Fierce Fatty Podcast

202: Part 2: The Truth About Weight Loss Surgery: Does It Really Make You Thin and Healthy?

Join us for part 2 of this deep dive into weight loss surgery! We talk about how much weight people lose, the mental health outcomes of people (big trigger warning there), surgery in kids and informed consent. TW: Mention of su!c|de, depression, children and surgery as well as general awful stuff fat people endure. Episode show notes: http://www.fiercefatty.com/202 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 Undergoing Bariatric Surgery: https://pubmed.ncbi.nlm.nih.gov/16234496/#:~:text=The%20rates%20of%2030%2Dday,001 Death Rates and Causes of Death After Bariatric Surgery for Pennsylvania Residents: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4888907/ No Evidence That Bariatric Surgeries Save Healthcare Costs or Save Lives: http://junkfoodscience.blogspot.com/2008/09/no-evidence-that-bariatric-surgeries.html Ethical Questions About Surgery Raised by Scientists: https://jamanetwork.com/journals/jama/article-abstract/196339 Suicide Rates: https://bariatrictimes.com/understanding-postoperative-suicide-self-injury/#:~:text=Based%20on%20their%20analysis%2C%20the,3.2%E2%80%935.1%2F10%2C000 Long-Term Weight Regain After Gastric Bypass: https://www.researchgate.net/publication/5459557_Long-term_Weight_Regain_after_Gastric_Bypass_A_5-year_Prospective_Study Association of Race With Bariatric Surgery Outcomes (Wood et al., 2019): https://jamanetwork.com/journals/jamasurgery/fullarticle/2727128 Racial Disparities in Bariatric Surgery Complications and Mortality Using the MBSAQIP Data Registry (Welsh et al., 2020): https://pmc.ncbi.nlm.nih.gov/articles/PMC7223417/

201: The Truth About Weight Loss Surgery: Does It Really Make You Thin and Healthy? (Part 1)

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 Undergoing Bariatric Surgery: https://pubmed.ncbi.nlm.nih.gov/16234496/#:~:text=The%20rates%20of%2030%2Dday,001 Death Rates and Causes of Death After Bariatric Surgery for Pennsylvania Residents: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4888907/ No Evidence That Bariatric Surgeries Save Healthcare Costs or Save Lives: http://junkfoodscience.blogspot.com/2008/09/no-evidence-that-bariatric-surgeries.html Ethical Questions About Surgery Raised by Scientists: https://jamanetwork.com/journals/jama/article-abstract/196339 Suicide Rates: https://bariatrictimes.com/understanding-postoperative-suicide-self-injury/#:~:text=Based%20on%20their%20analysis%2C%20the,3.2%E2%80%935.1%2F10%2C000 Long-Term Weight Regain After Gastric Bypass: https://www.researchgate.net/publication/5459557_Long-term_Weight_Regain_after_Gastric_Bypass_A_5-year_Prospective_Study Association of Race With Bariatric Surgery Outcomes (Wood et al., 2019): https://jamanetwork.com/journals/jamasurgery/fullarticle/2727128 Racial Disparities in Bariatric Surgery Complications and Mortality Using the MBSAQIP Data Registry (Welsh et al., 2020): https://pmc.ncbi.nlm.nih.gov/articles/PMC7223417/

200: Ozempic/Wegovy (GLP 1s) - Where Are We Now? (Part 2)

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.

199: Ozempic/Wegovy (GLP 1s) - Where Are We Now? (Part 1)

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.

198: The Ultimate Harm: Fat in Healthcare

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