I’ve been doing Keto for several months. I’m feeling better now than I have for years. My bio-markers have all improved. I’ve lost 30 lbs. Everything is going great!
Why do people keep asking if I’m sick?
It’s frustrating after awhile. I know they just are not accustomed to seeing the thin me. I just tell them I’m learning not to be sick!
Does anyone else have people think they’re sick?
I think people just get used to seeing others with those full faces and rounded bellies, and when those start to show the weight loss, they automatically assume it is an illness.
It might be a good time to start changing up your style a bit: new hairstyle, new clothes that fit a little better, a more flattering color of clothing. That way they will see the whole package and it will be more obvious you are healthier, not just thinner.
Part of it is surely that we are all so used to obesity all around us that we have forgotten what normal used to look like. Also, greater awareness of anorexia nervosa and the prevalence of cancer has given normal weight a connotation of illness, since “healthy” people these days are never that thin.
You might try referring your worried friends to pictures of hippies at Woodstock and of soldiers and sailors during World War II to try to give them an idea of what normal really looks like.
It hasn’t happened to me, but my daughter experienced this. She went from well over 200 pounds to 135 pounds, which was her ideal weight (she’s 5’6"). People kept giving her the sick/too thin treatment.
Personally I think it’s that you no longer fit their view of you. When you’re fat, you might look more easygoing, less attractive, or [fill in the blank]–the “fat friend,” the “jolly aunt,” or whatever. People can feel confused, uncomfortable, or even threatened when you start to look more intelligent, more in control, or [fill in the blank].
In addition to @mrs_mustard’s suggestion, you can just smile and say, “No, I’m fine, thanks.” You don’t need to explain anything. Good luck!
I haven’t lost enough yet for people to notice, but if the questions come, my answer will be “Oh, I’ve just been eating healthy foods and getting more exercise.” That’s usually all they’ll want to hear. Don’t use the “diet” word, unless you want to unleash the flood of questions and un-asked-for advice.
The last time I dropped a lot of weight in a short period (about 10 years ago) and people asked me how I did it, my answer (which was true) was “exercising a lot more than I want to and eating a lot less than I want to.” That was a non-keto type diet at the time - more like reduced calories, low fat.
I hear that a lot and especially this one, “Why are you dieting? You’re so skinny!” Just because I have a thin frame does not mean I should eat pizza three meals a day 
I try to justify that i’m not doing this to “diet” but am instead eating healthier and making better choices. I agree that we get used to a certain look, especially in those that are overweight. At this point, I just ignore the comments and smile knowing that I am the healthiest I have ever been in my entire life 