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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

5:57

The Serious Toll of Healthcare Provider Weight...

Weight and Healthcare ·

2025/05/17

We are going to start out today with the story of Dr Thomas Kraut and then talk about what it that story demonstrates and what we can do about it. Content note that this story is tragic. This was originally brought to my attention by reader Suzanne. I read every account I could about the situation and pieced them together. Get full access to Weight and Healthcare at weightandhealthcare.substack.com/subscribe

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6:32

Analyzing Claims of GLP-1 Health Benefits

Weight and Healthcare ·

2025/05/10

I got a question from reader Giana who asked:I feel like I’ve seen a hundred news reports claiming that the GLP1 drugs will cure anything and everything…joint pain, heart attacks, addiction, on and on and on. Is it possible that they can do all of these amazing things or is this just the new snake oil?I’ve also seen a bunch of claims about the healing powers of GLP-1 drugs. It is possible that GLP-1s have health benefits, but there are some potential issues with these studies that I want to point

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7:46

Weight and Osteoarthritis Study - Part 3 Letter to...

Weight and Healthcare ·

2025/05/07

In parts 1 and 2 we looked into a 2018 journal article called Management of osteoarthritis of the knee in younger patients by Khan, Adili, Winemaker, and Bhandari. It turns out we aren’t the only ones looking into it. As I was finishing up this piece, I was googling to make sure I had a list of all the links I used in the piece (while I don’t include links to pieces with weight stigma here, I always keep a list in my draft,) I stumbled onto a letter responding to the Khan et al. article called “Is

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8:06

Weight and Osteoarthritis Study - Part 2 Citations

Weight and Healthcare ·

2025/05/03

In part 1 we began discussing the article Management of osteoarthritis of the knee in younger patients by Khan, Adili, Winemaker, and Bhandari and their claim that weight loss is an appropriate treatment for osteoarthritis. We examined one of their citations and today we’ll look at the other. Get full access to Weight and Healthcare at weightandhealthcare.substack.com/subscribe

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6:02

Weight and Osteoarthritis Study - Part 1 Study Claims

Weight and Healthcare ·

2025/04/30

Recently I received an email from a physician who had just attended a talk I gave. She asked what I thought about a study that “shows that weight loss is an evidence-based treatment for OA” (osteoarthritis). I started investigating the issues with the study and, in the course of researching and writing about it, I came across an absolute gem by Ilona Hale. In parts 1 and 2 we’ll look at my analysis and in part 3 we’ll look at Dr. Hale’s. Get full access to Weight and Healthcare at

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8:17

Surveillance Bias and Higher-Weight People

Weight and Healthcare ·

2025/04/23

I frequently write about types of weight stigma and bias. Today I want to talk about a specific form called Surveillance Bias, I’ve also heard it called Detection Bias or Testing Bias. I want to talk about how this kind of bias can lead to claims that a health issue is more likely to be found in a group of people when actually the difference is/may be because of the way that group of people were surveilled/tested.It’s really important to look for this type of bias because when this happens, it can

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7:09

Study: Quality of Life after Weight Loss Surgery,...

Weight and Healthcare ·

2025/04/19

In part 1 we looked at the 2022 article by Sierżantowicz et al., “Quality of Life after Bariatric Surgery A Systematic Review.” In part 2 we took a deeper look into two of the studies they included. In part 3 we’ll examine their conclusions. Get full access to Weight and Healthcare at weightandhealthcare.substack.com/subscribe

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6:32

Study: Quality of Life after Weight Loss Surgery,...

Weight and Healthcare ·

2025/04/16

In part one we looked at the 2022 article by Sierżantowicz et al., “Quality of Life after Bariatric Surgery A Systematic Review.” I do recommend reading that to understand the issues with the way “Health Related Quality of Life or HRQOL” is used in the studies we’ll examine today as we take a deeper diver into two of the studies Sierżantowicz et al. included.Content note for discussion of suicide and self-harm. Get full access to Weight and Healthcare at

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17:04

Does This Study Show That Restriction Doesn't Lead to...

Weight and Healthcare ·

2025/03/29

As I mentioned in part 2, when I teach research analysis, I recommend checking something I call “The Do-Do’s” which encompasses two questions: Do the citations support the claims? Do the study data support the results?In part two we looked at the first question, today we’ll look at the second question. Get full access to Weight and Healthcare at weightandhealthcare.substack.com/subscribe

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12:39

Does This Study Show That Restriction Doesn't Lead to...

Weight and Healthcare ·

2025/03/25

This is the Weight and Healthcare newsletter. If you like what you are reading, please consider subscribing and/or sharing!Content note: this piece will discuss research around binge eating, including behaviors and frequency. In part 1, we looked at the authors and methodology of a 2024 study called “Evaluating dietary restriction as a maintaining factor in binge-eating disorder” by Bartholomay et al., whose authors claim that the findings “challenge the assumption that dietary restriction

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10:12

Does This Study Show That Restriction Doesn't Lead to...

Weight and Healthcare ·

2025/03/22

Recently a reader reaching out asking me to analyze a 2024 study called “Evaluating dietary restriction as a maintaining factor in binge-eating disorder” The authors claims that their findings:“challenge the assumption that dietary restriction maintains BE [binge eating] among all individuals with BED [Binge Eating Disorder]. Rather, results suggest that dietary restriction may be largely unrelated to BE maintenance in this population, and that reducing dietary restriction generally does not have

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6:14

Quick Tricks to Find Hidden Weight Stigma

Weight and Healthcare ·

2025/03/15

It can be difficult to tease apart what is real anti-weight stigma work and what is weight stigma in sheep’s clothing. Here are some quick tricks to tell the difference. Get full access to Weight and Healthcare at weightandhealthcare.substack.com/subscribe

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15:30

Doctor Gives Perfect Example of Co-Opting Weight...

Weight and Healthcare ·

2025/03/12

I’ve written here many times about the ways that the weight loss industry has been attempting to co-opt the work of weight stigma/weight-neutral/weight inclusive experts and activists. More than 40 of you asked me to write about a piece by Amanda Velazquez, MD called “Promoting a Weight-Inclusive Approach to Treat Ob*sity” carried in both Medscape and MDEdge/Endocrinology that gives us a perfect example. Get full access to Weight and Healthcare at weightandhealthcare.substack.com/subscribe

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11:26

Scripts to help advocate for a higher-weight person...

Weight and Healthcare ·

2025/03/08

One of the most vulnerable times for higher-weight patients in healthcare can be when they are in a healthcare facility. Recently I worked with an incredible woman with a complex health history who was scheduled for a surgery followed by a hospital stay. I was available to help remotely and she had a group of friends and family who would be on-site. One of the things I did to help prepare was create scripts for her family and friends to use. She kindly agreed that I could share them with readers

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5:41

What if weight loss informed consent is too...

Weight and Healthcare ·

2025/03/05

During the Q&A a physician raised her hand and asked me a question that I’ve been asked many times over the years. “I don’t disagree with the information you presented about the failure rate of behavior-based weight loss attempts, but I do disagree with what you said about informed consent. If I tell patients that there is about a 95% chance that they will lose weight and gain it back then they will never try, what good does that do?” Get full access to Weight and Healthcare at

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11:31

Study Claims No Harm from Weight Cycling Part 3 -...

Weight and Healthcare ·

2025/03/01

The study “The Physiological Effects of Weight-Cycling: A Review of Current Evidence” published January 3, 2025 is making broad claims that “healthy individuals who struggle with overw*ight or ob*sity should not be discouraged from repeated attempts to lose the excess weight.” In part 1 we looked at the issues with the authors and the premise. In part 2 we looked at the issues with the studies they included, in this final part we’ll discuss the issues with their interpretation and conclusions. Get

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18:04

Study Claims No Harm from Weight Cycling Part 2 -...

Weight and Healthcare ·

2025/02/26

We are back discussing the article “The Physiological Effects of Weight-Cycling: A Review of Current Evidence” published January 3, 2025. In part 1 we looked at the authors and the introduction, in part 2 we’ll be looking at the studies they included. Get full access to Weight and Healthcare at weightandhealthcare.substack.com/subscribe

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9:54

Does This Study REALLY Prove There Is No Harm from...

Weight and Healthcare ·

2025/02/22

As more data has come out about the realities of GLP-1s for weight loss (including some people regaining weight while still taking the drug, and research showing that those who go off the drugs regain weight quickly, paired with their own research showing that by year four, 89.5% of patients were no longer on the drug,) there has been talk about the dangers posed by drug-induced weight cycling. As we’ve seen with other concerns around these drugs and intentional weight loss in general (like eating

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3:26

Movement/Fitness Space Audit - Creating...

Weight and Healthcare ·

2025/02/19

In part 1, the amazing Leslie Jordan Garcia and I wrote about creating size-inclusive fitness spaces. Today, Leslie has created an audit that you can use to determine the size inclusivity of your fitness space and make changes! Get full access to Weight and Healthcare at weightandhealthcare.substack.com/subscribe

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10:03

Creating Safe Movement/Fitness Spaces for...

Weight and Healthcare ·

2025/02/15

Today I am thrilled to bring you the first of a two-part series about creating safe fitness spaces that I had the honor of co-writing with Leslie Jordan Garcia. You may remember Leslie from her 5 Questions With… feature, and you may know her as the incredible passionate multi-certified Anti-diet Ed Recovery, wellness practitioner, and fitness professional behind Liberati Wellness! Get full access to Weight and Healthcare at weightandhealthcare.substack.com/subscribe

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