Why weight matters - Not just on the scale, but inside your body

At Dr Eva’s Clinic, we believe in empowering our patients to take control of their health—not just for how they look, but for how they feel, function, and live.

We fully support body confidence and self-acceptance. Every person deserves to feel good in their body. But part of our mission is to speak honestly about the medical realities of excess weight and what it can mean for long-term health.

More Than Just the Number on the Scale

Weight is a complex, sensitive topic. It’s not simply a matter of appearance or aesthetics. A recent visual shared on The Joe Rogan Experience showed a full-body X-ray of someone living with severe obesity. What stood out wasn't the number on the scale, it was what the image revealed inside the body.

The skeleton itself was no different from anyone else’s. But the surrounding tissue told a different story, one that’s often hidden from view.

Here’s what we see from a clinical perspective:

• Spinal compression – The spine is under significant pressure, increasing the risk of back pain and degenerative disc disease.
  

• Joint overload – Hips and knees bear the brunt of excess weight, accelerating joint wear and increasing the risk of osteoarthritis.
  

• Visceral fat accumulation – Vital organs like the liver, pancreas, and heart are surrounded by internal fat, which is metabolically active and inflammatory.
  

• Systemic inflammation – Chronic low-grade inflammation throughout the body raises the risk of conditions like heart disease, Type 2 diabetes, and some cancers.
  

• Hormonal disruption – Hormones like insulin, leptin, and cortisol are thrown off balance, contributing to blood sugar issues, increased appetite, and stress-related weight gain.
  

Why Visceral Fat Is So Dangerous

Not all fat is created equal. Visceral fat—the kind that wraps around your internal organs—is far more dangerous than subcutaneous fat (the kind just under the skin). It acts like an organ of its own, sending out inflammatory signals that can:

• Disrupt your metabolism
  

• Increase insulin resistance
  

• Impair liver and pancreatic function
  

• Raise cholesterol and blood pressure
  

• Interfere with hormone regulation
  
  

This isn’t about vanity. It’s about preventing chronic disease, supporting your body's natural processes, and improving quality of life—now and into the future.

Measuring What Matters: Beyond the Scale

At Dr Eva’s Clinic, we don’t rely solely on weight or BMI. We use body composition analysis to get a clear picture of what’s really going on inside your body. This allows us to track changes in:

• Visceral fat
  

• Lean muscle mass
  

• Metabolic rate
  

• Hydration levels
  
  

This data helps us create personalised, structured plans that target the root causes of weight gain and health imbalance. We focus on long-term, sustainable results—without fad diets or unrealistic expectations.

A New Way to Think About Weight

True health is about more than a clothing size. It’s about how you sleep, how you move, how your body functions, and how you feel.

Losing excess weight is not just about looking different—it’s about living better.