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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

6:54

How to Tell If A "Weight Bias" Training Is Diet...

Weight and Healthcare ·

2022/12/10

This is the Weight and Healthcare newsletter! If you appreciate the content here, please consider supporting the newsletter by subscribing and/or sharing!As the diet industry works hard to co-opt the language of weight-neutral health and fat liberation and misuse it to sell weight loss interventions, I’m seeing more and more “anti-weight bias” trainings that are actually just diet industry marketing in disguise.Sometimes the trainers are very aware of what they are doing, sometimes they are actually

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5:15

Let's Talk About Noom

Weight and Healthcare ·

2022/12/07

This is the Weight and Healthcare newsletter! If you appreciate the content here, please consider supporting the newsletter by subscribing and/or sharing!Noom has become ubiquitous in the diet space. But do their claims stand up to scrutiny? I originally wrote about them in 2020. One of the first things I noticed was that their commercials are chock full of diet advice that is as old as the hills and has no research to back it as actually creating sustained weight loss. (“Eat grapes instead of

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3:14

Quick Guide: Will Weight Loss Improve/Cure This...

Weight and Healthcare ·

2022/12/03

This is the Weight and Healthcare newsletter! If you appreciate the content here, please consider supporting the newsletter by subscribing and/or sharing!Often, after giving a talk about weight science, weight stigma, and healthcare, when the Q&A starts I’m greeted with multiple questions like “but doesn’t the research show that weight loss will improve [hypertension, fatty liver, type 2 diabetes, knee pain, etc.]It’s not surprising that people (including healthcare providers) think this, and there

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6:19

Reader Question - What Do You Think Of Obesity Medicine?

Weight and Healthcare ·

2022/11/30

This is the Weight and Healthcare newsletter. If you like what you are reading, please consider subscribing and/or sharing using the button that looks like an arrow at the top and bottom of the piece!Reader Arlie reached out to ask what I think about the field of “ob*sity* medicine” (OM). This, for many, is a life-or-death question, so I’m going to give my thoughts on this as not just someone who is an expert in the field, but also as a fat patient (albeit one with plenty of privilege.)First of all,

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8:31

New Guidelines for Weight Loss Surgery?

Weight and Healthcare ·

2022/11/23

This is the Weight and Healthcare newsletter! If you appreciate the content here, please consider supporting the newsletter by subscribing and/or sharing!In October, “Guidelines on Indications for Metabolic and Bariatric Surgery” were put out. While I don’t think that these surgeries meet the requirement for ethical, evidence-based medicine, in looking at these guidelines specifically, here are some things that I think it’s important to know.The guidelines were put out by The American Society for

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6:22

Advocating for Blood Pressure Cuffs and Gowns in the ER

Weight and Healthcare ·

2022/11/19

This is the Weight and Healthcare newsletter! If you appreciate the content here, please consider supporting the newsletter by subscribing and/or sharing!Note: I have explicit permission to share this story. I wanted to share it to help those who work within healthcare to see ways that they can make change, and those who do not work in healthcare to see how they might advocate.A call came in late at night. It was a dear friend of mine and she was in the emergency room. Luckily it looked like a false

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7:13

Weight Watchers Long-Term Research

Weight and Healthcare ·

2022/11/16

This is the Weight and Healthcare newsletter! If you appreciate the content here, please consider supporting the newsletter by subscribing and/or sharing!In the last newsletter, I gave a general overview of Weight Watchers (aka WW) and all the tricks they use to sell a program that doesn’t work. Today I’m going to dig into the research. I started at Weight Watcher’s own “Science Center.” They pointed to two studies to back up their claim that “WW is one of the few programs that fulfills all of the

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5:13

Weight Watchers - Up To Their Old Tricks

Weight and Healthcare ·

2022/11/12

This is the Weight and Healthcare newsletter! If you appreciate the content here, please consider supporting the newsletter by subscribing and/or sharing!In 2018, Weight Watchers changed its name to “WW” added the tagline “wellness that works” and started using language about “health” and “wellness” and “beyond the scale.” Per a Fast Company article this happened because “In this new era of body image acceptance and feel-good wellness communities, Weight Watchers learned that the term “diet” was

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2:57

Are Medicare and Medicaid Patients Required to Weigh-In?

Weight and Healthcare ·

2022/11/09

This is the Weight and Healthcare newsletter! If you appreciate the content here, please consider supporting the newsletter by subscribing and/or sharing!I hear from a lot of people who are on Medicare and Medicaid that they have been told that they are required to weigh in at their appointments or the services won’t be covered. This is a misconception. Medicare and Medicaid's Merit-based Incentive Payment System (MIPS) (Content note – link contains anti-fat language), does require physicians to

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8:14

Does This Study Really Show How To Maintain Weight Loss?

Weight and Healthcare ·

2022/11/05

This is the Weight and Healthcare newsletter! If you appreciate the content here, please consider supporting the newsletter by subscribing and/or sharing!Reader Barbara sent me an article with the headline “How to Maintain Weight Loss, According to People Who Succeeded.” The article was about a study called “In their own words: Topic analysis of the motivations and strategies of over 6,000 long-term weight-loss maintainers” by Phelan et. al. (as always, I don’t link to research or articles that

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7:41

Reader Question – What’s the Deal with Lark Health?

Weight and Healthcare ·

2022/11/02

This is the Weight and Healthcare newsletter! If you appreciate the content here, please consider supporting the newsletter by subscribing and/or sharing!I have had several readers ask about the Lark program. In each case, it was being actively marketed to them, without their consent, by their insurance company and/or employer.Lark is, predominantly, a weight loss program that also bills itself as a “diabetes prevention” program and “mind body” health coaching all offered by an Artificial

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6:05

Is Being Fat Really a Chronic, Lifelong Health...

Weight and Healthcare ·

2021/10/27

I got this question recently:“I’ve been seeing articles that say that being fat* is considered a “chronic lifelong condition.” Can you explain what’s going on to me?” Get full access to Weight and Healthcare at weightandhealthcare.substack.com/subscribe

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