• 201: The Truth About Weight Loss Surgery: Does It Really Make You Thin and Healthy? (Part 1)
    Nov 4 2025
    Does weight loss surgery make you thin and healthy? What percentage of people is it successful for? Are the side effects worth it and what are they exactly? This episode is a deep dive into "bariatric" surgery AKA "weight loss" surgery AKA stomach amputation. TW: There are mentions of the types of surgeries, outcomes and side effects as well as general awful stuff fat people endure. Episode show notes: http://www.fiercefatty.com/201 Support me on Ko-Fi and get the Size Diversity Resource Guide: https://kofi.com/fiercefatty/tiers Comparison of the Performance of Common Measures of Weight Regain After Bariatric Surgery: https://jamanetwork.com/journals/jama/fullarticle/2707460 All‑Cause and Cause‑Specific Mortality Associated with Bariatric Surgery: A Review: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5055056/ Body Image Disturbances and Weight Bias After Obesity Surgery: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8012323/ Coping With "Ob*sity" Stigma Affects Depressed Mood: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5670735/ Death Rates and Causes of Death After Bariatric Surgery: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4888907/ Depression, Anxiety, and Binge Eating Before and After Bariatric Surgery: https://www.scielo.br/j/abcd/a/tZXDCfc855KxdXcFKTbVtHR/?lang=en Diabetes after Bariatric Surgery: https://www.canadianjournalofdiabetes.com/article/S1499-2671(16)30072-7/fulltext Ethical Questions About Surgery Raised by Scientists: https://jamanetwork.com/journals/jama/article-abstract/196339 Late Relapse of Diabetes After Bariatric Surgery: https://diabetesjournals.org/care/article/43/3/534/35625/Late-Relapse-of-Diabetes-After-Bariatric-Surgery Long-Term Follow-up After Bariatric Surgery: A Systematic Review: https://jamanetwork.com/journals/jama/fullarticle/1900516 Long-Term Outcomes After Bariatric Surgery: Systematic Review & Meta-analysis: https://link.springer.com/article/10.1007/s11695-018-3525-0 Mineral Malnutrition Following Bariatric Surgery: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3771134/ Patient Experiences of Outcomes of Bariatric Surgery: Systematic Review: https://onlinelibrary.wiley.com/doi/10.1111/obr.12518 Prevalence of Alcohol Use Disorders Before and After Bariatric Surgery: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3682834/ Recent Experiences of Weight-based Stigmatization in a Weight Loss Surgery Population: https://onlinelibrary.wiley.com/doi/full/10.1038/oby.2008.457 Risk of Suicide and Non-Fatal Self-Harm After Bariatric Surgery: Two Cohort Studies: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5932484/ Risk of Suicide and Self-Harm Is Increased After Bariatric Surgery: Meta-analysis: https://link.springer.com/article/10.1007/s11695-018-3493-4 Substance Use After Bariatric Surgery: A Review: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4789154/ Survival Among High-Risk Patients After Bariatric Surgery: https://pubmed.ncbi.nlm.nih.gov/21666276/ No Evidence That Bariatric Surgeries Save Healthcare Costs or Lives: http://junkfoodscience.blogspot.com/2008/09/no-evidence-that-bariatric-surgeries.html The Impact of Bariatric Surgery on Psychological Health: https://www.hindawi.com/journals/jobe/2013/837989/ Untold Stories of Living with a Bariatric Body: Long-Term Experiences of Weight-Loss Surgery: https://onlinelibrary.wiley.com/doi/10.1111/1467-9566.12999 "But Everything Is Supposed to Get Better After Surgery!" Understanding Postoperative Suicide and Self-Injury: https://bariatrictimes.com/understanding-postoperative-suicide-self-injury/ Long-Term Weight Regain After Gastric Bypass: A 5-Year Prospective Study: https://www.researchgate.net/publication/5459557_Long-term_Weight_Regain_after_Gastric_Bypass_A_5-year_Prospective_Study Anti-Diet by Christy Harrison: https://christyharrison.com/book-anti-diet-intuitive-eating-christy-harrison Food Junk Science Blog: http://junkfoodscience.blogspot.com/2007/01/junkfood-science-weekend-special.html Suicide Rates After Bariatric Surgery: https://bariatrictimes.com/understanding-postoperative-suicide-self-injury/#:~:text=Based%20on%20their%20analysis%2C%20the,3.2%E2%80%935.1%2F10%2C000 Kaitlin Anderle Who Had Surgery: https://www.instagram.com/p/B9B7HwSh3RM/ Roxane Gay - What Fullness Is: https://gay.medium.com/the-body-that-understands-what-fullness-is-f2e40c40cd75 Lindo Bacon on Bariatric Surgery: https://www.lindobacon.com/HAESbook/pdf_files/HAES_Bariatric-Surgery.pdf Prevalence of Alcohol Use Disorders Before and After Bariatric Surgery: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3682834/#:~:text=There%20is%20some%20evidence%20that Mineral Malnutrition Following Bariatric Surgery: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3771134/#:~:text=Bariatric%20surgery%20exacerbates%20preexisting%20malnutrition,with%20micronutrient%20supplementation%20following%20surgery Substance Use After Bariatric Surgery: A Review: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4789154/ Early Mortality Among Medicare Beneficiaries ...
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    55 mins
  • 200: Ozempic/Wegovy (GLP 1s) - Where Are We Now? (Part 2)
    Aug 13 2025

    It's part 2 of the GLP 1 deep dive! In this episode, we are covering "food noise," the weird things that people are reporting happening to their bodies on GLP-1s, horrid stuff that's happening in the UK, lawsuits, safety planning for those taking the drugs, and whether taking GLPs goes against fat liberation. TW: for British anti-fatness, side effects, and mental health.

    Episode show notes: http://www.fiercefatty.com/200

    Support me on Ko-Fi and get the Size Diversity Resource Guide: https://kofi.com/fiercefatty/tiers

    Ragen's 3 bullet points on GLPs: https://www.instagram.com/p/DKa5xdovYxa/?igsh=bHh1Nml0NW82bG83
    https://www.cnn.com/2024/05/02/health/wegovy-weight-loss-drug-new-prescriptions
    Changes smell: https://www.instagram.com/p/DL0fFPER4QX/?img_index=7&igsh=Mmttb3Y4cG10dHUx
    The Community Ozempic Stole: As Influencers Lose Weight, Their Followers Feel "Abandoned": https://www.teenvogue.com/story/community-ozempic-stole-influencers-lose-weight
    Ozempic's Origin Story is Insane: https://youtu.be/9dMpY-ZALXc?si=lb6r-d08fEo9XVKB
    Dr Rachel Millner: Some thoughts about GLP-1s for intentional weight loss versus fat liberation as a value: https://www.instagram.com/p/DLzrBuuRqfW/?img_index=6&igsh=ODZpMmwyemlhdmxt
    Another post from Rachel she describes the side effects of GLPs when taken at a higher dose for weight loss and anorexia side effects/complications: https://www.instagram.com/p/DLOUiFKI8TB/
    Retatrutide study: https://www.nejm.org/doi/full/10.1056/NEJMoa2301972
    Ragen's blog: https://weightandhealthcare.substack.com/p/weight-loss-drug-cage-match-part
    The Race Is On to Stop Ozempic Muscle Loss: Gym chains, nutrition startups and drugmakers all want to solve a common issue among people who take weight loss drugs.
    Non paywall link: https://archive.ph/l25L9
    https://www.nytimes.com/2024/02/08/well/live/ozempic-muscle-loss-exercise.html?utm_source=pocket_mylist
    The Race Is On to Stop Ozempic Muscle Loss: Gym chains, nutrition startups and drugmakers all want to solve a common issue among people who take weight loss drugs.
    Non paywall link: https://archive.ph/l25L9
    https://www.nytimes.com/2024/02/08/well/live/ozempic-muscle-loss-exercise.html?utm_source=pocket_mylist
    Changes smell: https://www.instagram.com/p/DL0fFPER4QX/?img_index=7&igsh=Mmttb3Y4cG10dHUx
    Hannah from Queenbeastsays, The Labour Government wants Britain to be "fat-free" by 2035: https://queenbeastsays.substack.com/p/the-labour-government-wants-britain?utm_source=app-post-stats-page&r=2qfqs8&utm_medium=ios&triedRedirect=true
    Contraception warning over weight-loss drugs after dozens of pregnancies: UK watchdog has had 40 reports relating to pregnancies in people using drugs such as Ozempic and Mounjaro
    https://www.theguardian.com/society/2025/jun/05/contraception-warning-over-weight-loss-drugs-after-dozens-of-pregnancies
    NPP Weight Loss Medications and Safety Planning: https://www.patreon.com/c/nalgonapositivitypride/home
    7,000 potential claims already under active investigation Lawsuit Legal News+2Doyle APC Law Firm+2Darrow AI+2.

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    48 mins
  • 199: Ozempic/Wegovy (GLP 1s) - Where Are We Now? (Part 1)
    Aug 8 2025

    Wegovy, (often referred to as Ozempic) was approved by the FDA in June 2021. Now that we have lived 4 years of a GLP frenzied hellscape, there must be new data on how well GLP1's work and how many lives they have saved. The numbers must be pretty impressive right? Hint: It's not impressive…not at all. Join me for part one of this deep dive into these (not so) new weight loss drugs where I share exactly how much weight people lose, if it improves their health (or worsens it), and all sorts of other nonsense that has been happening in the ensuing years after the press heralded Wegovy as a "game changer" that will "end" fatness. TW: for mentions of weight, mentions of children taking the drug and other general anti-fat ideas.

    Episode show notes: http://www.fiercefatty.com/199

    Support me on Ko-Fi and get the Size Diversity Resource Guide: https://kofi.com/fiercefatty/tiers

    Ragen's 3 bullet points on GLPs: https://www.instagram.com/p/DKa5xdovYxa/?igsh=bHh1Nml0NW82bG83
    https://www.cnn.com/2024/05/02/health/wegovy-weight-loss-drug-new-prescriptions
    Changes smell: https://www.instagram.com/p/DL0fFPER4QX/?img_index=7&igsh=Mmttb3Y4cG10dHUx
    The Community Ozempic Stole: As Influencers Lose Weight, Their Followers Feel "Abandoned": https://www.teenvogue.com/story/community-ozempic-stole-influencers-lose-weight
    Ozempic's Origin Story is Insane: https://youtu.be/9dMpY-ZALXc?si=lb6r-d08fEo9XVKB
    Dr Rachel Millner: Some thoughts about GLP-1s for intentional weight loss versus fat liberation as a value: https://www.instagram.com/p/DLzrBuuRqfW/?img_index=6&igsh=ODZpMmwyemlhdmxt
    Another post from Rachel she describes the side effects of GLPs when taken at a higher dose for weight loss and anorexia side effects/complications: https://www.instagram.com/p/DLOUiFKI8TB/
    Retatrutide study: https://www.nejm.org/doi/full/10.1056/NEJMoa2301972
    Ragen's blog: https://weightandhealthcare.substack.com/p/weight-loss-drug-cage-match-part
    The Race Is On to Stop Ozempic Muscle Loss: Gym chains, nutrition startups and drugmakers all want to solve a common issue among people who take weight loss drugs.
    Non paywall link: https://archive.ph/l25L9
    https://www.nytimes.com/2024/02/08/well/live/ozempic-muscle-loss-exercise.html?utm_source=pocket_mylist
    The Race Is On to Stop Ozempic Muscle Loss: Gym chains, nutrition startups and drugmakers all want to solve a common issue among people who take weight loss drugs.
    Non paywall link: https://archive.ph/l25L9
    https://www.nytimes.com/2024/02/08/well/live/ozempic-muscle-loss-exercise.html?utm_source=pocket_mylist
    Changes smell: https://www.instagram.com/p/DL0fFPER4QX/?img_index=7&igsh=Mmttb3Y4cG10dHUx
    Hannah from Queenbeastsays, The Labour Government wants Britain to be "fat-free" by 2035: https://queenbeastsays.substack.com/p/the-labour-government-wants-britain?utm_source=app-post-stats-page&r=2qfqs8&utm_medium=ios&triedRedirect=true
    Contraception warning over weight-loss drugs after dozens of pregnancies: UK watchdog has had 40 reports relating to pregnancies in people using drugs such as Ozempic and Mounjaro
    https://www.theguardian.com/society/2025/jun/05/contraception-warning-over-weight-loss-drugs-after-dozens-of-pregnancies
    NPP Weight Loss Medications and Safety Planning: https://www.patreon.com/c/nalgonapositivitypride/home
    7,000 potential claims already under active investigation Lawsuit Legal News+2Doyle APC Law Firm+2Darrow AI+2.

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    56 mins
  • 198: The Ultimate Harm: Fat in Healthcare
    Jun 9 2025

    Some people think that anti-fat bias is just about flippant comments, hurt feelings and harmless jokes. What many don't realize is that anti-fat bias can be deadly. Today, we are joined by Sarah and Tam, who are sharing their stories. Sarah talks about her terminal cancer diagnosis and the symptoms which were ignored by doctors for 2 years. Tam shares the story of her husband, James, father of 2 children, who died aged 37. Huge trigger warning for this episode as we are talking about death, witnessing death, medical harm and egregious anti-fatness.

    Episode show notes: http://www.fiercefatty.com/198

    Support me on Ko-Fi and get the Size Diversity Resource Guide: https://kofi.com/fiercefatty/tiers

    Vance memes: https://gizmodo.com/notes-on-a-meme-the-grotesque-pleasure-of-bloated-jd-vance-pictures-2000572683?utm_source=substack&utm_medium=email

    Last slide Vance: https://www.instagram.com/p/DHHIh3lTFpa/?img_index=19&igsh=MTNoMDFzdHRnMmVmdQ==

    Trump and tiny penis statue:
    Is there anything really funny about a naked Donald Trump statue? From Quartz https://archive.ph/5zrXl

    Republican women and makeup tutorials https://www.instagram.com/reel/DGOhmZRS7cX/?igsh=MW4za3o4NHdxa25jaA==

    The invisible knapsack peggy macintosh: https://www.nationalseedproject.org/key-seed-texts/white-privilege-unpacking-the-invisible-knapsack

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    2 hrs
  • 197: Liberals Love Fat Shaming People They Don't Like
    May 6 2025

    Have you seen the JD Vance memes that have been circulating the internet? In them, the meme creators have increased his body size to make him look fat and then laugh at the idea of him being fat. That's the joke. So hilarious (/s). JD Vance who is a horrible human, is being critiqued because of his appearance. This is a common theme in left-leaning circles - if someone is awful, then a great way to humiliate them is to focus on what they look like. Does this mean that "anti-fat bias is the last socially acceptable form of discrimination," or is something else going on?

    Episode show notes: http://www.fiercefatty.com/197

    Support me on Ko-Fi and get the Size Diversity Resource Guide: https://kofi.com/fiercefatty/tiers

    Vance memes: https://gizmodo.com/notes-on-a-meme-the-grotesque-pleasure-of-bloated-jd-vance-pictures-2000572683?utm_source=substack&utm_medium=email

    Last slide Vance: https://www.instagram.com/p/DHHIh3lTFpa/?img_index=19&igsh=MTNoMDFzdHRnMmVmdQ==

    Trump and tiny penis statue:
    Is there anything really funny about a naked Donald Trump statue? From Quartz https://archive.ph/5zrXl

    Republican women and makeup tutorials https://www.instagram.com/reel/DGOhmZRS7cX/?igsh=MW4za3o4NHdxa25jaA==

    The invisible knapsack peggy macintosh: https://www.nationalseedproject.org/key-seed-texts/white-privilege-unpacking-the-invisible-knapsack

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    39 mins
  • 196: Fat Monica and Other Fat Tropes in Media
    Feb 20 2025

    What have we learned about who fat people are from the media we consume? What are the common stereotypes we see again and again? In this episode, I answer those questions and analyse different examples of fat media including the dreaded Fat Monica from Friends. If you can, watch this episode on YouTube for the full video experience! But I do also audio describe what we are watching :) TW: anti-fat tropes.

    Episode show notes: http://www.fiercefatty.com/196

    Support me on Ko-Fi and get the Size Diversity Resource Guide: https://kofi.com/fiercefatty/tiers

    Fat Monica:
    https://youtu.be/4FsR2bjpWQU?si=_4keyVF1JS-LvSrg

    friends Fat Monica and Chandler for the first time: https://youtu.be/0YpxXy-iLwY?si=GzdOfM0Qc_wKuu9f

    Friends HD Thanksgiving Flashback- Monica and Rachel: https://youtu.be/4G2-QUqdpt8?si=UNqP6hAZmkxDDsbA

    Friends: Monica and Rachel dancing HD:
    https://youtu.be/4Ttwl2nfSqE?si=eVPrscNs70n6hs87

    Se7en Gluttony scene:
    https://youtu.be/TQfWTwRbJ4A?si=HAORW-eIp7uLISWQ

    Seven (1995) First Victim's Body Examination:
    https://youtu.be/qBlQeq5oabg?si=eJ-Ypfmm3plEU55q

    Lucozade - Tracey & Sandra (1997, UK):
    https://youtu.be/rPwi-bUZuis

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    1 hr and 16 mins
  • 195: Fat Harm: The Medical Model of Fatness
    Feb 4 2025

    How can we convince healthcare providers to examine the harm they cause when they tell fat people to lose weight and deny us care? It can be pretty hard to realize that you haven't been providing evidence-based care so it's a challenge! That's where the work of the disability community comes in with their medical and social models of disability. This lets us communicate how medicalizing fatness is not helpful in the same way it's not helpful for many in the disability community. Alongside that, let's talk about harm reduction ideas! We're getting deep today, come join me :)

    Episode show notes: http://www.fiercefatty.com/195

    Support me on Ko-Fi and get the Size Diversity Resource Guide: https://kofi.com/fiercefatty/tiers

    Body Roundess index: https://weightandhealthcare.substack.com/p/reader-question-what-is-the-body?utm_source=publication-search

    Lancet article, TW BS and O Words https://www.thelancet.com/pdfs/journals/landia/PIIS2213-8587(25)00004-X.pdf

    Lancet iraphicnfog, TW BS and O Words: https://www.thelancet.com/infographics-do/clinical-obesity-25

    How weight loss and pharma companies are scamming us into thinking they are advocating for fat people: https://www.canva.com/design/DAEvLxpBSdA/bOOUbgoQmhPGxC1ukae9Jw/edit

    Medical Model vs Social Model: https://eisforerin.com/2017/08/05/disability-101-medical-model-vs-social-model/

    Access all areas about Medical Model vs Social Model : https://youtu.be/QT7cyMNDRh8?si=JRiZ6n2bzgWNBBw9

    My examples (1st of mm vs sm, then harm reduction): https://docs.google.com/spreadsheets/d/1CTI2CJPU9d3a95ibFwsZkEPWH3XbZ5IgPn9bRB4bAe0/edit?usp=sharing

    Disability 101: Medical Model vs Social Model: https://eisforerin.com/2017/08/05/disability-101-medical-model-vs-social-model/

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    46 mins
  • 194: How to Protect Yourself From Anti-Fat Bias This Holiday Season
    Dec 17 2024

    It's NOT the most wonderful time of the year for a lot of fat folks because many will be spending time with anti-fat family and then once you survive that it's into the "New Year New You" diet culture dog shit. Ugh. Want some tactics to overcome this stressful time? Tune into this episode for the salve to all this nonsense. Don't forget: you're worthy, you always were you always will be.

    Episode show notes: http://www.fiercefatty.com/194

    Support me on Ko-Fi and get the Size Diversity Resource Guide: https://kofi.com/fiercefatty/tiers

    Link to the Your Fat Friend doc: https://youtu.be/VZ61fo1SJWs?si=1iNDEc33RW7powzX

    Link to healthcare survey: https://forms.gle/wVhrP5EjvyEX5Atx9

    Boundaries song: https://youtu.be/rZ0ZUVXqJc4

    New Year, Same Body, More Love: Resisting Diet Culture and Anti-Fatness in 2025
    Thursday 16th January, 2025, 12pm PST: https://fiercefatty.my.canva.site/new-year-same-body-more-love

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    41 mins