The Fat Doctor Podcast

The discussion takes a bold stance on World Obesity Day, exposing how weight-centric healthcare perpetuates stigma under the guise of concern. It argues that obesity is merely a descriptor, not a disease, and critiques misguided medical practices linked to conditions like fatty liver disease. The podcast challenges the effectiveness of preoperative weight loss requirements for surgeries, revealing a lack of supporting evidence. There's a call for more compassionate healthcare that prioritizes evidence-based care over weight-focused narratives.

Send us a textIn this explosive episode, Dr. Asher Larmie speaks with Dra. Mónica Peralta, a physician from Nicaragua specializing in diabetes, intuitive eating, and Body Trust. Together they explore weight stigma in healthcare across cultures, focusing on the unique challenges faced in Latin America. Dra. Monica shares her journey from promoting weight loss to becoming a weight-inclusive practitioner, offering a candid critique of how diabetes care is too often reduced to weight management. Their conversation tackles the harmful impacts of GLP-1 medications being repurposed for weight loss, the deeply problematic concept of World Ob*sity Day, and the hope found in the organization AWSIM (Association for Weight and Size Inclusive Medicine). Key Moments:0:00 Introduction11:02Diabetes and Weight Stigma - A Double Burden 18:40 19:12 Weight Cycling and Its Impact on Diabetes Management 27:12 GLP-1 Medications: From Diabetes Treatment to Weight Loss Industry 38:42 World Ob*sity Day - "A Day to Eradicate a Type of Human Being" 50:12 AWSIM: The Association for Weight and Size Inclusive Medicine 57:42 Connecting with Dra. Mónica Peralta and Final Thoughts Dra Mónica Peralta is a nutritionist and diabetologist who practices in Nicaragua and sees clients worldwide. She is certified in intuitive eating, eating disorders, psychonutrition, and body image. You can learn all about her and the services she offers on her website, and follow her inspiring content on Instagram. Got a question for the next podcast? Let me know! Connect With Me WEEKLY NEWSLETTER: Get a free script when you sign up THE WEIGHTING ROOM: A community where authenticity thrives and every voice matters The CONSULTING ROOM: Get answers to all your medical questions via DM or Voice Note PLUS access to my entire library of paid resources CONSULTATION: For the ultimate transformation in your healthcare journe THE WEIGH FORWARD: For people who are being denied surgery because of their weight FREE GUIDES:Evidence-based, not diet nonsense Find me on Instagram, YouTube, and LinkedIn.

Send us a textThrough Harper's journey from dismissive doctors to eventual fibromyalgia diagnosis, I explore how weight stigma, medical gaslighting, and inadequate pain management create layers of trauma for patients in marginalized bodies. I break down the science of fibromyalgia in accessible terms and explain how the nervous system's "volume control" for pain gets stuck on high. Key moments:Medical Trauma Discussion (20:52) - An examination of how repeated negative healthcare experiences create lasting trauma (the bag of sh*t)Understanding Fibromyalgia (25:59): Explanation of fibromyalgia which affects 5% of the global population and is still so poorly understoodEverything You've Been Told About Weight Loss is a Lie (31:31): Part 2 of my analysis of a 2013 study by Tomiyama, Alstrom and Mann examining the relationship between weight loss and health outcomes.Ask Me Anything (36:49): Discussion of glucosamine sulfate's role in preventing osteoarthritis, based on a randomized controlled trial.Community Information & Closing (40:43): Information about The Weighting Room community, on demand fibromyalgia masterclass, and consultation services.This week's paper is  Tomiyama, A. Janet, Britt Ahlstrom, and Traci Mann. "Long-term Effects of Dieting: Is Weight Loss Related to Health?" Social and Personality Psychology Compass, vol. 7, no. 12, 2013, pp. 861-877. Wiley Online Library, https://doi.org/10.1111/spc3.12076. Got a question for the next podcast? Let me know! Connect With Me WEEKLY NEWSLETTER: Get a free script when you sign up THE WEIGHTING ROOM: A community where authenticity thrives and every voice matters The CONSULTING ROOM: Get answers to all your medical questions via DM or Voice Note PLUS access to my entire library of paid resources CONSULTATION: For the ultimate transformation in your healthcare journe THE WEIGH FORWARD: For people who are being denied surgery because of their weight FREE GUIDES:Evidence-based, not diet nonsense Find me on Instagram, YouTube, and LinkedIn.

Send us a textYou can't control your health any more than you can control the weather. In this episode, I explore how holding individuals responsibe for their health is a relatively recent phenomenon tied to capitalism and neoliberalism, contrasting it with historical perspectives where health was viewed as a collective responsibility. I talk about the benefits of moving from body control to body trust, while addressing systemic factors affecting health and the importance of building supportive communities. Key moments:The Control Illusion [1:31] The Historical Perspective [11:17] What Actually Shapes Our Health? [15:53] Reframing Health as Collective [19:39] Moving from Control to Trust [23:40] Everything You've Been Taught About Weight Loss is a Lie [28:49] Q&A on Idiopathic Intracranial Hypertension (36:25)Learn more about my Free Course "Redefining Health"Join The Weighting Room before the 19th February and get a free 30 minute chronic pain consultationThis week's paper is  Tomiyama, A. Janet, Britt Ahlstrom, and Traci Mann. "Long-term Effects of Dieting: Is Weight Loss Related to Health?" Social and Personality Psychology Compass, vol. 7, no. 12, 2013, pp. 861-877. Wiley Online Library, https://doi.org/10.1111/spc3.12076. Got a question for the next podcast? Let me know! Connect With Me WEEKLY NEWSLETTER: Get a free script when you sign up THE WEIGHTING ROOM: A community where authenticity thrives and every voice matters The CONSULTING ROOM: Get answers to all your medical questions via DM or Voice Note PLUS access to my entire library of paid resources CONSULTATION: For the ultimate transformation in your healthcare journe THE WEIGH FORWARD: For people who are being denied surgery because of their weight FREE GUIDES:Evidence-based, not diet nonsense Find me on Instagram, YouTube, and LinkedIn.

Explore the complex relationship between chronic pain and fatness, revealing how medical bias can impede effective treatment. The discussion highlights the trauma cycle that many face seeking care and the common assumptions made by healthcare providers. Discover the different types of pain and the rights of patients with chronic pain while uncovering the misconceptions about weight loss. The podcast emphasizes the need for more understanding and compassionate healthcare approaches for individuals dealing with chronic pain.

Send us a textIn this powerful conversation, wellness practitioner and anti-diet educator Leslie Jordan Garcia (MPH, MBA) joins me to explore the deep connections between diet culture, racism, and body liberation. From personal experiences with eating disorders to profound insights about food systems and movement, Leslie shares how her journey informed her mission to help others heal and reclaim their power. We discuss the rebranding of diet culture, the impact of racial stereotypes on healthcare, and why true wellness must include dismantling systems of oppression. Leslie is a wellness practitioner and anti-diet educator. She works with clients both locally in Austin, Texas, and worldwide through virtual sessions, offering movement coaching and partnership in liberation work. You can also find her on Instagram "shaking that moneymaker" and bringing joy to all who are fortunate enough to be in her orbit. Got a question for the next podcast? Let me know! Connect With Me WEEKLY NEWSLETTER: Get a free script when you sign up THE WEIGHTING ROOM: A community where authenticity thrives and every voice matters The CONSULTING ROOM: Get answers to all your medical questions via DM or Voice Note PLUS access to my entire library of paid resources CONSULTATION: For the ultimate transformation in your healthcare journe THE WEIGH FORWARD: For people who are being denied surgery because of their weight FREE GUIDES:Evidence-based, not diet nonsense Find me on Instagram, YouTube, and LinkedIn.

Send us a textMeet Jay, whose twenty-year health journey reflects the experience of countless Fat patients in rural communities. From an old motorcycle injury to high blood pressure, their story illustrates how weight-centric medical care can lead to years of frustrated consultations, missed diagnoses, and deteriorating health.00:18:44 - What does weight inclusive care look like?In this episode, I break down how weight-inclusive care changes everything - from the first examination to long-term treatment plans. I share how proper medical investigation, understanding of weight cycling, and compassionate care can transform both patient outcomes and the doctor-patient relationship. 00:27:19 - Everything You've Been Told About Weight Loss Is A LieDiet and exercise do NOT reduce the risk of developing OA of the knee according to the PROOF study. Today's study is entitled "The role of diet and exercise and of glucosamine sulfate in the prevention of knee osteoarthritis: Further results from the PRevention of knee Osteoarthritis in Overweight Females (PROOF) study"00:31:13 - Ask Me Anything I was asked to weigh in on the weight inclusive treatment of high cholesterol (nice pun, by the way!)Want to learn more about the weight inclusive management of high blood pressure and arthritis of the knee? Then check out my on-demand masterclasses. And if you're looking for a weight inclusive doctor and struggling to find one, don't forget that you can consult with me anytime. Got a question for the next podcast? Let me know! Connect With Me WEEKLY NEWSLETTER: Get a free script when you sign up THE WEIGHTING ROOM: A community where authenticity thrives and every voice matters The CONSULTING ROOM: Get answers to all your medical questions via DM or Voice Note PLUS access to my entire library of paid resources CONSULTATION: For the ultimate transformation in your healthcare journe THE WEIGH FORWARD: For people who are being denied surgery because of their weight FREE GUIDES:Evidence-based, not diet nonsense Find me on Instagram, YouTube, and LinkedIn.

Explore the dynamic nature of health and challenge traditional, narrow definitions. Dive into a holistic perspective, considering resilience and individual circumstances alongside cultural and financial factors. Unpack the overlooked aspects of medical education and how societal issues impact well-being. Rethink health metrics and the myths surrounding dieting and weight loss, supported by research findings. Health is not just a privilege—it's a universal right that should reflect the complexities of human experience.

Dive into the realities of prediabetes and the myths that often surround it. Hear Joy's relatable story as she juggles parenting while navigating weight stigma. Discover why the 'prediabetes' label can be misleading and the emotional toll it takes on those diagnosed. Plus, enjoy the new segment debunking popular weight loss claims, combining research with engaging narratives. It's an eye-opening discussion that challenges conventional thinking and offers fresh perspectives on health.

Send us a text In the final episode of season 4, Asher recounts his personal growth over the past year and has a message for 2025. WE WILL NOT BE SILENCED. Season 5 launches on Wednesday the 15th January. Got a question for the next podcast? Let me know! Connect With Me WEEKLY NEWSLETTER: Get a free script when you sign up THE WEIGHTING ROOM: A community where authenticity thrives and every voice matters The CONSULTING ROOM: Get answers to all your medical questions via DM or Voice Note PLUS access to my entire library of paid resources CONSULTATION: For the ultimate transformation in your healthcare journe THE WEIGH FORWARD: For people who are being denied surgery because of their weight FREE GUIDES:Evidence-based, not diet nonsense Find me on Instagram, YouTube, and LinkedIn.