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Nov 12, 2023Liked by Ragen Chastain

I just listened to you speak at the Renfrew conference and signed up right away. My dissertation, 25 years ago, was on weight and health. All these years later, and the medical community has at best hardly budged. I’m so excited about your newsletter. Thank you for your work and commitment. I’ve spent my career listening to the fallout of the diet culture. So much suffering 💔

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I get unreasonably angry every time Look AHEAD is data-mined to "prove weight loss works" or other related BS.

Look AHEAD was a *failed study*. It was intended to be a 20-year study to see how weight loss improved the cardiovascular health of fat people with type 2 diabetes. The theory was that since Everyone Knows [insert eyeroll here] that losing weight "cures" type 2 diabetes, that getting fat people with T2DM to lose weight would reduce the amount of deaths by cardiovascular events.

It was stopped after 10 years because there was no difference in the death rates of people in the weight loss group and the control group. It failed. But like the (in)famous Framingham Nurse's Study, it's regularly data-mined to find links and pseudocauses for things.

Digging through the data from an already conducted study is a cost-saving measure; studies cost money and finding the right participants can be a lot of work. However, I think it's also important to note that when researchers go digging through data used in an existing study to find proof of a pre-conceived theory, there is a high chance that they are p-hacking -- cherry-picking data to fit the conclusion they want to see.

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I was asked today how come I am the only doctor criticising taking the patients weight in the clinic while all clinic and hospitals insist on it. Tired of explaining myself, I sent them your article. Thank you to keep going, I don’t know how you do it. Sending you compassion and admiration

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Fabulous, you GO, woman!! Thank you for doing this! ❤️❤️

(Now where the fck did I leave my nutty buddy bar? omg they are good! Oh, the cat was sitting on it.)

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