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Obesity-related stigma is combatted with a bias-free image gallery and people-first language to reduce weight discrimination. In this episode, Jamie Coleman, Vice President of Marketing at Eli Lilly and Company , discusses initiatives to combat obesity-related stigma, focusing on a bias-free image gallery created with the Obesity Action Coalition. She explains obesity as a complex disease, often misunderstood, with media reinforcing stereotypes. The gallery aims to humanize obesity and improve care. Jamie highlights the impact of weight bias on access to care and urges the use of people-first language to reduce stigma, equating weight discrimination to a human rights issue. Tune in to gain valuable insights into how these efforts are changing the landscape of obesity care! Resources: Connect with and follow Jamie Coleman on LinkedIn. Follow Eli Lilly and Company on LinkedIn and visit their website. Learn about the Stop Weight Bias campaign. Check out the OAC Bias-Free Image Gallery.
Resources for the Community:___________________________________________________________________https://linktr.ee/theplussidezpodcast Ro - Telehealth for GLP1 weight management https://ro.co/weight-loss/?utm_source=plussidez&utm_medium=partnership&utm_campaign=comms_yt&utm_content=45497&utm_term=55______________________________________________________________________Part 1In this empowering episode of The Plus SideZ Podcast, Nurse Tedder joins us to share her personal journey with obesity, diabetes, and her advocacy work with the Obesity Action Coalition. Nurse Tedder's story highlights her passion for combating weight bias and advocating for better healthcare solutions for individuals living with obesity. We delve into the critical intersection of obesity, diversity, equity, and inclusion (DEI), discussing the unique challenges faced by people of color in accessing quality obesity care and treatment options.Nurse Tedder also sheds light on the Obesity Action Coalition's impactful Stop Weight Bias campaign, aimed at reshaping societal perceptions of obesity and fostering greater respect for those affected by this chronic condition. In this episode, we emphasize the importance of treating obesity as a medical issue that requires comprehensive care, not just lifestyle changes, and why it's essential to have obesity treatments included in health insurance plans.Additionally, we address the misconception that body positivity and GLP-1 medications for obesity management can't coexist. Nurse Tedder explains how embracing both concepts can support self-love and sustainable health improvements.Join us for an insightful conversation about the ongoing fight for better obesity treatment, inclusion, and respect for diverse healthcare needs. You can follow Nurse Tedder on social media @coachtedder and listen to her podcast Dear Healthcare Provider, available on all podcast platforms.https://stopweightbias.com/ ______________________________________________________________________⭐️Mounjaro Stanley⭐️griffintumblerco.Etsy.comUse code PODCAST10 for $ OFF______________________________________________________________________Join this channel to get access to perks: / @theplussidez______________________________________________________________________#Mounjaro #MounjaroJourney #Ozempic #Semaglutide #tirzepatide #GLP1 #Obesity #zepbound #wegovy Support the showKim Carlos, Executive Producer TikTok https://www.tiktok.com/@dmfkim?is_from_webapp=1&sender_device=pc Instagram https://www.instagram.com/dmfkimonmounjaro?igsh=aDF6dnlmbHBoYmJn&utm_source=qr Kat Carter, Associate Producer TikTok https://www.tiktok.com/@katcarter7?is_from_webapp=1&sender_device=pc Instagram https://www.instagram.com/mrskatcarter?utm_source=ig_web_button_share_sheet&igsh=ZDNlZDc0MzIxNw==
Subscriber-only episodeResources for the Community:___________________________________________________________________https://linktr.ee/theplussidezpodcast Ro - Telehealth for GLP1 weight management https://ro.co/weight-loss/?utm_source=plussidez&utm_medium=partnership&utm_campaign=comms_yt&utm_content=45497&utm_term=55______________________________________________________________________Part 1In this empowering episode of The Plus SideZ Podcast, Nurse Tedder joins us to share her personal journey with obesity, diabetes, and her advocacy work with the Obesity Action Coalition. Nurse Tedder's story highlights her passion for combating weight bias and advocating for better healthcare solutions for individuals living with obesity. We delve into the critical intersection of obesity, diversity, equity, and inclusion (DEI), discussing the unique challenges faced by people of color in accessing quality obesity care and treatment options.Nurse Tedder also sheds light on the Obesity Action Coalition's impactful Stop Weight Bias campaign, aimed at reshaping societal perceptions of obesity and fostering greater respect for those affected by this chronic condition. In this episode, we emphasize the importance of treating obesity as a medical issue that requires comprehensive care, not just lifestyle changes, and why it's essential to have obesity treatments included in health insurance plans.Additionally, we address the misconception that body positivity and GLP-1 medications for obesity management can't coexist. Nurse Tedder explains how embracing both concepts can support self-love and sustainable health improvements.Join us for an insightful conversation about the ongoing fight for better obesity treatment, inclusion, and respect for diverse healthcare needs. You can follow Nurse Tedder on social media @coachtedder and listen to her podcast Dear Healthcare Provider, available on all podcast platforms.https://stopweightbias.com/ ______________________________________________________________________⭐️Mounjaro Stanley⭐️griffintumblerco.Etsy.comUse code PODCAST10 for $ OFF______________________________________________________________________Join this channel to get access to perks: / @theplussidez______________________________________________________________________#Mounjaro #MounjaroJourney #Ozempic #Semaglutide #tirzepatide #GLP1 #Obesity #zepbound #wegovy Kim Carlos, Executive Producer TikTok https://www.tiktok.com/@dmfkim?is_from_webapp=1&sender_device=pc Instagram https://www.instagram.com/dmfkimonmounjaro?igsh=aDF6dnlmbHBoYmJn&utm_source=qr Kat Carter, Associate Producer TikTok https://www.tiktok.com/@katcarter7?is_from_webapp=1&sender_device=pc Instagram https://www.instagram.com/mrskatcarter?utm_source=ig_web_button_share_sheet&igsh=ZDNlZDc0MzIxNw==
About Jamie Coleman:Jamie Coleman is an inspirational leader who drives large, diverse teams to exceed expectations. With over 20 years of pharmaceutical experience, Jamie has a proven track record in marketing, consulting, and sales. Known for delivering outstanding results, Jamie has managed commercialization efforts for a variety of brands, overseeing over $5B in annual revenue. With extensive international experience, Jamie is adept at navigating complex partnerships and leading through change. Acknowledged for inclusive leadership, Jamie excels in strategic planning, fostering team engagement, and achieving high-performance outcomes.Things You'll Learn:A new image gallery created by Lilly and the Obesity Action Coalition seeks to combat obesity-related stigma.Obesity is discussed as a complex, progressive chronic disease, often misunderstood as merely a lifestyle choice.Weight bias negatively affects access to care, discouraging people from seeking medical help.It is important to use people-first language and create awareness to reduce stigma and promote comprehensive care.Weight discrimination is a significant human rights issue, and global recognition and action are imperative.Resources:Connect with and follow Jamie Coleman on LinkedIn.Follow Eli Lilly and Company on LinkedIn and visit their website. Learn about the Stop Weight Bias campaign. Check out the OAC Bias-Free Image Gallery.
Did you know most people quit their New Year's resolutions by the second Friday of January? But you don't have to be one of them! In this episode, I explore how to stay committed to New Year's resolutions, emphasizing the importance of realistic goals, progress tracking, and self-compassion. I discuss common reasons people quit, like setting unrealistic expectations and losing motivation, and suggest focusing on small, manageable steps while maintaining a strong personal "why." I also highlight the importance of accountability and celebrating small wins. Additionally, I advocate for expanded insurance coverage for obesity treatments through Medicare and Medicaid, encouraging listeners to participate in a public commenting period to support better access to care. Tune in now to discover practical tips to stay on track with your resolutions and make lasting progress on your health goals! Link to Submit your comment to the Centers of Medicare and Medicaid Services about: https://www.regulations.gov/document/CMS-2024-0345-0006 Link to learn more about the CMS rule and Obesity Action Coalition upcoming webinar on how to submit your comment: https://www.obesityaction.org/a-win-for-obesity-care-what-the-new-cms-proposed-rule-means-for-patients/?eType=EmailBlastContent&eId=f2c44423-da82-4e04-8f40-93d03c4219e0 Episode Highlights: About 'Quitters Day' Reasons for quitting resolutions Strategies to overcome quitting Maintaining motivation and overcoming setbacks Advocacy for obesity treatments Connect with Dr. Alicia Shelly: Website | drshellymd.com Facebook | www.facebook.com/drshellymd Instagram | @drshellymd Linked In | www.linkedin.com/in/drshellymd Twitter | @drshellymd About Dr. Alicia Shelly Dr. Alicia Shelly was raised in Atlanta, GA. She received her Doctorate of Medicine from Case Western Reserve University School of Medicine in Cleveland, OH. Dr. Shelly has been practicing Primary Care and Obesity medicine since 2014. In 2017, she became a Diplomat of the American Board of Obesity Medicine. She is the lead physician at the Wellstar Medical Center Douglasville. She started a weekly podcast & Youtube channel entitled Back on Track: Achieving Healthy Weight loss, where she discusses how to get on track and stay on track with your weight loss journey. She has spoken for numerous local and national organizations, including the Obesity Medicine Association, and the Georgia Chapter of the American Society of Metabolic and Bariatric Surgeons. She has been featured on CNN, Fox 5 News, Bruce St. James Radio show, Upscale magazine, and Shape.com. She was named an honoree of the 2021 Atlanta Business Chronicle's 40 under 40 award. She also is a collaborating author for the, “Made for More: Physician Entrepreneurs who Live Life and Practice Medicine on their own terms''. Resources: FREE! Discover the 5 Reasons Your Weight-Loss Journey Has Gotten Derailed (And How To Get Back On Track!)
Obesity is a complex, chronic disease of excessive or abnormally accumulated body fat that significantly increasing the risk of various medical conditions. As the most prevalent chronic disease in the United States—affecting 40% of the population—and impacting 1 in 8 people globally, finding reliable, clinically accurate, and patient-friendly information online can be challenging. To address this gap, AACE developed the “AACE Journey for Patients With Obesity,” a comprehensive resource designed to empower people with obesity to navigate their condition, treatment options, and wellness goals. In this episode, leading endocrinologists Elizabeth Bauer, MD, FACP; Cheryl Rosenfeld, DO, FACE, FACP, FSVM, ECNU; and Kenneth Izuora, MD, MBA, FACE, discuss the journey's development using the latest guidelines, including the integration of adiposity-based chronic disease (ABCD) terminology, which addresses the stigma associated with obesity. They also highlight the collaboration with the Obesity Action Coalition to ensure the resource is patient-centered and explain how both patients and health care professionals can utilize it to enhance care and improve outcomes. Support for this podcast was provided in part by Lilly and Boehringer Ingelheim.
Claim your complimentary gift of my exclusive mini weight care guide today!Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)Today, it's all about the debate surrounding the cost of obesity treatment. This issue is especially frustrating. Unlike other medical conditions, like heart attacks or cancer—which are treated without much hesitation despite their high costs—obesity treatment often faces scrutiny and resistance due to its price tag.To get past these challenges, we need to rethink how we approach obesity treatment. It's worth asking why we're quick to invest in treatments for other serious health issues, but hold back when it comes to obesity.A lot of this comes from the idea that people are "responsible" for their weight, leading some to believe the cost of treatment shouldn't be covered. But to truly move forward, we need to rethink this approach.I've offered other key takeaways on this topic that can help navigate the many obstacles in obesity treatment. Tune in to the full episode for more. If you're ready to take action and explore solutions, the Obesity Action Coalition is a great resource. You can visit their website to find tools and information on how to advocate for better obesity treatment coverage.Connect with me:Instagram: doctorfrancavillaFacebook: Help Your Patients Lose Weight with Dr. FrancavillaWebsite: Dr. Francavilla ShowYoutube: The Doctor Francavilla ShowGLP Strong: glpstrong.com.A significant part of the controversy stems from the belief that individuals should bear the financial burden of their weight-related health issues because they are deemed "responsible" for their condition. This perspective overlooks the fact that addressing obesity is not only about individual responsibility but also about ensuring equitable access to necessary medical care.To get past these challenges, we need to rethink how we approach obesity treatment. It's worth asking why we're quick to invest in treatments for other serious health issues but hold back when it comes to obesity. Changing this mindset could lead to better coverage and support for those who need treatment.For those interested in taking practical steps to address weight management, the Obesity Action Coalition offers valuable resources. Their website provides tools and information for advocating improved coverage for obesity treatments, empowering individuals to take control of their health journey.
On episode 488 of The Nurse Keith Show nursing and healthcare career podcast, Keith interviews Thomas George, DNP, APRN, FNP-C, NASM-CPT, a family nurse practitioner specializing in the treatment of obesity. In the course of their conversation, Keith and Dr. George discuss obesity as a chronic disease of pandemic proportions, current treatment strategies, the concept of "food noise", the latest scientific evidence, and much more. Excellent resources shared by Dr. George include the Consensus Statement on Obesity as a Disease by the Stop Obesity Alliance; the consensus statement by the the American Association of Clinical Endocrinology; an informative article about "food noise"; the Obesity Action Coalition, and the Obesity Medicine Association. Dr. Thomas George is a family nurse practitioner and assistant professor at Frontier Nursing University, and the Clinic Director and obesity specialist and business consultant for Wellspring Weight and Wellness, a new startup in rural SE Idaho. Dr. George chairs the Obesity Medicine Association's CME Committee, and holds a certificate and advanced education in obesity medicine from the Obesity Medicine Association, and a certificate in primary care obesity management from the Obesity Society. He is a certified personal trainer and weight loss specialist with the National Academy of Sports Medicine, and he himself is a person living with obesity. Connect with Thomas George: Wellspring Weight and Wellness LinkedIn Contact Nurse Keith about holistic career coaching to elevate your nursing and healthcare career at NurseKeith.com. Keith also offers services as a motivational and keynote speaker and freelance nurse writer. You can always find Keith on LinkedIn. Are you looking for a novel way to empower your career and move forward in life? Keith's wife, Shada McKenzie, is a gifted astrologer and reader of the tarot who combines ancient and modern techniques to provide valuable insights into your motivations, aspirations, and life trajectory, and she offers listeners of The Nurse Keith Show a 10% discount on their first consultation. Contact Shada at TheCircelandtheDot.com or shada@thecircleandthedot.com.
Patients with obesity are at the forefront of latest developments in medicine once again, with new options but many new questions still to be solved, including a public health emergency and shortage despite the latest advances. In this latest interview Angela Fitch MD, FACP, FOMA, Dipl. ABOM critically reviews the advances, public health emergency, and problems with patient access to obesity treatments with an important call to action to the entire healthcare community. She offers a scientific overview of latest obesity treatments, incredibly practical solutions as well as valuable tips for treatments of obesity you do not want to miss! Angela Fitch, MD, FACP, FOMA is a leader in the field of obesity medicine, immediate past president of the Obesity Medicine Association, Assistant Professor of Medicine at Harvard University, and former co-director of the Massachusetts General Hospital Weight Center. She is a dedicated clinician, as well as an activist for obesity medicine, board member of the Obesity Action Coalition, and a founding member of the Massachusetts Coalition for Action on Obesity. 0:00 Episode Highlights - Public Health Emergency: only 5-10% of 140 million patients w/ access to obesity care 1:36 Episode + Guest Introduction 3:31 Inspiration behind Dr. Angela Fitch's activism + specialization in Obesity 3:56 Background in engineering, primary care with GLP1 agonists 5:16 Obesity is a heterogeneous chronic disease 7:26 How far we have advanced in obesity treatments from phentermine and topiramate to semaglutide (Wegovy)or tirzepatide (Zepbound) and their relative probability in losing 20% bodyweight 8:49 Surgery vs newer GLP1 and other obesity treatments and new investigational drug retatrutide 10:03 Triple mechanism of experimental new obesity drug retatrutide 10:16 Comparison of Tirzpatide - double agonist (GLP1 / GIP): Semaglutide - single mechanism (GLP1) agonist, and retatrutide - triple agonist (GLP1, GIP, and glucagon) 11:18 Success Factors in Obesity Treatments 13:01 Why lifestyle and diet are not effective in many patients 13:41 Personal case study of diet and weight loss with associated GERD 14:24 Dr. Fitch's lifestyle tips: 5P's: planned portions, plants + protein, power, pillow, pause 15:48 Our society does not promote healthy nutrition 18:38 Lifestyle effective in only 5% of patients with obesity 19:02 Weight loss and maintenance - two different biologic phenomena 21:00 How to gain a Metabolic Advantage 23:28 Weight loss maintenance post surgery vs medications 25:32 How patients can access drugs despite obesity medicine shortage 26:06 Public Health Emergency - Obesity Medicine is not a Standard health insurance benefit in the U.S. 28:33 140 million Americans qualify for treatment, but only 5-10% receive it 29:26 Why we are awaiting new drug approvals - why patients are turning to non-FDA approved options 31:00 Reality - alternative ways patients are accessing obesity treatments 31:36 Dr. Fitch's solutions - declare public health emergency, consider vial formulations, coordinate comprehensive care 34:42 Call to Action and Challenge to Healthcare Community 39:23 Dr. Fitch's Current and Future Focus 39:57 Expansion of Dr. Fitch's knownwell patient centered medical home & collaborative practice across new locations in the U.S., 75% telemedicine
We're joined by Kristal Hartman who is a proud member of the Obesity Action Coalition (OAC) and is honored to serve as the Chair of the OAC National Board of Directors. In this episode, we learn about her patient journey, including her bariatric surgery in August 2014, which she describes as the hardest and best decision she ever made for herself. She shares how she now fights for access to quality, compassionate, and affordable access to care for all people living with the chronic disease of obesity. Among the highlights in this episode: 01:37: Kristal discusses how attending an advocacy day in Washington, D.C. helped her find a supportive community and significantly impacted her obesity management journey 03:40: Kristal and Zoe Rothblatt, Associate Director of Community Outreach at GHLF, talk about the importance of community in managing chronic conditions. Kristal shares her struggles with obesity from her teens and the challenges she faced with weight management, including her experiences with polycystic ovarian syndrome, thyroid issues, and fertility problems, which compounded her obesity 07:48: Kristal shares her difficult decision to undergo bariatric surgery after trying various treatments for obesity and facing shaming from her primary care physician. Kristal highlights the transformative care she received from her obesity care team post-surgery and emphasizes the lifelong nature of managing the chronic disease of obesity 11:49: Zoe and Kristal discuss the need for compassionate health care, and the negative internalization of societal and medical bias against obesity 14:33: Kristal discusses the Obesity Bill of Rights, advocating for equal access to care and treatment for people living with obesity, and emphasizes the need to combat weight bias and discrimination 17:37: Kristal expands on her involvement in advocating on Capitol Hill for the Treat and Reduce Obesity Act (TROA), which aims to provide comprehensive care and access to FDA-approved medications for obesity 22:01: Kristal discusses the impact of media on the perception of GLP-1 drugs and obesity treatment and emphasizes the need for comprehensive, science-backed care for obesity as a chronic disease 25:10: Kristal encourages listeners to get involved with OAC and advocate for fair and unbiased treatment of obesity at all levels, highlighting various ways individuals can contribute to the cause For more information, visit www.obesityaction.org 27:57: What our hosts learned from this episode Contact Our Hosts Steven Newmark, Director of Policy at GHLF: snewmark@ghlf.org Zoe Rothblatt, Associate Director, Community Outreach at GHLF: zrothblatt@ghlf.org A podcast episode produced by Ben Blanc, Manager of Programs & Special Projects at GHLF. We want to hear what you think. Send your comments in the form of an email, video, or audio clip of yourself to podcasts@ghlf.org Catch up on all our episodes on our website or on your favorite podcast channel.See omnystudio.com/listener for privacy information.
Michele Tedder, MSN, RN is a Senior Program Manager at the Black Women'sHealth Imperative (BWHI), the only National non-profit focused on the health andwellness of Black women and girls. She is the lead on BWHI's current evaluationof their virtual diabetes prevention program using their culturally tailoredcurriculum approved by the CDC in 2020, app and high touch coaching model ofprogram delivery; and she has led the creation of BWHI's family-centeredDiabetes Self-Management Support Program curriculum recently pilot tested bythree sites.Having struggled with her weight since childhood Michele knows what it is like toexperience the negative impacts of living with a chronic disease like obesity.Through her lived experience she uses her influence to advocate for comprehensiveand equitable obesity care. She is a sought-after speaker, panelist and subjectmatter expert discussing issues and policies that impact access to obesity care.Michele has served as a subject matter expert on obesity for the AmericanDiabetes Association, the American Medical Women's Association, the NationalFoundation of W omen Legislators, the National Black Caucus of StateLegislators, the American College of Gynecologists and DiaTribe Musings.Michele was recently a recipient of the 2023 HealtheVoices Impact Awardsponsored by Johnson and Johnson, given to health advocates to support theadvancement of their work. Michele recently joined the national board of directorsof the Obesity Action Coalition, a national non-profit dedicated to raisingawareness and improving access to the prevention and treatment of obesity. She is also the founder of Village Empowerment Solutions, a consulting businessfocused on supporting organizations in the development of strategies that improvehealth outcomes for people living with chronic diseases. Michele holds abachelor's degree in nursing from the University of Pittsburgh and a master's innursing education from Indiana University of Pennsylvania.
Progress not Perfection. That mantra has stuck with our speaker Nina through several years working with patients on their bariatric surgery journey as it helps them define what their markers of “success” and “progress” really are. Defining success is highly personal, and not all about a number on the scale! As you look beyond the scale, it is important to have other outcome measures to show progress. Body composition has been a transformative tool to examine what's going on inside the body as someone loses weight and then works to maintain that significant weight loss. Join us as we talk about using body composition assessments as a post-op tool to measure success! BIO: Nina Crowley, PhD, RD, is a Dietitian, Health Psychologist and Advocate. Nina has been embedded in the obesity care community as a dietitian then program director for the Medical University of South Carolina's Metabolic/Bariatric Surgery Program where she worked for 16 years and has recently joined seca's Medical Body Composition and Bioimpedance Analysis Division as the Professional Affiliations and Education Manager. Nina is a passionate speaker about a patient-centered approach, effective communication and language, and improved access to care for people with obesity. She has served in several leadership positions with obesity care organizations within the American Society for Metabolic and Bariatric Surgery (ASMBS), the Weight Management group of Dietitians for the Academy of Nutrition and Dietetics, and on the board of directors for the Obesity Action Coalition. ---------------------------------------------------- Visit us online: https://procarenow.com/ Check out our Event Hub for listings of Bari Connected LIVE Events and Support Groups! Our Event Hub: https://procarenow.com/pages/support-group-hub Handouts and Resources for our events: https://procarenow.com/pages/support-group-handouts Subscribe to our YouTube Channel for Bari Connected Replays! YouTube: https://www.youtube.com/channel/UCh-56bPUphp4gQSM_3ZXKxQ Want more ProCare Health Vitamins and Supplements? Follow us on these channels! Facebook: https://www.facebook.com/procarenow Instagram: https://www.instagram.com/procarenow/ Twitter: https://twitter.com/procarenow ----------------------------------------------------- How to find Nina Crowley, Phd, RDN, LD SOCIAL ACCOUNTS https://www.linkedin.com/in/ninacrowley/ https://twitter.com/PsychoDietitian https://www.instagram.com/ninamcrowley/ https://www.facebook.com/ninacrowley Nina's email: nina.crowley@seca.com Brenda's email: hoehnb@procarenow.com Seca links Website: https://secambca.com/ Linked In: @seca mbca North America Instagram: @seca_northamerica Facebook: @secaglobal Twitter: @seca_global TODAY'S PRODUCT PROMO: ProCare Health's Insulin Resistance Support: https://procarenow.com/collections/therapeutics/products/insulin-resistance-support-capsule-60-count?selling_plan=4999119084
Join Tom in this episode as he reports on his four-day challenge to ride 200 miles in preparation for the two-day 206-mile Seattle to Portland ride happening just one month. Through his daily reports, he delves into topics such as food and hydration, knee pain, and how to manage intensity levels.Tom reveals the results of a body composition analysis, which includes the comment that he "is a potentially obese adult". To gain deeper insight into this issue, he interviews clinical weight management expert Sandra Christensen, delving into the obstacles that hinder so many Americans from achieving healthy body fat percentages. An important part of the discussion is Tom's candid sharing of how depression has contributed to his health challenges.This episode is packed with information catered to those aiming to sustain a healthy lifestyle, particularly in later life. It is especially relevant for individuals interested in understanding more about the importance of healthy weight management.Episode Links:Integrative Medical Weight Management website: www.im-wm.com/Obesity Action Coalition: www.obesityaction.org Thanks for Joining Me! Follow and comment on Cycling Over Sixty on Instagram: https://www.instagram.com/cyclingoversixty/Please send comments, questions and especially content suggestions to me at tom.butler@teleiomedia.comShow music is "Come On Out" by Dan Lebowitz. Find him here : lebomusic.com
Obesity Medicine is rapidly expanding worldwide! In this episode, host Karli Burridge speaks with Dr. Steven Teoh, a family medicine physician and obesity specialist from Malaysia. Steven shares his journey of literally traveling accross the globe to obtain the highest level of obesity medicine training he could find, and shares how he is bringing back this knowledge to his home country of Malaysia, where he is in the process of developing a comprehensive obesity center. While he, like many clinicians worldwide, has faced challenges, he reminds us of the wisdom we often share with patients- take it one step at a time, and don't become discouraged! Dr. Steven (Soo Huat) TeohMD (USM), MMed Family Medicine (USM), FASLM, AM (Mal) Clinical Fellowship in Bariatric Medicine (Ottawa, Canada) SCOPE National Fellow (World Obesity Federation)Steven is an accomplished family medicine specialist, obesity medicine physician, and medical lecturer. He completed his family medicine residency training in 2017 and furthered in obesity care through the University of Ottawa bariatric medicine clinical fellowship and the Cleveland Clinic's international obesity medicine preceptorship program in 2022. Upon his return to Malaysia, Steven established an obesity medicine practice in the University of Science Malaysia and also practices as a visiting obesity medicine physician at a local private hospital. Steven's commitment to obesity medicine has earned him numerous accolades, including being named a SCOPE National Fellow by the World Obesity Federation, a member of the first SCOPE Leadership Program, and the recipient of the Obesity Medicine Association's prestigious Peter G. Lindner Award. He is also a Fellow of the Australasian Society of Lifestyle Medicine. Steven is actively involved in several professional organizations, serving as a committee member of the Obesity Medicine Association and a member of Obesity Canada, the Obesity Action Coalition, and the Malaysian Association for the Study of Obesity. He is passionate about reducing community stigma towards people living with obesity and advocates for evidence-based, non-biased treatment for all patients.To connect with Steven, you can find links to his social media outlets HERESupport the showThe Gaining Health Podcast will release a new episode monthly, every second Wednesday of the month. Episodes including interviews with obesity experts as well as scientific updates and new guidelines for the management of obesity.If you're a clinician or organization looking to start or optimize an obesity management program, and you want additional support and resources, check out the Gaining Health website! We offer monthly and annual Memberships, which include live group coaching, a community forum to ask questions and post resources, pre-recorded Master Classes, digital resources inlcuding patient education materials and office forms, and much more! We also sell our popular Gaining Health products, including a book on developing an obesity management program, editable forms and templates, and patient education materials in our Gaining Health Shop! If you are loving this podcast, please consider supporting us on Patreon
Join Dr Robert Kushner and Joe Nadglowski, CEO of the Obesity Action Coalition, for a discussion on how weight-based bias and stigma harm patients living with obesity, and how you can help. Relevant disclosures can be found with the episode show notes on Medscape (https://www.medscape.com/viewarticle/982630). The topics and discussions are planned, produced, and reviewed independently of advertisers. This podcast is intended only for US healthcare professionals. Resources Obesity Action Coalition https://www.obesityaction.org/ Joint International Consensus Statement for Ending Stigma of Obesity https://pubmed.ncbi.nlm.nih.gov/32127716/ Michigan Department of Civil Rights https://www.michigan.gov/mdcr/for-victims-of-unlawful-discrimination Income Inequality and Obesity Among US Adults 1999-2016: Does Sex Matter? https://pubmed.ncbi.nlm.nih.gov/34281016/ Prevalence of Obesity Among Adults, by Household Income and Education - United States, 2011-2014 https://pubmed.ncbi.nlm.nih.gov/29267260/ Weight Bias and Stigma: Impact on Health https://pubmed.ncbi.nlm.nih.gov/34749889/ Project Implicit https://implicit.harvard.edu/implicit/takeatest.html Weight Bias Internalization and Health: A Systematic Review https://pubmed.ncbi.nlm.nih.gov/29788533/
Transcript:This is the Weight and Healthcare newsletter! If you like what you are reading, please consider subscribing and/or sharing!The Ob*sity* Action Coalition (OAC) claims to be a non-profit advocacy group for higher-weight people. The truth from my perspective is that they are anything but.I wrote about the OAC in 2014 when their priority had been lobbying the AMA to declare that “ob*sity” is a disease. Today their priority is the “Treat and Reduce Ob*sity Act” the goal of which is to expand Medicare coverage for weight loss interventions, including specifically expanding coverage for weight loss drugs.These priorities make a lot more sense when you realize that the OAC is not an advocacy group for higher-weight people, but rather an organization that is predominantly funded by, and lobbies for the priorities of, the weight loss industry.When I first wrote about the OAC the “Platinum” level of their Chairman's Council (a distinction for those providing funding of $100,000 or more annually) included:· Allergan – Manufacturers of the lap band· American Society for Metabolic and Bariatric [weight loss] Surgery· Covidien – “committed to better patient outcomes through bariatric surgery“· Eisai – manufactures of the weight loss drug Belviq (now pulled from the market)· Vivus – manufacturers of the weight loss drug QysmiaAll of these organizations stood to profit from the AMA's declaration of being higher-weight as a disease (and the lobbying was successful, not only did the AMA declare living in a larger body to be a disease, but they blatantly ignored the findings of their own Committee on Science and Public Health which had studied the matter for a year and recommended against it in order to do the weight loss industry's bidding.)Having simply existing in a larger body re-branded into a disease was a major step forward, but not the only step. The next big step for Big Pharma is insurance coverage for dangerous, expensive (and almost certain to fail) weight loss “treatments.”And now the OACs “Platinum” level is down to one company – Novo Nordisk. A company that, having made a literal fortune price gouging on insulin, has promised their shareholders that their new weight loss drug, Wegovy, will make them billions. The rest of the sponsorship levels are still chock full of weight loss companies. They've also separated their Chairman's Council from what they are calling “Corporate Partners”. Here Novo is again the top funder at “more than $500,000 annually” with Eli Lilly kicking in “more than $100,000” and the list goes on. I've included the lists below.There is something else in common between the OAC of 2014 and today. At both times, they were involved in parallel campaigns that claimed to be about ending weight stigma, but were in fact about selling more weight loss interventions.We've seen this before. It was a tactic used by Purdue Pharma and other pharma and medical device companies to sell opioids – they created non-profits like the American Pain Foundation that were billed as advocacy groups for pain patients (a legitimate group of patients who deserve advocacy and treatment,) but were, in fact, funded by and acting in the interest of the pharmaceutical industry. The work of these non-profits influenced legitimate government and healthcare organizations to do the pharma companies' bidding, including influencing the behavior of doctors and other healthcare providers with their patients, creating an explosion in pain diagnoses and opioid prescriptions.This is exactly what Novo Nordisk and other weight loss companies want to do, so it's not surprising that they are taking a page or two from the Purdue Pharma Oxycontin playbook.Fool us once, a lot of people are harmed and killed in the service of pharma industry profits. Fool us twice, even more lives are irreparably harmed and lost. That is why it is critical that we not allow the OAC to get away with this - that we not allow them and their spokespeople to claim to be fighting weight stigma when they are really shilling for the weight loss industry.When you see “Ob*sity Action Coalition” you should think “Novo Nordisk and their weight loss industry buddies” and treat them accordingly, with extreme suspicion.Current “Corporate Partners”Note: the date represents how long they've been an “OAC Partner”Platinum (contributing more than $500,000 annually)Novo Nordisk (2013)Gold (more than $100,000 annually)Eli Lilly (2020)Silver (more than $50,000 annually)Boehringer Ingelheim (2010)Ethicon (2012)Medtronic (2010)Bronze (more than $25,000 annually)American Society for Metabolic and Bariatric Surgery (2005)Currax pharmaceuticals (2020)Fujifilm (2018)Patron(more than $10,000 annually)Bariatric Advantage Nutritional Products (2008)Intuitive (2021)Rhythm (2018)The Ob*sity Society (2012)Wondr Health (2017)Weight Watchers aka WW (2015)Source: https://www.obesityaction.org/corporate-partnersCurrent chairman's council funders:Platinum (donates more than 100k annually to OAC's general operating efforts)Novo NordiskGold: between 50k and $99,999 annuallyAmerican Society for Metabolic & Bariatric Surgery Bariatric Advantage Boehringer Ingelheim Eli Lilly and Company Pfizer Potomac CurrentsSilver $10k-$49,999 annually Amgen Currax Pharmaceuticals Ethicon INTUITIVE Medtronic RoBronze $5k-$9,999 annually Allurion Calibrate Health Found Geisinger Healthcare System ReShape Lifesciences Rocky Mountain Associated Physicians Wondr HealthPatron $1k-$4,999 annually Bariatric Medicine Institute Billings Clinic BonusLife ConscienHealth Gainesville Medical Ob*sity Specialty Clinic HorizonView Health New Life Center for Bariatric Surgery Rhythm The Better Weight Center The Ob*sity Society Weight & Life MD Woman's Hospital Source: https://www.obesityaction.org/donate/corporate-support/chairmans-council/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: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's 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
Dr. Jeffry N. Gerber, MD, FAAFP is a board-certified family physician and owner of South Suburban Family Medicine in Littleton, Colorado, where he is known as “Denver's Diet Doctor”. He has been providing personalized healthcare to the local community since 1993. Dr. Gerber has been focusing on using low-carbohydrate diets to treat and prevent chronic diseases, such as obesity, hypertension, and type-2 diabetes. Dr. Gerber's fantastic book, Eat Rich, Live Long, which was co-authored with chemical engineer and data scientist Ivor Cummins, was released February 2018. Dr. Gerber is also the co-organizer of Low Carb Conferences, a yearly educational event for healthcare professionals and anyone else interested in learning about the latest science related to diet and health. Dr. Gerber is a member of the American Academy of Family Physicians, the American Society of Bariatric Physicians, the Obesity Action Coalition, and the Weston A. Price Foundation, among others. Dr. Gerber, his wife and three children love the outdoors, and enjoy all that the wonderful state of Colorado has to offer.DISCOUNT CODE FOR LCD 2023- Use code LCD2023WINTER to save 10% on your ticket price!Find Dr. Gerber at-https://lowcarbconferences.com/https://jgerbermd.com/Find Boundless Body at- myboundlessbody.com Book a session with us here! Check out our new Patreon page!
Episode 85. I am super excited to share this conversation for a few reasons. First, we talk about a topic that literally is relevant to everyone, regardless of your body size or history of how much you've struggled with your eating. Second, I've been wanting to connect with Dr. Robyn Pashby for a while now, so many people told us we should chat! I learned a lot in this conversation, and I'm sure you will too. What to Expect in this Interview In this interview, we cover: Why Dr. Pashby got into this work Why she uses the term obesity or persons with obesity (and the intentionality around this choice) and how it actually can help reduce shame and help many people feel seen and supported What is weight bias? What is internalized weight bias? (and a surprising stat about what countries you will find it in) How to know if you have internalized weight bias How internalized weight bias is impacting you (and how none of us are totally immune from it's impacts) psychologically and biologically (often without your awareness) How a trauma informed approach is essential most of the time when you are dealing with an eating or weight concern (and why) What you can do about internalized weight bias? Ready to Break the Binge Eating Cycle for Good? Ready to stop avoiding and break the binge eating cycle for good? The first step is to disrupt the cycle. My free practical guide has 23 positive ideas for things to do instead of eating. Don't worry, you wont find the standard diet culture BS advice (take a walk, have some water!) Take the first step to finally stop binge eating and grab my free practical guide today! Grab my free guide to disrupt the cycle of emotional and binge eating today! Who is Dr. Robyn Pashby? Dr. Robyn Pashby is a clinical health psychologist who specializes in the cognitive, behavioral and emotional aspects of disordered eating and high weight. She completed her undergraduate training at Colby College in Maine and then earned a Masters in Psychology from American University and a PhD in both Medical and Clinical Psychology from the Uniformed Services University of the Health Sciences (USUHS) F. Edward Hebert Medical School. She completed her post-doctoral training at the Washington DC Veterans Hospital and her post-doctoral Fellowship in the Eating Behavior Lab at USUHS. Dr. Pashby is highly experienced in the use of evidence-based interventions for eating and weight concerns including Interpersonal Psychotherapy and Cognitive Behavioral Therapy. Her clinical specialization is in the psychological treatment of obesity, weight bias, and binge eating disorder as well as pre- and post-bariatric surgery concerns. Dr. Pashby is currently the owner and director of DC Health Psychology (DCHP), a group health psychology practice with an office in Washington DC and she is approved to work with clients using telehealth in more than 30 states around the US. She is currently serving as the Chair of the Mental Health Committee for the National Board of Directors of the Obesity Action Coalition, an international non-profit organization aimed at increasing awareness and education about obesity and reducing weight bias and stigma. She has been featured in various media outlets including NBC, CBS, Weight Watchers, Thrive Global and more. Dr. Pashby lives in Washington D.C. with her husband, daughter, and dog. "If you feel held back from doing what you want to do to live the life you feel like living, whether that's working on your health by going to the gym, or going for a walk in your neighborhood or playing badminton on the beach, whatever it is, if you feel hindered by that, it's probably a reflection of weight bias and may be internalizing some of that."-Robyn Pashby, PhD Support Local Bookstores Near You! Did you know that that if nothing slows their momentum, Amazon will have almost 80% of the book market by the end of 2025? Look,
A chronic and often untreated disease, obesity has emerged over the past half century as a major source of morbidity and mortality in the United States and many other countries worldwide. Despite the recognition of obesity as a chronic disease, public policies limit access to a full range of obesity care services for many individuals who would benefit from comprehensive, interdisciplinary care for their disease—including older adults. In fact, within the Medicare population, reimbursements are available for intensive behavioral therapy and nutritional counseling provided by primary care physicians and for bariatric surgery. This GSA Policy Profile episode provides listeners with major policy initiatives currently being sought for comprehensive obesity care, addresses barriers to implementation of these initiatives, and provides valuable insights into how we care encourage policymakers to make addressing obesity a priority. Additional resources: H.R. 1577 – Treat and Reduce Obesity Act of 2021 S. 596 – Treat and Reduce Obesity Act of 2021 Download the Trascript Guest: Joe Nadglowski—President/CEO, Obesity Action Coalition. Host: Patricia M. "Trish" D'Antonio, BSPharm, MS, MBA, BCGP—Vice President, Policy and Professional Affairs, The Gerontological Society of America. This podcast episode is supported by Novo Nordisk and was developed by The Gerontological Society of America (GSA).
In this episode, Obesity medicine specialist and OMA clinical education director Dr. Nicholas Pennings interviews Joe Nadglowski, President and CEO of The Obesity Action Coalition about stopping weight bias in obesity medicine. Topics include differentiating between stigma and bias; addressing internalized bias in patients with obesity; identifying our own biases as well as bias in staff members, the importance of person (or people) first language; and recognizing obesity as a trauma-based disease. You can access more information about Obesity Medicine podcasts and other resources from the clinical leader in Obesity Medicine at www.obesitymedicine.org/podcasts. Episode Guest Nicholas Pennings, DO, FOMA, Dipl. ABOM Joe Nadglowski, CEO of The Obesity Action Coalition Resources Mentioned www.obesitymedicine.org/podcasts 2022 OMA Spring Summit
Hello, and welcome to another audio version of Burnt Toast!Today, I am so so thrilled to be chatting with Ragen Chastain, who is a professional speaker and writer, trained researcher, and co-author of The HAES Health Sheets. Ragen is also a multi-certified health and fitness professional, and a queer fat woman. Ragen, thank you so much for being here!RagenThanks for having me. I love your work so much. I’m giddy as a school girl! VirginiaRagen and I have been in each other’s orbits for a very long time. We were talking about something that we worked on where the website doesn’t even exist anymore. RagenVirginia gave me my very first paid freelance work in this space. She was leaving a platform and recommended me, so she’s been supporting my work, and just be an awesome leader in her own right, for a long time.VirginiaThat’s very lovely of you to say. When I first found your work in the mid-2000s you were extremely patient with my learning curve. For folks who don’t know, Ragen created the beloved fat activism blog Dances With Fat. She is now writing a Substack called Weight and Healthcare. So let’s start with that, Ragen. You have this amazing blog, you’ve been doing it forever, you have, I don’t even know, 1000 posts there. What inspired you to also say I need a newsletter?RagenI started Dances With Fat in 2009. There are a little over 1800 posts on there now. In the same year, I started doing talks for healthcare professionals around working with higher weight patients: Best practices, weight, stigma, weight science, health care. I wrote about that on Dances With Fat, but recently I’ve started to do more of that work and to do it at a higher level, and when I’m talking with a VP of a major healthcare group, sending them to Dances with Fat is not ideal, even though I’m very proud of that blog. It’s not quite the the thing that they’re looking for. I knew about Substack and I knew about Burnt Toast, so I reached out to Virginia, who helped give me a sense of how Substack worked. It seemed like a really good platform for this type of work. I got a little logo made from Toni Tails, a little researcher Ragen icon, and then put together some of the posts from Dances With Fat that were classics. Now I’m going to be writing new stuff, as well. VirginiaI sort of love the idea of healthcare CEOs going to Dances With Fat. It gives me a lot of joy. But it’s a smart activism strategy to have it all in one place. We’re recording this, I should say, right after your first launch week. So you’ve been putting up a lot of pieces that I will be linking to forever. You are covering these really fundamental questions that can be kind of exasperating, like, “This question is coming up again?” But for people who are new to challenging this huge paradigm, you do have to start with these fundamental questions and grapple with stuff. One question people often ask is, “Isn’t obesity a disease?” So, walk us through it, Ragen.RagenThis is something that has been coming up more and more, this idea that just existing in a fat body is a chronic lifelong health condition for which people should get treatment. This has been pushed for a while now by people who sell dangerous and expensive “treatments” for weight loss. I first started seeing it happening in the most insidious way, with organizations that claim to be advocacy organizations—like the Obesity Action Coalition—but that are actually well-funded by diet drug manufacturers and weight loss surgery purveyors. For the diet drugs, for example, their product doesn’t work long term. People gain the weight back as soon as they go off the drugs. So the drug companies say, “Oh, well, it’s a chronic and lifelong condition, then we can just keep them on the drugs forever,” which is exactly what Novo Nordisk is doing, and why they’re pushing this so hard right now. It also expands their market to every fat person alive. That helps them with what is their golden goose, which is insurance coverage. They can’t get insurance to cover these things because they’re expensive and because they don’t work. So by saying, “Oh, well, it’s because you haven’t let us do it long enough,” they are expanding their market. But that it doesn’t make any sense, and here’s why: Thin people get all the same health issues that fat people do. So, being thin can neither be a sure preventative nor a sure cure. That’s just not how that works. This idea that if fat people experience a health problem more often than thin people, then obviously their body size is the problem and making them thinner is the solution is not a science-based conclusion. We have to look at what are the confounding variables that could be causing this? And in this case, weight cycling, weight stigma, and healthcare inequalities are well researched for their negative impacts on fat people’s health. And this idea of fat being a chronic condition increases those three things. I want to be super clear, there is no shame in having a health condition. There is no shame in seeking treatment. The shame here is trying to make simply existing a pathologized condition for which people can sell dangerous treatments that risk people’s lives for an outcome that isn’t shown to be positive. It’s actually shown to be harmful a lot of the time. So, the AMA studied this. They had their Committee on Science of Public Health study whether or not being fat should be a disease and the committee came back and said no. And the AMA said, “Okay, well, thanks for your time, but we’re gonna go ahead and declare it a disease anyway.” VirginiaI just want people to really take that in. The American Medical Association’s committee that was asked to study that question, should we medicalize weight higher body weights, said no, the evidence does not support that. And the AMA said, Okay, so we’re gonna do it. RagenYeah, it’s a “let me just take a minute to bang my head on the desk and then I’ll complete this post that I’m writing” sort of situation.It’s important because this seems so science-y and medical-y, right? BMI is an equation and that’s math and math is science. We have these words like “obesity” that pathologize body size, and that can sound really legitimate, right? But then you start digging and learn that Body Mass Index is just a complicated ratio of weight and height that is racist in its origins. Sabrina String’s Fearing the Black Body and Da'Shaun Harrison’s Belly of the Beast are books I recommend to everyone to read about this and other racism and body size intersections. The term obesity comes from a Latin word meaning “to eat until fat.” This is not science. It’s a term that was created to pathologize bodies. It was invented for that purpose. The AMA saying, “Oh, yes, this is this constitutes a chronic health condition or disease,” sounds very science-y until you find out that the actual science had to be ignored to make that happen.VirginiaYes and this “chronic lifelong condition” we’re talking about, the treatments that they are pushing actually exacerbate the condition, because the condition is living with weight stigma, living with social inequities around health care, all of these other issues that these treatments further. Fat is not a chronic lifelong health condition.RagenIt really isn’t. It’s gotten out that intentional weight loss interventions fail the vast majority of the time. The majority of the time weight loss has the opposite of the intended effect, right? People gain back all of their weight and up to 66% of people gain back more than they lost. But the response wasn’t, “Hey, there’s a mountain of evidence that shows that there are better ways to support the health of fat people than trying to make them lose weight.” The suggestion was, “Well, then let’s do it harder, and more and more dangerously.” And that’s what we’re seeing with the pharmaceuticals. That’s what we’re seeing with the surgery. We’re getting healthcare for fat people based on the premise that it is acceptable to kill fat people in an effort to make them thin.VirginiaAnd yet they’re saying we need to get insurance coverage for these things, even though they don’t work. They frame that as an example of the stigma. They’re like, “Look, it’s so misunderstood that the insurance companies won’t even pay for these treatments that these people desperately need.” They don’t see the inherent disconnect there. RagenI’m going to say they aggressively don’t see the disconnect, possibly negligently, purposefully don’t see it. They’re saying, “We don’t want to stigmatize fat people, we just want to eradicate them from the earth and make sure no more ever exist.” That’s not an anti-stigma message. It’s a profitable one. One of the things that frustrates me is the way that they are co-opting the rhetoric of anti-weight stigma, which the fat liberation community has spent so long trying to get out there, and then using that to sell even more dangerous intentional weight loss methods. It is super gross.They are creating weight stigma and then selling their dangerous product as a “solution.” It’s this idea that if you don’t want to be oppressed, you should change yourself to suit your oppressors.VirginiaThat’s what I want my kids to learn: Make the bully like you better.RagenGive them your lunch money, and maybe they’ll stop beating you up! It’s not a perfect comparison, obviously, but as someone who is both queer and fat and who came out in the mid-90s in Texas, I see parallels between that and this idea of just doing whatever dangerous thing you need to do to make yourself straight, so that you don’t experience homophobia; this idea of changing yourself to move yourself out of the oppressed category, rather than fighting oppression. I spent years fighting my body on behalf of weight stigma. Weight stigma is real and weight stigma does real harm, including to me, but now I fight weight stigma on behalf of my body.VirginiaThat’s a really helpful framing. You took one for the team by taking on one of the most common and irritating troll comments around fat activism: That all these fat people are a drain on the system because they’re costing us so much money in terms of tax dollars in health care. This is an argument that hits me really personally, not around weight, but I have a daughter with a chronic heart condition. I wrote a piece for Slate about the fact that we had $3 million in medical bills before she turned three years old. That’s why universal health care is essential, to help families avoid destroying themselves financially to save their children. The number one troll response I got was: “She’s a drain on the system. Some kids aren’t meant to live.”RagenIn the piece I tackle that from two aspects: The reality and then if it were true that fat people are this drain on the system. The first thing I always do when somebody comes at me with this “my tax dollars” argument is I say, “Well, I want to see your yes/no tax list.” They say, “What yes/no tax list?” And I say, “Oh, the one that shows all the things your taxes pay for broken down into what you do and don’t want to pay for, and the interventions you’re involved in for everything you don’t want to pay for.” This isn’t about their tax dollars. This is about trying to find a justification for their fat bigotry. This is what they’ve arrived at that people sort of find acceptable. Like, “Oh, well, I’m paying for their health care.” But that’s what civilized societies do, right? I am paying for the health care of people who jumped out of helicopters wearing skis and people whose attempts to climb mountains are dramatically unsuccessful. I want to do that. Anytime you say, “Okay, this group of people who we can identify by sight is a drain on society and we should eradicate them to make things cheaper for everyone,” you have gone down a bad bad road. This is a straight up eugenics argument. We have to really recognize that. I find that people who want to say this about me don’t want other people to be doing it to them. Whether they are a raw foods vegan or a keto or paleo person, they believe that they’re right, and they are not interested in other points of view. This is where it really starts to break down. Who gets to decide for all of us? If somebody finds that, for example, a raw food vegan diet is the most healthy, do we all have to do that? VirginiaAnd do we all have to do that in order to access healthcare? What do we owe in order to access healthcare?RagenExactly. This is a really dangerous argument that’s being made by people flippantly, in many cases, just to justify discriminating against fat people, just to justify their weight bigotry. They don’t follow it to the end of where that goes. So that’s really dangerous. And also, fat people pay taxes, too. My taxes go to fund a government war on “obesity” that makes my life terrible and has negative impacts on my health. In general, this argument, when you scratch the surface even a little bit, just becomes a thin veil for fat bigotry that is unsupportable by any kind of evidence.VirginiaAnd ableism! It’s saying that the only people worthy of health care are people who are making virtuous choices that we approve of or who won the genetic lottery and don’t really need health care. What strikes me when it’s levied against fat folks is that it’s often because people are blaming people for their body size and assuming that it’s your lifestyle that led to this, as opposed to the fact that people just come in different body sizes. With something like my daughter, you can’t say, “The baby’s responsible for her heart condition, but we still don’t want to pay for it.” Either way, it becomes this ableist thing to say some lives are more valuable because they have this genetic luck. RagenThere are a lot of places where the intersections of ableism and healthism and fatphobia come together, and this is certainly one. One of the things that is also frustrating is that the idea of body size as a choice is obviously really problematic, but even if we believed that that was true, also a choice is playing sports, which cost billions of dollars in sports injuries every year that are completely unnecessary. Research shows that moderate walking gives us the health benefits that can come out of movement, so nobody needs to be playing sports.VirginiaI love this so much as someone who just hates sports.RagenI’m someone who loves sports and who does ridiculous fitness-y things. Just to be super clear, health and fitness, by any definition, is not an obligation, not a barometer of worthiness, not entirely within our control. There is this good fatty / bad fatty thing, so I always want to be clear that completing a marathon or having a Netflix marathon are morally equivalent activities. I’ve done both, so I can tell you for sure. So, it’s not about that, but I enjoy fitness. I’m also aware that when you go to a triathlon or when you watch the CrossFit Games and people have an exoskeleton of physio tape, that’s a lot of injuries that people don’t need to have in their lives, but they’re choosing that lifestyle. Shaq got knee surgery even though he for sure caused his knee problem and was going right back to the lifestyle that caused it. The NFL was created to risk people’s short and long term mental and physical health in the hopes that one day their team will score enough points to get a shiny piece of jewelry. You’re allowed to do that, but let’s not act like it prioritizes health because it doesn’t. This is a whole group of people purposefully not prioritizing their health and the average player is broke by two years out of the league. VirginiaAnother piece I love is where you break down why diets fail. A line that really jumped out to me, in your piece, is “the entire basis of prescribing weight loss for greater health is built on the decidedly unscientific premise that if we make fat people look like thin people, they will have the same health outcomes.” RagenWhen I did my original literature review of weight loss, looking for the best diet, I was still in diet culture, but my background is research methods and statistics and I’d never really researched this. I had been yo-yo dieting for years. I decided to read every study and break it down and find the best diet. What I found was that, as you said, there wasn’t a single study were more than a tiny fraction of people were succeeding at long term, significant weight loss. The thing that really blew me away was that there wasn’t a single study that showed that the people who were successful had better out health outcomes or similar health outcomes to thin people. That study doesn’t exist, in large part because there aren’t enough people who are successful to commission such a study.VirginiaIt’s hard to do research on unicorns.RagenThe National Weight Control Registry tried it, they’ve got 10,000 successes since 1994. There have been over a billion attempts, but okay. What they found were just some commonalities among outliers. 98% of the people who have lost 30 pounds and kept it off for a year ate breakfast. They don’t know how many of the other billion also ate breakfast. VirginiaA lot of us eat breakfast without successfully losing weight. RagenHad I turned in the study plan of the National Weight Control Registry research in my freshman year research methods class, the dean would have been telling me, “There are a lot of majors here and I think you should choose another one because you don’t understand this at a pretty basic level.” We know that cis male pattern baldness is highly correlated with cardiac incidents. So it would be like if they stopped there and said, “We have to get these people to grow hair” And when their initial attempts didn’t work, they were like, “We need more dangerous ways to grow hair! Drugs and surgeries and a war on baldness!” That is exactly what they did when it came to weight and health. They simply stopped and those who didn’t stop are getting ignored. Lucy Aphramor did an incredible paper about the validity of the research within dietetic articles. It’s a great piece and I recommend it for people who are trying to look into this. VirginiaI’m thinking of a doctor I saw when I was six months postpartum and my baby wasn’t sleeping through the night. The doctor was concerned about my weight. She was like, “Oh, well, I walked an hour a day when I had a newborn.” And I was like, “That’s nice for you, but I have a job and two children and I don’t have an hour to walk. If I had an hour to walk, I would sleep.” It’s just not realistic. A friend of mine was just telling me that she’s pursuing treatment for various medical conditions and the guy was like, “Intermittent fasting will solve all your problems.” And she’s like, “I am parenting and working full time, during a pandemic. I have two chronic conditions. Starvation is not a great way for me to go.” The way that diet and fatphobia show up in the healthy habits conversation feels really problematic to me. It ends up becoming another form of shame and stigma. What can we do, as patients, to advocate for ourselves in these conversations? RagenOne way to go is to try to bypass it. My magic question is, “What would you recommend to a thin person in this situation?” Often that bypasses some of the fatphobia and some of the recommending of healthy habits just because they believe if you did them, you would lose weight. I was at a regular physical with a new doctor and at the end he said, “I just need you to do something for me and it’s going to be so hard. So hard. But if you can do it, it is going to change your life.” And he said, “I just need you to start walking ten minutes a day.” And to his credit, ten minutes a day is reasonable! He didn’t say you have to walk an hour, like your doctor said. But I was training for my first marathon and I had done eighteen miles the night before. So I told him that and said, “I’d be glad to do ten minutes a day because I’m going to claw back a lot of time that way, but I don’t think it’s going to meet my goals at all.” And he said, “Look, you don’t have to lie about it if you’re not going to do it.” So one thing to always know is that this isn’t your fault. This shouldn’t be happening. You can’t make a doctor practice ethical, evidence-based medicine. I also teach ego management techniques—because I live in LA, I can fire a doctor a day, and I will, there there are tons of them around—but if someone lives in a rural area and there’s only one doctor, they have different options. So you can say things like, “oh, I’m actually already doing a weight loss diet, and I’ve lost some weight, but it hasn’t really helped.” This doesn’t have to be true, by the way. Then you say, “What would you do for a thin person? Let’s try that as well.” Like, “Sure, I’m gonna take this diet advice you’re giving me and I can’t wait to put food in baggies of certain caloric amounts. I’m super excited. But in the meantime my cousin had this and she was given this medication.” When a thin person gets an evidence based treatment for their symptoms and a fat person gets a diet, it delays them getting that evidence based treatment for who knows how long. Probably forever, because that diet isn’t gonna work. So, unless the doctor says, “Okay, this isn’t working, I’ll give you the treatment,” it can delay treatment forever. The person maybe doesn’t go back. This is just one of the ways that these healthcare inequalities impact fat people’s health. Just to be clear, don’t do the diet. And I also want to be clear that lying to your healthcare practitioner is not ideal. Ideally, you wouldn’t need to do that. The fact is that weight stigma in healthcare forces fat people to make some really difficult choices that we shouldn’t have to make. This is one of them. In the past when I needed care and was not been able to get it, I said, “I already lost 75 pounds. It hasn’t helped at all. What else is there? What else do you have?” That was, in that moment, effective. Suddenly I’m somebody who is compliant and deserves ethical, evidence-based care. But what they recommended was also recommendable ten minutes before, when I was just fat. Our choices are often not ideal.VirginiaIt’s frustrating because you are then stuck needing to play into that “good fatty” stereotype. But if that gets you the treatment you need and it’s a way to preserve your mental health through the shitty ordeal, then it’s worth doing.RagenA lot of privilege goes into this too. Not just good fatty privilege, but like as a white, cisgender, currently able-bodied, currently neurotypical person. For those with multiple marginalizations, for those who are higher weight, these solutions are less effective because of intersectional oppression and because of the greater oppression that higher weight people face. That’s a your-mileage-may-vary-due-to-oppression -situation.VirginiaThe HAES health sheet website that you’ve put together, is a phenomenal resource for folks. Ragen worked with Dr. Louise Metz and Tiana Dodson, who are amazing as well. They’ve put together this whole library of different health conditions and information on the weight inclusive approach to this health condition, as opposed to the weight-loss-centered approach that many doctors take. If you’re preparing for a medical encounter, this is a great place to go and prep yourself for what’s to come. So we’re gonna wrap up with our recommendation segment. It can be about a product anything and experience you’ve had recently so, Regan, what have you got for us?RagenI have for you Latoya Shauntay Snell’s Running Fat Chef podcast. Latoya Shauntay Snell is this incredible, Black, fat, disabled athlete and activist. She put together this podcast with different athletes talking about the intersections of weight stigma and fitness in the athletic world and how to overcome that. I love all of her work, and her podcast is incredible.VirginiaThat sounds phenomenal. I will definitely be subscribing and downloading immediately. That’s an awesome recommendation. Mine is a little more out of left field, given the whole context of our conversation, but very much in the field for the context of my life right now. It is a parenting book I’m finding very helpful called Why Is My Child in Charge? by Claire Lerner. If you have a preschooler or a toddler who is often trying to be in charge of your life this book is great. I am not a big fan of parenting writing, which is weird to say since I get labeled as parenting writer, but it’s true. Melinda Wenner Moyer, who’s a friend and parenting writer I love, actually loaned me her copy because I was texting her about various tantrums happening in the house. Lerner frames parenting as understanding that you cannot control your child’s behavior. So your job is not to persuade them to agree with every rule you make or to get them to change their minds about stuff, but actually to keep providing the framework they need to be loved and nurtured without needing to stay up an hour past bedtime and ruin your life.It actually applies to a lot, like what we were just talking about with doctors, you can’t change their minds either. It’s a useful message for going through life. I’m not here to change other people’s behavior. I’m just here to set my boundaries and set the framework I need to function. It’s been very helpful for me with a certain four year old at the moment. (Virginia Note: I finished the book after recording this episode and sadly, cannot recommend the chapter on mealtimes. But the rest is still great!)RagenI feel like I need to read it for my little Maltese. We named him after three drag queens and he acts like it. Don’t name your dog after three drag queens.VirginiaWe also have a dog whose behavior I cannot control, but I can control the framework. Alright Ragen, where can Burnt Toast fans find more of your work?RagenSo my newsletter is Weight and Health Care. You had mentioned the HAES Health Sheets and then Dances with Fat. I also do a monthly workshop and the one coming up is on dealing with fatphobia at the holidays. We will be talking a lot about how we can’t control their people’s behavior but we can control our reactions and boundary setting. If you go to Dances with Fat, you’ll also find all of my social media and past writing outside of the healthcare sphere. VirginiaAwesome. Ragen, thank you so much for doing this.Thank you all so much for listening to Burnt Toast! Burnt Toast transcripts and essays are edited and formatted by Corinne Fay, who runs @SellTradePlus, an Instagram account where you can buy and sell plus size clothing.The Burnt Toast logo is by Deanna Lowe. This is a public episode. If you’d like to discuss this with other subscribers or get access to bonus episodes, visit virginiasolesmith.substack.com/subscribe
In this episode, Alyssa and Brendane unpack questions of fatphobia, anti-blackness, and how that intersects with the discursive. For What's the Word?, we discuss discourse to understand how understandings of the world circulate, of course referencing one of our fave French philosophers: Michel Foucault. Today, we read the essay "Fat, Black, and Ugly: The Semiotic Production of Prodigious Femininities" (2021) by Professor Krystal A. Smalls, which explores several ways fatness and Blackness are discursively constructed as social comorbidities for feminine people and examines how this discourse affects lived experience. Through this lens, we talk about how fatness was wielded against Eric Garner, Michael Brown, and Ma'Khia Bryant. In What In the World?! we discuss the latest scandal involving the teen clothing brand Brandy Melville and accusations of anti-blackness and fatphobia, unpack why these -phobias are not specifically about fear (except maybe psychoanalytically!), bias against fat people in the medical system including our own experiences, why commenting on people's bodies is not "caring" for them, Lizzo living her best life, and how loving ourselves and our bodies is a journey. If you've experienced weight bias in health care and in other contexts can complete the Weight Bias Reporting Form created by the Obesity Action Coalition. CW: Throughout the episode we discuss body image issues and bias against fat bodies. Please take care of yourself as you need while listening. Liked what you heard? Donate here! Discussed this week: Fat, Black, and Ugly: The Semiotic Production of Prodigious Femininities (Krystal A. Smalls, 2021) I'm a Parkland Shooting Survivor. QAnon Convinced My Dad It Was All a Hoax. (David Gilbert, 2021) Weighing the care: physicians' reactions to the size of a patient (M.R. Hebl and J. Xu, 2001) ZD merch available here and the syllabus for ZD 201 is here! Let us know what you thought of the episode @zorasdaughters on Instagram and @zoras_daughters on Twitter! Transcript will be available on our website here.
Weight bias, it appears in every aspect of life including employment, health care, education, media and personal life. Joining me to talk about what you can do to help end this form of bullying from the Obesity Action Coalition,Joseph Nadglowski, President & CEO and Patricia Nece, J.D., Chair of OAC.
Weight bias, it appears in every aspect of life including employment, health care, education, media and personal life. Joining me to talk about what you can do to help end this form of bullying from the Obesity Action Coalition,Joseph Nadglowski, President & CEO and Patricia Nece, J.D., Chair of OAC.
#MyzLulu welcomes therapist extraordinaire, #DianaVogel #TheSassyTherapist to #EveryoneLovesLulu, episode six. Diana Vogel is a Mother, Wife, Licensed Therapist, Motivational Speaker, Educator, Advocate, Doctorate Student. As a psychotherapist, Diana believes in the power of change, and that everyone is capable of achieving it. She is walking proof that meeting our goals, and succeeding in one's own expectations, can be a reality. Diana is passionate about balancing life through stress, anxiety, and depression management. The focus of her work is to help clients overcome and manage the emotional stressors that keep them from achieving life-long goals and finding ultimate happiness. In addition to working with individuals and couples, Diana specializes in working with weight loss surgery patients. As a Doctorate student, with an emphasis in Marriage and Family Therapy at the California School of Professional Psychology in Irvine California, the focus of her research revolves around the various ways in which weight loss surgery impacts marriage and the family unit as a whole. One of her favorite life mottos is, "It's not what you're eating, it's what’s eating you!". As a weight loss surgery patient herself, Diana is excited to bring two important perspectives of this journey to her work; a personal side, as well as a professional side. In addition to maintaining a healthy weight since having weight loss surgery in 2011, Diana is also a two-time marathon finisher. Diana works in a private practice setting (both in-office and online) in Southern California. In addition, she is an Adjunct Professor at Pepperdine University School of Education and Psychology and is the resident relationship expert every Wednesday night on Dash Radio's Lip Service Show out of Hollywood, CA. In addition to being a national conference speaker, professional panelist, and group facilitator, Diana conducts psychological interviews with prospective weight loss surgery patients for insurance approval and is a member of the Obesity Action Coalition. You can also catch Diana on two seasons of TLC’s My 600 Lb Life! Diana is passionate about creating change in people's lives, but more importantly, she believes in the power of good mental health as the key to unlocking long-term success. Diana graduated with a Master's in Marriage, Child, and Family and is currently a third-year doctorate student at The California School of Professional Psychology in Irvine Ca. --- Send in a voice message: https://anchor.fm/islandblockpodcasters/message Support this podcast: https://anchor.fm/islandblockpodcasters/support
Schools are for education but they also have an unique opportunity to help kids get the nutrition they need and to encourage healthy choices. Yet around the world, poor policy and corporate pressures that put profit above children's wellbeing make it hard for schools to be the healthy environments they should be. COVID-19 had brought these issues to the forefront: with schools closed, not only has education been disrupted, for many children ‘the meal at the school is the only meal of the day'. More time at home can also mean increased snacking, less exercise and as we heard on the last episode, more exposure to advertising of junk food. These are just a few components that can interact with other genetic, physiological, and environmental factors to contribute to obesity risk.In this episode we explore how with young people at the helm, schools can become champions for their student's health. We'll also learn about the important role culture (did you know that rice can cry?!) and family life (we love grandmothers really!) play, potentially undermining the impact of school-based interventions when done without comprehensive community engagement. The episode is co-hosted by Faith Newsome, student researcher and founder of OCEANS Support and Advocacy Group and Claudia Batz, policy coordinator at World Obesity. GUESTSPierre Cooke Jr., Prime Minister of Barbados National Youth Parliament, and Technical Advisor at the Healthy Caribbean Coalition @pierrekcookejnrDr Aastha Chugh, Research Officer at HRIDAY India @chugh_aasthaDr Sarah Czernin, MD and childhood obesity researcher at OEAIE Austria @sarahczerninUSEFUL LINKSLearn more about people first language in this great summary by the Obesity Action Coalition.World Obesity's Policy Dossier My Healthy Caribbean School The double burden of malnutrition Thanks to Marina Poole for production and editing. The artwork for the series was designed by multi-talented woman in global health Lilly Khorsand.
All of us have heard of subliminal messaging in advertising, but we may not be aware of the impact the ads we see everyday have on our health. Luckily, young people are fighting back. Our first episode will look at the challenges around regulating marketing to children, especially in the digital sphere.The episode is hosted by Faith Newsome, student researcher and founder of OCEANS Support and Advocacy Group. She speaks to Katy Cooper, public health consultant and chair of the UK Working Group on Non-Communicable Diseases. Faith also chats with youth campaigner Tasha Mhakayakora who is part of Biteback 2030. Check out Biteback's social experiment video, The Shocking Effects of Junk Food Advertising!We also hear clips from school children describing the power of food advertising , which are taken from the Food Diaries project led by UCL's Centre for Gender and Health.Other resources linked to the topic discussed:Learn more about people first language in this great summary by the Obesity Action Coalition.World Obesity's Policy Dossier UNICEF report on Children and Digital MarketingWHO report on Food MarketingThanks to Marina Poole for production and editing. The artwork for the series was designed by multi-talented woman in global health Lilly Khorsand.
Lindsay Voltz, the Sr. Director of Major Gifts at the Diabetes Research Institute Foundation (DRIF), joins The Responsive Fundraising Podcast to discuss donor stewardship strategies and what today's donor is looking for from fundraisers. During the discussion we unpack what's top of mind for today's philanthropist, how you navigate the balance between what a donor desires to do with your nonprofit's mission, and the importance of improv within fundraising. Lindsay Voltz, CFRE currently serves as Senior Director, Major Gifts at the Diabetes Research Institute Foundation (DRIF) overseeing a team of frontline major gift fundraisers and DRIF's expansion to a regional major gift model. Prior to joining DRIF, Lindsay was the Director of Major Giving, Southeast at the Parkinson's Foundation. While with the Parkinson's Foundation, Lindsay led major gift efforts for the southeast region of the U.S. and built a robust pipeline of major donors across nine states. Lindsay has been in the nonprofit sector for more than thirteen years, with a focus on development and major gift fundraising for the majority of her career. Prior to her role at the Parkinson's Foundation, Lindsay raised crucial funds for cancer research for Moffitt Cancer Center. Lindsay held a number of roles while at Moffitt, including as a Development Officer building a midlevel giving program, Associate Director of Principal Gifts during which time she secured multiple six and seven-figure gifts and as Director of Corporate and Foundation Relations overseeing the CFR program. Lindsay began her nonprofit career with Obesity Action Coalition, a national patient advocacy organization, where she initially served as Marketing Manager, followed by her role as Director of Development and Engagement Initiatives. https://www.linkedin.com/in/lindsayvoltz https://www.diabetesresearch.org/
Lindsay Voltz, the Sr. Director of Major Gifts at the Diabetes Research Institute Foundation (DRIF), joins The Responsive Fundraising Podcast to discuss donor stewardship strategies and what today's donor is looking for from fundraisers. During the discussion we unpack what's top of mind for today's philanthropist, how you navigate the balance between what a donor desires to do with your nonprofit's mission, and the importance of improv within fundraising. Lindsay Voltz, CFRE currently serves as Senior Director, Major Gifts at the Diabetes Research Institute Foundation (DRIF) overseeing a team of frontline major gift fundraisers and DRIF’s expansion to a regional major gift model. Prior to joining DRIF, Lindsay was the Director of Major Giving, Southeast at the Parkinson’s Foundation. While with the Parkinson’s Foundation, Lindsay led major gift efforts for the southeast region of the U.S. and built a robust pipeline of major donors across nine states. Lindsay has been in the nonprofit sector for more than thirteen years, with a focus on development and major gift fundraising for the majority of her career. Prior to her role at the Parkinson’s Foundation, Lindsay raised crucial funds for cancer research for Moffitt Cancer Center. Lindsay held a number of roles while at Moffitt, including as a Development Officer building a midlevel giving program, Associate Director of Principal Gifts during which time she secured multiple six and seven-figure gifts and as Director of Corporate and Foundation Relations overseeing the CFR program. Lindsay began her nonprofit career with Obesity Action Coalition, a national patient advocacy organization, where she initially served as Marketing Manager, followed by her role as Director of Development and Engagement Initiatives. https://www.linkedin.com/in/lindsayvoltz https://www.diabetesresearch.org/
Lindsay Voltz, the Sr. Director of Major Gifts at the Diabetes Research Institute Foundation (DRIF), joins The Responsive Fundraising Podcast to discuss donor stewardship strategies and what today's donor is looking for from fundraisers. During the discussion we unpack what's top of mind for today's philanthropist, how you navigate the balance between what a donor desires to do with your nonprofit's mission, and the importance of improv within fundraising. Lindsay Voltz, CFRE currently serves as Senior Director, Major Gifts at the Diabetes Research Institute Foundation (DRIF) overseeing a team of frontline major gift fundraisers and DRIF’s expansion to a regional major gift model. Prior to joining DRIF, Lindsay was the Director of Major Giving, Southeast at the Parkinson’s Foundation. While with the Parkinson’s Foundation, Lindsay led major gift efforts for the southeast region of the U.S. and built a robust pipeline of major donors across nine states. Lindsay has been in the nonprofit sector for more than thirteen years, with a focus on development and major gift fundraising for the majority of her career. Prior to her role at the Parkinson’s Foundation, Lindsay raised crucial funds for cancer research for Moffitt Cancer Center. Lindsay held a number of roles while at Moffitt, including as a Development Officer building a midlevel giving program, Associate Director of Principal Gifts during which time she secured multiple six and seven-figure gifts and as Director of Corporate and Foundation Relations overseeing the CFR program. Lindsay began her nonprofit career with Obesity Action Coalition, a national patient advocacy organization, where she initially served as Marketing Manager, followed by her role as Director of Development and Engagement Initiatives. https://www.linkedin.com/in/lindsayvoltz https://www.diabetesresearch.org/
1) More about Actress Alexandra Paul's life, what she has been up to recently, her acting, living simply, her recently launched wellness coaching business, and more. 2) Tips to Get Healthy and Stay Healthy, including scheduling, writing goals, motivation, avoid temptation, etc. 3) According to Healthline.com, The American family now spends half of their food budget on restaurant food. Also, 2 in 3 adults are considered overweight or obese. The growth of fast food in America seems to coincide with the growth of obesity in the United States. The Obesity Action Coalition reports that the number of fast food restaurants in America has doubled since 1970. The number of obese Americans has also doubled. and more!
Stephen Messier has been at Wake Forest University for 36 years. He is the Director of the J.B. Snow Biomechanics Laboratory and teaches undergraduate biomechanics and human gross anatomy as well as graduate biomechanics. Dr. Messier has 26 years of clinical trial experience concerning osteoarthritis (OA) of the knee; his team of clinicians and researchers are recognized for their research regarding the effects of weight loss and exercise upon knee OA pain, function, strength, and gait biomechanics.On this episode we discuss: the impact of weight loss on osteoarthritis, how to lose weight, resources for weight lossResources mentioned:MyFitnessPal mobile applicationUSDA ChooseMyPlate mobile applicationLinks to additional resources: Weight loss and knee joint load infographicOsteoarthritis Healthy Weight for Life ProgramCSIRO Total Wellbeing dietDieticians Association of AustraliaEat for HealthCDC handouts How to use fruits and vegetables to help manage your weightHow to avoid portion size pitfalls to help manage your weight Rethink your drink Eat more, weigh less?Obesity Action Coalition’s Living Well Guide OA Action Alliance interactive brochures to encourage healthy eating and weight management strategies: Weight Gain and Joint PainCan My Weight Make My Joint Pain Worse? See acast.com/privacy for privacy and opt-out information.
In this episode, Janine converses with Dr. Randy Seeley, a Professor of Surgery at the University of Michigan. Dr. Seeley serves as the Director of the Michigan Nutrition Obesity Research Center and works in understanding the physiology of obesity and weight gain. Dr. Seeley takes Janine on a deep dive of the mechanics and chemistry behind why the human body gains weight, what triggers the desire to eat, and how food affects the body. Here’s a brief overview of the topics we discuss: The inspiration for Dr. Seeley’s research into obesity and the way our hormones affect weight gain. The vocabulary of weight-loss surgery and obesity: set points and hunger hormones Weight-loss surgery as a tool rather than a miracle cure Hormones and the control we have over our appetite The social stigma and myths surrounding obesity How Dr. Seeley’s research has impacted his own relationship with food Areas of interest and surprises in Dr. Seeley’s research Suggested resources for patients who want to learn more about hunger hormones and obesity Check out the resources Dr. Seeley discusses in this episode for reliable, academic information about weight loss: The Obesity Action Coalition (https://www.obesityaction.org/) The National Institute of Diabetes and Digestive and Kidney Diseases (https://www.niddk.nih.gov/health-information/weight-management) ObesityWeek, a joint meeting between the American Society for Metabolic and Bariatric Surgery and The Obesity Society. In 2019, Obesity Week will take place between November 3 and November 7 in Las Vegas, Nevada. (https://obesityweek.com/) This podcast wouldn't be possible without our sponsor, BariatricPal.com. If you're looking for a supportive online network of bariatric patients, be sure to browse their forums and connect with other WLS patients from around the world. Also, you'll find amazing bariatric-friendly foods in their store https://Store.BariatricPal.com. If you use the promo code PODCAST with your first order, you'll get 10% off!
In this episode I bring you my conversation with Ted Kyle, RPh, MBA. Ted founded ConscienHealth in 2009. He is a pharmacist and healthcare innovation professional who works with health and obesity experts for sound policy and innovation to address obesity. He serves on the Board of Directors for the Obesity Action Coalition, advises The Obesity Society on advocacy, and consults with organizations addressing the needs of people living with obesity. His widely-read daily commentary, published at conscienhealth.org/news, reaches an audience of more than 15,000 thought leaders in health and obesity. His peer-reviewed publications focus upon weight bias and policy related to health and obesity. As such, Ted is perfectly positioned to share with us his list of the Top 10 Milestones in Obesity and Health over the past 10 years. Discussed in this episode, # 10-# 1: 10. The Rise of ObesityWeek: We discuss what is ObesityWeek and why does this conference matter. 9. The Mediterranean Diet Hits a Speed Bump: In 2018 the original authors of the PREDIMED study audited the study’s data and execution and they found problems. For about 14 percent of the study’s 7,447 subjects, assignment to a treatment group was not random. Taking those problems into account, they still found lower rate of cardiovascular events for people in the Mediterranean diet groups (compared to a lower-fat diet). But the bold claim of cause and effect evaporated. The original conclusions said the diet “reduced the incidence” of cardiovascular events. The new conclusion says “the incidence was lower.” This difference might seem small but it’s the difference between causality and association. 8. Plants Are IN, But Carbs Are OUT: As demonstrated by the new Dietary Guidelines for Americans in 2020. 7. Vibrant Support and Advocacy for People with Obesity: The rise of the Obesity Action Coalition. 6. Sugar Is Poison: Dr Robert Lustig's Sugar-is-Toxic video 5. A Whole New Specialty for Obesity Care: American Board of Obesity Medicine came into existence. 4. Surgery for Diabetes: Understanding that Bariatric Surgery is an endocrine surgery that changes the hormonal communication between the gut, adipose (fat) tissue, and the brain. The logic is inescapable. Type 2 diabetes is a cruel, progressive disease that slowly, but surely destroys a body from the inside out. Strokes, heart disease, amputations, organ failure – they’re all part of a bleak picture. Intensive medical care can slow it down. But metabolic surgery can put it into remission. Three years ago (2016), a remarkable consortium of 45 expert organizations endorsed metabolic surgery for type 2 diabetes. And yet, 97 percent of people who might benefit still don’t receive metabolic surgery. 3. New Drugs for Obesity Treatment: Liraglutide (Saxenda), Naltrexone & Bupropion (Contrave), Phentermine & Topiramate (Qsymia), and Lorcaserin (Belviq), with more coming. 2. Sleeves Take Over from Bands: Bands peaked in 2007. As of 2018 Vertical Sleeve Gastrectomy is the #1 procedure of all bariatric surgeries. 1. Less Explicit Bias: Bias comes from selective blindness to facts. Explicit bias refers to attitudes and beliefs we have about a person or group on a conscious level. Implicit bias refers to thoughts and feelings we hold without conscious awareness regarding a person or group. Some of the more common biases we can hold against a person are based on their weight, sexuality, race, age, skin tone, or disability. The risks of implicit and explicit bias is that people become sicker because of denial and inaction. Less (NONE!) of both types of biases would be better but less explicit bias is certainly a start. Thanks for Listening! Support the podcast at either: Patreon or PayPal Connect with Ted Kyle: ConscienHealth.org, LinkedIn, Twitter, Facebook, Instagram, email: Ted.Kyle@conscienHealth.org Connect with Reeger Cortell: Facebook, Twitter, Instagram, email: reeger@weightlosssurgerypodcast.com
Shenese Colwell is the owner/founder of labworksandfitness and a bariatric lifestyle coach & obesity advocate. Her passion for helping clients reach their fitness goals and offer support for thier lifelong journeys is evident in her continuous pursuit of knowledge and support in the field of nutrition, fitness, and motivation. Shenese has certifications with the National Academy of Sports Medicine and the American College of Sports Medicine. She's also a member of the Obesity Action Coalition and Exercise is Medicine.
Special Guest:Shenese ColwellWho is she.....Shenese Colwell is a bariatric/weight loss surgery patient who has maintained over 110 pounds down for 7 years. Her journey started with a passion to help her peers in support groups who expressed regrets and frustrations due to the challenges associated with their weight loss surgery results and expectations. Well aware of, but not deterred by the stigmas and challenges, Shenese armed herself with knowledge and tools to help her succeed and to eventually be able to help others do the same. She is an advocate of ending weight bias, and helps to promote adopting healthier lifestyle changes through support, fitness, and coaching. She is a frequent contributor to the Obesity Action Coalition, and has been recognized for her efforts by several national organizations for her efforts in the bariatric community.L.A.B Work & Fitness www.labworkandfitness.comApple Podcast, Spotify, iHeartRadio, Soundcloud, Google Podcast, Spreaker, and YouTube!!!Find the links here:www.shallweproceedpod.comBecome an exclusive supporter for as little at $3a month:https://www.patreon.com/ShallWeProceedPodcastEmail me about sponsorship opportunities at:E.LeeseMain@shallweproceedpod.com #ShallWeProceedPodcast#ELeeseTableTalks #CreatorInfluencer#SexyPodcaster #PodcastingWhileBlack #BlackSmartAndSexy #GameChanger#BlackPodcaster #AdultingAndShit #HoustonPodcaster #BlackExcellence #MsPrettyBooks #JamesBrownOfPodcasting #ConversationStarter #PodsInColor #ELeeseMain #TheSpherePodcastNetwork #weightaminute #labworkandfitness #maintenance #mindset #mindfields #bariatriclifestylecoach #bariatriccoach #wlsjourney #wlstransformation #wlscommunity #bariatricsurgery #rnygastricbypass #100lbsdown #iamabariatricpatient #bariatrics"
In an earlier podcast with Dr. Rebecca Puhl, she described the nature extent and impact of weight bias on the lives of individuals was described and clear and very moving ways. Dr. Puhl, professor of Human Development and Family Studies at the University of Connecticut, and deputy director of the Rudd Center for Food Policy and Obesity, is a leading researcher and an agent for change on this important topic. She's kindly agreed to speak with us on this podcast on what might be done to prevent weight stigma when it does occur and how to reduce its impact. About Rebecca Puhl Dr. Rebecca Puhl, Professor of Human Development and Family Studies at the University of Connecticut and the Deputy Director of the Rudd Center for Food Policy and Obesity. Dr. Puhl is a leading voice in both research and in policy efforts aimed at reducing weight-based discrimination, stigma, and victimization. She has conducted research on weight stigma for over 16 years and has numerous publications on related topics. She has testified in legislative hearings on weight discrimination and routinely provides expertise on strategies to reduce weight bias to national and international health organizations. Dr. Puhl has received awards for her work from national organizations such as the National Eating Disorders Coalition, the Obesity Action Coalition, and most recently The Obesity Society. Interview Summary Rebecca, you have done very impressive work with the media on how people with obesity are portrayed. Can you remind us again how quickly how weight is portrayed in the media and what you have done to address this? The media is a powerful and pervasive source of weight bias in that people who have larger body sizes are really depicted in negative ways in media that reinforce societal stereotypes like lazy or sloppy or a target of ridicule and this happens in many forms of media. Not just entertaining media but also the news media. And one of the things that struck us early on when we began studying this issue is just how many news reports about obesity are accompanied by stigmatizing images and videos of people with obesity. And we did some research where we looked at hundreds of news reports on obesity across lots of different national news outlets. And we found that essentially over two thirds of the images that accompany these reports were very stigmatizing. And so to try to help change this we created a comprehensive gallery of images and videos that essentially portray children and adults who have obesity in ways that are respectful and positive and non-stigmatizing. We hired professional photographers to do this and we essentially created the first image bank of its kind, which provides these images and videos for free to the media, and also to help professionals or researchers or educators. And the idea here is to try to provide an easy source of images that can help challenge weight bias in the media. And we had a lot of success with this. Our images have appeared in national and even international news outlets. And what I have been really delighted to see over the years, especially recently is other organizations are now following suit. So there are now image banks available in Canada and through the World Obesity Federation. And from my perspective, these types of efforts are really important to try to help shift media portrayals of obesity. But it doesn't really stop there. We try to speak out against the weight bias in the media when we see examples of it to you, those as teachable moments of why it's, it's damaging and harmful. And, you know, I'll be honest, it can be challenging to stay on top of this, especially with weight bias that is now emerging on social media. But it's definitely been often that stick to see more people speaking out against stigma and shaming and calling out the harms of weight stigma when this occurs. And I don't think I could have said that five or 10 years ago. But certainly the voices against the weight stigma and the public awareness of it I think are increasing. In an earlier podcast you mentioned the pretty serious impact of lead by us in medical care settings. And I know you when others have worked on addressing this issue, what's been done in this area? So I think that engaging medical professionals in efforts to combat weight bias is really important. And you know, part of the reason for that is that we know that weight bias is a big problem in healthcare and that we need to really educate providers about weight bias and the harmful impact that it has on our patients. You know, when we think about medical training, you know, topics of obesity and nutrition don't really get curriculum coverage in the way that the need to. And essentially there's no education about weight stigma. And so we've developed a number of educational resources for health care providers to try to help them become aware of weight bias and how it impacts their patients and what they can do about this in the clinical practice. And another reason I think we need to really engage healthcare providers in this way is that they can be very important allies and sources of support to patients who have obesity, who may be experiencing stigma. This is especially true for children who are vulnerable to teasing and victimization because of their weight, not only at school from their peers, but at home from family members. And for kids who experienced weight stigma in both of those settings, health providers, pediatric providers, may be one of the few allies who can really identify this issue and support them. So as an example of a way to kind of address this in the medical community, I coauthored a policy statement with Steven Cotton and other colleagues that was published by the American Academy of Pediatrics in 2017. It essentially aims to increase awareness in the medical community about the harmful effects of weight stigma on children. And it provides guidance for ways that healthcare professionals can address this issue. And what I think was important about this is that not only were there clinical practice recommendations in this policy statement for ways that pediatric providers can reduce weight stigma, but we also made a number of broader advocacy related recommendations of ways that providers can try to help reduce a broader societal weight stigma in children. So for example, we recommended that health professionals work with schools to try to ensure that anti-bullying policies protect students when it to weight based bullying. We called upon health professionals to advocate for training for medical trainees and health professionals. That they're educated about weight stigma and its harmful effects. And to really advocate for responsible portrayals of people with obesity in the media. And so I think efforts like this in the medical field are really important because we need to bring attention to the fact that stigma really does pose a barrier to effective clinical care and treatment. And to find ways to better support patients regardless of their body size. Rebecca, you and your colleagues at the Rudd Center developed a series of videotapes to show the impact of weight bias. Could you explain what these videos they just portray? Sure. As part of our efforts at the Rudd Center to reduce weight stigma, we created three educational videos and these have different target audiences that include health care providers, parents and teachers, and students. And we worked on these videos with an Emmy-award-winning writer, Heather Hale. And we also involved Emme in this project, who is considered to be kind of the world's first plus size model. And we created these films as a way to bring attention to the issue of weight stigma and how it impacts people and what can be done to address this problem. And our videos have been very successful. Particularly our video targeting health providers, which has been disseminated across the country and actually outside of the US, and is used frequently in medical facilities as part of a sensitivity training. What I've been delighted to see is that there's also been several studies testing the videos and what they have found is that these are effective interventions in improving attitudes and reducing weight bias. I will also mention that we worked with HBO on their Weight of the Nation Series. We also created a short video with HBO called the human cost of obesity. And that really kind of shows the personal side of weight stigma. And it has also been tested in research and found to improve attitude. So I think that these kinds of tools, these brief videos, which are really less than 20 minutes each, can be really useful ways to increase awareness of weight stigma and offer some strategies to be part of a solution to address this problem. You know the Weight of the Nation was a major enterprise by HBO to address obesity issues in the United States. And it was a sign of changing times to have included weight biases among the issues in that documentary. And I thought some of the personal stories that came out in those documentaries are really very powerful and I give you a lot of the credit for making that happen. So good work. So let me ask you on another level about the policy level about what might be done. And I know there has been some discussion about dealing with weight discrimination through antidiscrimination laws. Where does that stand? So you know, from my perspective, policy is really one of the most important strategies we have to address the problem of weight stigma on a broad scale. The kinds of policies and legislation that are relevant here are different for adults than for children. So for adults, you're right that this involves passing antidiscrimination laws and policies that essentially make it illegal to discriminate against people on the basis of body weight. And currently there are very few options for legal recourse in the United States if someone has faced weight discrimination. Right now Michigan is the only state that has a law prohibiting weight discrimination. This was a law that was passed as part of their state civil rights statute back in the 1970s. There's also now half a dozen cities across the country that have passed local jurisdictions to prohibit discrimination. But essentially there are very few options available. And so we've been conducting national studies really for the past eight years or so, looking at public support for different types of laws that could address this. And what we have found is substantial public support for laws that would make it illegal for employers to discriminate against people because of their weight in the workplace. And we see as much as 80% of people in favor of this. And we also see a similarly high levels of support for adding body weight as a protected characteristic in existing civil rights laws. And essentially this is what Michigan has and we're starting to see that some states want to do the same. For some time Massachusetts has been trying to pass a state law to add weight as a protected category in their state civil rights law. And they are making progress. And I think that we will likely see more states begin these types of efforts as well. So that is somewhat promising. When it comes to children though we were talking about weight-based bullying, which is a huge problem. And it's often something that gets ignored at the policy level, whether it's school-based anti-bullying policies or state anti-bullying laws. So right now almost every school district across the country has to have an anti-bullying policy. But these policies vary considerably in terms of how comprehensive they are. So some policies will list characteristics that place kid that risk for bullying, like sexual orientation or race and ethnicity, whereas others don't. And what we know is that schools that have more comprehensive policies that can enumerate these characteristics tend to have lower rates of bullying and better student safety, and more teacher intervention. So what's really concerning is that body weight is essentially a glaring omission in most of these policies. And so there is a clear need to strengthen these policies. And the same goes for anti-bullying laws. So every state in the country has an anti-bullying law, but they really vary from state to in terms of how strong they are. And right now only a couple of state laws even mentioned body weight. So we've done a lot of research on these issues and looking at things like parental support for strengthening policies and laws to better protect kids from weight-based bullying. And again, we see really high levels of support from parents, often 80% or higher who want to see body weight added into the language of school based policies in anti-bullying laws. So I think what this means is that we need to not only work with policymakers and school administrators to make this happen. But I think we also need to educate parents about this issue because when it comes to policy, parents have an influential voice in motivating political will for action on things that affect children. But many parents don't really know if their child's school has an anti-bullying policy. And if it does, whether it even addresses weight at all. So I think we can encourage parents to really talk to their schools, to learn more and to ask and request that body weight be included. Because we really needed to treat weight-based bullying as a legitimate form of harassment and bullying. And you know, at the Rudd Center we've provided examples of model policies and what they look like, and ways that parents can talk to their child or their child's school about making improvements So how can people learn more about your work and about the issue of weight stigma overall? So I would encourage folks to go to our website, which is www.uconnruddcenter.org. We have a whole section of our website devoted to weight bias and that includes not only our research but lots of resources that we created coming out of our studies that are available for policymakers, health providers, and parents and teens. That's a great place to start to get more information.
As the medical director of Gramercy Pediatrics In New York City, Dr. Dyan Hes specializes in what's become an epidemic over the past several decades: pediatric obesity. According to the CDC, approximately 19 percent or 13.7 million children in the U.S. are obese, and while it's true that genetics can contribute to this in some families, as a whole the genetics of the human population has not changed enough to account for it. And it's not just the U.S.—it's a first-world problem that's quickly spread to third world countries. So, what's the deal? Dr. Hes makes for an insightful and eye-opening conversation by sharing her expertise on the subject and the experiences she's had with her patients, who range from infants to young adults suffering from one or more conditions due to obesity, including pre-diabetes, high blood pressure, asthma, insulin resistance, irregular menstrual cycles, and joint pain. According to Dr. Hes, kids are being given too much of the wrong types of food and not enough of the right types, especially from school cafeterias. On top of that, many school districts don't have enough funding to provide physical education beyond 45 minutes per week. Add to the mixture an overall increase in sedentary lifestyles and reliance on technology, and you have the ingredients for this current epidemic. Tune in to hear the full conversation and learn how to take the steps to start turning this around. For resources, visit the Obesity Action Coalition and American Board of Obesity Medicine websites and seek out local wellness programs in your area. To learn more about Dr. Hes' work, visit gramercypediatrics.com.
Joe Nadglowski is President & CEO of the Obesity Action Coalition (OAC). The OAC is a non-profit organization formed in 2005 dedicated to elevating and empowering those affected by obesity through education, advocacy and support. A frequent speaker and author on the importance of obesity awareness, Joe has more than 25 years of experience working in patient advocacy, public policy and education. He has been a guest of First Lady Michelle Obama at the White House to discuss childhood obesity and has testified before the Food and Drug Administration (FDA) on the importance of increasing treatment options for individuals affected by obesity. In today’s interview Joe tells his personal story about his weight, some general misconceptions about obesity and weight stigma in the workplace. We talk about the role of the wellness professional and employer when it comes to obesity. Finally, Joe leaves us with one tangible tip for creating a stigma free workplace. For links mentioned in today's episode visit https://redesigningwellness.com/ To join the Redesigning Wellness Community, visit https://www.facebook.com/groups/rdwellnesscommunity/
1) More about Actress Alexandra Paul's life, what she has been up to recently, her acting, living simply, her recently launched wellness coaching business, and more. 2) Tips to Get Healthy and Stay Healthy, including scheduling, writing goals, motivation, avoid temptation, etc. 3) According to Healthline.com, The American family now spends half of their food budget on restaurant food. Also, 2 in 3 adults are considered overweight or obese. The growth of fast food in America seems to coincide with the growth of obesity in the United States. The Obesity Action Coalition reports that the number of fast food restaurants in America has doubled since 1970. The number of obese Americans has also doubled. and more!
This episode I brought my mic to the people! Specifically the wonderful people at the Obesity Action Coalition’s Your Weight Matters Convention in San Antonio, Texas in August, 2015. While I was there I interviewed eleven different people about their bariatric surgery journey. Part of the interview included a game I invented called Texas […]
ASMBS 2012 Spotlight: Obesity Action Coalition
TONIGHT'S PROGRAM IS SPONSORED BY CELEBRATE VITAMINS at www.celebratevitamins.com. Following on the heels of the recent remarks from Dr. John Kelly and Outpatient Surgery Magazine, tonight's program will focus on advocacy and how your voice matters in the fight to end weight and obesity bias and discrimination. Special guests: James Zervios, Director of Communications and Joe Nadglowski, CEO and President of the Obesity Action Coalition, and Dr. Connie Stapleton. Much has been said about the article itself, but rather than focus on hurt feelings and negative feedback, our focus tonight is on how YOUR voice can lend towards ending bias. Weight and size bias is one of the last socially accepted forms of discrimination, and programs like The Obesity Action Coalition's "Bias Busters," are working towards erasing that mindset. Please join us tonight for discussion, thoughts, ideas, and information about how your voice can help. The call-in # is 347-857-2052. www.obesityaction.org
In this week’s episode of BariatricTV we have a Drop Zone Freak who had a dream. In the Dumping Ground we look at exercise after weight loss surgery. A new study says just 15 minutes a day can add 3 years to your life. In the Altered Reality segment we chew the fat on fats, good fats, bad fats and even evil trans fats. And we wrap things up in the Freak On segment with a review of a great protein ice cream from Arctic Zero.
In this week’s episode of BariatricTV we have a Drop Zone Freak who shares a birthday with BTV. In the Dumping Ground segment we report back on our visit to DC where we discussed weight loss surgery issues with the nation’s legislators. Then, in Altered Reality, we take a look at problems that can come from a deficiency of Vitamin A. Finally, we wrap things up in the Freak On segment with a tasty protein Dreamsicle.
In this week’s episode of BariatricTV we have a Drop Zone Freak who’s a trophy wife. In the Dumping Ground segment we announce the winners of our Spring Forum Membership Drive contest. Then, in Altered Reality, we discuss the issue of eating fruit after weight loss surgery. Finally, we wrap things up in the Freak On segment with a review of a splendidly swell website from The Sangria Sisters.
In this week’s episode of BariatricTV we have a Drop Zone Freak who wants to live. In the Dumping Ground segment we discuss some things we learned about insurance coverage for weight loss surgery while in New York. Then, in Altered Reality, we ask if fear is holding you back from surgery. Finally, we wrap things up in the Freak On segment with a review of a new flavor infused salt product that can really spice up your dishes.
In this week’s episode of BariatricTV we have a Drop Zone Freak who has changed her perception. In the Dumping Ground segment we discuss caring for your teeth after weight loss surgery. Then, in Altered Reality, we offer up a few tips on dealing with the first few weeks after surgery. Finally, we wrap things up in the Freak On segment with a review of a new web site that we learned about during our recent trip to New York.
On this week's BariatricTV we went on a road trip. On Saturday September 4th we joined hundreds walkers for the Long Beach Walk From Obesity. We grabbed some interviews with some walkers, a couple sponsors and even a WLS celebrity. Also while we were in Long Beach we managed to hook up Katie Jay who's the Director of the National Association for Weight Loss Surgery. In addition to being a successful patient, Katie shares her success with others through her website as well as retreats and seminars for other pre and postoperative patients.
MARINA speaks with Joseph Nadglowski Jr., President & CEO of the Obesity Action Coalition. Part 1www.obesityaction.orgFeatured Song:"Hipster" 118 BPMWritten by MARINA & T. MarinelloProduced by MARINAAll vocals by MARINAMARINA's High-nrg Fitness Music and Workouts
MARINA speaks with Joseph Nadglowski Jr., President & CEO of the Obesity Action Coalition. Part 2www.obesityaction.orgFeatured Song: "Hipster" 118 BPMWritten by MARINA & T. MarinelloProduced by MARINAAll vocals by MARINAMARINA's High-nrg Fitness Music and Workouts