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Send us a text  After three false starts and years of research, I've finally finished the first draft of No Weigh. This wasn't supposed to be just another book debunking weight science—it became something more fundamental. I realized I'd been centering myself as a doctor, performing credibility for my colleagues, when I should have been writing for fat patients. This book is for us, about us, written by one of us who happens to have a medical degree. I'm done performing humility and apologizing for the evidence. I'm done trying to convince resistant doctors who already see the truth in their own clinical practice but refuse to acknowledge it.  Instead, I'm bringing receipts to validate what you already know: the treatment is the problem, the cure doesn't work, and it's all been by design. From the shocking corruption in UK guidelines with 31-page stakeholder lists, to what we're doing to children, to the fundamental lie that there's such a thing as a "healthy weight"—I'm exposing it all, not to convince doctors, but to arm fat people with the evidence we need to fight back.  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.

Send us a text We've been told our entire lives that there's such a thing as a "healthy weight" - but the foundations of this belief are built on quicksand. In this episode, I trace the shocking history of how weight categories were created, exposing the corrupt origins of BMI and "ideal weight" tables invented by life insurance companies to maximize profits. I reveal how Louis Dublin, an employee of the Metropolitan Life Insurance Company who literally wrote a book called "The Money Value of a Man," created arbitrary weight standards that had no basis in reality - and how these numbers kept dropping with no scientific justification. What would life be like if Dublin had got decided that "abnormally tall" people needed to shrink to be healthy? I use this thought experiment to demonstrate the absurdity of medicalizing body size, especially since we've no evidence that “excess weight” causes illness or that intentional weight loss improves health outcomes. 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.

Send us a text 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.  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.

Send us a text In 1992, a room full of weight loss experts admitted diets don't work and that weight regain is almost inevitable within five years. Then they recommended diets anyway. Fast forward to 2025, and the UK's NICE guidelines acknowledge weight cycling causes harm, that the evidence is overwhelmingly poor quality, and that people will likely regain the weight. Yet they still recommend 800-calorie diets, even for people with eating disorders.  In this episode, I expose how medical guidelines have become a masterclass in institutional lying—where committees acknowledge the evidence shows diets fail, cause harm, and offer no long-term benefit, yet recommend them regardless. Because the industry's already doing it, the government's already funding it, and admitting the truth would be too expensive. This isn't medicine. This is willful harm dressed up in clinical language, and the people writing these guidelines need to be held accountable.  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.

Send us a text 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” 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.

Send us a text 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) 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.

Send us a text 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  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.

Send us a text 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 understoodEverything 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.  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.

Send us a text 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.  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.

Send us a text 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 medicalizedHow weight stigma and weight cycling, as opposed to fatness itself, contributes to negative health outcomesA critical analysis of the UK medical guidelines for fatty liver disease that recommend weight loss despite zero supporting evidenceResearch showing that preoperative weight loss before joint replacement surgery provides no benefits, yet is still routinely requiredMy 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  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.

Send us a text  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." 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.

Send us a text  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!  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.

Send us a text  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.  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.

Send us a text  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!  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.

Send us a text  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.”  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.