S1E7: Promoting Health Without the Scale

The seventh episode of the podcast will dive into options for treating patients that do not center on weight change. Significant and permanent weight change is nearly impossible for the majority of the population, so we need to use weight independent, evidence based treatment for people of all sizes.

In this episode:

  • Defining weight neutral/weight independent and weight inclusive
  • Health at Every Size ®
  • Intuitive Eating vs Restrictive Eating
  • Well Now
  • How to move away from using weight as a determinant of health
  • Thinking beyond the individual - how society can change to support health

I would like to thank Julie Duffy Dillon for helping me come up with the title for this episode.

Music by Galynne Davis

Cover Art by Stacy Bias


Part of our job should not be just doing no harm, but also trying to remove the harm that’s being done outside of our offices.”
— DeAun Nelson, ND


Questions to Consider:

  1. How do your assessments and treatments change if they do not include weight change?
  2. How would you treat a thin patient without recommending weight loss?
  3. How can we, as individuals, help to create a society that improves everyone's health by reducing stigma.



1. Bacon, L. and Aphramor, L.Weight Science: Evaluating the Evidence for a Paradigm Shift. Nutrition Journal201110:9


2. Mensinger, JL et al. Appetite. 2016 Oct 1;105:364-74 https://www.ncbi.nlm.nih.gov/pubmed/27289009

3. https://lindabacon.org/_resources/resources-health-care-providers/

4. Aphramor, L. Validity of claims made in weight management research: a narrative review of dietetic articles. Nutr J. 2010; 9: 30.


5. http://lucyaphramor.com/dietitian/

6. Aamodt, S. (2016) Why Diets Make Us Fat: The Unintended Consequences of Our Obsession with Weight Loss. New York, NY: Penguin.

7. Bacon L, Aphramor L. Body respect: what conventional health books get wrong, leave out, and just plain fail to understand about weight. Dallas, TX: BenBella Books; 2014.

8. Bacon, L. Health At Every Size: The Surprising Truth About Your Weight. Dallas, TX: BenBella Books; 2008.