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 Fat patients with chronic pain are routinely sent away with a weight loss lecture. No examination, no blood tests, no referrals. In this episode, I introduce Suki, a teacher and mother whose two years of worsening hip and back pain have been dismissed at every turn, while her thinner colleagues walk away with physiotherapy and x-rays. I break down exactly what conditions get missed, why weight stigma is a clinical shortcut that the system is designed to profit from, and (most importantly) what to say in the room to finally get the care you deserve. 

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