, delayed gratification, and self-discipline might spill over into other parts of their lives beyond the intellectual. It's just an opinion sis, relax
edit: Oh and I was fat once. Now I'm ripped
edit2: Technically I was fat twice. But that'll never happen again
There's so many studies indicating that obesity is an extremely complex, multi-faceted problem. There's a huge interplay of genetics, psychology, sociology, economics, nutrition, and hormones.
That study is interesting, but you're drawing illogical conclusions from it. All that study did was observe "obesity clusters" in social networks. The study makes no claims (or at least shouldn't) about the specific reasons behind this.
Poor people have much higher rates of obesity than the wealthy. Certain minority groups (Africans, Hispanics) tend to have higher rates of obesity. Poor people tend to associate with poor people. Blacks tend to associate with blacks. Of-****ing-course you're going to see "obesity clusters" in social networks. This is such a no-duh.
Anyway, how fat were you? Statistically speaking, you will gain all your weight back within 5 years (95% of people who lose weight do.. And as you mentioned, it sounds like you did gain it back once. Stay vigilant, because it will likely happen again.).
Personally, I have never been overweight. I can eat Big Macs and M&Ms for weeks at a time, and then for another several weeks, I can eat salads, fruit, and chicken breasts. Regardless of my diet, I naturally maintain around an 8% body fat, and always have a six pack, and I only get the most minimal exercise. Most people in my family are like me.
In contrast, I have friends who work out 5x/week, eat extremely healthy, and still maintain a chubby frame. They're probably healthier than me, though.
Everyone has some sort of vice or problem. Whether it's due to weak will, genetics, psychology, or some combination thereof, we should have some amount of compassion. Encourage people to eat healthy and exercise, but don't deride them. Choose to have some sense of humanity, and treat obese people with respect that every human deserves... Especially if you're going to be a doctor.