How to Talk to Your Doctor About Weight Without Shame or Judgment


By Dr. Kaisa Schmitz, Revive Health Medical Weight Loss & Wellness


Talking about weight can be uncomfortable. Too often, patients walk into the doctor’s office bracing for judgment, shame, or a lecture. But it doesn’t have to be that way. Your health journey should be built on trust, understanding, and compassion—and that starts with open, respectful conversations.

Here’s how to talk to your doctor about weight in a way that’s honest, productive, and free from shame.

Know That You Deserve Respect—At Any Size

First and foremost: your body is not a moral issue. Your health is not a number on a scale. And you deserve respectful, evidence-based care no matter your size. If you’ve had negative experiences in the past, it’s understandable to feel guarded. But remember, you have every right to advocate for yourself and expect a supportive environment.

At Revive Health Medical Weight Loss & Wellness, we start with that principle. Weight is one part of your health story—not the whole book.

Set the Tone Early

If you’re nervous about the conversation, you can start by saying so. A simple phrase like, “I’d like to talk about my weight and health, but I’ve had difficult experiences before. I’m hoping we can focus on solutions, not shame,” sets a clear tone.

This helps shift the discussion from blame to collaboration. A good provider will welcome that and match your openness with care and respect.

Focus on Health Goals, Not Just the Scale

Instead of centering the conversation on a number, talk about what you want for your health. Do you want more energy? Less joint pain? Better sleep? A more active lifestyle? Fewer medications? These are concrete, meaningful goals that go beyond weight.

When your doctor understands what matters most to you, they can offer guidance that fits your life—not just general advice or unrealistic expectations.

Ask for a Weight-Neutral Approach if That’s Important to You

Not everyone wants to focus on weight loss, and that’s okay. If you’re more interested in improving blood sugar, managing PCOS, or supporting mental health, say so. There are many ways to support health without making weight the center of the conversation.

At Revive, we understand that weight is complex—affected by genetics, hormones, stress, medications, and more. There’s no one-size-fits-all approach. We listen first, then guide based on your needs.

Speak Up if You Feel Dismissed

If a doctor brushes off your concerns or makes you feel judged, you don’t have to accept it. You can say, “I’d appreciate it if we could talk about options that don’t assume weight is the only issue.” Or, “I’m looking for support, not criticism.”

If the environment doesn’t feel safe or supportive, it may be time to find a provider who aligns better with your values.

You’re Not Alone—And You Don’t Have to Do This Alone

Whether you’re ready to make changes or just starting to explore what’s possible, you don’t have to figure it out on your own. At Revive Health Medical Weight Loss & Wellness, we offer science-based support, compassionate care, and real strategies that work with your body—not against it.

We believe in empowerment, not pressure. In progress, not perfection.

If you’re ready to talk about your weight and health in a safe, judgment-free space, we’re here. Let’s take the next step together.


At Revive Health Medical Weight Loss & Wellness, Dr. Kaisa Schmitz and our compassionate team are here to support your weight loss and overall health journey. Whether you're just starting or looking for a personalized, sustainable plan, we’re ready to help you take the next step with care, expertise, and encouragement. Contact us today to schedule your consultation and begin your path to lasting wellness. 



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