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How Big Pharma Made Up a Disease

The Fat Doctor Podcast

The Fat Doctor Podcast
How Big Pharma Made Up a Disease
Jan 28, 2026 Season 6 Episode 3
Dr Asher Larmie

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In 1995, the WHO published a report stating clearly: "There are no clearly established cutoff points for fat mass or fat percentage that can be translated into cut-offs for BMI." Just three short years later, they published a completely different report calling ob*sity a "disease". Not just a disease, but a "rapidly growing threat" and a "global epidemic" that needed managing. What changed? Professor Philip James established the International Ob*sity Task Force—funded by the pharmaceutical industry—specifically to persuade the WHO to create ob*sity policy. When asked how he determined BMI cut-offs of 25, 30, and 40, Professor James admitted it "just seemed to fit"—a "reasonable, pragmatic cut-off." 

In this episode, I prove that being fat doesn't meet the definition of a disease: there's no impaired function, no characteristic symptoms, no causative agent. But calling it a disease created a market worth billions for weight loss companies, drug manufacturers, and bariatric surgeons. You're not the one who benefits from being diagnosed with ob*sity—they are. 

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