Episódios
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In this explosive episode, Dr. Asher Larmie speaks with Dra. Mónica Peralta, a physician from Nicaragua specializing in diabetes, intuitive eating, and Body Trust. Together they explore weight stigma in healthcare across cultures, focusing on the unique challenges faced in Latin America. Dra. Monica shares her journey from promoting weight loss to becoming a weight-inclusive practitioner, offering a candid critique of how diabetes care is too often reduced to weight management. Their conversation tackles the harmful impacts of GLP-1 medications being repurposed for weight loss, the deeply problematic concept of World Ob*sity Day, and the hope found in the organization AWSIM (Association for Weight and Size Inclusive Medicine).
Key Moments:
0:00 Introduction
11:02Diabetes and Weight Stigma - A Double Burden 18:40
19:12 Weight Cycling and Its Impact on Diabetes Management
27:12 GLP-1 Medications: From Diabetes Treatment to Weight Loss Industry
38:42 World Ob*sity Day - "A Day to Eradicate a Type of Human Being"
50:12 AWSIM: The Association for Weight and Size Inclusive Medicine
57:42 Connecting with Dra. Mónica Peralta and Final ThoughtsDra Mónica Peralta is a nutritionist and diabetologist who practices in Nicaragua and sees clients worldwide. She is certified in intuitive eating, eating disorders, psychonutrition, and body image. You can learn all about her and the services she offers on her website, and follow her inspiring content on Instagram.
Visit Asher's website and check out all his FREE RESOURCES. You can also book a consultation, join a course, find out about upcoming events, or join their exclusive online community The Weighting Room. If you enjoy this podcast and would like to support Asher so that he can continue making them, you can become a Patron. You'll find Asher on all the usual social media channels including Instagram, YouTube and Tik Tok.
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Through Harper's journey from dismissive doctors to eventual fibromyalgia diagnosis, I explore how weight stigma, medical gaslighting, and inadequate pain management create layers of trauma for patients in marginalized bodies. I break down the science of fibromyalgia in accessible terms and explain how the nervous system's "volume control" for pain gets stuck on high.
Key moments:
Medical Trauma Discussion (20:52) - An examination of how repeated negative healthcare experiences create lasting trauma (the bag of sh*t)Understanding Fibromyalgia (25:59): Explanation of fibromyalgia which affects 5% of the global population and is still so poorly understoodEverything You've Been Told About Weight Loss is a Lie (31:31): Part 2 of my analysis of a 2013 study by Tomiyama, Alstrom and Mann examining the relationship between weight loss and health outcomes.Ask Me Anything (36:49): Discussion of glucosamine sulfate's role in preventing osteoarthritis, based on a randomized controlled trial.Community Information & Closing (40:43): Information about The Weighting Room community, on demand fibromyalgia masterclass, and consultation services.This week's paper is Tomiyama, A. Janet, Britt Ahlstrom, and Traci Mann. "Long-term Effects of Dieting: Is Weight Loss Related to Health?" Social and Personality Psychology Compass, vol. 7, no. 12, 2013, pp. 861-877. Wiley Online Library, https://doi.org/10.1111/spc3.12076.
Visit Asher's website and check out all his FREE RESOURCES. You can also book a consultation, join a course, find out about upcoming events, or join their exclusive online community The Weighting Room. If you enjoy this podcast and would like to support Asher so that he can continue making them, you can become a Patron. You'll find Asher on all the usual social media channels including Instagram, YouTube and Tik Tok.
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You can't control your health any more than you can control the weather. In this episode, I explore how holding individuals responsibe for their health is a relatively recent phenomenon tied to capitalism and neoliberalism, contrasting it with historical perspectives where health was viewed as a collective responsibility. I talk about the benefits of moving from body control to body trust, while addressing systemic factors affecting health and the importance of building supportive communities.
Key moments:
The Control Illusion [1:31] The Historical Perspective [11:17] What Actually Shapes Our Health? [15:53] Reframing Health as Collective [19:39] Moving from Control to Trust [23:40] Everything You've Been Taught About Weight Loss is a Lie [28:49] Q&A on Idiopathic Intracranial Hypertension (36:25)Learn more about my Free Course "Redefining Health"
Join The Weighting Room before the 19th February and get a free 30 minute chronic pain consultation
This week's paper is Tomiyama, A. Janet, Britt Ahlstrom, and Traci Mann. "Long-term Effects of Dieting: Is Weight Loss Related to Health?" Social and Personality Psychology Compass, vol. 7, no. 12, 2013, pp. 861-877. Wiley Online Library, https://doi.org/10.1111/spc3.12076.
Visit Asher's website and check out all his FREE RESOURCES. You can also book a consultation, join a course, find out about upcoming events, or join their exclusive online community The Weighting Room. If you enjoy this podcast and would like to support Asher so that he can continue making them, you can become a Patron. You'll find Asher on all the usual social media channels including Instagram, YouTube and Tik Tok.
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In this powerful episode, I examine the critical intersection of fatness, chronic pain, and medical bias. Drawing from both my professional expertise as a doctor and my personal experience with frozen shoulder, I expose how the medical system frequently fails fat patients seeking pain management – not through lack of treatment options, but through prejudice and assumptions.
Key moments:
How doctors make assumptions about fat patients in pain [6:00]The medical trauma cycle and delayed care [9:18]The three types of pain: nociceptive, neuropathic, and nociplastic [13:20]Your rights as a patient with chronic pain [20:01]Practical steps for getting proper assessment and treatment [23:22]Ask Me Anything [34:21]Eveything You've Been Told About Weight Loss Is A Lie [39:14]Learn more about my Fibromyalgia Masterclass
Join The Weighting Room and get a free 30 minute chronic pain consultation
This week's paper is Andreoli, María F et al. “Leptin resensitisation: a reversion of leptin-resistant states.” The Journal of endocrinology vol. 241,3 (2019): R81-R96. doi:10.1530/JOE-18-0606
Visit Asher's website and check out all his FREE RESOURCES. You can also book a consultation, join a course, find out about upcoming events, or join their exclusive online community The Weighting Room. If you enjoy this podcast and would like to support Asher so that he can continue making them, you can become a Patron. You'll find Asher on all the usual social media channels including Instagram, YouTube and Tik Tok.
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In this powerful conversation, wellness practitioner and anti-diet educator Leslie Jordan Garcia (MPH, MBA) joins me to explore the deep connections between diet culture, racism, and body liberation. From personal experiences with eating disorders to profound insights about food systems and movement, Leslie shares how her journey informed her mission to help others heal and reclaim their power. We discuss the rebranding of diet culture, the impact of racial stereotypes on healthcare, and why true wellness must include dismantling systems of oppression.
Leslie is a wellness practitioner and anti-diet educator. She works with clients both locally in Austin, Texas, and worldwide through virtual sessions, offering movement coaching and partnership in liberation work. You can also find her on Instagram "shaking that moneymaker" and bringing joy to all who are fortunate enough to be in her orbit.Visit Asher's website and check out all his FREE RESOURCES. You can also book a consultation, join a course, find out about upcoming events, or join their exclusive online community The Weighting Room. If you enjoy this podcast and would like to support Asher so that he can continue making them, you can become a Patron. You'll find Asher on all the usual social media channels including Instagram, YouTube and Tik Tok.
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Meet Jay, whose twenty-year health journey reflects the experience of countless Fat patients in rural communities. From an old motorcycle injury to high blood pressure, their story illustrates how weight-centric medical care can lead to years of frustrated consultations, missed diagnoses, and deteriorating health.
00:18:44 - What does weight inclusive care look like?
In this episode, I break down how weight-inclusive care changes everything - from the first examination to long-term treatment plans. I share how proper medical investigation, understanding of weight cycling, and compassionate care can transform both patient outcomes and the doctor-patient relationship.
00:27:19 - Everything You've Been Told About Weight Loss Is A Lie
Diet and exercise do NOT reduce the risk of developing OA of the knee according to the PROOF study. Today's study is entitled "The role of diet and exercise and of glucosamine sulfate in the prevention of knee osteoarthritis: Further results from the PRevention of knee Osteoarthritis in Overweight Females (PROOF) study"
00:31:13 - Ask Me Anything
I was asked to weigh in on the weight inclusive treatment of high cholesterol (nice pun, by the way!)
Want to learn more about the weight inclusive management of high blood pressure and arthritis of the knee? Then check out my on-demand masterclasses.
And if you're looking for a weight inclusive doctor and struggling to find one, don't forget that you can consult with me anytime.Visit Asher's website and check out all his FREE RESOURCES. You can also book a consultation, join a course, find out about upcoming events, or join their exclusive online community The Weighting Room. If you enjoy this podcast and would like to support Asher so that he can continue making them, you can become a Patron. You'll find Asher on all the usual social media channels including Instagram, YouTube and Tik Tok.
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Health isn’t a one-size-fits-all concept. It’s as diverse and dynamic as the people who experience it. In this episode, I challenge the narrow, static definitions of health and asks whether health is a basic human right or a privilege. A binary concept or a specturm. A journey or a destination.
If you want to explore health in more detail, don’t miss my FREE workshop, Redefining Health, available to download anytime.
Feeling exhausted by the endless "New Year, New You" hype and its narrow definition of health? Join my FREE 7-day email challenge - the perfect antidote to diet culture January.
This week's Everything You’ve Been Told About Weight Loss Is a Lie features the article "Lower carbohydrate diets and all-cause and cause-specific mortality: a population-based cohort study and pooling of prospective studies" (Mazidi, 2019)Visit Asher's website and check out all his FREE RESOURCES. You can also book a consultation, join a course, find out about upcoming events, or join their exclusive online community The Weighting Room. If you enjoy this podcast and would like to support Asher so that he can continue making them, you can become a Patron. You'll find Asher on all the usual social media channels including Instagram, YouTube and Tik Tok.
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In this episode, I uncover the truths about prediabetes - what it is, what it isn’t, and why you’ve been misled. Meet Joy, a mother navigating the weight stigma tied to her diagnosis, and stick around for the debut of my new segment: "Everything You’ve Been Told About Weight Loss Is a Lie."
Learn more about my masterclass *“Prediabetes Isn’t A Real Medical Condition” or sign up right now.* Alternatively, check out my blog post “Prediabetes: A Lesson In PR”. https://www.fatdoctor.co.uk/2023/03/19/prediabetes-a-lesson-in-pr/
Today’s article was “Effects of Weight Loss, Weight Cycling, and Weight Loss Maintenance on Diabetes Incidence and Change in Cardiometabolic Traits in the Diabetes Prevention Program”
Visit Asher's website and check out all his FREE RESOURCES. You can also book a consultation, join a course, find out about upcoming events, or join their exclusive online community The Weighting Room. If you enjoy this podcast and would like to support Asher so that he can continue making them, you can become a Patron. You'll find Asher on all the usual social media channels including Instagram, YouTube and Tik Tok.
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In the final episode of season 4, Asher recounts his personal growth over the past year and has a message for 2025. WE WILL NOT BE SILENCED. Season 5 launches on Wednesday the 15th January.
Visit Asher's website and check out all his FREE RESOURCES. You can also book a consultation, join a course, find out about upcoming events, or join their exclusive online community The Weighting Room. If you enjoy this podcast and would like to support Asher so that he can continue making them, you can become a Patron. You'll find Asher on all the usual social media channels including Instagram, YouTube and Tik Tok.
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Raven's story is one that I imagine many of us are intimately familiar with. Raven is a 34 year old graphic designer, A plus student and all round badass who has been trying to shrink their body their entire life. This episode is just in time for the holiday season and the run up to the January New Year, New You nonsense that we know is coming. It's the penultimate episode of season 4.
Visit Asher's website and check out all his FREE RESOURCES. You can also book a consultation, join a course, find out about upcoming events, or join their exclusive online community The Weighting Room. If you enjoy this podcast and would like to support Asher so that he can continue making them, you can become a Patron. You'll find Asher on all the usual social media channels including Instagram, YouTube and Tik Tok.
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Jude is Fat, exahusted, and ashamed. They've been so tired lately they finally bit the bullet and visited their doctor. Of course the doctor told them to eat less and get some exercise. But they also mentioned a sleep study. But Jude can't possibly have sleep apnea because that's just another thing everyone will blame on their weight. What's Jude to do?
Visit Asher's website and check out all his FREE RESOURCES. You can also book a consultation, join a course, find out about upcoming events, or join their exclusive online community The Weighting Room. If you enjoy this podcast and would like to support Asher so that he can continue making them, you can become a Patron. You'll find Asher on all the usual social media channels including Instagram, YouTube and Tik Tok.
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The holidays can be a lot—especially if you’re juggling too many expectations, feeling the weight of others’ emotions, or just trying to keep it all together when everything feels like it’s falling apart. In this episode, I’m diving into how the holiday season can throw extra pressure on those of us who take on more than we should—whether that’s managing everyone else’s needs, pushing ourselves to meet impossible standards, or feeling disconnected and drained despite being surrounded by people.
Visit Asher's website and check out all his FREE RESOURCES. You can also book a consultation, join a course, find out about upcoming events, or join their exclusive online community The Weighting Room. If you enjoy this podcast and would like to support Asher so that he can continue making them, you can become a Patron. You'll find Asher on all the usual social media channels including Instagram, YouTube and Tik Tok.
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A whole bunch of us were raised on the premise of an Amercian Dream, and it turns out we were all sold a lie. The harder we work, the less we own. As the average life expectancy reaches new heights, so too do health disaprities. No matter who we vote for, politicians have zero interest in doing the will of the people. And there's no justice to be found in the legal justice system. So now that we've woken up (some of us have been awake for a while now), what are we going to do about it?
Visit Asher's website and check out all his FREE RESOURCES. You can also book a consultation, join a course, find out about upcoming events, or join their exclusive online community The Weighting Room. If you enjoy this podcast and would like to support Asher so that he can continue making them, you can become a Patron. You'll find Asher on all the usual social media channels including Instagram, YouTube and Tik Tok.
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It's amazing what some surgeons will say to get out of performing surgery. Which is weird, because they're supposed to like performing surgery. Otherwise why become a surgeon? In this episode, Asher explores one of life's many mysteries and also does a lot of ranting. What can he say? He's autistic and he doesn't have time for lies.
Visit Asher's website and check out all his FREE RESOURCES. You can also book a consultation, join a course, find out about upcoming events, or join their exclusive online community The Weighting Room. If you enjoy this podcast and would like to support Asher so that he can continue making them, you can become a Patron. You'll find Asher on all the usual social media channels including Instagram, YouTube and Tik Tok.
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4 years ago, Asher failed his final diet. More accurately, the final diet failed him. 3 years ago, he came out as transmasculine. Two years ago, he uprooted his entire life and moved to Scotland. This time last year, he realised he was neurodivergent. In may 2020, he was writing a weight loss blog. A lot has happened since then, so he figured it was high time he re-introduced himself.
Visit Asher's website and check out all his FREE RESOURCES. You can also book a consultation, join a course, find out about upcoming events, or join their exclusive online community The Weighting Room. If you enjoy this podcast and would like to support Asher so that he can continue making them, you can become a Patron. You'll find Asher on all the usual social media channels including Instagram, YouTube and Tik Tok.
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Asher talks to Lisa, creator of Mon Gros Podcast which literally translates into my BIG podcast (or FAT podcast, depending on which way you look at it). There is an entire 10 minute segment dedicated to cheese in this episode. You're welcome.
Check out Mon Gros Podcast on Instagram or wherever you listen inVisit Asher's website and check out all his FREE RESOURCES. You can also book a consultation, join a course, find out about upcoming events, or join their exclusive online community The Weighting Room. If you enjoy this podcast and would like to support Asher so that he can continue making them, you can become a Patron. You'll find Asher on all the usual social media channels including Instagram, YouTube and Tik Tok.
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Asher has known Nicola for several years now. Among other things, Nicola is Asher's go-to expert for anything weight inclusive that is fertility related. Today Asher and Nicola discuss how they work with clients and how their AuDHD impacts their work lives. Hint: it's not a superpower but it does make them uniquely placed to support neurodiverse clients.
You can find Nicola on Instagram or check out her websiteVisit Asher's website and check out all his FREE RESOURCES. You can also book a consultation, join a course, find out about upcoming events, or join their exclusive online community The Weighting Room. If you enjoy this podcast and would like to support Asher so that he can continue making them, you can become a Patron. You'll find Asher on all the usual social media channels including Instagram, YouTube and Tik Tok.
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The other day, Cara messaged Asher to say:
"I've been slowly pushing my doctor to forget that I'm fat and there as been some growth. At my last appointment she was scheduling me for an MRI and there is a mandatory weight question. She told me about it upfront, said she would not weigh me but that she needed a number to put in there. She asked me what I thought she should write, I gave her the answer, and that was that. It felt like a win. It felt like I had taught her something and that she valued the lesson."
So of COURSE Asher begged Cara to come on his podcast. Who wouldn't?! You can find Cara on Instagram or through her Linktree.Visit Asher's website and check out all his FREE RESOURCES. You can also book a consultation, join a course, find out about upcoming events, or join their exclusive online community The Weighting Room. If you enjoy this podcast and would like to support Asher so that he can continue making them, you can become a Patron. You'll find Asher on all the usual social media channels including Instagram, YouTube and Tik Tok.
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Doctors aren't taking Phoenix seriously. They're being told to eat less, exercise more, and lose some weight. This isn't the magical cure to all their problems. If anything, it's making them worse. Phoenix wants to go back to the way things were before, but before they can, they've got to untangle some of their health beliefs and come to terms with their current reality.
Visit Asher's website and check out all his FREE RESOURCES. You can also book a consultation, join a course, find out about upcoming events, or join their exclusive online community The Weighting Room. If you enjoy this podcast and would like to support Asher so that he can continue making them, you can become a Patron. You'll find Asher on all the usual social media channels including Instagram, YouTube and Tik Tok.
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Rowan is blaming themselves for their poorly controlled diabetes. And why wouldn't they? Other have been blaming them since they can remember. Witness Rowan unlearn these negative health beliefs and take control of their healthcare.
Visit Asher's website and check out all his FREE RESOURCES. You can also book a consultation, join a course, find out about upcoming events, or join their exclusive online community The Weighting Room. If you enjoy this podcast and would like to support Asher so that he can continue making them, you can become a Patron. You'll find Asher on all the usual social media channels including Instagram, YouTube and Tik Tok.
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