The Fat Doctor Podcast

When Doctors Lie: The Guidelines That Recommend Diets They Know Don't Work


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In 1992, a room full of weight loss experts admitted diets don't work and that weight regain is almost inevitable within five years. Then they recommended diets anyway. Fast forward to 2025, and the UK's NICE guidelines acknowledge weight cycling causes harm, that the evidence is overwhelmingly poor quality, and that people will likely regain the weight. Yet they still recommend 800-calorie diets, even for people with eating disorders. 

In this episode, I expose how medical guidelines have become a masterclass in institutional lying—where committees acknowledge the evidence shows diets fail, cause harm, and offer no long-term benefit, yet recommend them regardless. Because the industry's already doing it, the government's already funding it, and admitting the truth would be too expensive. This isn't medicine. This is willful harm dressed up in clinical language, and the people writing these guidelines need to be held accountable. 

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The Fat Doctor PodcastBy Dr Asher Larmie

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