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Do No Harm Podcast

DeAun Nelson, ND and Sarah Thompson: Health at Every Size and Patient-Cente

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Discover how shifting the focus off of weight in health care can greatly improve health outcomes for patients. It is increasingly evident that diets do not work, and that patients of a wide range of sizes can benefit from increasing healthy habits without weight change. With this evidence, we as medical professionals can more effectively and ethically treat our patients by changing how we interact with them around weight. We will explore how to do no harm to our patients of all sizes without ...
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CW: BED, OA, Some specific amounts of food used for examples Amy Pershing, who cowrote Binge Eating Disorder: The Journey to Recovery and Beyond with Chevese Turner, joined me on the podcast to discuss this challenging and common eating disorder that is often overlooked. Amy shares so much great information with us about BED from all sides of the d…
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Hello all! I've missed you! This is a relatively quick update of the last six months or so of my life. My experience in the hospital gave me some additional insight to treating larger patients and I even talk a bit about the topic of the day, Covid-19. I personally love update podcasts, so I know some of you will be happy to listen. If you are not …
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This episode is fairly far ranging in topic and trying to pinpoint every topic was too daunting. We discuss philosophy, medicine, compassion, engaging with patients on a human level and more. Deb Burgard is such a thoughtful person who has taken a lot of time to really think about the topics surrounding not just fatness, but also social justice and…
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Thank you for your patience!! What a whirlwind August has been. Here is my interview with the marvelous Lesley Williams, MD. She does a lot of work talking to other physicians about why weight independent health care is so important to improving health outcomes! In the episode (not in order): How Dr. Williams got involved with HAES Health Equity an…
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CW: Specific calorie amounts mentioned at these points in the show: 15:49:15:52 17.26- 17:38 46:12-46:13 Hypothalamic Amenorrhea (HA), or a lack of menstruation caused by the disfunction of the hypothalamus, affects many people in the world. It happens often when someone is under-fueling their bodies. It is a common condition with atheletes, but ca…
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The Fast Track Trial is a trial in Australia that is being done to determine the efficacy of intermittent fasting for weight loss in teens. My amazing guest, Louise Adams, has spent the last year actively trying to get the trial stopped because it is unethical. The connection between dieting, especially fasting, and the development of eating disord…
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Interview with Ragan Chastain, an activist and dynamic speaker about Fat Acceptance, weight stigma in health care, and Health at Every Size®. The conversation ranged across a broad array of topics and I really recommend listening to all of it. The bit that really stood out to me is the idea that practitioners and fat people should be on the same si…
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Michelle May, MD joined me to talk about mindfulness and health during this episode. We ended up talking about a few other things as well! Dr. May is a recovered yoyo dieter and the founder of Am I Hungry? Mindful Eating Programs and Training (www.AmIHungry.com) that helps individuals resolve mindless and emotional eating and senseless yo-yo dietin…
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During this episode, Dr. Jennifer Gaudiani joined me to talk about eating disorders and her experiences with them. She recently wrote a book: Sick Enough: A Guide to the Medical Complications of Eating Disorders. She has been working with patients with eating disorders for 11 years and has also incorporated Health at Every Size and weight inclusive…
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During this episode, I talk about what being weight inclusive looks like to me and how it can be beneficial. I also talk about perfectionism, bias, and how we can do better as we know better. There are also three patient stories, one of them my own, that illustrate how weight focus can be extremely detrimental, in one case nearly fatal, for patient…
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Season 2 Episode 4: Food Addiction with Marci Evans, RD Food Addiction, specifically sugar addiction, has become a hot button topic in recent years. People feel out of control around highly palatable foods and struggle to avoid over eating them. Sugar also lights up the pleasure centers of our brains, similar to drugs like cocaine and heroin. Does …
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Is it possible to treat type 2 diabetes without weight loss? It absolutely is. Join Megrette Fletcher M.Ed., RD, CDE and I as we explore treating type 2 diabetes in a weight independent way. Megrette has been been working in diabetes care since 1995 and has a great deal of information to share about caring for diabetic patients using effective tool…
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This episode is a bit of an experiment for the podcast. I have included the stories of three people who have had challenging experiences with medical providers due to their sizes. There is an additional story that specifically talks about medical providers showing bias around each other as well. I also included a quick update about the future of th…
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Welcome to Season 2 of the Do No Harm Podcast! The first episode of the season is an interview with Dr. Jon Robison, a national leader in the Health At Every Size Movement for more than 2 decades. Jon Robison holds a doctorate in health education/exercise physiology and a master of science in human nutrition from Michigan State University where he …
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This will be the last episode for the season and the year! I wanted to spend it talking about the importance of Fat Acceptance and Body Acceptance when it comes to individual health, and also to community health. The Fat Acceptance movement itself focuses on reducing and eliminating fat bias and fat stigma, thus improving overall health. I was join…
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Here is a bonus episode for you! It consists of a reading of the National Association for the Advancement of Fat Acceptance (NAAFA) Guidelines for Medical Providers with Fat Patients. It reiterates some of the information in past episodes and adds some clarity and additional ideas to what I have presented already. Enjoy. A print version can be foun…
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The seventh episode of the podcast will dive into options for treating patients that do not center on weight change. Significant and permanent weight change is nearly impossible for the majority of the population, so we need to use weight independent, evidence based treatment for people of all sizes. In this episode: Defining weight neutral/weight …
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This episode covers the topic of intentional weight loss through restrictive eating or lifestyle changes. We discuss why intentional weight change does not work long term and why it can cause more harm than good for people’s health. I am joined by a guest co-host, Sumner Brooks, RD of Eating Disorder Registered Dietitians & Professionals. Her insig…
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Healthism is prioritizing individual health above other things. It is also the idea that individuals have significant control over their health. It does not acknowledge that a great many things outside of an individual’s affect their health, such as oppression, war, hatred, environmental factors, and access to medical care. Ultimately, it is import…
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Because weight stigma is expressed through weight bias, it is necessary to discuss and examine our own weight bias as medical professionals and medical professionals in training. There is a growing body of research showing that weight stigma has a *significant* effect on long term health, making it an important subject for medical professionals to …
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Weight Stigma, and stigma in general, is a intricate and complicated subject that permeates the society we live in. We are all affected in some way by stigma, whether we are the subject of stigma, perpetrators of stigma, or both. Stigma also has a significant effect on long term health, making it an important subject for medical professionals to ad…
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The “War on Obesity” has been raging for decades. Just like many similar wars, such as drugs and terrorism, it has a very nebulous enemy and never really has an end. These types of “wars” rarely accomplish their stated objective. This war is attacking ordinary, law-abiding citizens who happen to be traveling around in bodies that are larger than wh…
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