Invasive procedures aimed to force the obese person to a limited food intake.
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In this episode, I sit down with Houston-based plastic surgeon Dr. Vinaya Rednam, who specializes in surgery for patients who've lost massive amounts of weight. We get into everything from GLP-1 medications and how they affect tissue quality, to the most common body contouring surgeries after major weight loss, and what you need to know before going under the knife. Topics Discussed: → Who is a good candidate for massive weight loss body contouring? → How do GLP-1 medications affect loose skin and surgical results? → Can you prevent loose skin while losing weight? → What should you know before getting a lower body lift? → Are non-surgical skin tightening treatments worth it? → What should you expect from arm lifts, breast lifts, and thigh lifts? → When is the right time to consider surgery after major weight loss?
Dave sits down with nurse practitioner and former Retatrutide clinical trial participant David White to break down the biggest obesity headlines from the 2026 American Diabetes Association Conference. Together, they explore the latest data on Retatrutide's potential to deliver bariatric surgery-level weight loss, improve cardiometabolic health, and reshape the future of obesity and type 2 diabetes treatment.otplinks.com
What does it truly take to reverse severe sleep apnea, throw away your CPAP machine, and drop nearly 200 pounds? In this incredibly raw and inspiring patient story, your host Mel sits down with Arthur Shadwick @mypurposefit to talk about what life is really like on both sides of bariatric surgery. Arthur opens up about growing up as a heavy child, hitting his highest weight of 440 pounds, and making the life-saving decision to undergo gastric bypass surgery. This conversation dives straight into the nitty-gritty things nobody warns you about from pushing through the liquid and pureed phases to tackling food addiction head-on and completely changing generational health habits for his kids. Arthur shares how his deep faith, major mindset shifts, and a rock-solid support system completely transformed his relationship with fitness, family, and food. Whether you are considering weight loss surgery, currently in the pre-op phase, newly post-op, or looking to get back on track, this episode is a safe space packed with encouragement, lots of laughs, and pure inspiration. Grab your water, pull up a seat on the winner's bench, and let's get into Arthur's incredible transformation! What we're diving into today: The health wake-up call: Facing severe sleep apnea at 440 lbs. Choosing between VSG and Gastric Bypass (RNY). Overcoming early post-op mental hurdles, gas pain, and learning how to eat again. The reality of food addiction, identifying triggers, and breaking old mental loops. Balancing family life, keeping kid snacks in the house, and staying accountable. Heartwarming Non-Scale Victories (NSVs): Throwing away the CPAP machine and running with his daughter. Finding his "Purpose Fit" through movement, routine, and serving others. Follow Arthur's Journey:
What happens to bariatric surgery when GLP-1 medications like Ozempic, Wegovy, and Zepbound change the entire weight loss landscape?In this episode, Dr. Matthew Weiner and registered dietitian Zoe unpack what they saw at the 2026 ASMBS annual conference - a meeting that felt very different from prior years. Surgical volumes are down, many bariatric surgeons are wrestling with what GLP-1s mean for their practices, and patients are left trying to figure out whether medication, nutrition, surgery, or some combination makes the most sense.Dr. Weiner explains why bariatric surgery still matters, but no longer belongs in the same place in the treatment sequence. For many patients, a GLP-1 trial should come first. For others, especially non-responders, patients with severe diabetes, or people losing mobility, surgery may be the safest and most effective next step.They also discuss why low-dose GLP-1s may be more sustainable than high-dose treatment, how to recognize a medication non-response, and why the best obesity care in 2026 combines nutrition, medication, surgery, and long-term support instead of forcing patients into one silo.
Can you transition from bariatric surgery to a competitive bodybuilding stage? In this episode, host Mel sits down with Jessica Shock @jessica__shock to explore her mind-blowing 170-pound weight loss transformation following RNY gastric bypass surgery. From navigating a complex medical history including childhood cancer, a traumatic brain injury, and a post-op Crohn's diagnosis to winning "Overall Transformation" in competitive bodybuilding, Jessica proves that weight loss surgery isn't the "easy way out." In This Episode, You'll Learn: The Reality of RNY Gastric Bypass: Jessica shares her raw experience of the first five days post-op, overcoming buyer's remorse, and navigating early eating struggles like the "foamies" and food intolerances. Overcoming a Complex Medical History: How Jessica managed major health hurdles including psoriatic arthritis, a brain injury, and getting diagnosed with Crohn's disease years after her weight loss surgery. The Mental Side of Bariatric Surgery: Why doing the deep mental work with a therapist to identify food triggers and tackle binge-eating cycles is vital for long-term bariatric success. Life After Skin Removal Surgery: Jessica opens up about the emotional and physical transformation of undergoing two skin removal surgeries (including a fleur-de-lis tummy tuck). Bodybuilding After Bariatric Surgery: How Jessica rebuilt her mindset and physique, hired a bariatric-savvy coach, and ended up taking home first-place trophies on the transformation stage. Practical Post-Op Advice: Real talk on tracking macros, reading food labels, managing "skinny privilege," and why a strong support system changes everything. Connect with the Guest: Follow Jessica on Instagram: @jessica__shock Connect with OSLP & Support the Show: Subscribe & Like! If you enjoyed this patient story, please hit that subscribe button, leave a comment with your favorite takeaway, and give this video a thumbs up. Join the Community: Stay tuned for our upcoming "Just Be You" awards celebrating the bariatric community! Our Favorite Bariatric Vitamins: Keep your post-op health on track. We love ProCare Health! Use code OSLP at checkout to save 15% on your order. Disclaimer: The views and opinions expressed in this podcast are for informational and educational purposes only and do not constitute medical advice. Always consult with your bariatric surgeon or healthcare team before changing your diet, supplement regimen, or exercise routine. #bariatricsurgery #weightlosssurgery #RNY #gastricbypass #postop #bariatricbodybuilding #skinremovalsurgery #extremeweightloss Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.
They promise to boost energy, improve immunity, and even ‘cleanse' your body — but are herbal and dietary supplements really safe for your kidneys? Today, we're diving into the truth behind their labels. In todays episode we heard from: Calvin Meaney is a pharmacist and clinical associate professor of pharmacy practice at the University at Buffalo with specialization in kidney disease. He provides clinical care to patients at the Erie County Medical Center, where he precepts pharmacy students and residents. Calvin's recent research has focused on anemia management in dialysis patients and reducing polypharmacy in older adults. Desirée de Waal, MS, RD, CD, FAND is a Renal Dietitian and Research Coordinator at University of Vermont Medical Center. She has published a variety of articles and book chapters including the value of Medical Nutrition Therapy in Kidney Failure; Hyperlipidemia; Potential Harms of High Protein Diets for Athletes; Bariatric Surgery; Kidney Stones with Metabolic Syndrome; Weighty Issue of Treatment Options for Obese Dialysis Patients; and Nickel Allergy Masquerading as Irritable Bowel Syndrome. Desirée has spoken at multiple conferences on a variety of subjects including sodium, magnesium, home dialysis, obesity, adherence, supplements, and time constraints. She has volunteered as part of the Academy of Nutrition and Dietetics' Nutrition Care Manual as Renal Expert, Managing Editor for Renal Nutrition Forum and has participated in Evidence Analysis Library projects. She has been on the National Kidney Foundation Renal Dietitian Spring Clinicals Planning Committee. Desirée was awarded 2013 Vermont's Dietitian of the Year Award and NKF Council of Renal Nutrition 2025 Recognized Renal Dietitian. She is a Board member of the Vermont Affiliate for the Academy of Nutrition and Dietetics plus Treasurer for the Vermont Kidney Association. Show Notes: Herbal Remedies Vitamins and CKD CKD Medicines Integrative Medicine: Search About Herbs from Memorial Sloan Kettering
There's SO much information about wellness hacks, it's hard to know what's worth trying. And then there are pharmaceuticals like GLP-1 medications that seem like the magic bullet for metabolic health. With all of these, are we setting ourselves up for the next public health crisis? Before you or someone you love considers a pharmaceutical or biohack, listen to this episode. Jenn Trepeck of Salad with a Side of Fries breaks down why the wellness industry deserves more credit than mainstream media gives it, and why pharmaceutical solutions like GLP-1 medications and statins cannot carry the full weight of America's health crisis. From affordable, healthy eating strategies to the alarming long-term risks of overreliance on a single hormone pathway, Jenn makes a compelling, research-backed case for a more comprehensive approach to metabolic health. What You Will Learn in This Episode:✅ Why GLP-1 medications may be following the same trajectory as statin drugs, and what that historical pattern reveals about where we are headed with metabolic health and long-term outcomes.✅ How eating in season and shopping at ethnic grocery stores can make whole foods nutrition genuinely affordable, healthy eating for more people, regardless of income level.✅ The critical connection between reduced food intake on GLP-1 medications, nutrient deficiency, and the alarming rise of osteoporosis and cancer risk, especially for younger populations and children.✅ Why fat cell memory and the Minnesota Starvation Experiment both reveal that weight loss without lifestyle medicine and nutritional education is unlikely to produce lasting results.The Salad With a Side of Fries podcast, hosted by Jenn Trepeck, explores real-life wellness and weight-loss topics, debunking myths, misinformation, and flawed science surrounding nutrition and the food industry. Let's dive into real-life wellness and weight loss, including drinking, eating out, and skipping the grocery store.TIMESTAMPS: 00:00 Why mainstream media voices unfairly dismiss the wellness industry05:50 A critique of how major journalists cover GLP-1 medications without consulting balanced sources or opposing viewpoints13:33 The argument that pharmaceutical solutions have become the default answer instead of addressing the root causes of metabolic health issues22:29 Discussion of income, access, and why processed foods are cheaper than whole foods nutrition is a structural public health failure30:37 Practical tips for affordable healthy eating, including seasonal eating and shopping at ethnic grocery stores for better quality produce34:39 The GLP-1 conversation begins in earnest, with Jenn explaining why she calls them our generation's statin drug37:02 A deep dive into statin drug statistics, heart disease rates, and why more prescriptions have not produced better cardiovascular health outcomes41:14 Jenn outlines her predictions, including rising osteoporosis risk, bone density loss, and increased colorectal cancer risk tied to low fiber intake44:31 The role of fat cell memory, the Minnesota Starvation Experiment, and why GLP-1 medications without lifestyle medicine will not produce lasting changeKEY TAKEAWAYS:
In this episode of Our Sleeved Life Podcast, Ana sits down with us to share the REAL side of bariatric surgery, weight loss, emotional eating, food addiction, CrossFit, bodybuilding, and everything in between.
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Men get plastic surgery too… but nobody really talks about it
Epi 352 What autoimmune disease REALLY does to your body goes far beyond occasional fatigue or inflammation. In this episode of the Our Sleeved Life Podcast, we sit down with resilience coach and medical professional Nikolett Demeter from Pop Recovery to have an honest conversation about chronic illness, lupus, gut health, bariatric nutrition, inflammation, and what it actually feels like to live in a body that's constantly fighting itself. We talk about why autoimmune diseases like lupus, Crohn's disease, rheumatoid arthritis, Graves' disease, and other chronic illnesses can leave people exhausted, struggling with brain fog, digestive issues, nutrient deficiencies, chronic inflammation, and flare-ups that impact everyday life. Nikolett explains how inflammation works inside the body, why sleep and hydration matter more than most people realize, and how nutrition, protein intake, omega-3s, gut health, and stress management can help support healing and recovery. This conversation also dives into bariatric surgery recovery, vitamin deficiencies, immune system health, anti-inflammatory foods, hormone balance, and the powerful connection between the gut microbiome and overall wellness. Whether you're personally dealing with autoimmune disease or supporting someone who is, this episode is full of practical advice, emotional support, and real conversations about resilience and health. If you've been searching for ways to reduce chronic inflammation naturally, improve gut health, manage autoimmune symptoms, recover after bariatric surgery, or simply better understand chronic illness and fatigue, this episode is for you.
This episode is brought to you by LMNT, Fatty15, and Caldera Lab. What if obesity isn't a willpower problem at all? In this deeply eye-opening conversation, Chase sits down with bariatric surgeon and obesity medicine specialist Dr. Betsy Dovec, MD to unpack the science, psychology, and stigma surrounding obesity in America today. From GLP-1 medications like Ozempic and Mounjaro to bariatric surgery, emotional eating, food addiction, metabolic dysfunction, and the failures of fad diets, this episode challenges nearly everything we think we know about weight loss. Whether you're someone struggling with weight, supporting a loved one, or simply curious about the future of metabolic health, this conversation offers nuance, compassion, and hard truths that could completely reshape your understanding of obesity and modern wellness. IN THIS EPISODE YOU WILL LEARN Why Dr. Dovec believes obesity is primarily biological — not a lack of discipline The hidden role trauma and emotional safety can play in weight gain How bariatric surgery changes hormones, hunger, and "food noise" The truth about Ozempic, Wegovy, Mounjaro, and long-term GLP-1 use Why most people regain weight after stopping GLP-1 medications The difference between gastric bypass and gastric sleeve surgery Why visceral fat is more dangerous than the number on the scale How obesity impacts cardiovascular disease, diabetes, fatty liver, and longevity The surprising reason BMI may be one of the worst health markers Why women account for nearly 85% of bariatric surgery patients How sugar and ultra-processed foods are driving the obesity epidemic What long-term success after bariatric surgery actually requires The psychological side of transformation and behavior change Why "food noise" may be one of the biggest hidden barriers to weight loss How bariatric surgery and GLP-1s may work best together The future of weight loss medicine, surgery, and employer healthcare coverage Follow Betsy @drdovec Follow Chase @chase_chewning ----- 00:00 — Is Obesity a Willpower Problem or a Biological Problem? 04:40 — When Should Someone Consider Bariatric Surgery? 08:00 — Trauma, Emotional Eating & Feeling Unsafe in the Body 14:20 — Why Obesity Is More Complex Than Calories In vs. Calories Out 15:40 — Why Men Wait Too Long to Address Their Health 17:42 — Bariatric Surgery Misconceptions & Who Actually Qualifies 19:00 — How Bariatric Surgery Immediately Improves Diabetes 20:40 — Why BMI Is a Flawed Health Marker 23:00 — Visceral Fat, Fatty Liver Disease & Sugar Addiction 27:00 — Is Obesity Truly Reversible? 29:20 — Why Gastric Bypass Is Still the "Gold Standard" 31:55 — How Gastric Bypass Surgery Actually Works 35:00 — Nutrient Absorption & Supplements After Surgery 37:00 — What Daily Life Looks Like After Bariatric Surgery 42:00 — Food Noise, Hunger Hormones & Feeling Full for the First Time 45:00 — Risks, Complications & Safety of Bariatric Surgery 49:45 — Insurance Coverage, Costs & Why Employers Are Paying for Surgery 54:30 — Long-Term Outcomes & Lifespan Benefits 57:00 — Eating Disorders, Addiction Transfer & Alcohol After Surgery 01:02:00 — Why Dr. Dovec Prioritizes Lower Carb Nutrition 01:05:00 — The Ethics of the Weight Loss Industry 01:10:00 — GLP-1 Medications vs. Bariatric Surgery 01:15:00 — Why Bariatric Surgery Numbers Are Falling 01:20:00 — Rapid Fire: Ozempic, Body Positivity & Discipline 01:25:00 — Parenting, Childhood Obesity & The Future of Weight Loss 01:29:00 — What "Ever Forward" Means to Dr. Dovec ----- Episode resources: Watch and subscribe on YouTube Learn more at BodyByBariatrics.com FREE variety sample pack of LMNT electrolytes Additional 15% off Fatty15 with code EVERFORWARD 20% off Caldera Lab men's skincare with code EVERFORWARD
In this deeply personal episode of Bariatric Support Australia's The Bari Chronicles, Damien and Tash open up about the emotional relationship many people have with food after bariatric surgery. From childhood memories tied to Easter chocolate, to food noise, grief, shame, addiction, and learning what moderation really means — this is an honest conversation about the realities of life years after surgery.They discuss how surgery changes the body, but not always the emotional connections we have with food, and why psychological support, self-awareness, and self-compassion are so important on the long-term journey.This episode is raw, reflective, and filled with lived experience that many in the bariatric community will deeply relate to.
Dr. Elizabeth “Betsy” Dovec is a renowned Bariatric Surgeon with over a decade of experience, having performed 4,400+ successful Weight Loss Surgeries. She's celebrated not only for her surgical expertise but also for her dynamic, compassionate presence in the bariatric community. She is a firm believer in the life-changing potential of bariatric surgery, helping individuals break free from chronic health conditions, regain confidence, and attain lifelong wellness. As the founder and CEO of BodyByBariatrics, Dr. Dovec has pioneered a leading surgical and medical obesity treatment program, gaining national recognition. Holding board certifications in general surgery and esteemed fellowships, she brings her expertise to patients worldwide through 100% virtual consultations and lifelong support. Dr. Dovec's mission remains rooted in personalized care and sustainable results. Today we discuss myth busting around bariatric surgery, how far it's come in the past few decades, the difference between societal pressures for women to fit into unhealthy beauty standards, and making empowered decisions for your health and body. Learn more about your ad choices. Visit megaphone.fm/adchoices
From Dialysis to VSG Success | Bariatric Surgery After Kidney Transplant
Bariatric surgery is one of the most effective tools we have in obesity medicine—and also one of the most misunderstood.In this episode, I'm diving into where surgery truly fits in the treatment of obesity and metabolic health. While we often focus on medical therapies like GLP-1s, it's important to understand the role bariatric surgery can play—and why it continues to be underutilized or dismissed by many patients.I'm joined by Toronto-based bariatric surgeon Dr. Lazar Klein, who shares his expertise on what bariatric surgery actually involves, who it's for, and how it fits into a comprehensive, long-term approach to care. We walk through the most common procedures available — including gastric bypass, sleeve gastrectomy, and duodenal switch variations — and clarify why older procedures like gastric banding are no longer recommended.Dr. Klein addresses common fears around surgery, including concerns about surgical complications, dumping syndrome and lifelong changes, while offering a realistic and balanced perspective on risk.We explore the long-term outcomes as well—how surgery impacts conditions like type 2 diabetes, sleep apnea, and cancer and even mortality, and what the evidence shows about weight maintenance years down the road.If bariatric surgery has ever felt confusing, intimidating, or “not for you,” this episode will help bring clarity to the conversation.Resources & LinksOntario Bariatric Networkhttps://www.ontariobariatricnetwork.ca/High Metabolic Clinichttps://www.highmetabolicclinic.com/
Epi 21: She got illegal injections… and years later, everything changed In this episode of Our Sleeved Life Podcast, we expose the truth about black market plastic surgery, silicone injections, and “biopolymer” fillers that can lead to serious complications. If you're thinking about a BBL, fillers, or cosmetic surgery, this is something you NEED to hear first. ⚠️ In This Episode: * The dangers of illegal silicone & biopolymer injections * What happens when your body reacts years later * Why some patients need multiple corrective surgeries * The risks of Botox/filler parties & unlicensed providers * How to choose safe, legal plastic surgery options
Rob DiMedio doesn't sugarcoat anything. He was 365 pounds, staring down a future he didn't want, and made a decision that changed everything. This episode is his story — but more than that, it's a blueprint for what it actually takes to make change stick after bariatric surgery, or honestly, after any major health intervention.We dig into what most people get wrong after surgery. Bariatric surgery is a starting point, not a finish line — and Rob has built an entire framework, the Busy Bariatric Method, around that idea. We talk about the habits, the mindset shifts, and the non-negotiables that separate people who keep the weight off from people who don't. This isn't about willpower. It's about having a clear plan and knowing what you're actually up against.A big chunk of this conversation goes somewhere most fitness podcasts don't — the emotional relationship with food. Rob gets into why healing that relationship is non-negotiable for long-term success, how therapy and journaling played a role in his own journey, and why so many people hit a wall post-surgery because they never addressed the psychological side of eating.We also hear about the Busy Bariatric Boot Camp, how Rob's background in education shaped how he teaches health, and what a conversation with his late father's memory still brings to how he shows up every day. He calls it bonus time — the life he almost didn't get to live. This one hit different.Rob DiMedio: @robssweightishistoryBootcamp: https://go.busybariatrics.com/summercamp26
When it comes to cancer, risk does not mean destiny—and understanding the facts can make all the difference.In this episode of Baptist HealthTalk, Dr. Anthony Gonzalez is joined by Dr. Justin Dubin, Director of Men's Sexual Health at Baptist Health Miami Cancer Institute, and Dr. Ryan Matthew Kahn, Gynecologic Oncologist with Baptist Health Cancer Care.Together, they break down the real connection between cancer, hormones, and HPV—separating myths from medical facts and highlighting what you can actually do to reduce your risk.You'll learn: The most common cancers affecting men and women—and how to catch them early Updated screening guidelines, including changes to prostate cancer testing How hormones can influence cancer risk, treatment, and recovery The truth about testosterone and prostate cancer What HPV does in both women and men—including its link to throat cancer Why the HPV vaccine is important for all genders (and not just teens) Simple, actionable steps you can take today to support prevention Whether you're thinking about your own health or looking out for your family, this episode offers clear, practical guidance to help you stay informed and proactive.Host:Anthony Gonzalez, M.D.Chief of Surgery, Baptist Health Baptist HospitalMedical Director of Bariatric Surgery, Baptist HealthGuests:Justin Dubin, M.D.Director of Men's Sexual HealthBaptist Health Miami Cancer InstituteRyan Matthew Kahn, M.D.Gynecologic OncologistBaptist Health Cancer CareIf you found this episode helpful, you may also enjoy:Can Cervical Cancer Be Cured? A Gynecologic Oncologist AnswerErectile Dysfunction, Low Testosterone & Fertility ExplainedHPV-Related Cancers
Claim your complimentary gift of my exclusive mini weight care guide today!Link: Weight Care Guide — Dr. Francavilla Show (thedrfrancavillashow.com)Have you ever wondered if weight loss surgery and medication are actually better together — or if choosing one means giving up the other?That question sits at the center of one of the most important — and honestly most misunderstood — conversations happening in metabolic health right now. Most people approach weight loss like it's a multiple choice test: pick surgery, pick medication, pick diet and exercise, and stick with your answer. But the reality is so much more nuanced than that, and the patients who tend to do best are almost never the ones who commit to a single path.Dr. Jessica Cutler is the kind of clinician who genuinely gets that. As both a bariatric surgeon and an obesity medicine specialist at Mercy Medical Center in Baltimore, Maryland, she works on both sides of this care in a way that's pretty uncommon — and incredibly valuable for her patients. She completed her medical degree at the University of Pittsburgh, her general surgery residency at Monmouth Medical Center in New Jersey, and went on to fellowship training in bariatric and minimally invasive surgery at Albany Medical Center in New York. That combination of surgical expertise and medical management in one provider is exactly why she's here — because this conversation needed someone who sees the full picture, not just one piece of it.In this episode:Clearing Up the Misconceptions About Bariatric SurgeryYou Might Qualify for Bariatric Surgery — And Not Even Know ItBariatric Surgery and Type 2 Diabetes: There's Way More to This Story Than Weight LossGLP-1s Changed Everything — Here's How Good Bariatric Care AdaptedThe Best of Both Worlds: Why Surgery and Medication Work Better TogetherWhat Bariatric Surgery Can — and Can't — Do for YouThe Gut Feeling We Can't Ignore: Bariatric Surgery and Your MicrobiomeThe Future of Weight Loss Medicine Is Closer Than You Think — But the Body Is Still Surprising UsAnd if this conversation snippet shifted how weight loss is usually seen — or made things feel a bit clearer — there's a lot more in the full episode. Go give it a listen for the complete discussion and all the details.Connect with Dr. Jessica:Instagram: mercybariatricsWebsite: mdmercy.comConnect with me:Instagram: doctorfrancavillaFacebook: Help Your Patients Lose Weight with Dr. FrancavillaWebsite: Dr. Francavilla ShowYoutube: The Doctor Francavilla ShowGLP Strong: glpstrong.com
Epi 20 Perfectionism is silently ruining more weight loss journeys than you think… If you've ever felt like you had to be “perfect” to succeed after bariatric surgery or plastic surgery, this episode is going to hit HARD. In this powerful conversation, we dive into the hidden connection between perfectionism, weight loss, and body image and how it can actually hold you back from seeing your progress, appreciating your body, and enjoying your results. From obsessing over the scale to chasing unrealistic results after body contouring, tummy tuck, or skin removal surgery, we break down why the “all-or-nothing” mindset is one of the biggest obstacles in long-term success.
Sexual health is one of the most searched—but least talked about—topics online. In this episode of Baptist Health Talk, we're breaking the silence.Dr. Anthony Gonzalez sits down with Dr. Justin Dubin, Director of Men's Sexual Health at Baptist Health Miami Cancer Institute, to answer the questions many men are too embarrassed to ask—from erectile dysfunction and testosterone to fertility and the impact of lifestyle choices.Learn how sexual health connects to overall health, why symptoms like low libido and ED may be early warning signs, and when it's time to stop Googling and see a doctor.Whether you're concerned about performance, hormones, or starting a family, this conversation delivers real answers backed by medical expertise.
Epi 19 Plastic surgery won't fix everything… and that's the truth most people aren't prepared to hear. If you're considering plastic surgery after weight loss, bariatric surgery, or procedures like liposuction, tummy tuck (abdominoplasty), or body contouring, this video will completely change how you think about the journey. In this episode, we break down the biggest myths about plastic surgery, including the belief that it's the final step or a permanent solution. The reality? Plastic surgery is not a weight loss solution, not a shortcut, and not a guarantee of confidence or long-term results. Drawing from real patient experiences and expert insights, we explore what actually happens after procedures like VASER liposuction 360, Renuvion skin tightening, arm lift surgery, breast reduction, and lower body lift.
In this episode of the Our Sleeved Life Podcast, we sit down with Shea (@growwithshea) to talk about her journey with bariatric surgery (vertical sleeve gastrectomy), PCOS, fertility struggles, and everything that comes after. Shea shares what led her to choose gastric sleeve surgery, what the first 24 hours were really like, and how the experience changed not just her body but her mindset, relationships, and daily life. We also get into: Living with PCOS and weight gain Deciding if weight loss surgery is right for you The reality of recovery after gastric sleeve How bariatric surgery can impact marriage and personal growth Learning to trust your body again after surgery If you're thinking about bariatric surgery, dealing with PCOS, or just want to hear a real, honest story from someone who's been through it this episode is for you.
Welcome back to The Weight Loss Collab! In this episode, hosts Dr. Betsy Dovec and Hannah Schuyler are joined by special guest Rob Dimedio, CEO and founder of Busy Bariatrics, and a bariatric patient himself. Together, they take a deep dive into Rob's powerful origin story: from battling severe sleep apnea and the wake-up call that pushed him toward life-changing bariatric surgery, to building a business that now supports others on their weight loss journeys. The conversation explores the real challenges of long-term weight management after surgery, the pitfalls of “quick-fix” weight loss solutions, the current role of GLP1 medications, and the importance of long-term lifestyle change and ongoing support.Plus, get a sneak peek into the upcoming Body by Transformation retreat in Orlando! You'll hear about the unique experiences, expert panels—including Rob Dimedio on the CEO panel—and practical workshops that promise to empower and educate every attendee. Whether you're a patient, provider, or just curious about the bariatric world, this episode is packed with honest insight, practical advice, and inspiration for anyone ready to take charge of their health. Check out the links below to get connected with Busy Bariatrics!Lock in your habits before summer throws you off trackGrab ten free Recipes a month on Rob's email list
In this inspiring episode, Moira shares her transformative journey through weight loss, bariatric surgery, and lifestyle changes. Discover practical strategies for sustainable health, the importance of exercise safety, and how combined treatments can empower lasting weight management.Sign up to beta test our new app! gololi.ai
Epi 18 What do you actually need after plastic surgery… and what are people forgetting to tell you? In this episode of the Cutting Edge Podcast, we break down the real-life essentials for plastic surgery recovery—from must-have supplies to unexpected things that can make or break your healing process. If you're preparing for body contouring after weight loss, a tummy tuck, breast surgery, or any cosmetic procedure, this episode will help you feel prepared, confident, and ahead of the game. We're joined by expert plastic surgeon Dr. Omar Beidas and therapist Ashlyn Douglass-Barnes, who shares her real patient experience through multiple surgeries, so you get both medical insight AND real-life tips you can actually use. You'll learn: What supplies you really need after plastic surgery The most overlooked recovery items patients forget How to manage drains and what to expect Why compression garments matter and how long to wear them How to reduce swelling, bruising, and fluid buildup Tips for sleeping, showering, and daily comfort after surgery What to eat after surgery for better healing and recovery How to prepare your home before surgery day From wedge pillows and compression garments to drainage care and recovery hacks, this is your complete guide to plastic surgery recovery essentials. Whether you're pre-op, post-op, or just researching your options, this episode gives you the tools to recover smarter and avoid common mistakes.
Parkinson's disease is one of the most misunderstood neurological conditions—but what does it really look like?In this episode of Baptist HealthTalk, neurologist Dr. Samer Tabbal breaks down the early signs of Parkinson's, what happens after diagnosis, and how treatment has evolved. From tremors and stiffness to lifestyle changes that actually make a difference, this conversation answers the most searched questions about Parkinson's.You'll learn: The first symptoms people often ignore What to do right after diagnosis How Parkinson's progresses over time Why exercise may slow the disease Treatment options including medication and surgery Whether you can still live a normal, active lifeOne of the biggest takeaways? Parkinson's does NOT shorten your life—and many people continue to work, travel, and stay active for years. ▶️ Subscribe for more expert-backed health insights from Baptist Health South Florida.Host:Anthony Gonzalez, M.D.Chief of Surgery, Baptist Health Baptist HospitalMedical Director of Bariatric Surgery, Baptist HealthGuest:Samer D. Tabbal, M.D.NeurologistBaptist Health Miami Neuroscience InstituteIf you found this episode helpful, you may also enjoy:How Deep Brain Stimulation is Changing Parkinson's CareLife After a Parkinson's Diagnosis
In a world flooded with conflicting health advice, how do you actually figure out what's true? Dr. David Allison, one of the most rigorous scientific minds in obesity and nutrition research, shared the exact framework he uses to evaluate evidence, from peer-reviewed trials to podcast recommendations to AI-generated summaries. He explains the difference between trusting science as a process and trusting individual studies, why most nutrition epidemiology functions more like advertising than research, and how ordinary people can build a reliable filter for health claims without a PhD.Want ad-free episodes? Subscribe to Forever Strong Insider: https://bit.ly/4u5VSRe
Epi 17 What really happens to your belly button and nipples after plastic surgery… and why is nobody talking about it? In this episode of the Cutting Edge Podcast, we're getting into the real conversations people are afraid to ask during their consultations. From blood supply and healing risks to sensation changes and surgical staging, this is the unfiltered truth about body contouring after massive weight loss. If you've ever worried about losing sensation, having complications, or just want to understand what surgeons are actually looking for during procedures like tummy tucks, breast lifts, or augmentations… this episode is for you. We're joined by expert plastic surgeon Dr. Omar Beidas and therapist Ashlyn Douglass-Barnes as we break down what's fact, what's fear, and what you need to know before going under the knife. You'll learn: What surgeons mean by “blood supply” and why it matters Why procedures sometimes need to be staged The real risk of complications like tissue loss or numbness What affects nipple sensation after surgery How belly buttons are reshaped and why some look unnatural What to ask your surgeon before plastic surgery Why previous surgeries can impact your results This is your go-to guide if you're researching plastic surgery after weight loss, considering a tummy tuck, breast surgery, or just want honest answers without the sugarcoating.
"I had enough respect for myself to say: No, I am the smartest person in the room on this one. Just because you label yourself a 'business person' doesn't mean I'm not an even better one. I'm going to burn it all down to build it up stronger." — Dr. Betsy Dovec Is willpower actually the problem, or is it biological warfare? In this episode of Turmeric & Tequila™, Kristen Olson sits down with Dr. Betsy Dovec, the world's #1 female bariatric surgeon and a radical disruptor in the healthcare space. Dr. Dovec shares the gut-wrenching (and inspiring) story of leaving a secure seven-figure hospital job to take out a $12 million loan and build Body by Bariatrics—the country's first fully integrated surgical and wellness facility. We dive deep into: The Truth About GLP-1s: Ozempic, Wegovy, and Zepbound—who they are actually for and the "regain" reality no one talks about. Surgery vs. Medication: Why bariatric care is a preventative, life-saving tool, not a "last resort." The $12M Leap: How Dr. Dovec fought misogyny in healthcare and venture capital to build her own ecosystem. Work-Life Integration: Why "balance" is a myth and how to lead as a high-performing mother and CEO. The Butterfly Effect: The role of spirituality, manifestation, and "the woo" in medical success. Time Stamps: 00:00 – T&T Intro: Kristen Olson kicks off the episode with a mission to question a better way through gracefully disruptive conversations. 00:15 – Sponsor Shout-outs: Big thanks to Colorado Clownfish Swim School and Declan James Watches for supporting the mission. 02:45 – Setting the Stage: Why health and wellness humans need to hear the intersection of GLP-1s and Bariatric Surgery. 04:40 – Meet Dr. Betsy Dovec: From "awkward dork" to the #1 female weight loss surgeon globally. 08:45 – The GLP-1 Breakdown: Understanding the "biological warfare" of food noise and the difference between Ozempic, Wegovy, and Zepbound. 12:14 – Surgery vs. Medication: Why bariatric care is a life-saving tool, not a last resort, and the reality of weight regain. 20:10 – The "White Glove" Approach: How an all-female medical team brings empathy and intuition to high-stakes healthcare. 25:30 – The $12 Million Leap: Quitting the seven-figure hospital job to build Body by Bariatrics from the dirt up. 32:10 – Mission Realized: The emotional reality of the first surgery in her own facility on April 17th, 2025. 36:03 – The Myth of Balance: Dr. Dovec's take on work-life integration for mothers and entrepreneurs. 41:40 – Authenticity Wins: The "Zero Sign-ups" failure that taught Dr. Dovec to ditch the business suit and be herself. 51:00 – Manifestation & Spirituality: Following signs, avoiding bad deals, and the "Butterfly Effect" of success. 53:40 – Defining Success: The "euphoria factor" and hearing the words "Thanks for saving my life." 55:40 – T&T Outro: Kristen closes out the show with a reminder to level up and choose a better way. Cheers! Dr. Betsy Dovec Dr. Betsy Dovec is a board-certified bariatric surgeon and obesity medicine specialist. After performing over 7,000 surgeries, she founded Body by Bariatrics and the Surgical Institute of Central Florida. She is a pioneer in "value-based care," making life-changing weight loss accessible, affordable, and deeply compassionate. @DrDovec https://bodybybariatrics.com/ @bodybybariatrics Connect with T&T: IG: @TurmericTequila Facebook: @TurmericAndTequila Website: www.TurmericAndTequila.com Host: Kristen Olson IG: @Madonnashero Tik Tok: @Madonnashero Website: www.KOAlliance.com WATCH HERE MORE LIKE THIS: https://youtu.be/ZCFQSpFoAgI?si=Erg8_2eH8uyEgYZF https://youtu.be/piCU9JboWuY?si=qLdhFKCGdBzuAeuI https://youtu.be/9Vs2JDzJJXk?si=dpjV31GDqTroUKWH
Exam Room Nutrition: Nutrition Education for Health Professionals
How To Decide Between Bariatric Surgery and Obesity MedicationsI'm joined by Kate Fuss, PA-C to unpack how GLP-1 medications and bariatric surgery actually work together, when each option makes sense, and what primary care clinicians should understand when caring for patients before or after bariatric surgery.We also dive into the psychological side of weight loss, because hitting a number on the scale doesn't always translate into better mental health.What You'll LearnHow to shift patients toward non-scale victories and meaningful health goalsThe lifelong vitamin and lab monitoring bariatric patients requireWhether GLP-1 medications compete with bariatric surgery or complement itExpected weight loss outcomes from GLP-1 medications vs bariatric proceduresWhen it's appropriate to prescribe GLP-1 medications after bariatric surgeryWhether your patient is considering GLP-1 medications, bariatric surgery, or both, this episode will help you better understand the evolving treatment landscape of obesity care.Join the Obesity Medicine Nutrition CourseConnect with Kate on InstagramBanana Bariatrics Any Questions? Send Me a MessageSupport the showConnect with Colleen:InstagramLinkedInSign up for my FREE Newsletter - Nutrition hot-topics delivered to your inbox each week. Disclaimer: This podcast is a collection of ideas, strategies, and opinions of the author(s). Its goal is to provide useful information on each of the topics shared within. It is not intended to provide medical, health, or professional consultation or to diagnosis-specific weight or feeding challenges. The author(s) advises the reader to always consult with appropriate health, medical, and professional consultants for support for individual children and family situations. The author(s) do not take responsibility for the personal or other risks, loss, or liability incurred as a direct or indirect consequence of the application or use of information provided. All opinions stated in this podcast are my own and do not reflect the opinions of my employer.
Epi 348 What happens when you hit 601 pounds and realize your life may depend on changing everything? In this powerful episode of the Our Sleeved Life Podcast, Adrian shares the moment that forced him to face reality—when hospital staff couldn't weigh him normally and had to use a laundry scale in the ER. That moment became the turning point that started his life-changing weight loss journey. Adrian opens up about his experience with morbid obesity, hitting over 600 pounds, struggling to walk just 88 steps, and the emotional toll that came with it. After years of battling his weight and facing serious health risks, he made the decision to undergo gastric sleeve bariatric surgery and rebuild his life. Today, Adrian is more than 250 pounds down, active in the gym, part of a run club, and inspiring thousands by sharing his journey online. This episode dives deep into the realities of bariatric surgery, massive weight loss, mental health, body image, dating after weight loss, loose skin, fitness, and finding confidence again. If you're considering weight loss surgery, currently on your bariatric journey, or searching for motivation to change your health and your life, Adrian's story proves that transformation is possible—even when it feels impossible. Go Follow Adrian and OSLP Instagram: @itsthisguyAZ @oursleevedlifepodcast Photography: Big Bear Media 512 Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.
In this episode of the Active Bariatric Nutrition Podcast, I interviewed Registered Dietitian Summer Kessel, also known as @summerthedietitian on IG. We discussed:What does a HYROX competition include?How Summer has trained for a HYROX, including apps that she has usedHow Summer fueled for HYROX while on a GLP-1 medicationWhat Summer eats on race dayAdvice for clients who are still focused on body composition goals while also fueling for high intensity & endurance trainingHow to get started training for a HYROXHow to follow and work with Summer:Follow Summer on Instagram: https://instagram.com/summerthedietitianIf you are looking for GLP-1 care, visit Joinvineyard.comTo collaborate with Summer in a professional capacity, visit SummertheDietitian.comTo order Summer's Book | Living Your Healthiest Semaglutide Life: A Complete Guide to Nutrition and Mindset While on GLP-1 Medications, visit here:https://geni.us/GLP1To order Summer's Cookbook | Simple Meal Solutions for GLP-1 Diets, visit here: https://geni.us/Meals4GLP1Let me know what you thought of the episode!I am excited to open the waitlist for my 2026 program, Bariatric ENDURANCE! To learn more and join the waitlist so you are the first to receive info when the doors will open, click here! If you want to learn more about how to adjust your plates based on your activity level, click here to download my FREE Active Bariatric Training Plates handout! To learn more about my Bariatric Nutrition Programs, go to: www.activebariatricnutrition.comFollow Active Bariatric Nutrition at:Instagram - @activebariatricFacebook - Active Bariatric NutritionYouTube - Active Bariatric NutritionTikTok - ActiveBariatricNutrition
Epi 15 I spent $5,000 on CoolSculpting… and it didn't go how I expected. In this episode, we break down the truth about CoolSculpting vs liposuction, non-surgical fat reduction, Kybella injections, Emsculpt, radio frequency skin tightening, and when surgery is actually the better option. If you're considering CoolSculpting, fat freezing, or any non-surgical body contouring treatment, this honest conversation may save you thousands of dollars.
In this candid patient interview, Taylor Hultquist shares her complete bariatric surgery journey one year post-op, revealing the physical, mental, and emotional transformations that extended far beyond the number on the scale.This episode covers the real, unfiltered experience of bariatric surgery including:Post-Surgery Physical Changes: Taylor discusses her weight loss progress, strength training routine, and unexpected non-scale victories like hiking without knee pain and jogging for the first time in years. She breaks down what recovery actually looked like and the physical milestones that mattered most.Mental Health Improvements After Weight Loss Surgery: One of the most significant aspects of Taylor's journey was the dramatic reduction in anxiety and depression symptoms post-surgery. She shares how her mental clarity improved and why the psychological benefits were just as important as the physical changes.The Importance of Personal Choice in Bariatric Surgery: Taylor emphasizes that the decision to undergo weight loss surgery must be entirely personal. She discusses how to navigate pressure from family members, set healthy boundaries around weight discussions, and advocate for yourself throughout the process.Mindful Eating and Body Awareness Post-Op: Learn how Taylor developed new relationships with food and hunger cues after surgery. She shares practical strategies for mindful eating, recognizing fullness signals, and adjusting to her body's new needs and limitations.Non-Scale Victories and Redefining Success: Beyond weight loss numbers, Taylor celebrates the smaller wins that transformed her daily life - from increased energy levels to improved mobility to newfound confidence in social situations. These victories became the foundation of her sustainable transformation.Setting Boundaries with Loved Ones: Taylor provides honest advice about communicating needs to family and friends, especially when it comes to unsolicited weight loss advice or commentary. She discusses how setting clear boundaries protected her mental health during a vulnerable time.Strength Training and Physical Activity Post-Surgery: Discover how Taylor incorporated strength training into her routine and why building muscle became a priority. She shares her approach to exercise that focuses on feeling strong rather than just losing weight.This patient success story offers valuable insights for anyone considering bariatric surgery, currently in their post-op journey, or supporting a loved one through weight loss surgery. Taylor's transparency about both challenges and triumphs provides a realistic perspective on what life looks like after this major medical decision.Whether you're researching gastric sleeve, gastric bypass, or other bariatric procedures, this conversation covers the topics that matter most: mental health support, realistic expectations, lifestyle changes, body image struggles, and the ongoing process of self-improvement after surgery.Connect with Pound of Cure Weight Loss Podcast: New episodes released weekly featuring expert interviews, patient stories, and evidence-based weight loss strategies from Dr. Matthew Weiner and registered dietitian Zoe.For more information about bariatric surgery, GLP-1 medications, nutrition counseling, and sustainable weight loss approaches, visit our practice or check out previous episodes on metabolic health, set point theory, and medical weight loss options.Visit our website.Vote for Linda Jones to be on the cover of Ms. Health & Fitness 2026 here.
Epi 348 Scared of plastic surgery pain? You're not alone. For many people considering a tummy tuck, body lift, or post-weight-loss skin removal, fear of pain is the #1 thing holding them back. In this episode, a board-certified plastic surgeon and licensed bariatric therapist explain what recovery really feels like — including drains, swelling, muscle repair, Exparel, narcotics, and realistic pain expectations. We cover:• How bad is plastic surgery pain really?• What drain removal feels like• How pain is managed safely• Why most patients never hit 10/10 pain• When discomfort is normal — and when it's not If you're researching tummy tuck recovery, body contouring after weight loss, or wondering if surgery pain is worth it — listen to this first.
Epi 347Gastric sleeve surgery can change your life — but no one talks about the dark side.In this raw and powerful episode of Our Sleeved Life Podcast, we uncover the truth about gastric sleeve surgery (VSG / vertical sleeve gastrectomy) that many bariatric patients experience but rarely discuss.From extreme weight loss to emotional eating, trauma stored in the body, eating disorder risks, loose skin, body dysmorphia, mental health struggles, and rebuilding strength after surgery — this is the side of bariatric surgery that deserves attentionIf you're considering bariatric surgery, preparing for VSG surgery, or navigating life after gastric sleeve, this episode will give you the real, unfiltered truth.
In this episode of the Active Bariatric Nutrition Podcast, I discuss:What is nutrition periodization?Common signs that your nutrition is not matching your needsWhat is happening in the body when training demands increase?How do calories and macros change during different training phases for strength and endurance goalsHow to identify what phase you are inSample endurance and strength focused nutrition periodization Let me know what you thought of the episode!I am excited to open the waitlist for my 2026 program, Bariatric ENDURANCE! To learn more and join the waitlist so you are the first to receive info when the doors will open, click here! If you want to learn more about how to adjust your plates based on your activity level, click here to download my FREE Active Bariatric Training Plates handout! To learn more about my Bariatric Nutrition Programs, go to: www.activebariatricnutrition.comFollow Active Bariatric Nutrition at:Instagram - @activebariatricFacebook - Active Bariatric NutritionYouTube - Active Bariatric NutritionTikTok - ActiveBariatricNutrition
Epi 13Can you die from plastic surgery? In this episode of Our Sleeved Life Podcast, we break down the real death risk of plastic surgery, including tummy tuck, liposuction, and anesthesia complications. Board-certified plastic surgeon Dr. Omar E. Beidas, MD, FACS and therapist Ashlyn Douglass-Barnes explain: ✔️ The actual plastic surgery mortality rate✔️ Can anesthesia kill you?✔️ Blood clots (DVT) after tummy tuck✔️ What really causes surgical deaths✔️ Bariatric vs cosmetic surgery risk✔️ How to reduce complications before elective surgery If you're researching plastic surgery safety, elective surgery death rate, tummy tuck blood clot risk, or anesthesia risks explained, this episode gives you clear, factual answers. We also address the fear of dying during surgery—especially for moms and post-weight loss patients—and how modern surgical protocols make cosmetic surgery extremely low risk for healthy candidates. Our Sleeved Life Podcast explores bariatric surgery, plastic surgery after weight loss, mental health, and surgical safety through honest conversations and expert insight. We discuss tummy tucks, liposuction, body contouring, anesthesia risks, and life after weight loss surgery. If you're researching elective surgery safety or navigating transformation yourself, this podcast provides balanced, educational guidance. This show is for informational purposes only and does not replace professional medical advice. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.
Megan Shtab lost 165lbs and now works as a transformation coach helping women lose 50-100lbs! Her lightbulb moment happened at Disney World in 2018. Even at one of the most size-inclusive places on earth, she struggled. She had trouble getting in and out of rides, the lap bars didn't fit well, she needed constant walking breaks, and at one point, she took my shoes off in the middle of Epcot because her feet were so swollen. She felt embarrassed and defeated. But she also knew something had to change. Timestamps for today's podcast (may vary by 2-4 minutes based on your platform) 02:17 Megan's Transformation Journey Begins 10:23 The Role of Bariatric Surgery in Weight Loss 17:05 Empowering Others Through Coaching 22:26 Overcoming the All-or-Nothing Mentality 27:09 Building a Supportive Community 29:20 The Impact of Personal Growth on Relationships 32:26 Lessons from 2018: What I Wish I Knew 36:31 Excuses vs. Accountability: A Personal Journey 39:13 The Role of Self-Love in Transformation 44:40 Anchor Habits: Building a Sustainable Lifestyle 49:46 Empowerment Through Choice: A Defining Moment Apply for business mentorship: https://briankeanefitness.com/mentorship-and-business-coaching (Website) https://www.megansmissioncoaching.com/ (Facebook) www.facebook.com/people/Megans-Mission-Coaching/61551232358528/ (Instagram) www.instagram.com/megans.mission (Tiktok) www.tiktok.com/@megansmission?_t=ZT-8x5fKYv3WWs&_r=1
Welcome to The Weight Loss Collab! In today's episode, “Pre Op Patient Interview,” co-hosts Hannah Schuyler and Dr. Dovec sit down with their special guest, Neshia K. , just days before her bariatric surgery. This heartwarming and insightful conversation dives deep into Neshia K. 's lifelong journey with weight struggles, bullying, self-acceptance, and her motivations for choosing surgery, not just for herself, but for her children and her future.Throughout the episode, Neshia K. opens up about being a plus-size child, confronting unrealistic societal expectations, and learning to love herself along the way. She shares honest reflections about the stigma around weight, failed diets, and the emotional impact of bullying both in her youth and as a mother. Together, the hosts and Neshia K. discuss her decision to embrace bariatric surgery, what it means for her identity as a body-positive influencer, and her hopes for a healthier, more vibrant life.You'll also hear about the powerful role of community and support, both online and in real-life connections with other patients, plus a preview of upcoming events and how Neshia K. 's journey will be documented every step of the way. Whether you're considering weight loss surgery yourself or simply looking for inspiration, this episode promises raw honesty, practical insight, and hope for anyone who's ever felt misunderstood on their wellness journey.Use offer code NESHIA for 10% off tickets to the BodyByTransformation Retreat! Find Neshia on all platforms @itsneshiak
What happens when the world of GLP-1s collides with the operating room? Today, we're diving into the new era of obesity care. Hosts· Matthew Martin, trauma and bariatric surgeon at the University of Southern California/Los Angeles General Medical Center (Los Angeles, California) @docmartin2· Adrian Dan, bariatric and MIS surgeon, program director for the advanced MIS bariatric and foregut fellowship at Summa Health System (Akron, Ohio) @DrAdrianDan· Crystal Johnson Mann, bariatric and foregut surgeon at the University of Florida (Gainesville, Florida) @crys_noelle_· Katherine Cironi, general surgery resident at the University of Southern California/Los Angeles General Medical Center (Los Angeles, California) @cironimacaroniLearning objectives1. Understand the evolving role of OMMs in bariatric surgical practice· Recognize how widespread GLP-1 and dual-incretin therapies have reshaped patient presentations, expectations, and referral patterns.· Appreciate current evidence comparing surgery to GLP-1 therapy, including the JAMA Surgery study out of Allegheny Health (2025), noting:o Superior weight loss with bariatric surgery (~28% TBWL vs ~10% with GLP-1s)o Higher health-care utilization and cost in GLP-1–treated patients.· Frame OMMs not as alternatives but as complementary tools within a chronic disease model when treating obesity.2. Review pharmacologic classes and their expected efficacy· Surgeons should be able to articulate the mechanisms, efficacy, and limitations of:o GLP-1 receptor agonists – incretin-based satiety; 5–12% TBWL.o Dual GIP/GLP-1 agonists – most potent agents; 15–22% TBWL.o Sympathomimetics – norepinephrine-driven appetite suppression; 3–7% TBWL.o Combination agents (bupropion-naltrexone, phentermine-topiramate) – 5–12% TBWL depending on regimen.o Emerging therapies – retatrutide, maritide, oral GLP-1s, with promising TBWL in phase 2 trials3. Apply OMMs strategically in the preoperative phase· Integrate OMMs without compromising surgical eligibility—OMM-related weight loss does not negate the indication for surgery.· Counsel patients that medication response does not equal disease resolution; surgery remains the most durable intervention.· Manage delayed gastric emptying and aspiration risk:o Pause weekly GLP-1 or dual agonists for ≥1 week pre-op (longer if symptomatic).o Collaborate closely with the anesthesia/OR teams· Screen for nutritional depletion before surgery, especially protein deficits exacerbated by appetite suppression.· Navigate insurance barriers that may paradoxically approve surgery but deny medication continuation.4. Implement postoperative OMMs safely and effectively· Establish criteria for OMM introduction:o Typical initiation at 6–12 months, once the diet stabilizes and the physiologic curve flattens.o Earlier initiation (4–6 weeks) may be appropriate in pediatric or select high-risk populations.· Recognize altered pharmacokinetics after sleeve and bypass:o Injectables may be preferred due to altered absorption of oral agents.· Prevent postoperative nutritional compromise:o Monitor protein intake, hydration, and micronutrient status (including iron, B12, and fat-soluble vitamins).o Titrate doses slowly to minimize nausea/vomiting that can precipitate malnutrition.· Frame OMM use as a tool for disease persistence (plateau/regain), not as a marker of failure.5. Identify systems-level barriers and the implementation of coordinated care· Understand insurance inconsistencies—coverage for surgery is often not paired with coverage for long-term medical therapy.· Clearly document disease persistence and medical necessity when appealing denials.· Avoid fragmented care: establish shared-care pathways between bariatric surgery, obesity medicine, and primary care.· Use patient-centered language emphasizing complementary therapy, not hierarchy or competition between surgery and medications.6. Counsel patients ethically and accurately within a chronic disease model· Set expectations: sustained success requires surgery + medication + behavioral change.· Educate patients that postoperative OMM use does not imply surgical failure.· Normalize long-term multimodal management of obesity, analogous to diabetes or hypertension models.*Sponsor Disclaimer: Visit goremedical.com/btkpod to learn more about GORE® SYNECOR Biomaterial, including supporting references and disclaimers for the presented content. Refer to Instructions for Use at eifu.goremedical.com for a complete description of all applicable indications, warnings, precautions and contraindications for the markets where this product is available. Rx only 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/listenBehind the Knife Premium:General Surgery Oral Board Review Course: https://behindtheknife.org/premium/general-surgery-oral-board-reviewTrauma Surgery Video Atlas: https://behindtheknife.org/premium/trauma-surgery-video-atlasDominate Surgery: A High-Yield Guide to Your Surgery Clerkship: https://behindtheknife.org/premium/dominate-surgery-a-high-yield-guide-to-your-surgery-clerkshipDominate 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-rotationVascular Surgery Oral Board Review Course: https://behindtheknife.org/premium/vascular-surgery-oral-board-audio-reviewColorectal Surgery Oral Board Review Course: https://behindtheknife.org/premium/colorectal-surgery-oral-board-audio-reviewSurgical Oncology Oral Board Review Course: https://behindtheknife.org/premium/surgical-oncology-oral-board-audio-reviewCardiothoracic Oral Board Review Course: https://behindtheknife.org/premium/cardiothoracic-surgery-oral-board-audio-reviewDownload our App:Apple App Store: https://apps.apple.com/us/app/behind-the-knife/id1672420049Android/Google Play: https://play.google.com/store/apps/details?id=com.btk.app&hl=en_US
Epi 12Welcome back to The Cutting Edge Podcast with host Mel featuring Dr. Omar E. Beidas, MD, FACS (plastic surgeon) and Ashlyn Douglass Barnes, LCSW (therapist and post weight loss patient). In this episode of our Fear Series, we tackle one of the biggest hurdles before body contouring and plastic surgery after major weight loss: the fear of the unknown and the fear of regret.You'll hear what regret actually looks like in real life (hint: it's far less common than the fear of it), how unrealistic expectations can fuel anxiety, why “post op blues” can happen even when everything is going well, and what you can do before surgery to feel grounded, prepared, and confident. We also talk about how people treat you differently in a smaller body, how confidence can impact relationships, and why choosing the right procedure (and the right provider) matters if you want results you won't second guess.If you're researching tummy tuck, skin removal surgery, body contouring after weight loss, 360 lipo, breast lift or breast augmentation, or you're navigating the mental side of transformation, this one is for you.Watch nextIf you're new here, start the Fear Series from the beginning and then work your way through the topics in order for the full picture.What you'll learn in this episode• Why fear of regret is more common than actual regret• The top reasons people feel regret after plastic surgery (and how to avoid them)• How swelling, pain, recovery fatigue, and needing help can trigger “blues”• How to set realistic expectations for healing and final results• Why non invasive “skin tightening” options usually do not solve loose skin after major weight loss• How weight stability affects long term results• How body changes can shift attention, confidence, and relationships• How to choose the right procedure and avoid “internet validation” traps• What board certification and proper training really mean in aestheticsChapters0:18 Intro and Fear Series focus: fear of the unknown1:07 Fear of regret vs actual regret3:07 What plastic surgery means after major weight loss4:19 Post op blues, swelling, recovery expectations6:19 Surgery day realities and “the flip” discussion12:21 Picking the wrong procedure and online trends14:20 Beware unqualified aesthetic providers15:18 Loose skin facts after major weight loss18:04 Fear of social judgment and relationship changes21:46 How people treat you differently after weight loss27:47 Chasing perfection vs unrealistic expectations31:27 The viral “RGB implant” moment and internet misinformation35:26 Implant sizing and why many people wish they went bigger39:53 Weight stability, timing, and how surgeons “read” readiness44:49 Fear of regret and decision making stylesFeatured expertsDr. Omar E. Beidas, MD, FACSBoard Certified Plastic SurgeonFellowship trained in plastic surgery after massive weight lossInstagram: @drbodycontouringAshlyn Douglass Barnes, LCSWTherapist and plastic surgery patient after major weight lossInstagram: @ashlynchange4life2012Host: MelHost of Our Sleeved Life Podcast and Creator of Just Be You AwardsInstagram: @oursleevedlifepodcastWebsite: https://www.oursleevedlifepodcast.comDisclaimerThis episode is for education and support only and does not replace medical advice. Always consult your surgeon and healthcare team for personalized guidance. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.
Epi 11Let's talk about the fear that no one wants to admit out loud — the fear of dying under anesthesia, waking up during surgery, or something going horribly wrong
If you've been putting off your annual checkup or aren't sure what should happen during your primary care visit, this conversation breaks it all down. In this episode of Baptist HealthTalk, Dr. Anthony Gonzalez, chief of surgery for Baptist Hospital of Miami and Medical Director of Bariatric Surgery at Baptist Health, sits down with Dr. Ravindra Ganesh, internal medicine physician with Baptist Health Concierge Medicine, to explain why primary care is the foundation of long-term health. They discuss what screenings and labs actually matter, how age and family history guide preventive care, and why things like blood pressure, cholesterol, sleep, and lifestyle habits shouldn't be ignored. Dr. Ganesh also clears up common myths around supplements, vaccines, and testing—helping patients feel more confident and informed about their health decisions. Watch now to learn how a proactive primary care approach can help catch problems early and keep you healthier all year long.Host:Anthony Gonzalez, M.D.Chief of Surgery, Baptist Hospital of Miami Medical Director of Bariatric Surgery, Baptist HealthGuest:Ravindra Ganesh, M.D.Internal Medicine Physician Baptist Health Concierge Medicine
Epi 345Welcome back to Our Sleeved Life Podcast! In this episode, host Mel sits down with Jaylin (MSN, RN), a resilience coach and nurse (and POP expert) to talk about the real reason New Year motivation fades and how to keep showing up for yourself long after the “new year, new me” energy is gone.If you've been feeling burnt out, stuck in all or nothing thinking, overwhelmed by ADHD productivity spirals, or frustrated because the scale isn't moving, this conversation is for you. Jaylin breaks down how to reframe burnout, build small habits that actually stick, lower stress and cortisol, and track progress using non scale victories so you don't quit when results feel slow.We also get into practical tools you can start today like journaling, habit stacking, creating a “top 3” priority list, scheduling your doom scroll, and building a support system so you don't try to do your health journey alone.In this episode, we cover• Why motivation fades in January and how to stop the drop off• Burnout signs vs failure mindset and how to reframe it• “Consistently beats intensity” habit building for real life• How to handle ADHD overwhelm and stop task hopping• How stress and high cortisol can impact weight, sleep, skin, and hormones• How to lower cortisol through hydration, movement, sleep, sunlight, breathwork, and boundaries• Why the scale lies and how to track non scale wins that prove progress• How to stay on budget with food and build high protein meals without guessing• Why support and community matter for long term successWork with POPIf you're traveling for surgery or you want more support before and after a procedure, POP focuses on holistic recovery support including mental health, nutrition, and recovery planning.Connect with us
Epi 9Struggling with loose skin or body changes after major weight loss?
Epi 344What if the real transformation after weight loss surgery isn't physical — but mental? In this deeply honest and empowering episode of Our Sleeved Life Podcast, therapist and bariatric patient Kristen French reveals the emotional side of WLS no one talks about — and how to retrain your brain after surgery.If you've ever struggled with emotional eating, self-sabotage, or feeling disconnected from your post-op body — this episode is for you.
Epi 8In this powerful episode of The Cutting Edge Podcast, Mel and Ashlyn Douglass-Barnes (LCSW & bariatric + skin removal patient) sit down with board-certified plastic surgeon Dr. Omar E. Beidas to talk about the things no one prepares you for after massive weight loss and plastic surgery.