{"podcast":{"title":"Weight and Healthcare","slug":"weight-and-healthcare-6448206","podcast_index_feed_id":6448206,"rss_url":"https://api.substack.com/feed/podcast/534306.rss","website_url":"https://weightandhealthcare.substack.com/podcast","image_url":"https://substackcdn.com/feed/podcast/534306/d3bfb50ee90fbbc45ca780a53f1e69d8.jpg","author":"with Ragen Chastain","episode_count":287,"summary":"Examining weight science, weight stigma, and what evidence, ethics, and lived experience teach us about best healthcare practices and public health for higher weight people.","last_synced_at":"2026-07-19T16:19:30.431958+00:00","page_url":"https://stenobird.com/podcast/weight-and-healthcare-6448206"},"episode":{"title":"How to Talk to Higher-Weight Patients About Behavior-Based Treatment Options","slug":"how-to-talk-to-higher-weight-patients-about-behavior-based-treatment-options","published_at":"2026-03-04T18:00:00+00:00","page_url":"https://stenobird.com/podcast/weight-and-healthcare-6448206/how-to-talk-to-higher-weight-patients-about-behavior-based-treatment-options","show_page_url":"https://stenobird.com/podcast/weight-and-healthcare-6448206","url":"https://weightandhealthcare.substack.com/p/how-to-talk-to-higher-weight-patients","audio_url":"https://api.substack.com/feed/podcast/182317276/ae4abddb989c16fe589c7b556526b647.mp3","summary":"I received the following reader question: My name is Mary and I’m a family doc (you can use my first name if you print this.) I wouldn’t say that I’m fully onboard with being weight inclusive but I’ve been reading your work and I can’t deny that what you are writing makes sense and is grounded in research (some of which I had never heard of in any of my training.) I have been thinking about what you wrote when you said how important it is that we ask our patients questions instead of making assumptions. I will admit to making assumptions about diet and exercise with patients who are what you would call higher weight. Thank you for helping me see that, but I’m having difficulty with what to do instead and how to ask the questions and I thought others might be as well. Is this something you would be interested in writing about? Thanks for the introspection, the open-mindedness, and the great question, I’m happy to write about this. Get full access to Weight and Healthcare at weightandhealthcare.substack.com/subscribe","meta_description":"I received the following reader question: My name is Mary and I’m a family doc (you can use my first name if you print this.) I wouldn’t say that I’m full…","key_points":[],"chapters":[],"topics":[],"duration_seconds":285,"processing_state":"not_requested","actions":[{"name":"request_transcript","method":"POST","url":"https://stenobird.com/v1/public/podcasts/weight-and-healthcare-6448206/episodes/how-to-talk-to-higher-weight-patients-about-behavior-based-treatment-options/transcription-requests","description":"Idempotently request low-priority transcript generation for this episode."},{"name":"read_markdown","method":"GET","url":"https://stenobird.com/podcast/weight-and-healthcare-6448206/how-to-talk-to-higher-weight-patients-about-behavior-based-treatment-options.md","description":"Read the agent-friendly Markdown representation of this episode resource."}]}}