Podcast appearances and mentions of asher larmie

Dr. Asher Larmie joins us to unpack the real consequences of a weight-obsessed healthcare system. From the dangers of weight cycling and the misuse of weight loss drugs to the harmful stigma many patients face—this conversation dives deep into how weight-inclusive care can truly transform health outcomes.Dr. Larmie challenges conventional medical practices that prioritize weight over well-being, and advocates for a more compassionate, evidence-based approach. Together, we explore why trusting your body, questioning biased research, and focusing on whole-person care is essential—especially for those in larger bodies.We also touch on the role social media plays in shaping public perception, the profit-driven nature of the pharmaceutical industry, and the importance of body autonomy in modern health conversations.This is more than a discussion—it's a call to reshape the way we think about health.

 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 Me FREE GUIDES: evidence-based, not diet nonsense NEWSLETTER: Life-changing insights straight to your inbox UNSHRINKABLE: Find out why your body is not designed to shrink MASTERCLASSES: All the evidence doctors should give you NO WEIGH PROGRAM: Join the revolution against weight-loss lies THE WEIGHTING ROOM: A community where authenticity thrives and every voice matters CONSULTATION: For the ultimate transformation in your healthcare journe Find me on Instagram, YouTube, and LinkedIn.

Doctors are supposed to help—but what happens when medical professionals do harm instead? In this episode, I sit down with Dr. Asher Larmie @thefatdoctor. Asher is a fat activist, GP, and outspoken advocate against medical weight stigma. We discuss how weight bias in healthcare fuels eating disorders, the harm caused by weight-centric medicine, and what needs to change. Asher shares his perspective on pushing back against anti-fat bias in medical spaces and what true patient-centered care should look like. This episode is a must-listen for anyone navigating healthcare as a fat person or supporting clients through weight stigma in medical, nutritional, and mental health care settings. ABOUT DR. ASHER LARMIE, MD Dr Asher Larmie (he/they) is a Transmasculine weight-inclusive general practitioner in the UK, and leading expert in weight stigma. He is a fat activist and the founder of the #NOWeigh campaign. With over two decades of medical experience in primary care and a lifelong journey as a Fat person, Asher is combatting weight stigma and promoting weight-inclusive care as the self-styled Fat Doctor.   CONTACT ASHER www.fatdoctor.co.uk www.learn.fatdoctor.co.uk @thefatdoctor on Instagram   LISTEN TO OTHER EPISODES ON WEIGHT STIGMA, ANTI-FAT BIAS, & THE LIVED EXPERIENCE OF FAT HUMANS > Fat Vulnerability & Our Eating Disorder Recovery Stories With Bri Campos @bodyimagewithbri on Apple & Spotify. > Challenges of Weight-Lot Surgery & Medical Anti-Fat Bias With Alicia Gilby @curvy_chronicles on Apple & Spotify. > Body Grief & Body Peace With Leslie Jordan-Garcia @liberatiwellness on Apple & Spotify. > Size Inclusivity & Ableism on Apple & Spotify.   INTERESTED IN HANGING OUT MORE IN DR. MARIANNE-LAND? Follow me on Instagram @drmariannemiller Check out my virtual, self-paced ARFID and Selective Eating course In the US, UK, Canada, or Australia? Chat with me about my online binge eating program that provides 1:1 virtual coaching support and online curriculum. It is called the Elite Binge Eating Recovery Method. Need a place to start? Check out my self-paced, virtual, anti-diet, subscription-based curriculum. It is called Dr. Marianne-Land's Binge Eating Recovery Membership. Live in California, Texas, or Washington D.C. and interested in eating disorder therapy with me? Sign up for a free, 15-minute phone consultation HERE or via my website, and I'll get you to where you need to be! Check out my blog. Want more information? Email me at hello@mariannemiller.com

In 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. Visit Asher's website and check out all his FREE RESOURCES. You can also book a consultation, join a course, find out about upcoming events, or join their exclusive online community The Weighting Room. If you enjoy this podcast and would like to support Asher so that he can continue making them, you can become a Patron. You'll find Asher on all the usual social media channels including Instagram, YouTube and Tik Tok.

In this episode, Nicola and Florence talk to Dr Asher Larmie (he/they), Transmasculine weight-inclusive GP and leading expert in weight stigma. Dr Larmie is a fat activist and the founder of the #NOWeigh campaign. With over two decades of medical experience and a lifelong journey as a Fat person, Asher is combatting weight stigma and promoting weight-inclusive care as the self-styled Fat Doctor. Links mentioned in this episode:Tracy Mann et al, Medicare's search for effective obesity treatments: diets are not the answer, 2007Sean Phelan et al, Impact of weight bias and stigma on quality of care and outcomes for patients with obesity, 2015HAES Health Sheetswww.fatdoctor.co.ukNo Weigh campaignTo find support in your HA recovery:Get the "No Period. Now What?" book at noperiod.info/book.Get the French version "Je n'ai plus mes regles" book at noperiod.info/livre.Get the German version "Keine periode - was jetzt?" at noperiod.info/buch.To join our support groups, please visit noperiod.info/supportfor English, noperiod.info/communaute for French, and noperiod.info/community for German.To make an appointment with Dr Sykes and get individual support to get your period back or improve your fertility, please go to noperiod.info/appointmentsTo make an appointment with Florence Gillet and get help with the body and mind changes happening in recovery please visit www.beyondbodyimage.comYou can find us on social media:Instagram:@noperiodnowwhat in English@jenaiplusmesregles_livre in French@keineperiodewasjetzt in German ...

Get ready, cause this one's a deep dive! Doctor Asher Larmie joins me in this episode of Real You Real Money to talk through the intricacies of gender identity, gender conditioning, and what it all means not only when you're navigating your business, but the world.   Asher is a transmasculine doctor now working independently with clients to combat weight stigma and promote weight-inclusive care. Together, we dive into the complicated nuances between the very personal side of gender identity, and how it relates to the larger social conditioning and often arbitrary expectations we place on people based on the gender they're born into. Bringing both of our experiences to the table, this conversation is mainly about what it means to be socially conditioned as female.   You can find out more about Asher at https://www.fatdoctor.co.uk/

My guest today is Clinical Counsellor, relationship therapist, and fat activist, Dawn Serra. Dawn offers trauma-informed, weight-neutral, radical mental health care, particularly for those in larger and marginalized bodies. I super enjoyed this conversation about fatphobia, anti-Blackness, ableism, disability, perimenopause, Ozempic and cultivating a kinder relationship with our ever-changing bodies.   Connect with Dawn at tendandcultivate.com   Follow her on Facebook and Instagram     Referenced in this episode   Mia Mingus, disability rights activist and contributor to Octavia's Brood with her story, Hollow   Gloria Lucas of Nalgona Positivity Pride    Sabrina Strings and her book, Fearing the Black Body    Da'Shaun Harrison, Belly of the Beast    Sonalee Rashatwar @thefatsextherapist   Tressie McMillan Cottom, THICK and Other Essays   Culture Work on TikTok and Substack   Betty Martin   Dr. Asher Larmie, The Fat Doctor   (their Ozempic masterclass is listed here)   Zena Sharman, The Care We Dream of: Liberatory and Transformative Approaches to LGBTQ+ Health   Ep229: What it Feels Like For A Girl with Emelia Symington Fedy on sex and pressure   Ash of The Fat Lip - A Fat Liberation Podcast came up with the infinifat classification - details about the history are here: --- https://fluffykittenparty.com/2021/06/01/fategories-understanding-smallfat-fragility-the-fat-spectrum/ --- https://cherrymax.medium.com/community-origins-of-the-term-superfat-9e98e1b0f201   Covid PSA:   WHO technical document   University of Bristol study   Elevator Covid transmission study   ☎️ Leave feedback for this episode! ☎️    Check out The Spirited Kitchen: Recipes and Rituals for the Wheel of the Year   Learn more about The Numinous Network

The brilliant Asher Larmie joins me today to talk about combatting scarcity, prioritising accessibility, and learning to embrace making the money you desire. Asher is an educator and advocate combatting weight stigma and promoting weight-inclusive care. They offer courses, books and masterclasses that empower you on your health journey without all the toxic weight loss nonsense. Asher is part of my money program Plenty, and has had huge success in doubling their income within the space of 6 months. We walk through that journey together, starting with how to challenge money stories carried through generations, facing the unique finances of being self-employed, and embracing a sense of community to lead you through it all. This episode is for you if you're interested in how to challenge your conditioning around money… and so is Plenty! Doors are now open to join, with full information on the program and community and a link to sign up right here: https://www.raydodd.co.uk/plenty.   For more information on working with Asher, check out @thefatdoctor https://www.fatdoctor.co.uk/  

I'm joined by Dr. Asher Larmie, Transmasculine weight-inclusive GP and leading expert in weight stigma. Asher is breaking down everything you need to know about weight loss medications like Ozempic and Wegovy. We talk about what the research says about the long-term effects of these medications, their side effects, how much weight you might lose and then gain back on them, and what the health benefits/risks might be. Show notes: summerinnanen.com/297 In this episode, we talk about: - What GLP-1 medications are and how they work, - The dangers and unknowns of these drugs, - The parallels between these drugs and oxycontin, - What the studies show about long-term weight loss from these medications, - What happens when someone comes off the drug, - Advice for if a doctor is encouraging you to take these medications, - Plus so much more! Get the shownotes: summerinnanen.com/297   Get the free 10-Day Body Confidence Makeover with 10 steps to feel better in your body at summerinnanen.com/freebies If you're a professional who has clients or students that struggle with body image, get the Body Image Coaching Roadmap for professionals at summerinnanen.com/roadmap

Welcome to This Is Not About Your Body! This week I'm excited to welcome back Dr. Asher Larmie! Today we're continuing the discussion on the topic of doctors and weight stigma and the negative medical outcomes that come from that stigma. Be sure to check out our first conversation here: This Is Not About Your Body Season 2 Episode 18https://youtu.be/UXwwHHlCsWo Find more from Asher on his website: https://www.fatdoctor.co.uk/ - - - - - - My book, "Body Neutral: A Revolutionary Guide to Overcoming Body Image Issues" is OUT NOW! Pick up a copy from your favorite retailer today! I've also released a new course which pairs nicely with the book which you can purchase from my site: The Body Neutrality Blueprint https://www.jessikneeland.com/product-page/BodyNeutralityBlueprint - - - - - - My e-book is out! Grab a copy of Sustainable Movement here: https://www.jessikneeland.com/product-page/sustainable-movement-a-body-neutral-guide-to-health-fitness Intro to the 4 Body Image Avatars: https://youtu.be/SsxQ9qO0-a4 Get my full Body Image Avatar Guide here: https://www.jessikneeland.com/product-page/the-avatar-guide Find more resources here: https://jessikneeland.com/ Instagram: https://www.instagram.com/jessikneeland/ Patreon: https://www.patreon.com/jessikneeland Buy Me A Coffee: https://www.buymeacoffee.com/dgrRFaBYO

Hey Rebel! Have you ever wondered, "what if intuitive eating doesn't work for me"? Buckle in for today's episode as we delve into a topic that resonates with many - the internal battle with doubt and fear that arises when we face the new journey to find a healthier relationship with food. We all recognize that little voice of doubt, whispering concerns and fears whenever we're on the brink of embracing change. It's a universal experience, and most importantly, it's completely normal. We'll explore the often overlooked consequences of dieting, shedding light on how these practices not only affect our relationship with food but also amplify our fear of failure. This fear can be a significant barrier, preventing us from pursuing the healing we so deserve. However, there's hope.   Resources mentioned: Intuitive Eating Books Episode 128: What Exactly is Intuitive Eating? Episode 164: When Healthy Eating Goes Too Far: Laura's story Episode 168: How Eating in Secret Fuels Disordered Eating, A Conversation With My Past Client, Franny. Episode 160: The Risks of Weight Loss Drugs Everyone is Buzzing About with Dr. Asher Larmie. Episode 158: Healing from the Hustle & How Intuitive Eating Can Support You in Different Life Seasons with Christyna Johnson Episode 132: How to Set Realistic Expectations When Healing Your Relationship with Food with Dr. Rachel Milner   Connect with Bonnie on Instagram: @diet.culture.rebel

In today's episode, we're diving into the world of GLP-1 medications like Ozempic and Wegovy.Sam is joined by guest Dr. Asher Larmie (he/they), a transmasculine general practitioner and expert in weight stigma.  Sam and Asher tackle the complexities and nuances surrounding these popular medications. They explore their impact on weight loss, management of type 2 diabetes, and the long-term relationship with our health. Asher brings up concerns over the use of these drugs in nondiabetic individuals, the risks that accompany their benefits, and the importance of informed consent in medical treatment.Today's conversation isn't just about medication—it's about empowerment, offering personal insights, and the right to autonomy in medical decisions. We'll discuss the unforeseen consequences of pathologizing weight and how a history of weight stigma has led to delayed diagnoses and a plethora of physical and mental health challenges.In this episode, we discuss:How Asher became a weight-inclusive physicianWhen a GLP-1 agonist may be beneficial for PCOSThe risks and side effects of these medicationsWhat the research says about Wegovy and weight lossTips for talking to your doctor about semaglutideSo, listeners, sit back, open your hearts and minds, and let's get nourished with the knowledge and experiences shared in our discussion with Asher Larmie on Ozempic, Wegovy, and their use for weight loss.Please visit our podcast page for the show notes, study information, and Asher's contact information. Enroll in Balanced Blood Sugar for PCOS! Tired of being told to cut out carbs or "just lose weight" to improve insulin resistance? Enrollment is officially open for the winter group of Balanced Blood Sugar for PCOS. This course will help you lower your A1c, improve fatigue, heal cravings, and feel better with PCOS. Enroll here! Enrollment closes on Thursday, January 25th. Follow Sam on Instagram:https://www.instagram.com/pcos.nutritionist/

On this epsiode of Paved with Gold, we have the privilege of chatting to the incredible Dr Asher Larmie (he/they), also known as @theFatDoctor or if you read the Daily Mail - "the UK's most outrageous doctor?"  We talk about the impacts and origins of medical weight stigma, the dangers of weight loss injections like Wegovy and debunks everything that is wrong with the BMI. It may be our longest episode yet, but we could not get enough of Asher's wisdom. This one is a must-listen.Follow Dr Asher Larmie @thefatdoctor or visit his website.Learn more about Asher's 'Take Your Power Back' course here.Check out his resources and campaign to end medical weight stigma at noweigh.orgFollow Callie on Instagram @calsann.supportTo find out more and for more resources visit our website pavedwithgoldpodcast.comSend us an email at pavedwithgoldpod@gmail.comFollow us on Instagram at @pavedwithgoldpodRESOURCES:For Australia:InsideOut InstituteThe Butterfly Foundation or call 1800 334 673National Eating Disorder CollaborationLifeline: 13 11 14Suicide Call Back Service: 1300 659 4671800RESPECT: Call 1800 737 732For the UK:Beat Eating DisordersNational Centre for Eating DisordersTalkEDFor the US:National Eating Disorder AssociationNational Eating Disorder Information Centre (NEDIC) - CanadaEating Disorder HopeAlliance for Eating DisordersProject HealAsian Mental Health Collective (AMHC)For more links and resources, check out our website.Disclaimer: This podcast is general in nature and has not taken your personal circumstances or medical history into account. We are here to share our own experiences and the things we have found helpful throughout our personal recovery journeys. Please remember that each person's journey and circumstances are different, and not all of the information contained in this podcast may be relatable to you. It's important you consult your own GP or recovery team to seek out tailored advice before making any important decisions relating to your own health and recovery process.

Inspired by a question from a Fat Joy listener, Jeanette Thompson-Wessen (she/her) shares how to be an intuitive eater whist on a fixed income. And then she expands the conversation into whether intuitive eating is actually accessible and whether that's even the right question to be asking ourselves. She also shares useful tools to help us navigate our full health in ways that are useful, flexible, and compassionate.Jeanette Thompson-Wessen is a fat nutritionist with a degree in Human Nutrition who has a passion for helping people learn how to reconnect with their bodies and feel body positive. She has completed training in coaching Intuitive Eating and Body Image as well as counselling skills. She loves supporting people in unlearning the messages society has sold them and then helping them learn to take up space as they are.Mentioned in the episode: GIGFAT and Dr. Asher Larmie.Connect with Jeanette on her website and Instagram.This episode's poem is by Dana Levin and is called “How to Hold the Heavy Weight of Now.”Sophia Apostol, the host of Fat Joy, has started the Fat Joy newsletter where you'll get behind-the-scenes info on guests, hot takes, and top recommendations for all things fat joy. As a thank you for subscribing to the Fat Joy newsletter, you'll get immediate access, for free, to 55 videos that only paid supporters have been able to see until now. These minisodes were recorded after Sophia & her guest finished the main interview and Sophia asked them 10 unexpected questions for “Some Extra Fat Joy.” Should you want to support the Fat Joy podcast financially, you can become a paid subscriber of the Fat Joy newsletter and receive subscriber-only content from Sophia. You can connect with Fat Joy on the website, Instagram, and YouTube (full video episodes here!). Want to share some fattie love? Please rate this podcast and give it a joyful review.

To be labelled as the UK's "most outrageous" doctor takes some doing. But for Dr Asher Larmie - the self-styled “Fat Doctor” and a transmasculine weight-inclusive GP - his decision to actively court criticism and controversy is all part of his plan to raise awareness and ignite debate to combat weight stigma and promote weight-inclusive care.Indeed, if you follow him on Instagram you'll be fully aware of the many controversial and contrarian positions he takes around nutrition, weight management, diet culture and other divisive issues closely linked to body composition, disease prevention and physical and mental health.Yet, like so much of what you see and hear on social media, should you really take everything at face value?For instance, does Dr Larmie really believe that the food you eat has no impact on whether you gain or lose weight? Does he genuinely think that most people are incapable of losing weight, and even if they do are destined to put it all back on - with more besides - to leave them in bigger and heavier than when they started? And if so, isn't this just because motivation, discipline and adherence drops off after initial weight-loss stalls, rather than a physiological inability of humans to consistently lose weight over the long term?Joe Warner sat down with The Fat Doctor to discover what he really believes about diet, nutrition, body composition, weight and fat stigma, what is just a show for social media, and why he is subject to an on-going General Medical Council investigation into his suitability to practice medicine.And as more and more people discover him and his fat-positive and body-positivity views that being overweight is not inherently unhealthy, we asked him whether he is at all concerned that he might be wrong, and so therefore encouraging followers to give up any aspirations of losing excess body weight which could lead them to an early grave? For the full interview with bonus footage visit https://unfilteredonline.com/britains-most-outrageous-doctor-on-why-he-believes-food-doesnt-make-you-fat/Get in touch in the comments below or talk to us on:Instagram: https://www.instagram.com/unfiltered.extraTwitter: https://twitter.com/UnfilteredExtraEmail: editorial@unfilteredonline.com

Hey Diet Culture Rebels! Today's episode is long overdue. Weight loss drugs are nothing new but the buzz around Ozempic is. I know you've been hearing all about the supposed weight loss benefits of taking Ozempic, and it can be persuasive to try it yourself! But part of my job as a Dietitian and Intuitive Eating Counselor is to help you make INFORMED choices. Do you know the risks? Do you know the long-term results? Do you know the research? You'll be able to answer yes to those questions after tuning in to this episode. Today I'm talking with Dr. Asher Larmie, a returning guest on the DCR Podcast! I wanted to bring on Asher because it's important to get the inside scoop on the ins and outs of these drugs from a physician. You DESERVE to get all the information about possible medical decisions so that you can make informed choices. Asher is a transmasculine, weight-inclusive GP and a leading expert in weight stigma. They are a fat activist and founder of the No Weigh Campaign, which is committed to putting an end to medical weight stigma. They have over 20 years of medical experience and have been fat for even longer than that. One reason why I love having Asher on the podcast is because they are a guest in my group coaching program. Our clients really benefit from hearing from them and being able to ask them their own questions when it comes to weight-inclusive health. Find Asher on Instagram: https://www.instagram.com/noweighcampaign/ https://www.instagram.com/thefatdoctor/ HAES Health Sheets: https://haeshealthsheets.com/ Listen to our last episode, Episode 43, Negative health impacts of weight stigma with Dr. Asher Larmie  Connect with Bonnie on Instagram: @diet.culture.rebel Looking to take the next step in becoming a Diet Culture Rebel? Apply for Small Group Coaching at https://dietculturerebel.com/group-coaching  

Being fat is not your fault with Dr Asher Larmie Dr Asher Larmie (he/they) is a Transmasculine weight-inclusive GP and a leading expert in weight stigma.  They are a fat activist and the founder of the #noweigh campaign, which is committed to putting an end to medical weight stigma. They have over 20 years of medical experience and have been fat for even longer than that.  Questions I asked: What is health?  Can we be fat and healthy?  What is weight stigma and what does it look like?  How to access healthcare as a fat person  How to be a good fatally  Connect with Asher www.fatdoctor.co.uk  www.noweigh.org Connect with me Get FREE access to the first few modules of my paid Body Love Binge Programme: https://victoriakleinsman.com/free-access-to-first-few-modules/ Binge on self-love membership: https://victoriakleinsman.com/binge-on-self-love/  Instagram: https://www.instagram.com/victoriakleinsmanofficial/  FB: https://www.facebook.com/victoriakleinsman YouTube: https://www.youtube.com/victoriakleinsman Podcast Spotify: https://open.spotify.com/show/4iNYvEWvgW9a0wNaj4m9hf?si=caq_P-V2TLSAmx1Swuh3yQ Podcast Apple: https://podcasts.apple.com/us/podcast/break-free-from-binge-eating-with-victoria-kleinsman/id1464324636?uo=4  --- Send in a voice message: https://podcasters.spotify.com/pod/show/victoria-kleinsman/message

Hey Team and welcome back to the Can I Have Another Snack? podcast. We've been on hiatus but we're back with a new fortnightly pod. Today I'm talking to Dr. Asher Larmie, AKA The Fat Doctor. Asher is a transgender, non-binary GP who uses they/them pronouns. They are a fat activist and founder of the #NoWeigh campaign. Asher joined me on the Don't Salt My Game Podcast back in May last year, and we had such a great conversation that I just had to have them back for the CIHAS pod.This episode is in response to the news that the NHS/NICE in the UK are contemplating offering weight-loss injectables to kids. These drugs have already been approved in the US (which I discuss here) - it was only a matter of time before we started talking about it here too. In this episode, we talk about the evidence behind semaglutide, or lack thereof, potential side effects and unintended consequences, and of course, we talk about the company behind this drug, Novo Nordisk, who are set to make bank off of fat kids. So yeah, the first episode back is kind of a bummer - but I wanted to make sure we had a good grasp of the science before the media shitstorm kicks off. We also have a new podcast editor - the lovely from - welcome Lucy! (see if you can find the Avery Easter eggs she planted in the new episode format).Can I Have Another Snack? is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber.Find out more about Asher's work here.Follow their work on Instagram here and Twitter here. Listen to The Fat Doctor Podcast here.Follow Laura on Instagram here.Subscribe to my newsletter here.Sign up to my upcoming webinar with - ‘Substack for Nutrition Professionals: Launching & Growing Your Email Newsletter'. Here's the transcript in full:Asher Larmie: We had 180 teenagers for a year, and that's it. It's not enough time to understand what is going to happen to that teenager long term. We need studies that have looked back after 20 years. We need to know what's gonna happen to these kids when they become adults, when they become older adults, but not the first year. It's so dangerous. These drugs haven't existed for long enough. We've never used them in children before. It's terrifying to me. Absolutely terrifying.Laura Thomas: Hey, welcome to the Can I Have Another Snack? podcast where we talk about food, bodies and identity, especially through the lens of parenting. I'm Laura Thomas. I'm an anti-diet registered nutritionist, and I also write the Can I Have Another Snack? newsletter. Today I'm talking to Dr. Asher Larmie. Asher, who uses they/them pronouns, is a transgender non-binary GP and fat activist who is campaigning for an end to medical weight stigma.They're the founder of the #NoWeigh campaign and they have over 20 years of medical experience and have been fat for even longer than thatLaura Thomas: As the self-styled Fat Doctor, Asher started a blog in June 2020. They now also host a successful podcast and run a number of training courses, as well as monthly webinars for people who are interested in learning about weight inclusivity.Today I'm gonna be talking to Asher about the news that came out of the UK that the National Institute for Clinical Excellence, or NICE, is considering approving the weight loss injectable Semaglutide for kids. Asher is here to explain to us why this is catastrophic for kids' sense of safety in their bodies and their wellbeing.We talk about the evidence behind Semaglutide, or I suppose the lack thereof, the potential side effects and unintended consequences. And of course, we talk about the company behind this drug, Novo Nordisk, who are set to make bank off of fat kids.Just before we get to Asher though, I wanna tell you real quick about the benefits of becoming a paid subscriber to the, Can I Have Another Snack newsletter community, whole universe.Now, I know we're not used to having to pay for content on the internet, and why would you pay for something where 85% of the content is free? Well, that's a great question. I'd love to answer it for you. Well, because without paying supporters, this work just wouldn't be possible. As well as supporting me in the time it takes to research, interview contributors and write articles, your support goes towards paying guests for their time and their labour, as well as a podcast and newsletter editor. You also help keep this space ad and sponsor free so I don't have to sell out to advertisers or exploit my kid for freebies. Plus keeping the community closed to paying subscribers only means that we keep the trolls and the fatphobes out.I recently asked the CIHAS community why they support the newsletter, and this is what they had to say: “I am a mum of one, fairly adventurous, self-proclaimed vegetarian and one theoretical omnivore. The latter survives almost exclusively on added sugar and butter, but mostly sugar. I consumed all the picky eating advice, some of it really well-meaning, and pretty mellow. But by seven years in, I was more frustrated, confused, and full of self-doubt than ever. Enter CIHAS. The no-nonsense, cut through the bullshit, science-backed content is exceptional. The content about sugar is especially helpful to me, and the anti diet lens is an anecdote to my extremely anti-fat slash diet-culture conditioning. And as an American, the British references are just an added bonus to say your work is actively changing. My life is not an understatement. Thank you.” Well, thank you to the reader who shared that lovely testimonial, and if that hasn't inspired you to become a paid subscriber, I don't know what will. It's just a fiver a month or £50 for the entire year, and you get loads of cool perks, as well as just my undying gratitude for supporting my work. Head to laurathomas.substack.com to subscribe now. All right, team. Over to Asher.  Laura Thomas: So Asher, last month, the news broke that the Department of Health have recently asked the Medical Watchdog NICE. Which stands for the National Institute of Clinical Excellence to review the so-called benefits of using weight loss injectables for kids aged between 12 and 17 years old. Specifically, they're looking at the drug Semaglutide. Which has been in the news a lot recently, which I'm sure we'll get to. But I wondered if we could start by talking about what exactly Semaglutide is, how it works and what the evidence says about it. Asher Larmie: You sort of put it in air quotations, or you said so-called benefits, didn't you? I like that, yeah. Cause that, that was a really good way to start. Yeah. So Semaglutide, it's a incretin mimetic. It mimics a hormone called inncretin or one of the hormones, GLP1, which is an incretin, and, and these hormones are released by the gut in everybody's body and in response to eating. So look, you have a meal, your gut releases these hormones and they impact several parts of the body. The main thing they do is they impact the insulin pathway. So they impact the pancreas, but they also have various other effects. And one of them is they sort of decrease appetite and increase a feeling of satiety, of fullness, which makes sense, right? Because when you start eating, after a while, your body sort of wants to tell you, okay, you've been eating now like it's time to stop eating cos you can't eat forever. And when we talk about intuitive eating, we're always talking about, like, picking up our hunger cues and picking up our fullness cues. Well, there's a reason we have hunger cues and fullness cues. It's nothing to do with the size of your stomach or anything like that. It's because of these hormones acting on the appetite sensors in the brain. So this drug Semaglutide was designed for diabetics because of the way that it works on the pancreas and the insulin pathway. But they found very quickly that it causes suppression. And so people were losing weight on this drug. Their diabetics were losing weight.Laura Thomas: And to this point, just to clarify, you are talking about in adults, right?Asher Larmie: Absolutely. Laura Thomas: This research was initially done in diabetic adults?Asher Larmie: In diabetic adults. And we're talking…when they probably started working on this drug, this would've been early 2000s, I think the first one of its…the first drug in this group - and it wasn't Semaglutide, by the way, it was a completely different drug - would've come out in the sort of early 2000s. Semaglutide for diabetics, which is Ozempic, Ozempic is the brand name for the drug. Semaglutide one milligram weekly subcutaneous injection. So it comes like a little pen and you inject it into your stomach, usually. One milligram is the maximum dose for diabetics and the brand is Ozempic. I can't remember, I don't wanna say for sure, but it was definitely after 2010, somewhere around that time that we started using it in diabetics or it was approved, and more recently we've been using it in diabetics more and more and more. It's a very expensive drug, it's the most expensive diabetic drug…I dunno how it compares to insulin, but certainly compared to all the other diabetic drugs.Laura Thomas: Yeah, I saw that for like a month's supply of Wegovy, which is the, the weight loss version of Ozempic, that it costs something like $1,300 a month in the US. I don't know what it is in the UK, but in the US, $1,300 a month, that is an astounding amount of money.Asher Larmie: Sure. And that's the private prescription. But when you look in the NHS, it's how much it costs the NHS per month, right? So that's always like then.. sale price, it's, you know, it's…Laura Thomas: That's the wholesale. Asher Larmie: The wholesale, the Costco price. Laura Thomas: The Costco price! Asher Larmie: And I can't remember what it is, but it's at least twice as much. Laura Thomas: It's expensive. Asher Larmie: It's expensive. Compared to Metformin, which is probably like £1 a month. You know, in terms of diabetic drugs, it's much more expensive. Anyway, so Novo Nordisk creates Semaglutide. It's a once weekly injection. Ozempic, people like it. And then, quickly they realized it was kind of like the Viagra story. I mean, if you know the story of Viagra, Sildenafil was supposed to be for blood pressure, was anti-hypertensive for blood pressure. But they soon realised it's not so much what it does to blood pressure - in fact, it wasn't very good with blood pressure. But look at the side effects. You think something was happening to men. And so they realised, well, we could definitely corner the market here because there's no other sort of medicine that has quite the same effects. And so Viagra was born. This is very similar. Ozempic was being used on diabetics. Diabetics were losing weight, and they thought, right, let's push this through. Let's, let's turn this into a weight loss drug. And so they started studies in 2017, 2018, they started the actual study. The results came out late 2020, maybe early 2021, depending on the studies. There's been eight. And then the teenage one, so we're talking still adults only. Right. Literally within like six months, the FDA had approved it and NICE took a little bit longer. They sort of semi approved it in 2022 and fully approved it in 2023. With very, very little data. All we know is that this drug suppresses your appetite and therefore makes you lose weight. And it also does all the other things, like sort of acts on the insulin pathway and all the other things that it's known to do, but we have no idea how that impacts non-diabetics and how that will impact children, certainly. We have a zero idea. Laura Thomas: Okay, so just to summarise, cuz you're a doctor. And not everybody else is! This drug is a GLP1 analog. So it mimics a hormone in the gut that is produced naturally in response to, in response to eating a meal. Our bodies, our guts pump out this hormone. And that is one of the ways, one of the pathways, one of the signals that tells our brain, okay, we can slow down now. We've, we've got enough here, we'll be good for a little while. Right. Asher Larmie: That's it. Laura Thomas: And so we have a fall in our appetite basically. What this drug is doing, it's an external version of that hormone that you are injecting into your stomach, that artificially suppresses your appetite. Right. Asher Larmie: That's it. Laura Thomas: So it's not…it's essentially tricking your body into thinking that you've had more food than you actually have. Now this might be helpful when you have a chronic condition such as Type 2 Diabetes, it might help manage blood glucose. However, what you're saying is that we don't know what the impacts are on people who have just been prescribed this for weight loss. And we also don't know the impact of this on children who are growing.Asher Larmie: Mm-hmm. Laura Thomas: Which is…I mean, all of it is a mess. All of it is concerning and upsetting to me, but it feels particularly upsetting and concerning to me when we're talking about children, when we don't know the full scale of the impact. So what evidence do we have on children? You know, why are we at a…I mean, this is a separate conversation, but if we could get into the minds of the DoH and the NICE people, why do they think that we should start prescribing this to children? Asher Larmie: Well, first of all, we've been lied to about this drug, although I think the Department of Health and the National Institute of Clinical Excellence should be smart enough to figure out that they've been lied to about this drug. I can understand why the average person doesn't, but if you've read studies, which I have in detail, all eight of them, well, seven of them, one wasn't published, and the one on teens, it's very obvious. Because the first thing is, in order for them to achieve weight loss, the participants in this trial had to go on a diet 500 calories deficit, plus exercising for 150 minutes a week, plus an hour of counselling every month. Laura Thomas: Right, We don't know if the impact is coming from the diet and lifestyle modifications versus the drug in and of itself.Asher Larmie: We do to a degree because everybody was on the diet. Only some people were on the Wegovy. And others were on placebo, just a water injection. And so what we saw was a) that diets don't work. Which you've been saying this whole time! The diet-only group only lost about 2.5% of their body weights over a period of a year, and then regained it all. So diets don't work. What a surprise. The people who took the Wegovy definitely lost much more weight. There was a significant difference. So in the first 16 weeks, that's when you lose the most amount of weight. We know this. This is the physiological response to calorie deficits or energy deficits. It then slows down and between sort of week 16, week 20 until about month 10, it sort of slowed down, but was still going. And then at month 10 in the first study, we reached the nadir, which is the peak, and then people started regaining weight. If you look at the study over two years, people regained something like 15% of the weight that they lost within eight months. You carry that forwards….I mean, it's not particularly scientific to carry it forwards, but if you were to assume that every eight months you'd gain about 15% of the weight that you'd lost. Within five years, you've regained the weight. And that's if you are on the medication. If you stop the medication, which in the UK you only are entitled to have it for two years, the moment you stop that medication, you will start regaining the weight.There is absolutely no way you can maintain it because nobody could. Nobody could maintain it, even when they stayed on the diet. They could not maintain that weight loss. They immediately start gaining the weight back and at a rate that is almost unprecedented. We've never seen such dramatic weight loss followed by weight regain with any other weight loss drug.Laura Thomas: Well, shit, you're gonna be hungry! As soon as you stop taking that drug, like, you're gonna be fucking hungry!Asher Larmie: Sure. Although I think it's more than that. Like I don't even think that explains it. There's something else that's happening in the body and we just don't know what it is, right, to know how it's workingLaura Thomas: And this is it, like, when you go in and you start messing with hormone pathways. It's not just gonna be one individual pathway in isolation, there are gonna be knock on effects and that is what we've seen in historic weight loss medications, right? We're, we're giving people something for weight loss, but it turns out, oh, actually we're burning them alive from the inside. Right? That's what has happened with other, with other drugs…or where we've, we've tried to suppress people's appetites, but we've also suppressed their libido because again, you can't isolate out individual pathways within the human body cos everything is interconnected.Asher Larmie: That's exactly right. And actually what we know is that this drug primarily works on the insulin pathway. And the insulin pathway is extremely important for so many different reasons. We know that the insulin pathway, insulin sensitivity, insulin resistance, for example, leads to weight gains. So we could, you know, make an argument that actually once you stop messing with the insulin pathway, perhaps there is a weight regain and perhaps you are making permanent changes to the body because you are messing with the pathway you shouldn't be messing with.I, you know, I often say don't play about with a healthy organ if you can avoid it. And so in a diabetic, the pancreas is already exhausted. The pancreas is already struggling, so okay, you're gonna mess with pancreas, but it needs help anyway. Benefits outweigh the risks, but in this case, this people with a healthy pancreas, especially children, The last thing you wanna do is mess with organs that are still growing. You know that that's massively worrying. So the first thing I will say is that we have been lied to about this medication. We have been told that this medication will help you to lose weight and keep it off. Wrong. Even NICE said with the adults' guidelines, you will not be able to maintain the weight loss.So that's one thing…Laura Thomas: And can I ask you…sorry, cos I know you're like desperate to tell me your second point! But I'm just curious, like, what is the reason that NICE are giving for people only being able to stay on the drug for two years? Asher Larmie: Because that's all the evidence we have. We don't have anything beyond two years. If we had evidence for five years, they probably would've said five, but they've said, look, all you've got is two years, so that's all we can allow. Now, remember with NICE, it's the UK, this is a Nationalised Health Services, there's only a certain amount of money, so when NICE is approving a drug, they're not just worried about the drug safety, efficacy, you know, and all of that stuff. They're also worried about…is this a cost effective…yeah, it's money. Is it cost effective? So Novo Nordisk had to prove to NICE that there was a cost benefit. So helping people lose weight for two years and then regain it, which they admitted would happen because that's what their studies show. And so that's the problem if you look into that calculation, that calculation is materially flawed. The fact that NICE accepted it makes me very sceptical of the whole thing, but we can cross that bridge later. The point is that in the UK you can only have it for two years. But even if you continued it for five years, you will have regained most of the weight back by that point in time. And then they talk about maintenance doses. What maintenance dose? If the treatment dose doesn't work, then what's the maintenance dose gonna do? What does that say to me? They can only keep going up, up and up, right? At what point in time are we gonna accept that we really shouldn't be messing around with the body like that? Just for temporary weight loss. That's all it's doing. It's not improving your health. There's no evidence that it does anything for your health. It just makes you lose weight. They didn't even bother to measure the impact on your health, even your like, blood pressure, blood sugar, cholesterol. They didn't even bother to do like a statistical analysis of that, I think because they knew that they wouldn't be able to find anything. Laura Thomas: It's just so transparent, isn't it? When you say that? Like it's just, we don't actually give a shit about your health. We don't care about any other parameter of your wellbeing. We just wanna make money off of you.Asher Larmie: And so you asked, you said, well, why? Why are we trying to get this available for children? And the answer is simple: for more money. Novo Nordisk is a, you know, a traded company. They have a, a group of shareholders and they're constantly trying to improve their, you know, profit margin.And, and the thing is, when you look at all of the, if the last 15 years or so, there's been this huge push, hasn't there to -quote unquote- tackle the -quote unquote- ob*sity epidemic. And, you know, we have a -quote unquote- war on ob*sity and all these, you know, like really kind of like highly charged words.Novo Nordisk has had their hands in all of this. Novo Nordisk has fingerprints on every single article that you read in the paper. Every single PR campaign for the last 10 years. Whenever you hear the word childhood ob*sity in the, in the papers…whenever you hear that word, if you look carefully enough, you will find Novo Nordisk.They have wanted to sell this drug to teenagers for a really long time. So much so that the American Academy of Pediatrics, when they brought out their guidelines, they actually held off and waited for Novo Nordisk to be able to put their study into the, into the guidelines. Literally they were like, this is the cutoff date. And then they went, oh, hang on, hang on, hang on. Novo's not ready. Alright, let's just wait. Let's just wait. Let's just wait. Novo's ready now. Okay. We can proceed. That's how much influence Novo Nordisk has. And so it's simply about making money. The risk, the potential risk to children is really mind boggling.Laura Thomas: Yeah. So let's talk about this because there's, as far as I know, there's one study in adolescence. Is that right? Asher Larmie: That's it, yeah. Laura Thomas: Should we talk about that single study that they are basing this recommendation or this, you know, it hasn't gone through yet, but this, I mean, I mean, come on. The writing is on the wall, right. They're gonna do everything that they can to push this through. Asher Larmie: They will. Laura Thomas: First of all, let's talk about the study, and then let's talk about the implication for children, for adolescentsAsher Larmie: 180 12-17 year olds are involved in the study. There's only 180. Bearing in mind that the one for adults, the first one was 2000. 180 is actually a very low number of people. And basically it was your typical randomised controlled trials. Some got placebo, some got Wegovy. You know, they did it for 68 weeks. And then they were interested in change in body mass index. That's all they were interested in. They didn't look at anything else, and they found exactly what all of the other studies found: that in the first year, children lost weight and they lost much more when they took this drug than they did when they had placebo, just water.It's not surprising. That is what always happens. You know, when you have a drug that's going to suppress appetite, it's going to be more effective than just, you know, trying to suppress your own appetite, if that makes sense. Right. So of course it was effective, but it was only effective for the first year. That's all we've got and that's all the data. We had 180 teenagers for a year, and that's it. It's not enough time to understand what is going to happen to that teenager long term. We need studies that have looked back after 20 years. We need to know what's gonna happen to these kids when they become adults, when they become older adults, but not the first year. It's so dangerous. These drugs haven't existed for long enough. We've never used them in children before. It's terrifying to me. Absolutely terrifying.Laura Thomas: Something that I found really interesting…so shout out to Reagan Chastain, who did a really great deep dive on this, on her, Weight and Healthcare Substack, I'll link to it. But one of the things that, that she pointed out were all of the side effects that were reported in this study. A lot of them were related to gastrointestinal side effects, so a lot of nausea, vomiting, diarrhoea and abdominal pain. And so again, of course if you've got a kid who is nauseous, who has diarrhoea, if they've got that for an entire year, they're going to lose weight. But at what cost to that child? To their quality of life? To like think about if you feel sick, like even for a couple of hours during the day, let alone for an entire year. And these are kids who are presumably going to school, trying to learn, trying to have a social life, trying to navigate the headfuck that is puberty, right? All of that stuff. And we think it's a good idea to subject them to this kind of…like for why? Why?Asher Larmie: Yeah. So for me, weight loss and children is absolutely unacceptable. Always. Okay. If I see a child who is accidentally losing weight…Laura Thomas: Huge red flag, huge red flag.Asher Larmie: Massive red flag like that, that's like panic stations. Figure it out immediately. The second thing that I will say about children is that we know that dieting of any kind is going to predispose them to eating disorders, especially at that stage in life, especially at this…Laura Thomas: It is the most vulnerable point in a child's development... Asher Larmie: Absolutely. Laura Thomas: For, yeah. Yeah. The onset of an eating disorder.Asher Larmie: And we know that the more extreme their sort of dieting behaviour is, the more likely they are to develop an eating disorder. So that's the second thing. It's not just that dieting creates eating, but the more extreme…now, taking drugs is one of the most extreme form of dieting out there.So what we are doing is we are essentially prescribing eating disorders to adolescents. It is no wonder that over the last 20 years, certainly over the last few years, where we've become more and more obsessed with weight in children, where we keep sending them to these -quote unquote- weight management clinics, and we keep singling them out at school and policing what they eat and all this stuff. If you're a fat kid nowadays, like, you know, you can't even bring in a packet of crisps in your lunchbox without getting told off by your teachers. Laura Thomas: You can't even have a snack that's over a hundred calories. It's something I'm writing about at the moment and it's fucking horrendous, because we're literally policing the amount of food that a child, a growing child can have.Asher Larmie: Yeah, it's despicable. But what are we doing? More importantly, we are literally prescribing an eating disorder to them. We are saying to them, this is what's gonna happen. And are we surprised that nowadays eating disorder rates have gone up dramatically? Laura Thomas: Escalated. Asher Larmie: They're escalating in boys, they're escalating in people with like, you know, multiple marginalised identities. You know, it's not just a really thin, sort of, like, fragile teenage girl anymore that we need to be worried about. We have to be really concerned about all of these young. boys, for example, who were trying to build up muscle. It's actually quite terrifying what's happening to young people.Their mental health is really poor anyway at the moment, and what we're adding to, with this weight management, is just awful. So this isn't even about the drug. This is just about the fact that you should never mess with weights in a child. You should never, ever mess with growing organs, just let the child grow up.Laura Thomas: I wanted to ask you about, like, what are the implications of putting a child on a calorie restricted diet? Messing with their energy intake while they are growing and developing, like, what are the implications there for…around their physical development, around puberty, around sexual development, all of those things? Do we know or do we just not know?Asher Larmie: I was gonna say, first of all, it's amazing how much we don't know. No one is interested in researching this. No one ever says, what are the risks of putting a child on this medication? You know, they look at the side effects of the medication, but no one's actually said, what happens to children if you put them on diet after diet, after diet when they're young?We know the answer to this question because we are, and we are of the generation. I'm 43 years old. I was on a diet when I was a kid. I know exactly what that did to me. I weight cycled and weight cycled and weight cycled and weight cycled. It messed with me mentally. It messed with my self-esteem, my self-worth, my confidence. Instead of helping me to trust my body, it did the opposite, it took away my relationship with my body, my relationship with food, all of these things, like, it completely messed with that. So that's from a kind of like psychological point of view. But from a, from a physical point of view with these particular drugs, we don't know. We're not just worried about malabsorption. You're not getting enough nutrients if you're not eating enough food. That's, that's hugely problematic. Right? Laura Thomas: Yeah. And I know you, you say we don't know, but I think. We have a good sense, right? Like we can infer. What we would imagine would probably happen, like you say, if, if you don't have enough nutrition, if you have deficiencies. What I'm thinking about in particular is bone health and how can, you know, while you're still trying to achieve peak bone mass? You are then putting people at risk, children at risk for falls and fractures and you know, osteoporosis as they get older.Asher Larmie: Osteoporosis, anemia, you know, all sorts of things. Also gastrointestinal problems. So we are looking at things like, you know, irritable bowel syndrome and stuff that, you know, you, you mess around with the gut cos this drug, like I said…Laura Thomas: That's what you're doing. Asher Larmie: This drug impacts your appetite centres, but it also impacts your gut itself. So you're gonna mess, you know, we're talking sort of gut function and motility issues. And this is the thing that like, you know, most concerns me out of everything is, you are messing with a healthy pancreas. Now if you understand the insulin pathway, what happens with insulin is that when we ate food, sugar, insulin is released because of this incretin, right? The incretin from the gut, the GLP1 comes along, tells the pancreas: Hey, there's food here. Laura Thomas: You need to process it. Asher Larmie: And, and it goes, woo, I'm gonna release lots of insulin. So that's the pancreas and insulin. Insulin is like a key. If you put the key into the lock and you turn the lock that you open the door. Sugar can go from the blood where it's, you know, currently sitting, into the cell, which can then be used as energy for the cell, or can be stored to be used later. So you need the sugar to go from the blood, where it's useless, into the cell, where it's needed and insulin is the key. Now over time some people develop something called insulin resistance. Because you're overproducing insulin, and that's one of the first things that happen is we start overproducing insulin. Nobody knows why. It's probably genetic. You start overproducing insulin. So now there's lots and lots and lots of keys, constantly trying to turn locks and eventually the, the locks become a bit faulty, right? You keep messing around with the locks after a while, locks, you know, stop working as well. So now you can't open the door to get into the cell so there's more sugar in the blood. And eventually when you have enough sugar in the blood, you develop a condition called Diabetes, Type 2 Diabetes. At the same time, because of all this stuff that's happening, the pancreas is panicking. I keep releasing insulin, but there's still loads of sugar in the blood. What's going on? So the pancreas does what, like, you know, like what Jewish mothers do, you know? It's like, let's just keep going. It doesn't stop to think. Mm. I wonder what's going on. No, no, no. Just,  let's just keep doing the same thing and let's just… Laura Thomas: It overworks itself.Asher Larmie: Yeah. It becomes exhausted. As any organ would. After a while it becomes knackered. We call it pancreatic exhaustion. At that point in time, you are also going to, it's also gonna have implications and you'll develop Type 2 Diabetes. So here's my thing. This drug is making you secrete lots and lots of insulin. Because like you said, it's fake incretin, so you're injecting it into your skin. All of a sudden you have lots more of this, you know, a mimic of this hormone in your blood at all times. So your body starts producing more and more insulin. Now as it produces more and more insulin. If you're a diabetic, this is great cos you need the insulin. But if you are not a diabetic, you're producing all of this insulin. Keep producing it, keep producing, keep producing. Isn't it possible, theoretically, that you could actually be speeding up the process of insulin resistance? And so what you could be doing is you could be speeding up the process of developing Type 2 Diabetes. So isn't it possible - and it's just the theory cos there's no evidence. But isn't it possible that, if we give a 12 year old this drug and they take it for say, five years, because by that point in time they'll be allowed to take for five years, they've taken it five years and then they start to develop insulin resistance, and maybe by the time they're in their twenties they've got quite profound insulin resistance and then they get diabetes at 26 say, and people think, gosh, diabetes at 26, that's quite young, but you know, they are fat, so it's their fault they've been fat, so they were kids, so it's their fault.This would be…it wouldn't surprise me and we wouldn't be able to do anything about it by then. So I'm not saying that this drug is going to cause diabetes. I'm just saying that it is theoretically possible that it could cause diabetes because excess of insulin is the first step of insulin resistance and diabetes progression.So this is really worrying and nobody is addressing this. It also interferes with the cholesterol pathway and all sorts of other things. So my worry is that it's actually making things worse rather than better. Laura Thomas: And it sounds as though Novo Nordisk are not asking those questions.Asher Larmie: There's no mention of this anywhere in their literature, I have to say. Nobody's asking, and this is what I can't understand. right. I'm a GP. I am not an expert. There must be people out there who understand the process of insulin resistance and they're thinking, Hmm, logically this makes sense. I wonder if we need to look into it. But I never hear anyone talk about it.And I remember the first time. I brought it up with Greg Dodell, who is an endocrinologist. I remember the first time I said, are we not worried about this? And he was like, no, of course not. Because you know it, it reduces insulin resistance. And I was like, no, no, no. It, it reduces insulin resistance in diabetics, but what about in healthy people long term? Shouldn't we be worried about this? And I remember at one point in time Greg going, oh. No one, no one said this before. I was like, why is no one talking about this? But nobody is, and that's just one of my many concerns. It also causes pancreatitis, acute pancreatitis. Which is a life-threatening condition.There's no evidence that causes pancreatic cancer. I just wanna point out, but we also don't have enough long-term data to say whether it does or it doesn't. So that is an absolute, we couldn't say, you know, we couldn't possibly comment. Laura Thomas: Even, you know, regardless of what the long term implications are, which..obviously there is not enough research going on to establish that, but even the short term impacts on children, you know, again, some of those side effects that were reported in the study we were talking about were gallbladder problems, gallstones, low blood pressure, itching, rash, like all kinds of side effects on top of the nausea, vomiting, diarrhoea, headache, abdominal pain, all these other things. And I just… there is no rationale that I think you could convince me of where that is a good idea, to subject children to that. And you know, and that's without knowing the answers to…what about their growth? What impact is this gonna have on their development? Without knowing any of that. Asher Larmie: When we are making a recommendation, right, there's two things we look at. Number one is the quality of the evidence. The quality of the evidence here is shit. The second thing we have to understand is, are the benefits, do the benefits far outweigh the risks?If the benefits don't outweigh the risks, or if the benefits are sort of similar to the risks then we shouldn't be recommending this, this, any medication. Not only is the evidence shit, but there are no proven benefits apart from temporary weight loss. And there are so many risks. Some of them hypothetical, but as you say, some of them very real and very immediate.So if that's the case, there is never a reason to give this drug to a child, never, ever, ever, especially because, yes, they are able to consent, but only if they're given all of the information and aren't being pressured into it by external, external people and, and unfortunately they just won't have that ability. They won't have the agency over their body to say, no, I know I'm fat, but I'm not taking this medication. Most of them won't feel that way. So no, I don't think…we have a consent issue here. We have all sorts of issues. Laura Thomas: I think it's an important point is that kids are gonna feel pressured into it, both from medical anti-fat bias, as well as just anti-fat bias that is everywhere, that they're gonna feel from their peers, that they're gonna feel from their parents, that they're gonna feel from teachers. Yeah. Like, I can also understand why this drug is so attractive to so many people if it reduces the stigma that they're experiencing. Even if it is temporary and even if it has a really high price tag associated with it.Speaking of price tags, The Guardian reported earlier this month that Novo Nordisk, so the company that makes Wegovy, paid more than £21.7 million to UK health experts and organisations in just three years, according to Disclosure UK records. And then several of those experts and organizations went on to make submissions to NICE, supporting the drug's approval for use in adults. It just, again, shows you that enormous conflict of interest within Novo Nordisk. But like we said before, the, the writing's kind of on the wall in terms of this getting pushed through NICE. And, you know, being incorporated into NICE guidelines.What does that process look like from here? Like what happens between now and then? And you know, how can we intercept, you know, where do we submit evidence and submit concerns and ask these questions? Can we even do that? Or is this just gonna go through? Asher Larmie: The can we is tricky actually. It's not the kind of process where you can get involved as as easy as you'd like to.Laura Thomas: It's not like a public consultation, basically. Asher Larmie: It's not. What will happen is that NICE has to make a decision about whether they're going to look into it first. And then they will form a guidelines committee. NICE will have a group of…it doesn't have to be doctors. It'll be, uh, experts. And some of them will be more interested in data and some of them will be interested in finances and some of them will be doctors and not necessarily pediatricians or endocrinologists. They could be psychiatrists, they could be anything. And they're just members of the panel. So you get this little guideline committee and then you've got your stakeholders. And so there will be certain groups that will be invited to partake. Obviously Novo Nordisk is gonna be… Laura Thomas: At the table.Asher Larmie: …doing the big presentation. In the adult one we had Ob*sity UK, a charity that is funded by Novo Nordisk. We had another ob*sity charity, whose name I can't quite remember, but again, is funded by Novo Nordisk. We had Professor John Wilding, who is the lead author of the Step 1 trial, the Wegovy Trial who has been paid countless times… Laura Thomas: Handsomely. Asher Larmie: Handsomely by Novo Nordisk. And that was basically it. There was nobody not representing, Novo Nordisk. And so they go through like you know, the beginning and people were asked to submit evidence and then you know, there are questions and then they have to submit more evidence and then they have the draft guidelines.And there is probably a time when you can get involved and register your concerns. But I don't think it's open to the public. I don't believe, to my knowledge, that it's open to the public. I think that if this does happen, we are going to have to consciously, and by we, I mean the kind of people who are, you know, advocating against this drug being used in children are going to have to consciously get together and find a way to get involved in this process.I wasn't with it enough when NICE was looking at Wegovy, it was too early on. It wasn't far enough into my sort of, I guess, deliverance… Laura Thomas: Activism. Asher Larmie: Deliverance, I would say more! From, from diet culture and weight stigma, but certainly this time around we're gonna have to do something about it. It's absolutely unacceptable, but to be honest, I would like it not to get that far.The Guardian, the Observer, have been writing a few political pieces about the politics of Novo Nordisk. And they have in the UK had a bit of a slap on the wrist. I don't think they're taking it very seriously. I don't think they're worried about it, but they have been caught doing some very unethical things. We're not surprised. They are very aggressive in their marketing campaign. And you know the, how much did you say it was? 20 million.Laura Thomas: Yeah, 21.7 million.Asher Larmie: It's nothing compared to how much they spent in America. That was 150 million or something. Like, it's nothing. I'm not going to, for one second defend my colleagues cos I don't have time for that. But I do think a lot of them will have been going to weight management courses, conferences, and conferences, whatever. And not realised that because, because Novo Nordisk was not outspoken. They weren't like, we are Novo Nordisk and we are presenting this data to you. They ran these courses without telling them yeah, that they were running these courses.And so a lot of my colleagues are fanatical about this drug and also, again, most of my colleagues learn a lot of medicine from reading the Sun and the Daily Mail, and maybe not the Sun or the Daily Mail. Maybe my colleagues are too high brow for that. You know? They're far too snobby to read the Sun or the Daily Mail. But they're reading it in the paper. They're reading their stuff in the paper. They're not reading.Laura Thomas:  They're reading, like, Henry Dimbleby talk about ultra processed food. Like yeah, he knows what the fuck he's talking about. Asher Larmie: How many, how many fat people have gone to see a doctor and they've been recommended, oh, you should try keto because, you know, that worked for my uncle, or something stupid like that.Like, you know, doctors really have no clue when it comes to nutrition, when it comes to -quote unquote- weight. Um, what do they call it? Laura Thomas: Weight management. Asher Larmie: Weight Management, right? So they just say stuff, they repeat stuff they've read in the papers. So they've all got it in this head that this is a miracle drug because of this beautiful PR campaign.Now, if I worked in public relations, I would be massively impressed. But as a doctor who is conscious of the fact that this drug is going to massively harm children and is already massively harming adults, I am horrified that this is the society that we live in. So we have to do something about this. We really do. But all we can do is educate at the moment, because I don't know how much more political power we have.Laura Thomas: I'm counting on you, basically Asher, to send up the bat signal and when it's time for us to fuck shit up, just let me knowAsher Larmie: We're keeping a close eye. Again, shout out to Reagan. She's amazing and she has been keeping on top of what's happening in the UK, and the politics with no, because obviously, Reagan, I, I learn a lot of, I learned most of my stuff from Reagan, but there are a group of us around the world that are doing whatever we can to, to shed some light on the very dark, underhanded dealings of this company.And because she's keeping abreast of what's happening in the UK, the one good thing I can say about it's the UK is that it's a lot more out in the open. Yes. You know, the FDA, it's all done behind closed doors and there's, there's no legislation, there's no, there's no legal requirements to do things a certain way.But if you've noticed the ABPI, which stands for something to do with pharmaceutical industry and their main organisation, has kicked Novo Nordisk out and given them a really, you know, has given them a telling off because of the ethics, because of what they've done and how unethical it's been.So this is my point. I think we also need to be exposing them for the fraudsters that they are. And anyone and everyone can do that. My friend Jeanette, who is The Mindset Nutritionist, she just wrote a Substack newsletter where there was an article, uh, that was in the papers last week about how, how much fat people are costing the NHS.Laura Thomas: I saw this.. Asher Larmie: Yeah And Jeanette basically is like, she talked about it and at the end she was like, oh, by the way, this person's funded by Novo Nordisk. And it's like, oh, there you go. You can find Novo's name anytime you try and look into it. So, you know, if you're sitting at home thinking, what can I do about this? Feel free to do a little bit of sleuthing, like Googling by yourself and try, just try and find the name, Novo Nordisk. Google the name of the doctor that's quoted in the article, and then Google Novo Nordisk  and see where you can find the connections. Cause I think the more we bring attention to this, the, the more we expose these fraudsters for who they are.Laura Thomas: Right? Any investigative journalists listening. You know, hit Asher up. Asher Larmie: Yeah. I'm totally on board. That's it. I'll give you my number.Laura Thomas: What you're saying is that we, we need to kind of make a noise about how unethical and dubious all of this is. And, and how devastating this could be if it, if it goes through, so yes.Okay, well, we'll see how this all plays out. If you haven't signed up to Reagan's newsletter and Jeanette's newsletter, I'll make sure that I've linked to both of those in the show notes so that you, you know, we can watch out for developments. And of course I'll link to Asher's social media and everything so you can, you can follow his work as well.Asher Larmie: I am in the process of bringing out a book about this. So if you're interested in finding out a little bit more, it's a little ebook, everything that we've talked about, but in much more detail. So, yeah, keep your eye out.Laura Thomas: All right, Asher, to wrap up at the end of every episode, we share what we have been snacking on.So it can be an actual, literal snack if you want, or just something that you've been really vibing on, something you're really interested in and you wanna share with the audience, a book, a podcast, whatever. What do you have for us? Asher Larmie: Mine's a book. It's called, It Was Always Ours by Jessica Wilson.Laura Thomas: Oh, yeah. We had Jessica on the podcast talking about her book.Asher Larmie: Oh, oh. Well then I'm not bringing any new revelation. I dunno what she said, but I absolutely love this book.Laura Thomas: You can give it a plug and I'll link, I'll link to the episode as well.Asher Larmie: It's such a good book. It's great. I found it a very easy book to read. You know like sometimes when you read non-fiction books, it feels heavyLaura Thomas: There's so many like pop culture references, that I think it just make it feel really like relatable and understandable. She digs into Goop. That's brilliant. Asher Larmie: And it's funny! Really funny. Really funny. Like it keep, it keeps you laughing until the end.There was like one chapter at the end where she's talking about goop, where I was literally rolling around giggling. It's a really insightful book when it comes to just how anti-fatness has played out, especially within the black community. Cause it's a, it's a book written by a black woman for black people, for black women.But I think there's so much to learn from reading this book, so cannot plug this book enough. Love it, love it, love it, love it, love it. And I think I've read it three times now. .Laura Thomas: Oh wow. Okay. So you're a Stan.Asher Larmie: Re-snacking. Re-snacking on it.Laura Thomas: I love it. Yeah, no, Jessica is great. And I'll link to the episode that we had her on cos it was a really good conversation. All right, so my thing, little less high brow than Jessica's book. I was telling you before we started recording that tomorrow is my kid's third birthday. And so over the weekend we put up his birthday tree. A birthday tree - for people who have not been following my Instagram stories over the past couple of years - is a Christmas tree. Except it's pink and covered in fake snow that I put up for my birthday, my husband's birthday and Avery's birthday. And I just think it's the most fun tradition, we have, like all his little birthday presents underneath it, and it kind of gets you in like the birthday spirit. And I'll put probably some like little lights and stuff on it. So yeah, I have this giant fucking pink Christmas tree in my living room and it's so festive and cheery. Do you wanna see it? Should I show?Asher Larmie: Yeah. No, but is it like a…oh my gosh. It's like a full size. I was thinking like a little mini one.Laura Thomas: No, no, it's like…yeahAsher Larmie: And look at all those presents. Laura Thomas: I know. Asher Larmie: How did you manage to keep those unwrapped, like, you know, they're sitting under the tree not being messed with, I don't think my kids would've been that sensible.Laura Thomas: Well…Yeah. I don't know. Actually, I think that next year we'll probably have a bigger problem. He's like, he's pretty chill. Like he'll..I think.. he does ask can we open them? And, and we're like, no. Well, it's your, it's, it's not quite your birthday yet, but yeah. If it was me, I'd be in, I'd be like pushing… like, what's this? What's this?Asher Larmie: Little tear in the wrapping.Laura Thomas: Peeking in between the wrapping paper. My snack, what I'm snacking on is birthday trees and I think everyone should get involved in this tradition. Asher, can you let everybody know where they can find you and your work online?Asher Larmie: Yes, head to fatdoctor.co.uk and there you will find not only my socials, but all of the classes that I'm running, all of the courses that I'm running. I do one-to-one consulting. If and when the book…the book will come out and when it comes out, you'll be able to see it all on my website. So I think that's probably the central place. I'm also on Instagram, but like I said, if you go to fatdoctor.co.uk, you'll be able to find me on all my socials as well.Laura Thomas: We are gonna link to all of your places on the internet in the show notes anyway, so people will be able to, to find you. Thank you so much for coming and having what I think is a really important conversation.You know, I think the media are presenting one side of the story. Like you said, there's a couple of journalists who are doing some sleuthing and that's really good work, but it's not going far enough. And I think we need to alert parents, teachers, other doctors, medical people to the really concerning dark underbelly of, you know, the Novo Nordisk, Wegovy Industrial complex, whatever you wanna call it.Asher Larmie: Yeah. Well said. Laura Thomas: So thank you. Thank you so much, Asher. Asher Larmie: Thank you.Laura Thomas: Thanks so much for listening to the Can I Have Another Snack? podcast. You can support the show by subscribing in your podcast player and leaving a rating and review. And if you want to support the show further and get full access to the Can I Have Another Snack? universe, you can become a paid subscriber.It's just £5 a month or £50 for the year. As well as getting tons of cool perks you help make this work sustainable and we couldn't do it without the support of paying subscribers. Head to laurathomas.substack.com to learn more and sign up today. Can I Have Another Snack? is hosted by me, Laura Thomas. Our sound engineer is Lucy Dearlove. Fiona Bray formats and schedules all of our posts and makes sure that they're out on time every week. Our funky artwork is by Caitlin Preyser, and the music is by Jason Barkhouse. Thanks so much for listening. ICYMI this week: Fundamentals: Helping Kids build a Good Relationship with Sugar - Part 2* Fundamentals: Helping Kids build a Good Relationship with Sugar* 19: AMA w/ Jeanette Thompson Wesson* Rapid Response: Why I don't like ‘this food does a little/this food does a lot' This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit laurathomas.substack.com/subscribe

Das neue "Wundermittel" zum Abnehmen? Ozempic oder auch Wegovy - die Abnhemspritze ist ein neuer Trend, der nicht mehr nur bei Prominenten genutzt wird, sondern auch unter der breiten Gesellschaft immer mehr Anklang findet.In dieser Episode sage ich dir alles, was ich darüber herausgefunden habe und natürlich betrachten wir das Mittel, was eigentlich für Diabetes Typ 2 Patienten entwickelt wurde kritisch.Hier findest du alle Studien und Quellen, die ich genutzt habe:Dr. Asher Larmie: https://www.fatdoctor.co.uk/komplette PDF mit Diagrammen: https://www.bewusst-diaetfrei.de/wp-content/uploads/2023/06/SEMAGLUTID-STUDIE_230603_102429.pdf STEP 1 Studie:https://pubmed.ncbi.nlm.nih.gov/33567185/https://www.nejm.org/doi/full/10.1056/NEJMoa2032183Ärzteblatt Artikel:https://www.aerzteblatt.de/archiv/218450/Semaglutid-Der-Preis-fuer-das-AbnehmenJuniper:https://www.myjuniper.com/denetdoktor:https://www.netdoktor.de/medikamente/semaglutid/-----------------------Starte hier ins bewusst diätfreie Leben: https://www.bewusst-diaetfrei.de/fuerdich Hier findest du mich auf Instagram: https://www.instagram.com/bewusst__diaetfreiMail: kontakt@bewusst-diaetfrei.de

Let's talk about weight loss injections. If the headlines are to be believed, we've solved the puzzle of how to make fat people thin people…but have we really or is this just another diet packaged as a miracle cure? We reached out to Dr Asher Larmie to give us the inside knowledge of how these injections work, what the large companies and medical professionals are choosing not to show us, and what we know so far from the data and studies we do have.  Asher leaves no stone unturned and gives us the truth behind the glossy headlines, even as far as the links between those promoting them and the profits being made.  In this episode, Asher shares what we do and don't know about the long-term impact, the probability of weight regain, the risks involved, and all the questions you may want to ask your doctor if they attempt to prescribe this to you.  Asher is our first returning guest and we are incredibly grateful for sharing their time and knowledge with us because this is such an important conversation to have for anyone curious about weight loss injections.  Dr Asher Larmie (he/they) is a Transmasculine weight-inclusive GP and a leading expert in weight stigma.  They are a fat activist and the founder of the #noweigh campaign, which is committed to putting an end to medical weight stigma. They have over 20 years of medical experience and have been fat for even longer than that.  Topics covered:  Weight loss injections Bariatric surgery Diet companies and slimming clubs Weight loss/Weight gain Dieting Anti fat bias Diabetes and disease Connect with Dr Asher Larmie (MBBS, MRCGP) (They/them or He/him) Fat Doctor  #NOWEIGH  Instagram  Leave us a review wherever you get your podcasts and connect with us:  Follow us on Instagram @theantidietclubpodcast Email theantidietclubpodcast@gmail.com Connect with Tamsin Broster Website: www.tamsinbroster.co.uk Instagram: tamsin_broster Email: freedom@tamsinbroster.co.uk Connect with Gillian McCollum Website: www.gillianmccollum.com Instagram: iamgillianwilson Email: hello@gillianmccollum.com

This week, we're talking about a very hot topic that has been requested of us multiple times - the weight loss drugs Ozempic & Wegovy (plus a little bit about Mounjaro & Saxenda)!Note: We are not registered dietitians, or doctors, or medical providers of any type, and this podcast does not constitute medical advice! Instead, this episode is more of a research roundup. We did all the Google searching & reading so you don't have to if you don't want to. (But also, if you do want to, we've provided links to everything below.) Generally, though, a great deal of our research was pulled from the work of Ragen Chastain, Dr. Asher Larmie, and Christy Harrison.And, lastly, a content warning: A lot of the articles & studies we'll provide will include the o-word, BMI references, references to body weights, and references to disordered eating behaviors. Also, even the articles that talk about the problems with these drugs still often paint them in a positive light.  We did our best with language within the episode, but use caution, especially if you decide to follow the links.In this episode we're covering:The basics of how each of these drugs work & what they're prescribed forThe marketing & popularity of these drugs (including a story from Sadie that will blow your mind!)Harmful drug side effectsWhy the risk/benefit analysis for taking these drugs is different for diabetes than it is for weight lossThe impact that marketing of these drugs for weight loss is having on folks living with diabetes and eating disordersWhy these drugs are actually not a miracle "cure" for fatnessHow these drugs (and other weight loss drugs) keep getting approved, despite their harms & ineffectivenessClick here to get all the links for research referenced in this episode!Want to connect with us to deepen the conversation? Join us in our online community, The Satisfaction Space!Want to show the world that you love the pod? Get t-shirts, sweatshirts, mugs, stickers, totebags & more at Teepublic!You can stay up to date on all things Satisfaction Factor by following us on IG @satisfactionfactorpod!Here's where to find us:Sadie Simpson: www.sadiesimpson.com or IG @sadiemsimpsonNaomi Katz: www.happyshapes.co or IG @happyshapesnaomi

Welcome back to This Is Not About Your Body! This week I'm sitting down with Dr. Asher Larmie, a general practitioner and fat liberationist in the UK who is campaigning for the end to medical weight stigma. Dr. Larmie also runs a number of training courses to help health professionals, employers, and organizations to do less harm through weight discrimination. We talk at length about the rampant anti-fat bias among doctors, and how detrimental it is to so many, especially those in marginalized bodies. Find more from Asher on their website: https://www.fatdoctor.co.uk/ My e-book is out! Grab a copy of Sustainable Movement here: https://www.jessikneeland.com/product-page/sustainable-movement-a-body-neutral-guide-to-health-fitness Intro to the 4 Body Image Avatars: https://youtu.be/SsxQ9qO0-a4 Get my full Body Image Avatar Guide here: https://www.jessikneeland.com/product-page/the-avatar-guide Find more resources here: https://jessikneeland.com/ Instagram: https://www.instagram.com/jessikneeland/ Patreon: https://www.patreon.com/jessikneeland Buy Me A Coffee: https://www.buymeacoffee.com/dgrRFaBYO

Here to answer all of your *pressing* questions about weight and health is General Practitioner Asher Larmie, aka The Fat Doctor. Joining Remy and Emily from the UK, Asher shares their medical background and how they originally created a weight loss blog, which quickly turned into a failed weight loss blog, which begged the question—why do diets fail? Asher unpacks it all, from—why is there a higher rate of medical conditions in fat people? To—why is the BMI so problematic? They chat about the harms of weight cycling, how to determine health without a scale, and answer your q's about weight misconceptions. And yes, that includes the effects of Ozempic. Remy and Emily wrap up with a round of Sweet or Salty, presented by Angie's BOOMCHICKAPOP, and share the sweet and salty moments of their week. Check out our latest promo codes here: https://betches.com/promos Learn more about your ad choices. Visit megaphone.fm/adchoices

Gabe shares a random night they had at a jazz club called The Baked Potato. The duo then try to help a listener whose past relationships have been negatively affecting her current one--especially with the pressure of her birthday coming up. Next, the Fat Doctor, Dr. Asher Larmie, joins the podcast to talk about weight stigma, anti-fat bias leading to treatment delay, the conspiracy to shell out damaging weight loss products and invent fatphobic medical conditions, and how we can rethink health, exercise, and weight. And finally, fame. Do we want it? What kind? And why? This has been a Forever Dog production  Produced by Melisa D. Monts Post-Production by Coco Llorens Executive produced by Brett Boham, Joe Cilio, and Alex Ramsey. To listen to this podcast ad-free  Sign up for Forever Dog Plus at foreverdogpodcasts.com/plus And make sure to follow us on Twitter, instagram and Facebook at ForeverDogTeam to keep up with all of the latest Forever Dog News Learn more about your ad choices. Visit megaphone.fm/adchoices

Gabe shares a random night they had at a jazz club called The Baked Potato. The duo then try to help a listener whose past relationships have been negatively affecting her current one--especially with the pressure of her birthday coming up. Next, the Fat Doctor, Dr. Asher Larmie, joins the podcast to talk about weight stigma, anti-fat bias leading to treatment delay, the conspiracy to shell out damaging weight loss products and invent fatphobic medical conditions, and how we can rethink health, exercise, and weight. And finally, fame. Do we want it? What kind? And why? This has been a Forever Dog production  Produced by Melisa D. Monts Post-Production by Coco Llorens Executive produced by Brett Boham, Joe Cilio, and Alex Ramsey. To listen to this podcast ad-free  Sign up for Forever Dog Plus at foreverdogpodcasts.com/plus And make sure to follow us on Twitter, instagram and Facebook at ForeverDogTeam to keep up with all of the latest Forever Dog News

Gabe shares a random night they had at a jazz club called The Baked Potato. The duo then try to help a listener whose past relationships have been negatively affecting her current one--especially with the pressure of her birthday coming up. Next, the Fat Doctor, Dr. Asher Larmie, joins the podcast to talk about weight stigma, anti-fat bias leading to treatment delay, the conspiracy to shell out damaging weight loss products and invent fatphobic medical conditions, and how we can rethink health, exercise, and weight. And finally, fame. Do we want it? What kind? And why? This has been a Forever Dog production  Produced by Melisa D. Monts Post-Production by Coco Llorens Executive produced by Brett Boham, Joe Cilio, and Alex Ramsey. To listen to this podcast ad-free  Sign up for Forever Dog Plus at foreverdogpodcasts.com/plus And make sure to follow us on Twitter, instagram and Facebook at ForeverDogTeam to keep up with all of the latest Forever Dog NewsSupport this podcast at — https://redcircle.com/just-between-us/donationsAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

The American Academy of Pediatrics recently released new guidelines for weight management interventions in children. These recommendations include weight loss medications and bariatric surgeries, both of which are unethical and not evidence-based. Gathering to discuss the implications, their fears, and what we can do to protect the most marginalized children are Kanoelani Patterson, Dr. Asher Larmi, Dr. Rachel Millner, & Ragen Chastain.Experts on this episode:Kanoelani Patterson (she/her) is a Black, fat-positive masters social worker who specializes in working with children, adolescents & families. Kanoelani is also a powerlifter and co-author of the anthology called “Deconstructing the Fitness Industrial Complex: How to resist, disrupt and reclaim what it means to be fit in American Culture.”Dr. Asher Larmie (they/them) is a transgender, non-binary GP/ family Doctor with over 20 years of medical experience. They are a fat activist and host a successful podcast called The Fat Doctor Podcast, and here is part 1 of their series on the AAP Guidelines.Dr. Rachel Millner (she/her) is a psychologist and activist who supports people with eating disorders, disordered eating, and those wanting to heal their relationship with food and body. Rachel is a fat activist, a fat positive provider, and works from a Heath at Every Size and Body Trust framework. And here's Rachel's note to kids about the AAP guidelines.Ragen Chastain (she/her) who is a speaker, writer, researcher, Board Certified Patient Advocate, multi-certified health and fitness professional, and thought leader in weight science, weight stigma, health, and healthcare. Ragen wrote about the AAP guidelines in her newsletter, and you should also check out the HAES Health Sheets.Maintenance Phase and Virginia Sole-Smith have also commented on these AAP Guidelines.This episode's poem is called “Elegy” and is by Aracelis Girmay.Hi, Sophia here! If you enjoy this podcast, and this episode, please do consider supporting our efforts by becoming a Patron or subscribing through your Apple Podcasts player.

This is the Weight and Healthcare newsletter! If you like what you are reading, please consider subscribing and/or sharing!In Part 1 we talked about how Novo Nordisk got suspended from The Association of the British Pharmaceutical Industry for their shady marketing practices. Today, we're going to talk about an investigation by The Observer that found what so many of us have been saying for a looooong time - that Novo Nordisk had paid millions to prominent ob*sity “charities,” NHS trusts, universities and other bodies as well healthcare professionals who publicly praised the drug (typically without disclosure of their funding) and who advised NICE (The National Institute for Health and Care Excellence) on their reviewing of Novo's weight loss drug to decide whether or not it should be made available.The Observer article by Shanti Das and Jon Ungoes-Thomas “‘Orchestrated PR campaign': how skinny jab drug firm sought to shape ob*sity debate” (Note: per my policy I'm not linking to it because it still comes from a place of weight stigma) found that in three years, Novo Nordisk had shelled out £21,700,000 (about $26,415,301.50 USD) over 3,500 transactions which were separate from their research and development spending.The Observer found:“The payments include donations, event sponsorship, grants and other fees to prominent ob*sity charities, NHS trusts, royal colleges, GP surgeries, healthcare education providers and universities - on top of £28m spent by the company on research and development. A further £4m in payments such as consulting and lecture fees went to health professionals, including experts on ob*sity. The business has also provided financial support for the running of the all-party parliamentary group on ob*sity - a cross party group of MPs and members of the Lords that lobbies the government on health policy.”I've written before about how major papers like the New York Times are writing articles that are, essentially, lobbying for Novo Nordisk's priorities where every expert quoted is on Novo's payroll with no disclosure. One question I get asked a lot is “how is that legal?” First I'll point out that legal and ethical are two different things. Beyond that, there is a tendency to believe that doctors and academics are somehow immune to industry influence (or to the ways that their promotion of the weight loss paradigm will support their careers) such that reporters and others (including those on the pharma industry's payroll) claim that disclosing these conflicts of interest isn't important.An excellent example of the ways in which those who are seen as “impartial” experts in academia are, in fact, on the payroll of these companies and actively shilling for them is Professor John Wilding. Professor Wilding is at Liverpool University, where he leads clinical research on “ob*sity.” He also serves as president of the “World Ob*sity Federation” (an astroturf organization similar to the Ob*sity Action Coalition) which took more than £4.3M over three years, per The Observer. Somehow, this did not make its way onto his conflicts of interest statement. Meanwhile, he was quoted extensively in the media recommending Novo's drug Wegovy. Jason Halford, who is the Head of the School of Psychology at the University of Leeds, told an audience of millions on BBC that Wegovy is “one of the most powerful pharmaceutical tools” for treating “ob*sity.” He did not disclose that he is also the president of the European Association for the Study of Ob*sity (EASO), another astroturf organization (which is to say, an organization that claims to advocate for marginalized people but, in reality, is predominantly funded by and acting as a lobbying arm of, the pharmaceutical/weight loss surgery industry.) The Observer found that the EASO received more than three-quarters of its income (more than £3.65m) from Novo Nordisk. He was also a previous member of Novo Nordisk's UK advisory board.I'm glad Novo Nordisk's lack of ethics are getting wider coverage (though, as I pointed out in part 1, people in fat liberation and weight-neutral health advocates like Mikey Mercedes, Louise Adams, Asher Larmie, myself and others have been talking about this for some time,) but I don't expect it to stop them until we can put enough pressure on them to force them to stop. This is a company that orchestrated aggressive price gouging on insulin, proving beyond a doubt that they will kill people for money. And as pressure in the US is forcing Novo to lower the price of insulin, they seem to have a lot of eggs in the Wegovy basket. Prior to launch, they promised their shareholders the “fastest ever” post FDA-approval launch and that they would double their “ob*sity” sales by 2025. In fact, The Observer found that Novo Nordisk's sales on their new “ob*sity treatments” rose 84% in 2022 to $2.4B – a figure Novo projects will “grow significantly” in 2023.And what will they do to grow this figure significantly this year? I think their behavior makes it clear – absolutely anything they can get away with.Did you find this post helpful? You can subscribe for free to get future posts delivered direct to your inbox, or choose a paid subscription to support the newsletter and get special benefits! Click the Subscribe button below for details:Liked this piece? Share this piece:More research and resources:https://haeshealthsheets.com/resources/*Note on language: I use “fat” as a neutral descriptor as used by the fat activist community, I use “ob*se” and “overw*ight” to acknowledge that these are terms that were created to medicalize and pathologize fat bodies, with roots in racism and specifically anti-Blackness. Please read Sabrina Strings Fearing the Black Body – the Racial Origins of Fat Phobia and Da'Shaun Harrison Belly of the Beast: The Politics of Anti-Fatness as Anti-Blackness for more on this. Get full access to Weight and Healthcare at weightandhealthcare.substack.com/subscribe

This is the Weight and Healthcare newsletter! If you like what you are reading, please consider subscribing and/or sharing!If you have read this newsletter for any period of time, you've read my accounts of how pharmaceutical company Novo Nordisk has been using extremely shady marketing practices (many taken from the playbook that Purdue Pharma used to push oxycontin) to promote their drugs for weight loss. Things likePutting doctors on their payroll to promote their drugs to the media without disclosing their ties to the NovoCreating astroturf organizations that claim to be advocacy groups for higher-weight people but are, in fact, funded by Novo and other pharma and weight loss surgery groups.Marketing their drug through Grand Rounds presentationsCreating PSAs and Sponsored Content using people who (you can't make this stuff up) play doctors on TVCo-opting the concept and language of anti-weight-stigma activists in order to sell their weight loss drugsAnd I'm far from the only person talking about this.Mikey Mercedes has publicly called this out. Louise Adams from Untrapped has been all over it  (I had the chance to join Louise Adams and Fiona Willer on Louise's Podcast All Fired Up to talk about this)Asher Larmie, The Fat Doctor, has also been talking about thisAnd there are plenty of others.Part of the issue is that in the United States pharma companies are allowed to market direct-to-consumers , and the rules and regulations that exist are often loosely enforced. That's why I was thrilled to learn that The Association of the British Pharmaceutical Industry (ABPI,) a trade association that works in England, Scotland, Wales, and Northern Ireland in partnership with the government and the NHS on behalf of their members, had suspended Novo Nordisk for being in breach of the ABPI code of practice.Interestingly, just a month ago, the president of ABPI was Novo Nordisk UK General Manager and Corporate Vice-President Pinder Sahota. Sahota stepped down from the board in February “to avoid an ongoing process around a Novo Nordisk ABPI Code of Practice breach becoming a distraction from the vital work of the ABPI.”The complaint was made to The Prescription Medicines Code of Practice Authority (PMCPA) which is “the self-regulatory body which administers the Association of the British Pharmaceutical Industry (ABPI) Code of Practice for the Pharmaceutical Industry, independently of the ABPI. It was established by the ABPI on 1 January 1993.”The complaint centers around a LinkedIn post offering practitioners a free “weight management” course. The only “weight management” treatment covered in the course was GLP1-RA drugs. Novo Nordisk was, at the time, the only company selling these drugs. The course was “sponsored” (paid for) by Novo Nordisk, but that was not clear in the LinkedIn Ad.Not only did this “course” offer information, but they also offered a free Patient Group Direction (PGD). Per the NHS a PGD is  “a written instruction for the sale, supply and/or administration of medicines to groups of patients who may or may not be individually identified before presentation for treatment. May or may not be identified means an individual can either be known to the service/have an appointment (e.g. a baby immunisation clinic) or not be known in advance of presenting at a service (e.g. a walk in centre).PGDs are not a form of prescribing. PGDs allow health care professionals specified within the legislation to supply and/or administer a medicine directly to a patient with an identified clinical condition without the need for a prescription or an instruction from a prescriber. The health care professional working within the PGD is responsible for assessing that the patient fits the criteria set out in the PGD.”The complainant pointed out that the PGD was part of what was being offered to individual health professionals by Novo Nordisk, that it had a value, and that it was being given to individuals for their own personal benefit to run private clinics. The complainant suggested that this amounted to bribing health professionals with “an inducement to prescribe.”The complainant noted that on the website the course had been run several times, so it was likely that a large number of health professionals had received this offer.The ABPI review panel found that the training was provided by a third party, but attendees and PGDs were sponsored by Novo Nordisk. The training mentioned three drugs, the first two (orlistat and naltrexone/bupropion) were presented as having significant side effects and contraindications, while the third drug, Novo's Saxenda, did not include side effect information (though they are significant) and the training noted that Saxenda could be provided by an appropriate health professional with a valid PGD (which was provided by the course.)The training included 21 slides about Saxenda, but no such detail on the other two drugs.Sponsorship of third party trainings by drug companies are permissible by APBI “only if there had been a strictly arm's length arrangement with no input by the company and no use by the company.” In this case, the agreement between the training provider and Novo stated that “Novo Nordisk will be in attendance at training meetings and will be given delegates to follow up” and the panel found that “Novo Nordisk had reviewed the training materials used on the course for medical and factual accuracy.”The panel concluded that “the course (webinar and e-learning) was, in effect, promotional material for Saxenda for which Novo Nordisk was responsible”The Panel found that “the webinar, in effect, promoted Saxenda which Novo Nordisk was responsible for, and considered that Novo Nordisk's involvement in relation to such promotion, including that its medicine would be discussed in detail, was not made sufficiently clear at the outset. Therefore, a breach of the Code was ruled. Novo Nordisk's appeal on this point was unsuccessful.”The contract between Novo and the third party was signed in February 2020, with the intention that 13,000 professionals be trained over 2 years, each of whom were to be provided a PGD making Novo Nordisk's maximum contract £357,500 (about $455,578 USD). As of July 1, 2021, 4,399 health professionals had completed the training and 599 PGDs had been activated.The Panel found that “the provision of funding by Novo Nordisk for the PGD was clearly linked to the promotion of Saxenda; the Panel did not consider there could be any intention other than to directly increase the use of Saxenda. Furthermore, the Panel noted that the cost of the provision of the PGD to prescribe Saxenda was given to individual health professionals. Such funding to individual health professionals did not meet the requirements of the Code and was an inducement to prescribe, supply, administer and/or recommend Saxenda and the Panel therefore ruled a breach of the Code. Novo Nordisk's appeal on this point was unsuccessful.”“The Panel considered that the arrangements between Novo Nordisk and the training provider, particularly in relation to the PGD, brought discredit upon, and reduced confidence in, the pharmaceutical industry. A breach of Clause 2 was ruled. Novo Nordisk's appeal on this point was unsuccessful.”Novo Nordisk's decided to appeal on the basis that they didn't know it was a breach. This backfired spectacularly.The Appeal Board was “very concerned that Novo Nordisk did not recognise that this was a large-scale Saxenda promotional campaign which Novo Nordisk knowingly paid for and which was disguised. In the Appeal Board's view the gravity of the breaches was compounded by Novo Nordisk's failures to recognise that its own behaviour was not compliant with the Code…The Appeal Board was concerned about the potential impact on patient safety of providing unbalanced information to a wide audience, particularly given that the arena of weight loss was a highly emotional arena, and particularly given the lack of balance of Saxenda's safety profile and side effects when comparing it with its competitors.”The Appeal Board decided to publicly reprimand Novo Nordisk for “its failings and the potential impact on patient safety.” They also ordered an audit and decided that “the circumstances were so egregious that a report to the ABPI Board was the only appropriate course of action.”The ABPI Board unanimously decided that further action must be taken, and while they chose not to expel Novo outright, they noted that this option could be exercised at a later date. While a majority wanted to immediately suspend Novo Nordisk's membership, they didn't reach a 75% threshold and so decided to conduct an audit.Subsequent to that audit they determined that Novo Nordisk's actions were ““likely to bring discredit on, or reduce confidence in, the pharmaceutical industry” and suspended them for two years, with reinstatement pending a future audit.In Part 2 we'll talk about some investigative journalism that caught Novo Nordisk in more shady marketing practices. Did you find this post helpful? You can subscribe for free to get future posts delivered direct to your inbox, or choose a paid subscription to support the newsletter and get special benefits! Click the Subscribe button below for details:Liked this piece? Share this piece:More research and resources:https://haeshealthsheets.com/resources/*Note on language: I use “fat” as a neutral descriptor as used by the fat activist community, I use “ob*se” and “overw*ight” to acknowledge that these are terms that were created to medicalize and pathologize fat bodies, with roots in racism and specifically anti-Blackness. Please read Sabrina Strings Fearing the Black Body – the Racial Origins of Fat Phobia and Da'Shaun Harrison Belly of the Beast: The Politics of Anti-Fatness as Anti-Blackness for more on this. Get full access to Weight and Healthcare at weightandhealthcare.substack.com/subscribe

There is a CONTENT WARNING for medical weight stigma, cancer and eating disorders.  Asher follows up on their previous episode about the challenges of navigating cancer treatment as a Fat person by responding to a stigmatising video about breast cancer risk. They are joined by Cara McB, a "fat queer person on the internet" and beloved Instagrammer/Tik Toker. Together Asher and Cara ask:1. Does being fat cause breast cancer?2. Does being fat increase your risk of breast cancer recurrence?3. What are the risks of recurrence and death in fat people with breast cancer?4. Why do doctors refuse to listen to the evidence?More about the 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 series 2 of their podcast, Dr Asher Larmie,  an experienced General Practitioner and self-styled Fat Doctor, talks all things related to weight stigma, fatphobia and fat liberation.  They will be joined by several regular guests as well as guests from throughout the fat activism sphere.They tackles the various ways in which these laws contribute to weight stigma and fat oppression through passionate, unfiltered conversations with guest experts, colleagues and friends.  In order to really tackle weight stigma, Asher believes that you must first challenge society's definition of health, it's relationship with disease, and why fat has become public enemy number one.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, Dr. Larmie and the team at 'The Fat Doctor Podcast' welcomes you into their inner circleIf you enjoy this podcast and would like to support Asher so that they can continue making them, you can join them on Patreon. If you fancy connecting with other like-minded people in a safe and non judgmental environment, then why not join their Facebook group the ‘Friends of The Fat Doctor'? You can also check out their webiste or find them on all the usual social media channels including Instagram, Twitter and Tik Tok.

There is a CONTENT WARNING for medical weight stigma, cancer and medical trauma.  Today Asher introduces you to Sarah-Jane, whose Stage 3 Ovarian Cancer could have been detected much earlier had a single doctor bothered to lay a hand on her abdomen. Weight stigma means fewer examinations, delayed investigations and poorer treatment and Sarah-Jane has paid the ultimate price. You can support and follow Sarah-Jane on InstagramMore about the 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 series 2 of their podcast, Dr Asher Larmie,  an experienced General Practitioner and self-styled Fat Doctor, talks all things related to weight stigma, fatphobia and fat liberation.  They will be joined by several regular guests as well as guests from throughout the fat activism sphere.They tackles the various ways in which these laws contribute to weight stigma and fat oppression through passionate, unfiltered conversations with guest experts, colleagues and friends.  In order to really tackle weight stigma, Asher believes that you must first challenge society's definition of health, it's relationship with disease, and why fat has become public enemy number one.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, Dr. Larmie and the team at 'The Fat Doctor Podcast' welcomes you into their inner circleIf you enjoy this podcast and would like to support Asher so that they can continue making them, you can join them on Patreon. If you fancy connecting with other like-minded people in a safe and non judgmental environment, then why not join their Facebook group the ‘Friends of The Fat Doctor'? You can also check out their webiste or find them on all the usual social media channels including Instagram, Twitter and Tik Tok.If you enjoy this podcast and would like to support Asher so that they can continue making them, you can join them on Patreon. If you fancy connecting with other like-minded people in a safe and non judgmental environment, then why not join their Facebook group the ‘Friends of The Fat Doctor'? You can also check out their webiste or find them on all the usual social media channels including Instagram, Twitter and Tik Tok.

There is a CONTENT WARNING for stigmatizing language, medical weight stigma and medical trauma.  Asher concluded this three part series on the recently published American Academy of Pedicatrics (AAP) guidelines on the management of childhood & adolescent oB*siTy, this time considering if the guidelines need to exist in the first place and what it's really all about.More about the 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 series 2 of their podcast, Dr Asher Larmie,  an experienced General Practitioner and self-styled Fat Doctor, talks all things related to weight stigma, fatphobia and fat liberation.  They will be joined by several regular guests as well as guests from throughout the fat activism sphere.They tackles the various ways in which these laws contribute to weight stigma and fat oppression through passionate, unfiltered conversations with guest experts, colleagues and friends.  In order to really tackle weight stigma, Asher believes that you must first challenge society's definition of health, it's relationship with disease, and why fat has become public enemy number one.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, Dr. Larmie and the team at 'The Fat Doctor Podcast' welcomes you into their inner circleIf you enjoy this podcast and would like to support Asher so that they can continue making them, you can join them on Patreon. If you fancy connecting with other like-minded people in a safe and non judgmental environment, then why not join their Facebook group the ‘Friends of The Fat Doctor'? You can also check out their webiste or find them on all the usual social media channels including Instagram, Twitter and Tik Tok.

There is a CONTENT WARNING for stigmatizing language, medical weight stigma and medical trauma.  Asher is joined by regular guest Rachel Wardle (she/her), Pediatric Physiotherapist and large fat.  Together they continue the discussion about the recently published American Academy of Pedicatrics (AAP) guidelines on the management of childhood & adolescent oB*siTy, focusing on several Key Action Statements and the lack of evidence supporting them. This includes:Calculating the BMI of ALL children aged 2-18 on an annual basisGiving weight loss advice to children as young as twoOffering weight loss drugs or surgery to children as young as 12/13 More about the 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 series 2 of their podcast, Dr Asher Larmie,  an experienced General Practitioner and self-styled Fat Doctor, talks all things related to weight stigma, fatphobia and fat liberation.  They will be joined by several regular guests as well as guests from throughout the fat activism sphere.They tackles the various ways in which these laws contribute to weight stigma and fat oppression through passionate, unfiltered conversations with guest experts, colleagues and friends.  In order to really tackle weight stigma, Asher believes that you must first challenge society's definition of health, it's relationship with disease, and why fat has become public enemy number one.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, Dr. Larmie and the team at 'The Fat Doctor Podcast' welcomes you into the inner circleIf you enjoy this podcast and would like to support Asher so that they can continue making them, you can join them on Patreon. If you fancy connecting with other like-minded people in a safe and non judgmental environment, then why not join their Facebook group the ‘Friends of The Fat Doctor'? You can also check out their webiste or find them on all the usual social media channels including Instagram, Twitter and Tik Tok.

There is a CONTENT WARNING for stigmatizing language, medical weight stigma/ trauma and s**icide.  Asher is joined by regular guest Jeanette Thompson-Wessen (she/her), Anti-diet Nutritionist, Intuitive Eating and Body Acceptance Coach.  Together they discuss the recently published American Academy of Pedicatrics (AAP) guidelines on the management of childhood & adolescent oB*siTy, in particular the evidence (or lack of evidence) that supports their advice that:Children as young as 12 should be offered weight loss drugsChildren as young as 13 should be offered weight loss surgeryThank you for listeningYou can find out more about Jeanette on her website and by following her on social media. Click here to book one of her courses.  More about the 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 series 2 of their podcast, Dr Asher Larmie,  an experienced General Practitioner and self-styled Fat Doctor, talks all things related to weight stigma, fatphobia and fat liberation.  They will be joined by several regular guests as well as guests from throughout the fat activism sphere.They tackles the various ways in which these laws contribute to weight stigma and fat oppression through passionate, unfiltered conversations with guest experts, colleagues and friends.  In order to really tackle weight stigma, Asher believes that you must first challenge society's definition of health, it's relationship with disease, and why fat has become public enemy number one.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, Dr. Larmie and the team at 'The Fat Doctor Podcast' welcomes you into the inner circleIf you enjoy this podcast and would like to support Asher so that they can continue making them, you can join them on Patreon. If you fancy connecting with other like-minded people in a safe and non judgmental environment, then why not join their Facebook group the ‘Friends of The Fat Doctor'? You can also check out their webiste or find them on all the usual social media channels including Instagram, Twitter and Tik Tok.

What a guest we have for you this week, none other than Dr Asher Larmie (they/them) aka The Fat Doctor. Asher is a Transgender Non Binary fat activist and GP with over 20 years of medical experience in the UK. Asher shares with us how their own journey unfolded and the ways in which the medical system is harming fat patients and why they continue to fight for an end to medical weight stigma. Their #noweigh campaign aims to be the first step towards dismantling weight centric healthcare that has become the norm in our society. Topics Covered: Weight Loss & Dieting Eating Disorders Intuitive Eating Medical Weight Stigma Medical Trauma Social Determinants of Health BMI Dr Asher Larmie (The Fat Doctor) https://www.fatdoctor.co.uk https://www.noweigh.org Thefatdoctor/Instagram @fatdoctoruk/tiktok Ragen Chastain - https://danceswithfat.org Health Sheets - https://danceswithfat.org/2021/03/09/haes-health-sheets-diagnosis-specific-info-for-weight-neutral-healthcare/ Follow us on instagram @theantidietclubpodcast Email theantidietclubpodcast@gmail.com Connect with Tamsin Broster Website: www.tamsinbroster.co.uk Instagram: tamsin_broster Email: freedom@tamsinbroster.co.uk Connect with Gillian McCollum Group Coaching: https://www.gillianmccollum.com/group-coaching Website: www.gillianmccollum.com Instagram: gillianmccollum Email: hello@gillianmccollum.com

Welcome to Episode 1 of Season 3 of the Fat Doctor Podcast, or as Asher likes to think of it, the reboot.  In this episode they be challenge the crazy progressive liberal snowflake stereotype.  Apparently fat liberation is extremism.  Or is it?In this episode, Asher discusses:Their own journey into fat liberationWhy basic human rights and freedom from discrimination and oppression is not radical extremismWhy BMI and "ob*sity" have no business being part of heath or healthcareWhy focusing on weight loss is a waste of breathThank you for listeningIf you enjoy this podcast and would like to support Asher so that they can continue making them, you can join them on Patreon.  If you fancy connecting with other like-minded people in a safe and non judgmental environment, then why not join their Facebook group the ‘Friends of The Fat Doctor'? You can also check out their webiste or find them on all the usual social media channels including Instagram, Twitter and Tik Tok. More about the 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 series 2 of their podcast, Dr Asher Larmie,  an experienced General Practitioner and self-styled Fat Doctor, examines and challenges the laws that make up the foundations of mordern day healthism.They tackles the various ways in which these laws contribute to weight stigma and fat oppression through passionate, unfiltered conversations with guest experts, colleagues and friends.  In order to really tackle weight stigma, Asher believes that you must first challenge society's definition of health, it's relationship with disease, and why fat has become public enemy number one.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, Dr. Larmie and the team at 'The Fat Doctor Podcast' welcomes you into the inner circle

In the final episode of season 2, Dr. Asher Larmie not only asks the question "is it OK to discriminate against fat people", but they also reflect on the future of the Fat Doctor Podcast.In this episode, Asher discusses:Why the wellness industry keeps getting it wrongWhat it means to be a "progressive"The reality of podcasting and how they plan to make this podcast more sustainable for the futureThank you for listeningIf you enjoy this podcast and would like to support Asher so that they can continue making them, you can join them on Patreon.  If you fancy connecting with other like-minded people in a safe and non judgmental environment, then why not join their Facebook group the ‘Friends of The Fat Doctor'? You can also check out their webiste or find them on all the usual social media channels including Instagram, Twitter and Tik Tok. More about the 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 series 2 of their podcast, Dr Asher Larmie,  an experienced General Practitioner and self-styled Fat Doctor, examines and challenges the laws that make up the foundations of mordern day healthism.They tackles the various ways in which these laws contribute to weight stigma and fat oppression through passionate, unfiltered conversations with guest experts, colleagues and friends.  In order to really tackle weight stigma, Asher believes that you must first challenge society's definition of health, it's relationship with disease, and why fat has become public enemy number one.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, Dr. Larmie and the team at 'The Fat Doctor Podcast' welcomes you into the inner circle

In order to challenge the eleventh law of healthism, Dr. Asher Larmie is joined by Body Trust® Coach Nicola Hagett.In this episode, Asher and Nicola discuss:The double bind of health and healthcareWhat medical trauma looks likeCompassion for those that feel the need to perform the role of the "good fat"References:Nicola can be found on Instagram, and Twitter. You can sign up to her newslette  and find all the information about the services she offers on her website.Thank you for listeningIf you enjoy this podcast and would like to support Asher so that they can continue making them, you can join them on Patreon.  If you fancy connecting with other like-minded people in a safe and non judgmental environment, then why not join their Facebook group the ‘Friends of The Fat Doctor'? You can also check out their webiste or find them on all the usual social media channels including Instagram, Twitter and Tik Tok. More about Nicola Nicola a Body Trust Coach for plus-sized/fat humans. She iz also a fat person who practices Body Trust® every day in order to heal, thrive, and reclaim the joy and pleasure in her life.She supports and guides smart, socially conscious humans  to heal their relationship with food, unlearn body shame, and live their fullest life, right now, in the body they're in.  Nicola helps folks move from “getting it intellectually” to integrating these approaches fully into their life – without getting pulled off course by Diet Culture and Anti-Fatness. She shows people how to explore, name & reclaim their Body Story, learn to trust their body's wisdom, unpack fear of weight gain, and redefine what health and wellbeing mean for them.More about the 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 series 2 of their podcast, Dr Asher Larmie,  an experienced General Practitioner and self-styled Fat Doctor, examines and challenges the laws that make up the foundations of mordern day healthism.They tackles the various ways in which these laws contribute to weight stigma and fat oppression through passionate, unfiltered conversations with guest experts, colleagues and friends.  In order to really tackle weight stigma, Asher believes that you must first challenge society's definition of health, it's relationship with disease, and why fat has become public enemy number one. 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, Dr. Larmie and the team at 'The Fat Doctor Podcast' welcomes you into the inner circle

In order to challeng  the tenth law of healthism, Dr. Asher Larmie is joined by comedian and Tik Tok sensation  Cara McB.In this episode, Asher and Cara discuss:Health through the lens of productivity and capitalismThe process of ditching diet culture to fighting for social justiceHow privilege influences healthReferences:Cara can be found on  Instagram, and  Tik Tok. Thank you for listeningIf you enjoy this podcast and would like to support Asher so that they can continue making them, you can join them on Patreon.  If you fancy connecting with other like-minded people in a safe and non judgmental environment, then why not join their Facebook group the ‘Friends of The Fat Doctor'? You can also check out their webiste or find them on all the usual social media channels including Instagram, Twitter and Tik Tok. 

In order to challenge the eighth law of healthism, Dr. Asher Larmie is joined by Superfat fitness instructor Becky Scott, founder of Missfits Workout.In this episode, Asher and Becky discuss:The difference between longevity and quality of life and how this relates to healthPerforming the role of the "good fat"What it is like to be a fat fitness professionalThe role of thin allies in the fitness professionReferences:Becky can be found on Instagram, Facebook and Twitter. You can find all the information about the classes she offers on her website and you can also join her at FPAWS and as part of the Rebel Body Collective. Thank you for listeningIf you enjoy this podcast and would like to support Asher so that they can continue making them, you can join them on Patreon.  If you fancy connecting with other like-minded people in a safe and non judgmental environment, then why not join their Facebook group the ‘Friends of The Fat Doctor'? You can also check out their webiste or find them on all the usual social media channels including Instagram, Twitter and Tik Tok. More about BeckyBecky is a trained as a fitness instructor and now leads her own dance-based exercise classes.  She promotes a holistic approach to fitness and wellbeing that's not about aesthetics - She's more about building confidence than muscle, more about losing inhibitions than inches! Becky's approach offers a great introduction to dance based group fitness for those who don't feel ‘at home' in the gym - with a plus size instructor who has designed routines with plus size bodies in mind.She is a founding members of Fitness Professionals Against Weight Stigma, a Community Interest Company striving to create inclusive fitness spaces where every body feels welcome and comfortable enough to feel the true benefits of physical activity.  In addition, she recently joined the Rebel Body Collective, a community of weight-neutral, size-inclusive, HAES-aligned, body liberation-oriented movement professionals.More about the 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 series 2 of their podcast, Dr Asher Larmie,  an experienced General Practitioner and self-styled Fat Doctor, examines and challenges the laws that make up the foundations of mordern day healthism.They tackles the various ways in which these laws contribute to weight stigma and fat oppression through passionate, unfiltered conversations with guest experts, colleagues and friends.  In order to really tackle weight stigma, Asher believes that you must first challenge society's definition of health, it's relationship with disease, and why fat has become public enemy number one. 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, Dr. Larmie and the team at 'The Fat Doctor Podcast' welcomes you into the inner circle.

In order to challenge the eighth law of healthism, Dr. Asher Larmie is joined by eating disorder advocate William Hornby.  Content Warning for eating disorders.  In this episode, Asher and William discuss:The dangers of performance and appearance based health What eating disorders actually look like as opposed to what we think they look likeThe challenges of recovering from an eating disorder into a fatphobic worldWays to support recovery, especially in men/masculine presenting peopleReferences:William can be found on Instagram and TikTok.  You can also find a number of resources on his website.  You can listen to his music on Spotify and YouTube Thank you for listeningIf you enjoy this podcast and would like to support Asher so that they can continue making them, you can join them on Patreon.  If you fancy connecting with other like-minded people in a safe and non judgmental environment, then why not join their Facebook group the ‘Friends of The Fat Doctor'? You can also check out their webiste or find them on all the usual social media channels including Instagram, Twitter and Tik Tok. More about WilliamWilliam Hornby is at the forefront of raising awareness for men with eating disorders with his advocacy on TikTok and Instagram Reels. He is a recording artist as well. (His debut single, “Clay,” is out on all streaming platforms now!) He currently holds a BBA in Business Management from Temple University and expects to earn his BFA in Musical Theatre in 2022. He trained in classical voice at the prestigious Baltimore School for the Arts. He loves hiking, listening to NPR, and carving pumpkins. He is humbled to be asked on to such an incredible podcast.More about the 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 series 2 of their podcast, Dr Asher Larmie,  an experienced General Practitioner and self-styled Fat Doctor, examines and challenges the laws that make up the foundations of mordern day healthism.They tackles the various ways in which these laws contribute to weight stigma and fat oppression through passionate, unfiltered conversations with guest experts, colleagues and friends.  In order to really tackle weight stigma, Asher believes that you must first challenge society's definition of health, it's relationship with disease, and why fat has become public enemy number one. 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, Dr. Larmie and the team at 'The Fat Doctor Podcast' welcomes you into the inner circle.

In order to challenge the seventh law of healthism, Dr. Asher Larmie is joined by Nicola Salmon, fat-positive fertility coach and author of “Fat and Fertile”.   In this episode, Asher and Nicola discuss:The challenges that some people face when TTC in a fat bodyWhether it is possible to be fat and have a healthy pregnancyIf weight loss helps fertility or pregnancyIf it is possible to be fat and healthyReferences:Nicola's book Fat and Fertile: how to get pregnant in a bigger body can be purchased now.Nicola can be found on Instagram and through her websiteThank you for listeningIf you enjoy this podcast and would like to support Asher so that they can continue making them, you can join them on Patreon.  If you fancy connecting with other like-minded people in a safe and non judgmental environment, then why not join their Facebook group the ‘Friends of The Fat Doctor'? You can also check out their webiste or find them on all the usual social media channels including Instagram, Twitter and Tik Tok. More about Nicola SalmonNicola helps fat folks navigate getting pregnant in a weight-obsessed world and advocates for change in how fat people are treated whilst accessing help with their fertility.  She uses her unique fat positive framework to support people in finding their own version of health without diets, advocate for their bodies, relearn how to trust their body and believe in their ability to get pregnant. More about the 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 series 2 of their podcast, Dr Asher Larmie,  an experienced General Practitioner and self-styled Fat Doctor, examines and challenges the laws that make up the foundations of mordern day healthism.They tackles the various ways in which these laws contribute to weight stigma and fat oppression through passionate, unfiltered conversations with guest experts, colleagues and friends.  In order to really tackle weight stigma, Asher believes that you must first challenge society's definition of health, it's relationship with disease, and why fat has become public enemy number one. 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, Dr. Larmie and the team at 'The Fat Doctor Podcast' welcomes you into the inner circle.

In order to challenge the fifth law of healthism, Dr. Asher Larmie is joined by Caleb Luna, an artist, public scholar and theorist of the body.  They are the author of REVENGE BODY and co-host of the podcast Unsolicited: Fatties Talk Back.  In this episode, Asher and Caleb discuss:How health and wellness culture is abelist and classistHow the pursuit of health and wellness is cultural and should not be assumedHow they learned to flip the script and embrace their fatnessThe beauty of queer cultureReferences:Caleb's book REVENGEBODY can be purchased now.Caleb can be found on Instagram and through their websiteYou can listen to Unsolicited Fatties Talk Back wherever you listen to your podcast. Thank you for listeningIf you enjoy this podcast and would like to support Asher so that they can continue making them, you can join them on Patreon.  If you fancy connecting with other like-minded people in a safe and non judgmental environment, then why not join their Facebook group the ‘Friends of The Fat Doctor'? You can also check out their webiste or find them on all the usual social media channels including Instagram, Twitter and Tik Tok. More about Caleb LunaAs a Ph.D. candidate in Performance Studies at UC Berkeley, Caleb's dissertation reads race, size and sexuality in contemporary U.S. media and cultural production. Publishing, performing and curating across genre and medium, their work is interested in engaging embodied difference as a generative resource toward fatter understandings of collective freedom. More about the 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 series 2 of their podcast, Dr Asher Larmie,  an experienced General Practitioner and self-styled Fat Doctor, examines and challenges the laws that make up the foundations of mordern day healthism.They tackles the various ways in which these laws contribute to weight stigma and fat oppression through passionate, unfiltered conversations with guest experts, colleagues and friends.  In order to really tackle weight stigma, Asher believes that you must first challenge society's definition of health, it's relationship with disease, and why fat has become public enemy number one. 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, Dr. Larmie and the team at 'The Fat Doctor Podcast' welcomes you into the inner circle.

In this weeks episode, Han is joined by Asher Larmie, a.k.a. The Fat Doctor! Asher joins us for a very special eating disorder awareness week special, and FULL OF BEANS 1ST BIRTHDAY! This years eating disorder awareness week is focusing on educating GPs, and breaking through the stigma's we currently hold in a medical setting relating to eating disorders. Asher is extremely passionate about weight-inclusive medicine and passionate about intuitive eating, HAES, and fat acceptance. In this weeks episode, we discuss the role and responsibilities of a GP in eating disorder care, and the role of weight in a medical setting. We discuss the idea that weight is a marker of health, and discuss the impact that monitoring food and exercise can have on an individual. We discuss the curriculum provided to GP's, and the understanding they require about eating disorders, as well as the need for individualised care rather than looking at treatment in a population based studies to inform care. We also discuss Asher's campaign, No Weigh, which is an international campaign to eradicate medical weight stigma through education and empowerment. We want to see an end to BMI, unsolicited weight loss advice, weight-centered healthcare and the “weight management” industrial complex. For information, advice, and resources, follow: https://www.noweigh.org. What you've been wanting to ask questions:What does the ideal early intervention look like to you?What should I expect from my eating disorder treatment if my BMI is more than 18.5?If you would like to find out more or reach out to Asher, you can find more information on their website at https://www.fatdoctor.co.uk or reach out to them on social media @fatdoctoruk (instagram) or @thefatdoctoruk (twitter).

In order to challenge the fifth law of healthism, Dr. Asher Larmie is joined by Da'Shaun Harrison, a Black, fat, queer and trans theorist and abolitionist in Atlanta, GA. Harrison is the author of Belly of the Beast: The Politics of Anti-Fatness as Anti-Blackness, and is a public speaker who often gives talks and leads workshops on Blackness, queerness, gender, fatness, disabilities, and their intersections. Harrison currently serves as the Editor-at-Large for Scalawag Magazine. In this episode, Asher and Da'Shaun discuss:How health is violenceHow the medical profession is founded on the subjugation of black peopleHow slavery impacts the doctor-patient relationship in 21st century AmericaWhere we go from hereReferences:Da'Shaun's book is Belly of the beast: The politics of anti-fatness as anti-blackness can be purchased now, and the audiobook is now available. Da'Shaun can be found on Twitter,  Instagram and FacebookTheir website is Dashaunharrison.comYou can listen to Unsolicited Fatties Talk Back wherever you listen to your podcast. Thank you for listeningIf you enjoy this podcast and would like to support Asher so that they can continue making them, you can join them on Patreon.  If you fancy connecting with other like-minded people in a safe and non judgmental environment, then why not join their Facebook group the ‘Friends of The Fat Doctor'? You can also check out their webiste or find them on all the usual social media channels including Instagram, Twitter and Tik Tok. More about Da'Shaun HarrisonWriting, for Da'Shaun, is not solely a passion or talent, but it is the foundation on which their home—their love, their survival, their creativity—is built. It is their expression of self; their contribution to the documentation of the histories of oppressed/colonized peoples. Harrison's writing has appeared in PhiladelphiaPrint, Medium, THEM, Black Youth Project, BET, and other online publications. More about the 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 series 2 of their podcast, Dr Asher Larmie,  an experienced General Practitioner and self-styled Fat Doctor, examines and challenges the laws that make up the foundations of mordern day healthism.They tackles the various ways in which these laws contribute to weight stigma and fat oppression through passionate, unfiltered conversations with guest experts, colleagues and friends.  In order to really tackle weight stigma, Asher believes that you must first challenge society's definition of health, it's relationship with disease, and why fat has become public enemy number one. 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, Dr. Larmie and the team at 'The Fat Doctor Podcast' welcomes you into the inner circle.

In order to challenge the fourth law of healthism, Dr. Asher Larmie is joined by Michelle Osbourne, a content creator, communications professional and multi-disciplined educator that specializes in helping marginalized communities build socially conscious brands In this episode, Asher and Michelle discuss:How we often seek external validation to define our worthHow to handle negative comments about our bodies and health concern trollingThe difference between confidence, body positivity and body neutralityThe importance of instersectional fat activismReferences:Michelle can be found on Instagram and Tik TokMichelle's website is Michelle Osbourne & CoYou can email Michelle at hello@michelleosbourne.com Thank you for listeningIf you enjoy this podcast and would like to support Asher so that they can continue making them, you can join them on Patreon.  If you fancy connecting with other like-minded people in a safe and non judgmental environment, then why not join their Facebook group the ‘Friends of The Fat Doctor'? You can also check out their webiste or find them on all the usual social media channels including Instagram, Twitter and Tik Tok. More about Michelle OsbourneMichelle works from an anti-racist, anti-oppression, intersectional feminist framework and can often be heard speaking on topics such as body liberation, self-confidence, marginalized woman issues and LGBTQ2+ rights. She's been a frequent guest speaker on radio, podcasts, voted CBC's 2021 Black Changemakers, featured on T.V. and in magazines such as City News Montreal and Today's Parent. With over 15 years of experience working in marketing and communications, Michelle is the owner of her own branding and communications studio Michelle Osbourne & Co. and is also the Creative Director of Project Femme Noire, a photo series that celebrates Black women living in Québec City. More about the 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 series 2 of their podcast, Dr Asher Larmie,  an experienced General Practitioner and self-styled Fat Doctor, examines and challenges the laws that make up the foundations of mordern day healthism.They tackles the various ways in which these laws contribute to weight stigma and fat oppression through passionate, unfiltered conversations with guest experts, colleagues and friends.  In order to really tackle weight stigma, Asher believes that you must first challenge society's definition of health, it's relationship with disease, and why fat has become public enemy number one. 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, Dr. Larmie and the team at 'The Fat Doctor Podcast' welcomes you into the inner circle.

In order to challenge the third law of healthism, Dr. Asher Larmie is joined by Dr Lily O'Hara, Associate Professor of Public Health at Qatar University.  Her research focuses on analyzing oppressive public health approaches to body weight and their inequitable impact on people with larger bodies, and developing ethical, evidence-based, salutogenic public health initiatives for body liberation using the social justice-based Health at Every Size approach. In Part One, Asher and Lily discuss:How we should be defining healthHow the salutogenic model is enhanced by the ecological modelThe social determinants of healthHow the Red Lotus Model allows us to understand health promotion through a social justice and body liberation critical lensReferences:The article that Asher often refers to her and recommends everyone reads is The Red Lotus Model (2007 edition)Thank you for listeningIf you enjoy this podcast and would like to support Asher so that they can continue making them, you can join them on Patreon.  If you fancy connecting with other like-minded people in a safe and non judgmental environment, then why not join their Facebook group the ‘Friends of The Fat Doctor'? You can also check out their webiste or find them on all the usual social media channels including Instagram, Twitter and Tik Tok. More about the Dr Lily O'HaraDr Lily O'Hara is Associate Professor of Public Health at Qatar University. She is a public health and health promotion educator and practitioner with experience in Australia, United Arab Emirates and Qatar. Lily has worked on community, workplace, and school-based programs addressing a broad range of health and wellbeing issues. Lily's research focuses on developing the critical health promotion competencies of the community, workforce, and institutions through the development of the Red Lotus Critical Health Promotion Model, professional development, and teaching.   More about the 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 series 2 of their podcast, Dr Asher Larmie,  an experienced General Practitioner and self-styled Fat Doctor, examines and challenges the laws that make up the foundations of mordern day healthism.They tackles the various ways in which these laws contribute to weight stigma and fat oppression through passionate, unfiltered conversations with guest experts, colleagues and friends.  In order to really tackle weight stigma, Asher believes that you must first challenge society's definition of health, it's relationship with disease, and why fat has become public enemy number one. 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, Dr. Larmie and the team at 'The Fat Doctor Podcast' welcomes you into the inner circle.

In order to challenge the third law of healthism, Dr. Asher Larmie is joined by Dr Lily O'Hara, Associate Professor of Public Health at Qatar University.  Her research focuses on analyzing oppressive public health approaches to body weight and their inequitable impact on people with larger bodies, and developing ethical, evidence-based, salutogenic public health initiatives for body liberation using the social justice-based Health at Every Size approach.In Part Two, Asher and Lily discuss:Wellness culture and how different it is from the salutogenic, ecological health paradigmThe ethics of weight loss surgeryWhy some people are fanatical about wellness cultureWhy we can't assume that between population based studies apply to  individualsReferences:Season 1, Episode 10 of the Fat Doctor Podcast; "The one about cancer".The Weighting Room Webinar on Weight Loss SurgeryThank you for listeningIf you enjoy this podcast and would like to support Asher so that they can continue making them, you can join them on Patreon.  If you fancy connecting with other like-minded people in a safe and non judgmental environment, then why not join their Facebook group the ‘Friends of The Fat Doctor'? You can also check out their webiste or find them on all the usual social media channels including Instagram, Twitter and Tik Tok. More about the Dr Lily O'HaraDr Lily O'Hara is Associate Professor of Public Health at Qatar University. She is a public health and health promotion educator and practitioner with experience in Australia, United Arab Emirates and Qatar. Lily has worked on community, workplace, and school-based programs addressing a broad range of health and wellbeing issues. Lily's research focuses on developing the critical health promotion competencies of the community, workforce, and institutions through the development of the Red Lotus Critical Health Promotion Model, professional development, and teaching.   More about the 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 series 2 of their podcast, Dr Asher Larmie,  an experienced General Practitioner and self-styled Fat Doctor, examines and challenges the laws that make up the foundations of mordern day healthism.They tackles the various ways in which these laws contribute to weight stigma and fat oppression through passionate, unfiltered conversations with guest experts, colleagues and friends.  In order to really tackle weight stigma, Asher believes that you must first challenge society's definition of health, it's relationship with disease, and why fat has become public enemy number one. 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, Dr. Larmie and the team at 'The Fat Doctor Podcast' welcomes you into the inner circle.

In order to challenge the second law of healthism, Dr. Asher Larmie is joined by Rachel Wardle, a Specialist Paediatric Physiotherapist who is currently working in respiratory care for children and young people with complex neurodisability.  She has been fat the vast majority of her life, and currently falls into the superfat category Together Asher and Rachel discuss:How much control we have over our healthHow the COVID pandemic changed our perceptions of healthTheir experiences of working through the pandemic The challenges faced by fat healthcare professionals working in often times hostile anti-fat spacesContent Warning:COVID and experiences on ITU, fat shaming, weight stigma, explicit languageThank you for listeningIf you enjoy this podcast and would like to support Asher so that they can continue making them, you can join them on Patreon.  If you fancy connecting with other like-minded people in a safe and non judgmental environment, then why not join their Facebook group the ‘Friends of The Fat Doctor'? You can also check out their webiste or find them on all the usual social media channels including Instagram, Twitter and Tik Tok. More about the 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 series 2 of their podcast, Dr Asher Larmie,  an experienced General Practitioner and self-styled Fat Doctor, examines and challenges the laws that make up the foundations of mordern day healthism.They tackles the various ways in which these laws contribute to weight stigma and fat oppression through passionate, unfiltered conversations with guest experts, colleagues and friends.  In order to really tackle weight stigma, Asher believes that you must first challenge society's definition of health, it's relationship with disease, and why fat has become public enemy number one. 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, Dr. Larmie and the team at 'The Fat Doctor Podcast' welcomes you into the inner circle.

On this week's episode I'm getting myself into trouble by mentioning my top 3 "worst people in health and fitness".My top 3 are;First bit up to 27-28 minute mark;Nr 1 Dr Michael Mosley. He makes the list as a serial publisher of crash-diet books built on iffy interpretations of research.Then 28 minute to Approx 52 minutes;Nr 2 Dr Asher Larmie, also known as "The Fat Doctor".  They make the list as a serial denier of basic science which is often the case when activists get caught up in their own world.A link to the study Dr Larmie quoted where they claim Obesity isn't a factor but race and ethnicity is...check the conclusion of the study to see my point;https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2770946And some links that show that the above is clearly incorrect/outdatedhttps://www.nature.com/articles/s41366-020-0648-xhttps://www.science.org/content/article/why-covid-19-more-deadly-people-obesity-even-if-theyre-younghttps://www.cdc.gov/obesity/data/obesity-and-covid-19.htmlNow, as I point out, this is not about the people themselves. It's about their work and the overall message they send out.As someone will, no doubt, point out; These people are not part of the health and fitness industry and...indeed, they are definitely not in the Health business.52 minutes onwards;We have Nr 3; The guys behind "Bosh", the vegan products, or at least their marketing department. This could have been deliciously Ella or "The Plant Chef/ founder of Wickd". We spoke before about the "veganisation of junk food" and the health problems that brings, which is why they made my top 3.Remember to follow us on Instagram and Facebook for the competitions, wisdom and cute videos. Visit healthypostnatalbody.com and get 3 months completely FREE access. No sales, no commitment, no BS. Email peter@healthypostnatalbody.com if you have any questions or comments    If you could rate the podcast on your favourite platform that would be a big help. Playing us out this week; "Dessert for Dinner" by Dresden, the Flamingo (They're back!!!)

In order to challenge the first law of healthism, Dr. Asher Larmie is joined by Dr Emma Green (PhD). Emma is a writer, editor and freelance researcher. Informed by her PhD in Health Psychology and personal training certification, Emma's work aims to challenge assumptions in the health and fitness space by sharing science and generating constructive conversations. Together Asher and Emma discuss:The complex definition of health. How much influence diet and exercise has on a person's overall healthWhy many associate health with fatnessThe importance of mental healthSome lesser known facts about eating disorders and disordered eatingThank you for listeningIf you enjoy this podcast and would like to support Asher so that they can continue making them, you can join them on Patreon.  If you fancy connecting with other like-minded people in a safe and non judgmental environment, then why not join their Facebook group the ‘Friends of The Fat Doctor'? You can also check out their webiste or find them on all the usual social media channels including Instagram, Twitter and Tik Tok. Resources and links mentioned in this episode:Emma Green in on Instagram Fitness Professionals Against Weight Stigma (FPAWS) is a Community Interest Company striving to create inclusive fitness spaces where every body feels welcome and comfortable enough to feel the true benefits of physical activity. They can also be found on Instagram. More about the 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 series 2 of their podcast, Dr Asher Larmie,  an experienced General Practitioner and self-styled Fat Doctor, examines and challenges the laws that make up the foundations of mordern day healthism.They tackles the various ways in which these laws contribute to weight stigma and fat oppression through passionate, unfiltered conversations with guest experts, colleagues and friends.  In order to really tackle weight stigma, Asher believes that you must first challenge society's definition of health, it's relationship with disease, and why fat has become public enemy number one. 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, Dr. Larmie and the team at 'The Fat Doctor Podcast' welcomes you into the inner circle.

In series 2 of their podcast Dr. Asher Larmie (formerly Natasha) explores the concepts of health and healthism by challenging 12 simple tenants that they believe form the very foundation of this modern day religion.  Alongside 12 incredible guests, they challenge each law and slowly build a narrative that challenges almost everything we believe about health and fatness.  Episode 1 is an introduction to the laws, which are as follows:Health is something that can be easily definedHealth is something that we can controlWe are responsible for improving our own health  A person's worth is determined by their health     We owe society a debt of health. People in poor health are a drain on society. The healthy few end up paying for the lazy, unhealthy masses.Good health should be our number one priority  You cannot be fat and healthy  Fatness is a sign of weakness and lack of self-respectFatness can be cured by eating less and moving more  Everyone can lose weight if they try hard enough  BMI is a perfectly good measure of health and any health professional that disagrees is not fit for purpose  It is OK to discriminate against fat people  Thank you for listeningIf you enjoy this podcast and would like to support Asher so that they can continue making them, you can join them on Patreon.  If you fancy connecting with other like-minded people in a safe and non judgmental environment, then why not join their Facebook group the ‘Friends of The Fat Doctor'? You can also check out their webiste or find them on all the usual social media channels including Instagram, Twitter and Tik Tok. More about the 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 series 2 of their podcast, Dr Asher Larmie,  an experienced General Practitioner and self-styled Fat Doctor, examines and challenges the laws that make up the foundations of mordern day healthism.They tackles the various ways in which these laws contribute to weight stigma and fat oppression through passionate, unfiltered conversations with guest experts, colleagues and friends.  In order to really tackle weight stigma, Asher believes that you must first challenge society's definition of health, it's relationship with disease, and why fat has become public enemy number one. 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, Dr. Larmie and the team at 'The Fat Doctor Podcast' welcomes you into the inner circle.