Rank #1: Fast Track Trial with Louise Adams
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 disorders is quite strong. This is particularly concerning in relation to young people. She has collected studies, letters of support from medical professionals and organizations in Australia, as well as over 20,000 signatures from around the world on a change.org petition opposing the trial. Unfortunately, her efforts have been unsuccessful and the trial is proceeding.
Content Warning: This episode includes information about fasting, eating disorders, weight change, and a brief discussion of normal adolescent weight gain.
In this episode, we discuss:
A bit about who Louise is and how she started working with eating disorders and the HAES movement
A description of the Fast Track Trial
Reasons why dieting can lead to eating disorders, particularly in teens
How Louise has been fighting against the trial going forward
What risks are not being fully explained to participants
What the initial results of an initial study mean in practical terms
Who the people behind the trial are
And much more!
FB group for Stop the Fast Track Trial
Parent information for the Fast Track Trial
About Louise: Louise Adams is a clinical psychologist, the founder of Treat Yourself Well Sydney and the creator of the UNTRAPPED online program and community. She has written two books, Mindful Moments and The Non-Diet Approach Handbook for Psychologist and Counsellors (with Fiona Willer, APD). She has been practicing in this field for more than 20 years. Louise is Vice President of Health At Every Size Australia.
She has a special interest in problematic eating, body image, and weight struggles. Louise fights to educate people about the cruel trap of dieting, which only sets us up to fail. She uses an evidence-based anti-dieting approach to empower people to achieve permanent lifestyle change.
Louise is wholly committed to the Heath At Every Size (HAES) movement, and to spreading the word about shifting our attitudes about weight and health. Louise is determined to make a difference in changing society’s perceptions about health, diets, weight loss, and bodies. Louise believes that people can approach health and happiness without attaching it to weight changes. She is for body diversity and against fat prejudice.
As well as her work with individual clients at her private practice, Louise conducts workshops and conferences for the general public and health professionals interested in changing their approach to weight issues. Louise is the host of the popular podcast All Fired Up!, and often turns up in magazines, newspapers, radio, and on television to spread her message. She blogs, she tweets, and she never shuts up about these issues!
Rank #2: Ethical Medicine for Larger Patients with Ragen Chastain
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 side an asking how to break down barriers to health, including bias.
Rank #3: Mindful Health with Michelle May, MD
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 dieting to live the vibrant life they crave. Over 800 health and wellness professionals from 30 countries have been trained to facilitate Am I Hungry? mindful eating programs worldwide. Dr. May is also the award-winning author of the Eat What You Love, Love What You Eat book series.
Find more information at the show page at www.donoharmpodcast.com.
Rank #4: Eating Disorders with Jennifer Gaudiani, MD, CEDS, FAED
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 principles into her practice over the last few years. She has found that it has made a great deal of difference, not only in recovery, but also in identifying patients who might have otherwise had a delay in diagnosis, or not been diagnosed at all.
In this episode:
How Dr. G got involved with eating disorder patients and HAES,
How starvation affects patients’ bodies.
Things to be aware of as a physician who might be encountering patients with eating disorders and “atypical” eating disorders.
Metabolism and fertility.
Rank #5: Weight Inclusivity & Stories
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 health.
Rank #6: S2E4 Food Addiction with Marci Evans, RD
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 that mean that it, and other highly palatable foods are actually addicting? Listen to this great discussion I share with Marci Evans, RD to find out.
In this episode:
- The research around food addiction and pleasure
- Feeling out of control with food is definitely an issue
- The Restrict/Binge Cycle
- How HAES and Intuitive Eating can help reduce feelings of addiction around food
- Yale Food Addiction Scale – is it harmful?
- Cocaine vs Sugar and the Pleasure Centers
Marci is a Food and Body Imager Healer®. She has dedicated her career to counseling, supervising, and teaching in the field of eating disorders. She is a Certified Eating Disorder Registered Dietitian and Supervisor, certified Intuitive Eating Counselor and Certified ACSM personal trainer. In addition to her group private practice and three adjunct teaching positions, Marci launched an online eating disorders training for dietitians in 2015 and co-directs a specialized eating disorder internship at Simmons College. She volunteers for a number of national eating disorder organizations including the iaedp certification committee and is serving as an eating disorder resource professional for The Academy of Nutrition and Dietetics. She has spoken locally and nationally at numerous conferences and media outlets. She loves social media so tweet her @marciRD, follow her on Facebook and Instagram, and check out her blog at www.marciRD.com/blog.
“If we are promoting a paradigm of abstinence or restraint or restriction, we are neurobiologically setting ourselves up, potentially, to act in a way that feels compulsive and out of control.” Marci Evans, RD
Rank #7: S2E3 Weight Independent Diabetes Care with Megrette Fletcher M.Ed., RD, CDE
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 tools that shift focus away from weight loss. She is also the co-author of Eat What You Love, Love What You Eat with Diabetes and has authored five books for professionals. This is an interview no one will want to miss!
In this episode:
- 8 Core Defects
- Why weight loss (including bariatric surgery) is not a long term solution
- Behaviors are key to managing diabetes
- Self care instead of weight loss
- Energy Balance, not Energy Deficit
- How to encourage people to access diabetes educators
- How weight independent treatment helps patients cope with diabetes
- Self Compassion
- How having a HAES trained diabetes educator can help providers better manage patients' over all health
Megrette is a registered dietitian and certified diabetes educator who has worked in diabetes care since 1995. Her interest in mindful eating started in 1999 when she began meditating on a consistent basis. In 2005, she co-founded The Center for Mindful Eating, an international non-profit organization that explores the benefits of mindfulness and health. In addition to offering webinar trainings about the scientific benefits of mindfulness and health, Megrette has written five books for professionals including Diabetes Counseling and Educational Activities: Helping Clients without Harping on Weight, The Core Concepts of Mindful Eating, Discover Mindful Eating, Discover Mindful Eating for Kids and co-authored Eat What You Love, Love What You Eat with Diabetes, Michelle May MD. Megrette has recently created a Facebook group for HAES professionals, interested in diabetes care, called Weight Neutral for Diabetes Care. The group can be found by searching for WN4DC.
She is very active in the cycling community, and in 2011, her passion for biking prompted her to form the largest and top-grossing cycling team in the Tour de Cure (for diabetes) Kennebunk fundraising event. Megrette, a dog lover, passable cook, and terrible bowler, is blessed to live and laugh with her family in beautiful in New Hampshire, outside of Boston. To learn more about Megrette, please visit her website at Megrette.com or follow her on Facebook or Twitter.
Rank #8: S2E2 Patient Experiences and Updatec
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 the podcast.
"Our stories are an important way for us to learn about other people and their experiences because they connect with us on a heart and soul level.” - DeAun Nelson, ND
Rank #9: S2E1 Interview with Dr. Jon Robison
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 is Adjunct Assistant Professor. Dr. Robison is also Adjunct Associate Professor in The Holistic Health Care program at Western Michigan University. He has spent his career working to shift health promotion away from its traditional, biomedical, control-oriented focus, with a particular interest in why people do what they do and don’t do what they don’t do.
Jon has authored numerous articles and book chapters on a variety of health-related topics and is a frequent presenter at conferences throughout North America. He is co-author of the book, “The Spirit & Science of Holistic Health - More than Broccoli, Jogging and Bottled Water, More than Yoga, Herbs and Meditation,” a college textbook and a guidebook for practitioners who wish to incorporate holistic principles and practices into their work. This book provided the foundation for Kailo, one of the first truly holistic employee wellness programs. Kailo won prestigious awards in both Canada and The United States, and the creators lovingly claim Jon as its father.
Jon has implemented Health for Every Body® — a unique alternative to weight loss programs at the worksite in over 20 cities across the United States in the past 3 years. He is also one of the featured health professionals in the powerful documentary America The Beautiful II: The Thin Commandments and has been helping people struggling with weight- and eating-related concerns for 25 years.
His new-released book: How to Build a Thriving Culture at Work: Featuring The 7 Points of Transformation, written with co-conspirator Dr. Rosie Ward gives organizations a realistic, step-by-step blueprint to accomplish the difficult task of transforming their cultures to be healthier and more productive — “from the inside out.” The book was selected by Employee Benefit News as one of the top must reads for 2016.
As a Certified Intrinsic Coach, Jon understands that behavior is the outward manifestation of thinking and feeling – and that behavior modification approaches that focus on extrinsic motivation rarely result in sustained change and, in fact, often inhibit intrinsic motivation.
Aside from his work Jon’s passions include his wife Jerilyn, music, humor, an 11-lb living Teddy Bear named Ginger and watching his gifted son Joshua play soccer.
In this episode:
- How Dr. Robison found HAES®
- The research that shows that significant and sustained weight loss is not possible
- The CDC article about Physical Activity at Every Size
- His program Health for Every Body
- And so much more...
“Do we really need more research that prejudice and stigma are health minimizing?”
Resources mentioned in the podcast:
Rank #10: Patient Empowerment through Fat Acceptance
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 joined by Shilo George who really added so much to this episode.
Shilo George is Southern Cheyenne-Arapaho and Scottish international speaker, trainer, and owner of Łush Kumtux Tumtum Consulting, which means “a great awakening of the heart and spirit” in the Chinuk Wawa trade language. She has lived her life in a body that transgresses and violates Western standards of beauty, size, sexuality, and health. Shilo interweaves cultural traditions and spirituality with an anti-oppressive and decolonizing lenses to promote healing and empowerment in herself and others in the communities she is a part of. Her workshops and presentations explore the intersections of race, sexuality, body size, and trauma (both individual and inter-generational). Shilo trains others on systems of oppression, trauma informed care, and proactive ways that businesses and organizations can create policies and environments that that promote diversity, equity, and healing.
Shilo received her Bachelor of Science in Art Practices in 2012 and a Masters of Science in Educational Leadership and Policy with a specialization in Postsecondary Adult and Continuing Education in 2017, both from Portland State University. She was named Higher Education Student of the Year by the Oregon Indian Education Association in 2013 and in 2015 was honored with the Queer Indigenous Scholar Activist & Alumni Award by the Indigenous Nations Studies Department at Portland State University. In addition to her consulting business, Shilo works as a Parent Advocate at the Native American Youth and Family Center and is an Affiliated Adjunct Instructor of the Indigenous Nations Studies at Portland State University.