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“It might seem odd to write about what high-weight patients would like when they meet with their doctors. Don’t they want what every patient wants? The answer is yes, but the fact is, they often don’t get it due to implicit anti-fat bias among health professionals.

In my 30-plus years of practice as an eating disorders therapist, I’ve heard the same laments from high-weight clients: Doctors only want to talk about weight, blame every health problem on being large-sized, always want to put them on a weight-loss diet, and advise them to get out and exercise. Clients know from experience at varying weights that they’re treated differently when they’re thinner from when they’re fatter.”

Karen R. Koenig is an eating disorder therapist. She can be reached at her self-titled site, Karen R. Koenig.

She shares her story and discusses her KevinMD article, “5 tips for treating high-weight patients.”

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Hosted by Kevin Pho, MD, The Podcast by KevinMD shares the stories of the many who intersect with our health care system but are rarely heard from.