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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 often times anti-diet isn't enough, how well-meaning professionals can cause more damage than obvious bigots, and why fat people are trapped in an endless cycle of seeking help, getting weight loss advice, and avoiding care until they're desperate. I challenge anti-diet practitioners to move beyond good intentions and actually do the work to become weight-inclusive. Plus, I debunk the dangerous myths about anaesthesia safety that are used to deny fat people surgery. 

 Want to learn more about anaesthesia? Then check out my masterclass today!

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• 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

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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, and why being fat makes you fundamentally unsafe with most doctors. Through Jordan's story, I reveal the devastating reality that fat patients face when seeking help for legitimate medical conditions. 

Like the sound of the Consulting Room? DOORS OPEN TODAY AND CLOSE ON THE 29th AUGUST.   Find out more here. 

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• 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

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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 about ourselves and call out healthcare professionals who perpetuate discrimination. I explore how these beliefs shape our relationships, our sense of self-worth, and our right to exist fully in the world—and why it's time to reject these lies completely.

Find out more about the weighting room and become part of a one-of-a-kind community

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• 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

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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, exploring the difference between theoretical rights and practical agency, and why doctors can get away with withholding treatment until you lose weight. I also introduce The Weigh Forward - my new service to help fat patients fight back against medical discrimination through formal complaints and advocacy. 

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• 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

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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. 

In this episode, I walk through the evidence-based risks that every patient deserves to know before making this life-altering decision, because informed consent requires the whole truth. If you or someone you know is considering weight loss surgery, then be sure to send them a link to this episode!

References:

1. Lim, Robert et al. “Early and late complications of bariatric operation.” Trauma surgery & acute care open vol. 3,1 e000219. 9 Oct. 2018
2. Silva, Ana Flávia da et al. “Risk factors for the development of surgical site infection in bariatric surgery: an integrative review of literature.” Revista latino-americana de enfermagem vol. 31 (2023)
3. Complications of bariatric surgery: presentation and emergency management--a review.” Annals of the Royal College of Surgeons of England vol. 91,4 (2009): 280-6.
4. Benotti, Peter et al. “Risk factors associated with mortality after Roux-en-Y gastric bypass surgery.” Annals of surgery vol. 259,1 (2014): 123-30. 
5. Coupaye, Muriel et al. “Evaluation of incidence of cholelithiasis after bariatric surgery in subjects treated or not treated with ursodeoxycholic acid.” Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery vol. 13,4 (2017): 681-685 
6. Husain, Syed et al. “Small-bowel obstruction after laparoscopic Roux-en-Y gastric bypass: etiology, diagnosis, and management.” Archives of surgery (Chicago, Ill. : 1960) vol. 142,10 (2007): 988-93 
7. Seeras K, Acho RJ, Lopez PP. Roux-en-Y Gastric Bypass Chronic Complications. [Updated 2023 Jun 5]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK519489/

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• 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

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 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 often have better medical outcomes than thin people. I challenge the fundamental assumption that body size equals health status and explain why perpetuating this myth isn't just wrong—it's literally killing people. 

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• 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

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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'm trying something different and terrifying: staying put. In this vulnerable episode, I explore my lifelong pattern of pivoting when things get uncomfortable, the childhood trauma that drives my need to run, and why I'm fighting every instinct to abandon this work when fat patients desperately need advocates willing to stick around for the long haul. 

Check out the eBook Jenny Needs a New Knee, But She's Too Fat to Get One

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• 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

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 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 along: this is financial discrimination masquerading as healthcare. 

Have you been denied a knee replacement because of your BMI? Get your free, customizable template here. 

The Newspaper article by Rebecca Thomas is "Obese patients denied knee and hip replacements to slash NHS costs"

The Journal Article is: Pavlovic, Natalie et al. “The effect of body mass index and preoperative weight loss in people with obesity on postoperative outcomes to 6 months following total hip or knee arthroplasty: a retrospective study.” Arthroplasty (London, England) vol. 5,1 48. 1 Oct. 2023 

Got a question for the next podcast? Let me know!

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• 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

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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 devastating trauma that nearly destroyed one person's will to live. Ross's journey from medical neglect to triumphant revenge reveals the urgent need to recognize healthcare discrimination as the trauma it truly is. 

 You can catch Ross performing at the Cabaret Supper Club in Belfast. Be sure to follow them on Tik Tok and Instagram - you’d be a fool not to! 

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• 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

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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 ignore evidence-based care when treating higher weight patients. I challenge the "lose weight to get treatment" narrative while offering practical advocacy strategies for navigating a biased healthcare system. 

Today’s journal article was Gregori, Matteo et al. “Day case laparoscopic cholecystectomy: Safety and feasibility in obese patients.” International journal of surgery (London, England) vol. 49 (2018)

For free resources on the management of galbladder disease head to noweigh.org 

And don't forget to check out my masterclass on gallstones 

Got a question for the next podcast? Let me know!

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• 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.