The Fat Doctor Podcast

PODCAST · health

The Fat Doctor Podcast

How would you react if someone told you that most of what we are taught to believe about healthy bodies is a lie? How would you feel if that person was a medical doctor with over 20 years experience treating patients and seeing the harm caused by all this misinformation?In their podcast, Dr Asher Larmie, an experienced General Practitioner and self-styled Fat Doctor, examines and challenges 'health' as we know it through passionate, unfiltered conversations with guest experts, colleagues and friends.They tackle the various ways in which weight stigma and anti-fat bias impact both individuals and society as a whole. From the classroom to the boardroom, the doctors office to the local pub, weight-based discrimination is everywhere. Is it any wonder that it has such an impact on our health? Whether you're a person affected by weight stigma, a healthcare professional, a concerned parent or an ally who shares our view that people in larger bodies deserve better, Asher and the team at 'Th

  1. 143

    Big Pharma's Playbook: How the Weight Loss Industry Bought the World

    Send us Fan MailThe pharmaceutical industry didn't just create a weight loss drug — it created a world in which you cannot escape it. In this episode, I trace Novo Nordisk and Eli Lilly's systematic strategy to buy the guidelines, bribe the charities, train the doctors, and lobby the politicians — and I show you exactly how they copied it from the people who gave us the opioid crisis. This isn't conspiracy theory. It's a paper trail. And once you see it, you cannot unsee it. Pre-order your copy of No Weigh! hereGot a question for the next podcast? Let me know!Connect With MeWEEKLY NEWSLETTER: Get a free script when you sign upTHE WEIGHTING ROOM: Community with a neurodivergent flavour. **BOOK CLUB** exclusive to Weighting Room members. CONSULTATION: For the ultimate transformation in your healthcare journeyMASTERCLASS LIBRARY: Become an expert in your condition and the weight inclusive ways to manage itFREE GUIDES:Evidence-based, not diet nonsenseFind me on Instagram, YouTube, and LinkedIn.

  2. 142

    The Lesser Known GLP-1 Lies

    Send us Fan MailGLP-1s are being prescribed for everything from arthritis to sleep apnea to low testosterone — with almost no evidence they treat any of it. In this episode, I expose the industry-funded research underpinning the semaglutide gold rush, the risks nobody's talking about (including one that affected a quarter of participants in the study used to license the highest dose), and the logical fallacy that's driving doctors to reach for Ozempic no matter what's wrong with you. You deserve to know the truth before you pick up that pen. Pre-order your copy of No Weigh! here Got a question for the next podcast? Let me know!Connect With MeWEEKLY NEWSLETTER: Get a free script when you sign upTHE WEIGHTING ROOM: Community with a neurodivergent flavour. **BOOK CLUB** exclusive to Weighting Room members. CONSULTATION: For the ultimate transformation in your healthcare journeyMASTERCLASS LIBRARY: Become an expert in your condition and the weight inclusive ways to manage itFREE GUIDES:Evidence-based, not diet nonsenseFind me on Instagram, YouTube, and LinkedIn.

  3. 141

    Diab*sity: The Weight Loss Industry's Favourite Couple

    Send us Fan MailThe marriage between diabetes and ob*sity is nothing more than a PR stunt dressed up as medicine — and it's been running for 25 years. In this episode, I expose how the pharmaceutical industry invented a fictional condition called prediabetes to create a market of 115 million Americans, and then quietly funded the guidelines that put weight loss at the top of the treatment agenda. This one's personal: I have diabetes and I'm done carrying the shame they built for us.My book, No Weigh: Everything You've Been Told About Weight Loss Is a Lie, is now available to preorder. Be sure to get your hands on a copy.Got a question for the next podcast? Let me know!Connect With MeWEEKLY NEWSLETTER: Get a free script when you sign upTHE WEIGHTING ROOM: Community with a neurodivergent flavour. **BOOK CLUB** exclusive to Weighting Room members. CONSULTATION: For the ultimate transformation in your healthcare journeyMASTERCLASS LIBRARY: Become an expert in your condition and the weight inclusive ways to manage itFREE GUIDES:Evidence-based, not diet nonsenseFind me on Instagram, YouTube, and LinkedIn.

  4. 140

    This is Bad Medicine

    Send us Fan MailCW: Fertility treatment, organ donation, BMI based surgical denialFat people are being denied fertility treatment without evidence to support it, denied organ transplants they would benefit from, and in some cases denied the chance to save a loved one's life. This episode examines the guidelines behind these decisions — and finds them cruel, discriminatory, and scientifically indefensible. This is not just bad doctors. This is bad medicine.Got a question for the next podcast? Let me know!Connect With MeWEEKLY NEWSLETTER: Get a free script when you sign upTHE WEIGHTING ROOM: Community with a neurodivergent flavour. **BOOK CLUB** exclusive to Weighting Room members. CONSULTATION: For the ultimate transformation in your healthcare journeyMASTERCLASS LIBRARY: Become an expert in your condition and the weight inclusive ways to manage itFREE GUIDES:Evidence-based, not diet nonsenseFind me on Instagram, YouTube, and LinkedIn.

  5. 139

    Your Numbers Don't Mean What They Told You

    Send us Fan MailYour doctors told you that losing weight would help you live longer, improve your numbers, and protect you from serious illness. It was a lie, and it goes deeper than weight loss. In this episode, I break down why the "ob*sity reduces life expectancy" claim is built on bad maths, why fat may actually protect your health, and why the blood sugar, blood pressure, and cholesterol targets your doctor is chasing have never been shown to prevent the outcomes they're supposed to prevent. Drug companies set the targets. You pay the price. Got a question for the next podcast? Let me know!Connect With MeWEEKLY NEWSLETTER: Get a free script when you sign upTHE WEIGHTING ROOM: Community with a neurodivergent flavour. **BOOK CLUB** exclusive to Weighting Room members. CONSULTATION: For the ultimate transformation in your healthcare journeyMASTERCLASS LIBRARY: Become an expert in your condition and the weight inclusive ways to manage itFREE GUIDES:Evidence-based, not diet nonsenseFind me on Instagram, YouTube, and LinkedIn.

  6. 138

    "I Lost Weight And My Health Improved" (did it?)

    Send us Fan Mail Your lived experience is real. You lost weight, your health improved, and I'm not calling you a liar. But I'm still going to tell you that weight loss didn't cause it. In this episode, I get into the post-hoc fallacy, the neuroscience of the placebo effect, and why weight loss is the perfect storm for a powerful — but ultimately unsustainable — placebo response. The benefits are slim to nil. The risks are well documented. And there are always other options. Got a question for the next podcast? Let me know!Connect With MeWEEKLY NEWSLETTER: Get a free script when you sign upTHE WEIGHTING ROOM: Community with a neurodivergent flavour. **BOOK CLUB** exclusive to Weighting Room members. CONSULTATION: For the ultimate transformation in your healthcare journeyMASTERCLASS LIBRARY: Become an expert in your condition and the weight inclusive ways to manage itFREE GUIDES:Evidence-based, not diet nonsenseFind me on Instagram, YouTube, and LinkedIn.

  7. 137

    Doctors Are Prescribing Eating Disorders

    Send us Fan MailDoctors are prescribing eating disorders to fat patients — not by accident, not in spite of the guidelines, but because of them. In this episode, I bring the clinical evidence to back up what the fat community has known for years: that severe dieting causes eating disorders, that eating disorders look nothing like the stereotype, and that fat people with eating disorders are being failed at every stage — dismissed, gaslit, and denied treatment. If you've been told to lose weight by a healthcare professional, you have the right to ask them why they're willing to put you at risk. This is the data. These are the receipts. A selection of studies to start you off:Peebles, Rebecka et al. “Are diagnostic criteria for eating disorders markers of medical severity?.” Pediatrics vol. 125,5 (2010): e1193-201. doi:10.1542/peds.2008-1777Sawyer, Susan M et al. “Physical and Psychological Morbidity in Adolescents With Atypical Anorexia Nervosa.” Pediatrics vol. 137,4 (2016): e20154080. doi:10.1542/peds.2015-4080Moskowitz, L., & Weiselberg, E. (2017). "Anorexia nervosa/atypical anorexia nervosa." Current Problems in Pediatric and Adolescent Health Care, 47(4), 70-84.Got a question for the next podcast? Let me know!Connect With MeWEEKLY NEWSLETTER: Get a free script when you sign upTHE WEIGHTING ROOM: Community with a neurodivergent flavour. **BOOK CLUB** exclusive to Weighting Room members. CONSULTATION: For the ultimate transformation in your healthcare journeyMASTERCLASS LIBRARY: Become an expert in your condition and the weight inclusive ways to manage itFREE GUIDES:Evidence-based, not diet nonsenseFind me on Instagram, YouTube, and LinkedIn.

  8. 136

    We've Known About the Harms of Dieting for 80 Years

    Send us Fan MailIn 1944, a group of healthy young men volunteered to be starved in the name of science. What happened to them — physically, psychologically, and socially — is one of the most important pieces of evidence we have about what dieting actually does to the human body. Evidence that has been ignored for 80 years. This week, I break down the Minnesota Starvation Experiment, asks why medicine continues to prescribe a treatment it knows causes harm, and make the case that forcing fat people to diet isn't medical care — it's cruel and unusual punishment.Got a question for the next podcast? Let me know!Connect With MeWEEKLY NEWSLETTER: Get a free script when you sign upTHE WEIGHTING ROOM: Community with a neurodivergent flavour. **BOOK CLUB** exclusive to Weighting Room members. CONSULTATION: For the ultimate transformation in your healthcare journeyMASTERCLASS LIBRARY: Become an expert in your condition and the weight inclusive ways to manage itFREE GUIDES:Evidence-based, not diet nonsenseFind me on Instagram, YouTube, and LinkedIn.

  9. 135

    Fat, cancer, and the 1 in 20 lie

    Send us Fan Mail Cancer Research UK calls being fat the second biggest cause of cancer in the UK. It's a claim built on manipulated statistics, false assumptions, and funding from the weight loss industry - and it's actively killing people. In this episode, I show why the evidence for weight and cancer doesn't come close to the evidence for smoking, why population attributable fractions are a chocolate teapot, and why the breast cancer data is far more complicated than anyone is letting on. If you've ever been told your cancer risk is your own fault, this one's for you. The study on weight stigma as a barrier to cancer screening: Amy NK, Aalborg A, Lyons P, Keranen L. Barriers to routine gynecological cancer screening for White and African-American obese women. Int J Obes. 2006;30(1):147-155. Got a question for the next podcast? Let me know!Connect With MeWEEKLY NEWSLETTER: Get a free script when you sign upTHE WEIGHTING ROOM: Community with a neurodivergent flavour. **BOOK CLUB** exclusive to Weighting Room members. CONSULTATION: For the ultimate transformation in your healthcare journeyMASTERCLASS LIBRARY: Become an expert in your condition and the weight inclusive ways to manage itFREE GUIDES:Evidence-based, not diet nonsenseFind me on Instagram, YouTube, and LinkedIn.

  10. 134

    Disease Mongering: Inventing Illness To Sell A Cure

    Send us Fan MailDisease mongering has transformed human body diversity into a medical crisis requiring pharmaceutical intervention. When Ray Moynihan wrote that "there's a lot of money to be made from telling healthy people they're sick," he exposed a corporate strategy that reaches its most devastating form in the creation of "ob*sity" as a disease. This wasn't accidental harm caused while trying to help people - this was intentional pathologization of natural human variation, funded by pharmaceutical companies and legitimized through corrupt alliances between industry, doctors, and supposed patient advocacy groups. In this episode, I expose how the disease creation itself causes harm separate from any treatment: social exclusion, healthcare denial, psychological trauma, economic exploitation, and the erosion of bodily autonomy. We created a disease whose only "treatment" doesn't work and causes the very harms we attribute to the disease. They didn't just gnaw away at our self-confidence—they gnawed away at our right to exist. Moynihan, Ray, Iona Heath, and David Henry. ‘Selling Sickness: The Pharmaceutical Industry and Disease Mongering’. BMJ : British Medical Journal 324, no. 7342 (2002): 886–91. https://doi.org/10.1136/bmj.324.7342.886.Got a question for the next podcast? Let me know!Connect With MeWEEKLY NEWSLETTER: Get a free script when you sign upTHE WEIGHTING ROOM: Community with a neurodivergent flavour. **BOOK CLUB** exclusive to Weighting Room members. CONSULTATION: For the ultimate transformation in your healthcare journeyMASTERCLASS LIBRARY: Become an expert in your condition and the weight inclusive ways to manage itFREE GUIDES:Evidence-based, not diet nonsenseFind me on Instagram, YouTube, and LinkedIn.

  11. 133

    Why Lifestyle Advice is BS: The Mediterranean Diet Edition

    Send us Fan MailThe Mediterranean diet has become medical gospel—promoted by diabetes organizations, heart health foundations, and doctors worldwide. But when I looked at the actual evidence, I found something shocking: the one major study proving its benefits was so flawed it had to be retracted. And when NICE updated their cardiovascular disease guidelines in 2023, they admitted there was "no available evidence" comparing dietary interventions to normal diets, so they made recommendations based on "clinical experience and expert opinion" instead. In this episode, I expose how decades of lifestyle advice rest on a foundation of observational studies that can't prove causation, one retracted trial, and guidelines that openly admit the evidence doesn't exist. I explore why we ignored Japan despite identical findings, how the Mediterranean diet reflects Eurocentric superiority rather than scientific rigor, and why telling Black, brown, and indigenous communities to abandon their cultural foods for olive oil is racist as f*ck. The evidence doesn't support what we're being told and it's time we started demanding better.Ge, Long, Behnam Sadeghirad, Geoff D. C. Ball, et al. ‘Comparison of Dietary Macronutrient Patterns of 14 Popular Named Dietary Programmes for Weight and Cardiovascular Risk Factor Reduction in Adults: Systematic Review and Network Meta-Analysis of Randomised Trials’. The BMJ 369 (April 2020): m696. https://doi.org/10.1136/bmj.m696.Got a question for the next podcast? Let me know!Connect With MeWEEKLY NEWSLETTER: Get a free script when you sign upTHE WEIGHTING ROOM: Community with a neurodivergent flavour. **BOOK CLUB** exclusive to Weighting Room members. CONSULTATION: For the ultimate transformation in your healthcare journeyMASTERCLASS LIBRARY: Become an expert in your condition and the weight inclusive ways to manage itFREE GUIDES:Evidence-based, not diet nonsenseFind me on Instagram, YouTube, and LinkedIn.

  12. 132

    The Big Fat Lie: Why Your Weight Didn't Cause Your Health Condition

    Send us Fan MailMedicine has built an entire mythology around weight as the root cause of disease, including diabetes,  sleep apnea, and arthritis. In this episode, I introduce you to three fictional patients whose stories expose the fatal flaws in this narrative. Through Madison's diabetes diagnosis, Mason's struggle with sleep apnea struggle, and Morgan's joint pain dismissal, I dismantle the logical fallacies that confuse association with causation. The truth is simple. Your weight didn't make you sick - but being blamed for it, denied treatment, and forced into weight cycling absolutely will. I challenge you to ask: if weight causes these conditions, why doesn't weight loss cure them? And more importantly, who profits when doctors prescribe weight loss instead of evidence-based care? Got a question for the next podcast? Let me know!Connect With MeWEEKLY NEWSLETTER: Get a free script when you sign upTHE WEIGHTING ROOM: Community with a neurodivergent flavour. **BOOK CLUB** exclusive to Weighting Room members. CONSULTATION: For the ultimate transformation in your healthcare journeyMASTERCLASS LIBRARY: Become an expert in your condition and the weight inclusive ways to manage itFREE GUIDES:Evidence-based, not diet nonsenseFind me on Instagram, YouTube, and LinkedIn.

  13. 131

    Wellness Influencers: A 400-Year History of the Same Old BS

    Send us Fan MailWellness culture didn't start with Instagram. From George Cheyne's 1724 bestseller to Dr. Lulu Hunt Peters redefining fat bodies as "the enemy within," the methods and ideology haven't changed in four centuries—even as the evidence proves they've never worked. In this episode, I trace wellness influencers back to the 17th century, exposing how former fat people turned their weight cycling into moral crusades, transforming fat bodies from "friendly jokes" into threats deserving punishment. These aren't just historical curiosities—they're the architects of today's war on ob*sity, and understanding their playbook helps us see modern wellness influencers for what they really are: unoriginal copycats parroting 400-year-old nonsense. Got a question for the next podcast? Let me know!Connect With MeWEEKLY NEWSLETTER: Get a free script when you sign upTHE WEIGHTING ROOM: Community with a neurodivergent flavour. **BOOK CLUB** exclusive to Weighting Room members. CONSULTATION: For the ultimate transformation in your healthcare journeyMASTERCLASS LIBRARY: Become an expert in your condition and the weight inclusive ways to manage itFREE GUIDES:Evidence-based, not diet nonsenseFind me on Instagram, YouTube, and LinkedIn.

  14. 130

    It's Not Your Fault: The Real Factors That Control Your Weight

    Send us Fan MailThe weight loss industry has convinced us that being fat is a personal failure—a consequence of eating too much and moving too little. But the truth is far more complex and liberating. Your weight is controlled by genetics, epigenetics, environmental factors, trauma, chronic stress, and systems of oppression that were intentionally designed to control marginalized bodies. In this episode, I break down the scientific evidence showing why the "calories in, calories out" narrative is a lie, explore how everything from urbanization to discrimination drives weight gain through cortisol, and reveal how this cycle of blame was always rooted in anti-Black racism, capitalism, and misogyny. It's time to shift responsibility from individuals to the systems and institutions whose literal job it is to address these conditions—because you didn't break this, and you shouldn't have to fix it.Got a question for the next podcast? Let me know!Connect With MeWEEKLY NEWSLETTER: Get a free script when you sign upTHE WEIGHTING ROOM: Community with a neurodivergent flavour. **BOOK CLUB** exclusive to Weighting Room members. CONSULTATION: For the ultimate transformation in your healthcare journeyMASTERCLASS LIBRARY: Become an expert in your condition and the weight inclusive ways to manage itFREE GUIDES:Evidence-based, not diet nonsenseFind me on Instagram, YouTube, and LinkedIn.

  15. 129

    When Doctors Lie: The Guidelines That Recommend Diets They Know Don't Work

    Send us Fan MailIn 1992, a room full of weight loss experts admitted diets don't work and that weight regain is almost inevitable within five years. Then they recommended diets anyway. Fast forward to 2025, and the UK's NICE guidelines acknowledge weight cycling causes harm, that the evidence is overwhelmingly poor quality, and that people will likely regain the weight. Yet they still recommend 800-calorie diets, even for people with eating disorders. In this episode, I expose how medical guidelines have become a masterclass in institutional lying—where committees acknowledge the evidence shows diets fail, cause harm, and offer no long-term benefit, yet recommend them regardless. Because the industry's already doing it, the government's already funding it, and admitting the truth would be too expensive. This isn't medicine. This is willful harm dressed up in clinical language, and the people writing these guidelines need to be held accountable. Got a question for the next podcast? Let me know!Connect With MeWEEKLY NEWSLETTER: Get a free script when you sign upTHE WEIGHTING ROOM: Community with a neurodivergent flavour. **BOOK CLUB** exclusive to Weighting Room members. CONSULTATION: For the ultimate transformation in your healthcare journeyMASTERCLASS LIBRARY: Become an expert in your condition and the weight inclusive ways to manage itFREE GUIDES:Evidence-based, not diet nonsenseFind me on Instagram, YouTube, and LinkedIn.

  16. 128

    How Big Pharma Made Up a Disease

    Send us Fan MailIn 1995, the WHO published a report stating clearly: "There are no clearly established cutoff points for fat mass or fat percentage that can be translated into cut-offs for BMI." Just three short years later, they published a completely different report calling ob*sity a "disease". Not just a disease, but a "rapidly growing threat" and a "global epidemic" that needed managing. What changed? Professor Philip James established the International Ob*sity Task Force—funded by the pharmaceutical industry—specifically to persuade the WHO to create ob*sity policy. When asked how he determined BMI cut-offs of 25, 30, and 40, Professor James admitted it "just seemed to fit"—a "reasonable, pragmatic cut-off." In this episode, I prove that being fat doesn't meet the definition of a disease: there's no impaired function, no characteristic symptoms, no causative agent. But calling it a disease created a market worth billions for weight loss companies, drug manufacturers, and bariatric surgeons. You're not the one who benefits from being diagnosed with ob*sity—they are. Got a question for the next podcast? Let me know!Connect With MeWEEKLY NEWSLETTER: Get a free script when you sign upTHE WEIGHTING ROOM: Community with a neurodivergent flavour. **BOOK CLUB** exclusive to Weighting Room members. CONSULTATION: For the ultimate transformation in your healthcare journeyMASTERCLASS LIBRARY: Become an expert in your condition and the weight inclusive ways to manage itFREE GUIDES:Evidence-based, not diet nonsenseFind me on Instagram, YouTube, and LinkedIn.

  17. 127

    There is no such thing as a healthy weight

    Send us Fan MailWe've been told our entire lives that there's such a thing as a "healthy weight" - but the foundations of this belief are built on quicksand. In this episode, I trace the shocking history of how weight categories were created, exposing the corrupt origins of BMI and "ideal weight" tables invented by life insurance companies to maximize profits. I reveal how Louis Dublin, an employee of the Metropolitan Life Insurance Company who literally wrote a book called "The Money Value of a Man," created arbitrary weight standards that had no basis in reality - and how these numbers kept dropping with no scientific justification.What would life be like if Dublin had got decided that "abnormally tall" people needed to shrink to be healthy? I use this thought experiment to demonstrate the absurdity of medicalizing body size, especially since we've no evidence that “excess weight” causes illness or that intentional weight loss improves health outcomes.Got a question for the next podcast? Let me know!Connect With MeWEEKLY NEWSLETTER: Get a free script when you sign upTHE WEIGHTING ROOM: Community with a neurodivergent flavour. **BOOK CLUB** exclusive to Weighting Room members. CONSULTATION: For the ultimate transformation in your healthcare journeyMASTERCLASS LIBRARY: Become an expert in your condition and the weight inclusive ways to manage itFREE GUIDES:Evidence-based, not diet nonsenseFind me on Instagram, YouTube, and LinkedIn.

  18. 126

    I Wrote A Book!

    Send us Fan Mail After three false starts and years of research, I've finally finished the first draft of No Weigh. This wasn't supposed to be just another book debunking weight science—it became something more fundamental. I realized I'd been centering myself as a doctor, performing credibility for my colleagues, when I should have been writing for fat patients. This book is for us, about us, written by one of us who happens to have a medical degree. I'm done performing humility and apologizing for the evidence. I'm done trying to convince resistant doctors who already see the truth in their own clinical practice but refuse to acknowledge it. Instead, I'm bringing receipts to validate what you already know: the treatment is the problem, the cure doesn't work, and it's all been by design. From the shocking corruption in UK guidelines with 31-page stakeholder lists, to what we're doing to children, to the fundamental lie that there's such a thing as a "healthy weight"—I'm exposing it all, not to convince doctors, but to arm fat people with the evidence we need to fight back. Got a question for the next podcast? Let me know!Connect With MeWEEKLY NEWSLETTER: Get a free script when you sign upTHE WEIGHTING ROOM: Community with a neurodivergent flavour. **BOOK CLUB** exclusive to Weighting Room members. CONSULTATION: For the ultimate transformation in your healthcare journeyMASTERCLASS LIBRARY: Become an expert in your condition and the weight inclusive ways to manage itFREE GUIDES:Evidence-based, not diet nonsenseFind me on Instagram, YouTube, and LinkedIn.

  19. 125

    Seasons Greetings from the Fat Doctor

    Send us Fan Mail In this season finale, I'm stripping away the should-dos and reminding you of what truly matters: your rest is non-negotiable, your boundaries deserve enforcement, and joy isn't something you earn—it's your birthright. I share what I've learned about unmasking, choosing authenticity over performance, and grabbing those small moments of joy even when the world feels overwhelming. This isn't about toxic positivity—it's about protecting your peace in a world that constantly demands you put yourself last. Got a question for the next podcast? Let me know!Connect With MeWEEKLY NEWSLETTER: Get a free script when you sign upTHE WEIGHTING ROOM: Community with a neurodivergent flavour. **BOOK CLUB** exclusive to Weighting Room members. CONSULTATION: For the ultimate transformation in your healthcare journeyMASTERCLASS LIBRARY: Become an expert in your condition and the weight inclusive ways to manage itFREE GUIDES:Evidence-based, not diet nonsenseFind me on Instagram, YouTube, and LinkedIn.

  20. 124

    Destroying 10 Lies That Are Used to Justify Weight Based Discrimination

    Send us Fan MailAfter a year of exploring wellness culture and its discriminatory foundations, I've identified 10 arguments people use to justify discrimination against fat people—and I'm dismantling every single one. From the "health concern" disguise to the false claim that being fat is a choice, from economic justifications to the burden of proof fallacy, these arguments collapse under scrutiny. The truth is simpler and darker: discrimination against fat people isn't justified by evidence or ethics—it's justified because it makes people feel morally superior, saves institutions money, and allows society to continue a comfortable prejudice. When people are dying in real-time because doctors deny them care, calling it "medical reality" doesn't make it less harmful—it makes it systemic violence dressed up as medicine.Download your copy of Fat, Festive and Fierce hereGot a question for the next podcast? Let me know!Connect With MeWEEKLY NEWSLETTER: Get a free script when you sign upTHE WEIGHTING ROOM: Community with a neurodivergent flavour. **BOOK CLUB** exclusive to Weighting Room members. CONSULTATION: For the ultimate transformation in your healthcare journeyMASTERCLASS LIBRARY: Become an expert in your condition and the weight inclusive ways to manage itFREE GUIDES:Evidence-based, not diet nonsenseFind me on Instagram, YouTube, and LinkedIn.

  21. 123

    The Logical Fallacies That Season Your Holiday Fatphobia

    Send us Fan MailThis holiday season, you'll hear countless claims about weight and health dressed up as concern or common sense. But beneath every "everybody knows" and "the experts say" lies a logical fallacy waiting to be dismantled. In this episode, I arm you with the tools to recognize and challenge the flawed reasoning behind anti-fat rhetoric from ad hominem attacks to deliberately vague language designed to make illogical arguments sound scientific." Whether you're facing concern trolling from relatives or rage-watching haters online, understanding these patterns of illogic reveals what's really happening: weak arguments from people who have nothing substantive to offer, desperately trying to justify discrimination while you're armed with evidence, reason, and the power to walk away.Download your copy of Fat, Festive and Fierce here.Got a question for the next podcast? Let me know!Connect With MeWEEKLY NEWSLETTER: Get a free script when you sign upTHE WEIGHTING ROOM: Community with a neurodivergent flavour. **BOOK CLUB** exclusive to Weighting Room members. CONSULTATION: For the ultimate transformation in your healthcare journeyMASTERCLASS LIBRARY: Become an expert in your condition and the weight inclusive ways to manage itFREE GUIDES:Evidence-based, not diet nonsenseFind me on Instagram, YouTube, and LinkedIn.

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    When Healthcare Becomes Compliance Theater

    Send us Fan MailHealthcare's approach to diabetes has become less about treating a disease and more about fixing the person. In this episode, I walk through Cosmo's fictional-but-familiar journey from diagnosis through multiple medications to a specialist referral that came with a homework assignment. When we receive forms asking us to set goals, rate our confidence, and think about what our blood sugar levels "mean to us" before we've even met a clinician, we're being set up to fail. I examine how medical professionals have shifted responsibility for treatment outcomes onto patients, turning a manageable chronic condition into a moral failure requiring correction—and why this approach drives people away from the care they desperately need. If you're dreading your next diabetic review, my online course gives you everything the diabetes clinic should have given you: understanding, empowerment, and practical tools—without the shame. Got a question for the next podcast? Let me know!Connect With MeWEEKLY NEWSLETTER: Get a free script when you sign upTHE WEIGHTING ROOM: Community with a neurodivergent flavour. **BOOK CLUB** exclusive to Weighting Room members. CONSULTATION: For the ultimate transformation in your healthcare journeyMASTERCLASS LIBRARY: Become an expert in your condition and the weight inclusive ways to manage itFREE GUIDES:Evidence-based, not diet nonsenseFind me on Instagram, YouTube, and LinkedIn.

  23. 121

    Ignoring the Harm: Why We Justify Suffering for Weight Loss

    Send us Fan Mail When doctors recommend weight loss, they describe the supposed benefits but remain silent about the harms—reduced metabolism, increased appetite, hormonal disruption, eating disorders, and profound mental health impacts. This ethical failure extends beyond outdated diet advice to newer interventions like GLP-1 medications, where we celebrate short-term metabolic improvements while ignoring gastrointestinal distress, financial burden, social isolation, and unknown long-term consequences. In this episode, Asher challenges the dangerous assumption that fat people should suffer to become thinner, exposing how this narrative serves the weight loss industry's profits while treating fat bodies as unworthy of basic ethical consideration in healthcare. Got a question for the next podcast? Let me know!Connect With MeWEEKLY NEWSLETTER: Get a free script when you sign upTHE WEIGHTING ROOM: Community with a neurodivergent flavour. **BOOK CLUB** exclusive to Weighting Room members. CONSULTATION: For the ultimate transformation in your healthcare journeyMASTERCLASS LIBRARY: Become an expert in your condition and the weight inclusive ways to manage itFREE GUIDES:Evidence-based, not diet nonsenseFind me on Instagram, YouTube, and LinkedIn.

  24. 120

    Why It's So Hard To Just BE Fat

    Send us Fan Mail We've been taught to hate and fear fat bodies in equal measure—for social reasons, moral reasons, and medicalized health reasons that justify the first two. Society tells us fat people don't belong, that we're unacceptable, abnormal, and undesirable. We're judged as lazy, undisciplined moral failures who are stealing resources from those who deserve them. And when these prejudices become too uncomfortable to defend, health concern provides the perfect cover. In this episode, I break down exactly why it's so hard to accept that it's okay to be fat, even for rational, critical-thinking people who should know better. Because when you understand why society has framed fat bodies as a problem, you can begin to resist internalizing that message. Got a question for the next podcast? Let me know!Connect With MeWEEKLY NEWSLETTER: Get a free script when you sign upTHE WEIGHTING ROOM: Community with a neurodivergent flavour. **BOOK CLUB** exclusive to Weighting Room members. CONSULTATION: For the ultimate transformation in your healthcare journeyMASTERCLASS LIBRARY: Become an expert in your condition and the weight inclusive ways to manage itFREE GUIDES:Evidence-based, not diet nonsenseFind me on Instagram, YouTube, and LinkedIn.

  25. 119

    Taylor's story: What if everyone else is right and we're wrong?

    Send us Fan MailTaylor was diagnosed with sleep apnea six months ago and told the only real solution was weight loss. Like so many fat people, they've tried every diet imaginable—keto, Weight Watchers, calorie counting—and watched their weight cycle up and down for years. When a friend introduced them to intuitive eating and the anti-diet movement, it felt revolutionary. But the what-ifs started creeping in. What if I just keep eating and never stop? What if this damages my health? What if everyone saying "just lose weight" is actually right, and I'm the one who's wrong? In this episode, I walk through Taylor's very real, very valid fears about ditching diets for good—because when you're fat, choosing to stop pursuing weight loss isn't just giving up dieting. It's accepting you may never access the privileges thin people get automatically, from medical care to airplane seats to basic dignity. I talk about why these fears are legitimate, what the evidence actually says, and why fat people need other fat people—not thin allies—to navigate this journey. Don't forget to order your copy of the Stop Dreading Doctor's Appointments toolkit here.Got a question for the next podcast? Let me know!Connect With MeWEEKLY NEWSLETTER: Get a free script when you sign upTHE WEIGHTING ROOM: Community with a neurodivergent flavour. **BOOK CLUB** exclusive to Weighting Room members. CONSULTATION: For the ultimate transformation in your healthcare journeyMASTERCLASS LIBRARY: Become an expert in your condition and the weight inclusive ways to manage itFREE GUIDES:Evidence-based, not diet nonsenseFind me on Instagram, YouTube, and LinkedIn.

  26. 118

    The Weight Loss Lie: A History of Medical Mistakes

    Send us Fan Mail We've been told our entire lives that losing weight will prevent health problems. But where did this belief come from? In this episode, I trace the shocking history of how insurance companies, pharmaceutical funding, and arbitrary statistical cut-offs created the mythical illness we now know as "ob*sity" crisis. From Quetelet's obsession with the "average man" to the International Ob*sity Task Force's pharmaceutical funding, I expose how we've been working off logical fallacies for over a century. There's no evidence that being fat causes health conditions, no evidence of a "healthy weight for height," and no evidence that weight loss improves health outcomes. It's time we stopped treating statistical artifacts as medical truth. Don't forget to order your copy of the Stop Dreading Doctor's Appointments toolkit.Got a question for the next podcast? Let me know!Connect With MeWEEKLY NEWSLETTER: Get a free script when you sign upTHE WEIGHTING ROOM: Community with a neurodivergent flavour. **BOOK CLUB** exclusive to Weighting Room members. CONSULTATION: For the ultimate transformation in your healthcare journeyMASTERCLASS LIBRARY: Become an expert in your condition and the weight inclusive ways to manage itFREE GUIDES:Evidence-based, not diet nonsenseFind me on Instagram, YouTube, and LinkedIn.

  27. 117

    You Deserve Better: The Fat Doctor's Reassurance on Your Right To Healthcare

    Send us Fan MailIn a healthcare system that routinely dismisses, blames, and denies treatment to fat patients, it's easy to doubt whether choosing to stay fat is the right decision. But here's the truth: you deserve a doctor who listens, believes, and validates you—regardless of your size. You have the absolute right to refuse to be weighed, to refuse weight loss, and to demand treatment without prerequisites. The ethics are clear, even when the reality feels impossible. This episode is your reminder that you're making the right choice, and that the fight for dignified healthcare is both justified and winnable. Make sure to get your copy of the Stop Dreading Doctor's Appointments toolkit. Got a question for the next podcast? Let me know!Connect With MeWEEKLY NEWSLETTER: Get a free script when you sign upTHE WEIGHTING ROOM: Community with a neurodivergent flavour. **BOOK CLUB** exclusive to Weighting Room members. CONSULTATION: For the ultimate transformation in your healthcare journeyMASTERCLASS LIBRARY: Become an expert in your condition and the weight inclusive ways to manage itFREE GUIDES:Evidence-based, not diet nonsenseFind me on Instagram, YouTube, and LinkedIn.

  28. 116

    Casey's story: When good intentions aren't enough

    Send us Fan Mail Casey is a passionate, well-meaning therapist who believes in weight-inclusive care but freezes when clients bring up medical concerns. They've learned about anti-diet principles through Instagram and podcasts, but lack the medical knowledge to counter doctors' weight-focused advice. When a client receives a devastating diabetes diagnosis with the usual "lose weight" lecture, Casey wants to help but secretly wonders if the doctor might be right. Add in family pressure about their own weight, hostile colleagues questioning their approach, and the constant fear of professional consequences - and you have a dedicated professional caught between their values and their limitations. In this episode, I explore why therapists like Casey deserve support, not judgment, and how we can bridge the gap between good intentions and confident, evidence-based practice in the fight for weight-inclusive healthcare. For anti-diet and healthcare professionals, it's time to stop second-guessing your weight-inclusive approach, and get the research, tools, and professional certification to confidently counter medical weight bias:✓ Complete 12-module professional certification program✓ Lifetime access to expanding evidence library✓ Professional Directory listing for client referralsGot a question for the next podcast? Let me know!Connect With MeWEEKLY NEWSLETTER: Get a free script when you sign upTHE WEIGHTING ROOM: Community with a neurodivergent flavour. **BOOK CLUB** exclusive to Weighting Room members. CONSULTATION: For the ultimate transformation in your healthcare journeyMASTERCLASS LIBRARY: Become an expert in your condition and the weight inclusive ways to manage itFREE GUIDES:Evidence-based, not diet nonsenseFind me on Instagram, YouTube, and LinkedIn.

  29. 115

    Weight Loss Doesn't Improve Your Health

    Send us Fan MailWeight loss doesn't improve your health—and I'm tired of having to prove it. While doctors continue pushing weight loss as a cure-all, the evidence tells a different story. The Look AHEAD Study followed 5,000 diabetics for 10 years and found that weight loss didn't prevent heart attacks or strokes. Similar studies show no long-term benefits for diabetes, arthritis, blood pressure, or fatty liver disease. Yet fat patients are still forced to advocate for basic medical care while being blamed for conditions that have nothing to do with their weight. It's time for healthcare professionals to stop putting the burden on patients and start practicing evidence-based, weight-inclusive care.For anti-diet and healthcare professionals, it's time to stop second-guessing your weight-inclusive approach, and get the research, tools, and professional certification to confidently counter medical weight bias:✓ Complete 12-module professional certification program✓ Lifetime access to expanding evidence library✓ Professional Directory listing for client referralsGot a question for the next podcast? Let me know!Connect With MeWEEKLY NEWSLETTER: Get a free script when you sign upTHE WEIGHTING ROOM: Community with a neurodivergent flavour. **BOOK CLUB** exclusive to Weighting Room members. CONSULTATION: For the ultimate transformation in your healthcare journeyMASTERCLASS LIBRARY: Become an expert in your condition and the weight inclusive ways to manage itFREE GUIDES:Evidence-based, not diet nonsenseFind me on Instagram, YouTube, and LinkedIn.

  30. 114

    When 'nice' isn't enough: The search for truly safe care

    Send us Fan MailSome healthcare professionals are nice. Some would go so far as to call themselves “body positive" or “HAES aligned”. But being pleasant doesn't make you safe for fat patients. There's a crucial difference between practitioners who are steadfastly kind while perpetuating harm, and those who actively work to counter medical weight bias. In this episode, I expose why often times anti-diet isn't enough, how well-meaning professionals can cause more damage than obvious bigots, and why fat people are trapped in an endless cycle of seeking help, getting weight loss advice, and avoiding care until they're desperate. I challenge anti-diet practitioners to move beyond good intentions and actually do the work to become weight-inclusive. Plus, I debunk the dangerous myths about anaesthesia safety that are used to deny fat people surgery.  Want to learn more about anaesthesia? Then check out my masterclass today!Got a question for the next podcast? Let me know!Connect With MeWEEKLY NEWSLETTER: Get a free script when you sign upTHE WEIGHTING ROOM: Community with a neurodivergent flavour. **BOOK CLUB** exclusive to Weighting Room members. CONSULTATION: For the ultimate transformation in your healthcare journeyMASTERCLASS LIBRARY: Become an expert in your condition and the weight inclusive ways to manage itFREE GUIDES:Evidence-based, not diet nonsenseFind me on Instagram, YouTube, and LinkedIn.

  31. 113

    Jordan's Story: When Endometriosis Gets Blamed on Being Fat

    Send us Fan MailJordan's seven GP visits for debilitating period pain, fatigue, and pelvic symptoms should have led to an endometriosis diagnosis within the first appointment. Instead, every symptom was blamed on weight, leaving them dismissed, traumatized, and untreated. In this episode, I expose how medical fatphobia intersects with misogyny to deny fat people proper gynecological care, and why being fat makes you fundamentally unsafe with most doctors. Through Jordan's story, I reveal the devastating reality that fat patients face when seeking help for legitimate medical conditions. Like the sound of the Consulting Room? DOORS OPEN TODAY AND CLOSE ON THE 29th AUGUST.   Find out more here. Got a question for the next podcast? Let me know!Connect With MeWEEKLY NEWSLETTER: Get a free script when you sign upTHE WEIGHTING ROOM: Community with a neurodivergent flavour. **BOOK CLUB** exclusive to Weighting Room members. CONSULTATION: For the ultimate transformation in your healthcare journeyMASTERCLASS LIBRARY: Become an expert in your condition and the weight inclusive ways to manage itFREE GUIDES:Evidence-based, not diet nonsenseFind me on Instagram, YouTube, and LinkedIn.

  32. 112

    My Weight Says Nothing About Who I Am

    Send us Fan MailSociety has conditioned us to believe that our weight reveals everything about our character, intelligence, willpower, and worth as human beings. From childhood, we're taught that fat bodies represent moral failure, laziness, and unworthiness of love or respect.In this raw and powerful episode, I dismantle the extensive list of harmful stereotypes we've internalized about ourselves and call out healthcare professionals who perpetuate discrimination. I explore how these beliefs shape our relationships, our sense of self-worth, and our right to exist fully in the world—and why it's time to reject these lies completely.Find out more about the weighting room and become part of a one-of-a-kind communityGot a question for the next podcast? Let me know!Connect With MeWEEKLY NEWSLETTER: Get a free script when you sign upTHE WEIGHTING ROOM: Community with a neurodivergent flavour. **BOOK CLUB** exclusive to Weighting Room members. CONSULTATION: For the ultimate transformation in your healthcare journeyMASTERCLASS LIBRARY: Become an expert in your condition and the weight inclusive ways to manage itFREE GUIDES:Evidence-based, not diet nonsenseFind me on Instagram, YouTube, and LinkedIn.

  33. 111

    Fat People Are Not Entitled to Autonomy

    Send us Fan MailMedical autonomy is supposedly a fundamental pillar of healthcare - the right to make informed decisions about your own body without coercion. But as I discovered in a conversation with my husband Junior, a fat dentist, this principle simply doesn't apply when you're fat. In this episode, I expose how the medical profession systematically denies autonomy to fat patients, exploring the difference between theoretical rights and practical agency, and why doctors can get away with withholding treatment until you lose weight. I also introduce The Weigh Forward - my new service to help fat patients fight back against medical discrimination through formal complaints and advocacy. Got a question for the next podcast? Let me know!Connect With MeWEEKLY NEWSLETTER: Get a free script when you sign upTHE WEIGHTING ROOM: Community with a neurodivergent flavour. **BOOK CLUB** exclusive to Weighting Room members. CONSULTATION: For the ultimate transformation in your healthcare journeyMASTERCLASS LIBRARY: Become an expert in your condition and the weight inclusive ways to manage itFREE GUIDES:Evidence-based, not diet nonsenseFind me on Instagram, YouTube, and LinkedIn.

  34. 110

    Riley's Story: The Bariatric Surgery Risks Nobody Talks About

    Send us Fan MailRiley's doctor recommended bariatric surgery as the solution to their health concerns, but when Riley came to me for advice, I realized they hadn't been told about the real risks. From anastomosis leaks with 15% mortality rates to spontaneous bowel perforations years later, the complications of weight loss surgery extend far beyond what most patients are counseled about. In this episode, I walk through the evidence-based risks that every patient deserves to know before making this life-altering decision, because informed consent requires the whole truth. If you or someone you know is considering weight loss surgery, then be sure to send them a link to this episode!References:Lim, Robert et al. “Early and late complications of bariatric operation.” Trauma surgery & acute care open vol. 3,1 e000219. 9 Oct. 2018Silva, Ana Flávia da et al. “Risk factors for the development of surgical site infection in bariatric surgery: an integrative review of literature.” Revista latino-americana de enfermagem vol. 31 (2023)Complications of bariatric surgery: presentation and emergency management--a review.” Annals of the Royal College of Surgeons of England vol. 91,4 (2009): 280-6.Benotti, Peter et al. “Risk factors associated with mortality after Roux-en-Y gastric bypass surgery.” Annals of surgery vol. 259,1 (2014): 123-30. Coupaye, Muriel et al. “Evaluation of incidence of cholelithiasis after bariatric surgery in subjects treated or not treated with ursodeoxycholic acid.” Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery vol. 13,4 (2017): 681-685 Husain, Syed et al. “Small-bowel obstruction after laparoscopic Roux-en-Y gastric bypass: etiology, diagnosis, and management.” Archives of surgery (Chicago, Ill. : 1960) vol. 142,10 (2007): 988-93 Seeras K, Acho RJ, Lopez PP. Roux-en-Y Gastric Bypass Chronic Complications. [Updated 2023 Jun 5]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK519489/Got a question for the next podcast? Let me know!Connect With MeWEEKLY NEWSLETTER: Get a free script when you sign upTHE WEIGHTING ROOM: Community with a neurodivergent flavour. **BOOK CLUB** exclusive to Weighting Room members. CONSULTATION: For the ultimate transformation in your healthcare journeyMASTERCLASS LIBRARY: Become an expert in your condition and the weight inclusive ways to manage itFREE GUIDES:Evidence-based, not diet nonsenseFind me on Instagram, YouTube, and LinkedIn.

  35. 109

    Your Health Is Not Determined by Your Size

    Send us Fan Mail Health and weight are two completely separate things that we've been taught to view as synonymous. While society insists that being fat is inherently unhealthy, the evidence tells a different story. In this episode, I break down why genetics, not lifestyle choices, primarily determine our weight, how weight stigma actually causes poor health outcomes, and why fat people often have better medical outcomes than thin people. I challenge the fundamental assumption that body size equals health status and explain why perpetuating this myth isn't just wrong—it's literally killing people. Got a question for the next podcast? Let me know!Connect With MeWEEKLY NEWSLETTER: Get a free script when you sign upTHE WEIGHTING ROOM: Community with a neurodivergent flavour. **BOOK CLUB** exclusive to Weighting Room members. CONSULTATION: For the ultimate transformation in your healthcare journeyMASTERCLASS LIBRARY: Become an expert in your condition and the weight inclusive ways to manage itFREE GUIDES:Evidence-based, not diet nonsenseFind me on Instagram, YouTube, and LinkedIn.

  36. 108

    Why I Can't Move On: Staying Put When I Want to Run Away

    Send us Fan MailDuring my supposed break, I wrote a 45-page booklet called "Jenny Needs a New Knee, But She's Too Fat to Get One"—complete with 29 clinical references proving that denying joint replacements based on weight is medically unjustified and harmful. Coz that's what people do during their time off, right?Instead of moving on to the next project like I always do, I'm trying something different and terrifying: staying put. In this vulnerable episode, I explore my lifelong pattern of pivoting when things get uncomfortable, the childhood trauma that drives my need to run, and why I'm fighting every instinct to abandon this work when fat patients desperately need advocates willing to stick around for the long haul. Check out the eBook Jenny Needs a New Knee, But She's Too Fat to Get OneGot a question for the next podcast? Let me know!Connect With MeWEEKLY NEWSLETTER: Get a free script when you sign upTHE WEIGHTING ROOM: Community with a neurodivergent flavour. **BOOK CLUB** exclusive to Weighting Room members. CONSULTATION: For the ultimate transformation in your healthcare journeyMASTERCLASS LIBRARY: Become an expert in your condition and the weight inclusive ways to manage itFREE GUIDES:Evidence-based, not diet nonsenseFind me on Instagram, YouTube, and LinkedIn.

  37. 107

    Fat People Are Being Denied Surgery for Money (Say It Isn't So!)

    Send us Fan Mail A third of NHS areas are denying hip and knee replacements based on BMI alone—not for medical reasons, but purely to save money. In this episode, I expose how the medical establishment openly admits these discriminatory policies lack evidence while pushing profitable weight loss interventions instead. Meanwhile, actual surgeons and researchers confirm what we've known all along: this is financial discrimination masquerading as healthcare. Have you been denied a knee replacement because of your BMI? Get your free, customizable template here. The Newspaper article by Rebecca Thomas is "Obese patients denied knee and hip replacements to slash NHS costs"The Journal Article is: Pavlovic, Natalie et al. “The effect of body mass index and preoperative weight loss in people with obesity on postoperative outcomes to 6 months following total hip or knee arthroplasty: a retrospective study.” Arthroplasty (London, England) vol. 5,1 48. 1 Oct. 2023 Got a question for the next podcast? Let me know!Connect With MeWEEKLY NEWSLETTER: Get a free script when you sign upTHE WEIGHTING ROOM: Community with a neurodivergent flavour. **BOOK CLUB** exclusive to Weighting Room members. CONSULTATION: For the ultimate transformation in your healthcare journeyMASTERCLASS LIBRARY: Become an expert in your condition and the weight inclusive ways to manage itFREE GUIDES:Evidence-based, not diet nonsenseFind me on Instagram, YouTube, and LinkedIn.

  38. 106

    Coming Out As Fat with Ross Anderson-Doherty

    Send us Fan MailComing out as fat is harder than coming out as transgender, at least in our experience. When performer and cabaret artist Ross Anderson-Doherty refused to pursue weight loss as medical treatment, their healthcare became a weapon of punishment rather than care. In this raw conversation, we explore how medical fatphobia intersects with transphobia, classism, and ableism to create devastating trauma that nearly destroyed one person's will to live. Ross's journey from medical neglect to triumphant revenge reveals the urgent need to recognize healthcare discrimination as the trauma it truly is.  You can catch Ross performing at the Cabaret Supper Club in Belfast. Be sure to follow them on Tik Tok and Instagram - you’d be a fool not to! Got a question for the next podcast? Let me know!Connect With MeWEEKLY NEWSLETTER: Get a free script when you sign upTHE WEIGHTING ROOM: Community with a neurodivergent flavour. **BOOK CLUB** exclusive to Weighting Room members. CONSULTATION: For the ultimate transformation in your healthcare journeyMASTERCLASS LIBRARY: Become an expert in your condition and the weight inclusive ways to manage itFREE GUIDES:Evidence-based, not diet nonsenseFind me on Instagram, YouTube, and LinkedIn.

  39. 105

    Cameron's Story

    Send us Fan MailMedical weight stigma creates dangerous catch-22 situations for patients seeking care. In this episode, I share Cameron's story of developing gallstones after weight loss surgery, only to be denied treatment because their BMI was "still too high." In this episode, I expose how rapid weight loss can trigger gallstone formation and how medical professionals often ignore evidence-based care when treating higher weight patients. I challenge the "lose weight to get treatment" narrative while offering practical advocacy strategies for navigating a biased healthcare system. Today’s journal article was Gregori, Matteo et al. “Day case laparoscopic cholecystectomy: Safety and feasibility in obese patients.” International journal of surgery (London, England) vol. 49 (2018)For free resources on the management of galbladder disease head to noweigh.org And don't forget to check out my masterclass on gallstones Got a question for the next podcast? Let me know!Connect With MeWEEKLY NEWSLETTER: Get a free script when you sign upTHE WEIGHTING ROOM: Community with a neurodivergent flavour. **BOOK CLUB** exclusive to Weighting Room members. CONSULTATION: For the ultimate transformation in your healthcare journeyMASTERCLASS LIBRARY: Become an expert in your condition and the weight inclusive ways to manage itFREE GUIDES:Evidence-based, not diet nonsenseFind me on Instagram, YouTube, and LinkedIn.

  40. 104

    Challenging the Economics of Fat Bodies

    Send us Fan MailThe obsession with calculating the "cost of ob*sity" to society reflects our troubling tendency to commodify human life and health. In this rather ragey and explosive episode, I expose how a widely-cited figure of £98 billion was manufactured by pharmaceutical interests to sell weight loss drugs. I challenge the notion that we "owe" society a debt of health and explore how weight stigma, not weight itself, drives depression and poor health outcomes. Through a rather provocative thought experiment, I reveal the absurdity of reducing human experience to economic calculations and argue that tackling stigma, not eradicating fatness, is the real path forward. Today's journal article was:  Stevens, Serena D et al. “Adult and childhood weight influence body image and depression through weight stigmatization.” Journal of health psychology vol. 22,8 (2017): 1084-1093. doi:10.1177/1359105315624749 Got a question for the next podcast? Let me know!Connect With MeWEEKLY NEWSLETTER: Get a free script when you sign upTHE WEIGHTING ROOM: Community with a neurodivergent flavour. **BOOK CLUB** exclusive to Weighting Room members. CONSULTATION: For the ultimate transformation in your healthcare journeyMASTERCLASS LIBRARY: Become an expert in your condition and the weight inclusive ways to manage itFREE GUIDES:Evidence-based, not diet nonsenseFind me on Instagram, YouTube, and LinkedIn.

  41. 103

    How a Positive Consultation Changed Everything For Me

    Send us Fan Mail Medical trauma is more than an abstract concept—it's a physical reality that impacts millions of people daily. In this episode, I share my transformative experience at a gender identity clinic, contrasting it with previous healthcare encounters that left me hypervigilant, tense, and bracing for judgment. I explore how our bodies physically store medical trauma—in our gut, our muscles, our posture, and even our skin—creating patterns that repeat with each new medical encounter. For fat people and those with other marginalized identities, this trauma compounds exponentially. This episode invites listeners to recognize medical trauma's physical manifestations while questioning a healthcare system that continues to perpetuate harm despite decades of evidence. Got a question for the next podcast? Let me know!Connect With MeWEEKLY NEWSLETTER: Get a free script when you sign upTHE WEIGHTING ROOM: Community with a neurodivergent flavour. **BOOK CLUB** exclusive to Weighting Room members. CONSULTATION: For the ultimate transformation in your healthcare journeyMASTERCLASS LIBRARY: Become an expert in your condition and the weight inclusive ways to manage itFREE GUIDES:Evidence-based, not diet nonsenseFind me on Instagram, YouTube, and LinkedIn.

  42. 102

    Healing Trauma with Elle Bower Johnston, Body Witch

    Send us Fan MailIn this episode of The Fat Doctor Podcast, I'm joined by Elle Bower Johnston, a  breathworker, rest teacher, and somatic trauma resolution practitioner who describes herself as a "body witch." Our conversation explores the intersection of trauma, embodiment, and healing beyond traditional therapy.Elle explains trauma as "when our body-mind experiences something that it can't digest in the moment - either too much too fast, or not enough over too long." While our protective mechanisms (fight, flight, freeze, and fawn) are natural responses to threats, trauma occurs when these responses get stuck and can't complete.We discuss how systems of oppression create ongoing trauma, particularly for marginalized bodies accessing healthcare. Elle shares how our bodies develop protective mechanisms that may have been necessary for survival, but can become limiting patterns later in life.The conversation moves beyond cognitive understanding to explore embodied healing. As Elle notes, "You can't think your way through" trauma - we need approaches that engage the multifaceted aspects of our bodies: physical, emotional, energetic, and relational.In a world disconnected through capitalism and colonialism, Elle suggests that rest isn't just about lying down or taking a bath - it's about reconnecting with something larger than ourselves. This might be as simple as noticing the seasons changing or feeling gravity's pull on your body. These small moments of connection become pathways to true rest and healing.This episode invites listeners to honor the wisdom in their protective responses while exploring gentle ways to expand beyond them, finding rest and embodiment in a world that often disconnects us from our bodies and each other.You can learn more about Elle through her website. Got a question for the next podcast? Let me know!Connect With MeWEEKLY NEWSLETTER: Get a free script when you sign upTHE WEIGHTING ROOM: Community with a neurodivergent flavour. **BOOK CLUB** exclusive to Weighting Room members. CONSULTATION: For the ultimate transformation in your healthcare journeyMASTERCLASS LIBRARY: Become an expert in your condition and the weight inclusive ways to manage itFREE GUIDES:Evidence-based, not diet nonsenseFind me on Instagram, YouTube, and LinkedIn.

  43. 101

    Robin's Story

    Send us Fan MailIn this episode, I explore the journey of Robin, a 45-year-old art teacher navigating a high cholesterol diagnosis and the frustrating world of weight-centric healthcare. Through their story, I break down the actual science of heart disease risk factors (spoiler: weight is the least of your concerns), explain the difference between primary and secondary prevention, and reveal how the medical establishment's obsession with numbers obscures more important social determinants of health. I also dissect the evidence (or lack thereof) for dietary and lifestyle interventions, highlighting how medication decisions should be based on informed consent, not fear.This episode asks: What if doctors treated us as whole people instead of just collections of numbers?This week's journal article is:  Ras, Rouyanne T et al. “LDL-cholesterol-lowering effect of plant sterols and stanols across different dose ranges: a meta-analysis of randomised controlled studies.” The British journal of nutrition vol. 112,2 (2014): 214-9. doi:10.1017/S0007114514000750 Got a question for the next podcast? Let me know!Connect With MeWEEKLY NEWSLETTER: Get a free script when you sign upTHE WEIGHTING ROOM: Community with a neurodivergent flavour. **BOOK CLUB** exclusive to Weighting Room members. CONSULTATION: For the ultimate transformation in your healthcare journeyMASTERCLASS LIBRARY: Become an expert in your condition and the weight inclusive ways to manage itFREE GUIDES:Evidence-based, not diet nonsenseFind me on Instagram, YouTube, and LinkedIn.

  44. 100

    My Health Does Not Define My Worth

    Send us Fan MailOur worth as human beings is not determined by our health status. In this powerful episode, I challenge the pervasive narrative that ties personal value to health metrics and physical ability. I explore how healthism is deeply rooted in capitalism, racism, ableism, and colonialism, creating harmful hierarchies even within marginalized communities.Drawing from my own personal experience with chronic illness and analyzing problematic media representations of 'fat but fit' bodies, I make the case that every person is equally valuable, regardless of their health or ability to contribute through productivity.This episode asks: What if we collectively rejected the notion that health determines our worth?The Guardian Article is “‘Plot twist - I’m still a fat person!’: meet the people proving you can be fit at any size” by Sarah Phillips, Sun 29th March https://www.theguardian.com/lifeandstyle/2025/mar/29/im-still-a-fat-person-meet-the-people-proving-you-can-be-fit-at-any-sizeThe journal article is: Metabolically Healthy Obese and Incident Cardiovascular Disease Events Among 3.5 Million Men and WomenGot a question for the next podcast? Let me know!Connect With MeWEEKLY NEWSLETTER: Get a free script when you sign upTHE WEIGHTING ROOM: Community with a neurodivergent flavour. **BOOK CLUB** exclusive to Weighting Room members. CONSULTATION: For the ultimate transformation in your healthcare journeyMASTERCLASS LIBRARY: Become an expert in your condition and the weight inclusive ways to manage itFREE GUIDES:Evidence-based, not diet nonsenseFind me on Instagram, YouTube, and LinkedIn.

  45. 99

    The Lose Weight or Die Narrative

    Send us Fan Mail Medical moralism has transformed heart health from a medical issue into a moral judgment. When we label cholesterol as "good" or "bad" and patients as "compliant" or "non-compliant," we're not practicing medicine - we're passing judgment. In this episode, I expose how the "lose weight or die" narrative serves financial interests while ignoring the real social determinants of health. I ask whether our obsession with metabolic markers has become a moral measuring stick rather than genuine care, and challenge listeners to question whether health status should ever define human worth. This episode's journal article is  "Evidence for the Association Between Adverse Childhood Family Environment, Child Abuse, and Caregiver Warmth and Cardiovascular Health Across the Lifespan: The Coronary Artery Risk Development in Young Adults (CARDIA) Study.” Got a question for the next podcast? Let me know!Connect With MeWEEKLY NEWSLETTER: Get a free script when you sign upTHE WEIGHTING ROOM: Community with a neurodivergent flavour. **BOOK CLUB** exclusive to Weighting Room members. CONSULTATION: For the ultimate transformation in your healthcare journeyMASTERCLASS LIBRARY: Become an expert in your condition and the weight inclusive ways to manage itFREE GUIDES:Evidence-based, not diet nonsenseFind me on Instagram, YouTube, and LinkedIn.

  46. 98

    Unmasking My Autistic Self

    Send us Fan Mail We’re doing things slightly different this week (it is episode 13, after all). As a 44-year-old doctor who recently discovered I'm autistic, I'm sharing my personal journey of self-discovery for Autism Awareness Day. In yet another deeply personal episode, I walk through the signs I missed in myself while recognizing them in my kids, how I've been masking my whole life, and why I'm now embracing a more authentic way of living and working. I also explain why I'm done trying to build a business the neurotypical way and how I'm restructuring my work to avoid burnout while still continuing to create content I love. If you've ever wondered about late-diagnosed autism or are feeling burnt out trying to follow other people's rules, this one's for you! Got a question for the next podcast? Let me know!Connect With MeWEEKLY NEWSLETTER: Get a free script when you sign upTHE WEIGHTING ROOM: Community with a neurodivergent flavour. **BOOK CLUB** exclusive to Weighting Room members. CONSULTATION: For the ultimate transformation in your healthcare journeyMASTERCLASS LIBRARY: Become an expert in your condition and the weight inclusive ways to manage itFREE GUIDES:Evidence-based, not diet nonsenseFind me on Instagram, YouTube, and LinkedIn.

  47. 97

    More Than Just Carrots with Dr Molly Moffat

    Send us Fan Mail In this episode, Dr. Asher Larmie speaks with fellow weight inclusive GP Dr. Molly Moffat about creating safe feeding environments for neurodivergent children that goes beyond conventional nutrition rules. They explore how diet culture and neurotypical expectations harm autistic individuals, while sharing personal stories of parenting neurodivergent children and navigating healthcare as autistic doctors themselves. Dr. Moffat offers transformative insights on helping children develop healthy relationships with food by prioritizing emotional safety over nutritional perfectionism. Molly works as an NHS GP and Doctor in Community Paediatrics, as well as a workshop facilitator for the social enterprise Body Happy Org.  She is both neurodivergent herself and a parent to neurodivergent children. Molly offers support to families whose children experience feeding differences, and to adults who want to improve their relationship with food. She practices through a neurodiversity-affirming, weight inclusive lens celebrating both diversity of bodies and diversity of minds. Got a question for the next podcast? Let me know!Connect With MeWEEKLY NEWSLETTER: Get a free script when you sign upTHE WEIGHTING ROOM: Community with a neurodivergent flavour. **BOOK CLUB** exclusive to Weighting Room members. CONSULTATION: For the ultimate transformation in your healthcare journeyMASTERCLASS LIBRARY: Become an expert in your condition and the weight inclusive ways to manage itFREE GUIDES:Evidence-based, not diet nonsenseFind me on Instagram, YouTube, and LinkedIn.

  48. 96

    Charlie's Story

    Send us Fan Mail In this episode, I dive into Charlie's story, who develops Idiopathic Intracranial Hypertension (IIH) in their early thrities. Charlie's journey reveals the terrible reality of weight stigma in healthcare - from delayed diagnosis to being blamed for their condition, and ultimately being prescribed weight loss instead of effective treatment. I also get pretty fired up discussing how the medical establishment continues to prescribe weight loss for IIH based on a single terrible study with just 25 participants who were essentially starved on 425 calories a day!  If you'd like to learn more about IIH and weight-inclusive approaches to healthcare, head to noweigh.org for my free resources. My IIH Masterclass which is available now to all Masterclass members (£40/month). I also referenced my upcoming book and No Weigh program where I cover the evidence that everything you've been told about weight loss is a lie. And don't forget to grab a free ticket to my Fat Joy Celebration happening on Friday, March 21st at 5pm UK time (1pm Eastern, 10am Pacific) - we'll have a virtual potluck, dancing, and celebration of fat community! Got a question for the next podcast? Let me know!Connect With MeWEEKLY NEWSLETTER: Get a free script when you sign upTHE WEIGHTING ROOM: Community with a neurodivergent flavour. **BOOK CLUB** exclusive to Weighting Room members. CONSULTATION: For the ultimate transformation in your healthcare journeyMASTERCLASS LIBRARY: Become an expert in your condition and the weight inclusive ways to manage itFREE GUIDES:Evidence-based, not diet nonsenseFind me on Instagram, YouTube, and LinkedIn.

  49. 95

    Stop Blaming the Patient! (Why Healthcare Needs More Compassion And Less Judgment)

    Send us Fan Mail In this episode, I tackle the simple but revolutionary idea that if we can't control our health (and we can't), then we shouldn't be blamed for it! When healthcare professionals blame patients, patients stop trusting us and start avoiding care. That's dangerous! This week I offer some straight-talking advice for both doctors (ask better questions!) and patients (call out the blame when you feel it!). Let's take the shame out of healthcare and remember that illness isn't a personal failure and when all else fails, chose compassion over judgment, folks. Every time.  RESOURCES MENTIONED: 👉 Unshrinkable Course (£25): Learn the science behind why weight loss is unsustainable 👉 Masterclass Membership: Evidence-based health education without weight stigma 👉 No Weigh Membership: Monthly chapters challenging weight-centric healthcare 👉 Weight Inclusive Wednesdays: Join our confidential Zoom sessions (2nd Wednesday monthly, 5pm UK) 👉 Free Healthcare Script: Download my guide for navigating difficult conversations with doctors 👉 No Weigh Newsletter: Get weekly evidence-based content delivered to your inbox The aritcle quotes in this episode is " Veenendaal, M V E et al. “Transgenerational effects of prenatal exposure to the 1944-45 Dutch famine.” BJOG : an international journal of obstetrics and gynaecology vol. 120,5 (2013): 548-53."Got a question for the next podcast? Let me know!Connect With MeWEEKLY NEWSLETTER: Get a free script when you sign upTHE WEIGHTING ROOM: Community with a neurodivergent flavour. **BOOK CLUB** exclusive to Weighting Room members. CONSULTATION: For the ultimate transformation in your healthcare journeyMASTERCLASS LIBRARY: Become an expert in your condition and the weight inclusive ways to manage itFREE GUIDES:Evidence-based, not diet nonsenseFind me on Instagram, YouTube, and LinkedIn.

  50. 94

    World Ob*sity Day: Selling Solutions to Problems We Invented

    Send us Fan MailCW for the o-word In this rather passionate episode of The Fat Doctor Podcast, I take on World Obsity Day and use this farce to challenge the very foundation of weight-centric healthcare. We take a look at how organizations like the World Obsity Federation medicalize and pathologize fatness while claiming to fight weight stigma, exposing the contradictions and financial interests behind these narratives. Key moments:Why ob*sity is not a disease but a descriptor (fat) that has been unnecessarily and intentionally medicalizedHow weight stigma and weight cycling, as opposed to fatness itself, contributes to negative health outcomesA critical analysis of the UK medical guidelines for fatty liver disease that recommend weight loss despite zero supporting evidenceResearch showing that preoperative weight loss before joint replacement surgery provides no benefits, yet is still routinely requiredMy revolutionary approach to medicine: simply not mentioning patients' weight and instead focusing on providing evidence-based care. Find out more at noweigh.org. Want to learn more about Fatty Liver Disease or Osteoarthritis, then check out my free resources. For a deep dive, you’ll find both masterclasses in the masterclass membership. Make sure you’re subscribed to my mailing list for daily moments of awesomeness delivered straight to your innbox. The journal article I referenced is: Laperche, Jacob et al. “Obesity and total joint arthroplasty: Does weight loss in the preoperative period improve perioperative outcomes?.” Arthroplasty (London, England) vol. 4,1 47. 4 Nov. 2022 Got a question for the next podcast? Let me know!Connect With MeWEEKLY NEWSLETTER: Get a free script when you sign upTHE WEIGHTING ROOM: Community with a neurodivergent flavour. **BOOK CLUB** exclusive to Weighting Room members. CONSULTATION: For the ultimate transformation in your healthcare journeyMASTERCLASS LIBRARY: Become an expert in your condition and the weight inclusive ways to manage itFREE GUIDES:Evidence-based, not diet nonsenseFind me on Instagram, YouTube, and LinkedIn.

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ABOUT THIS SHOW

How would you react if someone told you that most of what we are taught to believe about healthy bodies is a lie? How would you feel if that person was a medical doctor with over 20 years experience treating patients and seeing the harm caused by all this misinformation?In their podcast, Dr Asher Larmie, an experienced General Practitioner and self-styled Fat Doctor, examines and challenges 'health' as we know it through passionate, unfiltered conversations with guest experts, colleagues and friends.They tackle the various ways in which weight stigma and anti-fat bias impact both individuals and society as a whole. From the classroom to the boardroom, the doctors office to the local pub, weight-based discrimination is everywhere. Is it any wonder that it has such an impact on our health? Whether you're a person affected by weight stigma, a healthcare professional, a concerned parent or an ally who shares our view that people in larger bodies deserve better, Asher and the team at 'Th

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Dr Asher Larmie

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