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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

14:49

Weight Loss Surgery and Kids Part 1

Weight and Healthcare ·

2023/07/29

This series is part of the work I’m doing with Weight Inclusive Nutrition and Dietetics (WIND) to create a comprehensive response to the disastrous American Academy of Pediatrics (AAP) guidelines for higher-weight children. I’m part of the team that is analyzing the research that, the AAP claims, supports their recommendations, and I’ll be publishing my breakdowns here as well.Today’s study is Laparoscopic sleeve gastrectomy in children younger than 14 years: refuting the concernsAayed Alqahtani,

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3:45

How Do I Talk To A Colleague About Their Weight Stigma?

Weight and Healthcare ·

2023/07/26

I received this question from an anonymous reader who is an RN, and it’s a question I’ve received in various shapes and forms from a number of providers:I feel like I’m surrounded by weight stigma all day long - negative body talk in front of (sometimes to and at!) patients, diet talk amongst the staff (sometimes also in front of patients) jokes at high weight patient’s expense behind the scenes …you get the idea. I want to say something but I’m not clear how. Do you have any ideas on what to say to

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5:39

Higher-Weight People Have Best Hip Surgery Outcomes...

Weight and Healthcare ·

2023/07/22

This is the Weight and Healthcare newsletter! If you appreciate the content here, please consider supporting the newsletter by subscribing and/or sharing!I’ve previously written a series about fat people and joint health, including joint pain, osteoarthritis, and resources to fight BMI-based joint surgery denials. I’ve added a new resource to the list thanks to Dr. Greg Dodell who let me know about this new study.Before I get into this particular study, I want to offer a reminder that even if

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4:15

Noom Announces: We’re Not a Diet – We’re a Pill Mill?

Weight and Healthcare ·

2023/07/19

Noom has announced the start of Noom Med, a division focused on selling diet drugs. If this sounds familiar, it’s because Weight Watchers just did the exact same thing. Let's talk about this. Get full access to Weight and Healthcare at weightandhealthcare.substack.com/subscribe

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9:09

Fighting Weight Stigma by Ending Weight...

Weight and Healthcare ·

2023/07/15

In part 1 we started discussing the study “Working toward eradicating weight stigma by combating pathologization: A qualitative pilot study using direct contact and narrative medicine” by Rachel Fox, Kelly Park, Rowan Hildebrand-Chupp, and Anne T. Vo.We discussed the issues with existing weight stigma research and the approach that this study is taking. Today we’ll take a look at the study and its findings. Again, thank you so much to Rachel Fox for reviewing this before it was published! Get full

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11:05

Reducing Stigma by Ending the Pathologizing of...

Weight and Healthcare ·

2023/07/12

I was thrilled to learn of a study by Rachel Fox, Kelly Park, Rowan Hildebrand-Chupp, and Anne T. Vo called “Working toward eradicating weight stigma by combating pathologization: A qualitative pilot study using direct contact and narrative medicine.”The study explains why research that seeks to end weight stigma cannot come from a pathologization of fatness. Thanks to Rachel Fox for reviewing my draft prior to publication! Get full access to Weight and Healthcare at

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4:06

Weight Loss and the Question Too Many Researchers...

Weight and Healthcare ·

2023/07/09

There is about a century of research showing that the most common outcome will be that people lose weight short-term and then regain it long-term as their bodies adjust to food restriction and change physiologically in order to become weight maintaining, weight regaining machines. Then there is deeply flawed research (often funded and/or conducted by the weight loss industry) that uses a number of methods to try to obfuscate the abject failure of these weight loss interventions.In all of this, there

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9:18

NYT Ethicist's Weight Stigma Hypocrisy Part 2

Weight and Healthcare ·

2023/07/05

Two columns in the New York Times by "The Ethicist" (one where someone wants to comment on their friend's weight and behaviors and another where someone is concerned about the safety of weight loss drugs) show what happens when weight stigma meets staggering hypocrisy. Get full access to Weight and Healthcare at weightandhealthcare.substack.com/subscribe

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11:20

NYT Ethicist’s Weight Stigma Problem

Weight and Healthcare ·

2023/07/01

Wow, did a lot of you write to me about this one. Someone wrote in to the New York Times column “The Ethicist” to ask if they should “intervene” because their friend, who specifically asked them not to talk to her about her weight, is fat and, in their perception, has health issues (which of course the letter writer blamed on her weight.)So obviously the answer was “you should stop monitoring your friend’s body size and thinking and writing about her in shame-drenched ways, respect her wishes, and

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4:12

Steps for Practitioners to Advocate for Higher-Weight...

Weight and Healthcare ·

2023/06/28

I often get asked by practitioners what they can do to become better providers and advocates for their higher-weight clients. I conceptualize this as a four-step progression. Get full access to Weight and Healthcare at weightandhealthcare.substack.com/subscribe

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5:49

Beachbody's Pseudo Rebrand – I Tried It So You Don’t...

Weight and Healthcare ·

2023/06/24

In Part 1 I talked about Beachbody’s supposed rebrand to “Bodi” to focus on health. I signed up for the 14-day free trial to check it out myself. I was holding out hope that perhaps they really were moving away from their weight loss focus, but all of those hopes evaporated after two minutes of scrolling the site. Get full access to Weight and Healthcare at weightandhealthcare.substack.com/subscribe

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11:51

Do EpiPens Fail Higher-Weight Patients

Weight and Healthcare ·

2023/06/21

I recently got a question from reader Marisol asking “I have food and bee allergies, so I carry epipens. I just came across your writing about vaccine needles and it made me wonder about the needle on my epipen, should I be worried?”Let's talk about it. Get full access to Weight and Healthcare at weightandhealthcare.substack.com/subscribe

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9:45

Is Beachbody's Rebrand Really About Honoring All...

Weight and Healthcare ·

2023/06/14

I’ve been contacted by a number of people wanting to know if I think that Beachbody’s rebrand to “BODi” really represents a commitment to weight-neutral fitness. I was hopeful at the start but, unfortunately that does not seem to be the case. It seems like they are, at best, paradigm-straddling and, more likely, co-opting the ideas of focusing on health and not size, but maintaining a platform of weight stigma and weight loss that will allow them to keep the diet culture dollars rolling in. Let's

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6:50

Doctor Tweets Perfect Example of Weight Stigma

Weight and Healthcare ·

2023/06/10

A tweet from a PhD Psychologist was brought to my attention and gives us a perfect example of what not to do if you don't want to harm fat people. Get full access to Weight and Healthcare at weightandhealthcare.substack.com/subscribe

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4:39

What To Do When Weight Stigma Makes You Want To Avoid...

Weight and Healthcare ·

2023/06/07

Recently during Q&A after a talk about how to deal with weight stigma at the doctor’s office, one of the participants asked if I had any ideas for what to do when they were so sick of experiencing fatphobia from healthcare providers that they just wanted to not go.This is, unfortunately, a too-common situation. Here are some tips and techniques that can help you get the care that you deserve. Get full access to Weight and Healthcare at weightandhealthcare.substack.com/subscribe

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6:56

Letter To Med Students Doing a Weight-Stigma Capstone...

Weight and Healthcare ·

2023/06/03

I don’t do a lot of guest posts here, but as I was reading Rachel Fox’s excellent piece “An Open Letter to the Well-Intentioned Medical Students Who Want to Do a Capstone Project on Weight Stigma and Email Me Asking For Advice” I knew I wanted to share it here. I reached out to Rachel who kindly agreed. Get full access to Weight and Healthcare at weightandhealthcare.substack.com/subscribe

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10:27

Eating Disorders Support ChatBot Promotes Weight Loss

Weight and Healthcare ·

2023/05/31

This is the Weight and Healthcare newsletter! If you like what you are reading, please consider subscribing and/or sharing!Recently I was made aware of something that was happening with the National Eating Disorders Association (NEDA) helpline. For the past twenty years, NEDA has run a helpline providing support to tens of thousands of people a year via text, chat, and phone. That helpline was recently replaced with an AI-driven chatbot. Investigating this I learned that it happened around a labor

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15:15

Wegovy’s So-Called “Long-Term” Study

Weight and Healthcare ·

2023/05/27

Today we are breaking down Novo Nordisk's 2-year study of their weight loss drug, Wegovy. I want to thank Deb Burgard for her help with this piece. She is quoted and was kind enough to review and give feedback on the piece and I am incredibly grateful! Get full access to Weight and Healthcare at weightandhealthcare.substack.com/subscribe

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10:30

Help the US Preventative Services Task Force Avoid...

Weight and Healthcare ·

2023/05/24

The public comment period has opened for the US Preventative Services Task Force’s massively ill-advised draft research plan “Weight Loss to Prevent Ob*sity*-Related Morbidity and Mortality in Adults: Interventions”Here is the link to the plan text.Here is the link to comment (you can also go to the link above and click “leave a comment” in the last line of the yellow box at the top of the page)We have until June 14th to comment, please feel free to use anything I’ve written here for your comments

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11:54

Study Misleads About Efficacy of Weight Loss...

Weight and Healthcare ·

2023/05/20

Today I’m looking into “New insights about how to make an intervention in children and adolescents with metabolic syndrome: diet, exercise vs. changes in body composition. A systematic review of RCT by Albert Pérez E, Mateu Olivares V, Martínez-Espinosa RM, Molina Vila MD, Reig García-Galbis MThis is one of the studies cited by the disastrous American Academy of Pediatrics guidelines. Get full access to Weight and Healthcare at weightandhealthcare.substack.com/subscribe

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