I have lost 245 pounds and still live with obesity. When I say this to medical professionals, policymakers, and other advocates, I am often met with surprise. As a size 6 woman, my story unravels the familiar narrative that “eat less and move more” is the only approach.

Obesity is a complex chronic disease that often relapses. Weight is a symptom of obesity, and my appearance is simply a reflection of the comprehensive care of my medical team and my lifestyle. Diet culture, “before and after” magazine covers, and prejudice harm our health. After telling my story to thousands of people around the world, I know we must fight to be taken seriously and take action.

As the Tennessee General Assembly concludes its session next week, I ask members to expand coverage of obesity care in their budget and allow access to Medicaid coverage options for those 21 and older. We must invest in people’s health and well-being. with all chronic diseases, not just some.

More than 130 million people in the United States live with obesity and this number is expected to increase. Tennessee ranks fifth among states affected by obesity, with more than 39% of adults living with the disease. Obesity can affect almost every system in the body and lead to serious health complications. People with obesity require comprehensive care, including access to nutritional counseling, behavioral therapy, mental health care, bariatric surgery, and medications. Investing in obesity care can lead to long-term health benefits and reduce healthcare costs. I am living proof of this investment.

The medical community has only recognized obesity as a disease for about a decade. We can pave the way for a more effective treatment approach by recognizing that obesity is a serious but treatable disease.

Part of that approach includes medications, which are critical to controlling obesity. New anti-obesity drugs are a daily topic of discussion for many Americans. Cost and coverage issues keep safe and effective treatments away from the people who need them most. These life-saving medications are often too expensive for most people to pay out of pocket, and most health insurance plans do not cover them.

It’s time to redefine how we treat obesity in this country. When it comes to access to comprehensive obesity care options, Tennessee can and should lead the way.