Dr. DeAun Nelson sits down with Dr. Jennifer Gaudiani - internist, certified eating disorder specialist, and founder of the Gaudiani Clinic - to talk about what medicine keeps getting wrong about eating disorders, and what it looks like to finally get it right.Dr. Gaudiani's work starts from a premise that most medical training doesn't: eating disorders show up in all body sizes, all genders, all ages, and all ethnicities.The thin, white, visibly malnourished patient is the significant minority. Everyone else is being missed, or worse, being handed the very behaviors that are making them sick.They get into what starvation actually does to the body (regardless of size), why normal labs don't rule out serious illness, how physicians are inadvertently prescribing eating disorder behaviors to patients in larger bodies, and what happens when you apply HAES principles in a medical setting. In this episode:What the "cave person brain" does when it detects inadequate food intake, and why diet culture triggers the same response as an eating disorderThe physical signs of malnutrition that show up across all body types: cold hands, slowed digestion, fatigue, heart rate changes, and loss of sex hormonesAtypical anorexia nervosa, the "biased DSM-5 label," and why percentage of weight lost matters more than presenting BMIWhat 100% HAES response rates look like in Dr. Gaudiani's patients with diabetes, hypertension, and metabolic conditionsHow practitioners can bear witness when they can't fix everything, and why that matters for provider burnout tooDr. Gaudiani's book Sick Enough: A Guide to the Medical Complications of Eating Disorders is available through Routledge.The Gaudiani Clinic offers in-person and nationwide telemedicine care at gaudianiclinic.comTheme music by Gaelyn Davis. Show art by Stacy Bias.Want to be notified when new episodes are uploaded? Join our email list - fatnaturopathyoutube.subscribepage.io