Fat and Fertile – Details, episodes & analysis

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Fat and Fertile

Nicola Salmon

Health & Fitness

Frequency: 1 episode/35d. Total Eps: 39

Navigating getting pregnant in a weight-obsessed world can be really flipping hard, especially when everyone is telling you that you have to lose weight to access any kind of support.Join Nicola Salmon - fat-positive fertility coach and author of the book “Fat and Fertile” - as she explores the complexities that fat folks face when they want to grow their family.If you identify as fat or being in a bigger body, want to get pregnant and want to find a community of other folks navigating this, this podcast is for you.Learn more and get full show notes and transcripts at http://nicolasalmon.co.uk/fatandfertilepodcast

fatpositivefertility.substack.com

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https://fatpositivefertility.substack.com/subscribe?utm_medium=podcast&#38
39 shares
https://nicolasalmon.co.uk/fertility-roadmap
12 shares
http://www.nicolasalmon.co.uk
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https://www.instagram.com/fatpositivefertility
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https://www.instagram.com/yourivfabroad
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Should I Take a GLP-1 for My Fertility?

Tuesday, April 7, 2026 • Duration 34:47

Should I Take a GLP-1 for My Fertility?

If you're being told you need to lose weight before you can access fertility treatment, and GLP-1 medications like Ozempic, Wegovy, or Mounjaro are part of that conversation, this episode is for you. Because you deserve to make this decision with the full picture, not just the version the pharmaceutical companies want you to hear.

In this episode:

Why GLP-1s are increasingly being offered to fat folks wanting to get pregnant, and why the logic behind that recommendation is shakier than it's presented as

The genuine potential benefits worth knowing about, including for folks with PCOS, insulin resistance, or type 2 diabetes, and why access to care is a real and valid consideration

The risks that often go unmentioned, including nutritional deficiencies, weight regain after stopping, and the absence of long-term human pregnancy safety data

Why the research linking weight loss to better fertility outcomes tells a more complicated story, and what it's more likely actually showing

Four questions to sit with before making your decision, so that whatever you choose, you're choosing it with your eyes open

This is the first in a four-part series on GLP-1s this month.

Useful links:

Fat Positive Fertility Roadmap Sessions

Free download: Fat Person's Guide to Getting Pregnant

Follow Nicola on Instagram: @fatpositivefertility

Get full access to Fat and Fertile at fatpositivefertility.substack.com/subscribe

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When Your GP Won't Test Your Fertility Until You Lose Weight

Episode 23

Tuesday, January 13, 2026 • Duration 27:00

Episode 23: When Your GP Won't Test Your Fertility Until You Lose Weight

This week, we're tackling one of the most common issues fat folks face: being denied basic fertility testing until they lose weight.

In this episode:

- Why it's not your fault when doctors refuse testing based on weight

- The basic fertility tests you deserve access to

- When to seek testing

- Why your sperm-producing partner should get tested first

- How to advocate for yourself when doctors say no

Key takeaway: You are not broken and you do not need fixing. The healthcare system needs fixing. There are absolutely tests that can and should be done regardless of your body size, and you deserve to have your health needs met.

Resources:

Book: "Fat and Fertile" - available on Amazon

Instagram: @fatpositivefertility

Email: nicola@nicolasalmon.co.uk

Fat Positive Fertility Roadmaps: personalised 90-minute calls to create your fertility plan

Send me your questions for future "In Your Corner" episodes via DM or email!

Get full access to Fat and Fertile at fatpositivefertility.substack.com/subscribe

PCOS: Busting Myths and Weight-Neutral Care

Episode 22

Thursday, October 23, 2025 • Duration 38:15

In this personal episode, I'm sharing my PCOS journey - from diagnosis at 16 to navigating fertility and finding weight-neutral care approaches.

What We Cover:

My PCOS story and unexpected fertility journey

3 major PCOS myths that need busting

Weight-neutral care advice that doesn't involve weight-loss!

Sponsored by Inofolic Alpha Plus - The only PCOS supplement designed for folks with BMI over 25. Use code NICOLAPOD for 10% off.

Resources:

Book a Fat Positive Fertility Roadmap Session

Join the Substack community

Get the book: Fat and Fertile

Have questions about PCOS? Share your story in the Substack comments - I'd love to hear from you!

Get full access to Fat and Fertile at fatpositivefertility.substack.com/subscribe

What is Fat Positive Fertility Coaching

Wednesday, May 21, 2025 • Duration 17:25

In this episode of Fat and Fertile, I’m diving deep into something I don’t talk about nearly enough—what fat positive fertility coaching actually is, and why it matters so much.

I’ve been a fertility coach for over seven years now, and while I often share tools, insights, and resources, I realised I haven’t really broken down how coaching works or what it looks like to be supported in a fat-positive, weight-neutral space. So that’s what this episode is all about.

I share how my own experience of being diagnosed with PCOS as a teen—and being told I’d never have children—led me to this work. And I explain how my journey through unlearning diet culture and stepping away from weight loss gave me the clarity and drive to support others doing the same, especially those navigating fertility in bigger bodies.

In this episode, I talk about:

What coaching means to me (and why it’s not about “fixing” you)
The unique challenges fat folks face when trying to get pregnant
Why we deserve support that’s free from judgement and shame
What it means to create safety in your nervous system as you navigate this process
How to explore health-promoting behaviours without dieting
And why separating your worth from your ability to conceive is a game-changer

I also explain what a fat positive approach really looks like in practice—how I work with you to move from where you are now to where you want to be, using tools that centre your autonomy, your lived experience, and your joy.

If you’ve ever felt like you're battling the system just to be seen, heard, or supported—this one’s for you. And if it resonates, I’d love to invite you to book a free 30-minute chat with me. No pressure, no pushy sales pitch—just a space to connect and see if coaching might be the right next step for you.

Resources & Links:

Email me: nicola@nicolasalmon.co.uk
Find me on Instagram: @fatpositivefertility

Get full access to Fat and Fertile at

Finding Fat-Friendly Fertility Clinics: How to Research, Interview, and Choose Your IVF Provider

Thursday, April 10, 2025 • Duration 21:27

Episode Summary

In this episode of Fat and Fertile, Nicola Salmon dives into the practical—and emotional—realities of finding a fertility clinic that supports fat folks with compassion and without weight stigma. Whether you’re just beginning to explore fertility treatment or feeling frustrated by constant barriers, this episode is packed with actionable tips, thoughtful guidance, and much-needed reassurance.

Nicola shares the exciting news of her newly updated Fat-Friendly Fertility Clinic Guide, a powerful resource featuring nearly 150 community-sourced recommendations from fat people who’ve accessed IVF and other fertility treatments. She explains how to use the guide, what to look out for, and why it’s so important to have information upfront—especially when some clinics still impose harmful BMI restrictions or hidden costs.

She also walks you through her top tips for researching, interviewing, and choosing a fertility clinic that will treat you with the respect and care you deserve. From asking the right pre-consultation questions to understanding your legal and medical rights around weighing, diet talk, and treatment access, Nicola empowers you to advocate for yourself at every stage.

If you’ve ever felt disheartened by fertility clinics, this episode is a must-listen. Nicola reminds us that while fat-positive clinics might feel like unicorns, they do exist—and finding the right one can make all the difference in your journey.

Links and Resources

🧡 Fat-Friendly Fertility Clinic Guide – Download here

🧡 IVF for Fat Folks Course – Your step-by-step guide to navigating fertility treatment in a bigger body

🧡 The Fat Person’s Guide to Getting Pregnant – Free download

🧡 Fat Fertility Facebook Group – Connect with others navigating this journey

🧡 Reddit r/infertility – A moderated space with weight-inclusive policies

🧡 Join the Fat and Fertile Community on Ko-Fi – Exclusive Q&A episodes, community support, and bonus content

Get InvolvedSupport the PodcastFollow Nicola on Instagram Get full access to Fat and Fertile at

Your Fertility, Your Way: Exploring IVF Abroad with Emma Haslam

Thursday, February 27, 2025 • Duration 32:57

In this episode of Fat and Fertile, I’m joined by the incredible Emma Haslam, founder of Your IVF Abroad and a passionate advocate for fertility choice. Emma shares her deeply personal journey through infertility, the barriers she faced due to BMI restrictions in the UK, and how she ultimately found a path to parenthood abroad.

We dive into the realities of navigating fertility treatment as a fat person, the frustration of arbitrary weight-based restrictions, and the emotional toll of being told to lose weight before receiving medical support. Emma opens up about her decision to seek IVF treatment outside the UK, what that experience was like, and how it led her to create Your IVF Abroad—a business dedicated to helping others access safe, transparent, and supportive fertility care without weight stigma.

If you’ve ever felt dismissed by the fertility industry, this episode is a must-listen. Emma’s story is one of resilience, empowerment, and challenging the status quo. She’s proof that fertility care should be accessible to all bodies, and she’s on a mission to make sure others have the information and support they need to explore their options.

Listen in to hear:

✅ The challenges of accessing fertility care with a higher BMI

✅ How Emma found an alternative path to IVF treatment abroad

✅ Why weight stigma in fertility care needs to change

✅ Tips for navigating fertility treatment with confidence and choice

Connect with Emma & Explore Your Options:

Free Webinar: From Obstacles to Options" – How to overcome fertility treatment challenges in your home country, get started on your right path to parenthood, and fast-track growing your family, on your terms.

Get full access to Fat and Fertile at

Trapped by the System: When BMI Requirements Create Impossible Barriers to Fertility Care

Tuesday, March 24, 2026 • Duration 21:58

This week's episode is about something I hear constantly and it makes me genuinely angry. You can't access fertility care until you lose weight. But you can't access support to lose weight. And they won't investigate the health condition that might be causing everything in the first place. Round and round you go.

If you're stuck in this loop right now, this one is for you. And the first thing I want you to know is: it is not your fault.

In this episode we cover:

Why the NHS BMI cutoffs for fertility treatment are arbitrary, not evidence based, and not actually NICE guidelines

Why this catch 22 is intentional and how the system has been designed to exclude people in bigger bodies

How to advocate for your health conditions separately from your fertility goals, and why this matters

Practical steps to document refusals, push back, and escalate if you have the capacity to do so

How to take care of your mental and emotional health when you're fighting a system that should be fighting for you

Useful Links:

Download: Fat Person's Guide to Getting Pregnant

Book a Fat Positive Fertility Roadmap Call

Follow me on Instagram

Email me a question for a future episode

Get full access to Fat and Fertile at fatpositivefertility.substack.com/subscribe

Fat and Fertile – Details, episodes & analysis

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Fat and Fertile – Details, episodes & analysis

Podcast details

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