The Fat Doctor Podcast

How Big Pharma Made Up a Disease

Jan 28, 2026
A dive into how BMI cutoffs were invented and the shaky history behind labeling fatness a disease. Investigation of pharmaceutical funding and PR that pushed policy changes at the WHO. A challenge to whether adiposity meets medical definitions of disease and who financially benefits from medicalizing weight.
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INSIGHT

No Valid Cutoffs For Healthy Weight

  • Asher Larmie argues there is no established healthy weight or clear BMI cutoffs validated by evidence.
  • The 1995 WHO report explicitly stated no clear fat-mass or BMI cutoff points existed.
ANECDOTE

Task Force Founded To Shift WHO Policy

  • Professor Philip James created the International Obesity Task Force to push WHO policy change via PR work.
  • He later admitted to receiving large industry cheques to fund that advocacy.
INSIGHT

WHO Report Declared An Epidemic

  • The 1998 WHO report labels obesity a "global epidemic" and a disease despite earlier uncertainty.
  • The report acknowledged the International Obesity Task Force's financial and technical contribution.
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