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AIBU?

Share your dilemmas and get honest opinions from other Mumsnetters.

Friend and weight issues

126 replies

Imdonewithsergio · 09/03/2026 14:01

NC due to nature of post.

My friend and I have known each other since nursery. She has a child who has just turned 8 in the last few weeks. He has a developmental delay, is non verbal, autistic and still in nappies. He is obese- he wears large mens clothing. At that, she offered my husband a jacket last week that her son had grown out of. He has been assessed by various healthcare professionals, has ongoing input from dietitian etc and has no underlying issues causing his weight issues. It is purely down to diet and exercise levels- which are obviously managed by friend. His weight impacts on his mobility, he is very slowed as a result and can no longer get in/out a bath even with her help. Despite input from professionals, she refuses to acknowledge that this is an issue and claims it’s puppy fat.

She is also obese. Her BMI is the 50’s, she has to use a mobility scooter to get out and about on holiday. Uses a walking stick day to day. She can’t keep up with her son now at all. She has been diagnosed with hypertension and type 2 diabetes in the last few months. She is still in her 30’s.

She has very little support- her mother died when she was in her teens. Her father has no contact with her. She has no contact with her child’s father. She does have her aunt who stays nearby but her aunt cares full time for her 86 year old mother who has dementia and cannot help much. Her aunt isn’t in good health, herself either and is in her late 60’s.

Her son is increasingly aggressive and difficult to manage. The school currently have two members of staff with him at all times. I have a large family and 2 autistic children. I had offered to babysit to let her go to the doctors over Christmas when she became unwell, it was horrendous and her son smashed up one of my kitchen chairs. I genuinely don’t think I could safely look after him while I have my own baby there and my toddlers, before even factoring in my own autistic children. She has asked me to babysit this weekend to let her go to a birthday meal for a friend but I’ve had to say no and she seems upset. I do realise that day to day it must be so difficult for my friend to manage though. Social work have offered her respite care but she said she would just feel guilty using it.

We were talking today and she was upset because she had spoken to her GP earlier, for a review of her medication. She has been referred for weight management but has refused to engage. Her GP has said to her that she needs to consider the fact her son has complex needs, she doesn’t have much support and that she needs to look after herself as he needs her. She has took great offence to this and thinks she is being fatshamed. I haven’t replied to her text yet because I agree with the GP. While I understand her circumstances will affect her mood, which affects her motivation to lose weight- I do think she needs to do more to get herself well for her son’s sake. But I don’t know how to word it without upsetting her. I don’t want to lose her friendship as she is such a nice person but I do think both her weight and her little boy’s weight is getting to a point where something needs to change or the consequences will be dire. Am I just being a d*ck though ?

OP posts:
DameOfThrones · 09/03/2026 17:12

WeepingAngelInTheTardis · 09/03/2026 17:05

I think as a good friend you should be brutally honest with her and tell her if she carries on the way she’s going she’s going to end up dead in the next decade or so.
i wish i had, I had a friend who was morbidly obese she dropped down dead from a heart attack at the age of 31 leaving her 5 year old son with nobody.

Yeah that'll go down well considering she's accused an actual doctor of fat shaming her.

Paganpentacle · 09/03/2026 17:17

Crunchymum · 09/03/2026 16:55

OP said she has been diagnosed with hypertension and type 2 diabetes.

Not sure what exact conditions people need to have to be legible for WLI on the NHS.

Qualifying co-morbidities are- diabetes, hypertension, dyslipidaemia, obstructive sleep apnoea, cardio-vascular disease.

She needs 4 of those and a BMI above 40 to qualify currently.
(BMI of 37.5 if you're BAME

Frequency · 09/03/2026 17:17

likelysuspect · 09/03/2026 16:56

Horses for courses. My BMI was in the late 40s and I was 20 stone. I have never not been the fat friend until recently. I would have hated it that someone I felt safe with would have suggested that.

And until you're ready to change and really knock it on the head, you cant move away from it, hence her denial.

And I wasnt suggesting its only the GP or 'professionals' who have mentioned, weight loss information is simply everywhere, no one is blind to it even if they present as if they are.

What weightloss information do you think a GP has given her? Ime, they're not all very knowledgeable when it comes to losing weight safely. The information I was given when I was on Orlistat was conflicting, to say the least.

The first GP prescribed it without even looking at my notes.
The second GP was annoyed I had been given it at all because of my history and threatened to refer me back to ED treatment if I didn't slow down the weightloss.
The third one thought I was doing amazingly well and didn't need to slow down at all. He suggested joining a gym.
The fourth one stopped the prescription and asked me to come in monthly for weigh-ins to monitor my rapid weightloss.

No one helped with my knee pain, and no one gave me any actual nutritional advice.

If OP's friend thinks BMI is rubbish, she's obviously been getting her online information from "fat positive" type sources, which won't be accurate.

90sTrifle · 09/03/2026 17:18

Imdonewithsergio · 09/03/2026 14:01

NC due to nature of post.

My friend and I have known each other since nursery. She has a child who has just turned 8 in the last few weeks. He has a developmental delay, is non verbal, autistic and still in nappies. He is obese- he wears large mens clothing. At that, she offered my husband a jacket last week that her son had grown out of. He has been assessed by various healthcare professionals, has ongoing input from dietitian etc and has no underlying issues causing his weight issues. It is purely down to diet and exercise levels- which are obviously managed by friend. His weight impacts on his mobility, he is very slowed as a result and can no longer get in/out a bath even with her help. Despite input from professionals, she refuses to acknowledge that this is an issue and claims it’s puppy fat.

She is also obese. Her BMI is the 50’s, she has to use a mobility scooter to get out and about on holiday. Uses a walking stick day to day. She can’t keep up with her son now at all. She has been diagnosed with hypertension and type 2 diabetes in the last few months. She is still in her 30’s.

She has very little support- her mother died when she was in her teens. Her father has no contact with her. She has no contact with her child’s father. She does have her aunt who stays nearby but her aunt cares full time for her 86 year old mother who has dementia and cannot help much. Her aunt isn’t in good health, herself either and is in her late 60’s.

Her son is increasingly aggressive and difficult to manage. The school currently have two members of staff with him at all times. I have a large family and 2 autistic children. I had offered to babysit to let her go to the doctors over Christmas when she became unwell, it was horrendous and her son smashed up one of my kitchen chairs. I genuinely don’t think I could safely look after him while I have my own baby there and my toddlers, before even factoring in my own autistic children. She has asked me to babysit this weekend to let her go to a birthday meal for a friend but I’ve had to say no and she seems upset. I do realise that day to day it must be so difficult for my friend to manage though. Social work have offered her respite care but she said she would just feel guilty using it.

We were talking today and she was upset because she had spoken to her GP earlier, for a review of her medication. She has been referred for weight management but has refused to engage. Her GP has said to her that she needs to consider the fact her son has complex needs, she doesn’t have much support and that she needs to look after herself as he needs her. She has took great offence to this and thinks she is being fatshamed. I haven’t replied to her text yet because I agree with the GP. While I understand her circumstances will affect her mood, which affects her motivation to lose weight- I do think she needs to do more to get herself well for her son’s sake. But I don’t know how to word it without upsetting her. I don’t want to lose her friendship as she is such a nice person but I do think both her weight and her little boy’s weight is getting to a point where something needs to change or the consequences will be dire. Am I just being a d*ck though ?

Could you reply asking if the GP offered her the jabs?

HauntedBungalow · 09/03/2026 17:22

Maybe she feels that more help with her son would be better than adding yet another thing (ie "lose weight") to her presumably very lengthy to-do list.

StrippeyFrog · 09/03/2026 17:22

I don’t think trying to keep the peace is the best route here. Hearing the truth from a friend that has been there for her and that she knows has her best interest at heart could make her think about it more. Maybe she’s coming to you with this situation as she’s looking for someone to dismiss the gp and tell her everything is fine. The reality is her and her son will have years of low quality life and then an early death if she doesn’t change. I wouldn’t want to be a part of supporting that.

BillieWiper · 09/03/2026 17:32

There's nothing you can say to compel her to suddenly stop suffering from what is presumably a life long food addiction/disorder.

Sadly you just need to accept that's how she's living her life. If it doesn't reach the threshold for neglect and she won't engage with SS then unfortunately it is her son's health that will also suffer.

Obviously don't encourage her or him by serving or offering them fattening foods but you can't counteract what they do behind closed doors with carrot and celery sticks and a brisk walk occasionally. It's too ingrained as a habit by now.

Sensiblesal · 09/03/2026 17:33

Swiftie1878 · 09/03/2026 16:36

I thought it was quite kind and personal, actually!

They have been friends since childhood. I think her friend wil be familiar with how she talks/writes/textss and will know its not her words.

that makes it impersonal & kind of really uncaring

Swiftie1878 · 09/03/2026 17:34

Sensiblesal · 09/03/2026 17:33

They have been friends since childhood. I think her friend wil be familiar with how she talks/writes/textss and will know its not her words.

that makes it impersonal & kind of really uncaring

I would never use ChatGtp word for word, but it gives a structure and an intent to aim for.

Sensiblesal · 09/03/2026 17:35

gmgnts · 09/03/2026 16:50

I think the Chat GPT message is really good. I also think some people see the fact that it's AI and have a knee-jerk reaction that it can't be possibly any good. In what way is the message itself 'impersonal'? It provides an excellent basis for starting a conversation with OP's friend. I don't think this will end well, however. The friend sounds way beyond doing a bit of armchair yoga to lose weight, with a BMI of 50 plus, and her poor child must be suffering immensely. What a terrible story, really.

Having being friends since childhood they will be familiar with how they text/talk/write

sending a very obvious AI/chat gpt message to one of your oldest friends on such a serious topic is about as impersonal as you can get

Sensiblesal · 09/03/2026 17:39

Swiftie1878 · 09/03/2026 17:34

I would never use ChatGtp word for word, but it gives a structure and an intent to aim for.

having the ability to put your own thoughts together & express them is a skill that will soon be lost on a needless reliance on AI

each to their own. Its very obvious when people run posts via AI to reply with advice. Its crazy but thats not what the threads about

likelysuspect · 09/03/2026 17:39

fivepastmidnight · 09/03/2026 17:09

As well as the fibromyalgia, obesity and her son's autism I would hazard there is depression an d anxiety thrown in there as well all of which will make it difficult to see a way forward.
I imagine she's in denial ,She knows it is not puppy fat and that he wasn;t fat shaming her but the thought of all the things that need to be addressed is probably too overwhelming to face .

I would really encourage her to take up the respite care. Having just a little bit of time to herself even just to go for a small walk might be the start of her making changes. She's only in her 30s and has got no life. I imagine food seems one of her only sources of pleasure . I'm not sure what if anything you can do . it will depend how stretched services are where you are but she runs the risk of having her child removed. I know autism is a spectrum but as you have autistic children yourself ,could you present it in a way to say cutting out certain foods has really helped one of your children .

I think the respite care is vital but I suspect in the back of her mind will be the issue around what her son will or wont eat in respite. When he comes back and the handover is that he ate a third of what he normally does and the discussion is around how the respite carer meets his nutritonal needs, she will find that extremely challenging so is probaby avoiding it for that reason

pictoosh · 09/03/2026 17:41

I don't think you've got any hope of changing her deeply entrenched health problems, be they physical or psychological. It has to come from her.

likelysuspect · 09/03/2026 17:43

Frequency · 09/03/2026 17:17

What weightloss information do you think a GP has given her? Ime, they're not all very knowledgeable when it comes to losing weight safely. The information I was given when I was on Orlistat was conflicting, to say the least.

The first GP prescribed it without even looking at my notes.
The second GP was annoyed I had been given it at all because of my history and threatened to refer me back to ED treatment if I didn't slow down the weightloss.
The third one thought I was doing amazingly well and didn't need to slow down at all. He suggested joining a gym.
The fourth one stopped the prescription and asked me to come in monthly for weigh-ins to monitor my rapid weightloss.

No one helped with my knee pain, and no one gave me any actual nutritional advice.

If OP's friend thinks BMI is rubbish, she's obviously been getting her online information from "fat positive" type sources, which won't be accurate.

None of that surprises me no. A GP might have been helpful or not helpful but unfortunately she's chosen to see it as fatshaming

Orlistat should be banned in my view in any case.

dizzydizzydizzy · 09/03/2026 17:47

Rosesarere · 09/03/2026 14:28

I actually think the chat got response is very good if you do want her to try and help herself. If you would rather not get involved as it sounds like she won’t take kindly to you agreeing with the gp I think it’s ok to just say sorry you felt offended by what the doctor says

I agree!

MissNowt · 09/03/2026 17:56

@Swiftie1878- I agree. I think that chat gpt suggestion is spot on. Right tone & supportive. Always thought chat gpt was awful & I could spot it a mile off but that response is lovely.

JayJayEl · 09/03/2026 18:02

Imdonewithsergio · 09/03/2026 16:32

Thanks everyone for your responses. It’s such a tricky one as I know my situation and hers are so different and that she does have a very complex situation with her little boy. I genuinely just want them both happy and well. Thanks for all your suggestions.

You sound like a really lovely, genuine friend.

Lavender14 · 09/03/2026 18:07

Op I would imagine she knows but feels powerless to change things as all of those things combined would overwhelm anyone. Then you add in her own traumatic childhood experiences in the background. So really if food has become an emotional crutch for her, then not only are you asking her to address all her issues but you're taking away the one thing that brings her a bit of comfort while doing it. That's actually a massive ask of anyone and no wonder she's struggling.

What she really needs is a proper support network and regular respite and let's be honest, she wants it to be people she knows and trusts with her child as most parents do. But because of her child's added vulnerabilities not only does that become incredibly hard to source, but also makes it probably harder for her to use care provided by strangers because she's trying to be protective. That then means it's significantly harder for her to access counselling or any type of down time etc.

I don't think there's actually much you can do unless she's willing to use the respite provided by the trust so she can meet her own needs better, but I'll be honest i think if I were in her shoes I'd struggle as well as I'm also very particular over who watches my child.

I think all you can do is remind her that she's important, that you are there for emotional support when she needs to talk or vent, tell her that she's doing a great job because while these are issues overall she is doing great and acknowledge that this is hard for her and that she doesn't need to accept respite until she feels ready to do so, but maybe a visit to see it and meet people who work there might help her make an informed decision.

Gwenhwyfar · 09/03/2026 18:14

likelysuspect · 09/03/2026 14:18

With respect this is pie in the sky with someome like OP's friend

Do you think she hasnt had a plethora of information and advice from various health care professionals and SWs over the years?

Yes, and the odd walk is not going to solve it. Unless OP moves in and cooks every meal for her friend, it's not going to work.

Meteorite87 · 09/03/2026 18:19

LindorDoubleChoc · 09/03/2026 14:07

How can she have a BMI of 50+ and not know she is very overweight?

If she really believes her son's size at only 8 is down to "puppy fat", she might consider herself less overweight than she is.

I don't know what to suggest @Imdonewithsergio .

The Dr wasn't wrong to mention the impact of her weight on her health.

Isittimeformynapyet · 09/03/2026 18:43

Lavender14 · 09/03/2026 18:07

Op I would imagine she knows but feels powerless to change things as all of those things combined would overwhelm anyone. Then you add in her own traumatic childhood experiences in the background. So really if food has become an emotional crutch for her, then not only are you asking her to address all her issues but you're taking away the one thing that brings her a bit of comfort while doing it. That's actually a massive ask of anyone and no wonder she's struggling.

What she really needs is a proper support network and regular respite and let's be honest, she wants it to be people she knows and trusts with her child as most parents do. But because of her child's added vulnerabilities not only does that become incredibly hard to source, but also makes it probably harder for her to use care provided by strangers because she's trying to be protective. That then means it's significantly harder for her to access counselling or any type of down time etc.

I don't think there's actually much you can do unless she's willing to use the respite provided by the trust so she can meet her own needs better, but I'll be honest i think if I were in her shoes I'd struggle as well as I'm also very particular over who watches my child.

I think all you can do is remind her that she's important, that you are there for emotional support when she needs to talk or vent, tell her that she's doing a great job because while these are issues overall she is doing great and acknowledge that this is hard for her and that she doesn't need to accept respite until she feels ready to do so, but maybe a visit to see it and meet people who work there might help her make an informed decision.

But the friend is not "doing great".

I'm all for being positive and encouraging, but my very overweight friend would only hear the bit about me thinking she's doing great and use that as a reason to continue as she is. I have never told her she is overweight as I know she thinks about it every minute of every day and is extremely defensive if I question her about her extreme dietary choices. (She's currently trying carnivore and has 4 large mugs of a drink made from butter, beef dripping and egg yolks every day)

I love her, but I'm not going to lie to her that she's doing great.

SiberFox · 09/03/2026 19:01

It’s incredibly hard hearing the truth from those closest to you but can also be way more effective than some stranger doctor’s advice. I couldn’t be part of silently letting her drive herself into an early grave and push her child towards it.

likelysuspect · 09/03/2026 19:32

SiberFox · 09/03/2026 19:01

It’s incredibly hard hearing the truth from those closest to you but can also be way more effective than some stranger doctor’s advice. I couldn’t be part of silently letting her drive herself into an early grave and push her child towards it.

You wouldnt be 'part of it' though would you. Its her doing and her alone

No kind message from a friend will be any different to what deep down she already knows.

Unfortunately

scatterbrainy · 09/03/2026 20:06

Obesity is a really complicated thing. In your friend’s case it might be that food is her only joy and comfort and it’s her way of coping. If anyone threatens that or suggests she cuts back, the denial will be very real. Even confronting her son’s weight will be difficult for her as presumably they’ll eat similar foods together. Confronting her just won’t work, it’ll likely make things worse. I say this as a person who spent a lot of years in denial about my own weight!

I actually like the ChatGPT response a PP came up with. It frames the whole thing about wellbeing but also means you don’t have to lie and pretend everything is ok when clearly it’s not. Her reasons for over eating will be complex and just in the same way you can’t tell an anorexic to ‘just eat more’, the reverse is often also true for people who are obese - it’s very often so much more complex than that.

You sound like a kind and caring friend.

CoastalCalm · 09/03/2026 20:29

She should be prosecuted for child abuse