Weight and Healthcare with Ragen Chastain

In my recent quick guide to creating a size-inclusive office, I mentioned troncoconical blood pressure cuffs and I heard from a number of people in healthcare who said that they had never heard of them so I thought I’d write a follow-up piece.


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In part 1 we talked about the research (or lack thereof) around the ways in which GLP-1 drugs, taken in large doses for weight loss, might impact the absorption of other medications. Today, we’re going to hear from someone who was personally impacted by the issue. I received the following information from Jennifer Jonsson who gave me permission to publish it and use her name.  


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One of the questions I’ve been getting a lot is about how the new GLP-1 weight loss drugs (Novo’s Semaglutide Wegovy) and GLP-1/GIP co-agonist weight loss drugs (Lilly’s Tirzepatide/Zepbound) can interfere with the absorption of other medications. In part 1 we’ll look at the information around this and in part 2 we’ll have a personal story of someone who experienced it.  


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Let’s start today with what P-hacking is, and then we can talk about why we needed to talk about it in the first place. Please note this is an overview, there are many more layers and complications to this, these are the basics.


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In Part 1 I talked about the WaPo/Examination piece “As ob*sity rises, Big Food and dietitians push 'anti-diet' advice…General Mills warns of “food shaming"; dietitian influencers promote junk foods and discourage weight loss efforts.” I discussed my experience with being interviewed, as well as some basics about the piece. Today I’m going to talk about their methodology, such as it is.


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The headline ran “As ob*sity rises, Big Food and dietitians push 'anti-diet' advice…General Mills warns of “food shaming"; dietitian influencers promote junk foods and discourage weight loss efforts.” (As is my policy, I don’t link to studies or articles that contain weight stigma, but I give enough information to Google.)
Why am I calling it a hit piece? For two reasons, first because I know that the authors had every opportunity to provide a more balanced story, and second, because of their… let’s call it methodology.
In this piece, I’ll talk about my experience with one of the authors. In part 2 I’ll examine their methodology.


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