Invasive procedures aimed to force the obese person to a limited food intake.
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EPI 6On this episode of The Cutting Edge Podcast, Mel is joined by bariatric therapist Ashlyn Douglass-Barnes, LCSW, and board-certified plastic surgeon Dr. Omar Beidas for a deep, honest, and much-needed conversation about something patients rarely talk about out loud:What do you do when the people you expected to support your plastic surgery… don't?This episode breaks down the real reasons partners, spouses, and family members struggle with your decision — and trust us, it's almost never the reason they're saying out loud. We dig into the psychology, the fears, the passive-aggressive comments, the emotional triggers, and the communication breakdowns that happen before and after surgery.Whether you're preparing for skin removal, reconstructive surgery, or any post-weight loss procedure, this episode gives you the mindset tools and practical strategies to protect your peace, get the support you deserve, and feel empowered every step of the way.
EPI: 339Today on Our Sleeved Life Podcast, Mel sits down with Kimberly for a powerful and emotional patient story you'll never forget. After surviving long-haul COVID, battling cardiomyopathy, going through a hysterectomy, and reaching her highest weight of 360 lbs, Kimberly made the life-changing decision to undergo VSG (Vertical Sleeve Gastrectomy).Now, 14 months later, she has lost 145 pounds, reversed major health risks, and completely transformed her daily life.In this episode, we dive into:• What long-haul COVID really feels like• How cardiomyopathy and high blood pressure became Kimberly's turning point• The emotional toll of weight gain after hysterectomy• The bariatric surgery approval process and choosing the right surgeon• Stress eating, emotional triggers, and food addiction• Building habits during the honeymoon phase• Life-changing non-scale victories• How therapy and mental health play into sustainable weight loss• Daily weigh-ins, accountability tools, and managing fear of regainWhether you're researching weight-loss surgery, considering VSG, looking for real patient experiences, or trying to understand obesity and post-op mental health, this episode is packed with insight, hope, and relatable moments.Watch the full conversation to learn how Kimberly reclaimed her freedom, her mobility, and her life.Listen on all major podcast platforms + watch the full video on YouTube! Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.
Bariatric Surgery Reversal? Chuck Shares His Next Steps at the Mayo Clinic | The Maxime Sigouin Podcast Ep. #417Join Chuck's new Newsletter: https://chuckcarroll.com Interested in working with our world class team, Book your application call here: http://book.fitvegancoaching.com/podcastJoin our Free Fit Vegan weekly newsletter: https://fitvegancoaching.com/newsletterTry out the Superfood Adaptogenic Protein Blend from Nutrigazm. Use the code FitVegan15 to save 15% off any one time order and use code FitVegan20 to save 20% off all subscription orders over at www.nutrigazm.comIn today's episode of The Maxime Sigouin Podcast, Chuck returns to share an update on his health journey as he prepares for a hopeful next step—a hiatal hernia surgery at the Mayo Clinic that could finally bring major relief. We talk about managing stress, staying grounded through uncertainty, and the power of real data and a whole food plant-based lifestyle when you're trying to heal. We also touch on community, self-care, and what it really takes to stay resilient through setbacks.In This Episode, We Cover: [00:00–12:04] Chuck's Current Health Update, Gym Progress, And Personal Reflections[12:05–28:44] Preparing For Surgery, Medical Insights, Weight-Loss Conversations, And Dealing With Negativity[28:45–39:44] The Real Benefits Of A Whole Food Plant-Based Lifestyle, Cooking, And Building Enjoyable Meals[39:45–44:18] New Newsletter Launch, Community Updates, And Closing ThoughtsKey Quotes“You make the most out of what you possibly can.” -Chuck.“Eating plan base is not a miracle solution that will solve all your problems, but it will greatly reduce your risk of dealing with some of those issues..”-Maxime.My name is Maxime Sigouin. I am the founder of Fit Vegan Coaching and Empire Builders Agency. I have a passion for serving and helping people live to their fullest potential.Book Your FREE Consultation Call Here: http://book.fitvegancoaching.com/podcast- Follow me on Instagram: https://www.instagram.com/maximesigouinofficial/- Join our FREE Fit Vegan Community: www.freefitvegancommunity.com- Youtube Channel : https://linktw.in/AyNrSW
Epi 5Think you're ready for plastic surgery? Think again.In this eye-opening episode of the Cutting Edge Podcast, Mel sits down with Ashlyn Douglass-Barnes and Dr. Omar E. Beidas (MD, FACS) to reveal the raw truth about post-op recovery — the stuff you won't hear during a consult.Whether you're prepping for lipo 360, skin removal, or bariatric plastic surgery, this is the real talk you need.
Epi 338In this powerful episode of Our Sleeved Life Podcast, Jefe shares his raw and unfiltered story — from battling trauma and unhealthy food habits to reclaiming his health after gastric sleeve surgery.
In this episode of the Pound of Cure Weight Loss Podcast, Dr. Matthew Weiner breaks down the surprising connection between gastric bypass surgery and alcohol metabolism. You'll learn why a single drink can hit harder post-op, how the altered digestive system impacts blood alcohol levels, and what this means for addiction risk after surgery. If you've had bariatric surgery—or work with patients who have—this episode offers must-know insights into post-surgery physiology, safety, and long-term success.Whether you're questioning if you can still enjoy alcohol or are concerned about the risk of transfer addiction, Dr. Weiner separates myth from fact in a way only he can.Download our FREE app from your app store today. Search "Pound of Cure"!
We welcome Dr. Samuel Hykin, a bariatric surgeon at St. Peter's Health Partners Bariatric and Metabolic Care, a nationally accredited center dedicated to helping patients achieve lasting health. Ray Graf hosts.
Epi 4Considering plastic surgery after major weight loss? Not sure where to start or what procedures actually give the best results? In this episode of The Cutting Edge Podcast, host Mel dives deep with expert plastic surgeon Dr. Omar Beidas, MD FACS and licensed clinical social worker Ashlyn Douglass-Barnes, LCSW, to unpack the essential truths about body contouring, extended tummy tucks, 360 procedures, muscle repair, and avoiding regret after surgery.You'll learn:✅ How to choose the right plastic surgery for your body goals✅ What surgeons should be telling you (but often don't)✅ Extended vs. standard tummy tuck: which is best for massive weight loss?✅ Why lipo is underrated and cool sculpting is often a waste✅ Real talk on insurance, dog ears, belly buttons, and scar placement✅ The dangers of choosing unqualified cosmetic surgeons✅ The surprising role of visceral fat and how it impacts your surgery planWhether you're prepping for surgery or already navigating revision procedures, this episode is packed with value, lived experience, and expert clinical insights that will save you time, money, and heartache.
In this episode of the RCP Medicine Podcast, Dr Sagen Zac-Varghese, Consultant in Diabetes and Endocrinology, East and North Herts Teaching NHS Trust is joined by Dr Samantha Scholtz , Consultant Psychiatrist, Imperial Weight Centre, St Mary's Hospital to explore the complex relationship between obesity and mental health. Drawing on clinical experience and recent research, they discuss the stigma surrounding obesity, its psychological impact, and how healthcare professionals can better support patients. The conversation covers the physiological drivers of weight regain, and the evolving role of bariatric surgery and GLP-1 agonists in treatment. Dr Scholtz also shares practical advice on screening for mental health disorders, managing eating behaviours, and navigating sensitive conversations in clinical settings.ResourcesRCP elearning - ObesityBinge eating disorder: https://www.beateatingdisorders.org.uk/https://www.rcpsych.ac.uk/mental-health/mental-illnesses-and-mental-health-problems/binge-eating-disorderhttps://www.nationaleatingdisorders.org/feast-resources/Weight stigma:https://www.worldobesity.org/what-we-do/our-policy-priorities/weight-stigmaRCP Links Education Events Membership Improving care Policy and campaigns RCP Social Media Instagram LinkedIn Facebook X Bluesky Music: Episode 50 onward - Bensound.com Episodes 1 - 49 'Impressive Deals' - Nicolai Heidlas
In this episode I chat with team dietitian Erika Behrmann RD, CDCES, CSSD, LDN about how to navigate being a runner with body composition goals.Need support with this? Work with Erika 1:1 here: https://holleyfuelednutrition.com/nutrition-coachingPod episode on establishing normal eating patterns: https://open.spotify.com/episode/06NKTGdpjH8rnqfx4p4clb?si=zMtOQwPhRViHtKBtn1vqTAPod episode on GLP-1 Medications: https://open.spotify.com/episode/28GZOPH9dhEdp5a79la2LE?si=YBIGaYm3TReJMjqS-Lq7EQPod episode on Bariatric Surgery: https://open.spotify.com/episode/6FEHuZTZGUMrYhhHudKgEG?si=qD_A0WKzQDmOduWhlIK5LgThank you BetterHelp for sponsoring this episode! To save 10% on your first month of therapy, visit: https://www.betterhelp.com/holleyfueledFor entrepreneurs: Subscribe to the Holley Fueled Business Podcast https://creators.spotify.com/pod/profile/holleyfuelednutrition/subscribe
Epi 337 In this value-packed episode of Our Sleeved Life Podcast, host Mel welcomes licensed dietitian Melanie Crum from Pop Recovery Systems to dive deep into strategies for surviving (and thriving!) during the holiday season after weight loss surgery. From emotional eating triggers to smart holiday portion control, they share powerful advice for anyone navigating Thanksgiving after gastric sleeve, bypass, or bariatric revision.
Join us for part 2 of this deep dive into weight loss surgery! We talk about how much weight people lose, the mental health outcomes of people (big trigger warning there), surgery in kids and informed consent. TW: Mention of su!c|de, depression, children and surgery as well as general awful stuff fat people endure. Episode show notes: http://www.fiercefatty.com/202 Support me on Ko-Fi and get the Size Diversity Resource Guide: https://kofi.com/fiercefatty/tiers Comparison of the Performance of Common Measures of Weight Regain After Bariatric Surgery: https://jamanetwork.com/journals/jama/fullarticle/2707460 All‑Cause and Cause‑Specific Mortality Associated with Bariatric Surgery: A Review: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5055056/ Body Image Disturbances and Weight Bias After Obesity Surgery: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8012323/ Coping With "Ob*sity" Stigma Affects Depressed Mood: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5670735/ Death Rates and Causes of Death After Bariatric Surgery: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4888907/ Depression, Anxiety, and Binge Eating Before and After Bariatric Surgery: https://www.scielo.br/j/abcd/a/tZXDCfc855KxdXcFKTbVtHR/?lang=en Diabetes after Bariatric Surgery: https://www.canadianjournalofdiabetes.com/article/S1499-2671(16)30072-7/fulltext Ethical Questions About Surgery Raised by Scientists: https://jamanetwork.com/journals/jama/article-abstract/196339 Late Relapse of Diabetes After Bariatric Surgery: https://diabetesjournals.org/care/article/43/3/534/35625/Late-Relapse-of-Diabetes-After-Bariatric-Surgery Long-Term Follow-up After Bariatric Surgery: A Systematic Review: https://jamanetwork.com/journals/jama/fullarticle/1900516 Long-Term Outcomes After Bariatric Surgery: Systematic Review & Meta-analysis: https://link.springer.com/article/10.1007/s11695-018-3525-0 Mineral Malnutrition Following Bariatric Surgery: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3771134/ Patient Experiences of Outcomes of Bariatric Surgery: Systematic Review: https://onlinelibrary.wiley.com/doi/10.1111/obr.12518 Prevalence of Alcohol Use Disorders Before and After Bariatric Surgery: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3682834/ Recent Experiences of Weight-based Stigmatization in a Weight Loss Surgery Population: https://onlinelibrary.wiley.com/doi/full/10.1038/oby.2008.457 Risk of Suicide and Non-Fatal Self-Harm After Bariatric Surgery: Two Cohort Studies: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5932484/ Risk of Suicide and Self-Harm Is Increased After Bariatric Surgery: Meta-analysis: https://link.springer.com/article/10.1007/s11695-018-3493-4 Substance Use After Bariatric Surgery: A Review: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4789154/ Survival Among High-Risk Patients After Bariatric Surgery: https://pubmed.ncbi.nlm.nih.gov/21666276/ No Evidence That Bariatric Surgeries Save Healthcare Costs or Lives: http://junkfoodscience.blogspot.com/2008/09/no-evidence-that-bariatric-surgeries.html The Impact of Bariatric Surgery on Psychological Health: https://www.hindawi.com/journals/jobe/2013/837989/ Untold Stories of Living with a Bariatric Body: Long-Term Experiences of Weight-Loss Surgery: https://onlinelibrary.wiley.com/doi/10.1111/1467-9566.12999 "But Everything Is Supposed to Get Better After Surgery!" Understanding Postoperative Suicide and Self-Injury: https://bariatrictimes.com/understanding-postoperative-suicide-self-injury/ Long-Term Weight Regain After Gastric Bypass: A 5-Year Prospective Study: https://www.researchgate.net/publication/5459557_Long-term_Weight_Regain_after_Gastric_Bypass_A_5-year_Prospective_Study Anti-Diet by Christy Harrison: https://christyharrison.com/book-anti-diet-intuitive-eating-christy-harrison Food Junk Science Blog: http://junkfoodscience.blogspot.com/2007/01/junkfood-science-weekend-special.html Suicide Rates After Bariatric Surgery: https://bariatrictimes.com/understanding-postoperative-suicide-self-injury/#:~:text=Based%20on%20their%20analysis%2C%20the,3.2%E2%80%935.1%2F10%2C000 Kaitlin Anderle Who Had Surgery: https://www.instagram.com/p/B9B7HwSh3RM/ Roxane Gay - What Fullness Is: https://gay.medium.com/the-body-that-understands-what-fullness-is-f2e40c40cd75 Lindo Bacon on Bariatric Surgery: https://www.lindobacon.com/HAESbook/pdf_files/HAES_Bariatric-Surgery.pdf Prevalence of Alcohol Use Disorders Before and After Bariatric Surgery: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3682834/#:~:text=There%20is%20some%20evidence%20that Mineral Malnutrition Following Bariatric Surgery: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3771134/#:~:text=Bariatric%20surgery%20exacerbates%20preexisting%20malnutrition,with%20micronutrient%20supplementation%20following%20surgery Substance Use After Bariatric Surgery: A Review: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4789154/ Early Mortality Among Medicare Beneficiaries Undergoing Bariatric Surgery: https://pubmed.ncbi.nlm.nih.gov/16234496/#:~:text=The%20rates%20of%2030%2Dday,001 Death Rates and Causes of Death After Bariatric Surgery for Pennsylvania Residents: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4888907/ No Evidence That Bariatric Surgeries Save Healthcare Costs or Save Lives: http://junkfoodscience.blogspot.com/2008/09/no-evidence-that-bariatric-surgeries.html Ethical Questions About Surgery Raised by Scientists: https://jamanetwork.com/journals/jama/article-abstract/196339 Suicide Rates: https://bariatrictimes.com/understanding-postoperative-suicide-self-injury/#:~:text=Based%20on%20their%20analysis%2C%20the,3.2%E2%80%935.1%2F10%2C000 Long-Term Weight Regain After Gastric Bypass: https://www.researchgate.net/publication/5459557_Long-term_Weight_Regain_after_Gastric_Bypass_A_5-year_Prospective_Study Association of Race With Bariatric Surgery Outcomes (Wood et al., 2019): https://jamanetwork.com/journals/jamasurgery/fullarticle/2727128 Racial Disparities in Bariatric Surgery Complications and Mortality Using the MBSAQIP Data Registry (Welsh et al., 2020): https://pmc.ncbi.nlm.nih.gov/articles/PMC7223417/
Epi 3Welcome back to The Cutting Edge! In this episode, Mel sits down with Dr. Omar Beidas, MD FACS (Plastic Surgeon) and Ashlyn Douglass-Barnes, LCSW (Bariatric & Trauma Therapist) for a deep dive on one of the most overlooked steps in plastic-surgery readiness after weight loss: protein intake, healing nutrition, and how your body actually recovers after surgery.If you're preparing for skin removal surgery, tummy tuck, arm lift, back lift, breast lift, lipo, or ANY post-weight-loss plastics… this episode is your new bible.We cover the exact protein targets, why low protein causes wound-healing complications, how seromas form, how drains work, why compression affects blood pressure, and why your surgeon keeps yelling “Get your protein in!”Plus: weird protein sources, vegetarian struggles, bug-based protein (yes, really), GLP-1 nausea tips, food noise vs cravings, and why bariatric patients struggle with solid protein.
Epi 336What's the real secret to sustainable fitness, flexible nutrition, and body confidence—without losing your mind or social life?
Feeling excited and terrified before bariatric surgery? In this episode, bariatric surgeon Dr. Betsy Dovec breaks down exactly how to prepare your mind, body, and home so you can not only survive surgery, but truly thrive afterward. You'll learn what to eat (and drink), how to handle gas pain and fatigue, which vitamins are non-negotiable for life, and why community support matters more than you think. If you're in the pre-op stage or need a post-op reset, this is your game plan.
Bariatric surgery is a procedure used to manage obesity and obesity-related conditions. While studies have shown that bariatric surgery leads to significant weight loss, are there cases where it may be important to consider reversing the procedure? What would such cases look like? How effectively can bariatric surgery be reversed? To help explore those questions, host Aaron Lohr talks with Katherine Hazen, MD, a second-year endocrine fellow at the University of Rochester Medical Center. She and colleagues presented an abstract at ENDO 2025 titled, “Going Backwards as a Means of Moving Forward: Severe Hypoglycemia After Bariatric Surgery.” Show notes are available at https://www.endocrine.org/podcast/enp106 — for helpful links or to hear more podcast episodes, visit https://www.endocrine.org/podcast
Many people in our community say it has become virtually impossible to shift the weight since cancer and menopause. So of course we ask ourselves: What role do GLP-1 medicines play in cancer survivorship and what do we really know about their safety, risks, and benefits? In this episode, I'm joined by Caroline Tweedie, currently working as the lead cancer nurse in the North East of England. With over 17 years' experience as a Clinical Nurse Breast Specialist, Caroline has dedicated her career to improving the lives of those affected by breast cancer and sits on the NICE committee shaping national breast cancer guidance.We explore, with curiosity - and never with judgement:- What GLP-1 medicines are and why they are so effective- Safety concerns and what the evidence shows for cancer survivors- Why these drugs matter in breast cancer survivorship- The role of GLP-1s in weight, muscle, bone health, inflammation, and fatigue- Natural strategies that may work on similar pathways- Key risks to be aware of: hair loss, sarcopenia, drug absorption, and endocrine therapy interactions- What happens when you stop taking the drug- Practical advice for patients and clinicians navigating this new landscapeCaroline also shares her insights on why weight loss isn't the same as fitness, why muscle is the “anti-fatigue organ,” and what both patients and healthcare professionals need to know before considering GLP-1 use in survivorship care.This is a nuanced, evidence-based discussion that puts patients at the centre. Whether you're a survivor curious about GLP-1s or a healthcare professional supporting patients, this episode offers clarity, compassion, and practical takeaways.Episode Highlights:00:00 Intro12:09 Survivorship Challenges Beyond Cancer Treatment15:35 Weight Loss Treatments: Risks & Support16:42 Bariatric Surgery vs Rapid Weight Loss22:18 Protein Intake for Menopause Health25:04 "Deciding on GLP1 Treatment"29:06 GLP-1 Eligibility Criteria Explained35:40 "Drug Trials and Patient Safety"42:19 Obesity Support After Cancer43:31 Diabetes Drugs, Costs, Future HopeConnect with us:For more information and resources visit our website: www.menopauseandcancer.org Or follow us on Instagram @menopause_and_cancerJoin our Facebook group: www.facebook.com/groups/menopauseandcancerchathub
Epi 2Are you truly ready for plastic surgery after weight loss?In this powerful episode of Our Sleeved Life Podcast, we sit down with board-certified plastic surgeon Dr. Omar Beidas and therapist Ashlyn Douglass-Barnes, LCSW to answer the biggest post-op question:
Epi 335New from Our Sleeved Life PodcastWelcome to the newest episode of Our Sleeved Life Podcast! Today, we sit down with Josie Wilson, a bariatric patient who's 3.5 years post-op — and she's keeping it real about life after surgery.This isn't the before-and-after fantasy. This is what happens when the honeymoon phase ends — and the emotional, physical, and mental battles begin.
Epi 1Welcome to the first episode of our NEW series on The Sleeved Life Podcast!If you've had bariatric surgery, are considering plastic surgery after weight loss, or struggling with mental health during your transformation — this is for you.
Does weight loss surgery make you thin and healthy? What percentage of people is it successful for? Are the side effects worth it and what are they exactly? This episode is a deep dive into "bariatric" surgery AKA "weight loss" surgery AKA stomach amputation. TW: There are mentions of the types of surgeries, outcomes and side effects as well as general awful stuff fat people endure. Episode show notes: http://www.fiercefatty.com/201 Support me on Ko-Fi and get the Size Diversity Resource Guide: https://kofi.com/fiercefatty/tiers Comparison of the Performance of Common Measures of Weight Regain After Bariatric Surgery: https://jamanetwork.com/journals/jama/fullarticle/2707460 All‑Cause and Cause‑Specific Mortality Associated with Bariatric Surgery: A Review: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5055056/ Body Image Disturbances and Weight Bias After Obesity Surgery: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8012323/ Coping With "Ob*sity" Stigma Affects Depressed Mood: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5670735/ Death Rates and Causes of Death After Bariatric Surgery: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4888907/ Depression, Anxiety, and Binge Eating Before and After Bariatric Surgery: https://www.scielo.br/j/abcd/a/tZXDCfc855KxdXcFKTbVtHR/?lang=en Diabetes after Bariatric Surgery: https://www.canadianjournalofdiabetes.com/article/S1499-2671(16)30072-7/fulltext Ethical Questions About Surgery Raised by Scientists: https://jamanetwork.com/journals/jama/article-abstract/196339 Late Relapse of Diabetes After Bariatric Surgery: https://diabetesjournals.org/care/article/43/3/534/35625/Late-Relapse-of-Diabetes-After-Bariatric-Surgery Long-Term Follow-up After Bariatric Surgery: A Systematic Review: https://jamanetwork.com/journals/jama/fullarticle/1900516 Long-Term Outcomes After Bariatric Surgery: Systematic Review & Meta-analysis: https://link.springer.com/article/10.1007/s11695-018-3525-0 Mineral Malnutrition Following Bariatric Surgery: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3771134/ Patient Experiences of Outcomes of Bariatric Surgery: Systematic Review: https://onlinelibrary.wiley.com/doi/10.1111/obr.12518 Prevalence of Alcohol Use Disorders Before and After Bariatric Surgery: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3682834/ Recent Experiences of Weight-based Stigmatization in a Weight Loss Surgery Population: https://onlinelibrary.wiley.com/doi/full/10.1038/oby.2008.457 Risk of Suicide and Non-Fatal Self-Harm After Bariatric Surgery: Two Cohort Studies: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5932484/ Risk of Suicide and Self-Harm Is Increased After Bariatric Surgery: Meta-analysis: https://link.springer.com/article/10.1007/s11695-018-3493-4 Substance Use After Bariatric Surgery: A Review: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4789154/ Survival Among High-Risk Patients After Bariatric Surgery: https://pubmed.ncbi.nlm.nih.gov/21666276/ No Evidence That Bariatric Surgeries Save Healthcare Costs or Lives: http://junkfoodscience.blogspot.com/2008/09/no-evidence-that-bariatric-surgeries.html The Impact of Bariatric Surgery on Psychological Health: https://www.hindawi.com/journals/jobe/2013/837989/ Untold Stories of Living with a Bariatric Body: Long-Term Experiences of Weight-Loss Surgery: https://onlinelibrary.wiley.com/doi/10.1111/1467-9566.12999 "But Everything Is Supposed to Get Better After Surgery!" Understanding Postoperative Suicide and Self-Injury: https://bariatrictimes.com/understanding-postoperative-suicide-self-injury/ Long-Term Weight Regain After Gastric Bypass: A 5-Year Prospective Study: https://www.researchgate.net/publication/5459557_Long-term_Weight_Regain_after_Gastric_Bypass_A_5-year_Prospective_Study Anti-Diet by Christy Harrison: https://christyharrison.com/book-anti-diet-intuitive-eating-christy-harrison Food Junk Science Blog: http://junkfoodscience.blogspot.com/2007/01/junkfood-science-weekend-special.html Suicide Rates After Bariatric Surgery: https://bariatrictimes.com/understanding-postoperative-suicide-self-injury/#:~:text=Based%20on%20their%20analysis%2C%20the,3.2%E2%80%935.1%2F10%2C000 Kaitlin Anderle Who Had Surgery: https://www.instagram.com/p/B9B7HwSh3RM/ Roxane Gay - What Fullness Is: https://gay.medium.com/the-body-that-understands-what-fullness-is-f2e40c40cd75 Lindo Bacon on Bariatric Surgery: https://www.lindobacon.com/HAESbook/pdf_files/HAES_Bariatric-Surgery.pdf Prevalence of Alcohol Use Disorders Before and After Bariatric Surgery: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3682834/#:~:text=There%20is%20some%20evidence%20that Mineral Malnutrition Following Bariatric Surgery: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3771134/#:~:text=Bariatric%20surgery%20exacerbates%20preexisting%20malnutrition,with%20micronutrient%20supplementation%20following%20surgery Substance Use After Bariatric Surgery: A Review: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4789154/ Early Mortality Among Medicare Beneficiaries Undergoing Bariatric Surgery: https://pubmed.ncbi.nlm.nih.gov/16234496/#:~:text=The%20rates%20of%2030%2Dday,001 Death Rates and Causes of Death After Bariatric Surgery for Pennsylvania Residents: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4888907/ No Evidence That Bariatric Surgeries Save Healthcare Costs or Save Lives: http://junkfoodscience.blogspot.com/2008/09/no-evidence-that-bariatric-surgeries.html Ethical Questions About Surgery Raised by Scientists: https://jamanetwork.com/journals/jama/article-abstract/196339 Suicide Rates: https://bariatrictimes.com/understanding-postoperative-suicide-self-injury/#:~:text=Based%20on%20their%20analysis%2C%20the,3.2%E2%80%935.1%2F10%2C000 Long-Term Weight Regain After Gastric Bypass: https://www.researchgate.net/publication/5459557_Long-term_Weight_Regain_after_Gastric_Bypass_A_5-year_Prospective_Study Association of Race With Bariatric Surgery Outcomes (Wood et al., 2019): https://jamanetwork.com/journals/jamasurgery/fullarticle/2727128 Racial Disparities in Bariatric Surgery Complications and Mortality Using the MBSAQIP Data Registry (Welsh et al., 2020): https://pmc.ncbi.nlm.nih.gov/articles/PMC7223417/
Epi 337 In this value-packed episode of Our Sleeved Life Podcast, host Mel welcomes licensed dietitian Melanie Crum from Pop Recovery Systems to dive deep into strategies for surviving (and thriving!) during the holiday season after weight loss surgery.From emotional eating triggers to smart holiday portion control, they share powerful advice for anyone navigating Thanksgiving after gastric sleeve, bypass, or bariatric revision.
Epi 334Are carbs the enemy—or the answer—after weight loss surgery?In this explosive episode of Our Sleeved Life Podcast, host Mel sits down with bariatric dietitian Kim Tirapelle, MS, RD, CSSD, to uncover the real science behind carb intake after bariatric surgery. Learn how carbohydrates can actually help you build muscle, prevent fatigue, and fuel your post-op workouts—without sabotaging your weight loss. If you've ever felt guilty for eating a potato or scared of adding fruit back into your diet, this episode is for you
Send us a message!In this episode we will be covering Facebook Live Questions 10/20-10/26/25 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, Key Topics Review, Vocab Classes, Wed 8pest Group tutoring , study guides and a new trouble area video each week!Need a Crash Course before your exam? Check out the 4 part Pre-Exam Crash Course: Key Topics Review.
Epi 333Can you imagine going through weight loss surgery and never tracking protein or water—not once? In this jaw-dropping clip from Our Sleeved Life Podcast, Mel sits down with Jenna from The Sleeve Cub, who reveals how she lost over 100 pounds after gastric sleeve surgery without measuring a single ounce or gram. Instead, she learned to listen to her body, trust her hunger cues, and rebuild her relationship with food after VSG.
Epi 332What do most bariatric surgeons NOT tell you about reflux, GERD, and hidden hernias?
Hey, I've got an amazing guest joining me on the podcast - a surgeon who's skilled in weight loss surgeries that removes a part of your digestive tract to remove the fat from your body. He is here to spill the facts on weight loss surgery! In this podcast we'll be diving into the myths, the facts, and the real talk about whether bariatric surgery is the right choice for you. If you've ever thought, 'Is surgery the answer?' or know someone who has, this episode is a must-watch! Tune in and let's get real about weight loss surgery!Full Podcast Important links:Ryan Fernando AppDiet plan Blood test Cancer screening All tests Socials:Link treeInstagramWebsiteYouTubeProducts: 1Chaze marine collagen Collagen cranberry flavor 1Chaze Wheatless book Eating Secrets of ChampionsFind Dr. G. Moinoddin here: Instagram YouTubeWebsite Time Stamps:0:00 – Trailer0:52 – Introduction1:26 – Do You Really Need Bariatric Surgery?5:17 – Dr. Moin's Journey & Experience6:42 – What Exactly Is Bariatric Surgery?8:20 – Can Surgery Actually Save Lives?12:40 – Different Types of Bariatric Procedures14:42 – Scars, Healing & Recovery Time15:50 – Early Warning Signs to Watch For17:05 – Why Is Insulin Resistance So Common Now?19:15 – The Power of Early Intervention21:02 – When Does Surgery Become Necessary?24:07 – The Emotional Side of Weight Loss Surgery26:25 – Can Menopausal Women Get Bariatric Surgery?27:40 – Does the Body Fight Weight Loss?29:32 – Bariatric Surgery vs Liposuction: What's Better?33:50 – How Stress Impacts Your Body34:51 – Can Lack of Sleep Make You Gain Weight?36:58 – How Weight Loss Improves Heart Health39:18 – Can You Be Fit and Still Unhealthy?4:00 – When Excess Weight Becomes a Medical Emergency46:30 – The Evolution of Laparoscopy49:42 – Nutrition After Bariatric Surgery55:25 – Are Medications Needed After Surgery?58:04 – Possible Post-Surgery Complications1:00:25 – Is Bariatric Surgery Covered by Insurance?1:03:12 – Does Bariatric Surgery Help the Elderly Too?1:05:12 – The Mindset Shift You Need1:06:55 – How Early Should You Take Action?
Welcome to Ozempic Weightloss Unlocked, your podcast for the latest news, research, and practical insights on Ozempic, its medical uses, and the impact on lifestyle and health. Ozempic, known generically as semaglutide, was originally developed for type two diabetes but is now widely prescribed for weight management. According to Women's Health Research Cluster, Ozempic works by mimicking a hormone called glucagon-like peptide-1 that helps you feel fuller longer and slows down how quickly the stomach empties. These effects not only help reduce appetite, but also keep blood sugar stable. That is why demand for these medications has skyrocketed over the past few years.Clinical trials consistently show notable results. Multiple large studies, as summarized in the National Library of Medicine, reveal that up to 14 to 16 percent body weight loss can be sustained for more than a year. Even higher percentages are seen when combined with behavioral therapy and a low-calorie diet. Some studies on similar drugs, like tirzepatide, report weight loss as high as 20 percent over seventy-two weeks. These numbers put Ozempic and its peers at the center of conversation around obesity and metabolic health.Real-world factors do impact results. New York University research presented at the American Society for Metabolic and Bariatric Surgery compared Ozempic and similar drugs to bariatric surgery. Surgery produced five times the weight loss of medication, averaging more than 25 percent body weight lost over two years. Researchers noted that regardless of the method, consistency is key. Medications only work as long as they are taken, while surgery is a permanent change.For those considering Ozempic, there are some noticeable bodily effects. Medical News Today discusses “Ozempic legs,” a term for changes in leg appearance during rapid weight loss, such as thinner or frailer legs and sometimes loose skin. This can result from losing both fat and muscle. Up to forty percent of weight lost on semaglutide may come from lean body mass, not just fat. To address this, experts recommend eating enough protein, incorporating regular strength training, and losing weight gradually to preserve muscle and skin elasticity.Another area of emerging research is how these GLP-1 drugs affect alcohol metabolism. The Fralin Biomedical Research Institute found that medications like Ozempic can slow how quickly alcohol enters the bloodstream, delay its effects on the brain, and potentially reduce alcohol use. These findings suggest the drugs may play a future role in addiction treatment.In terms of safety and tolerability, gastrointestinal symptoms are the most common side effects, such as nausea or upset stomach. These are usually mild or moderate and tend to fade with time. For people with psychiatric conditions such as schizophrenia, data published by National Library of Medicine indicate Ozempic led to significant weight loss without worsening mental health or interfering with medications.When stopping these medications, Women's Health Research Cluster points out weight regain is very likely, as the body's metabolic adaptations revert without continued GLP-1 stimulation. Long-term studies are ongoing to better understand risks and benefits over many years.There is also growing attention on rare, “unusual” side effects. The Independent and other outlets note that advanced imaging scans became necessary to rule out suspicious findings linked to rapid weight changes when doctors were assessing patients on these drugs. Researchers emphasize this does not mean the drugs cause cancer or other conditions, but it is an important side effect to keep monitoring as usage increases.While Ozempic has made headlines as a “miracle” weight loss medication, experts urge listeners to use it as part of a broader lifestyle approach, including healthy eating, physical activity, and regular medical check-ins. As with any medication, speak with your health care provider about the risks, benefits, and whether this option fits your specific goals and conditions.Thanks for tuning in to Ozempic Weightloss Unlocked. Remember to subscribe so you never miss an update on the latest research and real-world experiences on Ozempic and metabolic health. This has been a quiet please production, for more check out quiet please dot ai. Some great Deals https://amzn.to/49SJ3QsFor more check out http://www.quietplease.aiThis content was created in partnership and with the help of Artificial Intelligence AI
Sleeve, bypass, or something new – which surgery really dominates the day? This Bariatric Surgery Journal Club dives into the debate over which bariatric operation is best. We compare the outcomes of the gastric bypass, sleeve gastrectomy, and the newer Sadie procedure, exploring how bypass may have an edge in long-term diabetes remission and weight loss. We also discuss revisional options for failed sleeves and the importance of matching the patient to the right operation for their specific needs. 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: - Contrast the outcomes of Roux-en-Y gastric bypass, sleeve gastrectomy, and revisional options such as the single-anastomosis duodeno-ileal bypass (SADI) - Article #1: Hauge 2025, Effect of gastric bypass versus sleeve gastrectomy on the remission of type 2 diabetes, weight loss, and cardiovascular risk factors at 5 years (Oseberg): secondary outcomes of a single-centre, triple blind, randomized controlled trial https://pubmed.ncbi.nlm.nih.gov/40185112/ - Describe the design and unique triple-blind methodology of a single-center randomized trial comparing bypass and sleeve in patients with obesity and type 2 diabetes. - Interpret the clinical relevance of the 5-year outcomes, including 63% diabetes remission with bypass vs 30% with sleeve. - Examine secondary outcomes such as weight loss and cholesterol reduction, which favored bypass over the sleeve - Formulate patient-centered strategies for selecting bypass versus sleeve in populations with advanced metabolic disease, balancing efficacy with patient preference - Article #2: The By-Band-Sleeve Collaborative Group 2025, Roux-en-Y gastric bypass, adjustable gastric banding, or sleeve gastrectomy for severe obesity (By-Band-Sleeve): a multicenter, open-label, three-group, randomized controlled trial https://pubmed.ncbi.nlm.nih.gov/40179925/ - Summarize the findings of this multi-center, open-label randomized controlled trial of over 1,300 patients comparing bypass, sleeve, and gastric banding at 5 years - Discuss the relative weight loss outcomes: 67% excess weight loss for bypass, 63% for sleeve, and 28% for adjustable gastric band - Evaluate the improvements in diabetes remission, hypertension control, and lipid management with bypass and sleeve compared to banding. - Analyze the declining role of gastric banding in modern bariatric surgery, while acknowledging its benefits compared to no weight loss treatment - Article #3: Thomopoulos 2024, Long-term results of Roux-en-Y gastric bypass (RYGB) versus single anastomosis duodeno-ileal bypass (SADI) as revisional procedures after failed sleeve gastrectomy: a systematic literature review and pooled analysis https://pubmed.ncbi.nlm.nih.gov/39579238/ - Compare long-term outcomes of bypass versus SADI after failed sleeve gastrectomy, based on pooled analysis of over 1,000 patients - Interpret the trade-offs: SADI provides greater weight loss and metabolic improvements, but carries a higher risk for malnutrition and fat-soluble vitamin deficiencies - Develop strategies for preoperative counseling, nutritional supplementation, and close long-term monitoring, particularly for patients undergoing SADI - Individualize decision-making for revisional surgery, considering factors such as patient goals, comorbidity burden, prior anatomy, BMI, and reliability with follow-up - Evolving revisional strategies will influence the next decade of bariatric surgical innovation - Overall, bariatric surgery consistently improves weight, diabetes control, and cardiovascular risk. - The procedure of choice should be tailored to the patient through detailed discussion between surgeon and patient, aligning clinical evidence with patient goals and risks. References 1. Wågen Hauge J, Borgeraas H, Birkeland KI, Johnson LK, Hertel JK, Hagen M, Gulseth HL, Lindberg M, Lorentzen J, Seip B, Kolotkin RL, Svanevik M, Valderhaug TG, Sandbu R, Hjelmesæth J, Hofsø D. Effect of gastric bypass versus sleeve gastrectomy on the remission of type 2 diabetes, weight loss, and cardiovascular risk factors at 5 years (Oseberg): secondary outcomes of a single-centre, triple-blind, randomised controlled trial. Lancet Diabetes Endocrinol. 2025 May;13(5):397-409. doi: 10.1016/S2213-8587(24)00396-6. Epub 2025 Apr 1. PMID: 40185112. https://pubmed.ncbi.nlm.nih.gov/40185112/ 2. By-Band-Sleeve Collaborative Group. Roux-en-Y gastric bypass, adjustable gastric banding, or sleeve gastrectomy for severe obesity (By-Band-Sleeve): a multicentre, open label, three-group, randomised controlled trial. Lancet Diabetes Endocrinol. 2025 May;13(5):410-426. doi: 10.1016/S2213-8587(25)00025-7. Epub 2025 Mar 31. PMID: 40179925. https://pubmed.ncbi.nlm.nih.gov/40179925/ 3. Thomopoulos T, Mantziari S, Joliat GR. Long-term results of Roux-en-Y gastric bypass (RYGB) versus single anastomosis duodeno-ileal bypass (SADI) as revisional procedures after failed sleeve gastrectomy: a systematic literature review and pooled analysis. Langenbecks Arch Surg. 2024 Nov 23;409(1):354. doi: 10.1007/s00423-024-03557-9. PMID: 39579238; PMCID: PMC11585492. https://pubmed.ncbi.nlm.nih.gov/39579238/ 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://behindtheknife.org/listen Behind the Knife Premium: General Surgery Oral Board Review Course: https://behindtheknife.org/premium/general-surgery-oral-board-review Trauma Surgery Video Atlas: https://behindtheknife.org/premium/trauma-surgery-video-atlas Dominate Surgery: A High-Yield Guide to Your Surgery Clerkship: https://behindtheknife.org/premium/dominate-surgery-a-high-yield-guide-to-your-surgery-clerkship Dominate Surgery for APPs: A High-Yield Guide to Your Surgery Rotation: https://behindtheknife.org/premium/dominate-surgery-for-apps-a-high-yield-guide-to-your-surgery-rotation Vascular Surgery Oral Board Review Course: https://behindtheknife.org/premium/vascular-surgery-oral-board-audio-review Colorectal Surgery Oral Board Review Course: https://behindtheknife.org/premium/colorectal-surgery-oral-board-audio-review Surgical Oncology Oral Board Review Course: https://behindtheknife.org/premium/surgical-oncology-oral-board-audio-review Cardiothoracic Oral Board Review Course: https://behindtheknife.org/premium/cardiothoracic-surgery-oral-board-audio-review Download our App: Apple App Store: https://apps.apple.com/us/app/behind-the-knife/id1672420049 Android/Google Play: https://play.google.com/store/apps/details?id=com.btk.app&hl=en_US
Are your bariatric labs telling you the full story about your metabolic health? In this BariConnected episode, we're joined by Kate Foose, a passionate bariatric physician assistant, to dive deep into what post-op labs like HOMA-IR, CRP, fasting insulin, and A1C are really revealing — especially when it comes to insulin resistance, blood sugar regulation, and weight regain prevention. Whether you're a bariatric patient, healthcare professional, or someone using GLP-1s for medical weight loss, this episode is packed with science-backed insights, lifestyle strategies, and expert support from Banana Bariatrics and ProCare Health
Epi 331 Did you know up to 75% of patients experience weight regain after weight loss surgery (WLS)?
In this episode, we are joined by Dr. Mitchell Roslin to discuss the complexities of obesity. We explore the role of GLP-1 medications in weight management, the evolution of bariatric surgery, and the innovative SIPS procedure. Dr. Roslin emphasizes that obesity is not merely a result of poor lifestyle choices but involves intricate biological and hormonal mechanisms. He also highlights the importance of functional assessments in determining appropriate treatment for obesity, advocating for a more systematic approach to obesity management. Learn more about Dr. Mitchell Roslin: https://faculty.medicine.hofstra.edu/4990-mitchell-roslin - Download Dr. Buck Joffrey's FREE ebook, Living Longer for Busy People: https://ru01tne2.pages.infusionsoft.net/?affiliate=0 Book a FREE longevity coaching consultation with Dr. Buck Joffrey: https://coaching.longevityroadmap.com
Epi 330 In this powerful episode of Our Sleeved Life Podcast, Jess—also known as @Time4Change365—shares his deeply personal journey through bariatric surgery, weight regain, and rediscovery through GLP-1 medication.
Epi 329How can Let Them Theory help your mental health after weight loss surgery?
Dr. Wanko discusses the differences between GLP-1 medications for weight loss and bariatric surgery. Including how they work together and why weight loss specialists may recommend one or both of these options.
Epi 328Welcome back to Our Sleeved Life Podcast!In today's empowering episode, Mel sits down with Jatoyia Armour, founder of Bariatric Paths, to explore her life-changing gastric bypass journey. From gastric sleeve vs. bypass surgery comparisons to the raw truth about post-op support groups, skin removal surgery, and bariatric mental health, we cover it all. Discover how Jatoyia went from 387 pounds to dropping 178+ pounds and creating a positive, non-judgmental support system for those navigating bariatric weight loss surgery. We also dive into: How bariatric communities can feel isolating & judgmental What led her to create BariatricPaths.com Overcoming mom guilt and balancing bariatric lifestyle with motherhood The emotional and mental readiness for plastic surgery after weight loss What it really feels like after losing over 170 pounds If you're preparing for or recovering from gastric bypass or gastric sleeve, looking for bariatric support networks, or exploring weight loss surgery options, this episode is packed with authentic insights
Interview with Tyson S. Barrett, PhD, and George M. Eid, MD, authors of Obesity Treatment With Bariatric Surgery vs GLP-1 Receptor Agonists. Hosted by Jamie Coleman, MD. Related Content: Obesity Treatment With Bariatric Surgery vs GLP-1 Receptor Agonists
Interview with Tyson S. Barrett, PhD, and George M. Eid, MD, authors of Obesity Treatment With Bariatric Surgery vs GLP-1 Receptor Agonists. Hosted by Jamie Coleman, MD. Related Content: Obesity Treatment With Bariatric Surgery vs GLP-1 Receptor Agonists
Epi 327The Nutrition Secrets Every Bariatric Patient Needs to Know (from a Registered Dietitian!)In this transformative episode of Our Sleeved Life Podcast, host Mel sits down with Registered Dietitian Andres Ayesta to uncover the REAL truth behind weight loss after bariatric surgery. From the #1 mindset shift to sustainable post-op nutrition strategies, this episode is your blueprint for long-term success — whether you've had a gastric sleeve, bypass, or taking a GLP1.
Why vaccines have become so polarizing; Florida to remove all vaccine mandates; A modest proposal for revised Covid vaccine guidelines has the CDC in an uproar; Gastroparesis—what causes it and how to alleviate it; options for treatment of tricuspid regurgitation; New tech enables continuous home testing of levels of stress hormone; The mystery of a dog's sudden death.
Thank you Sabrina 'The Unyielding' Tran, OMS IV, for developing this podcast topic! Thank you Cynthia Sharma, OMS IV, for being a great sidekick!This podcast starts with high yield information about SSRI discontinuation syndrome and Lithium toxicity. The discussion then dives into the nuances of how either a Roux-and-Y or Sleeve Gastrectomy may affect blood levels of various medications. This is a technical discussion that has great information! We enjoyed our discussion and hope you do too!Thank you to the physicians that have blazed the podcast pathway over the last half decade. Thank you to the new students that carry the torch! Thank you to the immortal Jordan Turner for creating the perfect bumper music! Most of all, thank you to everybody that listens in and learns with us.
Epi 326This ONE mindset shift changed everything in their weight loss journey. In this powerful episode of the OSLP, we reveal the mental transformation that helped real people achieve sustainable weight loss after bariatric surgery. Whether you're exploring all complications that can happen and has happened to Stephanie - Bariatric Warrior.Join us as we share vulnerable, authentic stories from the bariatric community, and dig deep into what truly drives long-term weight loss success. From emotional eating and identity shifts to real strategies for staying motivated — it's all here.
In this episode of Lisa's Corner, Lisa opens up about her challenging journey to a bariatric surgery consultation 4.5 hours from home. From driving anxiety and extreme heat to navigating health conditions like POTS and mast cell disorder, the day was anything but easy. Despite the physical toll, Lisa highlights the compassion and preparation of the medical team, including a surgeon and dietitian who went above and beyond to support her unique needs. Join Lisa as she shares the raw realities of living with chronic illness, the hurdles of pursuing bariatric surgery, and the resilience it takes to keep moving forward.
Interview with G. Caleb Alexander, MD, MS, and Hemalkumar B. Mehta, MS, PhD, authors of Use of Glucagon-Like Peptide-1 Agonists Among Individuals Undergoing Bariatric Surgery in the US. Hosted by Jamie Coleman, MD. Related Content: Use of Glucagon-Like Peptide-1 Agonists Among Individuals Undergoing Bariatric Surgery in the US The GLP-1 Era—What Comes After Bariatric Surgery?
Epi 325Emotional Eating, Hormones & Digestion After Surgery – Real Talk with Amber & Shea Why do we emotionally eat even after surgery? What's really going on with our hormones and digestion? In this powerful episode of Our Sleeved Life Podcast, we sit down with two incredible guests — Amber
In this episode of Lisa's Corner, Lisa shares her personal journey as she prepares for bariatric surgery. From years of research and meticulous planning to facing judgment and disbelief at a bariatric clinic, she opens up about the challenges of navigating weight loss in a world quick to stereotype. Listen as she reflects on resilience, self-advocacy, and the importance of finding medical professionals and communities that truly support your health goals. This is a raw, honest conversation about the highs, lows, and everything in between on the path to sustainable change.
Epi: 324 Welcome back, OSLP family! In this powerful episode of Our Sleeved Life Podcast, we welcome Rob Rafanan from The Weighting Table—aka @theweightingtable, @weightinginvain, and @trans4m.bariatric.bodybuilding—to share his raw and inspiring bariatric journey. Rob opens up about his personal struggles with morbid obesity, chronic health conditions like hypertrophic cardiomyopathy, and how hitting nearly 400 pounds forced him to reevaluate everything—from his physical health to being a present father.We dive deep into:How Rob battled hypertension, sleep apnea, and back pain while trying to maintain a careerWhat it was like living as a "present but absentee" dad and how that shifted after surgeryWhy he finally said yes to Roux-en-Y (RNY) gastric bypass surgery after years of failed attempts to lose weight on his ownThe moment a chiropractor changed his life with one simple, hard questionHis journey through Canada's bariatric surgery systemLosing over 100 pounds with cycling and dealing with setbacks like tendonitisHow mindset coaching, therapy, and practicing gratitude and mindfulness helped reframe his post-op journeyWhy emotional eating isn't shameful—and how to build healthier coping tools that work long-termThe role of community support, Radical Body Transformation prep, and learning how to balance discipline with real lifeRob and Mel discuss everything from post-op plastic surgery to how guilt and generational trauma affect weight regain and emotional eating triggers. You'll walk away with real-life strategies for managing setbacks, building resilience, and redefining your relationship with food.
Kayla Girgen RD: Glucose Monitoring, Bariatric Surgery, & Nutrition Tracking_The Trulyfit podcast welcomes Kayla Girgen RD, A Registered Dietitian and the author of the upcoming book : Ruck Fit: Build Strength & Endurance byWalking with Weight. She and Steve will talk about :-Continuous glucose monitoring-An RD's role in bariatric surgery patients.-Gatekeeping nutrition advice-The pros and cons of tracking your food-Rucking-and much more. _You can check more of her here :IG :@kaylagirgenrdWebsite : https://kaylagirgenrd.com/Ruck Fit: Build Strength and Endurance by Walking with Weight - https://www.amazon.com/Ruck-Fit-Strength-Endurance-Walking/dp/1324111526_#fitness #health #personaltrainer #trulyfitapp #fitnesspodast #healthpodcast #coach #stevewashuta #fitpro #podcast #kaylagirgen #rucking
From Oxygen Tanks to Jeans & Joy: Lashandria's Powerful Bariatric Surgery JourneyIn this deeply personal and transformational episode of Our Sleeved Life Podcast, we sit down with Lashandria Peek—known as @GracefullyFitJourney—who shares her incredible path from over 578 pounds to reclaiming her independence, her mobility, and her joy.
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