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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

14:11

Novo Nordisk In Trouble For Not Reporting Serious...

Weight and Healthcare ·

2026/04/11

Remember when I wrote about the FDA Averse Events Reporting System and how the drug companies are required to report adverse events? Novo Nordisk just got a warning from the FDA for…not doing that. Get full access to Weight and Healthcare at weightandhealthcare.substack.com/subscribe

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4:22

Resources to Fight Weight-Based Insurance and...

Weight and Healthcare ·

2026/04/08

I’m very excited to announce the culmination of a project I’ve been working on for Project HEAL. They are an incredible organization that works to break down systemic, healthcare, and financial barriers to eating disorder healing. They already had a series of templates for insurance appeals and they reached out to me to create a blog post and templates to appeal weight-based denials and failure to accommodate. Get full access to Weight and Healthcare at

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13:09

Exposing Weight Loss Industry Legislation - Part 2

Weight and Healthcare ·

2026/04/04

In Part 1 we looked at the problematic justification used by the Colorado Legislature to pass legislation following massive lobbying from the weight loss industry and their astroturf “patient advocacy” groups.Today I am going to talk about the actual contents of the law and am grateful for input from an attorney with many years’ experience in health care law and regulation who was willing to provide thoughts but did want to note that they are not admitted to practice in Colorado. Get full access to

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17:19

Exposing Weight Loss Industry Legislation - Part 1

Weight and Healthcare ·

2026/04/01

A bill in support of weight loss interventions, particularly GLP-1 diet drugs, has passed the Colorado state legislature and been signed into law. Very similar bills are being pushed by the weight loss industry (and their astroturf “patient-advocacy” groups, particularly the “Ob*sity Action Coalition”) in individual states and federally with the goal of increasing insurance coverage (and through that the market, and through that the profits) for weight loss drugs and other weight loss

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8:40

Reader Question - What Happened to 5-10% Weight Loss...

Weight and Healthcare ·

2026/03/18

I got the following question from reader LouAnna who asked“I just saw that they are developing even more new weight loss drugs of the GLP1 type that (supposedly, of course) create even more lost weight. What ever happened to the claim that we just need to lose 5-10% ? Don’t these new weight loss drugs already claim that they exceed that? Will it never stop?”This is a great question and I’m happy to offer my thoughts. Get full access to Weight and Healthcare at

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4:37

GLP-1s and Nutritional Deficiencies - Part 3...

Weight and Healthcare ·

2026/03/14

In part 1 we discussed a study that showed that malnutrition is very rarely studied in randomized controlled trials for GLP-1s. In part 2 we looked at the findings of research that studied nutritional deficiencies in GLP-1 users. Today we’ll talk about the implications of these findings, including what we know, what we don’t, and what we should. Get full access to Weight and Healthcare at weightandhealthcare.substack.com/subscribe

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7:05

GLP-1s and Nutritional Deficiencies - Part 2 What the...

Weight and Healthcare ·

2026/03/11

In Part 1 we talked about a study that showed that most randomized controlled trials for GLP-1s failed to assess nutrition/possible nutrition deficits. Today I’m going to summarize some research that did look at these possible issues in people using GLP-1s. In Part 3 I’ll talk about the implications of all of this. Get full access to Weight and Healthcare at weightandhealthcare.substack.com/subscribe

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14:03

GLP-1s and Nutritional Deficiencies - Part 1 We’re...

Weight and Healthcare ·

2026/03/07

I subscribe to a borderline ridiculous number of medical publications from which I receive an absolutely ridiculous number of emails. One headline caught my eye “GLP-1s Bringing Back Scurvy?” Get full access to Weight and Healthcare at weightandhealthcare.substack.com/subscribe

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4:45

How to Talk to Higher-Weight Patients About...

Weight and Healthcare ·

2026/03/04

I received the following reader question:My name is Mary and I’m a family doc (you can use my first name if you print this.) I wouldn’t say that I’m fully onboard with being weight inclusive but I’ve been reading your work and I can’t deny that what you are writing makes sense and is grounded in research (some of which I had never heard of in any of my training.) I have been thinking about what you wrote when you said how important it is that we ask our patients questions instead of making

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7:27

Study Links Weight Stigma and Inflammation Part 2 -...

Weight and Healthcare ·

2026/02/28

In Part 1 we looked into the authors and methodology of the study The Acute Inflammatory Effects of Weight Stigma: An Experimental Pilot Study which was published in August, 2025. In part 2 we’ll look at the results. Get full access to Weight and Healthcare at weightandhealthcare.substack.com/subscribe

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23:38

Study Links Weight Stigma and Inflammation Part 1 -...

Weight and Healthcare ·

2026/02/25

A new study in this vein has come out that looks at the link between weight stigma and inflammation. The study is called The Acute Inflammatory Effects of Weight Stigma: An Experimental Pilot Study and it was published in August, 2025. In part 1 we’ll look at the study authors and the methodology, and in part 2 we’ll look at the results. Get full access to Weight and Healthcare at weightandhealthcare.substack.com/subscribe

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7:13

Healthcare's Weight Loss Best Case Scenario Problem...

Weight and Healthcare ·

2026/02/21

In part 1 we discussed the issues with the decades-long practice of healthcare providers prescribing behavior-based weight loss not based on the evidence (which shows that the vast majority of patients will lose weight short-term and then regain it long-term) but on the belief/hope that every one of their patients will experience the very rare “Best Case Scenario” of significant, sustained weight loss. Today we’re going to talk about how the new GLP-1 weight loss drugs are taking this problem to new

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4:17

Healthcare's Weight Loss Best Case Scenario Problem...

Weight and Healthcare ·

2026/02/18

When it comes to recommending weight loss, healthcare has always had what I call a Best Case Scenario Problem. I think the best way for patients to protect ourselves from this is to understand it so that we can spot it when it’s happening so in Part 1 I’ll examine how this works (in the past and currently) around behavior-based interventions and then in part 2 we’ll look at how GLP-1s are driving an increase in this problem and creating even more harm and what we can do if this problem happens to

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10:47

Novo Nordisk Is In Trouble For Misleading Advertising...

Weight and Healthcare ·

2026/02/14

I’ve had a bunch of requests to write about this so here you go! Novo Nordisk has a long and sordid history of misdeeds, many of which I’ve written about previously. Now they have a new one to add to the list. Get full access to Weight and Healthcare at weightandhealthcare.substack.com/subscribe

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7:46

The Million Pound Challenge Part 2 - The Program

Weight and Healthcare ·

2026/02/07

This is the Weight and Healthcare newsletter! If you like what you are reading, please consider subscribing and/or sharing!In Part 1 we started discussing the “Million Pound Challenge” created by Toby Cosgrove and Dr. Michael Roizen in which they are “challenging” an unknown number of people to collectively lose one million pounds. In part 2 we’ll discuss the program itself. (If you haven’t read part 1, I recommend it to fully understand part 2.) As always I’ll indent the quotes from the website so

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11:27

The Million Pound Challenge Part 1 - The Basics

Weight and Healthcare ·

2026/02/04

Reader Shannon Roosma-Goldstein, MPH, BSN, RN, NPD-BC recently reached out to me because a professional healthcare organization she belongs to had sent her an email encouraging her, as a member, to participate with the organization in the “Million Pound Challenge.”In Part 1 we’ll look at the basic issues with the challenge and who is behind it. In part 2 we’ll look at the details of the program, and in part 3 we’ll talk about what you can do if your workplace announces a program like this, including

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7:14

Three Mistakes Providers Make Recommending Behaviors...

Weight and Healthcare ·

2026/01/31

Behavior-based interventions (sometimes under the auspices of lifestyle medicine) can be evidence-based, health-supporting, and weight-neutral. Unfortunately, when it comes to recommending behavior-based interventions to higher-weight people, there are common mistakes that providers make. We’ll talk about the mistakes and then what patients and providers can do to avoid and/or navigate them. Get full access to Weight and Healthcare at weightandhealthcare.substack.com/subscribe

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17:20

Study Shows Rapid Weight Regain after Ceasing Weight...

Weight and Healthcare ·

2026/01/29

In part 1 we started looking at a study called Weight Regain after cessation of medication for weight management systemic review and meta-analysis by West et al. and in part 2 we looked at the findings. Today I thought it would be helpful to look at how the media is covering this study so we can see how these findings translate. If you haven’t read part 2 (or, at least, the summary) then I recommend starting there. Get full access to Weight and Healthcare at

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18:34

Study Shows Rapid Weight Regain after Ceasing Weight...

Weight and Healthcare ·

2026/01/24

In Part 1 we began discussing Weight Regain after cessation of medication for weight management systemic review and meta-analysis by West et al. Today we’ll discuss the findings. This is a long one so I’ve got a summary and then a deeper dive. Get full access to Weight and Healthcare at weightandhealthcare.substack.com/subscribe

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8:14

Study Shows Rapid Weight Regain after Ceasing Weight...

Weight and Healthcare ·

2026/01/21

I’ve received well over a hundred questions about this new study, all asking roughly the same thing - what does this mean?In Part 1 we’ll talk about the study authors and methodologyPart 2 we’ll talk about the findingsPart 3 we’ll talk about how the media is covering the studyThe study we are looking at is called Weight Regain after cessation of medication for weight management systematic review and meta-analysis by West et al. Get full access to Weight and Healthcare at

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