This was a challenging read for me. I think the broad outlines are pretty clear, but I did have some trouble sorting out all of the details. For the main reading (I did two) I used a trusty 5-card horseshoe that I often use when asked to do general readings. Appropriately for the month/intention, the shadow cards added a lot, I think.
In a nutshell, I see the reading as saying that your long-term outlook is quite good but that you current emotional outlook might be a significant obstacle for you. You are advised to act in an objective and practical manner while working to engrain a new set of expectations that are both more positive and more realistic.
What does RachelCat need to know about her health and well-being? (5-card Horseshoe)
Present Situation: Mayor (King) of Water
What's Expected: Eight of Water
What's Unexpected: Ace of Earth
Near-to-Mid-Term Future: Seven of Water
Mid-to-Long-Term Future: The Sun
Shadow: Six of Swords
So, immediately, The Sun tells us that, long-term, things should be going in a right direction for you. At the present moment, however, I wouldn't be surprised if things seems a little bit uninspiring or even stuck for you. Elementally, as Fire of Water the mayor/king is a bit precarious; conflicted or uneasy. This is amplified by the eight of water, which suggests to me that you feel as if you're spinning your wheels a bit and don't necessarily expect much from the effort that you're putting in to your health.
What's Unexpected? The Ace of Earth. I don't know specifically what this means, but something new needed and coming to give you a shot in the arm, so to speak. Maybe it's an actual shot in the arm of some B12 or something. In any case, the earth element implies that it's either something practical and/or a new way of working and going about your business.
The seven of water is an interesting card. The image is melancholy. The body language of the woman in the theater seems a bit despondent in contrast to the fantastical glamor of the silver screen. In RWS, the card tends to represent dreams, fantasies, visions, and desires (like the movie). In Thoth, it speaks more to the negative consequences of overindulgence. Generally, I try to keep my readings tight and free from too much 'intuition,' but I'm going to speculate more so than I usually do. In the short term, there may be a disheartening disconnect between where you feel that you're at and where you want to be. The holidays are coming and they are often a no-win situation for weight control. You either feel left out from the treats or you feel bad because you've broken your regimen. The goals you've set for yourself may feel, like the film, to be unrealistic. That sense of detachment can lead to melancholy, ennui, and despondency. It might also be a time where you're feeling badly about some of the issues you and I discussed last month regarding relationships and family. If you can make it through, you can ultimately get to the sun. But they do keep it dark in the movie theater. It can take time for your eyes to adjust to the light.
I think there's something to be gained from looking at the relationship between the 7 and 8 of water—appearing, as they do, at symmetrical places on the horseshoe. The eight suggested to me that, deep down, you might not have the most positive expectations—that you think things are really just going to stay like they are now. Images and movies can reshape our perceptions. Perhaps, even, (and this is super speculative on my part) the Ace might represent visualization and affirmation exercises that attempt to change the way you perceive your situation in the same way that movies and stories can change the way we understand the world. The seven, being one lower than the eight, might be telling you to 'take a step back.' This would allow you to reassess your situation and reshape your expectations—especially regarding the speed at which your desired changes will take place. The darkness of the 7's theater is nearby, the sun's light is farther off. It's funny, I'm talking about light and darkness and, here we are, ready to talk about the shadow card. The Six of Air moves us to a better place but it is not quick. It is the slow, steady incremental progress forwards. As a six, it's about harmonizing our mind to the situation. Seeing this card in the shadow position makes me worry that you're potentially too impatient or too emotionally overwrought about these issues.
What is some actionable advice for Rachelcat regarding her health and well-being? (tirage a deux cartes)
Seven of Earth + Ten of Water
Shadow: Minerva (High Priestess)
Another seven and more water! Like the Sun in the first reading, it's encouraging to see such an auspicious card an the end of our reading. In total, these cards say that learning from our failures, mistakes, and setbacks will ultimately get us to our goals. I see this as highly reinforcing to the message of the first reading. Seven of Earth says that there's a lot of work to be done and it may seem like there isn't a lot to work with.
The shadow card here is hugely significant, I think. We normally think of Arcanum II as empowering. It often says that your intuition and wisdom will provide you with the guidance you need. Not so here, I think. The cards have already suggested that your feelings may not be leading you forward at this moment. The Six of Airlikewise suggested that it may be a danger not to use your more objective/scientific mind. Alongside that, the Ace of Earth speaks to the need for practicality. The Mayor, Eight, and Seven of Water all suggested a bit of emotional stagnancy that could be holding you back. It doesn't take any special insight to understand that these issues surrounding health and weight are emotionally fraught. My interpretation of this card is that your feelings are likely suspect and could be detrimental. On the other hand, like I just laid out, the more measured objective and practical approaches of Earth and Air seem to be key to getting you to a more positive place both for your actual goals (Sun) and your emotional health (10 of Water).
Notice that Minerva is not holding a book.