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Weight and Healthcare: Daily Summaries Delivered
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
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- 5 days ago9 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. Sometimes these BMI-based denials don’t mean that a procedure is denied everywhere, but that it is denied in a certain facility. One common example of this is when a procedure is requierd to be done in a hospital rather than an ambulatory surgery center. This can be make the procedure much more difficult to schedule and exponentially more expensive. Get full access to Weight and Healthcare at weightandhealthcare.substack.com/subscribe
- 1 weeks ago6 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,) a concerning trend which I would describe as people (knowingly and even unknowingly) weaponizing the concept of weight bias to shut down weight-inclusive work to benefit the weight-centric paradigm. (I’ve written about the two paradigms here.) .Here are three recent examples that happened to me: Get full access to Weight and Healthcare at weightandhealthcare.substack.com/subscribe
- 1 weeks ago13 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 of the research more deeply. These won’t be full deep-dive analyses (if you want that, let me know in the comments,) instead we’ll dig into the questions we discussed in part 1. Get full access to Weight and Healthcare at weightandhealthcare.substack.com/subscribe
- 2 weeks ago9 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-part series. Part 1 will be an overview of basic concepts and possible issues with the current research. Part 2 will dig into some of the actual research. If you have other topics that you would like me to write about or specific research you would like me to analyze, please feel free to add it in the comments. Get full access to Weight and Healthcare at weightandhealthcare.substack.com/subscribe
- 2 weeks ago5 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 to determine if repeated weight gain and loss (also known as weight cycling or yo-yo dieting) was associated with sarcopenia which they explain is defined as a loss of muscle strength and muscle mass and a decline in physical performance. Get full access to Weight and Healthcare at weightandhealthcare.substack.com/subscribe
- 3 weeks ago5 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 problems with the research that would be easy to send someone so that they could understand.I’m happy to help. For this post I’ve chosen the top three mistakes I see. Of course, there are plenty more, I’ve chosen these three (and called them deadly sins) because when they happen, it means that the research is fatally flawed. Get full access to Weight and Healthcare at weightandhealthcare.substack.com/subscribe
- 3 weeks ago5 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 ransom. In that series I talk about three options to try to get surgery. A couple months ago I gave a talk on weight-neutral joint pain management with Dr. Julia Bruene and Dr. Jeremy Alland, both Sports Medicine Physicians at Midwest Orthopaedics at RUSH in Chicago. During the talk Dr. Bruene mentioned two pain reduction procedures that might be options for harm/pain reduction for patients with knee osteoarthritis whose care is being delayed/denied by a BMI-based care denial. Get full access to Weight and Healthcare at weightandhealthcare.substack.com/subscribe
- Aug 22, 202612 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 participants” Get full access to Weight and Healthcare at weightandhealthcare.substack.com/subscribe
About Weight and Healthcare
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
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