Invasive procedures aimed to force the obese person to a limited food intake.
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Resources:Need resources to help with your bariatric lifestyle? Check out our Bariatric Tools page with meal plans, recipes, GLP-1 guide, etc.AD:Visit Procarenow.com now for all of your vitamin and mineral, calcium and protein needs. Use Code: BSS10 to save $Podcast Guests:Guest:Aaron J. GoodmanAttorney Email: attorney_aaron@yahoo.comLinkedIn: http://www.linkedin.com/in/aaron-goodman-44b41612Rate, Review & Follow on Apple Podcasts:"I love Dr. Susan and Bariatric Surgery Success." If this sounds like you, would you please rate and review my podcast? I love hearing from you, and it's actually super easy for you to leave a podcast rating. Wherever you listen to the Bariatric Surgery Success podcast, go to the review section and usually click a quick star rating. If you feel like taking it one small step further, please write a review if there's a place for one. Thank youIn this episode, I sit down with Aaron Goodman, an Oklahoma attorney who underwent vertical sleeve gastrectomy in 2019, achieving remarkable weight loss success. Recognizing the lack of support during the 2020 pandemic, Aaron took initiative by creating an online group for post-op bariatric patients, a community that continues to thrive today. A featured columnist in both Weight Matters and Bariatric Times, Aaron is passionate about empowering others with practical information, often reminding us that an ounce of prevention is worth a pound of cure. Tune in as we discuss his journey, the importance of support systems, and the lessons he's learned along the way.See full transcript on player
Episode 33 - Christy Figueredo - Navigating GLP-1 Use in Pediatrics In this episode of Nutrition Pearls: the Podcast, co-hosts Bailey Koch & Megan Murphy speak with Christy Figueredo on the RD's role in patients on GLP-1 agonists. She is a member of the CPNP GLP-1 task force and shares her knowledge on managing pediatric patients on GLP-1 medications from her own clinical practice and the information gathered from the task force. Christy is a board-certified specialist in pediatric nutrition. She currently serves as the Dietitian for the department of Pediatric Gastroenterology, Hepatology and Nutrition at the University of Miami where she manages the unique nutritional needs of complex patients from infancy to adolescents in the outpatient setting. She is an invited textbook chapter author for Infant and Pediatric Feeding and speaker on an array of childhood nutrition topics from the local to national level. She is a staunch child health advocate. Appointed to both the Miami-Dade WIC and Public-School Wellness Advisory committees collaborating with local stakeholders in childhood health and nutrition to provide a more equitable built environment for all. Nutrition Pearls is supported by an educational grant from Mead Johnson Nutrition.Resources:The SCOFF Questionnaire Binge Eating Disorder QuestionnaireAlliance for Eating Disorders - a great place for families or providers to start their search if they are unfamiliar with providers and support in their area.Food insecurity questionnaire Wadden TA, Chao AM, Moore MB, et al. The Role of Lifestyle Modification with Second-Generation Anti-obesity Medications: Comparisons, Questions, and Clinical Opportunities. Current Obesity Reports. 2023;12(4). doi:https://doi.org/10.1007/s13679-023-00534-zMechanick JI, Apovian C, Brethauer S, et al. CLINICAL PRACTICE GUIDELINES FOR THE PERIOPERATIVE NUTRITION, METABOLIC, AND NONSURGICAL SUPPORT OF PATIENTS UNDERGOING BARIATRIC PROCEDURES – 2019 UPDATE: COSPONSORED BY AMERICAN ASSOCIATION OF CLINICAL ENDOCRINOLOGISTS/AMERICAN COLLEGE OF ENDOCRINOLOGY, THE OBESITY SOCIETY, AMERICAN SOCIETY FOR METABOLIC & BARIATRIC SURGERY, OBESITY MEDICINE ASSOCIATION, AND AMERICAN SOCIETY OF ANESTHESIOLOGISTS. Endocrine Practice. 2019;25(12). doi:https://doi.org/10.4158/gl-2019-0406Almandoz JP, Wadden TA, Tewksbury C, et al. Nutritional considerations with antiobesity medications. Obesity. Published online June 10, 2024. doi:https://doi.org/10.1002/oby.24067Wharton S, Davies M, Dicker D, et al. Managing the gastrointestinal side effects of GLP-1 receptor agonists in obesity: recommendations for clinical practice. Postgraduate Medicine. 2021;134(1):14-19. doi:https://doi.org/10.1080/00325481.2021.2002616Produced by: Corey IrwinNASPGHAN - Council for Pediatric Nutrition Professionalscpnp@naspghan.org
Why do I sabotage my weight loss—even when I'm trying so hard? If you've asked yourself this, you're not alone. In this powerful session with wellness expert Rodolfo Alvarez, we uncover the real reasons behind self-sabotage in weight loss. From emotional eating triggers, limiting beliefs, and the fear of success, to hidden subconscious behaviors, this video will help you make sense of it all. Learn how to identify the mental blocks holding you back and discover tools that support long-term success, including mindset shifts and practical steps to end the cycle. Whether you're just starting or have been stuck in a loop of dieting and disappointment, this episode is packed with insight, hope, and actionable strategies.
In this episode of Transform Your Life, Teresa and Tonya are joined by Sheri Arcuria to discuss her lifelong weight loss journey. Sheri opens up about struggling with her weight since childhood, being diagnosed with health issues, and making the life-changing decision to undergo bariatric surgery. Feeling isolated before surgery, she started a blog to connect with others and later turned her experiences into a book, Unzipped.Sheri shares the mindset behind her brand MOBA, which encourages people to overcome setbacks and take control of their lives. They emphasize the importance of positive thinking, staying present, and rejecting the all-or-nothing mentality often seen in weight loss culture. Sheri also discusses her upcoming book, Blindsided.Key Topics Covered:Why she chose bariatric surgery and how it changed her lifeStarting a blog and writing Unzipped to help othersThe mindset behind MOBA and building mental resilienceHow to stay motivated through small wins and community supportLetting go of the all-or-nothing approach in weight lossTune in to hear Sheri's powerful story of resilience, transformation, and turning personal challenges into a movement of support and empowerment.Follow Sheri Arcuria:Instagram @sheri.moba and @unzipped_thebookFacebook: UnzippedTheBookMOBA: https://www.mobamentality.com/Podcast: Unzipped with SheriBook: UnzippedDevotion Protein Powder - Use TONYA or Teresa to save on your orderAmerican Dream Nut Butter - Use code TONYA10 or TransformingTeresaMarie to save on your order.Follow Transform Your Life Podcast on Instagram @transformyourlifepodcast Follow Tonya on Instagram @takingmylifebackat42 Follow Teresa on Instagram @transformingteresamarie and Tiktok @transformingteresamarie
Unlock the true meaning of self-care and transform your wellness journey with insights from Dr. Steven Reyes, EdD, in this eye-opening episode of Bari Connected—sponsored by ProCare Health, your partner in post-bariatric wellness. In “The Nature of Self-Care”, we dive into:
Atheana welcomes Vincci Tsui, a dietitian, to discuss bariatric surgery. Vincci shares her extensive background, including her shift to weight-inclusive practices. They delve into Vincci's personal experiences working in bariatric surgery, the complexities of such procedures, and the challenges faced by patients, such as diet culture and weight stigma. Vincci offers insights into the inadequacies of current screening for eating disorders and the fallout of weight regain post-surgery. They also address the rise of GLP-1 medications. Vincci emphasizes the importance of informed consent, continuous support, and the need for dietitians and medical providers to adopt a more weight-inclusive approach.Connect with Vincci by:WebsiteInstagramWeight Inclusive Dietitian in Canada✨Do you need personalized and inclusive support? Book a free 20 minute discovery call with Atheana Brown today to get supported on healing your relationship with food + body. ➡️ You can also join the monthly newsletter to keep yourself updated on the latest podcast episodes, freebies, workshops and food freedom tips. You can join the community here!
La Academia Americana de Pediatría define la obesidad en niños y adolescentes como un Índice de Masa Corporal igual o superior al percentil 95 para su edad y sexo. Esto significa que el peso del niño es mayor del esperado para su altura y edad, lo que puede indicar un exceso de grasa corporal. Hoy en día existen tratamientos o intervenciones que han demostrado ser más efectivos y seguros en el manejo de la obesidad infantil y de eso hablamos hoy con el Dr. Fernando Pérez Galaz, reconocido cirujano especializado en cirugía gastrointestinal y cirugía bariátrica, egresado de la Universidad Anáhuac, donde también cursó la Maestría en Ciencias Médicas. Actualmente, el Dr. Pérez Galaz es Director de la Clínica Gastro Bariátrica Santa Fe en el Hospital ABC Santa Fe, la única clínica en México certificada por la EASO (European Association for the Study of Obesity). El Dr. Pérez Galaz es autor del libro "50 preguntas en cirugía y tratamiento farmacológico de la obesidad". Su labor académica incluye ser docente en la Universidad Iberoamericana, en la especialidad de Obesidad y Comorbilidades, y profesor auxiliar de la especialidad de cirugía general en el Hospital ABC. Además es miembro del American College of Surgeons y del American Society for Metabolic and Bariatric Surgery. Además de su práctica médica, es cofundador de la Fundación Obesidades, una organización sin fines de lucro que busca lograr el reconocimiento de la obesidad comoenfermedad crónica y la no discriminación del paciente que vive con esta enfermedad. Actualmente, el Dr. Pérez Galaz es anfitrión del podcast Bariatría PRO, en el que imparte medicina basada en evidencia para mejorar la salud de forma inteligente. Instagram: @drperezgalaz Podcast: Bariatría Pro ¿Tienes algún comentario sobre este episodio o sugerencias de temas para un futuro podcast? Escríbenos a pediatrasenlinea@childrenscolorado.org.
Surgical conferences are a forum of the profession–where we all gather to socialize, share clinical experiences, promote academic work, and learn from each other. But what goes into putting these conferences together? In this next installment of the BTK/ASGBI collaborative series, Jon Williams and ASGBI co-hosts Kellie Bateman and Jared Wohlgemut welcome Mr. Dimitrios Damaskos from Edinburgh and Dr. Anne Lidor from the University of Wisconsin to take a look behind the scenes of conference planning. We'll cover logistics, program selection, how surgical societies strive to support their members and trainees, and much more! Mr Dimitrios Damaskos, initially from Greece, he came to the UK for his fellowship and is a UGI and Emergency General Surgical Consultant with an interest in abdominal wall surgery based in The Royal Infirmary Edinburgh. He is the current Director of Scientific Programme for ASGBI and responsible for organising our main International Congress which this year happens to be in Edinburgh. He has also held numerous other events for surgical societies including the British Hernia Society. Dr. Lidor serves as the program chair for the Society for American Gastrointestinal and Endoscopic Surgeons (i.e. SAGES), which is a wide-reaching US-based international surgical society that encompasses many facets of general surgery. The SAGES Annual Meeting was just last month, and is a great opportunity for surgeons to convene and share clinical experiences, academic work, and professionally connect. Dr. Lidor completed medical school at the New York Medical College, and then moved on to George Washington University for general surgery residency training. Following residency, she moved to Baltimore to Johns Hopkins where she completed her MIS/Bariatric Surgery fellowship and subsequently stayed on as a faculty surgeon. After years at Hopkins during which she held many education leadership roles both at the medical school and as fellowship director, she moved to the University of Wisconsin to become Chief of Minimally Invasive and Bariatric Surgery, a role she continues to hold today. If you enjoyed this episode, stay tuned for more upcoming BTK/ASGBI collaborative content. If you have any questions or comments, please feel free to reach out to us at hello@behindtheknife.org. Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more. If you liked this episode, check out our recent episodes here: https://app.behindtheknife.org/listen
Welcome back to The Weight Loss Collab! In this special episode, "Bariatric FAQs," your favorite duo—Dr. Dovec, bariatric surgeon, and Hannah Schuyler, registered dietitian—dive into the most common questions about bariatric surgery and weight loss. After sharing a heartfelt update on the grand opening of their brand-new Surgical Institute of Central Florida (and the emotional rollercoaster of getting there), they get back to basics, breaking down everything you need to know as a prospective patient.From choosing the right program and understanding insurance qualifications, to prepping for your first consult and navigating pre- and post-op dietary guidelines, Dr. Dovec and Hannah give you a transparent, behind-the-scenes look at the bariatric journey. They chat about why communication, community, and convenience are at the heart of their practice, and address real-life patient concerns—like insurance coverage surprises, out-of-state travel, post-op recovery timelines, and lifelong nutrition tips.So, whether you're on the fence about bariatric surgery or already preparing for your first appointment, this episode is packed with practical advice, candid stories, and the compassionate support you've come to expect from The Weight Loss Collab. Let's get started!
Welcome to the newest episode of Bari Connected, brought to you by ProCare Health!
Struggling with fat loss and tired of diet myths?
Coaches Justin and Amanda offer coaching and programming at this link. In this episode, Ashley shares her transformative journey of overcoming obesity, mental health challenges, and the importance of mindset shifts in achieving a healthier lifestyle. She discusses her experiences with bariatric surgery, dietary changes, and the role of family support in her journey. The conversation emphasizes the significance of exercise, nutrition, and the psychological aspects of weight loss, while also addressing the pitfalls of relying solely on medical interventions. Ashley's story serves as an inspiration for those looking to make lasting changes in their lives. Takeaways Ashley lost almost 200 pounds in three years through a combination of diet and exercise. Mental health plays a significant role in Ashley's relationship with food and her weight loss journey. Bariatric surgery was a turning point for Ashley, but it required a mindset shift for long-term success. Finding the right balance in nutrition is an ongoing process for Ashley, involving experimentation with different diets. Support from family is crucial in maintaining motivation and accountability during the weight loss journey. Coping with stress and impulsive eating remains a challenge for Ashley, requiring constant self-awareness. Exercise, particularly weightlifting, has helped Ashley regain control and build strength. Long-term health is about more than just weight loss; it's about sustainable lifestyle changes. Ashley aims to be a fun and active grandmother, motivating her to stay healthy for her future family. Navigating the medical system can be frustrating, and Ashley emphasizes the importance of self-advocacy in health.
Episode 298 hosts Dr Jigna Patel (General Practitioner, London, UK). Jigna is a UK-based GP with a special interest in skin health, functional medicine and takes a very different approach with her aesthetic patients. The conversation explores the integration of holistic health principles into aesthetic practice, touching on topics such as the brain-gut-skin axis, ethical issues in the aesthetics industry, and the need for a balanced approach to skin and overall health. Dr. Patel shares personal experiences that influenced her approach, emphasizing the importance of looking at patients' overall well-being rather than just treating aesthetic symptoms. The discussion also critiques overused treatments like RF needling, the ethical concerns of treating younger patients, and the far-reaching impacts of diet and lifestyle on skin health. The episode offers a thought-provoking perspective on the future of aesthetic medicine and the role of holistic practices in achieving better patient outcomes. 00:00 Introduction 01:49 Dr. Jigna Patel's Background and Journey 06:09 Ethical Concerns in the Aesthetic Industry 18:21 Holistic Approach to Skin Health 43:49 Challenges and Criticisms in Aesthetic Treatments 47:56 Challenges of Overproducing Collagen 48:39 Weight Loss Injections and Facial Support 49:58 The Role of General Practitioners in Weight Loss 52:33 Psychological and Nutritional Support in Bariatric Surgery 54:12 Exploring the Brain-Gut-Skin Axis 55:44 The Importance of Gut Health in Aesthetics 01:01:21 Probiotics and Skin Health 01:03:42 Dietary Advice for Better Skin 01:06:41 Reconciling Aesthetic Practices with Holistic Health 01:09:49 Functional Medicine and Its Challenges 01:21:02 The Future of Aesthetic and Holistic Practices JOIN OUR PATREON FOR EXCLUSIVE SUBSCRIBER-ONLY PODCASTS, WEEKLY EDUCATIONAL CONTENT & JOIN OUR WHATSAPP COMMUNITY CLICK HERE TO BROWSE OUR IA OFFERS FOR DISCOUNTS & SPECIALS CLICK HERE IF YOU'RE A BRAND OR COMPANY & WANT TO WORK WITH US CLICK HERE TO APPLY TO BE A GUEST ON OUR PODCAST CONTACT US
In this episode, Dr. Whitfield speaks with Ashley Koff, RD, about the fascinating world of peptide hormones, focusing on GLP-1 and its role in metabolic health. Dr. Whitfield starts by highlighting how our genes play a part and why GLP-1 is so crucial, especially when bouncing back after surgery. Ashley, a whiz on GLP-1 agonists, chats about the differences between synthetic and natural hormones. She also stresses the importance of seeing metabolic health as a complex system. Ashley shares how personal genomics can help us fine-tune our health and gives us a sneak peek into her upcoming book on optimizing GLP-1. Tune in to hear more about a holistic and personalized approach to health and nutrition. Connect with Ashley Koff, RD https://thebetternutritionprogram.com/bnp-plan/ https://thebetternutritionprogram.com/join-our-newsletter/ Show Highlights: Genetic Factors in Metabolic Health (00:04:28) Impact of genetics on metabolic function and health outcomes GLP-1's Role in Repair (00:15:33) GLP-1's potential in repairing the digestive tract lining and considerations for its use Understanding Medication Use (00:16:25) Prevalence of acid-suppressing medications and their effects on digestion and inflammation GLP-1 Optimization Insights (00:22:25) Significance of GLP-1 hormones in regulating health and addressing weight management Importance of Nutrition Ecosystem (00:26:28) Discussion on the interconnectedness of diet, gut health, and overall body function Fermented Foods and Their Benefits (00:30:36) Exploration of various fermented foods and their role in enhancing gut health and nutrition Nutritional Yeast Misconceptions (00:33:16) Clarification on the nutritional content of fortified nutritional yeast and its impact on health Fermented Foods and Probiotics (00:34:12) Exploration of the limitations of fermented foods like sourdough for probiotic intake Protein Quality and Distribution (00:40:02) Importance of protein source quality and proper distribution throughout the day Genetic Factors in Nutrition (00:45:49) Discussion on the role of genetics in individual dietary needs and behaviors Bio: Ashley Koff, RD Ashley Koff, RD, leads the national conversation on truly personalized nutrition. She's translated her 25+ years of practitioner experience into a proven system, 'BNP' (better not perfect), to help you identify and make better nutrition choices more often. She's the founder of The Better Nutrition Program and the founding Nutrition Director for the University of California at Irvine's Susan Samueli Institute's Integrative and Functional Medicine Fellowship. Koff has a new book available in January 2026 on GLP-1 optimization from Harper Collins and offers certification for it for coaches and practitioners. She's also the author of two consumer publications, Recipes for IBS and Mom Energy, and a contributor to three practitioner publications. She was also the on-air dietitian for three reality TV shows and a regular contributing expert for national and local media outlets. Awarded by InStyle magazine as Hollywood's Leading Nutritionist, as among CNN's Top 100 health makers, recognized in the Top 10 Social Health Makers in Nutrition (Sharecare.com) and among the top “50 Natural Influencers” in health and nutrition to follow on Twitter (NewHope360 and Shape.com), Koff was also selected for the first list of Top 10 Registered Dietitians in the US by Today's Dietitian. Links and Resources Let's Connect Podcast: https://podcasts.apple.com/gb/podcast/breast-implant-illness/id1678143554 Spotify: https://open.spotify.com/show/1SPDripbluZKYsC0rwrBdb?si=23ea2cd9f6734667 TikTok: https://www.tiktok.com/@drrobertwhitfield?t=8oQyjO25X5i&r=1 IG: https://www.instagram.com/breastimplantillnessexpert/ FB: https://www.facebook.com/DrRobertWhitfield Linkedin: https://www.linkedin.com/in/dr-robert-whitfield-md-50775b10/ X: https://x.com/rob_whitfieldmd Read this article - https://www.breastcancer.org/treatment/surgery/breast-reconstruction/types/implant-reconstruction/illness/breast-implant-illness Shop: https://drrobssolutions.com SHARP: https://www.harp.health NVISN Labs - https://nvisnlabs.com/ Get access to Dr. Rob's Favorite Products below: Danger Coffee - Use our link for mold free coffee - https://dangercoffee.com/pages/mold-free-coffee?ref=ztvhyjg JASPR Air Purifier - Use code DRROB for the Jaspr Air Purifier - https://jaspr.co/ Echo Water - Get high quality water with our code DRROB10 - https://echowater.com/ BallancerPro - Use code DRROBVIP for the world's leader in lymphatic drainage technology - https://ballancerpro.com Ultrahuman - Use code WHITFIELD10 for the most accurate wearable - https://www.ultrahuman.com/ring/buy/us/?affiliateCode=drwhitfield
Recorded with a live audience at Black Hills Stock Show. Pial Hope, D.O., Metabolic and Bariatric Surgery at Rapid City Hospital, discusses the evolving role of robotic-assisted surgery, specifically the da Vinci Robotic Surgical System, and its impact on patient care. Dr. Hope highlights advancements in surgical technology and shares insights into how the next generation of medical professionals can be inspired by these innovations. Hosted on Acast. See acast.com/privacy for more information.
Dr. Centor discusses health expenditures for patients with diabetes after bariatric surgery with Drs. Matthew Maciejewski and Caroline Sloan.
00:00:00 - Surf's Up: Season 6 Episode 4 Surfing the MASH Tsunami concludes its coverage of the AASLD Emerging Trends Conference on MASLD, MetALD and ALD. This week, the panelists focus on pivotal messages that attendees took away from the conference and what messages they would like to share with listeners. Our newsmaker, Fatty Liver Alliance and CEO Mike Betel, discusses the lessons he has taken from being invited to a far wider swath of conferences this year and shares the messages he delivers to these new audiences. Finally, our expert, hepatology research and key opinion leader Mazen Noureddin, discusses recent advances in drug development, focusing on agents in Phase 3 trials.00:04:24 - IntroductionHost Roger Green briefly describes this episode's three sections and one key lesson from each.00:06:03 - Roundtable: Highlights from the AASLD Emerging Trends Conference, Part 4This is the concluding portion of our Emerging Trends Conference Roundtable. The group focuses on key lessons they have learned and messages they would like listeners to take from this conversation. The pivotal idea is that SLD is a spectrum running from MASLD through MetALD to ALD. Researchers and treaters will all do best in developing and implementing therapies and guidelines with this thought in mind. Aleksander Krag stresses this idea and notes that, with several different classes of drugs demonstrating positive impact, it will be an exciting decade ahead as we learn how to apply these drugs along the spectrum. Jenn Jones and Alex Lalos note the importance of identifying MetALD, although Jenn noted that it does not seem wise to conduct trials solely with MetALD patients at this time. 00:22:04 - Newsmaker: Mike Betel on the Increased Visibility of Patient AdvocatesThis week's newsmaker, Mike Betel, has experienced a significant increase in the number of conferences at which he is invited to speak or appear on a panel. This discussion centers around the reasons Mike believes this is happening and the message(s) he delivers. To Mike, his most important contribution lies in the amount of information he sends back from each event, many of which surpass 30% download rates (and some even hit 50%). He discusses his value in diabetes, endocrinology and obesity meetings, where he brings a "liver" perspective and co-education opportunity to these events. The entire experience has taught him about the need not to stigmatize patients and reinforced his belief in the importance of tailoring care to patients' needs and personalities. 00:49:28 - Expert: Mazen Noureddin on the Exciting MASLD Drug Development EnvironmentHepatologist and Key Opinion Leader Mazen Noureddin joins Roger to discuss major advances in drug development over the past year. He covers a range of different drug classes, focusing on stages of development and the range of options within each class. Specifically, he discusses the FGF-21 agents, the range of patients for whom they might be appropriate, how efruxifermin's 96-week results may make the idea of "induction therapy" less appropriate, and the exciting early data on cirrhosis patients. He provides some detail on the various incretin agonist options, why hepatologists are particularly excited about combinations that include a glucagon agent, and what kinds of results we might expect in upcoming trials. He goes on to discuss the pan-PPAR lanifibranor, the FASN inhibitor denifenstat, and notes ongoing work on new classes and combination therapies. In general, he paints, I think, not a rosy, but an extremely optimistic picture of what the future will be for patients who need to be treated for fatty liver. 01:09:38 - Business Report Roger discusses the next Roundtable and provides some details on SurfingMASH's coverage of the upcoming EASL Congress.
AD:Visit Procarenow.com now for all of your vitamin and mineral, calcium and protein needs. Use Code: BSS10 to save $Resources:Need resources to help with your bariatric lifestyle? Check out our Bariatric Tools page with meal plans, recipes, GLP-1 guide, etc.Freebie: Sheet Pan DinnersPodcast Guests:Connie Stapleton, Ph.D.Website: http://www.conniestapletonphd.comBariAftercare: The PodcastMind Prep The Book: How To Prepare for Bariatric Surgery and Live as a Healthy Post-Op: Mind Prep: The BookBariAftercare Daily Progress Journal Rate, Review & Follow on Apple Podcasts:"I love Dr. Susan and Bariatric Surgery Success." If this sounds like you, would you please rate and review my podcast? I love hearing from you, and it's actually super easy for you to leave a podcast rating. Wherever you listen to the Bariatric Surgery Success podcast, go to the review section and usually click a quick star rating. If you feel like taking it one small step further, please write a review if there's a place for one. Thank youShow Notes SummaryThis conversation explores the profound changes that occur in relationships and self-perception following bariatric surgery and weight loss medications. Dr. Susan Mitchell and Dr. Connie Stapleton discuss the often-overlooked mental health aspects of weight loss, including how individuals may feel differently about themselves and how their relationships can be affected. They emphasize the importance of communication, self-reflection, and seeking support during this transformative journey.TakeawaysWeight loss can lead to positive life changes but also relationship disruptions.Mental health changes are often overlooked in weight loss discussions.Individuals may struggle with self-perception after significant weight loss.Healthy communication is crucial in navigating relationship changes post-weight loss.Self-reflection is key to understanding personal growth during weight loss.People often internalize negative societal messages about weight.Setting boundaries becomes easier as self-esteem improves post-weight loss.Support from professionals and peers is essential during the weight loss journey.Understanding the difference between body image distortion and body dysmorphic disorder is important.Taking responsibility for one's health and mental well-being is crucial.Sound Bites"You need a roadmap.""You are a whole person.""This is a you transformation.""You are worth it."Chapters00:00Introduction to Bariatric Surgery and Relationships06:00Mental Changes Post-Weight Loss12:01Navigating Relationship Changes17:58Self-Reflection and Personal Growth
Surfing the MASH Tsunami continues its coverage of the AASLD Emerging Trends Conference on MASLD, MetALD and ALD. This week, the panelists focus on what studies on bariatric surgery and drugs in development can tell us about future treatment and explore some clinical trial questions. Guest Surfers include Professor Aleksander Krag of the University of Southern Denmark, the current Secretary-General of EALS, hepatologist Alexander Lalos of Robert Wood Johnson hospital, and Jenn Leigh Jones, founder of the Society for Sober Livers Survival, now part of the Fatty Liver Foundation. Aleksander Krag starts by discussing a presentation on what we can learn from bariatric surgery in terms of fibrosis reduction and why pharmacotherapies work (or not). He envisions a day where we have multiple treatment options and understanding how each works for specific types of patients, leading to robust, cost-effective, patient-specific treatment algorithms. Alex Lalos describes how presentations on FGF-21s in advanced fibrosis and cirrhosis have whetted his appetite and Jenn Jones asks questions regarding ALD patient trial selection and assignment and clinical endpoints for cirrhosis trials.
00:00:00 - Surf's Up: Season 6 Episode 3Surfing the MASH Tsunami continues its coverage of the AASLD Emerging Trends Conference on MASLD, MetALD and ALD. This week, the panelists focus on what studies on bariatric surgery and drugs in development can tell us about future treatment and explore some clinical trial questions. Our newsmaker, HistoIndex Director of Clinical Development Yukti Choudhury, introduces us to FibroSIGHT, which provides clinicians with highly precise biopsy analysis. Finally, our expert, Global Liver Institute Vice President, Liver Programs Jeff McIntyre, discusses the implications of recent US government job cuts on future MASH treatment options and patient care.00:04:35 - IntroductionHost Roger Green briefly describes this episode's three sections and one key lesson from each.00:05:45 - Roundtable: Highlights from the AASLD Emerging Trends Conference, Part 3This portion of our Emerging Trends Conference Roundtable looks at how therapy might evolve over time. Aleksander Krag starts by discussing a presentation on what we can learn from bariatric surgery in terms of fibrosis reduction and why pharmacotherapies work (or not). He envisions a day where we have multiple treatment options and understanding how each works for specific types of patients, leading to robust, cost-effective, patient-specific treatment algorithms. Alex Lalos describes how presentations on FGF-21s in advanced fibrosis and cirrhosis have whetted his appetite and Jenn Jones asks questions regarding ALD patient trial selection and assignment and clinical endpoints for cirrhosis trials. 00:16:55 - Newsmakers: FibroSIGHT Brings Clinical Trial Analytics to Clinical Practice Use of BiopsyYukti Choudhury, Director of Clinical Development at HistoIndex, joins Roger Green to discuss FibroSIGHT, a new HistoIndex service that allows clinicians to use HistoIndex's Second Harmonic Generation (SHG) technology to determine specific CRN fibrosis level for patients with inconclusive NIT results. Yukti states that demand for this technique could equal 163,000 cases this year and rising to one million by 2028. She provides practical cues on ordering the test and its reimbursement. Roger shares his long-standing respect for SHG and the clarity it produces. He notes the economic benefit of determining whether a patient has F2 fibrosis, which is indicated for pharmacotherapy, vs.F1, which is not indicated. He sees clear benefit, but expresses concern that any option requiring more biopsies will reduce the number of patients treated.00:41:49 - Patient Advocate and Policy Expert Jeff McIntyre Discusses the Implications of FA/NIH Job Cuts on MASLD Patient CareGlobal Liver Institute Vice President, Liver Programs Jeff McIntyre joins Roger to discuss the April 1 job reductions at the FDA, explore implications for the entire MASLD community, and to ask what patients can and should do. Jeff and Roger note that the job changes will create significant uncertainty and probably reduce the government's ability to respond to future health crises. Jeff notes former FDA Commissioner Rob Califf's comment that the FDA as we know it "is dead," and that we have little idea what the future holds. According to Jeff, patients need to become even more vigilant self-advocates and also seek the guidance and support they need from patient advocacies. Finally, the conversation turns to discuss FibroSIGHT. Jeff describes FibroSIGHT as "exactly where we should be and should not be at the same time," a technology that takes a large step forward in understanding and patient support, but one that ties us to biopsy as a standard for clinical care. Jeff and Roger agree this issue will play out over the coming years. 01:09:18 - Business ReportRoger thanks listeners quoting a letter from one of them, and describes the next round of episodes.
Join BariConnected and ProCare Health for an empowering episode featuring the Wellness Warriors—a panel of bariatric experts and passionate voices in the weight loss surgery (WLS) community. Whether you're fresh into your journey or navigating years post-op, this discussion is packed with practical tips and heartfelt inspiration.
AD:Visit Procarenow.com now for all of your vitamin and mineral, calcium and protein needs. Use Code: BSS10 to save $Resources:Need resources to help with your bariatric lifestyle? Check out our Bariatric Tools page with meal plans, recipes, GLP-1 guide, etc.Quoted: Gayle Brazzi Smith MS, RDN, CSOWM, LDNRegistered & Licensed DietitianWeight Loss and Bariatric Surgery InstituteOrlando, FLEmail: gayle.brazzismith@orlandohealth.comWebsite: OrlandoHealth.com/Bariatrics Bariatric Dietitian Isabel Maples, RDBariatric CoordinatorUVA Health in Haymarket, VirginiaEmail: ggw5ud@uvahealth.org Bariatric Surgeons & Weight-Loss Surgery Services | UVA Health Rate, Review & Follow on Apple Podcasts:"I love Dr. Susan and Bariatric Surgery Success." If this sounds like you, would you please rate and review my podcast? I love hearing from you, and it's actually super easy for you to leave a podcast rating. Wherever you listen to the Bariatric Surgery Success podcast, go to the review section and usually click a quick star rating. If you feel like taking it one small step further, please write a review if there's a place for one. Thank you!Show Notes/Full Transcript found on website playerSummaryIn this episode, Dr. Susan Mitchell discusses the essential vitamins and minerals needed after bariatric surgery, emphasizing the importance of proper supplementation for health and energy. She covers key nutrients such as iron, calcium, vitamin D, and thiamine, providing insights on dosages, absorption, and the significance of regular monitoring with healthcare professionals.TakeawaysYou should own stock in bariatric supplements.The right nutrients can make a big difference.The most important vitamin is the one you don't get enough of.Iron can lead to low energy and hair loss.Vitamin C increases iron absorption.Calcium citrate is better absorbed than calcium carbonate.Take calcium in divided doses for better absorption.You need 2,000 to 3,000 IU of vitamin D daily.Thiamine deficiency can make you quite sick.Take your supplements on a schedule.Sound Bites"Vitamin C increases iron absorption."Chapters00:00Understanding the Importance of Supplements After Bariatric Surgery02:13Essential Vitamins and Minerals for Post-Surgery Health03:11Iron: The Key to Energy and Health05:05Calcium and Vitamin D: Building Blocks for Strong Bones08:09Thiamine: The Overlooked B Vitamin
Bariatric surgery is life-changing, but what happens when regret creeps in? Whether it's right after surgery, months later, or even years down the road, many people experience fear, doubt, and frustration along the way.In this episode of Our Sleeved Life Podcast, Mel & Kellie open up about the emotional side of weight loss surgery—the moments of “What did I do?”, struggling with food choices, and the impact on relationships. They share personal experiences, discuss common fears, and offer real advice on how to move forward when regret sets in.What we talk about in this episode:Why post-op regret happens and how long it lastsThe emotional rollercoaster of weight loss surgeryFood cravings, restrictions, and learning to enjoy meals againNavigating changes in relationships and support systemsWhy comparison can hold you back—and how to focus on YOUR progressIf you're feeling overwhelmed or questioning your journey, this episode is for you. You are not alone!Meet Your HostsKellie Wilson – Co-host of OSLP, mental health advocate, and bariatric warrior. Follow her at @sleevedfromtheashesMelanie (Mel) – Bariatric advocate, podcast host, and founder of the Just Be You Bariatric Awards. Follow her at @melunfiltered for real, unfiltered WLS content.
On the latest Bari Connected episode, sponsored by ProCare Health, brings you an exclusive episode featuring Mel & Kellie from Our Sleeved Life Podcast as we dive into the Just Be You Bariatric Awards Show!
Shaneeta Johnson, MD, is an Associate Professor of Surgery, Director of Minimally Invasive, Robotic, and Bariatric Surgery, and Program Director, General Surgery Residency Program at Morehouse School of Medicine and Grady Hospital in Atlanta, Georgia. She is also a Senior Fellow of Global Health Equity in the Satcher Health Leadership Institute. She is an experienced surgeon, clinician, educator, philanthropist, and researcher. Shaneeta received her education and surgical training at Johns Hopkins University, Loma Linda University School of Medicine, Howard University Hospital, The Cleveland Clinic and Brandeis. She is a Fellow of the American College of Surgeons, the American Society of Metabolic and Bariatric Surgeons, and the International College of Surgeons. She is board certified in both General Surgery and Obesity Medicine. She has been appointed to leadership positions within state, national, and international organizations and committees.Shaneeta is passionate about furthering health equity and eliminating disparities. She has been involved and/or spearheaded national and international initiatives to improve health equity. She is a sought-after speaker whose expertise has afforded her invitations to speak both nationally and internationally. She is a recipient of the NMA Emerging Leader Trailblazer Award, American College of Surgeons Claude Organ Traveling Fellowship, Atlanta Business Chronicle 40 under 40 award, 2020 Women who Mean Business Award, and the 2019 Outstanding Atlanta award. In her spare time, she enjoys spending time with family, traveling, running, and water sports.
It seems like almost everyone is taking GLP-1 medications these days to lose weight. Now a couple years after they've been used for this purpose, what do we know? How do we interpret all the headlines about them? Despite how the news makes it sound and what your doctor may have told you, you have options! Tune in to understand more about GLP-1 medications, what Jenn does as a health coach for her clients who are taking them, and how you can naturally support your own GLP-1, empowering you with knowledge and control over your health.Welcome to Salad with a Side of Fries! In today's episode, Jenn dives into the impact of GLP-1 medications on metabolic health. She begins by explaining what GLP-1 is and addresses some of the controversy surrounding celebrities who don't admit to using it for their weight loss. Jenn also uncovers how the secondary benefits of GLP-1 often mislead the public and explores its short term side effects and potential long lasting impacts. She discusses the concept of fat cells having memory, what people can do to support true metabolic health while taking these meds, and shares practical tips for naturally supporting your body's own GLP-1 for long term metabolic health. The Salad With a Side of Fries podcast is hosted by Jenn Trepeck, discussing wellness and weight loss for real life, clearing up the myths, misinformation, bad science & marketing surrounding our nutrition knowledge and the food industry. Let's dive into wellness and weight loss for real life, including drinking, eating out, and skipping the grocery store. IN THIS EPISODE: (00:00) Jenn talks about GLP-1 meds, metabolic health and weight loss(05:07) Defining GLP-1 and how it works in the body(12:05) How the public is misled by the secondary benefits of taking the medication and discussion of side effects(21:08) Being cautious and a discussion of the gut brain connection and malnutrition(26:50) Fat cells have memory, BMI as a metric, and an example of how the Healthy Vibe Tribe brought down blood sugar 70 points for a client(35:10) How to naturally support your GLP-1 and metabolic health(43:53) What about insulinKEY TAKEAWAYS: GLP-1 medications are more openly discussed with more people openly admitting they're taking them. This shift contrasts with the early days when celebrities falsely claimed weight loss was solely due to light exercise, misleading the public and creating unrealistic expectations for weight loss.Jenn criticizes the Super Bowl ad from Hers, which she believes "weaponized diet culture" to promote its version of a GLP-1 medication. She expresses frustration with how marketing continues to exploit societal insecurities around weight, comparing it to the more positive and empowering approaches taken by brands like Dove.While GLP-1 medications can be life-transforming in the short term—reducing weight and alleviating joint pain—there are concerns about their long-term impact. Issues like bone density loss, muscle deterioration, and potential joint problems down the line should be considered. This highlights the importance of being proactive and responsible for your long-term healthWhile taking the medications may seem like the “easy button,” there are other considerations to ensure true health, like the nutrition you provide your body when you do eat and the role supplementation can play. There are nutrition and supplementation choices that can support the body's own GLP-1 production.QUOTES: (04:55) “GLP stands for Glucagon Like Peptide. Glucagon Like Peptide 1 comes from the large bowel, or the colon. It stimulates insulin secretion, suppresses glucagon, supporting blood sugar regulation.” Jenn Trepeck(17:21) “Protein and fiber at every meal makes removing fat, no big deal.” Jenn Trepeck(34:54) “Sometimes while we think this is the easy button, it requires an even more significant commitment to protein, fiber, quality fat, strength training, and a multivitamin to get your micronutrients.” Jenn Trepeck.(40:23) “When we start to understand low glycemic impact nutrition, we're focusing on nutrient dense foods and less processed foods.” Jenn Trepeck(42:35) “ Exercise, sleep, water, food. Those are your responsibilities. ” Jenn TrepeckRESOURCES:Jenn's GLP-1 Support SupplementsBecome A Member of Salad with a Side of FriesJenn's Free Menu PlanA Salad With a Side of FriesA Salad With A Side Of Fries MerchA Salad With a Side of Fries InstagramNutrition Nugget: Ozempic Your Fat Cells Have Memory, A New Study Finds (feat. Ferdinand von Meyenn) BMI Is BSNutrition Nugget: ButterThe Ultimate BiohackTop 5 Tips for Digesting Nutrition News
AD:Visit Procarenow.com now for all of your vitamin and mineral, calcium and protein needs. Use Code: BSS10 to save $Resources:Need resources to help with your bariatric lifestyle? Check out our Bariatric Tools page with meal plans, recipes, GLP-1 guide, etc.Quoted: Gayle Brazzi Smith MS, RDN, CSOWM, LDNRegistered & Licensed DietitianWeight Loss and Bariatric Surgery InstituteOrlando, FLEmail: gayle.brazzismith@orlandohealth.comWebsite: OrlandoHealth.com/Bariatrics Bariatric Dietitian Isabel Maples, RDBariatric CoordinatorUVA Health in Haymarket, VirginiaEmail: ggw5ud@uvahealth.org In this episode, Dr. Susan Mitchell discusses the critical role of vitamin and mineral supplementation for individuals who have undergone bariatric surgery. She emphasizes the importance of tailored supplementation to prevent nutritional deficiencies, which are common after such procedures. The conversation covers essential vitamins and minerals, how to choose the right supplements, and the significance of routine screenings to monitor nutrient levels. Dr. Mitchell provides practical advice on navigating supplement labels and understanding dosages, ensuring listeners are well-informed about their nutritional needs post-surgery.TakeawaysVitamin and mineral supplements are essential after bariatric surgery.Nutritional deficiencies can vary based on the type of surgery.Consult your dietician for personalized supplement recommendations.A complete multivitamin should be bariatric specific.Routine screenings for vitamin levels are crucial post-surgery.B12 absorption can be affected by bariatric procedures.Iron intake should be monitored and adjusted as needed.Understanding supplement labels is key to proper intake.More is not always better when it comes to supplements.Regular check-ins with your healthcare team are important for success.TitlesEssential Supplements for Bariatric Surgery SuccessSound Bites"More is not always better when it comes to supplements.""Ask your bariatric dietician if you have any questions."Chapters00:00The Importance of Supplements After Bariatric Surgery03:09Understanding Nutritional Deficiencies Post-Surgery05:56Key Vitamins and Minerals for Bariatric Patients08:47Navigating Supplement Labels and Dosages11:59Monitoring and Adjusting Supplement Intake
Join us for an eye-opening session with Jenn Clayton, Weight Loss & Nutrition Coach, as she shares her expert insights on balanced eating for sustainable weight loss.
Send us a textIn this conversation, Dr. Alaina Vidmar and Dr. Kamran Samakar discuss the complexities of pediatric obesity, emphasizing that it is a chronic disease influenced by genetics, biology, and environment. They highlight the importance of understanding the stigma surrounding obesity and the need for comprehensive treatment approaches that include medication, surgery, and lifestyle changes. The conversation also addresses the rising rates of childhood obesity, the challenges of weight loss, and the criteria for seeking help. They advocate for a patient-centered approach that meets families where they are and provides education on nutrition and health. This conversation explores the complexities of pediatric obesity treatment, highlighting the efficacy of GLP-1 medications, and the role of bariatric surgery. Transformative stories from patients illustrate the profound impact of these interventions on children's lives.For more information please refer to.https://www.chla.org/blog/experts/care-innovation/childrens-hospital-los-angeles-launches-pediatric-bariatric-surgeryhttps://www.chla.org/blog/experts/care-innovation/qa-when-bariatric-surgery-right-youth-obesityhttps://www.chla.org/center-endocrinology-diabetes-and-metabolism/programs-and-services/healthy-weight-clinicInstagram: @ChildrensLADr Jessica Hochman is a board certified pediatrician, mom to three children, and she is very passionate about the health and well being of children. Most of her educational videos are targeted towards general pediatric topics and presented in an easy to understand manner. For more content from Dr Jessica Hochman:Instagram: @AskDrJessicaYouTube channel: Ask Dr JessicaWebsite: www.askdrjessicamd.com-For a plant-based, USDA Organic certified vitamin supplement, check out : Llama Naturals Vitamin and use discount code: DRJESSICA20-To test your child's microbiome and get recommendations, check out: Tiny Health using code: DRJESSICA Do you have a future topic you'd like Dr Jessica Hochman to discuss? Email Dr Jessica Hochman askdrjessicamd@gmail.com.The information presented in Ask Dr Jessica is for general educational purposes only. She does not diagnose medical conditions or formulate treatment plans for specific individuals. If you have a concern about your child's health, be sure to call your child's health care provider.
In continuation of the last episode, Dr Lucy is joined once again by Dr Arun Dhir to further explore the powerful connection between gut health, metabolism, and overall well-being. This time, Dr Arun dives deep into his 4-step gut healing framework—Remove, Replenish, Replant, Restore—revealing why real nutrition and fermented foods are essential for gut and metabolic health. He also delves into the spiritual side of wellness, guiding you to uncover your purpose while building sustainable self-care habits. Key Takeaways✨ A detailed breakdown of the 4-step gut healing framework✨ How real and fermented foods support gut health and metabolism✨ The role of purpose and self-care in long-term health transformation✨ Practical tips for maintaining gut health and naturally reducing inflammation This episode is packed with actionable insights to help you heal from the inside out!Website: www.DrArunDhir.com Dr. Arun’s books here: https://www.drarundhir.com/my-books/ Youtube: www.youtube.com/@drarundhir159 Facebook: DrArunDhir Instagram: dr_arun_dhir For more information about Real Life Medicine and our programs and special offers: https://www.rlmedicine.com/ Episode, show notes & transcript https://www.rlmedicine.com/bariatric-surgery-is-not-the-entire-solution See omnystudio.com/listener for privacy information.
Do you struggle to lose weight and keep it off? It turns out, fat cells actually have a memory that can keep weight off after rapid weight loss!In this episode of Salad with a Side of Fries, Jenn Trepeck sits down with Professor Dr. Ferdinand von Meyenn, assistant professor at the Institute of Food, Nutrition, and Health at ETH Zurich, to explore his study with the intriguing finding that fat cells encode a memory which influences the ability to maintain weight loss and therefore impacts metabolic health. They delve into his groundbreaking research on bariatric patients and mice, uncovering how fat cells retain memory and can continue to impact the body long after weight loss. Dr. von Meyenn breaks down the role of epigenetics, why GLP-1 medications don't provide long-term effects, and the importance of proper nutrition and lifestyle when losing weight and keeping it off. They also discuss the hip-to-waist ratio versus BMI and why prevention is the most powerful tool for long-term well-being. The Salad With a Side of Fries podcast is hosted by Jenn Trepeck, discussing wellness and weight loss for real life, clearing up the myths, misinformation, bad science & marketing surrounding our nutrition knowledge and the food industry. Let's dive into wellness and weight loss for real life, including drinking, eating out, and skipping the grocery store. IN THIS EPISODE: (05:27) Ferdinand's research on fat cell memory and metabolic health(09:21) Research findings on bariatric patients and experiments on mice(17:28) Ferdinand defines epigenetics and GLP's don't give long-lasting effects(26:06) Losing weight too quickly and the set point concept(35:00) Weight loss is good, but proper nutrition is critical and discussion of adiponectin(38:27) Excess energy and body fat, the hip to waist ratio, and being overweight, and the long-term consequencesKEY TAKEAWAYS: Even after significant weight loss, an individuals' fat cells retain molecular changes (altered RNA and epigenetic markers) associated with their previous obese state. These long-lasting molecular markers in the fat cells predispose the body to regain weight as it responds more readily to an obesogenic environment.Weight loss significantly improves health, whether in humans or mice. However, fat cells have a form of memory, meaning that even after weight loss, some molecular changes persist. While these changes do not necessarily drive disease, they highlight the importance of sustained weight management strategies.Rapid weight loss, especially with methods like GLP-1 medications, can lead to muscle loss, negatively impacting metabolism and overall health. Since muscles play a key role in energy expenditure and physical stability (especially with aging), preserving muscle mass during weight loss is crucial for long-term success and well-being.QUOTES: (06:59) “Many times people get bariatric surgery, and despite that being a very significant intervention that restricts how much food you take in, people lose weight for a while, and yet some recover some of that body weight.” Ferdinand von Meyenn(13:46) “The cell predisposes these people to regain weight because their cells are signaling for the obesogenic environment that they became used to.” Jenn Trepeck(24:53) “I think this is connected to the set point idea that people have heard of how we go about ‘losing the weight'. That might play into this too.” Jenn Trepeck.(26:08) “If weight loss is too quick, it is also loss of protein mass, basically of muscle mass and that is really problematic.” Ferdinand von Meyenn(32:43) “If we build lean muscle mass over time, removing fat over time, giving the body time to adapt to this metabolically healthier environment, there's the possibility of easier maintenance.” Jenn TrepeckRESOURCES:Become A Member of Salad with a Side of FriesJenn's Free Menu PlanA Salad With a Side of FriesA Salad With A Side Of Fries MerchA Salad With a Side of Fries InstagramNutrition Nugget: Minnesota Starvation ExperimentGUEST RESOURCESLaboratory of Nutrition and Metabolic Epigenetics - WebsitevonMeyenn BlueSky - Social MediavonMeyenn Lab BlueSky - Social MediaMeyenn lab - XFerdinand - XFerdinand von Meyenn - LinkedInGUEST BIOGRAPHY: Ferdinand von Meyenn has been Assistant Professor of the Institute of Food Nutrition and Health at the ETH Zurich since January 2019.Ferdinand studied Biochemistry at the TU Müchnen, Germany, before moving to ETH Zürich for his PhD to study metabolism and type-2 diabetes. After graduating, he joined Prof Wolf Reik at the Babraham Institute in Cambridge, UK, investigating epigenetic mechanisms during development and ageing. In 2017 he joined King's College London as a Group leader and Research Fellow. Then, in 2019, he moved to ETH Zurich, where he was appointed Assistant Professor of Nutrition and Metabolic Epigenetics. His research focuses on the relationship between nutrition, metabolism and the epigenome, aiming to contribute to developing novel strategies to combat obesity and metabolic disease.
Welcome to the newest episode of BariConnected brought to you by Procare Health! In this exciting presentation, Bariatric Sports Dietitian Kim Tirapelle, MS, RD, CSD, dives into the science of muscle growth and shares her expert insights on building lean muscle after bariatric surgery. Whether you're looking to fine-tune your nutrition basics or adjust your plate to fuel varying training levels, this episode is packed with practical tips and science-backed nutrition guidelines tailored just for you. What You'll Learn in This Episode: • Muscle Growth 101: Discover how muscle growth occurs in the body and why a solid foundation in bariatric nutrition is key. • Nutrition for Different Training Levels: Learn how to adjust your plate to meet your specific training needs. • Post-Surgery Muscle Gaining Tips: Get the lowdown on specific muscle gaining nutrition guidelines for those on a bariatric journey. • Supplement Spotlight: Find out which supplements can help support muscle growth and recovery. About Kim Tirapelle: Kim is a Registered Dietitian specializing in Bariatric Sports Nutrition with over 17 years of experience working with bariatric clients and athletes. From inpatient and outpatient clinics to a bariatric surgical center and even collegiate sports, Kim has dedicated her career to bridging the gap between bariatric surgery and athletic performance. Now running her private practice, Active Bariatric Nutrition, she also hosts the Active Bariatric Nutrition Podcast where she shares weekly tips for optimizing nutrition and training. Episode Highlights: • Introduction: Kim connects with the bariatric community, sharing her training journey and how she supports her clients. • Key Presentation: Deep dive into nutrition strategies for muscle gain after bariatric surgery. • Closing Notes: How you can connect with Kim and learn more about ProCare's sponsorship and product offerings. Connect with Us: Follow Kim Tirapelle: Stay updated with her latest tips and podcasts on Active Bariatric Nutrition. Procare Health: Discover innovative products and support services designed for your bariatric journey. Subscribe to BariConnected: Don't miss out on more inspiring episodes and expert advice on bariatric surgery and nutrition. Join us on this bubbly and informative journey to unlock your muscle-building potential after bariatric surgery. Hit that subscribe button, like, and share if you find these tips helpful—let's get connected and keep growing strong together! Visit us online: https://procarenow.com/ Check out our Event Hub for listings of Bari Connected LIVE Events and Support Groups! Our Event Hub: https://procarenow.com/pages/support-group-hub Handouts and Resources for our events: https://procarenow.com/pages/support-group-handouts CHECK OUT OUR FREE SAMPLES: https://procarenow.com/products/free-sample-one-per-customer Subscribe to our YouTube Channel for Bari Connected Replays! YouTube: https://www.youtube.com/channel/UCh-56bPUphp4gQSM_3ZXKxQ Become a friend on our Bari Connected FB Page: https://www.facebook.com/profile.php?id=61552655106771 Join our Bari Connected Group: https://www.facebook.com/groups/857060146125284 Want more ProCare Health Vitamins and Supplements? Follow us on these channels! Facebook: https://www.facebook.com/procarenow Instagram: https://www.instagram.com/procarenow/ Twitter: https://twitter.com/procarenow You can learn more about Kim's programs and where to follow her: Website: ActiveBariatricNutrition.com Instagram: activebariatric YouTube: Active Bariatric Nutrition Channel Facebook: Active Bariatric Nutrition TikTok: ActiveBariatricNutrition Waitlist for Kim's new program: https://kim-tirapelle.mykajabi.com/bariatric-strong-opt-in-form
Send us a message!In this episode we will be covering Facebook Live Questions 2/10-2/16/24 from Dana's free Facebook Group Registered Dietitian Exam Study Group with Dana RD!Get the free RD Exam Prep Masterclass here. Looking for additional tutoring service? Visit my website! Shop all recorded courses at https://danajfryernutritiontutoring.teachable.comJoin the RD Exam Prep Mastery Program for access to the Situational Practice Questions, Vocab Classes, Wed 8pest Group tutoring , study guides and a new trouble area video each week!Free Downloads: danajfryernutritiontutoring.teachable.com/p/my-downloadable-462494
Many people expect the weight loss phase after bariatric surgery to be the biggest challenge, but for many, maintenance is where things get the toughest. If you're feeling lost, struggling with fluctuations, or unsure how to manage your long-term success, this episode is for you! In this episode I talked about: 1. Understanding the phases of the bariatric journey2. How to avoid the “Dieting Mindset” post-surgery and learn how it can push you off track3. The importance of self-compassion in maintenance Links and Resources: 1. Apply to work with me today2. Sneak peek on The Bariatric Nutrition Bootcamp Video Here3. Follow me on Instagram4. Download FREE my mini course - Supercharge Your WLS Success Starter Kit5. Visit The Bariatric Nutrition Coach Website to learn more6. ASK JANE.Have a question or want to suggest a topic? Ask Jane: Submit HereMake sure you hit SUBSCRIBE so you don't miss out on any of my podcasts coming up soon. And, if you enjoyed this episode, please leave me a rating and a review? Thanks!GENERAL ADVICE WARNING This podcast delivers general advice and is not intended to provide treatment in anyway. Please consult with your medical team for personalized advice.
Welcome to the BariConnected Podcast, sponsored by ProCare Health! In this episode, we dive into the science of your metabolic thermostat and its role in long-term weight loss after bariatric surgery. About Zoe Schroeder, MS, RDN, CSCS: Zoe is the lead dietitian at the Pound of Cure Weight Loss Program, where she specializes in supporting bariatric patients and those using GLP-1 medications. With her expertise in nutrition, Zoe simplifies complex science into practical strategies for sustainable weight loss. She is passionate about helping individuals create healthier habits for long-term success.
Join the Behind the Knife Bariatric Surgery Team as they kick off 2025 with a crucial discussion on pediatric and adolescent bariatric surgery. Drs. Matt Martin, Adrian Dan and Katherine Cironi delve into the latest ASMBS guidelines, comparing long-term outcomes of gastric bypass and sleeve gastrectomy in adolescents versus adults. They explore key comorbidities, including type 2 diabetes, hypertension, and orthopedic issues, and emphasize the importance of early intervention. This episode also tackles the complex ethical considerations surrounding surgery in this vulnerable population, including consent, multidisciplinary care, and the evolving role of medical therapies like GLP-1 agonists. Show Hosts: - Matthew Martin - Adrian Dan - Katherine Cironi Learning Objectives: · Identify the current ASMBS guidelines for pediatric and adolescent bariatric surgery, including BMI thresholds and associated comorbidities. · Describe common comorbidities seen in the pediatric population eligible for bariatric surgery, such as type 2 diabetes, hypertension, and orthopedic issues. · Compare and contrast long-term outcomes of bariatric surgery (gastric bypass and sleeve gastrectomy) in adolescents and adults, including remission rates of comorbidities and reoperation rates. · Discuss the importance of a multidisciplinary approach, including psychological and ethical considerations, when evaluating adolescent patients for bariatric surgery. · Explain the ethical framework used in evaluating adolescents for bariatric surgery, including consent/assent, parental involvement, and addressing potential coercion. · Recognize the evolving role of medical management (e.g., GLP-1 agonists) in conjunction with or as an alternative to bariatric surgery in adolescents. Article #1: Inge 2019 – Five-year outcomes of gastric bypass in adolescents as compared with adults https://pubmed.ncbi.nlm.nih.gov/31461610/ - The cumulative effect of sustained severe obesity (BMI >35) from adolescence into adulthood increases the likelihood of diabetes, hypertension, respiratory conditions, kidney dysfunction, walking limitations, and venous edema in legs/feet (when compared to adults that did not report severe obesity in adolescence) - American Society for Metabolic and Bariatric Surgery (ASMBS) guidelines for adolescents who should be considered for bariatric surgery: BMI is ≥35 with a co-morbidity or if they have a BMI ≥40 (class 3 obesity, 140% of the 95th percentile) - This article utilizes the Teen-Longitudinal Assessment of Bariatric Surgery (TEENS LAB) and LABS (adults) databases to evaluate the outcomes of adolescents vs. adults who underwent bariatric surgery Roux-en-Y gastric bypass (2006-2009) - 161 adolescents (13-19 at the time of surgery) with severe obesity (BMI>35) vs 396 adults (25-50 years old at the time of surgery) who have remained obese (BMI>30) since adolescence - Both groups had the gastric bypass procedure as their primary bariatric operation - Both groups had unadjusted similar demographics, however, BMI was higher in adolescence (54) when compared to adults (51) - Results were analyzed using linear mixed and Poisson mixed models to analyze weight and coexisting conditions - After surgery, adolescents were significantly more likely than adults to have remission of type 2 diabetes and hypertension - Increased likelihood of remission of diabetes due to the shorter duration of diabetes, lower baseline glycated Hgb, less use of medications, and increased baseline C-peptide levels - Increased vascular stiffness in adults along with a longer duration of hypertension make the cessation of hypertension less responsive with surgery in adults - No significant difference in percent weight changes between adolescents and adults 5 years after surgery - Both adults and adolescent groups had decreased rates of hypertriglyceridemia and low HDL levels, albeit not significantly different when comparing the two groups - Of note, the rate of abdominal reoperations was significantly higher among adolescents (20%) than among adults (16%) with cholecystectomy representing nearly half the procedures in both groups - Limitations - At baseline, adults had a high prevalence of both diabetes and hypertension - only 14% of adolescents had diabetes vs 31% of adults - Only 30% of adolescents had hypertension vs 61% of adults Article #2: Ryder 2024 – Ten-year outcomes after bariatric surgery in adolescents https://pubmed.ncbi.nlm.nih.gov/39476348/ - The goal is to discuss the long-term durability of weight loss and remission of coexisting conditions in adolescents after bariatric surgery - This article utilizes the Teen-Longitudinal Assessment of Bariatric Surgery (TEENS LABS) database to evaluate the 10-year outcomes in adolescents who underwent gastric bypass or sleeve gastrectomy - 260 adolescents with an average age of 17 years old at the time of surgery (ages ranged from 13-19 years old) - 161 adolescents underwent gastric bypass, 99 adolescents underwent sleeve gastrectomy - Results were analyzed using propensity score-adjusted linear and generalized mixed models - At 10 years, the average BMI had decreased significantly with both groups experiencing about a 20% change in BMI on average - To assess comorbidities, both groups were analyzed together - 55% of patients who had DM2 at baseline, were in remission at 10 years - 57% of patients who had HTN at baseline, were in remission at 10 years - 54% of patients who had dyslipidemia at baseline, were in remission at 10 years - Limitations - Neither of these studies compare surgery to medical management. GLP-1s have shown promise for weight loss management but we need more data in terms of long-term outcomes in co-morbidities like diabetes, hypertension, dyslipidemia - Highlighted Outcomes - Metabolic bariatric surgery is quite effective in the adolescent population - Adolescents tend to have weight loss that is similar to that of adults and improved resolution of comorbid conditions (DM2, HTN, dyslipidemia) Article #3: Moore 2020 – Development and application of an ethical framework for pediatric metabolic and bariatric surgery evaluation https://pubmed.ncbi.nlm.nih.gov/33191162/ - The purpose of this paper is to describe the ethical framework that supports the use of metabolic & bariatric surgery (MBS) on the principle of justice, and how providers can conduct a thorough evaluation of patients presenting for these surgeries - Highlights adolescents with intellectual and developmental disabilities (IDD) and preadolescent children who pose more ethical questions before considering surgery - This article utilizes the bariatric surgery center at one children's hospital and the institution's ethics consult service to develop an ethical framework to evaluate pediatric patients seeking bariatric surgery – using the national ASMBS guidelines - This ethical framework utilized 4 central ethical questions 1. Should any patients be automatically excluded from evaluation for MBS? 2. How should it be determined that the benefits of MBS outweigh the risks? 3. How do we ensure the patient fully understands and is capable of cooperating with the surgery and follow-up care? 4. How do we make sure the decision to have surgery is truly voluntary, and not coerced by family or others? - Results: this ethical framework was discussed in depth in two case studies - Overview of framework: an ethical question would arise from the bariatric team they would review & apply the ethical framework. The question is either resolved by the bariatric team OR ethics consult, continue pre-operative workup vs no surgery - Case 1: 17M (BMI 42) with a history of autism spectrum disorder, pre-DM, depression with behavior challenges, HTN, dyslipidemia. Testing at school demonstrates intellectual functioning at a fourth-grade level. Pt lives with mom and 11-year-old sister. Mom endorses food insecurity (on supplemental nutrition assistance benefits) and struggles with her son's large intake of food. 1. Co-morbidities should not be exclusionary, but pt should undergo a comprehensive psychosocial evaluation with attention to family dynamics and support and the patient's decision-making capacity 2. Discuss benefits vs risks. Benefits – decreased progression of DM2, HTN, hyperlipidemia, cardiometabolic dx. Risks – gastric leak, infection, bleeding, dumping syndrome, etc. 3. Can assess decision-making capacity with the surgical team or if need be other teams. In this case, the pt had limited decision-making capacity - His level of understanding remained stable during the pre-op visits, and he gave assent to surgery - The mom identified a second source of support (extended family) - The team talked to both the patient and mother alone and then, together, found that the patient developed an independent desire for surgery, and thus moved forward. - Case 2: 8F (BMI 50) with a history of mod OSA, L slipped capital femoral epiphysis s/p surgical stabilization (6 mos prior). The patient is neurotypical & excels in school, and lives with mom & dad. Referred by mom & dad (mom with a recent history of sleeve gastrectomy). 1. An 8-year-old should not be discriminated against based solely on age, but the patient should be offered more conservative/less invasive options before OR. a. In this case, the family had not yet been offered these nonsurgical approaches (structured weight management program, physical support, dietician) 2. Discuss benefits vs risks. Benefits – preventing progression of hip disease, improvement of OSA, decreased risk of cardiometabolic dx. Risks – anatomic/infectious/nutrition risks 3. Decision-making capacity was assessed. Found that the parents were more advocating for the surgery saying she has a poor quality of life physically and socially. When the patient was separated from her parents, she said she could lose weight if she had healthier foods at home and someone to exercise with. The patient had decision-making capacity & did not assent to surgery. 4. When the ethics team interviewed the patient and parents, the parents had a strong preference toward surgery vs patient was scared of surgery and wanted to try other approaches first a. Decided that the child's dissent outweighed the medical necessity for surgery and that there were conservative treatment options still available to try - Highlighted Outcomes - ASMBS guidelines give us good direction on who qualifies for surgery and emphasize an interdisciplinary approach to decision-making. The decision to pursue surgery should always weigh the benefits and risks and should be made collaboratively with the patient, family, and care team ***SPECIALTY TEAM APPLICATION LINK: https://docs.google.com/forms/d/e/1FAIpQLSdX2a_zsiyaz-NwxKuUUa5cUFolWhOw3945ZRFoRcJR1wjZ4w/viewform?usp=sharing Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.
We are joined by Dr. Brian Binetti, a board-certified and fellowship-trained minimally invasive surgeon. Dr. Binetti is the Chair of Surgery and Director of Metabolic and Bariatric Surgery at Northern Dutchess Hospital, part of Nuvance Health. Ray Graf hosts.
In the continuation of Tash Jarrett's powerful journey, she delves into the societal stigma surrounding weight and its effects on her life. Tash shares her experiences with job interviews and the emotional toll of feeling judged based on her size. A pivotal moment at her graduation ceremony became the catalyst for her decision to pursue surgery. Tune in as Tash discusses the fears and doubts she faced while preparing for gastric bypass, and how she transformed not only her body but also her mindset, empowering herself and others to embrace their health journeys with confidence. Tash Jarrett Website links: Instagram: @Bariatric_TashWebsite: www.bariatricsupportaustralia.com Facebook: https://www.facebook.com/groups/bariatricsupportaustralia For more information about Real Life Medicine and our programs and special offers: https://www.rlmedicine.com/ Episode, show notes & transcript https://www.rlmedicine.com/part-2-beyond-the-scale-navigating-life-after-bariatric-surgerySee omnystudio.com/listener for privacy information.
So many people considering bariatric surgery are confused as to the reason anyone would have to have a pre-surgical psychological evaluation? Why would they need to be cleared by a psychologist just to have weight loss surgery? As today's guest host, Dr. Joan Brugman, a psychologist who, like myself, conducts many bariatric pre-surgical evaluations, explains to people, “Having bariatric surgery is not like having your tonsils taken out.” When you have your tonsils or appendix removed, you have the surgery, let your body heal, and go about your life as before. That's not the case when a person has bariatric surgery, although far too many people going into bariatric surgery think that's how it's going to be. When a person has bariatric surgery, every area of their life changes … which is part of the reason we do pre-surgical evaluations. Listen in as Dr. Brugman and I share how vitally important the pre-surgical evaluation is and how it can help you prepare for long-term success following bariatric surgery.Resources:BariAfterare: www.bariaftercare.comConnie Stapleton PhD website: www.conniestapletonphd.comBariAftercare website: https://www.conniestapletonphd.com/bariaftercareBariAftercare Facebook page (for members only): https://www.facebook.com/groups/BariAftercareKevin Stephens: Your Bariatric Buddy https://www.facebook.com/groups/yourbariatricbuddy/peopleInstagram: @cale101 (Caleshia Haynes)Instagram: @therealbariboss (Tabitha Johnson)Instagram @drsusanmitchell (Dr. Susan Mitchell)Instagram: @lauraleepreston (Laura Preston)ProCare Vitamins (10% off with code ConnieStapleton)Dr. Joan Brugman: drjbrugman@outlook.comDr. Susan Mitchell:https://www.facebook.com/DrSusanMitchellhttps://www.facebook.com/bariatricsurgerystrategiesPlease subscribe to the show and rate it on Apple Podcasts, download free information at www.conniestapletonphd.com, and follow me on Twitter (@cstapletonphd), Instagram (@cstapletonphd), YouTube, LinkedIn, and on Facebook.
Dr. Shouhed is a nationally renowned, board-certifiedminimally invasive weight loss surgeon with expertise in Robotic Bariatric, Gastrointestinal, and Complex General Surgery. He was born and raised in Los Angeles, California, and graduated summa cum laude from UCLA with adegree in Human Physiology. Dr. Shouhed earned early recognition, a Phi Beta Kappa induction, and a near-perfect MCAT score, which secured him a placeat UCSD School of Medicine with the highest merit-based scholarship. Dr. Shouhed completed his general surgery residency training at Cedars Sinai (#2Hospital in the country), where he graduated as Administrative Chief Resident. He completed his fellowship at Mount Sinai Hospital in New York, the first fellowship in the country, where he focused on minimally invasive bariatric, foregut and complex general surgery. Dr. Shouhed is also Medical Director of the Bariatric Surgery and Metabolic Weight Loss Center, Providence Saint John's Hospital. Our focus today is really about the vascularabdominal syndromes that we can see so prevalent in connective tissue disorders & complex conditions. Please get us started with a description of the anatomy of the abdomen, including the GI organs, but also the ligaments &connective tissue that holds these organs in place and the vasculature that feeds them oxygen & carries away metabolic wastes. Now, let's get into the syndromes that we wantto focus on today & we're going from the top down because that's how they might be unlocked, meaning closest to the heart to the most distant to the heart and in the pelvis, that's from chest to pelvis direction. a. MALS: median arcuate ligament syndromeb. SMAS: superior mesenteric artery syndrome(duodenal comp) (meat?)c. Nutcracker: renal vein compressiond. May Thurner: iliac vein compressione. Pelvic congestion syndromes including pelvicvenous insufficiency, vaginal/ labial varices For each we talk about: a. Symptomsb. Evaluation c. Treatment: ancillary tx? Visceral manipulation? What would a patient look for in a provider? Whois doing this care? How easy/ common are folks doing these treatments? Howoften can or do treatments go wrong? We end with discussing: where is research going with this? To find out more about our clinic (and request a call back): https://www.neurovedahealth.com/- Phone: 206-379-1213- Email Reception@neurovedahealth.com
In this episode of the Active Bariatric Nutrition Podcast, I interviewed Registered Dietitian Dr. Susan Mitchell, also known as @drsusanmitchell on IG. We discussed:How alcohol is metabolized differently after bariatric surgeryWhy the effects of alcohol are felt sooner after surgeryHow does alcohol impact vitamin and mineral absorptionHow alcohol impacts muscle gaining or recovery from workoutsHow does alcohol contribute to weight regainWhat is transfer addiction and how alcohol can play a roleHow to minimize the impacts of alcohol if it is consumedHow to contact Dr. Susan MitchellListen to her podcast! Bariatric Surgery Success PodcastWebsite: Breakingdownnutrition.comInstagram: @drsusanmitchellLet me know what you thought of the episode!To learn more about my 1:1 Bariatric Nutrition Coaching Programs, go to: www.activebariatricnutrition.comFollow Active Bariatric Nutrition at:Instagram - @activebariatricFacebook - Active Bariatric NutritionYouTube - Active Bariatric NutritionTikTok - ActiveBariatricNutrition
Join us as Tash Jarrett shares her inspiring story of resilience and transformation. In this episode, Tash reflects on her experiences with weight loss surgery, beginning with her first procedure nearly 17 years ago. She discusses the challenges she faced as a new mother, including a traumatic car accident and the impact of living in a larger body. Discover how Tash navigated her health struggles and ultimately made the courageous decision to undergo gastric bypass surgery, reclaiming her life and advocating for others along the way. Tash Jarrett website links: Instagram: @Bariatric_Tash Website: www.bariatricsupportaustralia.com Facebook: https://www.facebook.com/groups/bariatricsupportaustralia For more information about Real Life Medicine and our programs and special offers: https://www.rlmedicine.com/ Episode, show notes & transcript https://www.rlmedicine.com/part-1-beyond-the-scale-navigating-life-after-bariatric-surgery See omnystudio.com/listener for privacy information.
Ever worried that weight loss surgery won't work for you? If that fear has ever crossed your mind before or after surgery, that fear of failure is so common, and in this episode I'm diving deep into where it comes from, why it happens, and most importantly how to manage it. In this episode, I break down: 1. Why fear of failure is so normal (and where it comes from).2. The connection between past dieting struggles and WLS fears.3. Why fear can actually be a good thing (yes a good thing, a little bit anyway)4. How to move from fear to confidence in your journey5. Practical steps to stay in control and avoid self-sabotage Links and Resources: 1. Apply to work with me today2. Sneak peek on The Bariatric Nutrition Bootcamp Video Here3. Follow me on Instagram4. Download FREE my mini course - Supercharge Your WLS Success Starter Kit5. Visit The Bariatric Nutrition Coach Website to learn more6. ASK JANE.Have a question or want to suggest a topic? Ask Jane: Submit HereMake sure you hit SUBSCRIBE so you don't miss out on any of my podcasts coming up soon. And, if you enjoyed this episode, please leave me a rating and a review? Thanks!GENERAL ADVICE WARNING This podcast delivers general advice and is not intended to provide treatment in anyway. Please consult with your medical team for personalized advice.
In this eye-opening episode, Dr. Cristina Castagnini and registered dietitian Vincci Tsui take a deep dive into the often-overlooked consequences of bariatric surgery. They discuss the physical, emotional, and psychological impacts that extend far beyond the operating room, challenging the common perception of this weight-loss procedure.SHOW NOTES: Click hereFollow me on Instagram: https://www.instagram.com/behind_the_bite
In this episode of the Food Junkies Podcast, Dr. Vera Tarman speaks with Dr. Jon Davis, a principal investigator on the study Changes in Alcohol Use After Metabolic and Bariatric Surgery. Dr. Davis is a principal scientist at Nova Nordisk, where he researches how gut-brain signaling mechanisms regulate appetite and metabolic disorders. His work explores the neurobiological connections between obesity, bariatric surgery, and substance use disorders—examining how bariatric procedures may increase the risk of alcohol use disorder (AUD) through gut microbiome and brain reward pathway alterations. The Food Junkies Podcast team is particularly interested in whether similar mechanisms might predispose post-bariatric surgery patients to sugar or food addiction. What We Discuss in This Episode:
Join BariNation Founders April Williams, Jason Smith, and Natalie Tierney for an empowering session on cultivating self-love and self-care after bariatric surgery! In this insightful event, we delve into the essentials of personal fulfillment and share practical strategies to embrace self-love confidently. Discover how nurturing this love can lead to a more joyful life. Don't miss this opportunity to enhance your well-being and connect with a supportive community!
Welcome to Our Sleeved Life Podcast with Kellie & Mel!In this vulnerable and eye-opening episode, we're tackling the challenges of food addiction head-on. Kellie and Mel share personal stories, struggles, and insights on breaking free from unhealthy habits while living life after bariatric surgery. Whether you're battling cravings, emotional eating, or seeking better ways to manage your triggers, this episode is here to support YOU.
Here's the updated YouTube description that includes the newest OSLP episode mention: