Beyond Body Size: Weight-Inclusive Eating Disorder Nutrition Care

A higher-weight body can make an eating disorder invisible to the people supposed to catch it. A lower number on a chart can make it look like the whole story. Neither one tells a clinician how sick someone actually is - and this book is built around the specific, practical work of assessing what's actually happening instead of defaulting to body size.Beyond Body Size is a clinical reasoning manual for eating-disorder dietitians and treatment teams: how to recognize malnutrition, medical instability, and restriction at any body size; how anti-fat bias distorts diagnosis, referral, and treatment intensity even among clinicians who don't believe they hold it; and how to build a nutrition rehabilitation plan that treats the eating disorder fully without quietly making intentional weight loss the unstated goal.The book moves chapter by chapter through the collisions this work actually produces: atypical anorexia and diagnostic delay, cardiovascular and metabolic health without defaulting to a weight-loss prescription, diabetes and insulin restriction, PCOS, GLP-1 medications, discharge and relapse planning, and the moment a client themselves asks for help losing weight.What's inside: - A clinical reasoning framework for recognizing malnutrition, medical instability, and eating disorders regardless of body size, plus a bias self-audit for the moments evidence alone won't resolve- 29 chapters covering the specific clinical collisions higher-weight clients and their treatment teams actually encounter- An eight-tool clinical assessment toolkit, a facility weight-inclusivity audit, and 20+ care-coordination and provider-conflict scripts- 20 copy-ready client handouts, from body-image work to discharge planning to a fill-in relapse-prevention planWritten by a practicing registered dietitian for the clinicians doing this work every day - evidence-tier honest about what's established, what's still developing, and what remains genuinely uncertain.