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FatdoctorUK🏴󠁧󠁢󠁳󠁣󠁴󠁿🏳️‍⚧️🏳️‍🌈🩺 Profile picture
FatdoctorUK🏴󠁧󠁢󠁳󠁣󠁴󠁿🏳️‍⚧️🏳️‍🌈🩺
@thefatdoctoruk
Dr Asher Larmie (they/he) | BRITAIN'S MOST OUTRAGEOUS DOCTOR | Weight inclusive GP | #EndWeightStigma |Transgender | Views my own | GMC 6077567
Apr 3, 2023 • 4 tweets • 1 min read
Weight stigma in the doctors office looks like
1. Symptoms being ignored
2. Being told to lose weight to fix your symptoms
3. Being judged, humiliated, ans traumatised by HCPs.
4. Lack of equipment that fits
5. Unsolicited weight loss advice
6. A generally hostile environment It also looks like:
1. Doctors assuming things about patients based on size
2. Drs refusing to examine or treat patients
3. Drs ignoring symptoms and blaming them on weight
4. Doctors celebrating unintentional weight loss
5. Delayed and missed diagnosis
6. Delayed treatment
Mar 23, 2023 • 5 tweets • 1 min read
Timeline:
Some time ago: a well educated middle class woman posing as a "council estate mum" writes a charming series of books about a bunch of white kids at an elite boarding school for magical beings. People ignore the questionable content and she gets uber famous. Much later: this now extremely wealthy, powerful, influential and privileged woman starts attacking trans women for no apparent reason, seemingly to stay relevant. Her attacks become more frequent and unhinged. She develops a cult like following.
Mar 23, 2023 • 5 tweets • 2 min read
I feel like I want to just tag a whole bunch of them! Take this one...
"Professor John Wilding leads clinical research into Ob*sity, Diabetes and Endocrinology at the University of Liverpool, and leads specialist services for ob*sity at Aintree University Hospital. - designated a Centre for Ob*sity Management by the European Association for the Study of Ob*sity (funded by @novonordisk)

He chairs the National Clinical Research Network Metabolic and Endocrine Speciality Group.
Mar 23, 2023 • 6 tweets • 2 min read
Many of you have rightly pointed out that being fat worked in our favour when it came to getting the COVID vaccine. Aside from the fact that guidelines about needle size were routinely ignored, I couldn't agree more. BUT... It also further patholgoised our fatness during the pandemic. We can all agree that fat ppl needed that vaccine to protect us from a healthcare system that was determined to blame, shame and harm us for a VIRUS. I'm glad we got it. BUT...
Mar 22, 2023 • 14 tweets • 3 min read
In 2020 we were all told that being fat was associated with a significantly higher risk of dying of COVID. That's what the researchers said, that's what the media reported and that's what the doctors were telling us. Just look around the ICUs, they said. Its obvious, they said. Nobody thought to question the evidence. A hypothesis based on very little actual data (it was 2020, and we knew NOTHING at this stage) turned into a fact. And since that early media push, not a single person on earth has questioned that "fact". Until now.
Mar 15, 2023 • 5 tweets • 2 min read
Let me make something ABUNDANTLY clear. The term "unwell" is used to attack trans people and fat people all the time. I chose my words VERY CAREFULLY. I did not use the term "mentally unwell". As you can tell from the comments on my posts I endure a LOT of hate. The people who tweet hate messages at me are NOT mentally ill. They are just nasty, pathetic cruel human beings who live unfulfilled lives and get off on harming people. I've never ONCE met a mentally ill person whom I would describe that way. So don't put words in my mouth
Mar 15, 2023 • 8 tweets • 2 min read
Alright, who is ready for some truths about #InsulinReistance and #T2DM?
1️⃣ You can't prevent insulin reistance. It's coded in your DNA. It may be impacted by your environment. Studies have shown it has nothing to do with your BMI. 2️⃣ The term "pre-diabetes" is a PR stunt. The correct term is impaired glucose tolerance (or impaired fasting glucose) which is sometimes referred to as intermittent hyperglycaemia. It does not predict T2DM. It is best ignored and tested for every 3-5yrs.
Mar 14, 2023 • 7 tweets • 2 min read
I lost over a hundred followers because of my comments on #TheWhale. Many of you are trolling me and other fat activists in the most vile ways. I continue to be in awe of the lengths ppl will got to defend a rich powerful cisgender white man. "But he was sexually assaulted!".
Yes I'm well aware. That does not excuse a person from being fatphobic. Also, how dare you presume that I WASN'T sexually assaulted? Why rush to his defence by attacking me when you don't know whether we're in the same boat in that regard?
Mar 14, 2023 • 10 tweets • 4 min read
This 🧵 and the article written by @shanti_das and @JonUngoedThomas in last weekends @observer is phenomenal. It's about time the mainstream media starts looking at the unethical practices of @novonordisk and holding them to account. To add context to this tweet, Novo bought and paid for the so called "anti- oB*siTy" drug market a long time ago, and here's how

1️⃣ they created a fictional condition called pre-diabetes through the PR department of the @AmDiabetesAssn.
Mar 14, 2023 • 5 tweets • 2 min read
One of the things I learned from @JessicaWilsonRD book IT WAS ALWAYS OURS is the importance of not asking Black women to carefully consider the way they word things around me because they've earned the right to just say whatever the fuck they want to say. Why? Because they've been forced to consider every single word they've ever spoken since childhood, and the moment it isn't perfect, they get torn down for it. I want to be a soft space for Black women to land.
Mar 13, 2023 • 5 tweets • 2 min read
I generally ignore news about cisgender white celebrities which is why it has taken me this long to read about #GaryLineker. As the child of 2 immigrants and the granddaughter of a German Jew who escaped the Nazis in his youth, I believe I'm entitled to an opinion here. So here it goes. I don't give a fuck about Gary Linekar. I do, however, care about @SuellaBraverman, whose right wing and often times fascist opinions are endangering this country. In case you didn't know Suella is the daughter of 2 immigrants. One parent is Indian Kenyan
Mar 13, 2023 • 4 tweets • 1 min read
Once again, just a reminder that the Whale was written by, directed by, and produced by 4 thin white rich able bodied cisgender men. Oh, and check out its "fat" star who was celebrated and honoured at the Oscars last night. What a fucking joke. Image The point I'm trying to make here is that other oppressed minorities have made it clear that it is NOT OK for the white wealthy elite to write/direct/star in movies about them. This should apply to fat ppl too as we are an oppressed minority. This film also won best make up/hair.
Jan 27, 2023 • 15 tweets • 4 min read
OK, now onto recurrence rate (which is what the video is about but I wanted to cover general risk first as it is important to discuss both). Let's check out the evidence. We'll start with Protani et al 2010 Whilst this study DID show a significant difference in both overall AND disease specific survival rates the study itself concluded "no study has elucidated the causal mechanism and there is currently no evidence that weight loss after diagnosis improves survival".
Jan 27, 2023 • 15 tweets • 4 min read
Its taken me a few days to respond to this tweet because I wanted to make sure I got my facts checked first. This video focuses on the risk of *developing* cancer (not recurrence as the tweet implies) in oB*siTy. Unlike Liz (a breast surgeon), I'm gonna link you to the actual study as opposed to a graphic published by the British menopause society. This is a Meta analysis on good quality non randomised studies (12 in total) that have high Newcastle Ottowa score ncbi.nlm.nih.gov/pmc/articles/P…
Dec 29, 2022 • 8 tweets • 3 min read
"It doesn't mention weight loss so it's just a "lifestyle change". It's about health, not body size. Exercise is medicine. Blah blah blah."

If you say so, but these folks are just doing my job for me at this stage. (Read the alt text if you don't wanna look at the pictures) This is the add they reel you in with. Pretty innocent, right? Image
Dec 29, 2022 • 11 tweets • 3 min read
Something has been bugging me since @GretaThunberg swept the floor with that guy everyone keeps talking about (still have no idea who he is btw). It's the concept of body shaming. Making fun of someone's body is always wrong. But IMHO that's NOT what Greta was doing. The term #SmallDickEnergy is a dig at the cishetero patriarchy that values certain atributes, such as penis length, and underpins the kind of toxic masculinity that this Andrew guy appears to worship. It is not a dig at his *actual* penis.
Dec 29, 2022 • 7 tweets • 2 min read
I'm not sure we will ever understand the lengths to which the medical profession is prepared to ignore, cover up or even flat out lie about the evidence surrounding intentional weight loss. Let's take Non Alcoholic Fatty Liver Disease for example. 🧵 The evidence we base our guidelines on is fake. The guidelines Committee *admit* its fake. But We. Don't. Care.
(Slide taken from the current NICE guidelines on NAFLD)
Dec 28, 2022 • 12 tweets • 3 min read
It's time for your annual reminder that going on a diet come January 1st is one of the worst thing you could do for your health. 95% of you will gain back any weight that you lose and 2/3 will end up heavier but THAT IS NOT THE POINT 🧵 Consuming less energy (calories) than you need has a profound effect on the body. To begin with, you will start turning fat into energy, which is the whole point, right? Along with the fat you will also consume your own muscle which isn't ideal but supposedly it's worth it.
Dec 26, 2022 • 7 tweets • 2 min read
Dearest @GussieGrips
I am most concerned about all these cis women being raped by trans women in Scottish prisons. You'll have to forgive me, I've only recently moved here so I had no idea this was going on until you were brave enough to flash us (thank you for your service) Now that I am aware of the terrible plight these women are facing (being r*p*d RIGHT NOW in prisons) I had no choice but to drop EVERYTHING and do a little digging of my own. (Quite frankly, everything else can wait since this was important enough to warrant a full frontal) Image
Nov 13, 2022 • 7 tweets • 2 min read
Taking a moment to really consider some of the awful things that we doctors have been allowed to get away with because we hold a kind of 'special' status in society. Here are just a few that spring to mind: Studies show that doctors believe Black patients have a different pain threshold and require less analgesia than white patients. And so they undertreat pain in the Black community and are less inclined to take complaints of pain seriously.
Nov 12, 2022 • 4 tweets • 1 min read
So many of the "facts" we are taught about weight loss are complete fiction. For example, weight loss does not improve type 2 diabetes outcomes. So much so that they ended the LOOK AHEAD study early because of it. These guys spent almost a decade trying to prove it and failed! Weight loss does not improve arthritis. It does not significantly reduce your risk of a heart attack or stroke. It does not reduce your risk of cancer. Weight loss does not increase your life expectancy. It does not prevent you from developing any chronic conditions