On this episode of The Body Trust Podcast, Hilary, Sirius and Dana discuss the intentions behind their free ethical care guidelines for GLP-1 medications. They critique weight-centric healthcare, industry-influenced research, and an “ethics” focus limited to rationing and allocation rather than relational care, informed consent, and “do no harm.” Centering body autonomy, they stress that true consent requires unbiased information and freedom from coercion, including weight stigma and medical gaslighting. They highlight risks such as deaths, weight cycling, and inadequate eating-disorder screening, including concerns about people developing or worsening eating disorders on GLP-1s. They describe practical elements of weight-inclusive care, identify clinical red flags, and encourage patients and providers to use the guidelines to ask better questions while recognizing systemic anti-fat bias cannot be solved by individual weight loss.

RESOURCES

Ethical Care Guidelines for GLP1 Medications by Center for Body Trust

Freedom & Desire Substack by Sirius Bonner

Coaching with Meg Bradbury

Certified Body Trust Provider Directory

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On this episode Hilary, Sirius and Dana welcome Center for Body Trust program coordinator and coach Meg Bradbury to discuss orthorexia. Meg shares their background and describes growing up with body shaming, prior eating disorder histories, and how “healthy eating” escalated into orthorexia. The hosts unpack the overlap orthorexia has with influencer culture, toxic masculinity, and white-supremacist-coded “purity” narratives, and warn about restrictive medical/naturopathic food advice. Meg underscores the importance of recovery support by way of community, patience and non-linear healing.

02:52 Meg discussing their journey to Body Trust

11:10 Meg shares how their Orthorexia developed and escalates

31:43 The impact of Influencers and Wellness Culture on orthorexia

41:38 Medical Nuance and Restriction Risks

44:37 ED Risks Beyond Size

45:51 Food Advice and Performative Health

01:06:48 MAHA and co-opting body liberation language

01:08:41 How To Start Healing

RESOURCES

How White Nationalists Infiltrated the Wellness Movement

Orthorexia & Diet Culture in the Family (Meg with her daughter Carson)
Healthism: The Desire to be Healthy Gone Wrong

Coaching with Meg Bradbury

Certified Body Trust Provider Directory

Are you tired of “weighting” to live your life? Our beloved No More Weighting program is a self-paced e-course to introduce you to Body Trust. It is available for purchase now! Learn more here.

Looking for Body Trust training? Our Groundwork training starts the day you purchase it. Learn more here.

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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)

Are you tired of “weighting” to live your life? Our beloved No More Weighting program is a self-paced e-course to introduce you to Body Trust. It is available for purchase now! Learn more here.

Looking for Body Trust training? Our Groundwork training starts the day you purchase it. Learn more here.

For more on all of our offerings, click here.

Send us your thoughts/questions.

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Produced by Wowow Podcasts