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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On this episode hosts Dana, Sirius, and Hilary discuss GLP-1s, and how they’re showing up in pop culture and politics. They unpack the Super Bowl ads and awkward displays of male power in the media. They critique a New York Times opinion piece about “leaving body positivity” and use it as a jumping off point to discuss the importance of using an intersectional lens to approach body trust. They discuss the rise in GLP-1 related deaths and incidences of scurvy, and announce the release of their ethical care guidelines for folks using GLP-1s.

00:46 Pop culture round up: the Super Bowl

17:43 Health Nuance And Backlash

21:45 Political Roots Missing in Body Positivity

28:41 Fat loss does not eradicate oppression

32:53 FDA Warnings And Deaths

55:57 Iran And War Distractions

01:01:23 Introducing our ethical care guidelines

RESOURCES

Ethical Care Guidelines for GLP1 Medications by Center for Body Trust

Instagram Post with Band Names for Junior and Kid Rock

The Split Inside Body Positivity Boils Down to This One Thing

Ethical Care Guidelines and Secondary Uses of GLP-1 Medications

Beyond Body Positivity

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In their first live episode, hosts Dana and Hilary are interviewed by Sirius as they celebrate and reflect on 20 years of Body Trust work. They discuss the evolution of their work and the ongoing refusal of healthcare and public discourse to address diet culture’s harm. They address the current cultural moment—GLP-1 advertising, the “era of emaciation,” the Super Bowl commercials, and connections between beauty standards, desirability, and Epstein’s grooming. They share lessons about relationship, coalition-building, non-linear transformation, and future learning edges including disability justice, food justice, and aging, then take audience questions highlighting aging/disability intersections and community impact.

RESOURCES

Join us March 13th for Desiree Adaway’s Praxis of Liberation

The Menopause Summit by Center for Body Trust (recording available)

Fat, Pretty, and Soon to be Old: A Makeover for Self & Society by Kimberly Dark

Looking for an intro class to Body Trust? Our newly revamped No More Weighting self-paced e-course is available for purchase now! Learn more here.

For more on all of our offerings, click here.

Send us your thoughts/questions.

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Support The Podcast

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Produced by Wowow Podcasts