Podcasts about Bariatric surgery

Secondo un nuovo studio americano presentato al congresso scientifico annuale dell’American Society for Metabolic and Bariatric Surgery (segery), la chirurgia bariatrica, oltre a ridurre i rischi metabolici, porta a un significativo aumento dell’autostima nel primo anno dopo l’intervento. A Obiettivo Salute il commento del dottor Alessandro Giovanelli, responsabile INCO, Istituto Nazionale per la Cura dell’obesità, presso l’IRCCS Ospedale Galeazzi-Sant’Ambrogio di Milano.

Join us as we dissect the use of robotics in bariatric surgery – where precision meets programming, and the scalpel gets a software upgrade.  Hosts:  - Matthew Martin, trauma and bariatric surgeon at the University of Southern California/Los Angeles General Medical Center (Los Angeles, California) - Adrian Dan, bariatric and MIS surgeon, program director for the advanced MIS bariatric and foregut fellowship at Summa Health System (Akron, Ohio) -  Crystal Johnson Mann, bariatric and foregut surgeon at the University of Florida (Gainesville, Florida) - Katherine Cironi, general surgery resident at the University of Southern California/Los Angeles General Medical Center (Los Angeles, California) Learning objectives:  Strengths of the robot:  Surgical robots are at the forefront of technology and continue to improve with detailed, precision cameras and the ability to remove baseline tremors Allows for smooth movements, fine dissection, and precise tissue handling  Ergonomics are more advantageous to the surgeon when compared to laparoscopy Weaknesses of the robot: The loss of haptic feedback can be challenging for surgeons early in their learning curve Emphasis on surgical robots means some trainees may be losing exposure to laparoscopic techniques Longer operative time when working robotically, and more time under anesthesia for the patient  Increased cost for robotic surgery  Outcomes data:  Mixed data from the MBSA QIP database (metabolic and bariatric surgery accreditation and quality improvement program) The most recent study looked at 824,000 patients from 2015-2022 who had a sleeve gastrectomy or RNY gastric bypass, either laparoscopically (lap sleeve 61%, lap RYGB 24%) or robotically (robo sleeve 11%, robo RYGB 4%). Robotic sleeves were reported to have higher complication rates compared to laparoscopy, seen as higher overall morbidity and an increased rate of leaks  While the robotic RYGBs have lower overall complications, including decreased morbidity and bleeding. Robotic RYGB can be especially advantageous with revisional surgeries when compared to lap.   Setting up for success Train your eyes to determine tension on tissue, since there is no haptic feedback Learn how to assist yourself (manipulating the camera and effectively utilizing the fourth arm) Understand how techniques of the surgery change when doing it robotically, as compared to laparoscopy  Experienced operating room team  When learning, recommend putting all cases feasible on the robot (including easier cases), to master the straightforward cases before moving to technically challenging revision cases. Don't hesitate to add an additional trocar or assistant port when needed  Education in Robotic learning  Learning by observation/mirroring – ex: robotic bilateral inguinal hernia (mirroring the attending/instructor)  Easy for the attending/instructor in the case to switch instruments seamlessly, then give them back intermittently at the appropriate time  Helpful when the attending annotates the screen to depict where to go  Data-driven teaching tools on the Davinci system  Tips for robotic sleeve gastrectomy:  Of the robotic bariatric surgeries, sleeve gastrectomy is most similar to its laparoscopic procedure 30-40 degrees of reverse Trendelenburg Liver hammock stitch instead of a liver retractor (one less trocar), which makes a total of 4 trocars needed for the case Green staple load for the first firing, then the rest are typically blue loads Mixed opinions on reinforced staple loads versus non-reinforced staple loads and oversewing the staple line (discussed cost-benefit)  Tips for robotic gastric bypass:   Watch videos from colleagues to learn what they do Gastric bypass is a multi-quadrant surgery; thus, you must set yourself up for success so that your arms are not fighting when moving through different quadrants  A size 12 trocar on the left can make the formation of  the gastric pouch easier GJ and JJ anastomosis formed with a linear fire, then a two-layer closure with absorbable barb suture Don't forget to close the mesenteric defect (non-absorbable braided suture) Tips for robotic DS and SADI:   If doing a duodenal anastomosis hand-sewn, then recommend planning the exact number of sutures and locations of each for ease Hand-sewn anastomosis can have less bleeding and fewer strictures for patients, and is completed in a much more seamless fashion with the robot   Future of Robotics  Haptic feedback Integrated visual overlays to identify anatomical structures/serve as an intraoperative map Artificial intelligence integration  Telesurgery – ex, small surgical robot deployed to space  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 to today's episode of the PeDRA Pearls Podcast! In this installment, Dr. Colleen Cotton is joined by medical student Mana Nasseri to discuss their research project titled "Impact of Bariatric Surgery on Pediatric Hidradenitis Suppurativa." Tune in as they share what inspired this important work, key insights from their findings, and the questions that still remain. Whether you're a clinician, researcher, or simply curious about the intersection of dermatology and pediatric obesity, this episode is full of valuable perspectives you won't want to miss.Updates:Dash for DiscoveryPeDRA Annual ConferencePeDRA Awards ProgramPeDRA Mentorship Program - Now Open!

In this episode of Doctors Hospital Podcast ,we sit down with Dr. Ranga, a highly respected general surgeon and bariatric specialist at Doctors Hospital Health System, to unpack the life-changing journey of bariatric surgery. Dr. Ranga offers expert insight into what bariatric surgery really is — beyond the myths and misconceptions — and explains the different procedures available, including gastric sleeve and gastric bypass. He discusses who qualifies for surgery, what the process looks like from consultation to recovery, and how long-term success goes far beyond the operating room. This episode is perfect for anyone who's considering weight-loss surgery, supporting a loved one through the journey, or simply looking to understand the impact of obesity on health and how surgical intervention can be a powerful tool for transformation. Are you ready to take control of your health and future? Schedule a one-on-one consultation with Dr. Ranga today by calling 302-3250. Your journey to a healthier life starts here.

In this episode of The Confidence Doc, Houston plastic surgeon Dr. Rukmini Rednam sits down with licensed mental health counselor Iliana Torres, founder of IBT Counseling in Florida. Iliana specializes in helping bariatric surgery patients navigate the emotional and psychological challenges before and after surgery.As both a therapist and a bariatric patient herself, Iliana brings a unique perspective to the mental health needs of this community. She shares her 200-pound weight loss journey, the realities of skin removal surgeries, and the importance of addressing emotional trauma for long-term success. They also explore how transparency, community, and therapy can empower patients through the entire transformation process.Whether you're a patient, provider, or just curious about the emotional side of weight loss surgery, this episode offers powerful insights into healing, identity, and growth.

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: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 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 youSummaryIn this episode, Dr. Susan Mitchell and expert bariatric dieticians Isabel Maples and Gayle Smith discuss the misconceptions surrounding the trendy 'Tiffany plate' and its inadequacy for those who have undergone bariatric surgery or are on GLP-1 medications. They emphasize the importance of a tailored 'bariatric plate' that prioritizes protein and appropriate portion sizes to ensure long-term success in weight loss and health. The conversation covers meal structure, the significance of protein intake, and practical tips for managing eating habits post-surgery.TakeawaysThe Tiffany plate is visually appealing but not practical for bariatric patients.Bariatric plates prioritize protein and appropriate portion sizes.Post-surgery, patients need to focus on protein first.Meal structure is crucial for managing appetite and nutrition.Eating slowly helps in recognizing fullness cues.Portion sizes will change over time after surgery.Grazing is discouraged; structured meals are recommended.Protein intake is essential to prevent muscle loss during weight loss.Patients should listen to their body's fullness signals.Control and planning are key to successful eating habits.TitlesThe Truth About the Tiffany PlateSound Bites"Don't go anywhere!""Protein, protein, protein!""One bite can make the difference!"Chapters00:00The Tiffany Plate: A Trendy Misconception02:58Bariatric Plate vs. Tiffany Plate: A Nutritional Comparison06:00Understanding Portion Sizes Post-Surgery08:59Meal Structure and Eating Habits12:01Long-Term Success: Key Takeaways for Patients

 From 407 lbs to free, Jessica's bariatric journey is more than just weight loss—it's about reclaiming life, identity, and joy.

Tune in for an uplifting and heartfelt chat with Scott Bagwill, the charismatic star of 1,000 Pound Best Friends! 

Send us a textDr. Forrest Ringold, MD of Surgical Association of Mobile ( https://sampadocs.com/about-us/dr-forrest-ringold/ ), is a leading expert in bariatric and robotic surgery and is renowned for his expertise in transforming lives through weight loss surgery and innovative abdominal treatments.With an advanced understanding of both traditional laparoscopic techniques and cutting-edge robotic technology, Dr. Ringold specializes in a wide range of surgical procedures aimed at improving the health and quality of life of his patients, including life-changing weight loss surgeries such as sleeve gastrectomy, gastric bypass, duodenal switch, SADI, and lap band, as well as pioneering advancements in reflux surgery and esophageal and stomach diseases.As a leading authority in his field, Dr. Ringold serves as a key opinion leader for both Intuitive Surgical and Teleflex Medical ( https://www.teleflex.com/usa/en/index.html ), two of the most respected names in medical devices. His innovative approach extends to the latest in gastrointestinal surgery, where he is actively pursuing groundbreaking advancements in magnetic anastomotic technology.Dr. Ringold's commitment to excellence extends beyond patient care. He is a clinical instructor at the University of South Alabama's Department of Surgery, where he shares his wealth of knowledge with the next generation of surgeons. His dedication to his craft is also reflected in his leadership roles, including his current position as President of the Alabama State Chapter of the American Society for Metabolic and Bariatric Surgery.Since 2018, Dr. Ringold has led the Epicenter at Mobile Infirmary Medical Center, a distinguished program designed to train surgeons nationwide in the fields of robotic and bariatric surgery.Dr. Ringold attended medical school at University of South Alabama Medical School and did his residency in general surgery at University of South Alabama Medical Center.#ForrestRingold #SurgicalAssociationOfMobile #Bariatric #RoboticSurgery #WeightLossSurgery #SleeveGastrectomy #GastricBypass #DuodenalSwitch #LapBand #MagneticAnastomoticTechnology #TeleflexMedical #SouthAlabamaMedicalSchool #ObesitySurgery #PostoperativeReflux #DeNovoGastroesophagealRefluxDisease #GERD #TitanSGSStapler #SurgicalStaplers #ProgressPotentialAndPossibilities #IraPastor #Podcast #Podcaster #ViralPodcast #STEM #Innovation #Technology #Science #ResearchSupport the show

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: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 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 SummaryIn this episode, Dr. Susan Mitchell, along with dieticians Isabel Maples and Gayle Smith, discusses the phenomenon of 'foamies' that can occur after bariatric surgery. They explain what foamies are, why they happen, and how to prevent and manage them effectively. The conversation emphasizes the importance of proper eating habits, including the texture of food, the timing of fluid intake, and the need for moist proteins to avoid discomfort. The experts also stress the importance of listening to one's body and seeking help when necessary.TakeawaysFoamies are a real phenomenon after bariatric surgery.Eating too quickly or not chewing food properly can cause foamies.Moist proteins are essential to prevent food from getting stuck.The 30-30 rule: wait 30 minutes after eating before drinking.Pain during eating is a red flag and should be addressed immediately.Foamies are more common in the early stages post-surgery.Switching to liquid meals can help if solid foods cause issues.Listening to your body is crucial for managing dietary habits.Consult your surgical team if foamies persist or worsen.Establishing good eating habits early on aids in long-term success.TitlesUnderstanding Foamies: What They Are and Why They HappenSound Bites"Pain is never good.""Don't wait. Call us."Chapters00:00Understanding Foamies After Bariatric Surgery04:31Prevention Strategies for Foamies08:44Dealing with Existing Foamies11:10Final Thoughts on Foamies and Nutrition

Welcome to this podcast episode of the Bariatric Nutrition Coach Podcast. In this episode I dive into a common and uncomfortable post‐op complication, reflux. This topic is in response to a listener question from Glenda (who's experiencing severe reflux after a SIPS procedure). 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.

Dr. Betsy Dovec sat down for an awesome convo with the one and only Dr. Josh Roller of @rollerweightloss!They talked about who we are, what drives them, and why they're both laser-focused on improving access to life-changing #bariatricsurgery.They tackled the truth about weight loss meds, why they're urging you to pause before choosing the #ESG, and medical tourism? If you can't drink the water, maybe don't have surgery there either.They are proud of the communities they have built and the patients they serve, and they are not stopping here. They want to keep pushing boundaries and making this the BEST healthcare experience ever.More to come. They're just getting started. #BariatricSurgery rules!

In the Season 5 finale of The Confidence Doc, Houston-based board-certified plastic surgeon Dr. Rukmini Vinaya Rednam sits down with Dr. Eric Smith, a board-certified general, bariatric, and robotic surgeon, to explore the world of weight loss surgery. Dr. Smith shares how his surgical journey began, from performing open bariatric procedures to mastering laparoscopic techniques, and why he founded his own bariatric surgery program. They discuss the critical role of Centers of Excellence in bariatrics, including what it takes to achieve certification and why these standards matter for patient safety and outcomes. Dr. Smith explains how robotic surgery has revolutionized bariatrics and how AI is beginning to assist surgeons in delivering better, more precise results. He opens up about his decision to join TLC's 1,000-Lb Sisters, initially hesitant about the portrayal of obesity and weight loss on television, but ultimately embracing the opportunity to change the narrative. Dr. Smith also introduces his supplement line, BariBalance, and shares the launch of Protein Water—created to support long-term wellness after weight loss surgery, but beneficial for anyone looking to meet their daily protein and vitamin needs.Key Topics Covered:Dr. Smith's journey from general surgery to bariatricsThe evolution of open to laparoscopic and robotic surgeryWhat a Bariatric Center of Excellence is and why it mattersHow AI is transforming surgical precisionNavigating public narratives through 1,000-Lb SistersSupplements and protein water tailored for weight loss patientsListen for Dr. Smith's insights on how surgical innovation, robotic technology, and AI are transforming bariatric procedures, and how personal commitment and patient support play a vital role in long-term weight loss success.Follow Dr. Eric Smith:Kentucky Bariatric Institute: https://kentuckybariatricinstitute.com/Instagram @doctorericsmith_Dr.Smith's Protein Water:https://drsmithsproteinwater.com/BariBalance: https://baribalance.com/Request your consultation here:Contact Rukmini Rednam, MD in Houston TX and The Woodlands (drrukminirednam.com)

In this episode, Michaela Pearson joins Francesca Reicherter to open up about eating-disordered behaviors, the pursuit of external validation, and her journey with bariatric surgery. Follow on Instagram: https://www.instagram.com/michlivinlife/Get Connected: https://linktr.ee/michlivinlife

Want real, honest answers about weight loss and health? Join Dr. Lucy Burns as she talks with expert nutritionist and dietitian Jaqui Lewis about what really happens after weight loss surgery, why not all supplements are the same, and how to spot sneaky tricks on food labels. You’ll learn how to make smart choices, understand your body’s needs, and break free from diet myths. Listen in for simple tips, real stories, and support to help you on your health journey—no quick fixes, just what works.

Lisa Giganti Chief Executive Officer at Lumina Imaging and Diagnostics. Lisa Giganti is a dynamic leader with extensive experience in strategic planning, innovation, and financial management. As the Chief Executive Officer of Lumina Imaging and Diagnostics, Lisa is at the forefront of transforming and disrupting the medical imaging landscape. Her work focuses on developing strategic partnerships and shared risk/reward ventures to enhance access to quality medical imaging while upholding the highest standards of care and exceptional patient experience.   Prior to Lumina, Lisa was a Managing Principal in Strategy and Innovations at The MetroHealth System in Cleveland, Ohio where she was responsible for identifying, prioritizing, developing, and executing strategic initiatives in alignment with the organization's mission. Her approach included data-driven analyses and process assessments to improve and expand medical services such as Bariatric Surgery, Radiology, and Breast Health. Lisa's career began in finance spanning a variety of disciplines in the rental car and hospitality industries for both large corporations and start-ups. She then pivoted to banking for 10 years in progressively advanced roles as a Business Performance Improvement Consultant, Retail Banking Controller and Corporate Banking CFO at National City Corporation / PNC Bank.   Ultimately, Lisa found her calling in healthcare, aligning her passion for health and wellness with her strong business acumen.  She served as a Senior Project Manager in Strategic Financial Planning at Cleveland Clinic, honing her skills in financial strategy and large-scale project management.   Lisa earned her Bachelor of Science in Business Administration with a focus on Finance and Economics from John Carroll University and later obtained her Master of Business Administration from Cleveland State University, concentrating in Finance and Management.   Lisa's diverse background and strategic mindset have established her as an effective leader able to drive growth and innovation in the healthcare, financial services, and hospitality sectors.

Dr. James Barnes, bariatric surgeon with the Highland Clinic in Shreveport, talks about the uncertain future of compounded cheaper versions of weight loss drugs, bariatric surgery, and his upcoming mission trip to Honduras.

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:

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

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!

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

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.

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.

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

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.

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: