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21 Aug, 5 tweets, 2 min read
"Body-mass index and risk of 22 specific cancer"

Wow, shots fired! I'm sure you've got evidence to back that up since you got your article published in @TheLancet, right?

But wait...

What's this? (1/5)

thelancet.com/journals/lance…
"Assuming the relationships to be causal, many cancers are attributable to ov**weight and ob*sity."

Did you just say ASSUMING the relationship to be causal?

Did you even stop to ask yourself whether it's possible that the relationship ISN'T causal?

No?

Huh. (2/5)
Don't worry, I'm gonna help you out...

1. Doctors ignore weight loss in fat patients.

2. Doctors are less skilled at examining fat patients.

3. Doctors are less inclined to investigate fat patients

4. Doctors discriminate against fat patients (3/5)
5. Doctors repeatedly traumatise and stigmatise their fat patients which leads to fear and avoidance.

ALL of the above can lead to a delayed diagnosis. Then there's the social determinants of health, many of which are linked to ob*sity AND independently to cancer. (4/5)
Did you consider any of these in the design of your study or the discussion of your results?

Nope.

But you adjusted for smoking and menopause so.....

It disgusts me that researchers can be so lazy and biased and get away with it. No wonder we can't trust you. (5/5) Image

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More from @thefatdoctoruk

FatdoctorUK Profile picture
15 Sep
I'm a bit confused about galas. I get that they are all about fundraising. That's never a bad thing. But am I right in thinking the #MetGala costs several million to host every year? And that it is as opulent as it gets and only the richest people can attend?
Meanwhile there are people dying in their thousands every day and the rest of them are sat at home dreaming of the day that they will be rich enough to attend the gala themselves. Oh wait, that's the whole point right? I've just figured it out.
You put on this fancy event which costs millions but raises even more and therefore pretend that it is about fundraising. But it's not. It's just another excuse for rich people to party and feel good about themselves. Afterall, they could just cut a cheque right?
Read 7 tweets
FatdoctorUK Profile picture
15 Sep
This is actually a really good question and I had to think on it for a moment. I appreciate the way you asked it Josh.
I don't believe in the concept of "ob*sity". The word literally means to be fat. It's only recently that we medicalised fatness. Which is kinda weird when you think about it. We didn't medicalise shortness. Or baldness. (Both of which are associated with heart disease btw)
Why fatness? The answer is western society's deeply ingrained hatred of black people. Please read "Fearing the black body: the racial origins of fatphobia" by @SaStrings for a more in depth understanding of this. I think it's really important to understand the timeline here.
Read 9 tweets
FatdoctorUK Profile picture
8 Sep
Even if you believe that being fat is extremely hazardous to your health... Even if you believe that weight loss will cure you... does that really justify the way you treat fat people? Does it give you the right to stop someone in the street and offer them lifestyle advice? (1/4)
Does it give you the right to shout abuse out of your car window or troll them on social media? Does it mean you get to deny them their basic rights to equal healthcare, education, housing and employment? Do you deserve to earn more than they do? (2/4)
Even if you genuinely believe that people are only fat because they are lazy and greedy, does that mean they don't deserve basic human decency? Does that mean you have to punish them and make them suffer? And worse of all, that you are allowed to get away with it? (3/4)
Read 4 tweets
FatdoctorUK Profile picture
23 Aug
Unpopular opinion (but still true):

The reason that being fat is associated with higher COVID deaths has nothing to do with the individual, and everything to do with the healthcare system that has failed them.

People don't die of viruses because they're fat. (1/7)
In fact, studies have shown that being fat is actually a PROTECTIVE factor if you ever end up in ICU.

Cue all the critics...

"Fat people are harder to ventilate".

So? Learn how to ventilate better. It's not their fault that their anesthesiologist is incompetent. (2/7)
"Fat people have lots of underlying disease".

So do thin people. If you're suggesting that underlying disease causes poorer COVID outcomes, then say that. The fact that fat is synonymous with poor health is a society problem, not an individual problem. (3/7)
Read 7 tweets
FatdoctorUK Profile picture
22 Aug
Unpopular opinion (but still true):

If you're in good health, it isn’t because you did something right.

If you're in poor health, it isn't because you did something wrong.

It's OK to want the illusion of control over your health, but that's all it is.

An illusion. (1/6)
Sure, there are things you can do to reduce your risk of illness...

Get enough sleep. Stop smoking. Reduce your stress. Drink alcohol in moderation. Try to be as active as possible. Practice safe sex. Eat lots of fruit and veg. Get vaccinated. Wear a damn mask! (2/6)
But reducing your risk of illness does not guarantee good health. Because health is predominantly controlled by factors outside of your control...

Genetics. Your parents income. Your childhood experiences. Your environment. Where you went to school. Food availability. (3/6)
Read 6 tweets
FatdoctorUK Profile picture
17 Jan
Causes of weight gain include:
1. Diet and exercise
2. Chronic stress
3. Genetics
4. Hormones
5. Age
6. Medical conditions,
7. Medications
8. Income
9. Education
Up until now, we've always been focused on the first one. What about the rest?
Everyone focuses on diet and exercise. They use it to point fingers, blame the individual, and perpetuate the myth that weight gain is due to laziness. Ever wondered why? Who stands to benefit the most from these stereotypes?
Back in the mid 20th century, a growing amount of evidence showed that tobacco use was harmful to health. But drs still smoked in front of patients. Some encouraged their patients to smoke. Why? Because the tobacco industry did everything they could to control the narrative.
Read 5 tweets

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