Do No Harm Podcast
CW: BED, OA, Some specific amounts of food used for examples
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CW: Discussion of Weight Loss Surgery
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Hello all! I've missed you! This is a relatively quick update of the last six months or so of my life. My experience in the hospital gave me some additional insight to treating larger patients and I even talk a bit about the topic of the day, Covid-19. I personally love update podcasts, so I know some of you will be happy to listen. If you are not like me in this, I should be getting an interview or two out soon. Stay Safe!
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This episode is fairly far ranging in topic and trying to pinpoint every topic was too daunting. We discuss philosophy, medicine, compassion, engaging with patients on a human level and more. Deb Burgard is such a thoughtful person who has taken a lot of time to really think about the topics surrounding not just fatness, but also social justice and how to make the world a more compassionate place. It starts with each of us individually, but I think it helps to listen to Deb and take in her joyous wisdom.
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Thank you for your patience!! What a whirlwind August has been. Here is my interview with the marvelous Lesley Williams, MD. She does a lot of work talking to other physicians about why weight independent health care is so important to improving health outcomes!
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Hypothalamic Amenorrhea (HA), or a lack of menstruation caused by the disfunction of the hypothalamus often happens when someone is under-fueling their bodies. It is a common condition with athletes, but can affect anyone who menstruates and does not take in enough energy. A lack of the hormones that cause menstruation affect many aspects of health and can lead to infertility if not addressed. Nicola Rinaldi, PhD is the author of No Period, Now What? about HA and joins me today to discuss it.
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The Fast Track Trial is a trial in Australia that is being done to determine the efficacy of intermittent fasting for weight loss in teens, which is significantly linked to eating disorders. My amazing guest, Louise Adams, has spent the last year actively trying to get the trial stopped.
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An interview with Ragan Chastain, an activist and dynamic speaker about Fat Acceptance, weight stigma in health care, and Health at Every Size®. The conversation ranged across a broad array of topics and I really recommend listening to all of it. The bit that really stood out to me is the idea that practitioners and fat people should be on the same side an asking how to break down barriers to health, including bias.
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Dr. May is a recovered yoyo dieter and the founder of Am I Hungry? Mindful Eating Programs and Training (www.AmIHungry.com) that helps individuals resolve mindless and emotional eating and senseless yo-yo dieting to live the vibrant life they crave. Over 800 health and wellness professionals from 30 countries have been trained to facilitate Am I Hungry? mindful eating programs worldwide. Dr. May is also the award-winning author of the Eat What You Love, Love What You Eat book series.
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Dr. Jennifer Gaudiani, author of Sick Enough: A Guide to the Medical Complications of Eating Disorders, joined me to talk about eating disorders and Heath at Every Size. She has found that HAES has made a great deal of difference, not only in recovery, but also in identifying patients who might have otherwise had a delay in diagnosis, or not been diagnosed at all.
info_outlineThe seventh episode of the podcast will dive into options for treating patients that do not center on weight change. Significant and permanent weight change is nearly impossible for the majority of the population, so we need to use weight independent, evidence based treatment for people of all sizes.
In this episode:
- Defining weight neutral/weight independent and weight inclusive
- Health at Every Size ®
- Intuitive Eating vs Restrictive Eating
- Well Now
- How to move away from using weight as a determinant of health
- Thinking beyond the individual - how society can change to support health
I would like to thank Julie Duffy Dillon for helping me come up with the title for this episode.
Music by Galynne Davis
Cover Art by Stacy Bias
Quote:
“Part of our job should not be just doing no harm, but also trying to remove the harm that’s being done outside of our offices.”
-DeAun Nelson, ND
Resources:
1. Bacon, L. and Aphramor, L.Weight Science: Evaluating the Evidence for a Paradigm Shift. Nutrition Journal201110:9
https://nutritionj.biomedcentral.com/articles/10.1186/1475-2891-10
2. Mensinger, JL et al. Appetite. 2016 Oct 1;105:364-74 https://www.ncbi.nlm.nih.gov/pubmed/27289009
3. https://lindabacon.org/_resources/resources-health-care-providers/
4. Aphramor, L. Validity of claims made in weight management research: a narrative review of dietetic articles. Nutr J. 2010; 9: 30.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2916886/
5. http://lucyaphramor.com/dietitian/
6. Aamodt, S. (2016) Why Diets Make Us Fat: The Unintended Consequences of Our Obsession with Weight Loss. New York, NY: Penguin.
7. Bacon L, Aphramor L. Body respect: what conventional health books get wrong, leave out, and just plain fail to understand about weight. Dallas, TX: BenBella Books; 2014.
8. Bacon, L. Health At Every Size: The Surprising Truth About Your Weight. Dallas, TX: BenBella Books; 2008.