Kristal Hartman’s Journey With Obesity

My journey with obesity began in my teens, a period marked by the physical and emotional changes puberty brings. Painful periods and hormonal issues led me to start using birth control. While it helped manage my symptoms, it also resulted in significant weight gain.

Despite being super athletic—playing basketball and dancing—I saw my weight gradually increase in my junior and senior years of high school. The “freshman 15” turned into the “freshman 50” when I went to college, and my weight continued to climb.

The Impact of PCOS and Thyroid Problems

In my early 20s, I got married and moved to Colorado, where my primary care physician discovered a nodule on my thyroid. This discovery led to a diagnosis of hypothyroidism and, soon after, polycystic ovary syndrome (PCOS). At that time, recognition of PCOS was relatively new, and the understanding of its link to insulin resistance (when the hormone insulin cannot regulate the amount of sugar cells take up from the blood, creating a need for more insulin) and obesity was emerging.

My 20s were a roller coaster of trying to start a family. After a successful first pregnancy, I experienced several miscarriages. Fertility treatments and the stress of these experiences took a toll on my body.

By my early 30s, I had three beautiful children, including twins, but my weight continued to increase, exacerbating my health problems. I was constantly battling the physical and emotional effects of obesity while trying to be the best mother I could be.

Despite my efforts to manage my weight through various diets and exercise, I was on 14 different medications by my mid-30s.

The struggle was not just about losing weight but managing the numerous comorbidities (coexisting health conditions) that came with obesity. Working with my endocrinologist (specialist of hormone-related conditions), I tried every lifestyle change and medical treatment available, but nothing worked. The emotional toll was immense, and the societal stigma surrounding obesity made things worse.

Facing Stigma in Healthcare

It was then that my endocrinologist suggested bariatric surgery. My primary care physician, however, was less supportive. “You should be able to do this,” she’d say, implying a lack of willpower on my part and dismissing my struggles. This dismissive attitude is, unfortunately, common in the healthcare field, where stigma and bias against obesity persist.

I waited a year before considering surgery, hoping to “fix myself.” During that year, my health deteriorated further, leading to two hospitalizations.

One of the most profound moments in my journey came during my second hospitalization due to severe asthma and chronic pneumonia. I realized I wouldn’t be there for my children if I didn’t make a significant change. Their sadness and concern for my health motivated me to finally schedule an appointment at a bariatric surgery center.

Life After Bariatric Surgery: Health Improvements and Ongoing Challenges

In August 2014, I underwent gastric sleeve surgery (a procedure that removes part of the stomach), and it was the best decision I ever made for my health. Losing 100 pounds over the following year transformed my health and my life. The surgery helped me address the root cause of my health issues—obesity—rather than just treating the symptoms.

Recognizing this, I joined the Obesity Action Coalition and became an advocate for others facing the same struggles. For the first time, I found a community of people who truly understood my journey.

Despite having a supportive network of family and friends, I didn’t know anyone who shared my specific challenges. The OAC connected me with people who understood the complexities of obesity, providing the support and solidarity I needed.

Becoming an Advocate for Obesity Healthcare Equity

As a member of the OAC since 2016 and a board member since 2019. I advocate for those living with obesity. I began serving a two-year term as the chairwoman of the board in April 2023, representing nearly 90,000 members across the United States. Through the OAC, I work to put a face and story behind the disease, combating stigma and advocating for equitable access to care.

To anyone living with obesity, my advice is to find a supportive community and healthcare providers who understand that obesity is a disease. Don’t let stigma and shame prevent you from seeking the care you deserve. Advocacy is not just about speaking up for yourself; it’s about creating a world where everyone with obesity has access to the treatment and support they need.

Shaping the Future of Obesity Care and Treatment

Looking to the future, I hope to pursue a master’s in public health to further my work in health equity and policy. With my background in psychology and business and my career in the health sector, I’m committed to advocating for equal access to obesity care.

My journey has been filled with challenges but has also been marked by resiliency, community, hope, and advocacy. At the OAC, we strive for a future in which people with obesity are treated with the same dignity and care as those with other chronic diseases. Together, we can change the narrative around obesity, one story at a time.

As told to Lindsay Curtis.