02/09/2026
Who else 🙋🏼♀️ has been hit with the “you’re already skinny” comments?
Here’s the uncomfortable truth: you cannot eyeball metabolic health.
BMI is not a diagnosis and it is not perfect, but it is still a validated screening tool that correlates with long term risk. For some women, a 5 to 10 pound gain is enough to move them into a higher risk category based on height. That shift can reflect changes in visceral fat, insulin sensitivity, blood pressure, or liver health, even if they still “look” fit.
The body positivity movement has done good in many ways. BMI is not a perfect measurement, but it is still a medically recognized screening tool tied to long term risk. Moving from a healthy range into overweight, even by 5 to 10 pounds, can increase insulin resistance, raise blood pressure, and contribute to visceral fat around the organs in people who are genetically predisposed. That internal change does not always match what people see in a mirror.
And beyond labs, there is quality of life. Sleep, joint pain, inflammation, how your clothes fit, how you feel in your own skin. Those things matter too.
There is a growing microdosing GLP and tirzepatide community focused on lower, strategic dosing, steady progress, and metabolic stability rather than extremes. Quiet, consistent, data-driven. If that’s you, you know.
To the GLP shamers typing from the couch 🛋️… respectfully, focus on your own labs.
So cheers. A genuine pat on the back to the women who continue to prioritize their health, even when it makes other people uncomfortable.
BMI MetabolicHealth GLP1 WomensHealth Tirzepatide HealthyWeight