42. Ragen Chastain on GLP-1s, Weight Science, and Ethical Informed Consent
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42. Ragen Chastain on GLP-1s, Weight Science, and Ethical Informed Consent
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Hosts Dana, Sirius, and Hilary welcome fat activist and researcher Ragen Chastain, author of the Weight and Healthcare Substack and founder of the Dances With Fat blog onto the podcast. Ragen discusses her entry into fat civil rights and healthcare advocacy and describes focusing her work on intersections of weight science, weight stigma, and healthcare practice, arguing that the weight-loss industry and drug companies manipulate healthcare and media with “science” marketing. She outlines how she evaluates studies (funding, conflicts of interest, methodology, dosing, outcomes, and comparisons to existing treatments), critiques GLP-1 claims and secondary-indication narratives, and emphasizes bodily autonomy, collective harm from anti-fat bias, and the necessity of ethical informed consent, including risks, limited long-term outcomes, and denial-of-care pressures.
05:14 Ragen's personal experience with anti-fat bias
12:09 The GLP-1 Marketing Machine
24:58 The connection between Fen-phen, Purdue and Novo Nordisk
37:15 Ethical Informed Consent
38:38 Why Fatphobia Persists and the diet industry co-opting fat liberation language
58:36 Autonomy, Accountability and Responsibility within Celebrity and Influencer culture
01:06:33 Medical ethics, Informed Consent and Patient Coercion
RESOURCES
Weight & Healthcare Substack Newsletter by Ragen Chastain
Prediabetes: Dubious Diagnosis
Novo Nordisk Report: Building the Market from Scratch (see page 30)
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