It's Not Your Fault: The Real Factors That Control Your Weight

The Fat Doctor Podcast

The Fat Doctor Podcast
It's Not Your Fault: The Real Factors That Control Your Weight
Feb 10, 2026 Season 6 Episode 5
Dr Asher Larmie

Send a text

The weight loss industry has convinced us that being fat is a personal failure—a consequence of eating too much and moving too little. But the truth is far more complex and liberating. Your weight is controlled by genetics, epigenetics, environmental factors, trauma, chronic stress, and systems of oppression that were intentionally designed to control marginalized bodies. 

In this episode, I break down the scientific evidence showing why the "calories in, calories out" narrative is a lie, explore how everything from urbanization to discrimination drives weight gain through cortisol, and reveal how this cycle of blame was always rooted in anti-Black racism, capitalism, and misogyny. It's time to shift responsibility from individuals to the systems and institutions whose literal job it is to address these conditions—because you didn't break this, and you shouldn't have to fix it.

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

Connect With Me

  • WEEKLY NEWSLETTER: Get a free script when you sign up
  • THE WEIGHTING ROOM: A community where authenticity thrives and every voice matters
  • The CONSULTING ROOM: Get answers to all your medical questions via DM or Voice Note PLUS access to my entire library of paid resources
  • CONSULTATION: For the ultimate transformation in your healthcare journe
  • THE WEIGH FORWARD: For people who are being denied surgery because of their weight
  • FREE GUIDES:Evidence-based, not diet nonsense

Find me on Instagram, YouTube, and LinkedIn.

Episode Artwork It's Not Your Fault: The Real Factors That Control Your Weight 25:38 Episode Artwork When Doctors Lie: The Guidelines That Recommend Diets They Know Don't Work 47:57 Episode Artwork How Big Pharma Made Up a Disease 27:59 Episode Artwork There is no such thing as a healthy weight 39:09 Episode Artwork I Wrote A Book! 32:44 Episode Artwork Seasons Greetings from the Fat Doctor 27:36 Episode Artwork Destroying 10 Lies That Are Used to Justify Weight Based Discrimination 36:20 Episode Artwork The Logical Fallacies That Season Your Holiday Fatphobia 37:27 Episode Artwork When Healthcare Becomes Compliance Theater 48:15 Episode Artwork Ignoring the Harm: Why We Justify Suffering for Weight Loss 32:10 Episode Artwork Why It's So Hard To Just BE Fat 27:41 Episode Artwork Taylor's story: What if everyone else is right and we're wrong? 38:25 Episode Artwork The Weight Loss Lie: A History of Medical Mistakes 36:02 Episode Artwork You Deserve Better: The Fat Doctor's Reassurance on Your Right To Healthcare 40:51 Episode Artwork Casey's story: When good intentions aren't enough 32:02 Episode Artwork Weight Loss Doesn't Improve Your Health 30:24 Episode Artwork When 'nice' isn't enough: The search for truly safe care 38:41 Episode Artwork Jordan's Story: When Endometriosis Gets Blamed on Being Fat 37:40 Episode Artwork My Weight Says Nothing About Who I Am 29:47 Episode Artwork Fat People Are Not Entitled to Autonomy 32:09 Episode Artwork Riley's Story: The Bariatric Surgery Risks Nobody Talks About 37:19 Episode Artwork Your Health Is Not Determined by Your Size 33:22 Episode Artwork Why I Can't Move On: Staying Put When I Want to Run Away 31:55 Episode Artwork Fat People Are Being Denied Surgery for Money (Say It Isn't So!) 48:48 Episode Artwork Coming Out As Fat with Ross Anderson-Doherty 1:17:25