The Fat Doctor Podcast

Dr Asher Larmie
  • 4.0 (54)
  • MEDICINE
  • WEEKLY SERIES

How would you react if someone told you that most of what we are taught to believe about healthy bodies is a lie? How would you feel if that person was a medical doctor with over 20 years experience treating patients and seeing the harm caused by all this misinformation?In their podcast, Dr Asher Larmie, an experienced General Practitioner and self-styled Fat Doctor, examines and challenges 'health' as we know it through passionate, unfiltered conversations with guest experts, colleagues and friends.They tackle the various ways in which weight stigma and anti-fat bias impact both individuals and society as a whole. From the classroom to the boardroom, the doctors office to the local pub, weight-based discrimination is everywhere. Is it any wonder that it has such an impact on our health? Whether you're a person affected by weight stigma, a healthcare professional, a concerned parent or an ally who shares our view that people in larger bodies deserve better, Asher and the team at 'The Fat Doctor Podcast' welcomes you into the inner circle.

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  1. EPISODE 1

    Putting Prediabetes Panic Into Perspective

    Send us a text 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” Got a question for the next podcast? Let me know! Connect With Me WEEKLY NEWSLETTER: Get a free script when you sign up THE WEIGHTING ROOM: A community where authenticity thrives and every voice matters The CONSULTING ROOM: Get answers to all your medical questions via DM or Voice Note PLUS access to my entire library of paid resources CONSULTATION: For the ultimate transformation in your healthcare journe THE WEIGH FORWARD: For people who are being denied surgery because of their weight FREE GUIDES:Evidence-based, not diet nonsense Find me on Instagram, YouTube, and LinkedIn.

    41 min

  2. EPISODE 2

    What Is Health, Really?

    Send us a text 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) Got a question for the next podcast? Let me know! Connect With Me WEEKLY NEWSLETTER: Get a free script when you sign up THE WEIGHTING ROOM: A community where authenticity thrives and every voice matters The CONSULTING ROOM: Get answers to all your medical questions via DM or Voice Note PLUS access to my entire library of paid resources CONSULTATION: For the ultimate transformation in your healthcare journe THE WEIGH FORWARD: For people who are being denied surgery because of their weight FREE GUIDES:Evidence-based, not diet nonsense Find me on Instagram, YouTube, and LinkedIn.

    46 min

  3. EPISODE 5

    Yes, I'm Fat. Yes, I'm in Pain. No, They're Not Related.

    Send us a text 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  Got a question for the next podcast? Let me know! Connect With Me WEEKLY NEWSLETTER: Get a free script when you sign up THE WEIGHTING ROOM: A community where authenticity thrives and every voice matters The CONSULTING ROOM: Get answers to all your medical questions via DM or Voice Note PLUS access to my entire library of paid resources CONSULTATION: For the ultimate transformation in your healthcare journe THE WEIGH FORWARD: For people who are being denied surgery because of their weight FREE GUIDES:Evidence-based, not diet nonsense Find me on Instagram, YouTube, and LinkedIn.

    44 min

  4. EPISODE 7

    Harper's Story

    Send us a text 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.  Got a question for the next podcast? Let me know! Connect With Me WEEKLY NEWSLETTER: Get a free script when you sign up THE WEIGHTING ROOM: A community where authenticity thrives and every voice matters The CONSULTING ROOM: Get answers to all your medical questions via DM or Voice Note PLUS access to my entire library of paid resources CONSULTATION: For the ultimate transformation in your healthcare journe THE WEIGH FORWARD: For people who are being denied surgery because of their weight FREE GUIDES:Evidence-based, not diet nonsense Find me on Instagram, YouTube, and LinkedIn.

    44 min

  5. EPISODE 8

    Rice, Beans, and Resistance with Dra. Mónica Peralta

    Send us a text 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 Thoughts  Dra 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.  Got a question for the next podcast? Let me know! Connect With Me WEEKLY NEWSLETTER: Get a free script when you sign up THE WEIGHTING ROOM: A community where authenticity thrives and every voice matters The CONSULTING ROOM: Get answers to all your medical questions via DM or Voice Note PLUS access to my entire library of paid resources CONSULTATION: For the ultimate transformation in your healthcare journe THE WEIGH FORWARD: For people who are being denied surgery because of their weight FREE GUIDES:Evidence-based, not diet nonsense Find me on Instagram, YouTube, and LinkedIn.

    1 hr

  6. EPISODE 9

    World Ob*sity Day: Selling Solutions to Problems We Invented

    Send us a text CW for the o-word  In this rather passionate episode of The Fat Doctor Podcast, I take on World Obsity Day and use this farce to challenge the very foundation of weight-centric healthcare. We take a look at how organizations like the World Obsity Federation medicalize and pathologize fatness while claiming to fight weight stigma, exposing the contradictions and financial interests behind these narratives.  Key moments: Why ob*sity is not a disease but a descriptor (fat) that has been unnecessarily and intentionally medicalizedHow weight stigma and weight cycling, as opposed to fatness itself, contributes to negative health outcomesA critical analysis of the UK medical guidelines for fatty liver disease that recommend weight loss despite zero supporting evidenceResearch showing that preoperative weight loss before joint replacement surgery provides no benefits, yet is still routinely requiredMy revolutionary approach to medicine: simply not mentioning patients' weight and instead focusing on providing evidence-based care. Find out more at noweigh.org.  Want to learn more about Fatty Liver Disease or Osteoarthritis, then check out my free resources.  For a deep dive, you’ll find both masterclasses in the masterclass membership.  Make sure you’re subscribed to my mailing list for daily moments of awesomeness delivered straight to your innbox.  The journal article I referenced is: Laperche, Jacob et al. “Obesity and total joint arthroplasty: Does weight loss in the preoperative period improve perioperative outcomes?.” Arthroplasty (London, England) vol. 4,1 47. 4 Nov. 2022  Got a question for the next podcast? Let me know! Connect With Me WEEKLY NEWSLETTER: Get a free script when you sign up THE WEIGHTING ROOM: A community where authenticity thrives and every voice matters The CONSULTING ROOM: Get answers to all your medical questions via DM or Voice Note PLUS access to my entire library of paid resources CONSULTATION: For the ultimate transformation in your healthcare journe THE WEIGH FORWARD: For people who are being denied surgery because of their weight FREE GUIDES:Evidence-based, not diet nonsense Find me on Instagram, YouTube, and LinkedIn.

    40 min

  7. EPISODE 10

    Stop Blaming the Patient! (Why Healthcare Needs More Compassion And Less Judgment)

    Send us a text  In this episode, I tackle the simple but revolutionary idea that if we can't control our health (and we can't), then we shouldn't be blamed for it! When healthcare professionals blame patients, patients stop trusting us and start avoiding care. That's dangerous! This week I offer some straight-talking advice for both doctors (ask better questions!) and patients (call out the blame when you feel it!). Let's take the shame out of healthcare and remember that illness isn't a personal failure and when all else fails, chose compassion over judgment, folks. Every time.   RESOURCES MENTIONED: 👉 Unshrinkable Course (£25): Learn the science behind why weight loss is unsustainable 👉 Masterclass Membership: Evidence-based health education without weight stigma 👉 No Weigh Membership: Monthly chapters challenging weight-centric healthcare 👉 Weight Inclusive Wednesdays: Join our confidential Zoom sessions (2nd Wednesday monthly, 5pm UK) 👉 Free Healthcare Script: Download my guide for navigating difficult conversations with doctors 👉 No Weigh Newsletter: Get weekly evidence-based content delivered to your inbox  The aritcle quotes in this episode is " Veenendaal, M V E et al. “Transgenerational effects of prenatal exposure to the 1944-45 Dutch famine.” BJOG : an international journal of obstetrics and gynaecology vol. 120,5 (2013): 548-53." Got a question for the next podcast? Let me know! Connect With Me WEEKLY NEWSLETTER: Get a free script when you sign up THE WEIGHTING ROOM: A community where authenticity thrives and every voice matters The CONSULTING ROOM: Get answers to all your medical questions via DM or Voice Note PLUS access to my entire library of paid resources CONSULTATION: For the ultimate transformation in your healthcare journe THE WEIGH FORWARD: For people who are being denied surgery because of their weight FREE GUIDES:Evidence-based, not diet nonsense Find me on Instagram, YouTube, and LinkedIn.

    39 min

  8. EPISODE 11

    Charlie's Story

    Send us a text  In this episode, I dive into Charlie's story, who develops Idiopathic Intracranial Hypertension (IIH) in their early thrities. Charlie's journey reveals the terrible reality of weight stigma in healthcare - from delayed diagnosis to being blamed for their condition, and ultimately being prescribed weight loss instead of effective treatment. I also get pretty fired up discussing how the medical establishment continues to prescribe weight loss for IIH based on a single terrible study with just 25 participants who were essentially starved on 425 calories a day!   If you'd like to learn more about IIH and weight-inclusive approaches to healthcare, head to noweigh.org for my free resources. My IIH Masterclass which is available now to all Masterclass members (£40/month). I also referenced my upcoming book and No Weigh program where I cover the evidence that everything you've been told about weight loss is a lie. And don't forget to grab a free ticket to my Fat Joy Celebration happening on Friday, March 21st at 5pm UK time (1pm Eastern, 10am Pacific) - we'll have a virtual potluck, dancing, and celebration of fat community!  Got a question for the next podcast? Let me know! Connect With Me WEEKLY NEWSLETTER: Get a free script when you sign up THE WEIGHTING ROOM: A community where authenticity thrives and every voice matters The CONSULTING ROOM: Get answers to all your medical questions via DM or Voice Note PLUS access to my entire library of paid resources CONSULTATION: For the ultimate transformation in your healthcare journe THE WEIGH FORWARD: For people who are being denied surgery because of their weight FREE GUIDES:Evidence-based, not diet nonsense Find me on Instagram, YouTube, and LinkedIn.

    53 min
See All Season 5 (32)

4
out of 5
54 Ratings

About

How would you react if someone told you that most of what we are taught to believe about healthy bodies is a lie? How would you feel if that person was a medical doctor with over 20 years experience treating patients and seeing the harm caused by all this misinformation?In their podcast, Dr Asher Larmie, an experienced General Practitioner and self-styled Fat Doctor, examines and challenges 'health' as we know it through passionate, unfiltered conversations with guest experts, colleagues and friends.They tackle the various ways in which weight stigma and anti-fat bias impact both individuals and society as a whole. From the classroom to the boardroom, the doctors office to the local pub, weight-based discrimination is everywhere. Is it any wonder that it has such an impact on our health? Whether you're a person affected by weight stigma, a healthcare professional, a concerned parent or an ally who shares our view that people in larger bodies deserve better, Asher and the team at 'The Fat Doctor Podcast' welcomes you into the inner circle.

Information

  • Creator
    Dr Asher Larmie
  • Episodes
    120
  • Seasons
    5
  • Rating
    Explicit
  • Copyright
    © 2025 The Fat Doctor Podcast
  • Show Website
    The Fat Doctor Podcast

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