In this episode, we explore some of the most controversial subjects surrounding obesity and weight management, including obesity stigma, the body positivity movement, socioeconomic impacts, and the use of medications for weight loss. We start with a side story on Akkermansia supplementation and stool testing. We then address Selena Gomez's public criticism for weight gain, highlighting the societal pressures and stigmas associated with body image. Financial implications of obesity are discussed, focusing on both direct healthcare costs and indirect costs like absenteeism and presenteeism, with an estimated economic impact of $1.4 trillion. We delve into social injustices related to obesity, such as systemic racism, food deserts, and redlining, emphasizing the complex and multifaceted nature of these issues. The episode includes a series of thought-provoking questions on topics like blame for obesity's financial burden, social injustices, and the body positivity movement, aiming to foster a nuanced and empathetic discussion.