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PODCAST

Weight and Healthcare

with Ragen Chastain

Examining the intersections of weight science, weight stigma, and healthcare and what evidence, ethics, and lived experience teach us about healthcare and public health best practices for higher-weight people. weightandhealthcare.substack.com

health & fitness medicine

All Episodes

7:25

Does this study really show that diets don't cause...

Weight and Healthcare ·

2024/10/05

The study we’re looking at in this series is “Eating disorder risk during behavioral weight management in adults with overw*ight or ob*sity: A systematic review with meta-analysis” by Jebeile et al, 2023In Part 1 we’ll look at overarching issues and in parts 2 and 3 we’ll dig into the specifics of the study. For this section I reached out to Deb Burgard, PhD and Fellow of the Academy of Eating Disorders for her thoughts and I’m super grateful for her contributions. Get full access to Weight and

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8:36

"Obesity" Is Not An Eating Disorder

Weight and Healthcare ·

2024/10/02

This is the Weight and Healthcare newsletter! If you like what you are reading, please consider subscribing and/or sharing!I recently wrote about an NBC News article that included a quote from Tom Hildebrandt, PsyD who runs the Hildebrandt Lab at Mount Sinai in New York, which houses Mount Sinai’s Center of Excellence in Eating and Weight Disorders.I promised that I would write a separate article about their troubling conceptualization of higher-weight as an eating disorder, and this is that

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5:40

CDC Children's Weight Loss Programs - Part 2

Weight and Healthcare ·

2024/09/28

In part 1 we started exploring the concerning new CDC-Recognized Family Healthy Weight Programs and the issues with their requirement that “Family Healthy Weight Programs (FHWPs) are safe, effective treatments for childhood ob*sity.*”Today we’ll talk about the requirement that these programs be “Appropriate for childhood ob*sity” Get full access to Weight and Healthcare at weightandhealthcare.substack.com/subscribe

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10:39

The Concerning CDC- Recognized Family Healthy Weight...

Weight and Healthcare ·

2024/09/25

I wrote earlier about the disastrous American Academy of Pediatrics Guidelines, written predominantly by people who were either taking money from the weight loss industry or personally/through their employers selling weight loss to kids.I also did a deep dive on the serious issues with their recommendations of intensive behavioral interventions starting at 2 years old, diet drugs at 12, and weight loss surgeries at 13 as well as questionable claims around potential harm and eating disorders risk

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4:54

Reader Question – What Is Weight-Neutral Health?

Weight and Healthcare ·

2024/09/21

I got this question from reader Mina:I was in a discussion about weight-neutral health and now I feel a bit confused. I practice what I always thought was weight-neutral health and I was chatting with a friend who does the same. She mentioned Intuitive Eating and I said that I knew a lot of people that worked great for, but that it didn’t work for me and before I could finish she said that in order to be weight-neutral health it has to have intuitive eating and joyful movement. That can’t be right,

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8:09

BMI and Kids - Part 2

Weight and Healthcare ·

2024/09/18

In part 1 we looked at the major issues with the ways that children are labeled “overw*ight” and “ob*se”. In part 2 we’ll look at more of the nuances. Again, Deb Burgard, PhD, FAED was incredibly helpful in putting together this piece. Get full access to Weight and Healthcare at weightandhealthcare.substack.com/subscribe

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12:11

How Does BMI Work for Kids? Part 1

Weight and Healthcare ·

2024/09/14

I got the following question from reader Lynn:“I know that they use BMI for kids and I know that it’s different than what they do for adults, but I don’t understand how. Maybe you could write a newsletter about it?”Indeed I can Lynn, thanks for the suggestion! This gets a bit complex, so it’s going to be a two-part series. In part 1 we’ll look at the basics. Get full access to Weight and Healthcare at weightandhealthcare.substack.com/subscribe

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3:56

Preparing for vaccines as a higher-weight person

Weight and Healthcare ·

2024/09/11

As updated COVID vaccines and this year's flu vaccines roll out, I got a request from several readers to post about the need for longer needles for higher-weight people’s vaccinations. Get full access to Weight and Healthcare at weightandhealthcare.substack.com/subscribe

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4:32

The hypothetical future thin person fallacy in...

Weight and Healthcare ·

2024/09/07

While progress toward weight-neutrality is absolutely being made, our healthcare is predominantly based in the weight-centric paradigm. This paradigm currently considers simply existing in a higher-weight body to be a disease and weight loss to be the cure. (Now, there is no shame in having a disease, it’s just that simply existing in a larger body does not qualify.) One of the most dangerous harms within this paradigm is the hypothetical future thin person fallacy. Get full access to Weight and

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7:03

Eli Lilly’s Cheaper Weight Loss Med Comes With a Catch

Weight and Healthcare ·

2024/09/04

Eil Lilly has recently announced that they are going to sell their weight loss drug, Zepbound, directly to consumers who can’t get insurance coverage and don’t qualify for other cost-lowering programs. They are going to do that through their private pharmacy Lilly Direct.The subject of whether drug companies should have their own pharmacies is a topic for another day.I’ve previously done deep dives into the research and claims made about these weight loss medications. I do not think they are going

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6:42

Reader Question – What Do They Mean That Obesity is...

Weight and Healthcare ·

2024/08/31

I got this question from reader Jenn:I was hate watching a workshop about “ob*sity” treatment and one of the people on the panel said that “ob*sity” isn’t a disease unless it impacts someone’s health. I don’t understand how that works?Thanks for the question Jenn. You don’t understand how it works because it doesn’t work. This is fully ludicrous and I’ve seen them make the claim in real time as well. Get full access to Weight and Healthcare at weightandhealthcare.substack.com/subscribe

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6:35

GLP-1s and Eating Disorders - Part 2

Weight and Healthcare ·

2024/08/28

In Part 1, by reader request, I began a discussion of the NBC news article “Weight loss drugs like Wegovy may trigger eating disorders in some patients, doctors warn”. Today we'll complete that discussion. Get full access to Weight and Healthcare at weightandhealthcare.substack.com/subscribe

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8:32

Are GLP-1 Drugs Causing Eating Disorders? Part 1

Weight and Healthcare ·

2024/08/24

Many of you asked me to write about the NBC News Article “Weight loss drugs like Wegovy may trigger eating disorders in some patients, doctors warn” by Liz Szabo, Marina Kopf and Akshay Syal, M.D. Get full access to Weight and Healthcare at weightandhealthcare.substack.com/subscribe

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4:44

Reader Question - Who Exactly is Part of the Weight...

Weight and Healthcare ·

2024/08/21

This is the Weight and Healthcare newsletter! If you like what you are reading, please consider subscribing and/or sharing!I received this question from reader Louise:I see you and other people talk about the weight loss industry, but what does that mean? Is it just drug companies and places like weight watchers? Do doctors who recommend weight loss count? Get full access to Weight and Healthcare at weightandhealthcare.substack.com/subscribe

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8:45

Weight Stigma and Paradigm Straddling - Part 2

Weight and Healthcare ·

2024/08/17

In part 1 we talked about a Medscape Today article that reader Antoni sent me about weight stigma in healthcare called “Weight Stigma is Bad Medicine.” The author, Mengyi (Zed) Zha, MD made important points about weight stigma, some of which aren’t often aren’t made. So there’s a lot of good in the article, which I appreciate.What Dr. Zha has written is brave (and she will undoubtedly get criticism from those who implicit or explicit anti-fat bias drives their thoughts about and interactions with

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3:30

Reader Question - Is this Article Really Against...

Weight and Healthcare ·

2024/08/14

Reader Antoni sent me the following question.I saw this article posted on LinkedIn (Weight Stigma is Bad Medicine by Mengyi (Zed) Zha, MD in MedPageToday). I feel like the author made good points but it still doesn’t feel quite right to me. What do you think? Get full access to Weight and Healthcare at weightandhealthcare.substack.com/subscribe

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8:49

PrescribeFit and Healthcare Providers - Part 2

Weight and Healthcare ·

2024/08/03

In part 1 we started looking at a company called PrescribeFit that is focused on getting referrals from orthopedics office of higher-weight patients with musculoskeletal (MSK) issues. We looked at the scientific basis they are using as well as their promises around efficacy. Today, we’ll look at what they have available for providers. Get full access to Weight and Healthcare at weightandhealthcare.substack.com/subscribe

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9:45

Reader Question: What’s the deal with PrescribeFit

Weight and Healthcare ·

2024/07/31

This came up in our monthly subscriber Ask Me Anything and then from another email from reader Julie who wrote:“I hurt my knee playing soccer. After a lot of of imaging I was told it wasn’t surgical. I asked for a referral to physical therapy and my ortho referred me to PrescribeFit. I assumed it was physical therapy but it seems like it’s some kind of online diet thing. Can you tell me what’s going on?”I can try! Get full access to Weight and Healthcare at

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9:13

When death is ruled to be from "Complications of...

Weight and Healthcare ·

2024/07/27

Many of you have reached out asking me to write about Brandi Mallory and Mandisa Hundley’s deaths. Today is the day I’m going to do that. I want to start by saying that their deaths, regardless of cause, are a tragedy and my heart goes out to them and their families, friends, and loved ones. Get full access to Weight and Healthcare at weightandhealthcare.substack.com/subscribe

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6:15

Reader Question - What To Do When My Doctor Is...

Weight and Healthcare ·

2024/07/24

I got the following question from reader Kyrie:I started having pain in my knee after I jumped out of a truck and twisted it. I went to my regular doctor and he referred me to an orthopedist. He (the orthopedist) told me that the only thing that could possibly help was to lose weight. I asked the question that I learned from you “what would you recommend for a thin patient in this situation?” The orthopedist said “I don’t have to talk to thin patients about knee pain.” Obviously that’s a complete

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