GLP-1 Meds Before And After Bariatric Surgery

Weight regain after bariatric surgery can feel like a personal failure, but it’s often a predictable collision of biology, appetite signaling, and changing metabolism. We walk through one of the most common questions we get as obesity medicine physicians: when GLP-1 agonists fit before or after metabolic and bariatric surgery, and how to use them in a way that protects your health.We start with the pre-op side, where GLP-1 medications may help people with class 3 obesity or very high BMI reduce surgical risk and improve conditions like type 2 diabetes, insulin resistance, sleep apnea, and fatty liver disease. We also cover practical perioperative considerations, including why many surgical teams ask patients to stop GLP-1s about a week before anesthesia to reduce aspiration risk.Then we move into post-op strategy. Because bariatric surgery already changes your GI system and appetite, we explain why many clinicians wait 1 to 2 years before restarting a GLP-1, and what needs to be true first: stable recovery, thoughtful evaluation, and optimized nutrition. We dig into micronutrient labs, bariatric supplements, and why slow titration matters so much after sleeve gastrectomy or gastric bypass. We also break down medication absorption differences between injectable vs oral options and when non-GLP-1 weight loss medications may be a better fit.If you care about metabolic health, safe weight management, and evidence-based guidance beyond internet noise, subscribe, share this with someone you love, and leave a review so more people can find the show.ProCare Supplements 10% off CODE: MetabolicHealthFirst Generation Obesity Management Medications👩🏼‍⚕️ Live in Missouri? Want to be my patient?Telehealth clinic: https://missourimetabolichealth.com🥑 Have questions you want answered on the podcast? Email [email protected]✨Freebies✨Anti-Obesity Medication OptionsHow To Prevent DiabetesHealthy Habits WorkbookPreventative Health Checklist🤗 Socials:Instagram: https://www.instagram.com/dr.lindsayogle/TikTok: https://www.tiktok.com/@dr..lindsay.ogle?_t=8prC4VUQZ5i&_r=1YouTube: https://www.youtube.com/channel/UCMV0X6U0JLZgRMiNwGtmpeg