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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

5:36

Reader Question – Wegovy’s Side Effects - Part 1

Weight and Healthcare ·

2023/11/01

I received the following question from reader Connie: “My doctor is pushing me to take Wegovy. I told him I’m not interested in weight loss medication but the kept pushing so I said that I was worried about the side effects. He said they are ‘nothing to worry about’ and that ‘all drugs have side effects’ and that ‘besides, this drug has been around forever and is safe.’ I didn’t know what to say to that, can you help?” Get full access to Weight and Healthcare at

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10:26

The Truth About ObesityWeek - Part 2

Weight and Healthcare ·

2023/10/28

In part one we talked a bit about who was behind Ob*sityWeek and the money involved. Today we’re going to look at how this plays out. Get full access to Weight and Healthcare at weightandhealthcare.substack.com/subscribe

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6:29

ObesityWeek and The Obesity Society - Part 1

Weight and Healthcare ·

2023/10/25

Ob*sityWeek* (OW) is over, but the onslaught of uncritical media articles promoting its contents has just begun. In Part 1 we’ll discuss what OW is (and who is behind it.) In part 2 we’ll discuss some of this year’s happenings. Get full access to Weight and Healthcare at weightandhealthcare.substack.com/subscribe

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4:02

The Worst Doctor Diet Advice?

Weight and Healthcare ·

2023/10/21

Today I was using cooking spray (for non-diet ease of use purposes!) and I had a flashback to a doctor’s appointment before I learned the truth about the failure rate of weight loss. Get full access to Weight and Healthcare at weightandhealthcare.substack.com/subscribe

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6:45

Heart Health Workshop Puts Weight Stigma and Poor...

Weight and Healthcare ·

2023/10/18

A reader sent me the marketing email for a heart health seminar that perfectly demonstrates many of the issues that we see with weight science, weight stigma, healthcare, and pharmaceutical industry money. I want to acknowledge that the people who put this together may have been well-intentioned, but that doesn’t erase the harm. Get full access to Weight and Healthcare at weightandhealthcare.substack.com/subscribe

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5:35

Reader Question – Is Obesity an Addiction Like...

Weight and Healthcare ·

2023/10/11

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 J’Alice:I recently heard somebody say that ob*sity* is an addiction just like alcohol or gambling, but that sounds wrong to me. Can you explain?Thanks for the question J’Alice! You’re right, it’s wrong. Let’s dig into this a bit: Get full access to Weight and Healthcare at weightandhealthcare.substack.com/subscribe

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4:56

Study examines at connections between weight loss...

Weight and Healthcare ·

2023/10/07

This is the Weight and Healthcare newsletter! If you appreciate the content here, please consider supporting the newsletter by subscribing and/or sharing!This is another in the series of research breakdowns I completed as part of a project with Weight Inclusive Nutrition and Dietetics (WIND) to create a comprehensive response to the horrible AAP guidelines.The study is Association of pediatric ob*sity* treatment, including a dietary component, with change in depression and anxiety: a systematic

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6:08

The Utter Ridiculousness of the 5-10% Weight Loss...

Weight and Healthcare ·

2023/10/04

This is the Weight and Healthcare newsletter! If you like what you are reading, please consider subscribing and/or sharing!The idea that people can gain “clinically meaningful health benefits” by losing 5-10% of their body weight is ubiquitous and ridiculous. Sometimes it is recommended as a way to improve general health, to reduce cardiometabolic risk factors, or to improve a specific health condition. I wrote about this, and a study that tested it, here. Today I want to look at the sheer folly of

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7:10

Article Shows How the Media Creates Weight Stigma,...

Weight and Healthcare ·

2023/09/20

I received a request to write about an article titled “Graphic and grisly beverage warning labels stressing sugar content dangers could curb ob*sity*, study finds.”The study found no such thing. Get full access to Weight and Healthcare at weightandhealthcare.substack.com/subscribe

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8:07

Questions for Higher Weight Patients and Their...

Weight and Healthcare ·

2023/09/16

Our current medical view of weight and health is deeply muddied by weight loss industry involvement. I created this list of questions as a guide to interrogation. It can be used by or with healthcare practitioners, or by anyone who wants to take a critical look at our current weight and health paradigm. Get full access to Weight and Healthcare at weightandhealthcare.substack.com/subscribe

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4:04

Reader Question: What is Relapsing Remitting Obesity

Weight and Healthcare ·

2023/09/13

I received this question from reader Jeremy: “I’m in healthcare and I was recently in a training that was talking about O-word as a chronic disease (eye-roll) and then they used the term lifelong relapsing remitting obesity but didn’t elaborate what it meant, can you help?”Thanks for asking Jeremy, let's get into it! Get full access to Weight and Healthcare at weightandhealthcare.substack.com/subscribe

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3:16

The Alternative to “Obesity Medicine”

Weight and Healthcare ·

2023/09/06

I've written previously about the serious issues with the field of so-called “ob*sity* medicine.” Today I’d like to talk about what could be. What if there was a field of medicine dedicated to providing better care to fat* patients rather than dedicated to making us thin? Get full access to Weight and Healthcare at weightandhealthcare.substack.com/subscribe

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7:48

Study Questions Supposed Link Between Being...

Weight and Healthcare ·

2023/08/26

Thanks to everyone who sent me this article from Medical News Today and asked me to write about it! I’ll discuss the study, but I’m also going talk about the article because it’s a great demonstration of how even articles that appear to question weight stigma can still be deeply rooted in weight stigma. Get full access to Weight and Healthcare at weightandhealthcare.substack.com/subscribe

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4:06

Not Blaming Fat People For Failed Weight Loss Isn't...

Weight and Healthcare ·

2023/08/23

Healthcare practitioners have a long history of blaming and shaming fat patients for the failure of intentional weight loss. While fat activists and weight-neutral healthcare practitioners have been talking about this for literally decades, we are starting to hear pushback against this from, what seems at the outset, an unlikely source – the weight loss industry.Suddenly they seem to be falling all over themselves to admit the failure of intentional weight loss.While that seems like a step in the

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4:10

Please stop telling patients with Type 2 Diabetes to...

Weight and Healthcare ·

2023/08/19

I have permission to share the story of a patient I advocate for. She is fat and has Type 2 Diabetes (T2D). Her latest A1C test was 7.1%. This is .1% over her goal and up from her previous test. Her doctor told her that she didn’t need to adjust meds but should “do her best to eat less sweets and carbohydrates.”This is incredibly common advice (perhaps especially with fat patients for whom many healthcare practitioners seem to always be trying to find a reason to prescribe food restriction, but I

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7:31

Do Small Pharmaceutical Industry Payments Really...

Weight and Healthcare ·

2023/08/16

I received the following question from reader Ximena: “I appreciate how you always look to find out how much money different doctors have taken from pharmaceutical companies but I’m wondering, is there any proof that these payments actually influence doctors?”This is a great question, and there is research about this... Get full access to Weight and Healthcare at weightandhealthcare.substack.com/subscribe

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8:34

Weight Loss Surgery and Kids Part 2

Weight and Healthcare ·

2023/08/12

This series is part of the work I did with WIND (Weight Inclusive Nutrition and Dietetics) to create a comprehensive response to the disastrous American Academy of Pediatrics (AAP) guidelines for higher-weight children. I was part of the team that analyzed the research that, the AAP claims, supports their recommendations, and I’ll be publishing my breakdowns here as well.Today’s study is The effectiveness and risks of bariatric surgery: an updated systematic review and meta-analysis, 2003-2012 by

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7:31

Novo Nordisk's Ethically Questionable Wegovy...

Weight and Healthcare ·

2023/08/09

Embroiled in lawsuits and investigations across multiple countries about the dangerous side effects of their weight loss drug Wegovy (which I interrupted writing about to write about this,) Novo Nordisk put out a press release today with the headline “Semaglutide 2.4 mg reduces the risk of major adverse cardiovascular events by 20% in adults with overw*ight or ob*sity in the SELECT trial.”Normally I would be releasing a detailed breakdown of the study results. The problem is, the SELECT trial is not

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6:43

Weight-Neutral Health And Wegovy - Unprinted Interview

Weight and Healthcare ·

2023/08/05

I was recently asked for an interview by a reporter who was writing about Novo Nordisk’s new weight loss drug.I sent a long answer via email and then we did a 30 minute phone call. The quote that appeared in the article didn’t come from my email interview or the phone interview, but rather from a piece I had written here, so I thought I would share the full email interview that I sent (I asked the reporter for the recording and/or transcription of our call and they declined.) I want to note that

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13:33

The Concept of “Non-Compliance” and Weight Loss...

Weight and Healthcare ·

2023/08/02

As a fat patient who often exercises my right of informed refusal when it comes to recommendations of weight loss, I have had to correct my chart multiple times when the healthcare provider who recommended the weight loss labeled me as “non-compliant.” I’ll tell you how I handle it, but first I want to dig into the whole concept of “compliance” and weight loss recommendations. I refuse weight loss recommendations whether they are behavior-based, pharmacotherapy, or surgical, but in this post I’m

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