Do No Harm Podcast

Do No Harm Podcast

Discover how shifting the focus off of weight in health care can greatly improve health outcomes for patients. It is increasingly evident that diets do not work, and that patients of a wide range of sizes can benefit from increasing healthy habits without weight change. With this evidence, we as medical professionals can more effectively and ethically treat our patients by changing how we interact with them around weight. We will explore how to do no harm to our patients of all sizes without recommending weight loss. This podcast is intended for medical professionals, but we welcome all listeners. DeAun Nelson, ND, and guest hosts will discuss relevant topics such as: obesity as defined by BMI, determinants of health, weight stigma, healthism, weight loss, Well Now, Health at Every Size®, Body Trust®, weight science, research, and more. The information in this podcast is not intended to provide medical advice. For more information, visit our website at www.donoharmpodcast.org and you can follow us on Facebook @firstdonoharmpodcast and Instagram, @donoharmpodcast today.

Episodes

June 15, 2021 60 mins

CW: BED, OA, Some specific amounts of food used for examples

Amy Pershing, who cowrote Binge Eating Disorder: The Journey to Recovery and Beyond with Chevese Turner, joined me on the podca...

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Content Warning: Discussion of Weight Loss Surgery

Fiona Willer, AdvAPD, FHEA, MAICD and PhD candidate, joins us today to discuss weight science. We talk about everything from bariatric surgery to the state of research around fatness. If you are interested in weight science, you will be interested in this episode!

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May 4, 2020 19 mins

Hello all! I've missed you! This is a relatively quick update of the last six months or so of my life. My experience in the hospital gave me some additional insight to treating larger patients and I even talk a bit about the topic of the day, Covid-19. I personally love update podcasts, so I know some of you will be happy to listen. If you are not like me in this, I should be getting an interview or two out soon. Stay Safe!

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October 28, 2019 71 mins

This episode is fairly far ranging in topic and trying to pinpoint every topic was too daunting. We discuss philosophy, medicine, compassion, engaging with patients on a human level and more. Deb Burgard is such a thoughtful person who has taken a lot of time to really think about the topics surrounding not just fatness, but also socia...

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Thank you for your patience!! What a whirlwind August has been. Here is my interview with the marvelous Lesley Williams, MD. She does a lot of work talking to other physicians about why weight independent health care is so important to improving health outcomes!

In the episode (not in order):

How Dr. Williams got involved with HAES

Health Equity and health access

How access and respect are due to all patients, regardless of their h...

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CW: Specific calorie amounts mentioned at these points in the show:

  • 15:49:15:52

  • 17.26- 17:38

  • Read more

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June 28, 2019 82 mins

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, e...

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    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 b...

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    December 31, 2018 62 mins

    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 

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    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...

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    October 15, 2018 33 mins

    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.

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    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 pa...

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    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...

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    March 5, 2018 16 mins

    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 updat...

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    January 26, 2018 56 mins

    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.

    Read more

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    December 29, 2017 55 mins

    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 e...

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    Here is a bonus episode for you! It consists of a reading of the National Association for the Advancement of Fat Acceptance (NAAFA) Guidelines for Medical Providers with Fat Patients. It reiterates some of the information in past episodes and adds some clarity and additional ideas to what I have presented already. Enjoy.

    A print version can be found here:

    https://www.naafaonline.com/dev2/about/Brochures/2017_Guidelines_for_Healthc...

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    December 6, 2017 40 mins

    The seventh episode of the podcast will dive into options for treating patients that do not center on weight change. Significant and permanent weight change is nearly impossible for the majority of the population, so we need to use weight independent, evidence based treatment for people of all sizes.

     

    In this episode:

    • <...
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    November 17, 2017 48 mins

    This episode covers the topic of intentional weight loss through restrictive eating or lifestyle changes. We discuss why intentional weight change does not work long term and why it can cause more harm than good for people’s health. I am joined by a guest co-host, Sumner Brooks, RD of Eating Disorder Registered Dietitians & Professionals. Her insight and knowledge were invaluable.

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    November 3, 2017 24 mins

    Healthism is prioritizing individual health above other things. It is also the idea that individuals have significant control over their health. It does not acknowledge that a great many things outside of an individual’s affect their health, such as oppression, war, hatred, environmental factors, and access to medical care. Ultimately, it is important to address societal inequities that affect indivi...

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