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In this episode, I explore the journey of Robin, a 45-year-old art teacher navigating a high cholesterol diagnosis and the frustrating world of weight-centric healthcare. Through their story, I break down the actual science of heart disease risk factors (spoiler: weight is the least of your concerns), explain the difference between primary and secondary prevention, and reveal how the medical establishment's obsession with numbers obscures more important social determinants of health. I also dissect the evidence (or lack thereof) for dietary and lifestyle interventions, highlighting how medication decisions should be based on informed consent, not fear.

This episode asks: What if doctors treated us as whole people instead of just collections of numbers?

This week's journal article is:  Ras, Rouyanne T et al. “LDL-cholesterol-lowering effect of plant sterols and stanols across different dose ranges: a meta-analysis of randomised controlled studies.” The British journal of nutrition vol. 112,2 (2014): 214-9. doi:10.1017/S0007114514000750 

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Our worth as human beings is not determined by our health status. In this powerful episode, I challenge the pervasive narrative that ties personal value to health metrics and physical ability. I explore how healthism is deeply rooted in capitalism, racism, ableism, and colonialism, creating harmful hierarchies even within marginalized communities.

Drawing from my own personal experience with chronic illness and analyzing problematic media representations of 'fat but fit' bodies, I make the case that every person is equally valuable, regardless of their health or ability to contribute through productivity.

This episode asks: What if we collectively rejected the notion that health determines our worth?

The Guardian Article is “‘Plot twist - I’m still a fat person!’: meet the people proving you can be fit at any size” by Sarah Phillips, Sun 29th March https://www.theguardian.com/lifeandstyle/2025/mar/29/im-still-a-fat-person-meet-the-people-proving-you-can-be-fit-at-any-size

The journal article is: Metabolically Healthy Obese and Incident Cardiovascular Disease Events Among 3.5 Million Men and Women

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 Medical moralism has transformed heart health from a medical issue into a moral judgment. When we label cholesterol as "good" or "bad" and patients as "compliant" or "non-compliant," we're not practicing medicine - we're passing judgment. 

In this episode, I expose how the "lose weight or die" narrative serves financial interests while ignoring the real social determinants of health. I ask whether our obsession with metabolic markers has become a moral measuring stick rather than genuine care, and challenge listeners to question whether health status should ever define human worth. 

This episode's journal article is  "Evidence for the Association Between Adverse Childhood Family Environment, Child Abuse, and Caregiver Warmth and Cardiovascular Health Across the Lifespan: The Coronary Artery Risk Development in Young Adults (CARDIA) Study.” 

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 We’re doing things slightly different this week (it is episode 13, after all). As a 44-year-old doctor who recently discovered I'm autistic, I'm sharing my personal journey of self-discovery for Autism Awareness Day. In yet another deeply personal episode, I walk through the signs I missed in myself while recognizing them in my kids, how I've been masking my whole life, and why I'm now embracing a more authentic way of living and working. 

I also explain why I'm done trying to build a business the neurotypical way and how I'm restructuring my work to avoid burnout while still continuing to create content I love. If you've ever wondered about late-diagnosed autism or are feeling burnt out trying to follow other people's rules, this one's for you! 

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 In this episode, Dr. Asher Larmie speaks with fellow weight inclusive GP Dr. Molly Moffat about creating safe feeding environments for neurodivergent children that goes beyond conventional nutrition rules. They explore how diet culture and neurotypical expectations harm autistic individuals, while sharing personal stories of parenting neurodivergent children and navigating healthcare as autistic doctors themselves. Dr. Moffat offers transformative insights on helping children develop healthy relationships with food by prioritizing emotional safety over nutritional perfectionism. 

Molly works as an NHS GP and Doctor in Community Paediatrics, as well as a workshop facilitator for the social enterprise Body Happy Org.  She is both neurodivergent herself and a parent to neurodivergent children. Molly offers support to families whose children experience feeding differences, and to adults who want to improve their relationship with food. She practices through a neurodiversity-affirming, weight inclusive lens celebrating both diversity of bodies and diversity of minds. 

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 In this episode, I dive into Charlie's story, who develops Idiopathic Intracranial Hypertension (IIH) in their early thrities. Charlie's journey reveals the terrible reality of weight stigma in healthcare - from delayed diagnosis to being blamed for their condition, and ultimately being prescribed weight loss instead of effective treatment. I also get pretty fired up discussing how the medical establishment continues to prescribe weight loss for IIH based on a single terrible study with just 25 participants who were essentially starved on 425 calories a day! 

 If you'd like to learn more about IIH and weight-inclusive approaches to healthcare, head to noweigh.org for my free resources. My IIH Masterclass which is available now to all Masterclass members (£40/month). I also referenced my upcoming book and No Weigh program where I cover the evidence that everything you've been told about weight loss is a lie. And don't forget to grab a free ticket to my Fat Joy Celebration happening on Friday, March 21st at 5pm UK time (1pm Eastern, 10am Pacific) - we'll have a virtual potluck, dancing, and celebration of fat community! 

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 In this episode, I tackle the simple but revolutionary idea that if we can't control our health (and we can't), then we shouldn't be blamed for it! When healthcare professionals blame patients, patients stop trusting us and start avoiding care. That's dangerous! This week I offer some straight-talking advice for both doctors (ask better questions!) and patients (call out the blame when you feel it!). Let's take the shame out of healthcare and remember that illness isn't a personal failure and when all else fails, chose compassion over judgment, folks. Every time. 

 RESOURCES MENTIONED: 👉 Unshrinkable Course (£25): Learn the science behind why weight loss is unsustainable 👉 Masterclass Membership: Evidence-based health education without weight stigma 👉 No Weigh Membership: Monthly chapters challenging weight-centric healthcare 👉 Weight Inclusive Wednesdays: Join our confidential Zoom sessions (2nd Wednesday monthly, 5pm UK) 👉 Free Healthcare Script: Download my guide for navigating difficult conversations with doctors 👉 No Weigh Newsletter: Get weekly evidence-based content delivered to your inbox 

The aritcle quotes in this episode is " Veenendaal, M V E et al. “Transgenerational effects of prenatal exposure to the 1944-45 Dutch famine.” BJOG : an international journal of obstetrics and gynaecology vol. 120,5 (2013): 548-53."

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CW for the o-word 

In this rather passionate episode of The Fat Doctor Podcast, I take on World Obsity Day and use this farce to challenge the very foundation of weight-centric healthcare. We take a look at how organizations like the World Obsity Federation medicalize and pathologize fatness while claiming to fight weight stigma, exposing the contradictions and financial interests behind these narratives. 

Key moments:

• Why ob*sity is not a disease but a descriptor (fat) that has been unnecessarily and intentionally medicalized
• How weight stigma and weight cycling, as opposed to fatness itself, contributes to negative health outcomes
• A critical analysis of the UK medical guidelines for fatty liver disease that recommend weight loss despite zero supporting evidence
• Research showing that preoperative weight loss before joint replacement surgery provides no benefits, yet is still routinely required

My revolutionary approach to medicine: simply not mentioning patients' weight and instead focusing on providing evidence-based care. Find out more at noweigh.org. 

Want to learn more about Fatty Liver Disease or Osteoarthritis, then check out my free resources. 

For a deep dive, you’ll find both masterclasses in the masterclass membership. 

Make sure you’re subscribed to my mailing list for daily moments of awesomeness delivered straight to your innbox. 

The journal article I referenced is: Laperche, Jacob et al. “Obesity and total joint arthroplasty: Does weight loss in the preoperative period improve perioperative outcomes?.” Arthroplasty (London, England) vol. 4,1 47. 4 Nov. 2022 

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In this explosive episode, Dr. Asher Larmie speaks with Dra. Mónica Peralta, a physician from Nicaragua specializing in diabetes, intuitive eating, and Body Trust. Together they explore weight stigma in healthcare across cultures, focusing on the unique challenges faced in Latin America. Dra. Monica shares her journey from promoting weight loss to becoming a weight-inclusive practitioner, offering a candid critique of how diabetes care is too often reduced to weight management. Their conversation tackles the harmful impacts of GLP-1 medications being repurposed for weight loss, the deeply problematic concept of World Ob*sity Day, and the hope found in the organization AWSIM (Association for Weight and Size Inclusive Medicine). 

Key Moments:

0:00 Introduction
11:02Diabetes and Weight Stigma - A Double Burden 18:40 
19:12 Weight Cycling and Its Impact on Diabetes Management 
27:12 GLP-1 Medications: From Diabetes Treatment to Weight Loss Industry 
38:42 World Ob*sity Day - "A Day to Eradicate a Type of Human Being" 
50:12 AWSIM: The Association for Weight and Size Inclusive Medicine 
57:42 Connecting with Dra. Mónica Peralta and Final Thoughts 

Dra Mónica Peralta is a nutritionist and diabetologist who practices in Nicaragua and sees clients worldwide. She is certified in intuitive eating, eating disorders, psychonutrition, and body image. You can learn all about her and the services she offers on her website, and follow her inspiring content on Instagram. 

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• CONSULTATION: For the ultimate transformation in your healthcare journe

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Through Harper's journey from dismissive doctors to eventual fibromyalgia diagnosis, I explore how weight stigma, medical gaslighting, and inadequate pain management create layers of trauma for patients in marginalized bodies. I break down the science of fibromyalgia in accessible terms and explain how the nervous system's "volume control" for pain gets stuck on high. 

Key moments:

• Medical Trauma Discussion (20:52) - An examination of how repeated negative healthcare experiences create lasting trauma (the bag of sh*t)
• Understanding Fibromyalgia (25:59): Explanation of fibromyalgia which affects 5% of the global population and is still so poorly understood
• Everything You've Been Told About Weight Loss is a Lie (31:31): Part 2 of my analysis of a 2013 study by Tomiyama, Alstrom and Mann examining the relationship between weight loss and health outcomes.
• Ask Me Anything (36:49): Discussion of glucosamine sulfate's role in preventing osteoarthritis, based on a randomized controlled trial.
• Community Information & Closing (40:43): Information about The Weighting Room community, on demand fibromyalgia masterclass, and consultation services.

This week's paper is  Tomiyama, A. Janet, Britt Ahlstrom, and Traci Mann. "Long-term Effects of Dieting: Is Weight Loss Related to Health?" Social and Personality Psychology Compass, vol. 7, no. 12, 2013, pp. 861-877. Wiley Online Library, https://doi.org/10.1111/spc3.12076. 

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You can't control your health any more than you can control the weather. In this episode, I explore how holding individuals responsibe for their health is a relatively recent phenomenon tied to capitalism and neoliberalism, contrasting it with historical perspectives where health was viewed as a collective responsibility. I talk about the benefits of moving from body control to body trust, while addressing systemic factors affecting health and the importance of building supportive communities. 

Key moments:

• The Control Illusion [1:31] 
• The Historical Perspective [11:17] 
• What Actually Shapes Our Health? [15:53] 
• Reframing Health as Collective [19:39] 
• Moving from Control to Trust [23:40] 
• Everything You've Been Taught About Weight Loss is a Lie [28:49] 
• Q&A on Idiopathic Intracranial Hypertension (36:25)

Learn more about my Free Course "Redefining Health"

Join The Weighting Room before the 19th February and get a free 30 minute chronic pain consultation

This week's paper is  Tomiyama, A. Janet, Britt Ahlstrom, and Traci Mann. "Long-term Effects of Dieting: Is Weight Loss Related to Health?" Social and Personality Psychology Compass, vol. 7, no. 12, 2013, pp. 861-877. Wiley Online Library, https://doi.org/10.1111/spc3.12076. 

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• FREE GUIDES: evidence-based, not diet nonsense
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• UNSHRINKABLE: Find out why your body is not designed to shrink
• MASTERCLASSES: All the evidence doctors should give you
• NO WEIGH PROGRAM: Join the revolution against weight-loss lies
• THE WEIGHTING ROOM: A community where authenticity thrives and every voice matters
• CONSULTATION: For the ultimate transformation in your healthcare journe

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In this powerful episode, I examine the critical intersection of fatness, chronic pain, and medical bias. Drawing from both my professional expertise as a doctor and my personal experience with frozen shoulder, I expose how the medical system frequently fails fat patients seeking pain management – not through lack of treatment options, but through prejudice and assumptions.

Key moments:

• How doctors make assumptions about fat patients in pain [6:00]
• The medical trauma cycle and delayed care [9:18]
• The three types of pain: nociceptive, neuropathic, and nociplastic [13:20]
• Your rights as a patient with chronic pain [20:01]
• Practical steps for getting proper assessment and treatment [23:22]
• Ask Me Anything [34:21]
• Eveything You've Been Told About Weight Loss Is A Lie [39:14]

Learn more about my Fibromyalgia Masterclass 

Join The Weighting Room and get a free 30 minute chronic pain consultation

This week's paper is  Andreoli, María F et al. “Leptin resensitisation: a reversion of leptin-resistant states.” The Journal of endocrinology vol. 241,3 (2019): R81-R96. doi:10.1530/JOE-18-0606 

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In this powerful conversation, wellness practitioner and anti-diet educator Leslie Jordan Garcia (MPH, MBA) joins me to explore the deep connections between diet culture, racism, and body liberation. From personal experiences with eating disorders to profound insights about food systems and movement, Leslie shares how her journey informed her mission to help others heal and reclaim their power. We discuss the rebranding of diet culture, the impact of racial stereotypes on healthcare, and why true wellness must include dismantling systems of oppression.

Leslie is a wellness practitioner and anti-diet educator. She works with clients both locally in Austin, Texas, and worldwide through virtual sessions, offering movement coaching and partnership in liberation work. You can also find her on Instagram "shaking that moneymaker" and bringing joy to all who are fortunate enough to be in her orbit. 

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Meet Jay, whose twenty-year health journey reflects the experience of countless Fat patients in rural communities. From an old motorcycle injury to high blood pressure, their story illustrates how weight-centric medical care can lead to years of frustrated consultations, missed diagnoses, and deteriorating health.

00:18:44 - What does weight inclusive care look like?
In this episode, I break down how weight-inclusive care changes everything - from the first examination to long-term treatment plans. I share how proper medical investigation, understanding of weight cycling, and compassionate care can transform both patient outcomes and the doctor-patient relationship.

00:27:19 - Everything You've Been Told About Weight Loss Is A Lie
Diet and exercise do NOT reduce the risk of developing OA of the knee according to the PROOF study. Today's study is entitled "The role of diet and exercise and of glucosamine sulfate in the prevention of knee osteoarthritis: Further results from the PRevention of knee Osteoarthritis in Overweight Females (PROOF) study"

00:31:13 - Ask Me Anything 
I was asked to weigh in on the weight inclusive treatment of high cholesterol (nice pun, by the way!)

Want to learn more about the weight inclusive management of high blood pressure and arthritis of the knee? Then check out my on-demand masterclasses.

And if you're looking for a weight inclusive doctor and struggling to find one, don't forget that you can consult with me anytime. 

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Health isn’t a one-size-fits-all concept. It’s as diverse and dynamic as the people who experience it. In this episode, I challenge the narrow, static definitions of health and asks whether health is a basic human right or a privilege. A binary concept or a specturm. A journey or a destination.

If you want to explore health in more detail, don’t miss my FREE workshop, Redefining Health, available to download anytime.

Feeling exhausted by the endless "New Year, New You" hype and its narrow definition of health? Join my FREE 7-day email challenge - the perfect antidote to diet culture January.

This week's Everything You’ve Been Told About Weight Loss Is a Lie features  the article "Lower carbohydrate diets and all-cause and cause-specific mortality: a population-based cohort study and pooling of prospective studies" (Mazidi, 2019)

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In this episode, I uncover the truths about prediabetes - what it is, what it isn’t, and why you’ve been misled. Meet Joy, a mother navigating the weight stigma tied to her diagnosis, and stick around for the debut of my new segment: "Everything You’ve Been Told About Weight Loss Is a Lie."

Learn more about my masterclass *“Prediabetes Isn’t A Real Medical Condition” or sign up right now.* Alternatively, check out my blog post “Prediabetes: A Lesson In PR”. https://www.fatdoctor.co.uk/2023/03/19/prediabetes-a-lesson-in-pr/

Today’s article was “Effects of Weight Loss, Weight Cycling, and Weight Loss Maintenance on Diabetes Incidence and Change in Cardiometabolic Traits in the Diabetes Prevention Program”

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 In the final episode of season 4, Asher recounts his personal growth over the past year and has a message for 2025. WE WILL NOT BE SILENCED. Season 5 launches on Wednesday the 15th January. 

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Raven's story is one that I imagine many of us are intimately familiar with. Raven is a 34 year old graphic designer, A plus student and all round badass who has been trying to shrink their body their entire life. This episode is just in time for the holiday season and the run up to the January New Year, New You nonsense that we know is coming. It's the penultimate episode of season 4. 

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Jude is Fat, exahusted, and ashamed. They've been so tired lately they finally bit the bullet and visited their doctor. Of course the doctor told them to eat less and get some exercise. But they also mentioned a sleep study. But Jude can't possibly have sleep apnea because that's just another thing everyone will blame on their weight. What's Jude to do?

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The holidays can be a lot—especially if you’re juggling too many expectations, feeling the weight of others’ emotions, or just trying to keep it all together when everything feels like it’s falling apart. In this episode, I’m diving into how the holiday season can throw extra pressure on those of us who take on more than we should—whether that’s managing everyone else’s needs, pushing ourselves to meet impossible standards, or feeling disconnected and drained despite being surrounded by people. 

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A whole bunch of us were raised on the premise of an Amercian Dream, and it turns out we were all sold a lie. The harder we work, the less we own. As the average life expectancy reaches new heights, so too do health disaprities. No matter who we vote for, politicians have zero interest in doing the will of the people. And there's no justice to be found in the legal justice system. So now that we've woken up (some of us have been awake for a while now), what are we going to do about it?

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It's amazing what some surgeons will say to get out of performing surgery. Which is weird, because they're supposed to like performing surgery. Otherwise why become a surgeon? In this episode, Asher explores one of life's many mysteries and also does a lot of ranting. What can he say? He's autistic and he doesn't have time for lies. 

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4 years ago, Asher failed his final diet. More accurately, the final diet failed him. 3 years ago, he came out as transmasculine. Two years ago, he uprooted his entire life and moved to Scotland. This time last year, he realised he was neurodivergent. In may 2020, he was writing a weight loss blog. A lot has happened since then, so he figured it was high time he re-introduced himself.

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Connect With Me

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

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Asher talks to Lisa, creator of Mon Gros Podcast which literally translates into my BIG podcast (or FAT podcast, depending on which way you look at it). There is an entire 10 minute segment dedicated to cheese in this episode. You're welcome.

Check out Mon Gros Podcast on Instagram or wherever you listen in

Got a question for the next podcast? Let me know!

Connect With Me

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

Find me on Instagram, YouTube, and LinkedIn.

Send us a text

Asher has known Nicola for several years now. Among other things, Nicola is Asher's go-to expert for anything weight inclusive that is fertility related. Today Asher and Nicola discuss how they work with clients and how their AuDHD impacts their work lives. Hint: it's not a superpower but it does make them uniquely placed to support neurodiverse clients.

You can find Nicola on Instagram or check out her website 

Got a question for the next podcast? Let me know!

Connect With Me

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

Find me on Instagram, YouTube, and LinkedIn.