06/18/2026
I had such a meaningful conversation with Dr. Cristina Castagnini on the Cristina Castagnini about weight stigma, GLP-1s, and the eating disorders healthcare so often misses or even praises in larger bodied patients.
We started with my own story, my atypical anorexia and orthorexia during chiropractic school, and how that experience is actually what led me to build a weight neutral practice.
From there we got into the real harm of BMI based medical denial, where patients are refused surgeries and procedures they need based on a number that says very little about their actual health.
We also talked honestly about GLP-1 medications, including the sarcopenia risk that rarely gets mentioned before someone starts one, and why informed consent matters so much here.
If you are a provider rethinking how you talk to patients about weight, or you are someone who has felt dismissed in a doctor’s office because of your body size, this episode is for you.
Episode 290 is live now. Link in bio to listen to the full conversation.