
Always Adaptive
Dive into trending health and fitness topics with Evidence Based Coach, Randall James. Having a background in many different exercise modalities, he looks at all exercise through the lens of health AND performance and so provides a unique perspective that's hard to find elsewhere.
Always Adaptive
Can You REALLY Be Healthy at Any Size?
Is it really possible to be healthy at any size? In this episode I take a hard look at that question with no sugarcoating and no dodging. I break down what the science actually says about obesity, fitness, and metabolic health, and why movements like body positivity, while well intentioned, can sometimes blur the line between compassion and denial.
I talk about the rise of weight loss drugs like Ozempic, the backlash they've created in the body positivity community, and why the BMI debate, despite its flaws, still matters for public health. I also dig into the concept of metabolically healthy obesity, explain why most people don’t fit that category, and why fitness matters a lot even if you don’t lose a single pound.
This isn’t about shaming. It’s about being honest. With over 70 percent of adults in the US now considered overweight or obese, we can’t afford to keep hiding behind feel good slogans. I believe in compassion, but I also believe in truth, and this episode is about cutting through the noise and prioritizing health behaviors that actually move the needle.
Coaching inquiries email me at randall@alwaysadaptive.com or visit alwaysadaptive.com