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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

9:15

Things to Stop Saying and Doing in Front of...

Weight and Healthcare ·

2024/02/14

Every single day I hear from people who have had terrible experiences with healthcare providers. I often write about issues with overt weight stigma and the weight-loss paradigm in working higher-weight with patients/clients. Today I’d like to discuss things that often get said in front of these patients, but not to them. These things can cause significant harm, including damaging the relationship between the provider and the patient, making the patient less likely to be open and honest, and driving

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11:15

Zepbound/Mounjaro Tirzepatide for Weight Loss Part 3

Weight and Healthcare ·

2024/02/10

This is the Weight and Healthcare newsletter! If you like what you are reading, please consider subscribing and/or sharing!This is the final in a three-part series about Tirzepatide (Brand name Mounjaro for Type 2 diabetes and Zepbound for Weight Loss.) In part one we discussed the basics of the drug, in part 2 we discussed the authors of this study and finally, in part three we’ll finish discussing the most recent study on Zepbound - SURMOUNT -4.(the text in italics is from the study

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9:56

Zepbound/Mounjaro Tirzeptatide for Weight Loss Part 2

Weight and Healthcare ·

2024/02/07

In part one I gave a summary of the drug Tirzepatide. Today we’re going to begin a look into the most recent study of Tirzepatide for weight loss under the brand name Zepbound - the SURMOUNT – 4 trial. Get full access to Weight and Healthcare at weightandhealthcare.substack.com/subscribe

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6:01

Zepbound/Mounjaro (Tirzepatide) for Weight Loss - Part 1

Weight and Healthcare ·

2024/02/03

Zepbound (one of the brand names for Tirzepatide) is a newly approved “weight loss medication” (more on that in a moment) delivered by weekly injection. Today we’ll talk about the basics of the drug, and over the next two parts we’ll do a deep dive into the latest research. Get full access to Weight and Healthcare at weightandhealthcare.substack.com/subscribe

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2:38

Doesn't FDA Approval Mean Weight Loss Drugs Are Safe?...

Weight and Healthcare ·

2024/01/31

Reader Patty asked:”I’m confused, it seems like these new weight loss drugs have some dangerous side effects, but they are FDA approved so doesn’t that mean they are safe?”Thanks for the great question, Patty! Get full access to Weight and Healthcare at weightandhealthcare.substack.com/subscribe

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9:41

5 Questions With Medical Students for Size Inclusivity

Weight and Healthcare ·

2024/01/27

On the days when I need some hope and good news, I think about Medical Students for Size Inclusivity. In their own words “We are a community of medical students raising awareness about the harms of weight discrimination in the healthcare system. We believe all people, regardless of their weight, body shape, and size, deserve equitable medical treatment and the right to pursue health".They do incredible work, including the GLP-1 Agonist informed consent project that I’ve linked to here before.The

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8:00

Reader Question – What’s the Deal with Awaken180?

Weight and Healthcare ·

2024/01/20

Reader Barabara asked:”I’ve tried to look into the “science” Awaken 180 claims to rely on, but there’s not much to go on from their website. Similarly, I’ve tried to find out more about the founder, Paige Lopez, but only the basics seem to be available. Awaken 180 has quite a bit of traction in New England, and they have linked up with professional athletes, as well, which has broadened the appeal. Have you looked into Awaken 180, or would you be willing to do some digging? I would love to have some

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5:26

Reader Question - If my patient asks for weight loss,...

Weight and Healthcare ·

2024/01/17

Reader Lindsay sent this question in, and it’s one I hear a lot from healthcare practitioners in the Q&As after my talks:If I’m practicing patient-centered care, doesn’t that mean that if a patient’s goal is weight loss then I need to offer them weight management interventions?This is a tricky question, and I’m not going to make a yes/no pronouncement, but here are some things to think about... Get full access to Weight and Healthcare at weightandhealthcare.substack.com/subscribe

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6:40

The Bellevue Hospital Weight Loss Surgery Factory

Weight and Healthcare ·

2024/01/13

Content note: Many of you requested this piece and I think it’s important to talk about, but I also want to let you know that today’s piece might be a tough read. It discusses the lack of care for, and harm done to, higher-weight patients by Bellevue Hospital’s weight loss surgery program. Please take care of yourself.An expose by the New York Times has revealed that New York’s famed Bellevue Hospital is churning patients through its weight loss surgery program: Get full access to Weight and

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6:45

Quick Guide: Wegovy/Ozempic for Weight Loss

Weight and Healthcare ·

2024/01/10

I received the following request from reader Anisha:I like the in-depth reviews you have of the studies for Wegovy, but I’m talking to a lot of friends and family about this and it would help to have something that’s easier to read. If you are open to writing it you would have my thanks!You got it Anisha! This is a quick guide to Wegovy/Ozempic for weight loss. Get full access to Weight and Healthcare at weightandhealthcare.substack.com/subscribe

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4:34

Resources to Fight BMI-Based Denials for Lumbar...

Weight and Healthcare ·

2024/01/06

BMI-Based denials of care are about holding healthcare hostage for a weight loss ransom. A ransom that most people won’t be able to pay. Today I’m talking about resources that can be used to fight BMI-based denials for lumbar spinal surgery. Get full access to Weight and Healthcare at weightandhealthcare.substack.com/subscribe

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16:11

The Harm of Weight-Based Healthcare Inequalities

Weight and Healthcare ·

2024/01/03

Happy 2024! I am ready for another year of writing about the intersections of weight science, weight stigma, and healthcare and I’m glad you are here reading! This is the Weight and Healthcare newsletter! If you like what you are reading, please consider subscribing and/or sharing!I received the following question from reader Lisa:I notice that when you write about things that can hurt larger people’s health you usually mention weight cycling, weight stigma, and healthcare inequalities. I’ve read

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8:59

Common Terminology and Statistics Issues- Part 2

Weight and Healthcare ·

2023/12/27

This is the Weight and Healthcare newsletter! If you like what you are reading, please consider subscribing and/or sharing!Part one of this was published on December 13, but this piece was pre-empted when the USPSTF put forth dangerous dieting recommendations for children (remember that the public comment period ends January 16.) In the past I’ve written pieces specifically about issues and mistakes that are made with terminology that is used…let’s call it differently in weight science as well as

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4:28

Issues with Terminology and Statistics in Weight...

Weight and Healthcare ·

2023/12/13

In the past I’ve written pieces specifically about issues and mistakes that are made with terminology that is used…let’s call it differently in weight science as well as common statistics mistakes and mishaps. Today I’m offering an update on terminology as part 1 and in part 2 we’ll talk about the statistics. Get full access to Weight and Healthcare at weightandhealthcare.substack.com/subscribe

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9:49

Physician Demonstrates Medical Weight Stigma and Bias

Weight and Healthcare ·

2023/12/06

I have written before about the various types of weight stigma that can impact healthcare including implicit weight stigma and bias (wherein people have negative beliefs and stereotypes about fat people and are acting on them unconsciously) and explicit bias (wherein people are fully aware that they have negative beliefs and stereotypes about fat people and are acting on them). Today we have a doctor who seemed to be going out of their way to demonstrate textbook explicit bias. Get full access to

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7:16

Weight Loss Industry Big Think - Expanding the Market...

Weight and Healthcare ·

2023/12/02

This is the second part of a series answering a reader’s question about weight loss industry “big think” strategies within healthcare. In part 1 we discussed how the weight loss industry strategically created a market by turning simply existing on the higher end of the weight spectrum into a so-called “disease diagnosis. “In part 2 we’ll talk about how they are relentlessly working to expand that market. Get full access to Weight and Healthcare at weightandhealthcare.substack.com/subscribe

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8:59

Reader Question - Dealing with Diet Culture at the...

Weight and Healthcare ·

2023/11/22

Today I’ll be taking a break from research breakdowns and such to talk about navigating nonsense that happens during the holiday season. Reader Anna asked:It seems like I can’t put a bite of food in my mouth from November to January without somebody saying something - my mom, the people at my work. I’m looking forward to seeing my family but also dreading it. A little help, maybe?I’m so sorry about this and I’m happy to offer some thoughts. Get full access to Weight and Healthcare at

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10:00

Three Things That Should Be Required For Weight Loss...

Weight and Healthcare ·

2023/11/18

I have written plenty about the sorry state of weight science – an area of science wherein research that would get a freshman flunked out of their intro to research methods class gets published in peer-reviewed academic journals (some of which are actually owned and operated by the weight loss industry!)Today I’m offering three things that, if they were required of all weight loss studies, would instantly create massive improvement in the information that could be gleaned from these studies by

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12:38

Large study shows high BMI not associated with...

Weight and Healthcare ·

2023/11/15

I’ve written quite a lot about BMI-based procedure denials for higher-weight patients. These denials typically amount to a patient having their healthcare held hostage for a weight loss ransom that they are very unlikely to be able to pay.I have a collection of resources to fight gender-affirming surgery denials and now I have another study to add to that collection. Get full access to Weight and Healthcare at weightandhealthcare.substack.com/subscribe

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5:03

Wegovy Side Effects and Informed Consent - Part 2

Weight and Healthcare ·

2023/11/04

In part 1 we discussed the types and rates of side effects for Wegovy. Today we’re going to discuss the claim that reader Connie’s doctor made that the weight loss drug Wegovy “has been around forever and is safe.” Get full access to Weight and Healthcare at weightandhealthcare.substack.com/subscribe

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