{"podcast":{"title":"Psychobabble","slug":"psychobabble-6187665","podcast_index_feed_id":6187665,"rss_url":"https://rss.libsyn.com/shows/615795/destinations/5371245.xml","website_url":"https://hannahspier.substack.com/podcast","image_url":"https://static.libsyn.com/p/assets/1/e/b/a/1eba39c79f39be16d959afa2a1bf1c87/with_spier.png","author":"Hannah Spier, MD","episode_count":84,"summary":"Psychiatrist analyzing how cultural trends and modern therapy incentivize dysfunction. hannahspier.substack.com","last_synced_at":"2026-06-12T00:18:47.646950+00:00","page_url":"https://stenobird.com/podcast/psychobabble-6187665"},"episode":{"title":"#58. Dissecting the 4 Major Obesity Delusions","slug":"58-dissecting-the-4-major-obesity-delusions","published_at":"2026-03-11T05:40:00+00:00","page_url":"https://stenobird.com/podcast/psychobabble-6187665/58-dissecting-the-4-major-obesity-delusions","show_page_url":"https://stenobird.com/podcast/psychobabble-6187665","url":"https://5e8f8b9d-d7a7-4829-a330-86d6ed28077e.libsyn.com/58-dissecting-the-4-major-obesity-delusions","audio_url":"https://dts.podtrac.com/redirect.mp3/pscrb.fm/rss/p/traffic.libsyn.com/secure/5e8f8b9d-d7a7-4829-a330-86d6ed28077e/58._Dissecting_the_4_Major_Obesity_Delusions.mp3?dest-id=5371245","summary":"Obesity is increasingly explained through hormones, genetics, metabolism, and microbiomes. These explanations sound compassionate, scientific, and non-judgmental — but they often fail to explain what we actually observe and definitely fail those who want to lose weight. Become a Psychobabble Insider and join us this Saturday the 14th of March at 3 PM Eastern for a Live Clinical Session on psychiatric medication! 00:00 The Hard Truth: Obesity Is Psychological01:57 Lie #1: The \"Slow Metabolism\" Alibi02:51 The Truth About Thyroid Issues04:40 Lie #2: The \"Fat Gene\" & Family Habits06:58 Lie #3: The Microbiome \"God of the Gaps\"10:10 Lie #4: The Starvation Mode Myth14:30 Why Your Skinny Friend Stays Thin15:50 Insulin: Signals vs. Calories16:50 The \"Food Noise\" & GLP-1 (Ozempic)22:50 Conclusion: The Alcoholism Comparison This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit hannahspier.substack.com/subscribe","meta_description":"Obesity is increasingly explained through hormones, genetics, metabolism, and microbiomes. These explanations sound compassionate, scientific, and non-jud…","key_points":[],"chapters":[],"topics":[],"duration_seconds":1438,"processing_state":"not_requested","actions":[{"name":"request_transcript","method":"POST","url":"https://stenobird.com/v1/public/podcasts/psychobabble-6187665/episodes/58-dissecting-the-4-major-obesity-delusions/transcription-requests","description":"Idempotently request low-priority transcript generation for this episode."},{"name":"read_markdown","method":"GET","url":"https://stenobird.com/podcast/psychobabble-6187665/58-dissecting-the-4-major-obesity-delusions.md","description":"Read the agent-friendly Markdown representation of this episode resource."}]}}