The Obesity Guide with Matthea Rentea MD

The Hidden Cost of Reality Weight Loss: What The Biggest Loser Got Wrong—and What We Know Now with Ashley Palu


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This week, I’m sharing a powerful interview I was invited to be part of on the Plus SideZ podcast with hosts Kim Carlos and Kat Carter. We spoke with Ashley Palu, a contestant from Season 9 of The Biggest Loser, for a behind-the-scenes look at the show that shaped so many of our early beliefs about weight loss.

I was 16 when the show first aired, and as a kid who had always been overweight, I watched it thinking this is the answer: work out nonstop, eat barely anything, track everything. I bought the books. I bought in. If you’ve ever done Weight Watchers or followed diet culture trends, chances are this show influenced you too—before we fully understood the harm it caused.

In this conversation, Ashley opens up about it all: applying for the show, the emotional impact of public weigh-ins, the pressure of filming, what was real vs. produced, and what happened after the cameras stopped—including weight regain and eventually starting a GLP-1. She also shares the shockingly low number of calories contestants were expected to eat, giving us a sobering look at just how extreme the process really was.

References

Connect with Ashley:

TikTok

Instagram

The Plus SideZ Podcast

Audio Stamps

00:00:30 - Dr. Rentea shares how The Biggest Loser shaped her early views on weight loss and introduces her chat on The Plus SideZ podcast with former Biggest Loser contestant, Ashley Palu.

00:18:56 - The extreme calorie restriction Ashley followed on the show, how it impacted her physically and emotionally, and why it remains her biggest regret.

00:23:11 - What Ashley learned about weight loss from doing the show and the mental strength she gained through the experience.

00:29:53 - How rapid weight loss on the show led to muscle loss and a declining basal metabolic rate.

00:35:40 - We find out about the weekly rest day, which included a high-calorie “cheat day,” fueling food obsession from extreme restriction.

00:38:44 - Before, food noise was constant. Now, GLP-1 meds have brought peace, with lasting change rooted in mental healing.

00:46:16 - Ashley reflects on the shame and isolation that can come with weight regain, especially after being in the public eye.

00:50:35 - Dr. Rentea explains that weight regain is common because the body resists weight loss through powerful hormonal and metabolic changes, not a lack of willpowe

All of the information on this podcast is for general informational purposes only. Please talk to your physician and medical team about what is right for you. No medical advice is being on this podcast.

If you live in Indiana or Illinois and want to work with doctor Matthea Rentea, you can find out more on www.RenteaClinic.com

Premium Season 1 of The Obesity Guide: Behind the Curtain -Dive into real clinical scenarios, from my personal medication journey to tackling weight loss plateaus, understanding insulin resistance, and challenges with GLP-1s. Plus, get a 40+ page guide packed with protein charts, weight loss formulas, and more. 

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The Obesity Guide with Matthea Rentea MDBy Matthea Rentea MD

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