
How to Be Well
Navigating Our Self-Care Epidemic, One Dubious Cure at a Time
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Narrated by:
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Amy Larocca
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By:
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Amy Larocca
About this listen
A deeply researched, lively, and personal exploration of the multibillion-dollar wellness industry—about why women are feeling so un-well and how this trend has shaped our thinking about health and self-care
Peloton. Pilates. Biohacking. Colonics. Ashwagandha. Today, the wellness industry is a $3.7 trillion behemoth that touches us all. In this timely and clear-eyed book, journalist Amy Larocca peels back the layers behind the wellness movement and reckons with its promises and profits. How did we get here and how did the idea of wellness become integrated with women's lives? And how did we end up spending so much money on products that may not work at all?
Amy Larocca takes listeners into the communities that swear by their activated charcoal toothpaste and green juice enemas, explaining what each of these practices really is—and what the science says. Larocca holds a magnifying glass to alternative medicine and nouveau lifestyle prescriptions—and tries a lot herself along the way—ultimately delivering an assessment of how the wellness industry embodies our (gendered, class-based, racialized) perceptions of care and self-improvement, and how it preys on our unshakable fear of the unknown. She traces the history of how the beauty and fashion industries have peddled snake oil to women for decades—and why we keep coming back for more.
A clear-eyed and honest portrait of the weird world of wellness, How to Be Well lays bare the ways in which the simple notion of caring for oneself has become a seriously big business.
©2025 Amy Larocca (P)2025 Random House AudioListeners also enjoyed...
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Critic reviews
★ “A sharply pointed look at the vast wellness industry and ‘the burden of being healthy and attractive’ it places on consumers. ‘Medicine is increasingly a retail prospect.’ Health journalist Larocca realizes as much when visiting a New York doctor whose clinic now ‘looks like somewhere you’d go with a group of girlfriends for brunch.’ Underscore girlfriends, for Larocca focuses on the health and wellness experiences of women—not just ‘today’s ideal woman…hopped up on her plant-based diet and elaborate adaptogen regimen,’ but also the harried workaday woman who aspires to feeling better psychically and physically. It’s a $5.6 trillion industry, Larocca notes, and a vast portion of the till comes from catering to the idea that everyone can become that ideal woman. Some of that desired ‘wellness’ is attended to by the medical industry, which is increasingly bespoke for those who can afford it: Larocca depicts one members-only clinic with a mere five-minute waiting period, 18 times less than the average ER; such concierge medicine speaks to, in one of her nice, bemused turns of phrase, ‘something else, something more, some sort of extra health.’ Some of that wellness is also the province of specialty groceries. Does anyone remember a time before kale? As it turns out, it’s only been a dozen years or so since kale became groovy. On the matter of grooviness, Larocca is excellent on the New Age aspect of the wellness business, with its mantras and microbiome-supporting organic coffee and mindfulness, which, a longtime practitioner laments, ‘is usually being refashioned into a banal, therapeutic, self-help technique.’ And of course, much of that wellness centers on pharmaceuticals, on prescription diet drugs along with CBD, microdosing, ayahuasca, and all the rest. Larocca takes on the wellness biz with a healthy dose of skepticism, and the result is both eye-opening and good fun.”
—Kirkus (starred review)
★
★ "The present-day vogue for wellness is merely the latest attempt to convince women to buy products to correct for imagined deficiencies, according to this trenchant debut critique. Fashion reporter Larocca suggests that beauty product manufacturers responded to the rise of body positivity in the 2000s by promoting the concept of “glow,” rather than thinness, as the central marker of beauty, creating the illusion of inclusivity while insisting that looking good requires topical ointments and body brushes. Surveying the dubious science behind many wellness practices, she recounts getting a colonic (an enema “on steroids”) from a doctor who claimed that foods with opposite ionic charges “pile up... like sludge” inside the body without clinical intervention. Larocca also covers the more harmful aspects of the wellness space, positing that such trends as intermittent fasting and elimination diets promote disordered eating by implicitly equating skinniness with health. The nuanced analysis notes that while wellness culture’s appeal stems in part from legitimate concerns about the pharmaceutical industry’s insidious influence on mainstream medicine, the supplements hawked by alternative medicine practitioners are usually subject to the same corrupting profit motives. Penetrating and thought-provoking, this will cause readers to think twice before reaching for the latest purported cure-all."—Publishers Weekly (starred review)
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Story
When Besha Rodell moved from Australia to the United States with her mother at fourteen, she was a foreigner in a new land, missing her friends, her father, and the food she grew up eating. In the years that followed, Rodell began waitressing and discovered the buzz of the restaurant world, immersing herself in the lifestyle and community while struggling with the industry’s shortcomings. As she built a family, Rodell realized her dream, though only a handful of women before her had done it: to make a career as a restaurant critic.
By: Besha Rodell
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The Joy Reset
- Six Ways Trauma Steals Happiness and How to Win it Back
- By: Dr. MaryCatherine McDonald PhD
- Narrated by: Dr. MaryCatherine McDonald PhD
- Length: 6 hrs and 26 mins
- Unabridged
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In The Joy Reset, Dr. McDonald helps listeners identify barriers that prevent them from accessing joy—hypervigilance, emotional numbing, fear of loss, conditioning, guilt, and shame—and then redefines positive emotions as those tenacious, gritty, often tiny experiences that appear within the darkest moments and form the very foundation of psychological resilience.
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Rewrite the Mother Code
- From Sacrifice to Stardust: A Cosmic Approach to Motherhood
- By: Dr. Gertrude Lyons
- Narrated by: Dr. Gertrude Lyons
- Length: 10 hrs and 54 mins
- Unabridged
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In Rewrite the Mother Code, Dr. Gertrude Lyons challenges the limiting beliefs and expands the concepts around what it is to be a mother. Through this audiobook, Lyons blurs the lines that pigeonhole women into limited roles that ultimately disempower them.
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Diet, Drugs, and Dopamine
- The New Science of Achieving a Healthy Weight
- By: David A. Kessler M.D.
- Narrated by: Hillary Huber, David A. Kessler M.D.
- Length: 11 hrs and 57 mins
- Unabridged
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From the New York Times bestselling author of The End of Overeating comes an illuminating understanding of body weight, including the role of the latest weight loss drugs, and the possibility of changing our health, weight, and bodies forever.
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If Only the Author Could Have Narrated
- By L&S on 06-07-25
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You Have the Magic
- Harness the Power of Your Mind to Transform Your Reality
- By: Haley Hoffman Smith
- Narrated by: Haley Hoffman Smith
- Length: 7 hrs and 9 mins
- Unabridged
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Through a radical new approach to manifesting the life of your dreams, subconscious breakthrough coach Haley Hoffman Smith empowers you to embrace the potential within your own mind to unlock magical change in your world.
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I do have the magic!
- By DomUnique on 06-08-25
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More than Words
- How Talking Sharpens the Mind and Shapes Our World
- By: Maryellen MacDonald PhD
- Narrated by: Maryellen MacDonald PhD
- Length: 8 hrs and 59 mins
- Unabridged
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The groundbreaking science of how and why we talk, and how this ability impacts every area of our lives.
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The Great Nerve
- The New Science of the Vagus Nerve and How to Harness Its Healing Reflexes
- By: Kevin J. Tracey MD
- Narrated by: Mark Deakins
- Length: 8 hrs
- Unabridged
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By opening the door to the new field of neuroimmunology, The Great Nerve not only revolutionizes how we understand and treat disease, it gives us unprecedented hope for our health. This is the story of your body’s ability to heal itself.
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This book is an advertisement for the author's medical devices
- By Kirsten K. on 05-24-25
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A Real Emergency
- Stories from the Ambulance
- By: Joanna Sokol
- Narrated by: Joanna Sokol, Araya Mengesha, Emily Nixon, and others
- Length: 11 hrs and 40 mins
- Unabridged
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For fifteen years, Joanna Sokol filled private notebooks with her confusion, humor, and anger about the strange world of American street medicine. As her career progressed, she found herself taking notes on scraps of paper, backs of gloves, and margins of EKG printouts. She read about the history that brought ambulances into their current role as the caretakers of society’s forgotten, and spoke to her colleagues about their own experiences and perspectives. Those reflections are collected here, in a series of raw, powerful essays about the state of American medicine.
By: Joanna Sokol
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The Ambition Trap
- How to Stop Chasing and Start Living
- By: Amina AlTai, Rachel Rodgers
- Narrated by: Amina AlTai, Maria Shriver
- Length: 6 hrs and 38 mins
- Unabridged
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Most of us think ambition means doing everything in our power to get what we want. But this approach costs us our health and wellbeing, and ultimately upholds oppressive systems. In The Ambition Trap, leadership coach Amina AlTai shows you how to break the cycle of overwork once and for all—and finally create the greatest, most joy-filled work of your life.
By: Amina AlTai, and others
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They Poisoned the World
- Life and Death in the Age of Forever Chemicals
- By: Mariah Blake
- Narrated by: Beth Hicks, Mariah Blake
- Length: 6 hrs and 49 mins
- Unabridged
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In 2014, after losing several friends and relatives to cancer, an unassuming insurance underwriter in Hoosick Falls, New York, began to suspect that the local water supply was polluted. When he tested his tap water, he discovered dangerous levels of forever chemicals. This set off a chain of events that led to 100 million Americans learning their drinking water was tainted. Although the discovery came as a shock to most, the U.S. government and the manufacturers of these toxic chemicals had known about their hazards for decades.
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Devastating. If you don't know, you need to.
- By Kristen on 05-08-25
By: Mariah Blake
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How Do You Choose?
- A Human Design Guide to What's Best for You at Work, in Love, and in Life
- By: Erin Claire Jones
- Narrated by: Erin Claire Jones
- Length: 6 hrs and 35 mins
- Unabridged
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Do you know what career you’re really meant to pursue? Can you identify the relationships you should really be investing in? Are you living your life to the fullest? Human Design is a mystical personality assessment that uses NASA data, astrology, and Eastern philosophy to generate mind-blowingly accurate insights into how you uniquely thrive at work, in love, and beyond.
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I Hate Myself
- Overcome Self-Loathing and Realize Why You're Wrong About You
- By: Blaise Aguirre MD
- Narrated by: Lee Goettl
- Length: 8 hrs and 18 mins
- Unabridged
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In I Hate Myself: Overcome Self-Hatred and Realize Why You're Wrong About You, internationally known assistant professor of psychiatry at Harvard Medical School Dr. Blaise Aguirre tackles the pervasive and often ignored issue of self-hatred. This book provides crucial insights into identifying and overcoming this deeply disturbing feeling, explaining why common practices of "self-care" or "self-love" often fall short in cases where self-hatred has become an integral part of a person's identity.
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Dickens the Enchanter
- Inside the Explosive Imagination of the Great Storyteller
- By: Peter Conrad
- Narrated by: David Rintoul, Peter Conrad
- Length: 12 hrs and 31 mins
- Unabridged
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Dickens the Enchanter takes us deep into an imagination whose power and originality struck some contemporaries as godlike while others thought it demonic. If you already love Dickens, it will renew your understanding of him; if you have yet to experience him, it will lure you into his astonishing, alarming, enchanted world.
By: Peter Conrad
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We Can Do Hard Things
- Answers to Life's 20 Questions
- By: Glennon Doyle, Abby Wambach, Amanda Doyle
- Narrated by: Glennon Doyle, Abby Wambach, Amanda Doyle, and others
- Length: 12 hrs and 1 min
- Unabridged
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The #1 New York Times bestselling authors and award-winning podcasters Glennon Doyle, Abby Wambach, and Amanda Doyle created We Can Do Hard Things—the guidebook for being alive—to help fellow travelers find their way through life.
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I love Glennon but this was way too hard to follow with all the voices, it may be better as a book
- By Amanda Newton on 05-11-25
By: Glennon Doyle, and others
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Little Bosses Everywhere
- How the Pyramid Scheme Shaped America
- By: Bridget Read
- Narrated by: Nikki Massoud
- Length: 11 hrs and 1 min
- Unabridged
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In Little Bosses Everywhere, journalist Bridget Read tells the gripping story of multilevel marketing in full for the first time, winding from sunny postwar California, where a failed salesman started a vitamin business, through the devoutly religious suburbs of Michigan, where the industry built its political influence, to stadium-size conventions where today’s top sellers preach to die-hard recruits. MLM has enriched powerful people, like the DeVos and Van Andel families, Warren Buffett, and President Donald Trump, all while eroding public institutions and the social safety net.
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Well researched.
- By Donald Schuster on 05-08-25
By: Bridget Read
The same old same old
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