Meghan Cichy, RDN, CD

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Meghan Cichy, RDN, CD She/Her/Hers. Fat-positive, body liberation, anti-oppression dietitian focused on supporting clients in exploring their needs around food, body, and wellbeing.

Today I said goodbye to the last of 95% of my patients. It has been a really tough few weeks saying goodbye to so many w...
17/11/2022

Today I said goodbye to the last of 95% of my patients.

It has been a really tough few weeks saying goodbye to so many wonderful people who I have been privileged to work with. Such a mixed experience of pride in how hard they have worked and sadness that our time together has ended.

It will be an odd experience to sit down to the computer and sign in as a policy analyst at the department of health rather than signing into a Telehealth session and asking what feels important to talk about today.

But it feels like the right place for me to see how I can make an impact rooted in fat liberation and move upstream to more systems level work.

Look out public health, I’m here.

Just ordered another batch of period un**es. If you were wanting to try them I suggest ModiBodi. They go up to a 6XL (48...
21/10/2022

Just ordered another batch of period un**es. If you were wanting to try them I suggest ModiBodi. They go up to a 6XL (48.43 waist and 56.3-58.27 hip).

Time to ditch your regular wasteful sanitary items and say hello to comfortable menstrual panties! Find your favorite style online now.

I have shared this news with my patients and local provider community and now I think it is time to share it with you al...
19/10/2022

I have shared this news with my patients and local provider community and now I think it is time to share it with you all as well.

There is both excitement and grief in this news.

As you may know, I started my Master of Public Health degree in March of 2022 in order to deepen my knowledge, skills, and ability to address systems level issues in public health, particularly how it relates to eating disorders and weight stigma.

I was recently offered an opportunity to join the Washington State Department of Health as a Senior Policy Advisor. This is a position that aligns with my values and will allow me to do hands-on, systems level work in Washington. This is my excitement.

While this is a wonderful opportunity that I have accepted, it also means that my private practice patient load will have to decrease significantly. This is my grief.

I will officially transition into this new role on November 16th. ::deep breaths::

I want to acknowledge a few of the people who have been massive supporters in these recent transitions. I am eternally grateful and would not be here without you! Thank you .msrd .rd @ fattymph 💗

 with .repost・・・Today, the U.S. Supreme Court overturned Roe v. Wade, allowing states to ban abortion, taking away milli...
24/06/2022

with .repost
・・・
Today, the U.S. Supreme Court overturned Roe v. Wade, allowing states to ban abortion, taking away millions of people’s rights to make decisions about their bodies and their healthcare. What are the health impacts of restricting access to abortion? UW School of Public Health researchers Taylor Riley, Daniel Enquobahrie & Aaron Katz share the inequitable effects as well as resources for individuals and people in public health spaces. See their full interview at bit.ly/3mTyJ3b or link in bio.

"For over 60 years, doctors and researchers have likely harmed and killed millions of fat people through their insistenc...
17/05/2022

"For over 60 years, doctors and researchers have likely harmed and killed millions of fat people through their insistence on social and scientific mandates for thinness and that ob*sity is a disease requiring intervention, despite the existence of evidence that says this is wrong."

Excerpt from Mikey Mercedes recent article in the Fat Issue of Pipe Wrench Mag: https://pipewrenchmag.com/dismantling-medical-fatphobia/

"Providers didn’t all miss the day where med students were taught not to be cruel to fat people. Medical fatphobia is medicine’s status quo."

Check out Ragen Chastain - Public Page resources on emergency contraception for fat folks!
17/05/2022

Check out Ragen Chastain - Public Page resources on emergency contraception for fat folks!

This is the Weight and Healthcare newsletter! If you like what you are reading, please consider subscribing and/or sharing to help support additional writing! With the leaked draft of the Supreme Court opinion suggesting that they will be attacking reproductive freedom, there has been a great deal o...

Access to diagnosis is so important and grateful  is helping to close this access gap! Spread the word.   with ・・・The of...
27/04/2022

Access to diagnosis is so important and grateful is helping to close this access gap! Spread the word.

with
・・・
The official press release announcing our new Clinical Assessment Program is live! Read it at the link in our bio.

Quotes from Graphics:
“Far too many people—especially those with marginalized identities—can’t access eating disorder treatment due systemic barriers. Millions of people fall through the cracks of a mental healthcare system that was not designed for us. This program will finally offer free assessments and referrals for these people who need and deserve care who might not otherwise be able to access it.”
- Safiya McHale, LMSW, Clinical Assessment Program Manager, Project HEAL

"We are thrilled to launch this critically-needed program to address the misdiagnosis and inadequate screenings currently seen in the industry. We have tragically seen first hand how many people struggle with disordered eating but don’t understand their diagnosis or have any idea what treatment options are appropriate and available.”
- Ashlee Knight, Sr. Program Director, Project HEAL

   with ・・・This post is being published with the help of a third party. The following caption is from Mikey:I would like...
25/03/2022

with
・・・
This post is being published with the help of a third party. The following caption is from Mikey:

I would like for the comments section of this post to be a space where fat people who do or create things can advertise themselves.

If you are thin, you may not comment unless you’re replying to connect with a fat person who has already commented.

People who violate these boundaries on my comments section will be blocked. No exceptions.

If you are a thin person who would like to start a discussion about this post on your own page, feel free to screengrab it and repost or use a reposting service. No, I am not okay with you restating what I wrote on your own specific branding. Either use the graphics I made or don’t post about this. No exceptions.

Nothing listed in these slides is new or original or hasn’t been said by someone at some point. These are the same things we’ve been screaming for “allies” to do since forever. Either do them or just get the f**k out. Enough is enough.

20/03/2022

The venn diagram is a circle.

, , the thin white women “allies” of , and all have a history and a present of engaging in harmful behavior.

*They* are all examples of harmful, manipulative, and oppressive systems in action on the institutional, community, and individual level.

*But it is important to note that the “they” is also “we” and “us” and “I”*

And while I am still sorting all this out… here’s some of my reflections so far.

In talking this through with others in my community and in reflecting more personally as each new rapid response arises, it feels more and more clear that folks with more privileged identities work fast, organize, and respond when they have nothing to lose in their advocacy efforts.

Many multi-privileged folks in the HAES community have already divested from AND. There is little professional risk in not being a member or in speaking out against the harmful actions of the organization.

The response to ANDs anti-fat guidelines was rapid and coordinated. As it should be.

The response to IAEDP has been different. Many still feel like the best approach to addressing the racisim, anti-fat bias, and transphobia within the organization is change from within. This belief remains strong despite a long history that shows that approach fails with IAEDP and other similar organizations.

Speaking out against one of the two dominant professional organizations in the eating disorder care community that gatekeeps the professional certification that “gives authority” within eating disorder care is a risk. It’s also a financial risk to throw away all the money folks have spent ($8k or more) on the certification by either stopping the pursuit of it or by not renewing it.

There has been no ground swell of coordinated efforts to push back on IAEDP across the HAES or ED community. People are not ready to accept this risk. It’s too much to lose and our allyship does not extend to that degree of personal risk. This is not as it should be.

The response of multi-privileged folks in HAES and ED communities to reports of harm from Lindo Bacon has been… interesting. It has felt like a mixture of responses to AND and IAEDP.

People acknowledge the harm and recognize the unacceptable behavior and most are sharing that out loud. But the response was still one of surprise and little to no organizing to support the call for accountability more tangibly. Folks were waiting to be told what to do or choosing to be quite as opposed to vocal.

Part of this waiting seems like it is because we missed the parts of the message that reminded us that this is bigger than Lindo. We preferred to separate ourselves and our own pattern of harm from the pattern of Lindo. Not ready to take the risk of seeing Lindo’s actions in us and coming to terms with how this is ultimately not just a Lindo problem, but an us problem - a community problem that requires community action and change. People are not ready to accept the risk of being wrong, of doing harm, and of staying in the work and in community to make amends and do better. This is not as it should be.

But “they” are “we” and “us” and “I”.

We can’t address the harms of individuals, of communities, and of institutions without also addressing the harms of us and of I.

We have to do this work together and we have to do this work at all levels (individual, community, institutional). We have to stay in this and in community and not distance ourselves. We have to be accountable to our role in this and engage in actions to repair and change.

and thought me this.msrd and .rd taught me this
and taught me this.

And I’m still learning this. I always will be.

What are you learning? How are you acting? How are you engaging your community towards change?

   with ・・・As words like accountability and solidarity circulate through the eating disorders field in response to harm ...
17/03/2022

with
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As words like accountability and solidarity circulate through the eating disorders field in response to harm caused by multiple providers, but mostly centered around Lindo Bacon, I think about what care and repair looks like for those who have been harmed. Two years ago when I experienced something similar my nervous system and mental health were in shambles as I tried to manage my own self care, those that were supporting me, and the secondary impacts of everyone on social media feeling entitled to my story and energy. And overall feeling unsafe and alone. Everyone wants to know what happened, but rarely are folks sitting with you to process what do you actually need. How do we support you around the trauma? Words are great, and we need solidarity IN action, accountability IN action, love and care IN action has more of an impact for the person involved.

As this has resurfaced, it’s brought up alot for me and I wanted to practice what I preach by showing my own solidarity in action to Marquisele in the ways that would have been supportive to me at the time. I have asked for consent around her needs and collaborated with her in care around these acts and gifts of love. There has also been a pattern of whyte people trying to pursue legal actions against Black people who are speaking their truth basically putting more Black folks through the unjust and traumatizing carceral system because they are upset and calling it “cancel culture” 🤦🏽‍♀️🙄 Swipe through to read more 👉🏾 also here is the link to donate to Mikey
https://sokindregistry.org/registry/19393 and it is in my bio ❤️

Shout out to the “dream team” who organized quickly in support of Mikey and the collective healing of fat disabled Black human beings and activist 🙌🏾💕

   with ・・・This visual represents what has been happening in HAES® aligned spaces for a while. ⁣⁣Many of us who hold int...
14/03/2022

with
・・・
This visual represents what has been happening in HAES® aligned spaces for a while. ⁣

Many of us who hold intersecting marginalized identities don’t feel safe, seen and heard in HAES® aligned spaces. This has been an ongoing issue. ⁣

In solidarity with

Alt text: ⁣

⁣Diet Culture
Rooted in whyte suprem*cy and anti-blackness.⁣

A toxic multibillion-dollar industry that doesn't deliver the results it promises.⁣

An oppressive system designed to fail and harm fat folks.⁣

Providers continue to prescribe diets because they are still "processing" weight-inclusive research and fatpohbia.⁣
⁣Current HAES® Culture
Promotes wyte suprem*cy by elevating thin, non-disabled whyte "leaders".⁣

Led by thin, whyte people making s**t loads of money off the backs of the marginalized.⁣

Gaslights, abuses and silences the marginalized fails to protect fat folks and perpetuate harm.⁣

Whyte and thin providers stay silent and "process" the violence while the fat, disabled, q***r, trans, BIOPOC and other marginalized people continue to experience harm.⁣

11/03/2022

Have we removed our listings from HAEScommunity registry?

Are we financially supporting as members as they revamp their professional listing registry?

Are we talking to our community about the way white supremacy shows up in our spaces, in our work, and in ourselves?

Be sure to support and read the articles written by , , and on their experience of harm from Lindo Bacon. This has been a long running pattern of tokenizing and demanding labor of more marginalized people for their own benefit.

we look forward to your response and hope you intend to be accountable to your actions.

In the words of Whitney Trotter .rd, it's time to BRING BACK that ENERGY you had for divesting from the Academy of Nutri...
09/03/2022

In the words of Whitney Trotter .rd, it's time to BRING BACK that ENERGY you had for divesting from the Academy of Nutrition and Dietetics and take a stand against IAEDP .

Check out the link in my bio to learn more about IAEDP’s history of harm and lack of accountability and the ways the organization is continuing to do more harm than good in the eating disorder community.

You will also find ways to take action and divest as a means of investing in a more intentional eating disorder care community.

Have you completed the survey for the Academy of Nutrition and Dietetics “Medical Nutrition Therapy Interventions for Ad...
28/02/2022

Have you completed the survey for the Academy of Nutrition and Dietetics “Medical Nutrition Therapy Interventions for Adult Overweight and Obesity Treatment: An Academy of Nutrition and Dietetics Evidence-Based Nutrition Practice Guideline”?

The survey is open for any and all people to complete and offer their thoughts on the current guidelines.

The academy has chosen to use primarily weak evidence to support their “evidence based” guidelines and fail to acknowledge the short duration of studies used to weakly support their recommendations. This highlights the reality that the evidence base for intentional weight loss is severely lacking.

In another strange turn of events the academy decided to look at a small number of HAES studies to come up with their weakest recommendation of their guidelines - to not use a HAES approach for weight management. This is pretty laughable since HAES is crystal clear about not being a weight management practice philosophy. 🤦🏼‍♀️

Your survey comments are important to communicate the inappropriateness, lack of research rigor, and harm of their guidelines.

https://www.andeal.org/public-comment-guideline-review

Medical Nutrition Therapy Interventions for Adult Overweight and Obesity Treatment: An Academy of Nutrition and Dietetics Evidence-Based Nutrition Practice Guideline

An excerpt from ASDAH’s open letter to Academy of Nutrition and Dietetics regarding their purposed weight management gui...
23/02/2022

An excerpt from ASDAH’s open letter to Academy of Nutrition and Dietetics regarding their purposed weight management guidelines which continue to clarify their lack of understanding of a HAES(R) approach and their persistent anti-fat bias.

You can read the entire letter via the included link.

“Finally, by making a recommendation that HAES® approaches not be used, it is reasonable to interpret that the review found evidence of harm, which it did not. In fact, no papers were found that included adverse effects in their studies. Further, every paper reviewed showed either improvements or no significant difference in the reported health outcome measures for the HAES® groups. None of the reported outcome measures worsened in the papers your team reviewed. We recognize that there are many unhealthy and extreme weight loss methods in existence, some of which dietitians actively promote, but none of those methods were called out in the recommendations as methods specifically to avoid.”

https://asdah.org/an-open-letter-to-and/

An open letter to the Academy of Nutrition and Dietetics on their recent proposed Adult Weight Management Guideline HAES® recommendation.

   ・・・Read our full statements to our HAES® community and  the Academy of Nutrition and Dietetics at asdah.org/blog (lin...
23/02/2022


・・・
Read our full statements to our HAES® community and the Academy of Nutrition and Dietetics at asdah.org/blog (link in bio)

The Academy of Nutrition and Dietetics recently proposed new guidelines for Adult Weight Management that reflect a fatphobic interpretation of the research on weight and health, including a misleading statement about Health at Every Size® interventions.

22/02/2022

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