fat positive

Food Psych #199: PCOS and Food Peace with Julie Duffy Dillon

Julie Duffy Dillon.jpg

Fat-positive dietitian Julie Duffy Dillon joins us to discuss common misconceptions about managing polycystic ovarian syndrome (PCOS), how weight stigma harms people with PCOS, why you shouldn’t believe the hype about certain foods causing inflammation, the connection between PCOS and binge eating, the importance of considering that PCOS occurs in people of all genders, and so much more! Plus, Christy answers a listener question about the problems with a particular multi-level-marketing diet and the concept of “accountability” in the fitness world.

Julie Duffy Dillon is a Fat Positive Dietitian, Eating Disorder Specialist, and Food Behavior Expert who partners with people along their Food Peace journey. Julie began specializing in treating Polycystic Ovarian Syndrome in 2005 after noticing the connection with weight bias and eating disorders. She sought training on the physiology and endocrinology from pioneering experts willing to not focus on weight loss and diets to treat the complicated condition. This insight has provided people with PCOS to advocate for their physical and emotional health without torturing themselves with diets.

Julie hosts the weekly podcast Love Food. It is a Dear Abby show for those with eating concerns hoping to rewrite their fate. Listeners pen a letter to food outlining their complicated relationship. Julie and sometimes a guest discuss solutions before Food writes back.

She speaks around the country about anti-diet approaches to PCOS while running a group practice in Greensboro North Carolina. She was the featured expert dietitian and PCOS expert on TLC's documentary My Big Fat Fabulous Life. Find her online at JulieDillonRD.com.

We Discuss:

  • The effects of weight stigma in polycystic ovarian syndrome (PCOS) management and support

  • PCOS and My Big Fat Fabulous Life

  • Common misconceptions about PCOS management

  • The psychological consequences of PCOS

  • Julie’s practice-based evidence of PCOS management

  • Research on PCOS and weight

  • The updated evidence-based guidelines for PCOS management

  • The role of omega-3 supplementation for people with PCOS

  • Inflammation as it relates to PCOS

  • Why inflammation and “anti-inflammatory diets” are the latest bogus diet trend

  • Falsely blaming weight for medical conditions

  • The effects of weight cycling on health

  • Carbohydrate cravings among people with PCOS

  • High insulin levels in people with PCOS and what that means

  • Research on binge eating and PCOS

  • Christy’s experience with a misdiagnosis of PCOS

  • How sexism affects PCOS support from healthcare providers

  • Current research that may change the way PCOS is diagnosed

  • The importance of considering that PCOS occurs in people of all genders

  • Why it is important to have gender-affirming care for all health conditions, including PCOS

 

Resources Mentioned

Some of the links below are affiliate links. Affiliates or not, we only recommend products and services that align with our values.

Listener Question of the Week

What is your opinion on programs like Beach Body, and should I stop using and paying for them? Why does this program make you feel bad about yourself? Why is it important to give yourself permission to walk away from programs like this? How is this program different from a diet? How is the concept of accountability related to diet culture? How is movement different from exercise? How are the business practices of these types of program unethical? How are these businesses harmful to the coaches and clients of these programs?

(Resources Mentioned:

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Food Psych #188: How to Improve Treatment for Disordered Eating with Marcella Raimondo

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Eating-disorders psychologist Marcella Raimondo joins us to discuss how to improve disordered-eating treatment for people who don’t fit diet culture’s idea of what an ED “looks like,” how eating disorders can affect our career choices, why more representation of marginalized identities benefits everyone, how fatphobia was born out of racist beliefs about body size, and so much more! Plus, Christy answers a listener question about how to handle the fact that there are hateful corners of the internet devoted to tearing down the fat-acceptance movement.

Marcella Raimondo, PhD, MPH is a passionate and spirited clinical trainer speaking from her heart on multicultural issues in eating disorders since 1995. Marcella is a licensed psychologist for Kaiser Permanente’s adult eating disorder clinic in Oakland and part of a regional leadership team. She runs her own practice in Oakland. She is also on the Board for Eating Disorders Recovery and Support (EDRS) as President, advisory board for Association of Size Diversity and Health (ASDAH,) Advisory Board for Nalgona Positivity Pride (NPP) and Board of Founders for About-Face. Marcella herself recovered from anorexia nervosa over 15 years ago. Her recovery and her martial arts training inspires her dedication to multicultural body nurturance and community celebration. Find her online at MarcellaEDTraining.com.

This episode is also brought to you by NurX, the game-changing company that’s here to make getting birth control easier. Visit nurx.com/foodpsych for a $20 credit, and you can get birth control delivered securely and confidentially to your door in less than a week.

We Discuss:

  • The mixed messages that Marcella received in adolescence about food as a way to connect to her heritage, while being aware of the changes in her body

  • Anti-fatness as a response to racism and trying to assimilate

  • The thoughts and emotions that pushed her to start dieting, and eventually fueled her eating disorder

  • What motivated her to pursue recovery

  • How eating disorders can affect our career choices

  • Her eating-disorder recovery experience

  • The effect of learning about the experiences of other women of color on her recovery

  • Privilege, and how it affects a person’s ability to access treatment

  • Why acknowledging eating disorders and disordered eating in marginalized identities helps everyone

  • Grassroots efforts to make eating-disorder treatment more accessible to everyone

  • Finding the balance as a small-business owner between making a living and offering accessible eating-disorder treatment

  • Fatphobia as a barrier to treatment and recovery

  • The many ways in which our current healthcare system is broken and harms marginalized folks

  • How martial arts and yoga can play a role in various parts of recovery

  • The importance of self-compassion and forgiveness

  • What drew Marcella into martial arts training, and how it affected her recovery and work today

 

Resources Mentioned

Some of the links below are affiliate links. Affiliates or not, we only recommend products and services that align with our values.

Listener Question of the Week

What advice is there for dealing with anti-fat discourse on the internet? What motivates people to be hateful toward larger-bodied people? Why do some people get defensive toward the idea of fat acceptance? What are some strategies to handle the fact that there are hateful corners of the internet devoted to tearing down fat acceptance and other forms of social justice? How does the structure of the internet itself uphold hateful rhetoric? What are some trusted resources for fat-positive information?

(Resources Mentioned:

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