The Fat Doctor Podcast

Send us Fan Mail Healthcare's approach to diabetes has become less about treating a disease and more about fixing the person. In this episode, I walk through Cosmo's fictional-but-familiar journey from diagnosis through multiple medications to a specialist referral that came with a homework assignment. When we receive forms asking us to set goals, rate our confidence, and think about wha...

Send us Fan Mail  When doctors recommend weight loss, they describe the supposed benefits but remain silent about the harms—reduced metabolism, increased appetite, hormonal disruption, eating disorders, and profound mental health impacts. This ethical failure extends beyond outdated diet advice to newer interventions like GLP-1 medications, where we celebrate short-term metabolic improvements whil...

Send us Fan Mail  We've been taught to hate and fear fat bodies in equal measure—for social reasons, moral reasons, and medicalized health reasons that justify the first two. Society tells us fat people don't belong, that we're unacceptable, abnormal, and undesirable. We're judged as lazy, undisciplined moral failures who are stealing resources from those who deserve them. And...

Send us Fan Mail Taylor was diagnosed with sleep apnea six months ago and told the only real solution was weight loss. Like so many fat people, they've tried every diet imaginable—keto, Weight Watchers, calorie counting—and watched their weight cycle up and down for years. When a friend introduced them to intuitive eating and the anti-diet movement, it felt revolutionary. But the what-ifs sta...

Send us Fan Mail  We've been told our entire lives that losing weight will prevent health problems. But where did this belief come from? In this episode, I trace the shocking history of how insurance companies, pharmaceutical funding, and arbitrary statistical cut-offs created the mythical illness we now know as "ob*sity" crisis. From Quetelet's obsession with the "average...

Send us Fan Mail In a healthcare system that routinely dismisses, blames, and denies treatment to fat patients, it's easy to doubt whether choosing to stay fat is the right decision. But here's the truth: you deserve a doctor who listens, believes, and validates you—regardless of your size. You have the absolute right to refuse to be weighed, to refuse weight loss, and to demand treatmen...

Send us Fan Mail  Casey is a passionate, well-meaning therapist who believes in weight-inclusive care but freezes when clients bring up medical concerns. They've learned about anti-diet principles through Instagram and podcasts, but lack the medical knowledge to counter doctors' weight-focused advice. When a client receives a devastating diabetes diagnosis with the usual "lose weigh...

Send us Fan Mail Weight loss doesn't improve your health—and I'm tired of having to prove it. While doctors continue pushing weight loss as a cure-all, the evidence tells a different story. The Look AHEAD Study followed 5,000 diabetics for 10 years and found that weight loss didn't prevent heart attacks or strokes. Similar studies show no long-term benefits for diabetes, arthritis,...

Send us Fan Mail Some healthcare professionals are nice. Some would go so far as to call themselves “body positive" or “HAES aligned”. But being pleasant doesn't make you safe for fat patients. There's a crucial difference between practitioners who are steadfastly kind while perpetuating harm, and those who actively work to counter medical weight bias. In this episode, I expose why...

Send us Fan Mail Jordan's seven GP visits for debilitating period pain, fatigue, and pelvic symptoms should have led to an endometriosis diagnosis within the first appointment. Instead, every symptom was blamed on weight, leaving them dismissed, traumatized, and untreated. In this episode, I expose how medical fatphobia intersects with misogyny to deny fat people proper gynecological care, an...

Send us Fan Mail Society has conditioned us to believe that our weight reveals everything about our character, intelligence, willpower, and worth as human beings. From childhood, we're taught that fat bodies represent moral failure, laziness, and unworthiness of love or respect. In this raw and powerful episode, I dismantle the extensive list of harmful stereotypes we've internalized abo...

Send us Fan Mail Medical autonomy is supposedly a fundamental pillar of healthcare - the right to make informed decisions about your own body without coercion. But as I discovered in a conversation with my husband Junior, a fat dentist, this principle simply doesn't apply when you're fat. In this episode, I expose how the medical profession systematically denies autonomy to fat patients,...

Send us Fan Mail Riley's doctor recommended bariatric surgery as the solution to their health concerns, but when Riley came to me for advice, I realized they hadn't been told about the real risks. From anastomosis leaks with 15% mortality rates to spontaneous bowel perforations years later, the complications of weight loss surgery extend far beyond what most patients are counseled about....

Send us Fan Mail  Health and weight are two completely separate things that we've been taught to view as synonymous. While society insists that being fat is inherently unhealthy, the evidence tells a different story. In this episode, I break down why genetics, not lifestyle choices, primarily determine our weight, how weight stigma actually causes poor health outcomes, and why fat people ofte...

Send us Fan Mail During my supposed break, I wrote a 45-page booklet called "Jenny Needs a New Knee, But She's Too Fat to Get One"—complete with 29 clinical references proving that denying joint replacements based on weight is medically unjustified and harmful. Coz that's what people do during their time off, right? Instead of moving on to the next project like I always do, I&a...

Send us Fan Mail  A third of NHS areas are denying hip and knee replacements based on BMI alone—not for medical reasons, but purely to save money. In this episode, I expose how the medical establishment openly admits these discriminatory policies lack evidence while pushing profitable weight loss interventions instead. Meanwhile, actual surgeons and researchers confirm what we've known all al...

Send us Fan Mail Coming out as fat is harder than coming out as transgender, at least in our experience. When performer and cabaret artist Ross Anderson-Doherty refused to pursue weight loss as medical treatment, their healthcare became a weapon of punishment rather than care. In this raw conversation, we explore how medical fatphobia intersects with transphobia, classism, and ableism to create de...

Send us Fan Mail Medical weight stigma creates dangerous catch-22 situations for patients seeking care. In this episode, I share Cameron's story of developing gallstones after weight loss surgery, only to be denied treatment because their BMI was "still too high."  In this episode, I expose how rapid weight loss can trigger gallstone formation and how medical professionals often ign...

Send us Fan Mail The obsession with calculating the "cost of ob*sity" to society reflects our troubling tendency to commodify human life and health. In this rather ragey and explosive episode, I expose how a widely-cited figure of £98 billion was manufactured by pharmaceutical interests to sell weight loss drugs.  I challenge the notion that we "owe" society a debt of health an...

Send us Fan Mail  Medical trauma is more than an abstract concept—it's a physical reality that impacts millions of people daily. In this episode, I share my transformative experience at a gender identity clinic, contrasting it with previous healthcare encounters that left me hypervigilant, tense, and bracing for judgment.  I explore how our bodies physically store medical trauma—in our gut, o...

Send us Fan Mail In this episode of The Fat Doctor Podcast, I'm joined by Elle Bower Johnston, a  breathworker, rest teacher, and somatic trauma resolution practitioner who describes herself as a "body witch." Our conversation explores the intersection of trauma, embodiment, and healing beyond traditional therapy. Elle explains trauma as "when our body-mind experiences somethin...

Send us Fan Mail In this episode, I explore the journey of Robin, a 45-year-old art teacher navigating a high cholesterol diagnosis and the frustrating world of weight-centric healthcare. Through their story, I break down the actual science of heart disease risk factors (spoiler: weight is the least of your concerns), explain the difference between primary and secondary prevention, and reveal how...

Send us Fan Mail Our worth as human beings is not determined by our health status. In this powerful episode, I challenge the pervasive narrative that ties personal value to health metrics and physical ability. I explore how healthism is deeply rooted in capitalism, racism, ableism, and colonialism, creating harmful hierarchies even within marginalized communities. Drawing from my own personal expe...

Send us Fan Mail  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...

Send us Fan Mail  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...