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Medicine · with Ragen Chastain

Weight and Healthcare

by with Ragen Chastain

Examining the intersections of weight science, weight stigma, and healthcare and what evidence, ethics, and lived experience teach us about healthcare and public health best practices for higher-weight people. weightandhealthcare.substack.com

Latest episodes

Showing 20 · updated from the feed

When Weight-Centric Healthcare Becomes Coercive Part 1 - The Basics

I received the following email that I’m sharing with permission: I’m [name], I’m a family doctor and I recently attended your excellent pediatric grand rounds presentati

Oct 28
7 min

Do GLP-1s Help With...?

A lot of the questions I’m getting during Q&As right now (from healthcare providers AND from patients) are about possible uses for GLP-1s - from blood pressure to alcohol

Oct 14
7 min

Freedhoff’s Feelings Aren’t Facts - Part 2

In Part 1 we started looking at a commentary piece in Medscape by Dr. Yoni Freedhoff called “The Bell Tolls for the Diet Era.” In part 1 we looked at his big feelings a

Oct 10
16 min

Freedhoff’s Feelings Aren’t Facts - Part 1

If the name Yoni Freedhoff sounds familiar, it may be from the Natasha Wiebe’s guest post about her experience going to an “ob*sity” summit. She recounted:“Yoni Freedhoff

Oct 7
20 min

Hernia Repair and Higher-Weight People Part 3- Dealing with BMI-Based Denials

In part 1 I started writing about the basics of hernias in higher-weight people, including the fact that these surgeries are common targets for BMI-based denials of care,

Sep 30
11 min

Hernia Repair and Higher-Weight People Part 2 - The Realities of Requiring Weight Loss

This is the Weight and Healthcare newsletter! If you like what you are reading, please consider subscribing and/or sharing! In Part 1 we discussed the basics of hernia r

Sep 26
8 min

Hernia Repair and Higher-Weight People Part 1 - The Basics

One of the more complex situations that I often get asked to write about, or asked to help advocate for, is hernia repair in higher-weight people. This situation can be q

Sep 23
8 min

When Medical Weight Stigma Costs Thousands of Dollars

I write about many different examples of weight stigma in healthcare including BMI-based denials of care in which healthcare is held hostage for a weight loss ransom. Som

Sep 16
9 min

Weaponizing Weight Bias

I’ve written extensively about the weight loss industry’s attempt to co-opt the concept of weight bias and stigma Lately I’ve been noticing (and in some cases involved in

Sep 12
6 min

Weight and Cancer - Part 2 The Research

In part one we went through some of the basics around the research that considers higher-weight and cancer risk, progression, and outcomes. In part 2, we’ll consider some

Sep 9
13 min

Weight and Cancer Part 1 - The Basics

I have had a number of requests to discuss the research around cancer and higher-weight. This is an incredibly complex and nuanced subject. I’m going to start with a two-

Sep 5
9 min

Does Weight-Cycling Cause Loss of Muscle Mass?

Reader Barbara recently brought the study “Association of Weight Cycling with MRI-Based Thigh Muscle Quality and Knee-Adjacent Ob*sity” to my attention. The study sought

Sep 2
5 min

The Three Deadly Sins of Weight Science Research - Reader Request

I received a request from reader Chris who said: I know that you write about the problems with research all the time, but I would really like a post that names the main

Aug 29
5 min

Options for Patients with Knee Osteoarthritis Who Are Denied Surgery

I have written before about options for patients who are facing a BMI-based denial of care which occurs when their healthcare is being held hostage for a weight loss rans

Aug 27
5 min

Questionable Study On “Metabolically Healthy Obesity”

I have received a ton of requests to write about the paper “Are people with metabolically healthy ob*sity really healthy? A prospective cohort study of 381,363 UK Biobank

Aug 22
12 min

The Weight Stigma Mistake We MUST Stop Making

Recently a number of people directed me to a video online that discussed weight stigma and asked me to respond. I’m not naming names because this person is far from the o

Aug 19
9 min

Looking Back at Look AHEAD Part 2 - The 10% Group

This is the Weight and Healthcare newsletter! If you like what you are reading, please consider subscribing and/or sharing! In part 1 we looked at the basics of the Look

Aug 15
9 min

Looking Back at Look AHEAD Part 1 - Basics

People make a lot of claims that the Look AHEAD trial offers some sort of support for the efficacy of weight loss diets. So in this two-part series we’re going to look ba

Aug 12
13 min

Reader Question - What is Foundayo? Part 1 - Study Basics

I’ve received a ton of reader questions about Eli Lilly’s GLP-1 weight loss pill Foundayo, which was recently granted FDA approval. In Part 1 we’ll talk about the study i

Aug 1
17 min

Case Study - Fighting Weight Stigma to Get Healthcare

I recently heard from Samantha C who was suffering from what she described as “absolutely crippling plantar fasciitis.” She shared her story of battling medical weight st

Jul 29
9 min

Chart trend

Position in the Medicine chart (US), last 90 days.

#143
all-time peak
12
days in the top 200 since Feb 2026

Chart positions

Where Weight and Healthcare ranks today in each Apple Podcasts chart (US, Nov 9, 2026).

#158 ▼ 15 Medicine US

What listeners say

A curated, balanced selection of Apple Podcasts reviews.

This is a fantastic podcast for health care providers (and researchers) and for the higher weight people who have to engage with them. Ragen walks listeners through current news and studies, revealing critical omissions, pharmaceutical influence, and weight stigma where they arise. A great resource for developing your own media literacy! Highly recommend.

Multimedia Maven · Feb 2026

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Here you find the Apple Podcasts chart positions of Weight and Healthcare, its latest episodes to listen to directly, and reviews from listeners. Rankings are updated daily for the United States.

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