Ragen Chastain, MD

Yesterday a woman posted a plea for help on Ragen’s Facebook wall. She was recently diagnosed with a serious medical condition that can lead to permanent blindness, and her doctor recommended losing weight as part of her treatment. She was so afraid to even mention weight loss in her HAES and “body positive” groups that she turned to Ragen, whose opinion she clearly respects a lot.

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Idiopathic intracranial hypertension (pseudotumor cerebri) is a disorder where increased pressure within the skull causes headaches, nausea and vomiting, pulsatile tinnitus (hearing your pulse), visual disturbances, and so on, and will often lead to permanent blindness if left untreated. It’s almost exclusively limited to women, and over 95% of diagnosed cases are in overweight or obese women, with the risk increasing significantly with additional weight.

Source: Wikipedia

Treatment for serious cases of IIH may involve drugs, or surgeries to relieve the pressure like optic nerve sheath fenestration (making incisions in the tissue surrounding the optic nerve) or placing shunts in the brain. Shunts must be carefully monitored and often require revision surgeries which are more life-threatening than the condition itself. In almost all cases, weight loss is considered the primary treatment. This is the position of the National Eye Institute, which is backed by a huge volume of research.

Sustainable weight loss through healthy eating, salt restriction, and exercise is a critical part of treatment for people with IIH who are overweight. Studies show that modest weight loss, around 5-10 percent of total body weight, may be sufficient to reduce signs and symptoms. If lifestyle changes are not successful in reducing weight and relieving IIH, weight loss surgery may be recommended for those with a BMI greater than 40.

In response to this woman’s post, Ragen’s Facebook followers chimed in with their experiences with IIH, telling her “correlation doesn’t equal causation”, weight loss may not resolve IIH, etc.

Then Ragen responded.

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In summary, a woman facing permanent blindness and seeking permission and validation to follow her doctor’s advice reached out to Ragen for medical help. The primary treatment for her condition is weight loss. Ragen responded by telling her that weight loss is impossible, that it won’t help her, and that even attempting to lose weight could make things worse. She then told the woman to ignore her doctor’s advice and demand the same treatment as “thin people” for a condition that almost exclusively affects obese people. The treatment for a “thin person” is often invasive surgery.

Ragen is so deeply embedded in her own nonsense she’d rather see a woman go blind than admit there is even the slightest possibility someone could lose weight, or there’s any evidence weight loss might improve a medical condition. It is horrifying that people respect her and come to her for this kind of medical advice, not to mention the fact that anyone would even feel they had to in the first place because of a toxic online community environment.

Ragen is a college dropout masquerading as a “trained researcher” and expert on the medical science of obesity and weight management. Her advice is dangerous and potentially deadly.

45 thoughts on “Ragen Chastain, MD

  1. If what Ragen was doing was simply encouraging fat.obese persons to feel good about themselves and enjoy movement, she would not catch 1/100 of the well-deserved shit she catches. Things like this are what make her an actively bad person. She is a narcissistic, self-aggrandizing liar who doesn’t care about anyone but herself. I have a difficult time wishing her well.

  2. Well, I discovered Ragen’s blog just a week or so ago and I have been struggling to decide what I think.

    However, here, I think there’s a gray area. The reason is that if the doc were recommending a medication, it would be ethical to list the downsides/risks of that medication: 10% of people on this medication may experience nausea and dizziness, one in 1000 could have severe side effects such as x and y etc.

    If a doctor is recommending a weight loss regimen, I think the same procedure should be followed. For example, citing the studies that show that going on a weight loss diet often result in weight regain to a higher-than original weight. If the doctor also thinks this person should try, he should say so, and why–and maybe recommend a professional he thinks can help.

    I think a lot of knowledgeable doctors probably struggle with this. They want to believe that patients can lose weight and keep it off, but they also know how rare this is. How to balance that? Personally, I think knowledge is power. If you read stories of people who actually have succeeded (such as the National Weight Control Registry), many of those people were well aware of the terrible odds, and most had actually already been on the lose-regain cycle themselves.

    That knowledge allowed them to find the right method for them to make the losses stick. I strongly believe that doctors just saying ‘lose weight’ as if it’s easy are probably doing more harm than good, and in that, at least Ragen has a point. I do not agree with her final conclusion of celebrating fat, however, I do think that doctors should not blithely recommend weight loss without any additional perspective on the now well known pitfalls of trying.

    • We don’t know if her doctor was willing to refer her to a nutritionist or a wellness program. She didn’t mention it, but most will. If she is insured, most insurance websites have free online health and wellness programs centered around permanent & positive lifestyle changes. I think the problem is when people hear the words “lose weight,” they shut down. Because they know that – even with programs and nutritionists and personal trainers – the individual has the biggest responsibility to ensure success. You can lead a horse to water…

    • Ragen is not a doctor or any type of medical professional. She is a blogger with an agenda, and any idiot who seeks medical advice from a stranger on the internet in place of a neutral expert who has seen and evaluated her in person deserves exactly what she gets.

      • This. As a medical provider, I have to compete with Aunt Gladys, and the person in the apartment next door, and my cousin who had this procedure, and every other idiot in my patient’s lives. Finally, I realized I’m not there to heal the patient. I’m there to give information, based on my training and experience. If the patient prefers Aunt Gladys’ recommendations to mine, well, it’s a free country and people are entitled to get sick, infirm and even die if they want.

      • You are forgetting how many terrible doctors there are out there, aren’t you?

        Most doctors don’t do any serious detective work or even have basic bedside manner and empathy.

    • Permanent fat loss is easy. It requires a lifestyle change. Nobody wants to do that. They just want to spew fat logic and say how most diets fail. Right?

    • WHAT?! This is almost as enraging as Ragen’s “advice”.

      The reason diets fail and people regain weight, is because they go on a diet in the first place. A diet is something temporary. Once you stop doing it, the weight will come back. Eating a balanced diet of an appropriate amount of calories is not a “diet”, it is normal eating. You need to change your lifestyle, not just go on some weird diet thing then go back to your normal habits after a few months.

      Permanent weight loss, and the attendant health benefits are 100% achievable and maintainable. There is no “trying”. You either do it, or you do not. Eat less. It costs you no money. It costs you no time. People keep making BS excuses why they cannot do it, or why it “doesn’t work” (hint: they’re not doing it), but at the end of the day the numbers reveal their personal failures and stare them in the face.

      The choice is, seemingly easy: put down the fork, or lose your sight. That this is a choice at all shows just how deluded and irresponsible these people are.

  3. What’s troubling is that the woman asking Ragen for help was so concerned about how the HAES and Bodypos groups would react to her losing weight. It was even more concerning that she’s separated her body from her eyes (modify my body to save my eyes) and that she is on the fence about weight loss NOT because she’s unsure if it’s necessary but because she would lose support from HAES and Bodypos – EVEN THOUGH SHE IS ALREADY LOSING HER VISION. She asked Ragen for any suggestions for communities that would support her losing weight and Ragen shut her down in the same manner that the rest of the Fat Acceptance delusionists. This is so sad and infuriating. I really really really hope this girl gets a second opinion & the support she needs to treat herself.

    • I hope this is a prank; someone trying to see how committed Ragen is to her idiotic principles. If it isn’t a prank, perhaps the woman will come to realize that blindness will render her life not worth living, and at least give weight loss a try. I can’t imagine choosing blindness just to keep feeding an addiction. Hopefully, her doctor and other people in her life will prod her into making the right decision.

      • We checked before publishing this post, and unfortunately it doesn’t appear to be a prank. The original poster has a well-established history of participating in HAES, FA, and body positivity discussions. Her replies to Ragen’s Facebook followers show she is really struggling to reconcile her condition with her beliefs.

    • This is some scary level of insanity. Her fear of the HAES community reaction is also quite worry some. I guess they are not that much about acceptance after all, huh?

      • It basically seems like a cult. Trying to reel in members through false advertising and deceit, and keep their members through fear. And if someone were to lose weight and start to disagree with those in charge, they are shunted, expelled, labeled as a persona non grata. If a lot of your social life is concerned with this group, you do not want to be left out.

  4. @Anonymous wrote:

    and that she is on the fence about weight loss NOT because she’s unsure if it’s necessary but because she would lose support from HAES and Bodypos

    Yeah. Agreed. A core foundation of the HAES is that it is extremely difficult to lose weight and keep it off, and given that fact, it may be healthier for the individual to pursue healthy habits as a goal rather than weight loss. I think that’s pretty darn solid as a concept. However, if it morphs into there is actually a PROBLEM with losing weight if one wants to, that’s a perversion of what I viewed as the original idea of it.

    And as for the part about even with nutritionists and personal trainers, the individual holds the biggest responsibility, well, yes. But I think it’s important to acknowledge that this is very difficult. Losing is easy; maintaining is hard. Every research study shows this–not just one from zillions of years ago that Ragen quotes. Every single one. The odds are long, even with personal trainers, nutritionists and a motivated person. If you’ve lost a large amount of weight and maintained it, most likely you know this because you’ve very likely failed a few times before succeeding. If you have never had a significant amount to lose, you can never understand …you will always think it’s just a matter of the person being lazy or weak-willed, and you’d be wrong.

  5. This post made me extremely sad. I feel like this woman was basically told by someone that she strongly admires that there is nothing that she can do. I have been lurking this page and others after coming across several references to Ragen on Reddit. However, this is the lowest of the low. She reposts blog entries, lies about her career and her athleticism: all of that is nothing compared to this post. In it she has in a single handed and direct fashion contributed to the emotional turmoil of an individual in the midst of a health crisis.

    I do not frequent facebook, but I am tempted to go on and search for this woman. I would tell her that the way she reconciles the love for her body and her need to lose weight is to realize that her body is hers and hers alone. Her decision to lose weight is not based on a need to fit in, to conform to societal pressures to be rail thin or the desire to please others. Instead, the decision to lose weight is based on her love for her body and her desire to continue to keep all parts in working order (namely her eyes.) It is a decision that is hers and hers alone to make.

    Will it be easy to lose the weight? No. Will it be easy to maintain? Not necessarily. However, this is another chapter that she will have to face as a person and anyone who puts you down for not making choices that will affect your livelihood does not have your best interest at heart.

    With all that said, keep posting on this blog. I hope that there are that it will help those who may have become alienated due to the HAES and FA groups.

    • I was involved in these communities, starting with Fatshionista on Livejournal and some blogs and groups on Facebook. I lost 5% of my body weight, gained a lot of muscle, and improved my insulin resistance by applying HAES how it’s supposed to work: healthy habits without watching the scale. I did look better once I was thinking about fashion and dressing the body that I had. This was all very helpful.

      When Ragen came on the scene and began presenting herself as a fat acceptance thought leader, I followed her blog and joined a Facebook group or hers, then began to find a lot of what she said distasteful.

      It bothered me that the public face of fat acceptance is “we have large bodies, but are healthy and functional!” and behind closed Facebook groups are blunt discussions about their many chronic health conditions (some of which contribute to weight problems, to be fair), why vets who tell people their cats need to lose weight are fatphobic, or how to handle life when you aren’t able to reach your own rectum to wipe it clean.

      I’m now in between: I’m not going to hang out on fatlogic, but I can’t be part of a scene that accepts Ragen as a thought leader, either.

      • Can I ask you how much of a following Ragen has in those communities? I know she heavily moderates her blog and allows no dissent whatsoever.Does the rest of the fat acceptance community support this type of behavior or are there those who accept weight loss in cases like this? thanks.

      • Sorry Frankie, I didn’t see this comment until now. The communities kind of scattered after Livejournal died out, and I’m not involved much anymore.

        I remember cases where people would lose 5 or 10% of their body weight and just keep their traps shut. However, what you have to remember is that “weight loss leads to more weight gain” is accepted more or less as fact… which is backed up by our own experiences of being really shitty at keeping up health routines. (Myself included: I’m 100 lbs overweight and have been gaining and losing the same 40 over and over my whole adult life. Am currently on the “gain” end.)

        I remember a few cases where people would have serious health problems that caused weight loss (say, Crohn’s or C. diff) and feel conflicted, especially about selling their old clothes to other community members. They find it upsetting when people compliment their weight loss because it’s due to really bad suffering and not a diet, and are also afraid of being seen as traitors by their online community.

        It depends on how you define “dissent.” The community is full of “safe spaces,” If you mean community outsiders delivering well-meaning diet and exercise advice that everyone in the community has heard hundreds of times before, then no, that isn’t going to stay up. I do not remember other communities being run with as heavy a hand as Ragen seems to; “kill yourself you fat fuck” would come down, but legitimate disagreements might not. Or might.

        Note that Ragen’s detractors seem to be mostly straight men, and the body acceptance movement grew out of communities of queer women, where support and non-judgement is the order of the day.

      • I always appreciate your thoughtful comments on the blog. I would like to point out that the creator of this blog is a woman, and more than 50% of the Reddit “fatlogic” community where most of the anti-Ragen sentiment comes from is female. It’s in Ragen’s and other FAs’ interests to pretend she is oppressed by misogynists, but that’s not the reality.

      • That’s interesting. I’m used to the people offering unsolicited weight loss advice and insults online being male; maybe I project that on posters as I read. My own Reddit username is gender-neutral and people assume I’m male, so I ought to know better. I’m used to women doing more quiet shunning or giving me disgusted looks and refusing to talk to me, and men being the ones who yell insults at me while I exercise outside. (Yeah, that really happens, but maybe once or twice in my life, not weekly. Moo.)

  6. But if the question-writer lets herself go blind, ignoring the proven method of halting the progression of the condition, she can just go on disability and get all the perks that Ragen’s scooter-bound GF demands, as well as a nice monthly paycheck. Problem? Anyone remember when Homer Simpson purposely gained 61 pounds so he could be qualified as disabled? What an insult to anyone born with a disability or who’s become disabled through an accident or disease…these people are low lifes.

    • BMI 44 wrote: I lost 5% of my body weight, gained a lot of muscle, and improved my insulin resistance by applying HAES how it’s supposed to work: healthy habits without watching the scale.

      This is awesome. And your post hits a nerve for me because I’m feeling that this part of HAES, which is the part I thought was the core of it, is lost in much of the current fat-positive discussion.

      Here’s the original HAES site by Linda Bacon, which emphasizes finding joy in movement and listening to your body’s satiety/hunger signals for eating: http://www.haescommunity.org/about.php

      • looking at the website, I don’t understand how people can read “compassionate self care” and take it to mean “eat 3000 calories a day.” In theory, HAES sounds like a healthy mindset for someone who has had a lot of psychological trouble with the whole “eat as few calories as possible and obsess constantly” kind of weight loss. It seems at its heart to be about listening to your body, eating when you’re hungry and stopping when you’re satisfied. Maybe people confuse satisfied and so full you can’t breathe deeply.

      • If I recall correctly, intuitive eating (something HAES throws around a lot) is something practiced by those recovering from eating disorders. Because of the damage binging and restricting causes, the body loses its cues (hunger, fullness, etc.) and intuitive eating was a way to restart/rediscover those cues.

        What HAES advocates seem to promote is that over-eating is okay even though you’ve probably killed your ‘fullness’ cue. Oh, you’re 300 lbs after intuitive eating? It’s because you’ve reached your Set Weight. Because 300 lbs is totally natural.

  7. Amen, 44 BMI & Evelyn – through painstaking hard work, I peeled off 20 stubborn pounds that had seemed intransigent (about 9% of my body weight)… & even though I can’t post dramatic “Before & After” photos, this is an accomplishment I’ll treasure even if I fail to lose another pound.
    I’ve established a solid exercise habit & much improved nutrition – can also relate to Haether’s “so full you can’t breathe” in my former life.
    I look forward to hearing about your Tempe experience – while even a sprint triathlon sounds unachievable (I’m a terrible, no good, very poor swimmer), I have set my sights on another go at the MS150 bike ride next spring.

  8. @Val, awesome! Since I’ve been reading a lot of what top scientists in the field are now recommending, I think your approach is right on target. It’s better to achieve a modest do-able weight loss than strive for an unattainable number in a binge-and-purge yo-yo cycle. @heather, it’s not just psychological. There is a large physical/biological component. Try googling leptin and ghrelin and what happens to them when you lose weight. @anonymous have you actually been obese and lost it long-term? Because you’re coming off to me like an able-bodied person crashing a support group for paraplegics and suggesting that if they weren’t so lazy they’d just ditch the wheelchairs and walk.

    • Leptin and ghrelin signaling pathways and changes that are either correlated with or the cause of obesity certainly could make things harder. For people with those issues, it’s pretty clear that they have to use more self-control and not rely on their body’s cues. I know that’s what I’ve had to do – I’m 5 months and 60 lbs into a 202 lb weight loss plan. My body clearly did not have its own best interests at heart, so I’ve had to take charge and stop being ruled by it. At this point, I do feel like the chemical pathways are possibly resetting – I am learning what satiety and normal hunger feel like. Learning normal levels of hunger and how to tell my body needs more energy or has plenty to use (time to hit the gym!)

      When I said psychological, though, I was referring to people who go way overboard on the calorie counting and become obsessive and punishing about it. If they have appropriate hunger and satiety signalling, intuitive eating can work.

  9. @Evelyn- This isn’t a personal jab. I just wanted to address your last post. I apologise if it comes across as ‘nippy’, I’m just trying to be brief while also playing devil’s advocate🙂

    Firstly, what field do these scientists belong to? Biochemistry, physiology? What are their qualifications? What signifies them as being at the top of their field? Are these papers in peer reviewed journals or magazine articles or blogs? Do they have any conflicts of interest e.g. their work is sponsored by a food producers’ lobbying group? You’re asserting there’s evidence to support your POV so you get to show your cards first.

    How do you define a ‘doable’ weight loss? How much and how quickly? I believe that many dieters want too speedy a weight loss. Months or years to get down to a healthier size depending on how much that person has to lose. In turn, it reinforces the need for a lifestyle change. However, US/UK society has lost sight of both what a ‘normal’ weight (ie lowest risk of weight impacting on health conditions present and future) and what is a healthy lifestyle. It isn’t necessarily unhealthy to see ribs or hip bones or a collar bone on an adult female.

    Lastly, you can’t invalidate someone’s argument solely by asserting that your experience trumps the opposing scientific evidence. If you could, the simple existence of people who have lost lots of weight and kept it off would cancel out your testimony. Maybe the person has succeeded but doesn’t feel it adds to their argument. Personal testimony against majority evidence is also nowhere near as strong the very science you insist be presented by those with opposing views. You’d need to keep a food diary including absolutely everything you eat and drink. You’d need to calculate your BMR and TDEE and prove that your calorific intake is somehow lower than your TDEE while gaining weight at the same time. This would be a scientific discovery of importance for the human race. The bigger you are, the higher your metabolism is as it has more to do. So a slow metabolism is rarely the answer. Even medication tends not to directly cause weight gain. You either have an increased appetite (it can truly be tortuous when you know what’s going to happen) or make you more drowsy/inactive which can also be a result of the illness your medication is for.

    The paraplegic/ able bodied analogy is unfair on paraplegics and not a valid parallel with obesity. Paraplegics can’t use their lower body due to nerve damage. Be it by trauma or disease. In itself, there is a clear single medical cause. The analogy above relies on the ignorance of the interloper as to the condition in question. And the ignorant person is an ****hole. By your own analogy, someone who walks into an obesity support group and tells them to them to loose weight is also an ****hole. In some situations, they would be. However, that person could instead be a doctor, physio, nurse, dietician etc who knows all the medical histories and is imparting evidence based clinical judgement. The fact that that information upsets the group, makes them angry or ashamed is an emotional reaction but doesn’t affect the validity of the professional advice. Losing weight is hard if it requires a major change in thinking, of lifestyle and personal values. Many people need lots of support to achieve this. Sometimes the road is bumpy. Look at trying to quit smoking or drugs. It’s hard. Many fail. Many relapse. But many do succeed. They are upfront with themselves about the damage smoking is doing to them and others around them. Of the extra spending to keep the habit up. They find alternatives to holding the cigarette. Interests to avoid boredom. Avoid situations where they struggle not to light up. Again, it’s a lifestyle change that needs to be sustained. Their brain wants to keep receiving the lovely nicotine and will cause cravings. But ultimately, it’s the individual who has to decide whether to quit or keep smoking. They take responsibility to stop a harmful aspect of their lives. No one ‘has’ to lose weight, regardless of size. But my problem with HAES is not that people lie to themselves or are ill-informed but the willful misinformation that is spread to those new to the movement . To have your beliefs validated by others serves an important social function. But it won’t necessarily be in your best interest.

    Lordy, that was way longer than I envisaged.

    For a more entertaining version of the above, if you haven’t already seen them, I heartily recommend watching ‘Secret Eaters’ and ‘Supersize vs Superskinny’. Have a look on youtube. They’re both from Channel 4 in the UK.

  10. @anonymous, all peer-reviewed and top researchers based on publications in this type of journal. I pretty much discount blogs and magazine articles. I’ve read a ton of this stuff over the years, because I have a personal interest in this field. On the question of experts recommending modest weight loss that is actually achievable, the success posted by Val above, it’s in a ton of peer-reviewed literature. Here’s just one paper co-authored by Tom Wadden, head of the center for weight and eating disorders at the University of Pennsylvania:

    http://www.ncbi.nlm.nih.gov/pubmed/?term=Foster+GW%2C+Wadden+TA%2C+Vogt+RA%2C+Brewer+G.+What+is+a+reasonable+weight+loss%3F+patients'+expectations+and+evaluations+of+obesity+treatment+outcomes. Sorry, the full version is paid only however you can see that the article says in the first sentence that experts recommend a reasonable weight loss for obese people, rather than striving for an ideal weight. What Val has done is in fact what experts say is the best strategy.

    I’m here at this blog because I was interested in the fact-checking about Ragen, who I personally think is taking HAES to an unreasonable extreme. The fundamental idea of HAES is excellent, and I don’t think we should throw out the good parts of it just because Ragen has twisted it into something silly. HAES doesn’t mean, and was never intended to mean, that you should AVOID losing weight. It was founded to encourage you to live your life and be active and as healthy as you can be at whatever weight you are.

  11. I am stunned at this response by Ragen. As a trained mental health professional, I,ve had training and coursework in psychopharmacology. However, I don’t ever give medical advise. I urge people to see their doctor or go to the ER. I could lose my lisense for giving medical advise.

  12. I am fascinated with this phenomenon of pro-obesity denial. Maybe it’s due to my anthropology background. But this example of willful misinformation enrages me. I respect you taking the time to reveal these untruths…not that it takes much effort to prove HAES as unscientific. But Ragan’s followers are especially susceptible because … well, you know. She’ll never be able to successfully sue you. She’d have to prove what you said were lies. Truth is the absolute defense to defamation and/or libel. Besides, you’re only providing criticism of what she says publicly because she thrusts herself in the public in the first place. If you ever need an attorney (which you won’t), I got your back.

  13. Ragan is a despicable excuse for a human being, with the ethics of a gutter rat, but in all fairness….. This woman reached out to Ragan because she knew Ragan would tell her exactly what she wanted to hear. “Don’t lose weight. You are a special snowflake, just a really large one…”

    She doesn’t want to put forth the effort for her own health, to save her vision even, and like all of these HAES advocates instead retreats to a comfortable (for them) echo chamber where no one expects any effort from each other, and in fact celebrate failure and a lifestyle of sickness.

    Funny how all of these obese people have the worst “luck” with diseases. Just stricken with them out of the blue, for no good reason but bad luck or “some vague notion about genetics.

    Having said that, good for you for taking the time to shine a light of truth and reality on this creature and what she is doing.

  14. […] For $5, Ragen sells a handy “doctor’s office survival packet” that includes printed postcards outlining her position that weight loss is impossible and weight gain is inevitable, and demanding treatment that goes against medical standards and ethics and assumes obesity has no effect on health and is itself untreatable. In all cases, Ragen requests a “thin person” treatment, even for conditions that almost exclusively affect obese people. […]

  15. This is easily the most disturbing Ragen Chastain “advice” I’ve seen. I hope this woman decides to listen to medical professionals rather than a delusional blogger.

  16. Oh man. I am overweight (am 81kgs so too heavy by about 11kgs for my height) and have idiopathic intracranial hypertension. I was diagnosed shortly before falling pregnant when I was 84kgs. i oost 8kgs to 76kg and my condition improved significantly. I was on my way to further weight loss but got pregnant. Fast forward to 1year after birth and I’m 81kgs and have to lose weight to save my eyesight. The issue with people with IIH is that they tend to be very overweight (I am one of the slimmest people with IIH my Drs have ever seen). Normally people are 20++ kg overweight. I joined all the FB support groups for IIH and I just could not believe the denial everyone was in that being overweight caused or precipitated this disease, and weight loss would cure it in 90% of cases. I actually got banned from several groups for arguing that the medical literature was correct – losing weight cures this disease. I also have a degree in medical science so I’m not an idiot and am able to read and interpret studies and give appropriate weight to them(excuse the pun!!). It’s just a disease – being overweight that is. It’s almost a mental illness. People are so blinded by themselves and up their own arses and just can’t believe that fat =unhealthy and in some instances can cause serious morbidity and mortality. I equate fat logic to anti-vax logic. If you really want to see stupid, join some FB groups for idiopathic intracranial hypertension (IIH). And yes – I am losing 1kg per week and soon will be healthy. Not soon enough for me!

    • Thank you for sharing your thoughts. I did actually have a look at some IIH support forums when I originally wrote this post, and there was definitely a strong element of denial about the effects of weight loss on IIH and health in general. It amazes me people would rather have invasive procedures than simply lose a bit of weight. I feel bad for the tiny number of health weight women diagnosed with this condition who don’t have the option of losing weight.

      Good luck with your weight loss!

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