Wednesday, 21 October 2020

Redefining Health and Wellness With Shohreh Davoodi

Picture of a white woman with long brown hair in a green shirt against a slate background. Text "Surviving Weight Stigma and Thriving in Spite of it with Ragen Chastain #68 Redefining Health & Wellness Podcast shohrehdavoodi.com/68
Picture by Doug Spearman

I recently had the honor of being a guest on Shohreh Davoodi’s podcast “Redefining Health and Wellness,” We covered a lot of ground (from medical weight stigma to dating while fat!)

Shohreh’s summary of the episode is below,

You can listen to it here

or wherever you listen to podcasts (Apple, Stitcher, Spotify, Google Play, etc.)

We live in a fatphobic world that was designed to be difficult for fat folx to navigate. This harsh reality will not change until we all collectively address our learned bias against fat folx and work to destroy the systems that rely on weight stigma.

Simultaneously, fat folx still need practical coping strategies and tools to survive this unjust system and thrive in spite of it. While individual solutions to systemic oppression are not enough, they do have their place in the overall picture. Fat activist Ragen Chastain offers tips in this episode to help fat folx deal with weight stigma in healthcare, employment, dating, and on the internet. 

Did you find this helpful? If you appreciate the work that I do, you can support my ability to do more of it with a one-time tip or by becoming a member. (Members get special deals on fat-positive stuff, a monthly e-mail keeping them up to date on the work their membership supports, and the ability to ask me questions that I answer in a members-only monthly Q&A Video!)

UPCOMING ONLINE WORKSHOP:
Dealing With Fatphobia At The Holidays

Halloween candy and costumes, family gatherings, work parties, New Years bashes, New Years Resolution, and a ton of diet ads… whether we celebrate the holidays or not, the holiday season can be a perfect storm of fatphobia and diet culture. This year the pandemic adds another layer of stress. All that diet culture can really get you down. In this workshop we’ll talk about tips, tricks, and techniques to help us deal and have a happy holiday season on our own terms.

Details and Registration: https://danceswithfat.org/monthly-online-workshops/
*This workshop is free for DancesWithFat members

Like this blog?  Here’s more stuff you might like:

Wellness for All Bodies Program:A simple, step-by-step, super efficient guide to setting and reaching your health goals from a weight-neutral perspective.  This program can be used by individuals, or by groups, including as a workplace wellness program!

Price: $25.00 ($10 for DancesWithFat members – register on the member page)

Non-members Click here for all the details and to register!
Body Love Obstacle Course

This e-course that includes coaching videos, a study guide, and an ebook with the tools you need to create a rock-solid relationship with your body. Our relationships with our bodies don’t happen in a vacuum, so just learning to see our beauty isn’t going to cut it. The world throws obstacles in our way – obstacles that aren’t our fault, but become our problem. Over the course of this program, Ragen Chastain, Jeanette DePatie, and six incredible guest coaches will teach you practical, realistic, proven strategies to go above, around, and through the obstacles that the world puts in front of you when it comes to living an amazing life in the body you have now.
Price: $99.00 Click here to register
($79.00 for DancesWithFat members – register on the member page)

Love It! 234 Inspirations And Activities to Help You Love Your Body
This is filled with thoughtful advice from the authors Jeanette DePatie, Ragen Chastain, and Pia Sciavo-Campo as well as dozens of other notable names from the body love movement, the book is lovingly illustrated with diverse drawings from size-positive artist Toni Tails.
Price: $9.99 softcover, $7.99 Kindle, ($6.95 + free shipping for DancesWithFat Members)

Book Me!  I’d love to speak to your organization (and I can do it remotely!) You can get more information here or just e-mail me at ragen at danceswithfat dot org!



via Dances With Fat https://ift.tt/2IIxDq2

Wednesday, 14 October 2020

On being heartless



via Friend of Marilyn https://ift.tt/372mCKi

Monday, 5 October 2020

On getting a CT scan

I had my first CT scan today. I’ve lived a rather blessed life when it comes to my health: I’ve never needed diagnostics like a CT or MRI, I’ve never broken a bone. I’ve had one outpatient surgery during my PhD to get my tonsils out, but that’s it.

My GP ordered a CT scan to check my kidneys. I’ve had an intermittent acute pain in my lower back on the left hand side, and she wonders if perhaps I’ve got some kidney stones (I see you Substantia with your gall stones!). I did blood work, and then headed to the radiologist today for a CT scan.

My knowledge of CT scans was minimal. I knew it was a series of X-rays that would provide a comprehensive picture of the area in question. I knew it is often called a CAT scan on TV shows. In my mind I thought it would be much like a normal X-ray, just with different positioning and more machines. Of course, most of my knowledge about medical things comes from decades of watching China Beach, E.R., Scrubs, and Grey’s Anatomy. Turns out, I had no idea what a CT would be like.

They had instructed me to drink loads of water beforehand. You’re allowed to use the restroom at any time during the day, but they want you to be loaded up on water. I arrived at the office with my own robe in tow. I assumed that I would need to be in a gown, and I assumed that they would not have one that would fit my fat body.

My robe

After a basic health questionnaire, Cindy brought me back to the room where the CT would take place. As she directed me to the change room, I saw a large machine in an adjoining room and asked if it was for MRIs. Cindy smiled and told me that no, that it was in fact the CT machine; she said they called it the donut.

The donut

Whoa. Nothing at all like what I expected, and honestly, my first thought was the episode of Scrubs where they have a super fat patient that cannot fit into the imaging machine (no idea if that was a CT or MRI machine). Not a helpful thought, of course, as I tried to size up the size of donut hole to see if I was going to fit or not. It turns out that a CT uses rotating X-ray machines inside the donut to take the imaging, and can be used to image any part of the body, from the head to the toes.

An MRI machine, which is more of a tunnel that could fit your whole body

In the changing room, they clarified some questions on the questionnaire, and invited me to remain in the dress I arrived in for the CT (eShakti cotton knit empire maxi dress); I only had to remove my bra (due to the underwire). When I was ready, they led me into the CT room, and I lied down on the strip of bed provided. The tech asked me to raise my hands above my head and asked if I would be comfortable to keep them there during the procedure. I’m not sure if the arm placement was about fitting into the machine, or concern that arms could get “caught” at the edge of the machine and they ask everyone to do this? It was fine and I settled into position.

The not-designed-for-a-fat-body “bed”

The tech left the room, and the bed was raised to then slide into the donut. A mechanical voice instructed me to take a deep breath in and hold it, then several seconds later, as the bed slid out of the donut, the same voice told me I could breathe. This happened three times, and then it was over. A doctor looked at my scans and was happy with the quality, so there was no need for them to inject me or ask me to drink any contrast (a material that would appear white in the X-rays and provide additional definition of the area if needed). The entire thing took about 10 minutes from the time they invited me back to the room to the time I left.

I fit into the machine just fine, and it would fit someone much larger than me. There were no loud noises, either, which had been a concern once I realized I was going into the donut. There was a clicking, but it was not too bad and it did not raise any anxiety for me. Because they were only scanning my abdomen, it might have been possible for me to have on headphones to distract me or block out the noise of the machine, if needed. If you think that might help you, better to have them with you and ask, right?

I am grateful to the radiology team, Sam and Cindy, for being so lovely during my time with them. And not laughing when I asked to take pictures of the donut afterwards. I’m glad to have had a positive experience with my first CT, and perhaps by sharing my experience (and unfounded fears) I will help reduce the fear and anxiety of other fat people who may need a similar test. Have you ever had a CT? How did it go? Let’s chat on Twitter or Facebook!



via Friend of Marilyn https://ift.tt/3nkhzKW

Study – Body Size NOT a COVID-19 Risk Factor

I’ll start by sharing this important information from Christy Harrison (copied with permission):

“The large study (CW: weight-stigmatizing language, BMI numbers) of more than 10,000 people with COVID-19 found that having a high body-mass index (BMI) is NOT a risk factor for hospitalization, mechanical ventilation, or death.

This is one of few studies on this topic to fully adjust for confounding variables, and definitely one of the largest that I’ve seen to date.

Interestingly, it found that although Black patients were more likely to be hospitalized and to receive mechanical ventilation than white patients, they WEREN’T more likely to die.

This unusual finding may have to do with the fact that healthcare access is far more equalized in the Veterans Administration (VA) system, where this study was conducted; outside that system, unequal access to care means that folks who are Black, Indigenous, and People of Color tend to have higher mortality as well as other poor health outcomes.

This study also found that Hispanic ethnicity was not associated with an increased risk of adverse outcomes, which again may reflect the better access to quality care that patients of color receive in the VA system.

That access and quality may be why larger-bodied patients fared just as well—and in some cases even better—than smaller-bodied patients in this study. (Fellow science nerds, see for yourselves in Table 1—though again, CW for weight-stigmatizing language and BMI numbers.)

In short, this evidence supports what I’ve been saying for months: reporters and commentators need to stop jumping to the conclusion that high BMI independently raises COVID-19 risks (and researchers need to stop deliberately looking for evidence to support that belief)—because when we have good studies that control for confounding variables, those supposed risks can dissipate or disappear.

Blaming weight itself for poor health outcomes (instead of looking for the underlying causes that have nothing to do with body size) is a form of weight stigma—and ironically, that kind of bias creates the very health problems that we’re trying to solve.” –Christy Harrison

I’ve talked about the issues with studies suggesting that body size was a risk before, as has Christy. Sadly, the likelihood that body size doesn’t increase risk doesn’t actually mean that fat people aren’t at greater risk when it comes to COVID-19 (or any other health condition) and that’s because weight stigma actually DOES increase our risk. And it shows up in a lot of ways:

  • Lack of Equipment/Accommodation
    • Everything from blood pressure cuffs, to gowns, to beds, and more. Despite knowing full well that fat people exist, healthcare facilities often fail to meet our most basic needs.
  • Lack of research
    • Research is typically only done on thin bodies. In some cases, fat people are then actually BLAMED when the practices and drugs that were created without including us don’t work for us.
  • Lack of training
    • Health Care Practitioners – HCPs – often don’t have training on working with fat patients and, worse, weight stigma is often part of their training program.
  • Practitioner Bias
    • Plenty of research tells us that fat people’s ability to get competent, ethical care is made difficult or even impossible due to practitioner’s weight stigma. We live in a fatphobia world where everyone – including HCPs – is encouraged to stereotype fat people and treat us badly.

There are, of course, amazing HCPs out there and I don’t want to discount that, but the truth is that all of the issues above can harm any fat person who needs healthcare. Which is why even if the study did show that higher weight people had poorer outcomes, we could not actually draw any conclusions about fat bodies, and why we MUST work to dismantle weight stigma in healthcare.

Did you find this helpful? If you appreciate the work that I do, you can support my ability to do more of it with a one-time tip or by becoming a member. (Members get special deals on fat-positive stuff, a monthly e-mail keeping them up to date on the work their membership supports, and the ability to ask me questions that I answer in a members-only monthly Q&A Video!)

UPCOMING ONLINE WORKSHOP:
Dealing With Fatphobia At The Holidays

Halloween candy and costumes, family gatherings, work parties, New Years bashes, New Years Resolution, and a ton of diet ads… whether we celebrate the holidays or not, the holiday season can be a perfect storm of fatphobia and diet culture. This year the pandemic adds another layer of stress. All that diet culture can really get you down. In this workshop we’ll talk about tips, tricks, and techniques to help us deal and have a happy holiday season on our own terms.

Details and Registration: https://danceswithfat.org/monthly-online-workshops/
*This workshop is free for DancesWithFat members

Like this blog?  Here’s more stuff you might like:

Wellness for All Bodies Program:A simple, step-by-step, super efficient guide to setting and reaching your health goals from a weight-neutral perspective.  This program can be used by individuals, or by groups, including as a workplace wellness program!

Price: $25.00 ($10 for DancesWithFat members – register on the member page)

Non-members Click here for all the details and to register!
Body Love Obstacle Course

This e-course that includes coaching videos, a study guide, and an ebook with the tools you need to create a rock-solid relationship with your body. Our relationships with our bodies don’t happen in a vacuum, so just learning to see our beauty isn’t going to cut it. The world throws obstacles in our way – obstacles that aren’t our fault, but become our problem. Over the course of this program, Ragen Chastain, Jeanette DePatie, and six incredible guest coaches will teach you practical, realistic, proven strategies to go above, around, and through the obstacles that the world puts in front of you when it comes to living an amazing life in the body you have now.
Price: $99.00 Click here to register
($79.00 for DancesWithFat members – register on the member page)

Love It! 234 Inspirations And Activities to Help You Love Your Body
This is filled with thoughtful advice from the authors Jeanette DePatie, Ragen Chastain, and Pia Sciavo-Campo as well as dozens of other notable names from the body love movement, the book is lovingly illustrated with diverse drawings from size-positive artist Toni Tails.
Price: $9.99 softcover, $7.99 Kindle, ($6.95 + free shipping for DancesWithFat Members)

Book Me!  I’d love to speak to your organization (and I can do it remotely!) You can get more information here or just e-mail me at ragen at danceswithfat dot org!



via Dances With Fat https://ift.tt/3cZndxr

Saturday, 3 October 2020

Fat Positive Birthday Bonbons

When I was just at the start of this journey I was trying to quit a terrible diet program. It was one of those “medically supervised” programs where food is extremely restricted and the only difference between the behaviors required by that program and the behaviors I had exhibited while dealing with the eating disorder I was recovering from was that on the program I wasn’t allowed to exercise. (Why yes, it absolutely is medical malpractice to prescribe a diet to someone recovering from an eating disorder – or, you know, at all since almost everyone regains their weight and the majority gain back more than they lost, but I didn’t know that then.) Despite following the program to the letter, I was still gaining (regaining, really) weight. So I went in and told them that I was quitting.

They escorted me into a small room with a big poster about not quitting (literally that kitten on a rope saying “Hang in there baby”) and a woman brought in a binder with pictures of fat women, and she started flipping through it silently.  I watched for a while and then she said harshly “You might not know it, but this is what you look like, and these women are going to die alone in front of the television eating bon bons. Is that what you want for yourself? And aren’t you tired of hating your body?”

I realized several helpful things in that moment. First of all – I was tired of hating my body, I was exhausted from hating my body. I had been hating my body like it was a job for years at this point and it hadn’t made me happier, or healthier, or thinner. It had just made me tired.

I also realized that I didn’t find anything wrong with those women’s bodies, in fact I thought that they were beautiful.  I didn’t expect that they would never find love or have bad lives. (And I grew up in very rural America so I didn’t know what bon bons were but that whole thing went right over my head.) So it occurred to me in a rush: if I thought that their bodies were beautiful… and if I looked like them as this woman had insisted as if it was an insult…then maybe it was possible to think that my body was beautiful.

Of course that was just the beginning of a long process, but it was a beginning!

Now, I told you that story to tell you this one…

My birthday is in October. (It’s also the month of my Best Friend’s birthday, his husband’s birthday, and their anniversary, so nobody in my family is allowed to date people with October birthdays or have any important events in October, but that’s another story.) Anyway, in my family we celebrate “our birthday month” so today a box with huge red “perishable” stickers showed up addressed to me. Inside were 12 MEA Fine Foods Exotic Bonbons. They were from my mom. Because my mom had heard me tell that story and thought that I should know what bonbons are.

And that’s the story of how I’ll be sitting on the couch, with the woman I love, eating bonbons from my amazing and supportive mom, still fat as hell.

Did you find this helpful? If you appreciate the work that I do, you can support my ability to do more of it with a one-time tip or by becoming a member. (Members get special deals on fat-positive stuff, a monthly e-mail keeping them up to date on the work their membership supports, and the ability to ask me questions that I answer in a members-only monthly Q&A Video!)

UPCOMING ONLINE WORKSHOP:
Dealing With Fatphobia At The Holidays

Halloween candy and costumes, family gatherings, work parties, New Years bashes, New Years Resolution, and a ton of diet ads… whether we celebrate the holidays or not, the holiday season can be a perfect storm of fatphobia and diet culture. This year the pandemic adds another layer of stress. All that diet culture can really get you down. In this workshop we’ll talk about tips, tricks, and techniques to help us deal and have a happy holiday season on our own terms.

Details and Registration: https://danceswithfat.org/monthly-online-workshops/
*This workshop is free for DancesWithFat members

Like this blog?  Here’s more stuff you might like:

Wellness for All Bodies Program:A simple, step-by-step, super efficient guide to setting and reaching your health goals from a weight-neutral perspective.  This program can be used by individuals, or by groups, including as a workplace wellness program!

Price: $25.00 ($10 for DancesWithFat members – register on the member page)

Non-members Click here for all the details and to register!
Body Love Obstacle Course

This e-course that includes coaching videos, a study guide, and an ebook with the tools you need to create a rock-solid relationship with your body. Our relationships with our bodies don’t happen in a vacuum, so just learning to see our beauty isn’t going to cut it. The world throws obstacles in our way – obstacles that aren’t our fault, but become our problem. Over the course of this program, Ragen Chastain, Jeanette DePatie, and six incredible guest coaches will teach you practical, realistic, proven strategies to go above, around, and through the obstacles that the world puts in front of you when it comes to living an amazing life in the body you have now.
Price: $99.00 Click here to register
($79.00 for DancesWithFat members – register on the member page)

Love It! 234 Inspirations And Activities to Help You Love Your Body
This is filled with thoughtful advice from the authors Jeanette DePatie, Ragen Chastain, and Pia Sciavo-Campo as well as dozens of other notable names from the body love movement, the book is lovingly illustrated with diverse drawings from size-positive artist Toni Tails.
Price: $9.99 softcover, $7.99 Kindle, ($6.95 + free shipping for DancesWithFat Members)

Book Me!  I’d love to speak to your organization (and I can do it remotely!) You can get more information here or just e-mail me at ragen at danceswithfat dot org!



via Dances With Fat https://ift.tt/3ilcwq4

Wednesday, 30 September 2020

Why I Resigned As A NEDA Ambassador

I’ve been an Official Ambassador for the National Eating Disorders Association since January of 2019. While I will continue to work to make sure NEDA makes good on their commitments to intersectional justice within Eating Disorders community, I’m very sad to say that based on their current actions I cannot in good faith continue as an Official Ambassador. Before I write more about that, I want to thank the staff I worked with who are genuinely committed to intersectional justice and are left without the support they need and deserve…Thank you for all you do, I’ll miss working with you.

Below are the resignation letter I sent to the leadership of the organization on Monday, as well as a video of my talk at the NEDA virtual walk on Saturday.

If you want to give feedback to NEDA (for example asking that they reinstate Chevese Turner and that they provide a detailed outline of specifically how NEDA will create systemic internal changes so that they can truly serve the entire diverse eating disorders community) you can send it to Susan Vibbert (susanvibbert at gmail dot com) She is a board member I met at the NEDA Gala last year and she has agreed to forward these communications to the NEDA board. You are also welcome to leave comments below and/or e-mail me at ragen at danceswithfat dot org and I’ll get your feedback to her.

My Resignation Letter

I write to you today with a heavy heart. For nearly two years, I have been honored to serve as an Official NEDA Ambassador, donating my time, writing and speaking, online spaces, and funds to support what I believed was a renewed mission of supporting all individuals and families affected by eating disorders.

The abrupt firing of Chevese Turner without any transparency was deeply concerning to me and to many members of the eating disorders community. The absence of any messaging coming from NEDA about the situation continues to raise even more concerns. The failure over the past two weeks to respond to hundreds of public requests, for both transparency around the decision and clear commitments to continue the work that she was leading for intersectionality within the community, adds to the issues. Allowing people who claim to have “inside info” about the situation to act as the de facto voice of NEDA, posting racist and fatphobic screeds on your own Facebook page is inexcusable.

Many of us watched for years as NEDA centered the voices, stories, and needs of thin, cis, white, younger women to the near exclusion of all others, ignoring those of us asking for change. In fact, my first involvement with NEDA happened when they partnered with an “anti-obesity” organization and then defended their choice to me as a “compromise.” (I started a petition and letter writing campaign, and a few days later they ended the partnership, but it was clear to me that it was about optics and not harm reduction.)

Your merger with BEDA and Chevese was a second chance that I, and many other people, were giving NEDA to do the right thing. Chevese being fired with no transparency and no communication about ongoing commitments to intersectionality has been a clear message that NEDA is actively failing to become the inclusive, intersectional organization we know it could be, and that the community needs it to be.

Choosing to move forward with Weight Stigma Awareness Week is especially troubling. That you would take ownership of a fat woman’s project, fire the fat woman abruptly with no comment, and then claim credit for raising awareness of weight stigma as if nothing happened, is truly beyond the pale. Sadly NEDA has given me no reason to believe that you aren’t abandoning the pursuit of intersectional justice within eating disorders treatment and advocacy in everything but appearances, perhaps hoping to ride out the backlash and settle back into the comfort of focusing on the thin, white, cis, girls and young women while giving only lip service to others in the community.

While I am committed to doing whatever I can to help NEDA pursue a mission that includes all individuals and families affected by eating disorders, I am heartbroken to say that I can no longer be an official ambassador for NEDA. I can’t and won’t lend my face, body, labor, or reputation as an ambassador since it indicates a tacit approval of the current situation, and an inclusivity that isn’t currently being practiced, while holding a position that doesn’t have any authority to create change.

I am resigning as an Official NEDA Ambassador effective immediately, and I ask that I be removed from the Ambassador page of the website.

If I may offer one piece of advice, in our conversation Claire said that perhaps NEDA’s PR in this situation had been “a little too much by the book.” I don’t know what PR book you’re using, but I would recommend burning it, because this strategy is nothing short of disastrous. If the hope is that you can ride out the backlash and go back to business as usual, then I would urge you to reconsider. The backlash will be loud and it will be sustained, because people’s lives hang in the balance.

I implore NEDA to do better – reinstate Chevese, recommit clearly and publicly to centering the voices, stories, and needs of People of Color, Trans and Non-Binary people, Higher Weight people, and other marginalized populations, and then prove those commitments in your actions, and the allocation of your resources.

I continue to hope that NEDA becomes the organization that the diverse community of people who are affected by eating disorders desperately needs it to be, and I will continue to work toward that goal.

Sincerely,

Ragen Chastain

Talk from the virtual NEDA walk:

Did you find this helpful? If you appreciate the work that I do, you can support my ability to do more of it with a one-time tip or by becoming a member. (Members get special deals on fat-positive stuff, a monthly e-mail keeping them up to date on the work their membership supports, and the ability to ask me questions that I answer in a members-only monthly Q&A Video!)

UPCOMING ONLINE WORKSHOP:
Dealing With Fatphobia At The Holidays

Halloween candy and costumes, family gatherings, work parties, New Years bashes, New Years Resolution, and a ton of diet ads… whether we celebrate the holidays or not, the holiday season can be a perfect storm of fatphobia and diet culture. This year the pandemic adds another layer of stress. All that diet culture can really get you down. In this workshop we’ll talk about tips, tricks, and techniques to help us deal and have a happy holiday season on our own terms.

Details and Registration: https://danceswithfat.org/monthly-online-workshops/
*This workshop is free for DancesWithFat members

Like this blog?  Here’s more stuff you might like:

Wellness for All Bodies Program:A simple, step-by-step, super efficient guide to setting and reaching your health goals from a weight-neutral perspective.  This program can be used by individuals, or by groups, including as a workplace wellness program!

Price: $25.00 ($10 for DancesWithFat members – register on the member page)

Non-members Click here for all the details and to register!
Body Love Obstacle Course

This e-course that includes coaching videos, a study guide, and an ebook with the tools you need to create a rock-solid relationship with your body. Our relationships with our bodies don’t happen in a vacuum, so just learning to see our beauty isn’t going to cut it. The world throws obstacles in our way – obstacles that aren’t our fault, but become our problem. Over the course of this program, Ragen Chastain, Jeanette DePatie, and six incredible guest coaches will teach you practical, realistic, proven strategies to go above, around, and through the obstacles that the world puts in front of you when it comes to living an amazing life in the body you have now.
Price: $99.00 Click here to register
($79.00 for DancesWithFat members – register on the member page)

Love It! 234 Inspirations And Activities to Help You Love Your Body
This is filled with thoughtful advice from the authors Jeanette DePatie, Ragen Chastain, and Pia Sciavo-Campo as well as dozens of other notable names from the body love movement, the book is lovingly illustrated with diverse drawings from size-positive artist Toni Tails.
Price: $9.99 softcover, $7.99 Kindle, ($6.95 + free shipping for DancesWithFat Members)

Book Me!  I’d love to speak to your organization (and I can do it remotely!) You can get more information here or just e-mail me at ragen at danceswithfat dot org!



via Dances With Fat https://ift.tt/3jtB8OV

Tuesday, 29 September 2020

How A PhD Got Duped By Diet Culture

An article came across my inbox called “The Habits of Successful Weight Losers.” It piqued my interest because the truth is there isn’t a single study where more than a tiny fraction of people succeed at long-term, significant weight loss (this has been shown in literature reviews starting in at least 1999 and was recently acknowledged by Canadian Healthcare professionals. (Note: The article is not linked here due its potentially triggering nature, it’s also one of many of it kind so the points made here address this mistake generally.)

I clicked to read the article, curious if it would make the most common mistake of only looking at short-term weight loss (most people succeed at losing weight short term, but gain it all back within two to five years, a huge number of studies simply look at weight loss during the first year and then claim success) or if it would make the less common, but potentially more harmful National Weight Control Registry mistake.

It turns out that it was the latter. I often use the National Weight Control Registry in talks I give to general audiences, health professionals, and university students, faculty and staff to show how easy it is to be duped by diet culture and the poor “science” that backs it up. In this case the person making this mistake is a celebrated personal trainer, fitness speaker and writer, and PhD who has actually written a book written on this premise, so it’s no surprise that so many people with less training in understanding and analyzing research do make the same mistake.

I wrote about this for The Mighty, and you can read the full piece here!

Did you find this helpful? If you appreciate the work that I do, you can support my ability to do more of it with a one-time tip or by becoming a member. (Members get special deals on fat-positive stuff, a monthly e-mail keeping them up to date on the work their membership supports, and the ability to ask me questions that I answer in a members-only monthly Q&A Video!)

UPCOMING ONLINE WORKSHOP:
Getting Jiggly With It! Movement In A Fat Body

Movement/fitness/exercise by any definition is never an obligation or barometer of worthiness. But for fat people who want to move our bodies – whether it’s because we enjoy it, or because of the benefit(s) we get from it (even if we don’t enjoy it,) whatever our reasons a fatphobic culture can create barriers, misinformation, and other difficulties for us. In this workshop we’ll explore tips, tricks, and information to help us move our bodies for our own reasons. (This workshop can also be helpful to fitness pros who want to create a fat-positive practice!)

Details and Registration: https://danceswithfat.org/monthly-online-workshops/
*This workshop is free for DancesWithFat members

Like this blog?  Here’s more stuff you might like:

Wellness for All Bodies Program:A simple, step-by-step, super efficient guide to setting and reaching your health goals from a weight-neutral perspective.  This program can be used by individuals, or by groups, including as a workplace wellness program!

Price: $25.00 ($10 for DancesWithFat members – register on the member page)

Non-members Click here for all the details and to register!
Body Love Obstacle Course

This e-course that includes coaching videos, a study guide, and an ebook with the tools you need to create a rock-solid relationship with your body. Our relationships with our bodies don’t happen in a vacuum, so just learning to see our beauty isn’t going to cut it. The world throws obstacles in our way – obstacles that aren’t our fault, but become our problem. Over the course of this program, Ragen Chastain, Jeanette DePatie, and six incredible guest coaches will teach you practical, realistic, proven strategies to go above, around, and through the obstacles that the world puts in front of you when it comes to living an amazing life in the body you have now.
Price: $99.00 Click here to register
($79.00 for DancesWithFat members – register on the member page)

Love It! 234 Inspirations And Activities to Help You Love Your Body
This is filled with thoughtful advice from the authors Jeanette DePatie, Ragen Chastain, and Pia Sciavo-Campo as well as dozens of other notable names from the body love movement, the book is lovingly illustrated with diverse drawings from size-positive artist Toni Tails.
Price: $9.99 softcover, $7.99 Kindle, ($6.95 + free shipping for DancesWithFat Members)

Book Me!  I’d love to speak to your organization (and I can do it remotely!) You can get more information here or just e-mail me at ragen at danceswithfat dot org!



via Dances With Fat https://ift.tt/33bbeJH

Tuesday, 15 September 2020

Life Without Ibuprofen

I became aware of ibuprofen in high school, as a reliever for period pain. I used it with happy abandon for assorted cramps and pulled muscles. When my knees started hurting, I used ibuprofen. Headaches weren’t much helped by ibuprofen, but that’s what acetaminophen is for.

Eventually I had knee issues that ibuprofen didn’t handle, I added physical therapy exercises to ibuprofen. I didn’t stop taking it.

Enter blood thinners, to avoid another blood clot in my lungs.

You know what’s bad when you’re on blood thinners? Any other blood thinners. Like aspirin or naproxen or ibuprofen.

Seriously, that’s why older folks are often advised to take a low dose of aspirin a day – it’s a mild blood thinner, to avoid unneeded blood clots. But if you’re on specific medicine to make your clot less, then meds that adjust your clotting are bad.

Which means: I no longer take ibuprofen, naproxen, or aspirin. I can take acetominophen, but carefully, since my blood thinner med keeps my liver too busy to clear things like alcohol as fast as usual. Acetominophen goes through the liver, too, so I’m mindful about it. And, y’know, acetominophen didn’t really help with cramps anyway.

So here I am, in my mid-fifties, having to face arthritis, pulled muscles, and other ills without ibuprofen or naproxen. What to do?

  • I am more focused on strength training to support my knees and back.
  • I am more regular in stretching to prevent muscle cramps.
  • I am dealing with things like “sore neck and shoulder from sleeping wrong” with slow stretches and patience.

….and, if needed, I can drink. I just need to be aware it has stronger and more lasting effects than it used to have. :)



via Living ~400lbs https://ift.tt/2RssnrV

Friday, 11 September 2020

THIS FAT OLD LADY’S FAT FRIDAY – MY NEW HERO



via Fatties United! https://ift.tt/3keRScB

Kaiser Permanente – Hiding Discrimination?

In June, as COVID-19 cases threatened to overwhelm healthcare resources, many states were working to produce guidelines for rationing care in public and private hospitals and healthcare facilities in the event of shortages of equipment and staff. Unfortunately many of these policies have a chilling discriminatory effect. 

The California Care Rationing Coalition, a broad-based coalition from the disability, aging, anti-racism, and fat-rights communities, worked with the California Governor’s office and leadership at the Department of Health and Human Services  and successfully changed the state’s rationing protocols to help eliminate discrimination, creating a model for other states

The new guidelines state that healthcare decisions, including rationing of resources, cannot be based on age, race, disability (including weight-related disabilities and chronic medical conditions), gender, sexual orientation, gender identity, ethnicity (including national origin and language spoken), ability to pay, weight/size, socioeconomic status, insurance status, perceived self-worth, perceived quality of life, immigration status, incarceration status, homelessness, or past or future use of resources. 

“Why Are You Hiding?”

The new guidelines were a massive step in the right direction, but there’s more work to do. Unfortunately, it’s impossible to tell if hospitals are following the guidelines because they are currently keeping their policies secret.

That creates a situation where, despite the hard-won non-discriminatory guidelines, people of color, disabled people, Fat people, seniors and others who are covered may still be facing discrimination in COVID-19 treatment, including refusal of care. Even if they are able to choose which facility to go to, they have no way of knowing whether or not they are likely to face discrimination.

We are demanding that healthcare facilities, starting with California-based giant Kaiser Permanente, provide transparency in their compliance with CA State guidelines, including publicly disclosing their rationing policies.

ACTIVISM OPPORTUNITY!
You can help by posting to social media demanding that Kaiser publicly disclose their rationing policies, and inviting their friends to join in using the hashtags #NoBodyIsDisposable #PostYourPolicy #NoICUgenics

Here’s an example:
Kaiser Permanente – Why are you hiding your policy? What is your policy? We need to know! We are worried about people of color, disabled people, higher weight people, and seniors being refused treatment during COVID-19. Publicly disclose your COVID care and rationing policies. @aboutKP @KPOCThrive @KPSCALnews @KPMemberService @KPSanDiego @kpeastbayarea @KPGreaterSac @JMillerPhipps #NoBodyIsDisposable #PostYourPolicy #NoICUgenics

For more info on the campaign, sample social media posts, and articles to share check out:
https://nobodyisdisposable.org/stop-care-rationing/

Did you find this helpful? If you appreciate the work that I do, you can support my ability to do more of it with a one-time tip or by becoming a member. (Members get special deals on fat-positive stuff, a monthly e-mail keeping them up to date on the work their membership supports, and the ability to ask me questions that I answer in a members-only monthly Q&A Video!)

UPCOMING ONLINE WORKSHOP:
Getting Jiggly With It! Movement In A Fat Body

Movement/fitness/exercise by any definition is never an obligation or barometer of worthiness. But for fat people who want to move our bodies – whether it’s because we enjoy it, or because of the benefit(s) we get from it (even if we don’t enjoy it,) whatever our reasons a fatphobic culture can create barriers, misinformation, and other difficulties for us. In this workshop we’ll explore tips, tricks, and information to help us move our bodies for our own reasons. (This workshop can also be helpful to fitness pros who want to create a fat-positive practice!)

Details and Registration: https://danceswithfat.org/monthly-online-workshops/
*This workshop is free for DancesWithFat members

Like this blog?  Here’s more stuff you might like:

Wellness for All Bodies Program:A simple, step-by-step, super efficient guide to setting and reaching your health goals from a weight-neutral perspective.  This program can be used by individuals, or by groups, including as a workplace wellness program!

Price: $25.00 ($10 for DancesWithFat members – register on the member page)

Non-members Click here for all the details and to register!
Body Love Obstacle Course

This e-course that includes coaching videos, a study guide, and an ebook with the tools you need to create a rock-solid relationship with your body. Our relationships with our bodies don’t happen in a vacuum, so just learning to see our beauty isn’t going to cut it. The world throws obstacles in our way – obstacles that aren’t our fault, but become our problem. Over the course of this program, Ragen Chastain, Jeanette DePatie, and six incredible guest coaches will teach you practical, realistic, proven strategies to go above, around, and through the obstacles that the world puts in front of you when it comes to living an amazing life in the body you have now.
Price: $99.00 Click here to register
($79.00 for DancesWithFat members – register on the member page)

Love It! 234 Inspirations And Activities to Help You Love Your Body
This is filled with thoughtful advice from the authors Jeanette DePatie, Ragen Chastain, and Pia Sciavo-Campo as well as dozens of other notable names from the body love movement, the book is lovingly illustrated with diverse drawings from size-positive artist Toni Tails.
Price: $9.99 softcover, $7.99 Kindle, ($6.95 + free shipping for DancesWithFat Members)

Book Me!  I’d love to speak to your organization (and I can do it remotely!) You can get more information here or just e-mail me at ragen at danceswithfat dot org!



via Dances With Fat https://ift.tt/2FnyfQu

Friday, 4 September 2020

Friday, 28 August 2020

Britain’s Plan To Fight COVID-19 With Fatphobia Is Terrible

Britain has launched a program called “Better Health” that is claiming that it will improve health by perpetuating fatphobia and convincing people to engage in so-called health interventions that almost never work.

It utilizes the “eat less, move more” theory that has been proven not to work since at least 1999. and that even Canadian Health Professionals who sell weight loss have admitted doesn’t work. But encouraging people to attempt intentional weight loss despite the fact that there isn’t a single study where more than a tiny fraction of people succeed at significant long-term weight loss is, sadly, nothing new.

Tying it to the equally questionable idea that fat people are at a higher risk for COVID-19/more severe symptoms because of their body size (and not because of the unequal treatment we receive in society, and the very medical weight stigma at the root of this program) is new, and terrible.

Quick history lesson – during the H1N1 outbreak, fat people had poorer health outcomes (and everyone jumped on the bandwagon to figure out exactly what about fat bodies was the cause.) It turns out the actual issue was that fat people were systematically treated later with antiviral medication than thin people. Per a study on the subject “After adjustment for early antiviral treatment, relationship between ob*sity and poor outcomes disappeared.” More about the issues with the claim that being fat increases COVID-19 risk/severity can be found here and here.

Besides which, we don’t know that making larger people (temporarily) a bit smaller will do anything to change their COVID-19 risk, nor do we know that if encouraging people to restrict food and exercise to create a situation where their body has to consume itself to survive could actually make things worse. The idea that if we make fat people look more like thin people then their health outcomes will be the same is not remotely scientifically sound.

They are making the incredibly dubious claim (with absolutely no evidence) that if every person who is considered fat loses 5.5 pounds (an amount many menstruating people gain and lose each month, and that I could personally lose right now with a haircut and a loofah) it will save the NHS $135M in five years.

In fact, the only arguably “smart” (though still terrible) thing they did is make this only a 12-week program. Almost anyone can lose a little weight short term. Then, like almost every study on weight loss, they’ll stop tracking results before the vast majority gain it all back (with many gaining back more than they lost) and claim success, blaming the *almost everyone* who gains the weight back.

This will do an incredibly amount of harm in the following ways:

First, any time there is a national campaign against fat people, it increases the stigma that fat people deal with. Studies have shown that this stigma is correlated to many of the same health conditions to which being fat is correlated. Making people hate their bodies does not improve health outcomes.

When programs like this correlate weight loss with health it sets people up to give up on supporting their health when they, almost inevitably, fail to maintain weight loss. Health, by any definition, isn’t an obligation, barometer of worthiness, or entirely within our control, but setting us up to believe the lie that the only way to pursue health is through weight loss, and then fail (often repeatedly) at weight loss does not improve health outcomes.

Many of the things that people are claiming may cause fat bodies to be at higher COVID-19 risk are actually correlated with weight cycling (yo-yo diet) which is by far the most likely outcome of multiple weight loss attempts, which Britain’s program will actually increase.

Consider weight cycling as an example. Attempts to lose weight typically result in weight cycling, and such attempts are more common among obese individuals [62]. Weight cycling results in increased inflammation, which in turn is known to increase risk for many ob*sity-associated diseases [63]. Other potential mechanisms by which weight cycling contributes to morbidity include hypertension, insulin resistance and dyslipidemia [64]. Research also indicates that weight fluctuation is associated with poorer cardiovascular outcomes and increased mortality risk [6468]. Weight cycling can account for all of the excess mortality associated with ob*sity in both the Framingham Heart Study [69] and the National Health and Nutrition Examination Survey (NHANES) [70]. It may be, therefore, that the association between weight and health risk can be better attributed to weight cycling than adiposity itself [63].

In addition to the calorie counting push being destined for failure based on all the research that exists, this kind of campaign does real harm to people who may develop, are living with, or are recovered from eating disorders.

The government is insisting on putting calorie counts on menus which has been found to do nothing to change food choices but increases the chances of triggering an eating disorder. (Also incredibly triggering is a massive media campaign that focuses on the idea that thin(ner) is better.)

Perhaps most frustrating of all, it is entirely possible to create public health interventions without weight stigma, thus actually increasing the upside while eliminating the downside for people of all sizes. We should hold our leaders to this standard and refuse to participate in these farces that claim to be about wellness but are deeply, inextricably linked to fatphobia.

Did you find this helpful? If you appreciate the work that I do, you can support my ability to do more of it with a one-time tip or by becoming a member. (Members get special deals on fat-positive stuff, a monthly e-mail keeping them up to date on the work their membership supports, and the ability to ask me questions that I answer in a members-only monthly Q&A Video!)

UPCOMING ONLINE WORKSHOP:
Getting Jiggly With It! Movement In A Fat Body

Movement/fitness/exercise by any definition is never an obligation or barometer of worthiness. But for fat people who want to move our bodies – whether it’s because we enjoy it, or because of the benefit(s) we get from it (even if we don’t enjoy it,) whatever our reasons a fatphobic culture can create barriers, misinformation, and other difficulties for us. In this workshop we’ll explore tips, tricks, and information to help us move our bodies for our own reasons. (This workshop can also be helpful to fitness pros who want to create a fat-positive practice!)

Details and Registration: https://danceswithfat.org/monthly-online-workshops/
*This workshop is free for DancesWithFat members

Like this blog?  Here’s more stuff you might like:

Wellness for All Bodies Program:A simple, step-by-step, super efficient guide to setting and reaching your health goals from a weight-neutral perspective.  This program can be used by individuals, or by groups, including as a workplace wellness program!

Price: $25.00 ($10 for DancesWithFat members – register on the member page)

Non-members Click here for all the details and to register!
Body Love Obstacle Course

This e-course that includes coaching videos, a study guide, and an ebook with the tools you need to create a rock-solid relationship with your body. Our relationships with our bodies don’t happen in a vacuum, so just learning to see our beauty isn’t going to cut it. The world throws obstacles in our way – obstacles that aren’t our fault, but become our problem. Over the course of this program, Ragen Chastain, Jeanette DePatie, and six incredible guest coaches will teach you practical, realistic, proven strategies to go above, around, and through the obstacles that the world puts in front of you when it comes to living an amazing life in the body you have now.
Price: $99.00 Click here to register
($79.00 for DancesWithFat members – register on the member page)

Love It! 234 Inspirations And Activities to Help You Love Your Body
This is filled with thoughtful advice from the authors Jeanette DePatie, Ragen Chastain, and Pia Sciavo-Campo as well as dozens of other notable names from the body love movement, the book is lovingly illustrated with diverse drawings from size-positive artist Toni Tails.
Price: $9.99 softcover, $7.99 Kindle, ($6.95 + free shipping for DancesWithFat Members)

Book Me!  I’d love to speak to your organization (and I can do it remotely!) You can get more information here or just e-mail me at ragen at danceswithfat dot org!



via Dances With Fat https://ift.tt/2YGUZSg

Saturday, 22 August 2020

THIS FAT OLD LADY’S FAT FRIDAY – IS THAT WHY I DO THAT?

THIS FAT OLD LADY’S FAT FRIDAY – IS THAT WHY I DO THAT?



via Fatties United! https://ift.tt/2E8nFN3

Friday, 21 August 2020

Converse Makes a Couple Pieces In Slightly Bigger Sizes, Then Lies About it

CONVERSE SHAPES FOR EVERY BODY the ad proclaims. It continues “What if clothing was free from gender? If you define the clothes, the clothes don’t define you. A new type of clothing designed for every body.”

What if indeed? I am absolutely in favor of clothing companies making size and gender inclusive clothing. But this…isn’t that.

First of all, the largest size is XXL. So apparently Converse thinks I and everyone else over an XXL does not exist? Or that we are non-corporeal somehow?

But lets talk about the clothes. Their gendered clothes come in a variety of colors, patterns, and shapes. In this “genderless” collection you can get clothes in any color you want, as long as it’s black, white, or a color they call “field surplus” (which I can best describe as drabbest green,) and basically shapeless. I also notice that a lot of their straight-sized, gendered options sport a huge logo on them, but in order to tell that these clothes are Converse one would have to get “back the fuck up” close to wearer to read the tiny tag. Normally I would never complain about lack of a company’s self-promotion on their clothing, but in this case it makes me wonder if Converse isn’t proud to call these clothes their own.

No offense to people who like these clothes, which of course is totally valid, but the first thing they made me think of was the punishment clothes they made us wear in school if we forgot our PE clothes.

Also, as someone with cis-privilege I definitely don’t mean to speak for Trans and Non-Binary people, but my understanding is that creating genderless clothing isn’t about creating a few pieces without much color or shape, it’s about taking the gender labels off, making all the clothes in all the sizes and then of course dismantling the cis-sexism and transphobia in the world so that all people can dress in all the colors and shapes, not none of them.

Then we’ve got the “all sizes” lie. The idea that these clothes are for “all sizes” is 100% pure bullshit. Besides the fact that the sizing is absolutely bonkers (in what world is a single size equivalent to cis-men’s M-2X and cis-women’s XL-XXL?) it’s simply a lie, which I already covered in this video:

We need actual size and gender inclusive clothes (looking at you SmartGlamour!) not this lip service nonsense that creates even more exclusion by getting our hopes up and then dropping them off a cliff.

Did you find this helpful? If you appreciate the work that I do, you can support my ability to do more of it with a one-time tip or by becoming a member. (Members get special deals on fat-positive stuff, a monthly e-mail keeping them up to date on the work their membership supports, and the ability to ask me questions that I answer in a members-only monthly Q&A Video!)

UPCOMING ONLINE WORKSHOP:
Getting Jiggly With It! Movement In A Fat Body

Movement/fitness/exercise by any definition is never an obligation or barometer of worthiness. But for fat people who want to move our bodies – whether it’s because we enjoy it, or because of the benefit(s) we get from it (even if we don’t enjoy it,) whatever our reasons a fatphobic culture can create barriers, misinformation, and other difficulties for us. In this workshop we’ll explore tips, tricks, and information to help us move our bodies for our own reasons. (This workshop can also be helpful to fitness pros who want to create a fat-positive practice!)

Details and Registration: https://danceswithfat.org/monthly-online-workshops/
*This workshop is free for DancesWithFat members

Like this blog?  Here’s more stuff you might like:

Wellness for All Bodies Program:A simple, step-by-step, super efficient guide to setting and reaching your health goals from a weight-neutral perspective.  This program can be used by individuals, or by groups, including as a workplace wellness program!

Price: $25.00 ($10 for DancesWithFat members – register on the member page)

Non-members Click here for all the details and to register!
Body Love Obstacle Course

This e-course that includes coaching videos, a study guide, and an ebook with the tools you need to create a rock-solid relationship with your body. Our relationships with our bodies don’t happen in a vacuum, so just learning to see our beauty isn’t going to cut it. The world throws obstacles in our way – obstacles that aren’t our fault, but become our problem. Over the course of this program, Ragen Chastain, Jeanette DePatie, and six incredible guest coaches will teach you practical, realistic, proven strategies to go above, around, and through the obstacles that the world puts in front of you when it comes to living an amazing life in the body you have now.
Price: $99.00 Click here to register
($79.00 for DancesWithFat members – register on the member page)

Love It! 234 Inspirations And Activities to Help You Love Your Body
This is filled with thoughtful advice from the authors Jeanette DePatie, Ragen Chastain, and Pia Sciavo-Campo as well as dozens of other notable names from the body love movement, the book is lovingly illustrated with diverse drawings from size-positive artist Toni Tails.
Price: $9.99 softcover, $7.99 Kindle, ($6.95 + free shipping for DancesWithFat Members)

Book Me!  I’d love to speak to your organization (and I can do it remotely!) You can get more information here or just e-mail me at ragen at danceswithfat dot org!




via Dances With Fat https://ift.tt/2E3Bs7v