Bariatric Regain Be Gone

Welcome back to the Regain Be Gone Podcast. My name is Sameera Khan, RD PA-C. I am a best-selling author, registered dietician, and nutritionist. Today I’m talking with Jo, from JoJo Concepts International. She specializes in non-surgical hair replacement. Her job is to help people look good and feel good about themselves. Most of her clients and patients see her because of hair loss due to alopecia, chemotherapy, bariatric surgery, medications, and a myriad of other reasons. We’re going to explore how Jo works with her clients and how she helps people with that particular speed bump. Hair loss after bariatric surgery can be tough and that’s why I’m talking with Jo today. I also have a free resource for you! It’s a journal on how to overcome cravings. Click on the link below. All you have to do is enter your name and email, and your free copy of “Bye Bye, Cravings” will be sent directly to your inbox. Disclaimer: The information provided in or through this podcast is for educational and informational purposes only and as one tool to increase your knowledge. This podcast is not intended as a substitute for the medical advice of physicians. The listener should regularly consult a physician in matters relating to his/her health and particularly with respect to any symptoms that may require diagnosis or medical attention. Talking Points: Jo’s background and why she got into this particular niche Surgical hair replacement versus non-surgical hair replacement Reasons why Jo would work with wigs The needs and requests of Jo’s typical clients Various options Jo provides The location of Jo’s offices The length of the process Bariatric surgery specific hair loss Bald versus thinning hair Various products that Jo uses and recommends Techniques for hair thinning (specifically with certain skin tones/hair colors) Cost and insurance How long do the products/procedures last (esp. “extended wear”) Everyday process: styling, care, and wear The psychology of hair loss Who is a good candidate for Jo (when it comes to bariatric surgery) Resources/Links: JoJo Concepts International, website Jo Barone, email: jojoconcepts@gmail.com (For a free consultation: send an email with your contact information and with the subject line: Want Free Consult) Sameera Khan, Instagram: @lowkcalgal Sameera Khan, email: health@lowkcalgal.com

Welcome back to the Regain Be Gone Podcast. My name is Sameera Khan, RD PA-C. I am a registered dietitian and nutritionist. This podcast is for people who have had bariatric surgery and are struggling to keep the weight off. Today I’m chatting with Jeanine Hylander, who is officially 100 lbs down from her surgical weight. That is such an amazing milestone to achieve. We talk about the importance of the ACE study and questionnaire, as well as the effect of childhood abuse on people who are considered overweight or obese as adults. Disclaimer: The information provided in or through this podcast is for educational and informational purposes only and as one tool to increase your knowledge. This podcast is not intended as a substitute for the medical advice of physicians. The listener should regularly consult a physician in matters relating to his/her health and particularly with respect to any symptoms that may require diagnosis or medical attention. Talking Points: Jeanine’s history and her weight loss story Jeanine’s “ah-ha” moment Why Jeanine decided to go into social work The ACE (adverse childhood experience) Study The ACE questionnaire How did ACE affect obesity The role of untreated trauma and weight gain/regain Resiliency: handling pressure versus losing your cool Everyone is capable of the habit of eating healthy The importance of having a sense of purpose The importance of having a good community (forums, support groups, therapy, family/friends, etc.) Establishing SMART goals Specific Measurable Achievable Relevant Time-bound Jeanine’s advice for people who are struggling for keeping the weight off The evolution of the ACE questions Jeanine’s contact info Resources/Links: Sameera Khan, Instagram: @lowkcalgal Sameera Khan, email: health@lowkcalgal.com Jeanine Hylander, email: easyevals@gmail.com ACE Study questions, ACEsTooHigh.com website

Sameera interviews Dr. Maria Penna, a Board Certified Physician in internal medicine, endocrinology, and obesity medicine. The two discuss hormones and their relationship to obesity while answering these questions: • How closely are obesity and diabetes linked? • Can a modest weight loss after bariatric surgery help to prevent or delay progression of type 2 diabetes? • How does bariatric surgery benefit obese patients with Type 1 Diabetes? • How is insulin related to weight gain? • Do thyroid issues hinder weight loss? • When should you take Levothyroxine and how does it interfere with absorption? • Should you be screened for Cushing’s Syndrome before bariatric surgery? • How can bariatric surgery benefit confirmed cases of PCOS and infertility? • How is reduced libido affected by weight loss and how are hormones involved? • What is metabolic testing and how does it help with weight loss? • When is it time to see an endocrinologist? • What is Hashimoto’s disease? Continuing this month, as a way of saying thanks to her new podcast audience, Sameera will be offering a limited number of free nutrition consultations to listeners of the Regain Be Gone podcast. To check in on your weight loss journey, get support, and reserve your spot on her calendar, visit bit.ly/323rkC8 Download your free copy of the Bye Bye Cravings Journal here: www.lowkcalgal.com/journal Connect with Sameera: on Instagram @lowkcalgal or by email - health@lowkcalgal.com Disclaimer: The information provided in or through this podcast is for educational and informational purposes only and as one tool to increase your knowledge. This podcast is not intended as a substitute for the medical advice of physicians. The listener should regularly consult a physician in matters relating to his/her health and particularly with respect to any symptoms that may require diagnosis or medical attention. Music: "El Amor" by Overjoyed

Sameera interviews bariatric patient, Emily, about how she has kept the weight off even after having her first baby. • Emily’s decision to have her surgery and make herself and her health a priority. • Her difficulty talking about the surgery with friends and family. • How long she waited after surgery to get pregnant. • Her experience with the first trimester of pregnancy. • Her total weight gain during pregnancy. • Whether or not the surgery helped Emily conceive. • Her OB-GYN’s attitude toward the surgery. • Handling prenatal vitamins and Emily’s cravings during pregnancy. • Losing the weight after the baby, mental challenges, and the importance of her support group. • The number one key for Emily to keeping her weight off. Continuing this month, as a way of saying thanks to her new podcast audience, Sameera will be offering a limited number of free nutrition consultations to listeners of the Regain Be Gone podcast. To check in on your weight loss journey, get support, and reserve your spot on her calendar, visit bit.ly/323rkC8 Download your free copy of the Bye Bye Cravings Journal here: www.lowkcalgal.com/journal Connect with Sameera: on Instagram @lowkcalgal or by email - health@lowkcalgal.com Disclaimer: The information provided in or through this podcast is for educational and informational purposes only and as one tool to increase your knowledge. This podcast is not intended as a substitute for the medical advice of physicians. The listener should regularly consult a physician in matters relating to his/her health and particularly with respect to any symptoms that may require diagnosis or medical attention. Music: "El Amor" by Overjoyed

This week Sameera delves into indicators for surgery success and common challenges facing bariatric patients with Dr. William Richardson, bariatric surgeon and Program Director at Ochsner Surgical Weight Loss Program in New Orleans. • Surgery and your body’s new set point • Does weight regain after surgery depend on the procedure? • Bypass vs. sleeve – reduction in comorbidities • Challenges with acid reflux in patients • Anatomic causes of weight regain • Revisionary surgery options and challenges • Predictors for success • Dr. Richardson’s approach to bougie size • The biggest red flags after weight loss surgery • Concerns around vitamin deficiency in bariatric patients • NSAIDs and alternative pain medications • How long should a bariatric patient wait to get pregnant? Continuing this month, as a way of saying thanks to her new podcast audience, Sameera will be offering a limited number of free nutrition consultations to listeners of the Regain Be Gone podcast. To check in on your weight loss journey and reserve your spot on her calendar, visit bit.ly/323rkC8 Download your free copy of the Bye Bye Cravings Journal here: www.lowkcalgal.com/journal Connect with Sameera: on Instagram @lowkcalgal or by email - health@lowkcalgal.com Disclaimer: The information provided in or through this podcast is for educational and informational purposes only and as one tool to increase your knowledge. This podcast is not intended as a substitute for the medical advice of physicians. The listener should regularly consult a physician in matters relating to his/her health and particularly with respect to any symptoms that may require diagnosis or medical attention. Music: "El Amor" by Overjoyed

Sameera Interviews RN and bariatric specialist Lynne Thompson, who's also a weight loss surgery patient herself, about the special challenges of traveling after surgery. This personal and insightful interview also covers: • The decision to go forward with her weight loss surgery. • The challenge of keeping the weight off many years after surgery. • Tips for snacking while traveling. • Lynne’s experience with dumping syndrome. • Handling challenges related to airports and flights. • Temptation-free road trips and staying hydrated on the road. • Staying on track with your necessary supplements. • Staying healthy while vacationing abroad – food and wine. • Lynne’s reflection on the ups and downs of having the surgery 16 years ago. • Following up with her health care team and finding support. Continuing this month, as a way of saying thanks to her new podcast audience, Sameera will be offering a limited number of free nutrition consultations to listeners of the Regain Be Gone podcast. To check in on your weight loss journey and reserve your spot on her calendar, visit bit.ly/323rkC8 Download your free copy of the Bye Bye Cravings Journal here: www.lowkcalgal.com/journal Connect with Sameera on Instagram @lowkcalgal or by email - health@lowkcalgal.com Disclaimer: The information provided in or through this podcast is for educational and informational purposes only and as one tool to increase your knowledge. This podcast is not intended as a substitute for the medical advice of physicians. The listener should regularly consult a physician in matters relating to his/her health and particularly with respect to any symptoms that may require diagnosis or medical attention. Music: "El Amor" by Overjoyed

Sameera explores the connection between iron deficiency and weight loss surgery. She shares critical information on iron supplementation for weight loss patients and answers these questions: • Does eating ice a couple of times a day signal iron deficiency? • What role does iron play? • What are some symptoms related to iron deficiency? • How much iron does a bariatric patient need? • Why do they require more? • How long after bariatric surgery do patients develop iron deficiency? • Do we wait for iron levels to fall or be proactive to start iron supplements? • What iron lab studies and bloodwork are needed for weigh loss surgery patients? • What are food sources of iron? • What is the difference between heme iron and non-heme iron? • How would you increase the absorption of iron? • Are drug interactions a concern with iron supplementation? • How does a bariatric patient avoid Iron toxicity? • What are some iron absorption enhancers? • How often should iron levels be checked after bariatric surgery? • What should lab studies include? This week Sameera is offering a limited number of free nutrition consultations to listeners of this podcast. To check in with Sameera and reserve your spot on her calendar, visit http://bit.ly/323rkC8 Download your free copy of the Bye Bye Cravings Journal here: www.lowkcalgal.com/journal Connect with Sameera on Instagram @lowkcalgal or by email - health@lowkcalgal.com Disclaimer: The information provided in or through this podcast is for educational and informational purposes only and as one tool to increase your knowledge. This podcast is not intended as a substitute for the medical advice of physicians. The listener should regularly consult a physician in matters relating to his/her health and particularly with respect to any symptoms that may require diagnosis or medical attention. Music: "El Amor" by Overjoyed

Sameera interviews surgeon Dr. Dominick Gadaleta, Chair of Surgery at Southside Hospital and Bariatric Director at North Shore University Hospital. • One physician’s experience with bariatric surgery and patients who regain weight after surgery. • Sleeve vs. gastric bypass – differences in weight regain. • Why the sleeve may be a more durable procedure. • Why some patients choose the bypass over the sleeve. • Evaluation of the advantages and disadvantages of robotic surgery. • How physicians determine a patient’s candidacy for robotic surgery. • Causes of weight regain – anatomical as well as behavioral. • Finding the balance between adequate dietary restriction, too much restriction, and no restriction. • Patients who do very well with weight loss surgery and what they have in common. • Issues surrounding revisional surgeries and options before surgery. • Red flags that a patient may gain the weight back. • Endoluminal revisions – what are they? • Issues with the sleeve gastrectomy and bougie size. • How often should you check with your doctor and other professionals post-surgery? • Advice for patients who avoid coming back to their physicians for help. • A doctor’s perspective on weight loss medications and balloons. • New programs at Southside Hospital. • Dr. Gadaleta’s advice on avoiding weight regain after surgery. This month, as a way of saying thanks to her new podcast audience, Sameera begins offering a limited number of free nutrition consultations to listeners of the Regain Be Gone podcast. To check in with Sameera and reserve your spot on her calendar, visit bit.ly/323rkC8 Download your free copy of the Bye Bye Cravings Journal here: www.lowkcalgal.com/journal Connect with Sameera on Instagram @lowkcalgal or by email - health@lowkcalgal.com Disclaimer: The information provided in or through this podcast is for educational and informational purposes only and as one tool to increase your knowledge. This podcast is not intended as a substitute for the medical advice of physicians. The listener should regularly consult a physician in matters relating to his/her health and particularly with respect to any symptoms that may require diagnosis or medical attention. Music: "El Amor" by Overjoyed

Sameera Interviews cancer survivor Elizabeth Nolan about maintaining her weight loss after surgery, body image, staying fit, and regaining control of your health. • Elizabeth's weight loss and its effect on other serious medical conditions. • Obesity and the role one's environment can play. • Celebrating milestones and successes with non-food rewards. • Body image after the incredible loss of 140 pounds. • The importance of a support system after surgery. • Dealing with the transfer of addiction in the early days after surgery. • Elizabeth’s self confidence today and her spectacular accomplishments in the gym. • An approach to working out that works for her and how she stays motivated. • Developing healthy habits. • Dating after surgery and Elizabeth’s biggest fear now. • Handling the inevitable cravings. • Increasing protein in the diet and the side effects that come with that. • Elizabeth’s advice for others who are considering surgery. This month, as a way of saying thanks to her new podcast audience, Sameera begins offering a limited number of free nutrition consultations to listeners of the Regain Be Gone podcast. To check in on your weight loss journey and reserve your spot on her calendar, visit bit.ly/323rkC8 Download your free copy of the Bye Bye Cravings Journal here: www.lowkcalgal.com/journal Connect with Sameera on Instagram @lowkcalgal or by email - health@lowkcalgal.com Disclaimer: The information provided in or through this podcast is for educational and informational purposes only and as one tool to increase your knowledge. This podcast is not intended as a substitute for the medical advice of physicians. The listener should regularly consult a physician in matters relating to his/her health and particularly with respect to any symptoms that may require diagnosis or medical attention. Music: "El Amor" by Overjoyed

Sameera Interviews Sebastian Choi, a clinical pharmacist who specializes in internal medicine and bariatric surgery to delve into the complex topic of medications for the weight loss patient. • Managing medications before and after surgery • Removal of diabetes-specific medications • Absorption and metabolism of medications after bariatric surgery (pharmacokinetics) • Medications and weight gain • Issues with stopping certain medications • Crushed and/or liquid medications vs. extended-release medications • Immediate-release substitutions • Considerations with effervescent drugs • Side effects and symptoms like constipation, dizziness, and hair loss – supplements and solutions • Iron deficiency – which products are the best? • Over-the-counter medications – which ones are safe and what to avoid after surgery • Avoiding dumping syndrome • Pros and cons of vitamin patches Download your free copy of the Bye Bye Cravings Journal here: https://www.lowkcalgal.com/journal Connect with Sameera on Instagram @lowkcalgal or by email - health@lowkcalgal.com Disclaimer: The information provided in or through this podcast is for educational and informational purposes only and as one tool to increase your knowledge. This podcast is not intended as a substitute for the medical advice of physicians. The listener should regularly consult a physician in matters relating to his/her health and particularly with respect to any symptoms that may require diagnosis or medical attention. Music: "El Amor" by Overjoyed

Sameera Interviews Maria Genao about her weight loss journey after surgery and her strategies for maintaining her goals and staying on track after the honeymoon period ends. • How Maria decided to have her weight loss surgery. • How the surgery affected Maria's previous high blood pressure and sleep apnea. • Maria's biggest supporter post-surgery. • Why she chooses to speak out about her surgery rather than keep it under wraps. • How the surgery has affected her husband and three kids. • Maria's approach to the maintenance phase and the top tools she depends on to stay on track. • Portion control and her approach to eating out. • Shopping after surgery. • Handling worries over hair loss and excess skin. • The importance of mental health before and after surgery. • Maria's thoughts on the many misconceptions around bariatric surgery. • Maria's approach to exercise now. • Leading a full life after surgery. Download your free copy of the Bye Bye Cravings Journal here: https://www.lowkcalgal.com/journal Connect with Sameera on Instagram @lowkcalgal or by email - health@lowkcalgal.com Disclaimer: The information provided in or through this podcast is for educational and informational purposes only and as one tool to increase your knowledge. This podcast is not intended as a substitute for the medical advice of physicians. The listener should regularly consult a physician in matters relating to his/her health and particularly with respect to any symptoms that may require diagnosis or medical attention. Music: "El Amor" by Overjoyed

Welcome to the Regain Be Gone Podcast. Maintain the body you earned after weight loss surgery with the latest information from expert Sameera Khan, RD, PA-C. For more information, and to download your free copy of the Bye Bye Cravings Journal visit the website. (https://lowkcalgal.com/)