Health at Every Size · Weight-neutral

A HAES-aligned practitioner for people done with weight-centric care.

I’m Kayla Smith. My practice is built on Health at Every Size — pursuing health through behaviors and care, not through making your body smaller.

What HAES means.

Health at Every Size (HAES) is a weight-neutral framework for health and wellbeing. The core idea: you can pursue health at any body size through behaviors and care, rather than through trying to make your body smaller.

HAES is not the claim that everyone is healthy at every size. It’s the claim that weight is the wrong target for health pursuit. The framework points to decades of research showing that:

In 2024, the Association for Size Diversity and Health (ASDAH) released an updated HAES framework that grounds the principles in healthcare access, anti-fat bias work, and recognition of health as a sociopolitical construct.

I’m HAES-aligned, which means I work from this orientation in everything I do — never prescribing weight loss, never weighing clients, never using weight as a health metric.

Why this matters.

Most healthcare in the US is weight-centric. Doctors prescribe weight loss for nearly everything. Patients in larger bodies routinely report being denied care, dismissed, or having symptoms attributed to weight instead of investigated.

HAES-aligned care does the opposite. It treats the patient, not the weight. It investigates symptoms instead of defaulting to “lose weight.” It supports actual behaviors and care patterns that produce real health outcomes — and it does so without the harm caused by weight stigma and chronic dieting.

For clients who have spent years inside weight-centric care — or worse, inside the diet industry — working with a HAES-aligned practitioner is often the first time they’ve encountered a health professional who doesn’t treat their body as the problem.

What this looks like in our work.

How I work.

My practice integrates three things:

I work entirely virtually with clients across the US. All coaching happens on Google Meet, with voice memo support between sessions in my longer programs.

An honest note.

HAES is a clinical and practical framework. Adopting it doesn’t make body image issues disappear, doesn’t immediately quiet diet culture’s voice in your head, and doesn’t magically heal years of internalized stigma. The work is slow.

What it does do is give you a coherent alternative to the diet model that’s been failing you. A way to take care of your health that doesn’t require you to be at war with your body.

Three ways to work together.

See all coaching options →

If HAES-aligned care matters to you.

Book a free 20-minute call. Real conversation, no pitch.

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Diet Dropout offers coaching services, not medical or psychological treatment. Health at Every Size® is a registered trademark of the Association for Size Diversity and Health.