Pearl - An Obese Woman Tries To Justify Being Obese

In this episode, I sit down with my good friend, Jillian, to discuss her views on obesity and fat. Jillian is a registered dietitian and has been working as a Registered Dietitian for the past 6 years. She is a self-proclaimed "expert" in the field of nutrition and has a PhD in nutritional epidemiology. In this episode we discuss the link between obesity and heart disease, lipotoxicity, diabetes, obesity, and obesity-related morbidity.

00:00:00.000 I disagree with that. I mean, this is why arguing with women is impossible. 1.00

00:00:09.420 So we, earlier you were speaking about how these, there's randomized control trials that show.

00:00:15.320 There's a margin, Mendelian randomized control trials that have now shown us

00:00:18.320 that obesity is causal to all cause mortality.

00:00:21.740 Okay. So I disagree with that. I think there's going to be a problem with it.

00:00:24.740 Oh my God. I disagree with that. I mean, this is why arguing with women 1.00

00:00:29.560 is impossible look we have eyes fat people are dying fat people are having heart attacks

00:00:37.000 there's studies that also links it we look in the media there's examples of celebrities that

00:00:44.720 are fat dying early well I don't agree with that well not every opinion is a valid opinion right

00:00:53.820 not every opinion is an important opinion yes so here's why i disagree because you can disagree

00:01:00.540 no but let me please please let me hear me out okay okay so the reason why is because registered

00:01:05.960 dietitian school for six years sign nutrition weights all the all the stuff and yeah but we

00:01:11.100 don't really care i don't want to hear your title i want to hear your argument

00:01:15.180 personal personal trainers probably know more than nutrition i mean your resume is your body

00:01:21.380 like what does your body look like we can't keep toxicity it doesn't come off my curriculum because 0.98

00:01:26.260 it's bullshit because it's a tiktok thing that's like you know i was never meant to hear your 1.00

00:01:34.060 you're lucky i have this job woman because it's just you're a crazy lady i was never meant to 1.00

00:01:40.080 hear your opinion no cortisol face or whatever it's not listen to me it is not bullshit it's 0.99

00:01:50.620 ectopic fat but can we just say because you keep sidestepping i'm not sidestepping this is the 0.83

00:01:56.060 claim okay okay the claim is that obesity is unhealthy lipotoxicity is not but it is the

00:02:03.500 definition of ectopic fat it's funny it never came up in six years of a professional accredited

00:02:09.260 under what's fatty liver disease i know what fatty liver i was a clinical dietician that's

00:02:13.260 lipotoxicity okay okay when fat is in the liver when fat i'm actually trying to learn um is in

00:02:20.140 the heart when fat gets deposited in the brain yeah that is lipotoxicity and it happens when

00:02:26.940 the body has no place to put the excess energy anymore it is irrefutable that that is bad for

00:02:34.140 your health can we just go back to the correlation see it's like i would have asked a few questions

00:02:41.420 because i'm like oh i weigh 197 pounds i average every month 190 to 200 i've never gone past

00:02:48.780 200 the reason is because i cut sugar out of my diet wow

00:02:59.340 i see it i have 11 that seems a little high unless you're built sorry

00:03:08.140 oh my god what causation so you're okay lipotoxicity refers to cell damage caused by

00:03:15.180 excess fatty acids accumulating in organs that are not designed to store fat such as the liver

00:03:20.140 pancreas heart and muscles when fat spills from the apatose tissue into these organs that can

00:03:26.140 promote inflammation insulin resistance and organ dysfunction okay saying there's causal studies

00:03:31.260 right yes mrt studies that's great okay so my thing is the reason why we cannot show that that

00:03:39.500 the fat in and of itself leads to the negative health outcomes is because we cannot keep a human

00:03:44.300 in the lab and control every factor but have the only thing that's different mendelian randomized

00:03:50.060 control but can you just listen so a person that a person inherently eliminates any completing i

00:03:55.900 know you need to have like a certain level of intelligence to talk to her about this topic 0.97

00:04:05.100 or humility one or the other you know intelligent people don't mind talking to dumb people if if 0.92

00:04:10.780 there's a sense of humility oh jillian i didn't know what that was tell me oh fatty liver disease 0.74

00:04:18.700 i think i used to have that actually i think i had that when i was heavy i got it that sounds

00:04:24.060 like something maybe i still do i should get it tested again factors because they're based on

00:04:32.540 genetic predispositions coupled with lifestyle okay person in a larger body has experienced

00:04:38.940 things that we can't undo from the fat so for example they might have negative health outcomes

00:04:45.260 because every time they go to a doctor instead of being given an evidence-based treatment like i

00:04:49.740 have unearned thin privilege i go to a doctor i say you know my stomach hurts i get a full

00:04:54.060 workup are you trying to tell me that having fat in your liver i just want to talk about fat in

00:05:01.020 your heart having fat deposited in your brain is healthy no i just want to talk about

00:05:05.900 oh my god i don't think they need to pay me like 10 grand to talk to these people

00:05:15.980 10 grand we are not trying to say that it's healthy no i'm not trying to tell you that is

00:05:22.640 what i said i was never talking about the health of it okay i'm trying to say everything you're

00:05:26.660 saying is hinging on this idea and it's it's a problem that we disagree on it that it's the

00:05:31.060 weight in and of itself that leads to the negative health outcomes you're saying this mrt totally

00:05:35.600 is fat is an endocrine organ i know but but can you it destroys your hormone balance

00:05:42.820 it creates insulin sensitivity when the body has too much fat it releases insane amounts of

00:05:50.780 different i just wonder have you heard of social determinants of health tell me about it okay

00:05:55.560 social determinants of health a group of factors that impact someone's health outcomes okay that

00:06:00.180 are things like your uh your your health care access and quality neighborhood and built environment

00:06:05.280 things like your stress levels as socioeconomic status here's the thing

00:06:08.940 a person who's fat or lives in a larger body they we can't take away that that person has

00:06:15.780 probably experienced higher stress levels their whole life from experiencing marginalization

00:06:19.580 every corner look it it is tough not being hot it's tough being ugly okay it is tough and i'm

00:06:32.140 sure it stresses you out but nobody's really pant like if anything when you become fat you're like

00:06:37.460 invisible like we just don't see you we don't discriminate against you but you're now like the

00:06:41.980 equivalent especially as a woman of an 80 year old woman like we just you're invisible we don't see

00:06:47.280 you i'm sure it's like the biggest loser to the doctor's office okay you know who does see you

00:06:51.640 black men they see you they see you loud and clear yeah can't take away that they haven't been given 0.97

00:07:02.780 evidence-based health options because when they go to a doctor they're told to go lose weight

00:07:07.580 fat gets deposited in the brain answering what i'm saying how does i'm confused are you suggesting

00:07:14.040 these are the reasons people become overweight no i'm suggesting that i a person could be in a

00:07:20.120 larger body and be perfectly healthy on a bot on a base on their labs that their cholesterol seven 0.96

00:07:24.880 percent of people who are classified as overweight or obese call it whatever you guys feel comfortable

00:07:31.960 with only seven percent are classified as healthy say that was true say we knew for certain grab the

00:07:37.480 data for you right now say we knew for certain that it was unhealthy that that what you're saying

00:07:42.900 is true even here's the class but even then even then we'd be in this place where okay so what do

00:07:48.340 we do? Are we going to send someone down? Eat less. Exercise more.

Pearl - March 21, 2026

An Obese Woman Tries To Justify Being Obese

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