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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

3:48

Goodbye To Jenny Craig

Weight and Healthcare ·

2023/05/13

Jenny Craig has announced that they are shutting down. While I’m deeply sorry for the stress and unemployment it will cause for the employees who really believed they were helping people (because Jenny Craig told them they were,) as far as the program itself, I say good riddance to bad rubbish. Get full access to Weight and Healthcare at weightandhealthcare.substack.com/subscribe

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6:24

The Problem With “Classes” of “Obesity"

Weight and Healthcare ·

2023/05/10

The entire idea of “ob*sity”* is problematic. It’s a made-up concept to pathologize bodies based on shared size rather than shared symptomology. It uses Body Mass Index (BMI) which is a math equation created with a racist basis. If your weight in pounds times 703 divided by your height in inches squared is 30 or more, you are “diagnosed” with “ob*sity.” This does not have the ring of sound science, but it gets worse.In this episode we're talking about the many issues with the "classes of "ob*sity"

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6:39

Patient Quick Guide To Talking About Weight with...

Weight and Healthcare ·

2023/05/06

A very common issue for higher-weight people who are trying to access healthcare is healthcare providers (HCPs) who want to focus on weight and weight loss. Today I’ll give some tips that I’ve learned both from personal experience and as a patient advocate for navigating what I call Provider Weight Distraction. In this episode we look at options to get weight-neutral healthcare, even from HCPs dealing with PWD. Get full access to Weight and Healthcare at

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5:08

Four Ways To Spot a Fake Anti-Weight-Stigma Event

Weight and Healthcare ·

2023/04/26

This is the Weight and Healthcare newsletter! If you like what you are reading, please consider subscribing and/or sharing!One of the ways that the diet industry is trying to squash the weight-neutral health and fat liberation movements is by using their money, clout, and enmeshment in the healthcare system to re-brand themselves as weight stigma experts, including at conferences, panels, and other events. This can be done by large weight loss industry representatives like the Ob*sity* Action

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6:37

Three Common Statistics Snafus in Weight Science

Weight and Healthcare ·

2023/04/19

This is the Weight and Healthcare newsletter! If you like what you are reading, please consider subscribing and/or sharing!In my work around weight science and healthcare, I see a lot of confusion about, and misuse of, statistics. Today I thought I would point out the three of the most common issues that I experience.Sure, intentional weight loss fails 95% of the time, you just have to keep trying until you’re in the 5%.I know not everyone took statistics, but I did, so let me assure you that this

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24:50

Why The WHO Shouldn't Grant Diet Drug Request To Be...

Weight and Healthcare ·

2023/04/15

This is the Weight and Healthcare newsletter! If you like what you are reading, please consider subscribing and/or sharing!In part 1 we talked about a request that has been submitted for the World Health Organization (WHO) to add diet drugs (specifically GLP1 agonists like Novo Nordisk’s Saxenda and Wegovy) to their list of “essential medicines.” We discussed who was making this request and the justification that they were using. In part 2 we took a deeper dive into the research that they used to

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17:37

Dubious Justifications Behind Request to WHO to...

Weight and Healthcare ·

2023/04/12

This is the Weight and Healthcare newsletter! If you like what you are reading, please consider subscribing and/or sharing!In part 1 we talked about a request that has been submitted for the World Health Organization (WHO) to add diet drugs to their list of “essential medicines.” We discussed who was making this request and the justification that they were using. Today we’re going to take a deeper dive into the research that they used to try to support this request, and in part three will look at

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4:57

A First Step to Solving Weight Stigma in Healthcare...

Weight and Healthcare ·

2023/04/05

This is the Weight and Healthcare newsletter! If you like what you are reading, please consider subscribing and/or sharing!There are a number of different ways that bias can impact the healthcare that higher-weight patients receive. This includes provider bias and structural bias (when the healthcare system is created for thin bodies and/or to the specific exclusion of fat bodies.) Today I want to talk about what happens when these two types of bias intersect. It’s a perfect storm that both supports

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4:58

Novo Nordisk Gets Caught In Shady Marketing Practices...

Weight and Healthcare ·

2023/04/01

This is the Weight and Healthcare newsletter! If you like what you are reading, please consider subscribing and/or sharing!In Part 1 we talked about how Novo Nordisk got suspended from The Association of the British Pharmaceutical Industry for their shady marketing practices. Today, we’re going to talk about an investigation by The Observer that found what so many of us have been saying for a looooong time - that Novo Nordisk had paid millions to prominent ob*sity “charities,” NHS trusts,

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8:53

Novo Nordisk (Finally) Faces Some Consequences for...

Weight and Healthcare ·

2023/03/29

This is the Weight and Healthcare newsletter! If you like what you are reading, please consider subscribing and/or sharing!If you have read this newsletter for any period of time, you’ve read my accounts of how pharmaceutical company Novo Nordisk has been using extremely shady marketing practices (many taken from the playbook that Purdue Pharma used to push oxycontin) to promote their drugs for weight loss. Things likePutting doctors on their payroll to promote their drugs to the media without

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4:59

Reader Question - Sleep Apnea and Weight

Weight and Healthcare ·

2023/03/25

Transcript This is the Weight and Healthcare newsletter! If you like what you are reading, please consider subscribing and/or sharing!Reader Marcel sent me the following question:I just got diagnosed with sleep apnea. My doctor told me that if I could just lose 5-10% of my body weight, it would go away. I’ve yo-yo dieted all my life and sometimes got to 5% lost before it came back, but never even got to 10% and most times I ended up heavier than when I started. I’m nervous to try again, but sleep

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6:42

Study Shows Lack of Link Between High BMI and COVID...

Weight and Healthcare ·

2023/03/22

This is the Weight and Healthcare newsletter! If you like what you are reading, please consider subscribing and/or sharing!In the early days of the pandemic studies were rushed out and highlighted in the media claiming that higher-weight people were at higher risk of COVID death. I wrote about the issues with this in my previous blog, as did Christy Harrison, Paul Campos and others.Now an umbrella review has been published. This is a review of existing systematic reviews and metanalyses.Quick

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7:15

Providing X-Rays, MRIs and CT Scans to Higher-Weight...

Weight and Healthcare ·

2023/03/18

This is the Weight and Healthcare newsletter! If you like what you are reading, please consider subscribing and/or sharing!Finding out that you need an x-ray, MRI, CT or other scan can be scary for people of all sizes, but fat* people can face a lot of additional and, unfortunately, well-founded fears about the experience. Here are some tips and tricks for people who offer these scans to make the experience better for higher-weight patients.I know that many people won’t be able to do all of these

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8:35

Weight Watchers Expands Their Harmful Model - Adding...

Weight and Healthcare ·

2023/03/15

Transcript:This is the Weight and Healthcare newsletter! If you like what you are reading, please consider subscribing and/or sharing!I’ve been getting a lot of requests to write about Weight Watchers’ acquisition of Sequence, so here we go. One note that, in order to keep this from becoming Tolstoy-esque in length, there are a lot of links so that you can dig in more where you want!I’ve been writing about Weight Watchers (aka WW) for more than a decade and I’ve noticed that one thing you can always

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6:42

Study Looks At Ways To Protect Ourselves from Weight...

Weight and Healthcare ·

2023/03/11

Transcript:This is the Weight and Healthcare newsletter! If you like what you are reading, please consider subscribing and/or sharing!I write and talk a lot about weight stigma and its negative impacts on health. Today I want to talk about a study that looks at how we can protect ourselves. In September of 2022, Angela Meadows and Suzanne Higgs published “Challenging oppression: A social identity model of stigma resistance in higher-weight individuals.” Big thanks to Dr. Meadows who read a draft of

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9:51

The Harm of Weight Stigma

Weight and Healthcare ·

2023/03/08

This is the Weight and Healthcare newsletter! If you like what you are reading, please consider subscribing and/or sharing!I’ve written before about weight stigma in healthcare practice, and I’m currently co-authoring a study with Dr. Lesleigh Owen about the harm weight stigma does to the highest-weight patients. Today I’m going to dig into the research that already exists that explores the harm done to fat* patients by weight stigma.As we get into the research, a few reminders:First, weight stigma

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6:15

The Truth About The Obesity Action Coalition

Weight and Healthcare ·

2023/03/04

Transcript:This is the Weight and Healthcare newsletter! If you like what you are reading, please consider subscribing and/or sharing!The Ob*sity* Action Coalition (OAC) claims to be a non-profit advocacy group for higher-weight people. The truth from my perspective is that they are anything but.I wrote about the OAC in 2014 when their priority had been lobbying the AMA to declare that “ob*sity” is a disease. Today their priority is the “Treat and Reduce Ob*sity Act” the goal of which is to expand

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7:26

Reader Question: Why do they say that "obesity" is a...

Weight and Healthcare ·

2023/03/01

Transcript:This is the Weight and Healthcare newsletter! If you like what you are reading, please consider subscribing and/or sharing!Reader Eliah sent me the following email:I’ve seen you write about how the idea of “ob*sity”* as a disease is problematic which is I think why I started noticing that in all the articles about these new diet drugs it seems like it says at least once that “ob*sity is a disease like asthma or type 2 diabetes” I thought you might have some insight into the concept in

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3:33

A New HAES™ Friendly Disordered Eating, Exercise and...

Weight and Healthcare ·

2023/02/25

Transcript:This is the Weight and Healthcare newsletter! If you like what you are reading, please consider subscribing and/or sharing at WeightAndHealthcare.com!Sam Sessamen is someone I’ve had the opportunity to work with multiple times over the last three years and her work is something that I’ve truly appreciated. Recently she told me about a new screening tool that she had created, and I wanted to share it here in case it’s helpful. Here is some background from Sam followed by a link to the

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5:17

Fighting BMI-Based Denials Part 3 - Patient Experience

Weight and Healthcare ·

2023/02/22

This is the Weight and Healthcare newsletter! If you like what you are reading, please consider subscribing and/or sharing!In part one of this series we looked at the phenomenon of BMI-based treatment denials. In part two, we looked at resources to fight these denials. Today we have a first-person patient experience. Beckie Hill is someone who had to battle to have the surgeries she needed, and it’s a battle she won, twice. So I asked her to share her story for the newsletter and she graciously

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