The BariNation Podcast

You've been fighting your weight for years. You've tried everything. And now you're finally ready to find someone who can actually help. Where do you start? Your primary care doctor? The websites that offer you another miracle? Should you do what Serena Williams is doing and see a bot doc?In this episode, April sits down with Dr. Charles Thompson, a bariatric surgeon practicing in Brooklyn and Queens, New York, to give you a real, practical roadmap for finding an obesity medicine provider who will treat you like the whole person you are, not just a number on a scale.Here's what you'll walk away with:What to actually look for when evaluating a provider (hint: it's not the letters after their name)Where to search, including which websites are worth your time and which ones to approach with cautionWhat to ask at your very first appointment, and why the best providers will ask you questions firstWhy it is absolutely okay to leave a provider relationship that isn't working for you, and why that is not a failureDr. Thompson also breaks down the real difference between having insurance coverage for bariatric surgery or obesity medications and actually being able to use it, including why so many patients with qualifying conditions are still being denied care and what you can do to fight back.You'll also hear him say something that almost no surgeon ever says out loud: "It's not your fault." He means it, and he explains exactly why.Plus: April shares the story of her own path to surgery, why word-of-mouth changed everything for her, and why she built BariNation for the exact moments when you need a Nation behind you.Download and print our free step-by-step guide to finding your provider from the show notes. Use it, share it, come back to it. Click HERE to access it.Obesity is a disease. You deserve care. And now you know how to go get it.A Note About BariNationBariNation is a nonprofit podcast and patient community built on the belief that obesity is a disease and that every person fighting it deserves education, community, and care. If this post helped you, consider supporting our mission at BariNation.org/donate. Your support makes conversations like this one possible.Enjoyed this episode? Share it with someone who's been waiting for permission to take the first step. And if you're already in The Nation, you know what to do. See you in there.Find Dr. Thompson: BrooklynQueensSurgical.comJoin the BariNation community: barination.mn.coSupport our mission: BariNation.org/donate#BariNation #BariatricSurgery #ObesityMedicine #ObesityAwareness #WeightLossSurgery#FindABariatricSurgeon #ObesityIsADisease #BariatricCommunity #InsuranceDenial #MetabolicHealth#ASMBS #ObesityTreatment #BariatricProvider #WeightManagement

“We are built for scarcity, not abundance.” Most people think obesity is simply about willpower or lifestyle choices, yet its history reveals a long tradition of misconceptions, stigma, and ineffective, somewhat barbaric treatments. In this eye-opening episode, Dr. Nini Peterson, PhD, takes us on a fascinating journey through the history of obesity, showing how misconceptions have persisted for centuries despite advances in science and medicine. Discover how ancient carvings and medical texts from 30,000 years ago to the 19th century reveal haunting echoes of today’s struggles with weight and treatment. You’ll learn how old fallacies, like “eat less, move more,” have hampered progress and how biology, environment, and genetics play critical roles that modern science now understands better than ever.We break down:The historical perceptions of obesity across cultures and eras and their impact on stigma, shame, and treatment.The evolution of treatment options, from ancient dieting and surgical experiments to today's promising medications and surgical innovations.The misconceptions that still influence doctor-patient relationships and how invalidating these myths can be detrimental to health.The importance of a holistic, individualized care team and why finding the right "fit" in treatment is crucial for long-term success.How understanding the disease’s history helps us combat shame, advocate for ourselves, and pursue effective, compassionate care.This episode is a must-listen for anyone living with obesity or those supporting loved ones in their journey. If you’re tired of outdated advice, want to cut through the stigma, and are eager to understand the true complexity of obesity, this conversation will inspire hope and empower action.Join April Williams as she has a no-holds-barred conversation with Dr. Peterson, an experienced psychologist and obesity expert, who reveals how shifting our understanding of obesity from blame to compassion opens the door to better treatment, more support, and a brighter future.You’ll leave with a new perspective on this chronic disease, fostering hope that meaningful change is possible, and it starts with knowledge. Perfect for patients, caregivers, clinicians, and advocates committed to a science-backed, patient-centered approach. The time to rethink obesity is now, are you ready?Explore the rich history of obesity, its treatment evolution, and the importance of personalized care in managing this complex disease.History of Obesity PresentationKey TopicsHistory of obesity and treatmentImpact of environment and culture on obesityThe role of behavioral health in obesity careAdvances in obesity medications and surgeryThe importance of holistic, individualized treatmentThe BariNation FoundationThe BariNation Podcast is a production of the BariNation Foundation, a 501c3 nonprofit that advances metabolic wellness for people living with obesity by providing evidence-based education, stigma-free support, and meaningful connections in the moments that shape daily life. The Foundation's mission is to walk alongside individuals pursuing medical, surgical, and comprehensive care, supporting real decisions, challenges, and victories that influence long-term health with the support and guidance of obesity medicine experts.Learn more about the BariNation Foundation and make a tax-deductible donation by going to BariNation.orgSound Bites"We are built for scarcity, not abundance."“Most people overestimate the risk of bariatric surgery and underestimate the risk of living long-term with obesity.”Chapters00:00 The History of Obesity and Its Treatment07:23 Understanding Obesity as a Disease19:54 The Stigma of Obesity and Its Impact26:45 Patient-Care Team Dynamics in Obesity Treatment27:24 Navigating Life After Surgery33:32 The Paradox of Treatment40:15 Evolution of Obesity Treatments42:56 Evolving Understanding of Health and Behavior Change45:45 Redefining Success Beyond the Scale49:44 The Complexity of Health Perception53:17 The Importance of Seeking Help55:51 Understanding the Risks of Obesity and Treatment58:45 The Journey to Bariatric Surgery01:03:34 Finding the Right Care Team01:07:15 The Need for Integrated Health ApproachesNini Peterson BioNinoska "Nini" Peterson, PhD is a Staff Psychologist with the Cleveland Clinic’s Bariatric & Metabolic Institute (BMI) and an Adjunct Assistant Professor at the Cleveland Clinic Lerner College of Medicine of Case Western Reserve University in Cleveland, OH.Her clinical and research interests include psychosocial MBS evaluations, lifestyle treatment of obesity, binge eating treatment, self-monitoring, body-image disturbance, and psychology group treatment/support groups. She has published in peer-reviewed journals on these topics, and has authored/co-authored 3 textbook chapters for SAGES and APA on the role of the behavioral health provider in MBS and pre-surgical psychological MBS evaluations, respectively.She is the current Integrated Health - Director Elect (2025-2026), former Integrated Health Secretary (2024-2025) and has served on the IH Leadership Counsel since 2021. Nini is also a current member (2017-present) and past Chair (2023-2025 of the IH Support Group Committee, and member of the Health Equity Committee (2023-present). She is a proud member of the inaugural 2024 ASMBS-IH Fellowship class (FASMBS-IH).LinksBariNationFoundation

Clinical psychologist Dr. Rachel Goldman, PhD joins BariNation hosts April Williams and Jason Smith to discuss the psychological and behavioral tools every person needs to navigate life's hardest moments, especially those living with the chronic disease of obesity.Drawing from her new book When Life Happens, Dr. Goldman breaks down CBT into accessible, actionable tools for building emotional resilience, managing stress, challenging unhelpful thoughts, and developing a growth mindset. Essential listening for bariatric surgery patients, anyone managing chronic illness, and anyone stuck between knowing what to do and actually doing it.This episode is supported by AdventHealth Central Florida and the Metabolic Health Institute. If you've struggled with weight loss, you know it's a lifelong journey. At AdventHealth's Metabolic Health Institute, they address the root cause of weight gain with a whole-health approach, from lifestyle support and medication to bariatric surgery. Learn more at http://www.AdventHealthWeightLoss.comWhat You'll Learn:Build a Mental Health Toolbox — One tool is never enough. Dr. Goldman explains why you need at least three coping strategies and the critical difference between self-care tools (preventative) and stress management tools (acute), and why they're actually the same tools used with different intention.The CBT Core: Your thoughts don't just feel bad, they directly shape your behavior. Dr. Goldman walks through how identifying unhelpful thoughts, examining the evidence, and reframing can rewire the brain over time through neuroplasticity. The goal isn't to eliminate negative thoughts; it's to reduce how long you stay in them. Cognitive Distortions That KeepYou Stuck — All-or-nothing thinking, jumping to conclusions, and "should" statements are three of the most common distortions in people with obesity. Dr. Goldman explains how CBT helps patients identify, challenge, and reframe these patterns instead of accepting them as truth. The Diet Failed You.You Did Not Fail the Diet. — A powerful reframe Dr. Goldman used with bariatric patients at Bellevue: the surgery failed the patient, not the other way around. This directly challenges the internalized shame that comes from years of failed diets and reframes it through the lens of obesity as a complex, chronic, progressive disease.Growth Mindset vs. Fixed Mindset — Years of "nothing works" can create an entrenched fixed mindset. Dr. Goldman connects Carol Dweck's research to the lived experience of obesity patients and explores how flexible thinking and self-compassion begin to shift the pattern.Toxic Positivity: What It Is and Why It's Harmful — "Positive vibes only" invalidates real experience and suppresses important emotions. Dr. Goldman explains the spectrum from toxic positivity to toxic negativity, where healthy realistic optimism lives, and why body acceptance is more sustainable than body positivity for bariatric patients.Self-Care Is Not a Bubble Bath — Self-care is anything you do for yourself that is preventative and builds you up before life happens. Showing up to a support group, listening to a podcast, sleeping, and breathing exercises all count. It's a non-negotiable daily practice, not a reward.Imposter Syndrome as a Feature, Not a Bug — The most surprising reframe of the episode: imposter syndrome may actually be useful. Dr. Goldman explains eustress (positive, motivating stress) and why a measured level of imposter syndrome drives preparation, humility, and growth. April and Jason share deeply personal experiences of imposter syndrome in bariatric advocacy.Community, Vulnerability, and Asking for Help — The people who feel they have no right to take up space in a support group are often the ones who need it most. Asking for help is brave, not weak.Practice Your Tools Before You Need Them — Like a fire drill, tools must be practiced in calm moments so the response is automatic when life gets hard.📖 When Life Happens by Dr. Rachel Goldman: whenlifehappensbook.com 🔗 Dr. Goldman: @DrRachelNYC | BariNation: barination.org | @bari.nation Hosts: April @actively_april | Jason @tha_smithsonian_Supported by AdventHealth Central Florida and the Metabolic Health Institute. Whole-health obesity care from lifestyle support to bariatric surgery. AdventHealthWeightLoss.comBariNation Foundation*is a 501c3 nonprofit advancing metabolic wellness through evidence-based education and stigma-free support. Donate at barination.org #BariatricSurgery#MentalHealth #CBT #WhenLifeHappens #DrRachelGoldman #ObesityMedicine #BariNation #GrowthMindset #StressManagement #ToxicPositivity #ImposterSyndrome #BodyNeutrality #WeightLoss #BariatricSurgery #MentalHealth #CBT #GrowthMindset #wls #wlscommunity

In this engaging conversation, Aimee Rothe, a board-certified bariatric nurse and post-op bariatric patient, shares her journey from being a medical provider who sought treatment for her obesity after a harrowing experience with a patient, when she was over 400 lbs, to being a provider in the field of obesity care.She emphasizes the importance of normalizing obesity treatment, individualizing care for patients, and overcoming the stigma associated with weight loss surgery and onboarding adjunct treatments such as GLP-1’s. The discussion highlights the emotional challenges faced by patients post-surgery, the role of support groups, and the need for ongoing care and understanding from healthcare providers.Aimee advocates for a compassionate approach to obesity treatment, encouraging patients to seek help and not feel ashamed of their journey.Keywordsbariatric surgery, weight loss surgery, VSG, Gastric Bypass, metabolic syndrome, SADI-s, obesity care, individualized treatment, patient support, emotional health, chronic condition, healthcare, normalization, weight loss, patient-provider relationship, GLP-1, Type 2 diabetes remission, sleep apnea, PCOS, high blood pressureTakeawaysObesity is a chronic medical condition, not a failure of willpower.Bariatric surgery should be viewed as a treatment, not a last resort.Individualized care is crucial for effective obesity treatment.Patients should not feel ashamed or stigmatized for seeking help.Support groups play a vital role in the emotional journey post-surgery.The journey of weight loss is a marathon, not a sprint.It's important to normalize conversations about struggles with obesity.Patients should maintain open communication with their providers.Utilizing multiple treatment modalities is acceptable and necessary.Healthcare providers must understand the complexities of obesity and support their patients.Chapters04:55 Meet Amy Rothe: A Journey from Patient to Provider08:25 Understanding Obesity as a Chronic Condition11:55 The Importance of Individualized Care in Obesity Treatment16:06 Normalizing Conversations Around Obesity and Treatment20:24 The Role of Support Groups in Bariatric Care25:56 Navigating Body Image and Relationships Post-Surgery30:12 The Emotional Journey of Bariatric Surgery35:08 Understanding the Reality of Uncomfortable Situations38:15 Breaking Points and the Decision for Surgery42:34 The Importance of Individualized Care in Obesity Treatment47:39 Normalizing Multiple Modalities of TreatmentGuest BioAimee Rothe, BSN, RN, CBN, CEN, TCRN, NHDP-BC serves as the Hospital Program Director of Metabolic and Bariatric Surgery at a hospital in Birmingham, Alabama. Under her leadership, the program maintains multiple national recognitions, including designation as a BCBS Blue Distinction Plus Center for Bariatric Surgery, an Aetna Institute of Quality for Bariatric Surgery, an Optum Center of Excellence for Bariatric Surgery, and an American College of Surgeons Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program Comprehensive Center. Aimee is a Certified Bariatric Nurse and is active within the American Society for Metabolic and Bariatric Surgery. She serves on multiple national committees, represents the nursing discipline as a Member-at-Large on the ASMBS Integrated Health Leadership Council, and acts as the Integrated Health Board Liaison for the ASMBS Alabama State Chapter. In 2017, Aimee underwent bariatric surgery to address her own chronic medical condition. That experience strengthened her commitment to guiding patients through the bariatric and obesity medicine journey while advocating for recognition of obesity as a chronic, treatable disease. Her work centers on improving patient outcomes, strengthening evidence-based education, and advancing best practices in metabolic health management. She is also focused on building stronger collaboration across medical specialties, expanding outreach efforts that encourage earlier intervention, coordinated care, and open dialogue about obesity and its associated conditions.LinksAimee Rothe Contact Informationmizzerrn@gmail.comWeightManagementUABStVincentsBariNation Membership Community: BariNation.mn.coThe BariNation Podcast is a production of the BariNation Foundation, a 501c3 nonprofit that advances metabolic wellness for people living with obesity by providing evidence-based education, stigma-free support, and meaningful connections in the moments that shape daily life. The Foundation's mission is to walk alongside individuals pursuing medical, surgical, and comprehensive care, supporting real decisions, challenges, and victories that influence long-term health with the support and guidance of obesity medicine experts.Learn more about the BariNation Foundation and make a tax-deductible donation by going to BariNation.org

The BariNation Podcast is a production of the BariNation Foundation, a 501c3 nonprofit that advances metabolic wellness for people living with obesity by providing evidence-based education, stigma-free support, and meaningful connections in the moments that shape daily life. The Foundation's mission is to walk alongside individuals pursuing medical, surgical, and comprehensive care, supporting real decisions, challenges, and victories that influence long-term health with the support and guidance of obesity medicine experts.Learn more about the BariNation Foundation and make a tax-deductible donation by clicking HERE going to BariNation.orgIn this conversation, April Williams and Katie Booker, licensed therapist and bariatric patient, explore the critical connection between the mind and body, particularly in the context of bariatric surgery. They discuss the importance of recognizing disconnection, identifying signs of it, and the strategies to reconnect. The conversation emphasizes the role of community support in the healing journey and provides practical tips for movement and mindset. The overarching theme is that transformation is a continuous journey, requiring patience, self-compassion, and a willingness to engage with one's body and emotions.KeywordsObesity, Bariatric Surgery, Advocacy, Healthcare Barriers, Community Support, Patient Stories, BariNation Foundation, Metabolic Surgery, Roux-enY, Gastric Bypass, VSG, Gastric Sleeve, DS, Duodenal Switch, SADI-S, Obesity Medications, GLP1’s, Ozempic, Wegovy, Mounjaro, Zepbound, Mind-body Connection, emotional health, mindfulness, self-compassion, Healing Journey, Weight Loss, Disconnection, Personal GrowthTakeawaysOur bodies and minds are designed to be connected.Disconnection can manifest in various ways, especially for bariatric patients.Identifying signs of disconnection is crucial for healing.Mindful movement can help re-establish the mind-body connection.Community support is essential for emotional healing and growth.Self-compassion is key in the journey of transformation.It's important to recognize that transformation is a lifelong process.You can always start again, no matter where you are in your journey.Practicing mindfulness can enhance awareness of hunger and fullness cues.It's okay to feel conflicting emotions at the same time.Chapters00:00 The Importance of Mind-Body Connection08:43 Understanding Disconnection in Bariatric Patients16:16 Identifying Signs of Disconnection22:50 Strategies for Reconnecting Mind and Body24:30 Understanding the Body-Mind Connection30:22 Recognizing Trauma and Its Impact35:42 The Journey of Reconnection42:47 Embracing Self-Compassion and Healing48:30 Navigating Emotions and Self-Compassion50:00 The Four Pillars of Bariatric Success52:04 Mindful Movement and Body Awareness55:40 Mindset Strategies for Reconnection01:01:22 The Role of Community in Healing01:04:58 The Journey of Transformation and PatienceKatie Booker BioKatie is a mental health therapist in New York State that specializes in trauma. She is certified in EMDR, is a registered play therapist, and completes bariatric psychological evaluations for pre-surgery approval. She offers a unique perspective to the mindset work of bariatric surgery as a bariatric patient herself.PDF of Katie's Class: https://drive.google.com/file/d/1IslQ-N59bmE7ZY7yaeni9K7O6IH_4rWw/view?usp=sharing

The BariNation FoundationThe BariNation Podcast is a production of the BariNation Foundation, a 501c3 nonprofit that advances metabolic wellness for people living with obesity by providing evidence-based education, stigma-free support, and meaningful connections in the moments that shape daily life. The Foundation's mission is to walk alongside individuals pursuing medical, surgical, and comprehensive care, supporting real decisions, challenges, and victories that influence long-term health, with the guidance of obesity medicine experts.Learn more about the BariNation Foundation and make a tax-deductible donation by going to BariNation.orgEpisode SummaryIn this episode, April Williams and Monique Coleman, a bariatric patient and Certified Fitness Instructor and BariNation community member, discuss the many barriers faced by women in the Black and Brown communities in navigating family and cultural bias in their journey to access bariatric care. The importance of representation, the power of community support in overcoming stigma and misconceptions about obesity, and treatment options are key to changing perceptions faced by those battling the disease now and for future generations.KeywordsObesity, Bariatric Surgery, Black and Brown Community, Representation, Advocacy, Healthcare Barriers, Community Support, Race and Health, Patient Stories, BariNation Foundation, Metabolic Surgery, Roux-enY, Gastric Bypass, VSG, Gastric Sleeve, DS, Duodenal Switch, SADI-S, Obesity Medications, GLP1’s, Ozempic, Wegovy, Mounjaro, ZepboundKey Takeaways from the Conversation:Representation Matters: Individuals are more likely to engage with resources when they see others who share similar backgrounds and experiences.Breaking the Stigma: Obesity is a lifelong disease, not a moral failing. Treatment options like Roux-en-Y or VSG should be accessible and stigma-free.The Power of Advocacy: Sharing your personal story can empower others to reclaim their lives and advocate for the care they deserve.Community is Everything: Finding a safe space—like the BariNation Foundation—can help overcome the isolation often felt during a health journey.Guest Name & BioMonique Coleman is a Wellness & Motivation Coach for Women Over 40, founder of Curvy Fit Fitness & Healthy Living With Monique, and a bariatric surgery and GLP-1 wellness advocate. At 46, she empowers midlife women to stop procrastinating, move their bodies with confidence, and feel good in their skin again.Five years post-bariatric surgery and navigating perimenopause, Monique combines mindset, movement, and real-life strategy to help women break free from shame, food noise, and self-doubt. Through fitness events, virtual programs, speaking, and community building, she creates safe spaces for women to heal, grow, and show up boldly in the second half of life.Chapters00:00 Introduction and Background02:47 Representation and Community06:37 Cultural Barriers to Treatment10:50 Reclaiming Life After Surgery12:42 The Journey of Self-Discovery15:22 Overcoming Barriers to Care17:45 The Role of Community Support19:51 Understanding Obesity as a Disease21:30 Advocating for Yourself23:42 The Importance of Empathy in Healthcare25:47 The Journey of Healing and Self-Discovery27:45 Individualized Health Journeys29:20 The Importance of Representation in Healthcare31:21 Documenting the Bariatric Journey33:38 Navigating Cultural Barriers in Health35:16 Empowerment Through Advocacy39:20 Understanding Obesity as a Disease41:00 The Role of Community in Healing44:08 Creating Safe Spaces for Conversations52:31 Sharing Your Story as EmpowermentResourcesBariNation Foundation - barination.orgSupport This Work, Become a Donor- https://barination.givecloud.co/fundraising/forms/8NDR96EKBariNation Support Community- https://barination.mn.coMonique Coleman's Social Media - IG @healthylivingwithmonique1Community Room Zoom Link- https://us02web.zoom.us/j/84398962120

Today changes everything.In this special episode of the BariNation Podcast, we officially announce the launch of the BariNation Foundation, a federally recognized 501(c)(3) nonprofit organization dedicated to supporting people fighting the chronic disease of obesity.Founded by patients, built by patients, and guided by experts, the BariNation Foundation exists to bring knowledge, community, and hope together, without barriers.In this episode, April Williams is joined by co-founders Jason Smith and Natalie Tierney, along with Melanie Lindell, Christine Mason, and Lori Dustin, to share:✔ Why BariNation transitioned into a nonprofit✔ What 501(c)(3) status means for patients✔ How this expands access to lifelong obesity care✔ Why patient voice must remain central in obesity treatment✔ The future of bariatric surgery, GLP-1 medications, and metabolic care✔ How you can become a Foundational DonorOur MissionThe BariNation Foundation exists to bring knowledge, community, and hope together to support people fighting the disease of obesity.We are treatment-agnostic and committed to supporting individuals pursuing:Bariatric surgeryGLP-1 medicationsMedical obesity treatmentLifestyle-based treatmentLong-term metabolic careOur VisionA future where there are no barriers to accessing lifelong obesity care and support, financial, educational, technological, or systemic.Our ValuesPeople FirstScience Over StigmaCommunity as CareAccess Without BarriersPartnership & IntegrityHope with HonestyWhy This MattersMore than 100 million Americans live with obesity.Hundreds of thousands undergo bariatric surgery each year.Millions are navigating GLP-1 medications and metabolic treatment.And too many are doing it alone.The BariNation Foundation is building a bridge between:PatientsCliniciansResearchersIndustryAnd real-world lived experienceSupport the MissionAs a 501(c)(3), donations are tax-deductible where state law allows.Become a Foundational Donor and help eliminate barriers to obesity care.🔗 https://barination.givecloud.co/fundraising/forms/8NDR96EKEvery deductible dollar goes directly toward:Podcast educationCommunity support groupsAdvocacyFree educational resourcesPatient access initiativesThank you for watching, sharing, and supporting the BariNation Podcast and now, the BariNation Foundation. We could not do this without your support and we are deeply grateful for you.⏱ Timestamps00:00 – The Big Announcement05:00 – Why Nonprofit Status Matters10:00 – Patient Voice at ASMBS15:00 – Expanding Support Beyond Bariatric Surgery20:00 – Sustainability & Financial Stewardship30:00 – Our Mission, Vision & Values35:00 – How to Support the Foundation

Have you ever worked so hard to lose weight, only to feel frozen at the idea of intentionally putting weight back on your body?You’re not alone. And this episode is for you.In this BariNation Podcast episode, we sit down with Kayla Girgen, RD, LD, CPT, registered dietitian, personal trainer, and author of the new book Ruck Fit, to break down rucking through a bariatric lens, the fears, the resistance, and why this simple practice may be one of the most powerful (and overlooked) tools for post-op metabolic health.Rucking is simply walking with weight, and while that sounds straightforward, for bariatric patients, it can bring up a lot of hesitation:“I worked so hard to lose this weight—why would I add it back?”“What if I hurt myself?”“What if it doesn’t actually help?”Kayla meets those fears head-on with science, compassion, and real-world experience.Episode Quotes:"It might sound dramatic to say that rucking saved me, but shouldering the load helped me reclaim my sense of self, perseverance, and inner peace." Kayla Girgen“Rucking's going to help preserve that muscle and help make sure that you can maximize your blood sugar management...By adding weight back in the form of a weighted vest or a ruck, you help provide that weight bearing stimulus that helps tell your skeleton, hey, we still need this bone density."What We Cover in This EpisodeWhy Bariatric Patients Hesitate to Try RuckingThe emotional and psychological resistance to “adding weight back”How fear, all-or-nothing thinking, and perfectionism keep us stuckWhy doing nothing often feels safer than trying something newWhat Rucking Actually Is (and What It’s Not)Walking with a weighted vest or backpack (ruck)Why rucking is low-impact, scalable, and accessibleHow rucking is different from traditional cardio or gym workoutsMuscle, Bone Density, and Post-Op StrengthWhy rapid weight loss can increase risk of muscle and bone lossHow rucking provides the weight-bearing stimulus your skeleton needsWhy preserving muscle matters more than “burning calories”Metabolic Health & Flexibility Explained SimplyWhat metabolic flexibility actually means (without medical jargon)Why bariatric patients often feel hungry quickly or “carb dependent”How rucking helps muscles access fuel without relying on insulinWhy this matters for insulin resistance, inflammation, and long-term healthMental Health, Burnout, and ConsistencyHow rucking supported Kayla through panic attacks and burnoutWhy rucking helps people escape the “all in or all out” cycleThe underrated mental health benefits of movement + natureHow to Start Rucking (Without Overdoing It)How much weight to start with (hint: less than you think)Weighted vest vs backpack: pros, cons, and posture considerationsCreative ways to ruck without going on a long walk (yes, housework counts)Why not every walk needs to be a ruckCommunity, Connection, and Real-Life SupportWhy rucking works well in groups (even at different fitness levels)How community reduces fear and builds confidenceWhy post-pandemic connection matters more than everAbout Kayla Girgen & Ruck FitKayla Girgen, RD, LD, CPT is a registered dietitian, certified personal trainer, and movement educator who discovered rucking during a season of burnout and anxiety. Her new book, Ruck Fit, explores:The history of ruckingThe science behind why it worksHow rucking supports metabolic, mental, and physical healthPractical, beginner-friendly guidance to get started safelyThis episode brings the book to life, especially for bariatric patients navigating movement after weight loss surgery.Thinking About Trying Rucking?If this episode sparked questions like:“Is rucking safe after bariatric surgery?”“When is the right time to start?”“What if I’m scared I’ll fail?”You’re exactly who this conversation is for.👉 Leave a comment,👉 Email us at [email protected], or👉 DM us inside the BariNation CommunityWe’ll be inviting Kayla back to go even deeper—and your questions help shape those conversations.Links and Resources:BariNation Newsletter Sign- Up: https://barination.kit.com/ea1ff73fb9Metabolic Flexibility Blog: https://kaylagirgenrd.com/metabolic-flexibility/BariNation Support Community: https://barination.mn.co

Metabolic health is more than weight loss—it's about addressing the root causes of obesity as a disease. Today’s episode is sponsored by AdventHealth and we were excited to sit down with Dr. Damon Tanton, Executive Medical Director of AdventHealth Central Florida's Metabolic Health Institute, to explore how insulin resistance drives weight gain and metabolic dysfunction. Dr. Tanton explains why treating obesity requires whole-person care rather than focusing solely on diet and exercise. We discuss the root causes of metabolic syndrome and how personalized care is transforming lives by addressing hyperinsulinemia and reversing metabolic damage before it becomes irreversible.What You Will Learn in this Episode:✅ Why insulin resistance is the foundation of metabolic health issues and how hyperinsulinemia causes your body to store fat rather than burn it for energy preferentially.✅ Why whole person care and personalized treatment are essential for long-term success, and how AdventHealth Central Florida's approach eliminates shame and judgment from obesity medicine.✅ How understanding the cause can determine the best treatment course, and how bariatric surgery and GLP1/GIP medications work as potent insulin sensitizers that can reverse years of metabolic damage and reduce inflammation throughout the body.Tune in, and don’t forget to join the BariNation Community to attend community meetups, watch exclusive bonus content and support the podcast for as little as $5 per month! You can also contribute to BariNation and become a Drive To Thrive Supporter with a one-time or recurring donation.TIMESTAMPS: 00:00 Metabolic health, obesity medicine and understanding insulin resistance and hyperinsulinemia06:56 Why obesity is a physiological, not a behavioral issue, and obesity is not your fault 18:52 How visceral fat triggers the metabolic disease cascade and the domino effect28:30 The importance of early intervention in metabolic syndrome30:43: Discussion of personalized individualized care and the frustration with healthcare 38:20 Whole person care approach at AdventHealth Central Florida 44:34 Overcoming shame and judgment in obesity treatment and creating trust between patient and doctor55:50 Life gained through metabolic wellness and authenticity, and when is the best time to have surgery1:00:22 Jason shares how his life has changed, and Dr. Tanton encourages being your authentic self to the listener KEY TAKEAWAYS: 💎 Insulin resistance affects over 100 million Americans and is the underlying cause of 70% of all diseases, including cardiovascular disease, cancer, anxiety, and reproductive problems. Addressing hyperinsulinemia is the key to reversing metabolic health decline.💎 The medical system has been backwards for decades, blaming patients for behavioral issues instead of addressing the science first. Personalized care that treats the whole person without judgment is essential for sustainable results.💎 Bariatric surgery and GLP-1 medications are not just weight loss tools—they're powerful treatments that correct physiological dysfunction by dramatically lowering insulin levels and reducing inflammation throughout the body.ABOUT THE GUEST: Damon Tanton, MD, is board-certified in endocrinology, diabetes and metabolism. He serves as Executive Medical Director of the Metabolic Health Institute at AdventHealth and sees patients at AdventHealth Medical Group in Orlando, Florida. A University of Miami School of Medicine graduate, he completed his residency at Wright-Patterson Medical Center and fellowship in endocrinology at Lackland Air Force Base. He specializes in diabetes, insulin resistance, obesity treatment, PCOS, and thyroid disorders.AdventHealth Central Florida - InstagramAdventHealth Orlando - WebsiteAdventHealth Central Florida, Damon Tanton, MD,AdventHealthWeightLoss.comRESOURCES MENTIONED: BariNation WebsiteBariNation - EmailBariNation - Partnership Monthly Membership BariNation’s How to Find an Obesity Specialist Guide

If you’ve ever felt confused, discouraged, or even ashamed about your weight—especially if you’ve tried “everything” and it still feels difficult—this conversation will change how you understand your body and your journey.In this encore episode, recorded live at AdventHealth, bariatric and metabolic medicine specialists Dr. Melissa Bagloo and Dr. Shiva Seetahal explain why weight loss is not just about willpower or discipline, but about biology, hormones, metabolism, and how our bodies are designed to protect us.This episode is for anyone who:Is considering bariatric surgeryIs pre-op, post-op, or experiencing a plateau or regainHas struggled with dieting, weight cycling, or self-blameWants to understand what their body is actually doing — and whyYou’ll walk away with clarity, relief, and a much kinder understanding of yourself.By listening to this episode, you’ll learn:Why bariatric surgery works differently than diets, and how it changes gut hormones, insulin response, hunger, fullness, and metabolic signaling instead of just “restricting” food.Why obesity is a chronic, biological disease, not a personal failure, and why that changes how it should be treated and supported long-term.Why weight loss is often a side effect of improved metabolic health, not the primary mechanism, and why focusing only on the scale can miss what really matters.Why plateaus, slowdowns, and even weight regain are not signs of failure, but a normal part of how the body adapts and recalibrates over time.How medications can support weight and metabolic health before or after surgery, and why adding a tool doesn’t mean surgery didn’t work.Why surgery is not the end of the journey, but the middle of it, and why ongoing support, follow-up, and community matter for long-term success.How to release shame and self-blame by understanding the science behind weight regulation, so you can replace judgment with compassion and informed care.What whole-person, compassionate obesity care actually looks like, and why your emotional, mental, and physical health all deserve to be part of the conversation.So many people struggling with weight feel isolated, broken, or like they’re doing something wrong.This episode reframes that story.It explains why your body may feel like it’s working against you, and how bariatric and metabolic medicine work with your biology instead of fighting it.Most importantly, it reminds you that you’re not alone, you’re not failing, and you deserve care, support, and understanding along the way.Listen If You’re:Pre-op and trying to understand what surgery actually doesPost-op and wondering why your journey looks the way it doesFeeling stuck, plateaued, or discouragedCurious about how hormones, metabolism, and biology affect weightReady to replace shame with clarity and supportIf this episode resonates with you, consider sharing it with someone who might need to hear this message, too, because weight is heavy enough without carrying it alone.Click HERE to learn more about whole-person care at AdventHealth Central Florida.A special thank you to AdventHealth Central Florida for making this episode and education possible!You got this, and we got you.RESOURCES:Check out this exclusive AdventHealth BariNation Monthly Membership for only $29/mo! BariNation WebsiteJoin the BariNation Membership community meetups to support you on your journey with obesity treatment. https://barination.com/pages/join-our-communityWant to see bonus content? Head over to https://www.patreon.com/BariNationPodcast to get more and support the podcast for as low as $5 per month!GUEST RESOURCES:Melissa Bagloo, MD - AdventHealth WebsiteShiva Seetahal, MD - AdventHealth WebsiteBIOGRAPHIES: Dr. Melissa Bagloo is a board-certified bariatric and general surgeon and a Fellow of the American College of Surgeons and the American Society of Metabolic and Bariatric Surgery. A Florida native, she trained in the Northeast before joining AdventHealth. She earned her medical degree from the University of Florida. She completed her general surgery residency at NYU, followed by a minimally invasive and bariatric surgery fellowship at Weill Cornell and Columbia. Specializing in advanced laparoscopic and robotic surgery, Dr. Bagloo has performed over 500 robotic and thousands of minimally invasive procedures. She is dedicated to whole-patient care, helping patients achieve lasting weight loss with minimal recovery time.Dr. Shiva Seetahal is a board-certified surgeon specializing in minimally invasive and laparoscopic procedures, strongly focusing on patient care and satisfaction. He earned his medical degree with honors from the University of the West Indies, completed his surgical residency at Howard University Hospital, and pursued a Minimally Invasive and Bariatric Surgery fellowship at Atlanta Medical Center. He has been actively involved in research, has published numerous works, and has served on editorial boards for surgical journals. Dr. Seetahal is also a member of the American Society for Metabolic and Bariatric Surgery (ASMBS).ABOUT:If the BariNation podcast helps power your bariatric journey, become a monthly podcast supporter and help us produce the show! Visit www.barinationpodcast.com and help us support people treating the disease of obesity with humor, humility, and honesty.We need your help to keep the BariNation Podcast in production. Your one-time or recurring donations help us ensure this free support remains open to everyone. Click Drive To Thrive - Donation to learn more and give. THANK YOU for your support!

What if the reason change feels so hard isn’t because you’re failing……but because you’re finally doing it right?In this first episode of 2026, April, Jason, and Natalie gently but firmly dismantle one of the biggest lies in the bariatric space: that transformation is something you can plan, download, buy, or perfect.It isn’t.Real transformation isn’t clean. It isn’t aesthetic. It isn’t linear.It’s what happens when you hit present reality at high velocity and stop trying to tape the pieces back together the way they were before.In this conversation, we explore:Why surgery is not the transformation, it’s the catalystWhy so many of us hit a wall post-op and think something is wrong with usWhy chasing “the next right thing” (the planner, the diet, the supplement, the system) is often a way to avoid the actual workWhy the middle, the messy, uncomfortable, identity-shifting middle, is the workAnd why transformation is less about becoming someone new and more about becoming honestThis episode is for you if you are:Contemplating a different way forwardPreparing for bariatric surgeryOr sitting in chaos, knowing you cannot keep living the way you areIt’s a loving confrontation and a deep exhale.You’re not broken.You’re not behind.You’re in the middle.And that’s exactly where transformation lives.Click here to read the Substact Post by Suleika Jaouad that helped us look at "resolutions" in a new way.Did something in this episode resonate with you? Let us know by leaving a comment on the platform you are watching or listening to, or by emailing [email protected] love hearing from you, learning your takeaways, "aha" moments, and questions you might have after taking in this episode.BariNation is a patient-created and patient-led orginization that needs your support to produce this show.➡️ If you enjoyed this episode, give us a High Five $5 donation. Your support helps us reach more people and support patients in every stage of their journey.Yes, $5 does help. You've got this, and we've got you._____________________________Connect with BariNationInstagram: @bari.nationFacebook: @barinationTikTok: @barinationYouTube: @barinationWebsite: www.barination.comSupport Community: www.barination.mn.coEmail: [email protected]

Are you struggling to see obesity as more than a number on the scale? Do you wonder why shame and stigma still dominate the conversation around bariatric surgery?In this revisited episode, we explore the truth about obesity as a chronic disease and how we can shift the narrative to one of compassion, education, and long-term support. Our guest, Carah Horn, brings her clinical expertise and lived experience to the table in an eye-opening and empowering conversation. We talk about the outdated perceptions surrounding bariatric surgery, the crisis in obesity care, and why finding the right provider makes all the difference. Carah shares powerful analogies—like her “lawn care” metaphor—to help us understand why long-term maintenance and ongoing support matter. She also explains the dangers of anti-obesity medications without proper oversight and how the BariNation Community provides a unique space for education, encouragement, and behavior change. Whether you are post-op, pre-op, or still considering surgery, this episode will leave you feeling seen, supported, and more equipped for the road ahead.IN THIS EPISODE:(01:24) Carah shares her professional background in obesity disease and bariatric surgery(12:19) The narrative surrounding obesity needs to change, and finding the correct doctor(19:14) Carah speaks to the crisis of care, anti-obesity medications and comorbid conditions(33:03) Each patient is different, and she encourages going back to your surgeon when health changes occur(39:31) Carah shares the word picture she tells her patients(56:12) Making your bariatric journey positive rather than negative and using the tools provided by the BariNation CommunityKEY TAKEAWAYS:Obesity is a complex, chronic disease affecting every aspect of a person’s life—physical, emotional, and social. It should be promoted as a legitimate medical condition that requires real treatment. Unfortunately, shame and stigma surrounding obesity prevent many people from seeking treatment.Treating obesity is about improving health, not appearance. Viewing it through the lens of disease management—similar to diabetes or cancer—can help shift public perception and lead to better care. Medications and surgery are tools to treat the underlying condition, not just to achieve a certain weight.The lack of long-term support and education around obesity medications is dangerous. When prescribed without proper medical oversight or behavioral support, these medications can lead to serious health risks. Without a comprehensive program—including nutrition guidance, mental health care, and consistent follow-up—patients are more likely to misuse medications, relapse, or face complications, especially if access to treatment is suddenly lost.RESOURCES:BariNation WebsiteJoin the BariNation Membership community meetups to support you on your journey with obesity treatment. https://barination.com/pages/join-our-communityCarah Horn - LinkedInBIOGRAPHY: MBA-HCA, BSN, RN, CBN, FASMBS-IHCarah is a clinician who is passionate about engagement. She believes that change and best practices happen in the community. She is active at the local, state, and national levels of obesity treatment and advocacy, as well as an Integrated Health Star in Florida for the American Society of Metabolic and Bariatric Surgeons (ASMBS). She has four daughters and five grandsons and loves fitness and learning! 1 Corinthians 10:31—So whether you eat or drink, or whatever you do, do it all for the glory of God.

Bariatric surgery patients often face intense fear about weight recurrence, but understanding obesity as a chronic disease can transform the healing journey. In this BariNation episode, we explore what happens when therapist and bariatric patient Melanie Lindell wears a simulation suit that recreates her pre-surgery body. The experience revealed how trauma and fear live just beneath the surface, even years post-op. We discuss the reality of weight reoccurence, the struggle with body image, and why community support becomes essential for long-term success. Melanie shares insights about finding rest, practicing gratitude, and becoming a "benevolent witness" to your own story. This conversation validates the emotional healing required beyond physical transformation and offers hope for anyone navigating the process of coping with weight recurrence after weight loss surgery.What You’ll Learn in This Episode:   How weight recurrence triggers deep psychological responses even years after bariatric surgery, and why understanding obesity as a chronic, progressive disease helps patients release shame and embrace self-compassion.The concept of being a "benevolent witness" to your own story and others' experiences, which creates safe spaces for emotional healing within the bariatric community and reduces the isolation that often accompanies weight regain struggles.Practical strategies for finding rest amid the constant pressure of obesity treatment, including stepping back from social media comparison, attending post-op support groups, and recognizing that single moments don't define your entire surgical weight loss journey.Tune in, and don’t forget to join the BariNation Community to attend community meetups, watch exclusive bonus content and support the podcast for as little as $5 per month!  You can also contribute to BariNation and become a Drive To Thrive Supporter with a one-time or recurring donation.TIMESTAMPS: 00:00 The simulation suit experience at the Bariatric Solutions Conference, and Melanie shares her background08:45 Understanding weight recurrence and the fear of weight regain20:07 Living in a world not built for larger bodies, obesity, and insurance company challenges31:38 Gratitude as the foundation for emotional healing and recovery35:54 Finding rest through community support and benevolent witnesses55:02 Post-op grief, body image, and processing transformation and your personal bariatric story1:14:53 Being your own benevolent witness and practicing self-compassion1:20:39 Being open and embracing your feelingsKEY TAKEAWAYS:  The fear of weight recurrence never entirely disappears, even years after successful bariatric surgery, because memories live in the body and can be instantly triggered by experiences that remind patients of their former struggles with obesity.Finding a bariatric community where you can be authentically witnessed—without judgment or expectation of solutions—provides essential emotional healing and combats the isolation that obesity treatment journeys often create.Practicing gratitude and self-compassion serves as a powerful antidote to the relentless pressure of maintaining weight loss, allowing patients to recognize that single moments don't define their entire post-op journey or determine long-term success.ABOUT THE GUEST: Melanie Lindell, LMHC, serves as BariNation’s CHRO and is a licensed counselor with over a decade of experience in trauma and abuse. A bariatric patient herself, Melanie had Roux-en-Y surgery in 2019 and faced a complex recovery that included complications, additional surgeries, and time on a feeding tube. Her passion is helping others heal and thrive, and she considers it a privilege to walk alongside fellow bariatric patients as a support group leader.Melanie Lindell - InstagramLindell Counseling - WebsiteThe Body Keeps Score - BookWhen I Put the Fat Suit On - Melanie Lindell - BlogBariNation WebsiteBariNation - EmailBariNation - Partnership Monthly Membership   BariNation’s How to Find an Obesity Specialist Guide

Are we doing enough to ensure that no one is left behind in the fight against obesity? What if bariatric surgery is not just about weight loss, but about treating a chronic, misunderstood disease?In this revisited episode, we sit down with Dr. Richard Peterson, the newly elected president of the ASMBS, to talk about his mission to No One Left Behind. From his military roots to his passionate advocacy, Dr. Peterson delves deeply into why obesity is considered a disease, how bariatric surgery is a critical form of medical care rather than a cosmetic procedure, and what must change to ensure equitable access, education, and support for all.Tune in, and don’t forget to join the BariNation community to attend community meetups, watch exclusive bonus content and support the podcast for as low as $5 per month!   IN THIS EPISODE:(03:47) Dr. Peterson shares his professional background and the mission of ASMBS(10:40) As president, past initiatives will move forward and the discussion of bias toward obesity(18:01) Dr. Peterson’s mission is a call to action to “No One Left Behind,” which stems from his military background(31:06) Bariatric surgery is not a cosmetic procedure. Obesity is a disease(40:40) The importance of obesity education and why obesity not being associated with a specific organ was a game changer(49:06) Words matter, you aren’t just losing weight, you are fighting obesity(54:55) If you are suffering from obesity, you can get help. The mission is to remove the barriersKEY TAKEAWAYS:Dr. Peterson’s theme is “No One Left Behind," focusing on ensuring access to obesity treatment for all patients, supporting practices, and fostering unity across the bariatric community.Dr. Peterson continues efforts to reduce shame and stigma by educating medical professionals and the public that obesity is a disease, not a personal failing.Initiatives focus on integrating obesity education into medical curricula and advocating for comprehensive treatment access to enhance patient care.RESOURCES:BariNation Website Join the BariNation Membership community meetups to support you on your journey with obesity treatment. https://barination.com/pages/join-our-communityOTHER RESOURCES: BariNation - EmailGUEST RESOURCES:ASMBS - WebsiteDr. Richard Peterson LinkedInUT Health San Antonio BIOGRAPHY: Dr. Peterson serves as the Chief of Bariatric and Metabolic Surgery for UT Health San Antonio and is the medical director of the Christus Weight Loss Institute at Westover Hills.Dr. Peterson is highly active in both clinical and academic aspects of bariatric surgery. He is the current president of the American Society for Metabolic and Bariatric Surgeons (ASMBS), a past president of the Texas Association for Bariatric Surgery (TABS) and has chaired several committees for the American Society for Metabolic and Bariatric Surgery (ASMBS), including the Public Education Committee and the Communications Committee. He moderates and runs the largest online bariatric journal club on Facebook and serves as the Social Media Editor for Surgery for Obesity and Related Diseases (SOARD), the official journal of the American Society for Metabolic and Bariatric Surgery (ASMBS). ABOUT:If the BariNation podcast helps power your bariatric journey, become a monthly podcast supporter and help us produce the show! Visit www.barinationpodcast.com and help us support people treating the disease of obesity with humor, humility, and honesty.We need your help to keep the BariNation Podcast in production. Your one-time or recurring donations help us ensure this free support remains open to everyone. Click Drive To Thrive - Donation to learn more and give. THANK YOU for your support!  

Obesity is not your fault—but it is your fight. In this powerful BariNation episode, we welcome Dr. Faiz Shariff, renowned Bariatric Surgery and Metabolic Medicine physician, who breaks down the science proving obesity is a genetic disease, not a personal failure. Dr. Shariff explains how 70% of obesity stems from genetics and epigenetics, creating hormonal imbalances that set your body's weight set point beyond your control. We explore why bariatric surgery remains the most effective treatment for this chronic condition, yet faces massive stigma and insurance barriers. This conversation challenges everything you've been told about willpower and dieting, revealing why obesity is not your fault but your fight. Discover how metabolic disease treatment through surgery can change your genetic expression, improve your quality of life, and help you reclaim your crown.What You’ll Learn in This Episode:   Why Obesity is Not Your Fault—Discover the science behind genetic factors, obesity, leptin resistance, and set point theory that proves 70% of obesity is genetic, not a willpower issue.Overcoming the obesity stigma and insurance coverage bariatric surgery barriers. Understand the challenges this treatment faces and how to navigate your bariatric surgery journey with the proper support.The power of Non-Scale Victories and Post Op Support—Shift focus from goal weights to disease resolution, flexibility, and lasting quality of life improvements.Tune in, and don’t forget to join the BariNation Community to attend community meetups, watch exclusive bonus content and support the podcast for as little as $5 per month!  You can also contribute to BariNation and become a Drive To Thrive Supporter with a one-time or recurring donation.TIMESTAMPS:  00:00 Dr. Faiz Shariff, the "Robot Queen" Obesity Medicine Physician, shares her medically proven position that "Obesity is Not Your Fault But It's Your Fight"06:19 Why Obesity Is Not Your Fault: Breaking down the outdated calories in/calories out paradigm and genetic factors in obesity science09:00 Understanding leptin resistance, hormonal imbalance, weight gain, and how the set point theory controls your body weight16:23 How bariatric surgery changes epigenetics and reduces passing bad genes to future generations, and the stigma associated with obesity20:43 Insurance covering bariatric surgery challenges and why obesity stigma creates unique treatment barriers compared to cancer32:07 Adaptive thermogenesis explained: Why repeated dieting makes weight loss harder each time36:56 Pre-op preparation and bariatric surgery journey mindset shifts for long-term success42:31 Non-Scale Victories matter more than goal weights: Focus on disease resolution and flexibility52:17 Building community, shedding toxic relationships, and gaining confidence post op support58:10 Final thoughts on identity shift, mindset change, and reclaiming your crown in the fight against chronic diseaseKEY TAKEAWAYS:  Obesity is 70% genetic. Your body conserves energy through genetic factors, obesity, and epigenetics, creating hormonal imbalance and weight gain through leptin resistance and the elevated set-point theory. This isn't about willpower; it's about biology fighting against you.Obesity stigma creates dangerous barriers. Unlike cancer patients, those with obesity face insurance coverage, bariatric surgery denials, requirements not to gain weight during approval, and judgment for seeking treatment. This chronic disease deserves the same respect as any other.Your bariatric surgery journey requires post-op support and mindset shifts. Success comes from catching negative thoughts, practicing positive affirmations to foster neuroplasticity, and building community with people who celebrate your victories.ABOUT THE GUEST: Dr. Faiz Shariff is a Metabolic and Bariatric Surgeon at WellSpan Health, specializing in revisional and complex procedures, including SADI and BPD-DS. She is Director of Robotic Surgery and Vice Chair of Surgery, leading innovation and mentoring in advanced minimally invasive techniques. Passionate patient advocate and active leader within the ASMBS, serving on multiple national committees to advance education and reduce obesity stigma.Faiz Shariff, MD, FACS, FASMBS, DABS-FPDMBS -LinkedInFaiz U Shariff - WellSpan HealthRESOURCES MENTIONED: BariNation WebsiteBariNation - EmailBariNation - Partnership Monthly Membership   BariNation’s How to Find an Obesity Specialist Guide

Hair loss after bariatric surgery, or while on GLP-1 medications, is a common issue among patients, but it doesn't have to be permanent. In this BariNation episode, we welcome back Dr. Edmund Chen to discuss why hair loss after bariatric surgery occurs and what you can do about it. Dr. Chen explains that post-bariatric surgery hair thinning happens due to the stress the body is subject to from surgery and rapid weight loss. The good news? With the right approach—including increased protein for hair growth, targeted vitamins like biotin and zinc, and getting in movement for increased blood flow—you can minimize loss and promote healthy regrowth. April shares her personal journey with hair loss and the strategies that helped her see real results. Whether you're pre-op or already experiencing thinning, this episode offers practical, expert-backed solutions.What You’ll Learn in This Episode:   ✅ Why bariatric patients experience hair loss and how metabolic surgery side effects, like caloric deficit and body stress, trigger hair loss✅ The essential role of protein for hair growth and how increasing your daily intake can help prevent post-bariatric surgery hair thinning and support regrowth✅ Which bariatric vitamin regimen works best, including biotin and zinc supplements, collagen for hair health, and hair, skin, and nails vitamins to promote stronger hair✅ How exercise and hair growth are connected through increased blood flow to the scalp, plus proven hair regrowth treatment options for hair regrowthTune in, and don’t forget to join the BariNation Community to attend community meetups, watch exclusive bonus content and support the podcast for as little as $5 per month!  You can also contribute to BariNation and become a Drive To Thrive Supporter with a one-time or recurring donation.TIMESTAMPS:  00:00 Why do bariatric patients experience hair loss after weight loss surgery 03:30 Top three solutions: protein for hair growth, vitamins, and brands that support hair growth 04:30 Importance of bariatric vitamin regimen, including biotin and zinc supplements, and collagen for hair health07:39 How exercise and hair growth connect through increased scalp blood flow09:02 Practical tips: massage scalp, focus on basics before investing in expensive hair regrowth treatment10:33 Dr. Chen reassures patients that hair loss is temporary and regrowth happens after reaching their lowest weightKEY TAKEAWAYS:  💎 Bariatric hair loss is temporary and typically stops once you reach your lowest weight—it's a sign your body is prioritizing weight loss surgery recovery and metabolic changes over hair growth💎 Increase your protein for hair growth intake beyond typical goals (aim for 80-90 grams daily if experiencing thinning) since hair is made of protein and requires adequate nutrition to regenerate💎 Exercise and hair growth are directly connected—regular movement increases blood flow and oxygen to hair follicles on your scalp, creating healthier conditions for regrowthABOUT THE GUEST: Dr. Edmund Chen, a skilled bariatric surgeon, graduated with honors from Johns Hopkins University and earned his medical degree from Cornell University. After researching metabolism at the National Institutes of Health and training at Northwestern and Duke, he specializes in ultra-minimally invasive bariatric surgery using the da Vinci system, including gastric sleeve, bypass, and revisions. Known for compassionate, patient-focused care, he optimizes outcomes for bariatric patients at his Dallas practice the Texas Center for Bariatric and Advanced Surgery, where he partners with Dr. Joe Cribbins.Edmund Chen, MD - LinkedInRESOURCES MENTIONED: Hair Loss and Exercise StudyBariNation WebsiteBariNation - EmailBariNation - Partnership Monthly Membership   BariNation’s How to Find an Obesity Specialist Guide

Have you ever felt judged or misunderstood because of your weight or health struggles? Shame and stigma often surround the conversation about obesity and treatments like bariatric surgery. In this revisited episode of the BariNation podcast, we welcome Dr. Ann Rogers, past Bariatric Surgeon and President of ASMBS (American Society of Metabolic & Bariatric Surgery), who sheds light on the stigma surrounding bariatric surgery and how it addresses more than just weight loss. Dr. Rogers explains how bariatric surgery can correct serious health problems like diabetes, sleep apnea, and fatty liver disease, ultimately improving a person's quality of life. We also dive into the resistance to bariatric surgery, the changes needed in healthcare, and how medications and mindfulness can play a role in weight management. Dr. Rogers also shares valuable advice to help break the cycle of shame and self-doubt.We need your help to keep the BariNation Podcast in production. Your one-time or recurring donations help us ensure this free support remains open to everyone. Click Drive To Thrive - Donation to learn more and give. THANK YOU for your support!IN THIS EPISODE:[00:42] What drew Dr. Rogers to bariatric surgery and improving the quality of life[6:58] Why do people resist bariatric surgery? Is it shame and stigma[15:36] Changes general practitioners need to make in the insurance industry[25:01] Medications to lose weight and why obesity wants to come back[34:55] The value of mindfulness and the capacity to live life differently[40:23] Discussion that Medicare and Medicaid will have access to GLP1 and forecasting for 2025 and Dr. Rogers's parting advice[45:54] Believing the lies we tell ourselves and hear more in the BariNation Support CommunityKEY TAKEAWAYS:Bariatric Surgery Addresses More Than Weight Loss. While bariatric surgery visibly impacts weight, its actual value lies in addressing underlying health conditions like diabetes, sleep apnea, and fatty liver disease, significantly improving quality of life. However, the stigma surrounding obesity and bariatric surgery often deters patients from seeking help. Obesity is a complex, chronic disease that is influenced by genetics, biology, and environmental factors. It's not just a matter of personal choice or willpower; blaming individuals for their condition is unjust and counterproductive.Bariatric surgery and related treatments can offer substantial benefits, and despite challenges like weight regain or access to medications, patients should remember that they are worthy of care and support.RESOURCES:BariNation Website Patient Resource LinkGUEST BIO: Dr. Rogers is the Director of the Penn State Health Surgical Weight Loss Programs. Dr. Rogers is past President of the American Society of Metabolic & Bariatric Surgeons (ASMBS).ASMBS MISSION: To enhance the well-being of individuals affected by obesity and associated illnesses through the progression of metabolic and bariatric surgical techniques and other medical interventions.

Bariatric support programs are key to long-term success. In this episode of BariNation, Kellie Armstrong, RN and Integrated Health Director at ASMBS, shares insights from her 20-year journey as both a bariatric patient and healthcare leader. She discusses the evolution of obesity medicine, the power of multidisciplinary care, and the three C’s of success—continuous, conversation, and connection—highlighting why strong patient-provider communication changes everything.What You’ll Learn in This Episode:   How bariatric support programs have evolved from isolated surgical procedures to comprehensive integrated health teams that provide wraparound bariatric care throughout your entire journeyWhy long-term weight loss success depends on continuous patient-provider communication and staying connected to your bariatric program accreditation-certified care team beyond the first year post-opWhat questions to ask when shopping for a metabolic bariatric surgery program, including how to find obesity medicine specialists who treat obesity as the chronic disease of obesity it truly isThe importance of post-op support groups and bariatric patient education in maintaining your results, plus why bariatric surgery follow-up should never stop, even 20 years after your procedureTune in, and don’t forget to join the BariNation Community to attend community meetups, watch exclusive bonus content and support the podcast for as little as $5 per month!  You can also contribute to BariNation and become a Drive To Thrive Supporter with a one-time or recurring donation.TIMESTAMPS:  00:00 Introduction 06:35 Kellie’s first bariatric surgery patient in 2000, and how nursing education has evolved in obesity medicine13:09 The intersection of professional and patient life: merging your bariatric identity with everyday life19:27 Why bariatric support programs are not a quick fix and the importance of using tools from your toolbox22:27 Creating patient-provider communication pathways and keeping integrated health teams accessible to patients26:59 The three C's framework: continuous, conversation and connection for long-term weight loss success30:22 How ASMBS accreditation programs share best practices and collaborate across bariatric care coordination teams40:53 The future of obesity medicine and eliminating stigma in disease of obesity treatment46:31 Discussion of shopping for the right bariatric program, asking for bariatric surgery follow-up resources and contacting your insurance provider50:30 Don't seek medical advice on social media: the importance of professional bariatric patient educationKEY TAKEAWAYS:  Bariatric surgery is just one tool, Long-term success requires lifelong, integrated care including nutrition, behavioral health, medication, and lifestyle support.Choose programs that stay with you. Find a bariatric team offering real relationships and full support, or ask to be connected with obesity medicine specialists.Your bariatric journey becomes life. Stay connected through post-op groups, annual follow-ups, and peers who understand your experience for years to come.Bariatric care has evolved — from open surgeries and long hospital stays to minimally invasive procedures and comprehensive, team-based obesity treatment.ABOUT THE GUEST: Kellie Armstrong's RN career began at Rhode Island Hospital in 1998, progressing from staff nurse to Bariatric Surgery Service Line Manager when Brown University Health merged its bariatric programs in 2012. In 2007, she became Rhode Island's first Certified Bariatric Nurse (CBN) and has since presented at national venues, co-authored articles in Bariatric Times, and served as co-chair of the 2024 Integrated Health Obesity Summit. Her dedication earned her the 2021 Hurvitz Quality Award for revamping the bariatric support program during COVID-19, the 2022 Distinguished CBN award, and inclusion in the first FASMBS-IH Leadership Academy cohort in 2024. Kellie is currently the ASMBS Integrated Health Section President and brings a unique perspective as both a healthcare leader and a bariatric surgery patient since 2005. RESOURCES MENTIONED: BariNation WebsiteBariNation - EmailBariNation - Partnership Monthly Membership   BariNation’s How to Find an Obesity Specialist GuideNo One Left Behind: Dr. Richard Petersonhttps://www.facebook.com/kellie.fredette.armstronghttps://www.linkedin.com/in/kellie-armstrong-msn-rn-fasmbs-ih-cbn-4766501b/Website: https://www.brownhealth.org/centers-services/center-medical-and-surgical-weight-loss

In this revisited episode, we look back at the theme for 2025, Relentless Curiosity. Dr. Sarah Hayek, a bariatric surgeon at the Kentucky Bariatric Institute, is back on the podcast to share her husband’s journey through bariatric surgery. She discusses the emotional and physical factors behind his decision and highlights the importance of embracing change in overcoming obesity. We explore how the surgery isn’t just for extreme obesity, the role of community support, and why some medical approaches may inadvertently contribute to the problem. Tune in to learn how bariatric surgery can be transformative for individuals at different stages of obesity and why support is key to long-term success.Tune in, and don’t forget to join the BariNation Community to attend community meetups, watch exclusive bonus content and support the podcast for as little as $5 per month!  You can also contribute to BariNation and become a Drive To Thrive Supporter with a one-time or recurring donation.IN THIS EPISODE:[2:42] The theme for Bari-Nation in 2025 is Relentless Curiosity [4:36] Dr. Hayek shares her husband’s journey through bariatric surgery[15:35] Looking at the risk factors and deciding to have bariatric surgery[25:21] Understanding that obesity is a disease[30:56] Surgery is not just for the obese[39:41] Obesity is an isolating disease, and you need the community of the BariNation[48:56] The Kentucky Bariatric Institutes approach to obesityKEY TAKEAWAYS:Bariatric surgery is not limited to individuals with extreme obesity. Those with moderate excess weight or health risks from visceral fat can also benefit, making surgery a preventative health measure rather than a last resort.The decision to undergo bariatric surgery often stems from the realization that traditional weight management methods—like diet and exercise—may not be enough. It's a critical tool in a broader treatment plan, including medical support and lifestyle adjustments.Long-term success in weight management post-surgery is tied to daily habits, continuous care, and emotional support. The community of Bari-Nation plays a vital role in helping individuals navigate challenges and maintain motivation throughout their transformative journey.RESOURCES:BariNation Website Join the BariNation Membership community meetups to support you on your journey with obesity treatment. https://barination.com/pages/join-our-communityGUEST RESOURCES:Kentucky Bariatric Institute - WebsiteBIOGRAPHY: Kentucky Bariatric Institute (KBI) is excited to welcome Sarah Hayek, MD, MEd, to the Georgetown and central Kentucky communities. Dr. Hayek will enhance the bariatric program by offering robotic bariatric surgery and general surgery procedures. She completed medical school at Geisinger Commonwealth in Scranton, Pennsylvania, and a residency in general surgery at Geisinger Medical Center, with an additional year in surgical education research. With over two years of experience, Dr. Hayek specializes in general and bariatric robotic surgeries.ABOUT:If the BariNation podcast helps power your bariatric journey, become a monthly podcast supporter and help us produce the show! Visit www.barinationpodcast.com and help us support people treating the disease of obesity with humor, humility, and honesty.BariNation - WebsiteBariNation - Podcast

Bariatric support groups provide an essential community for weight loss surgery patients. Today, we welcome Jonathan Cleveland to the BariNation Podcast to discuss his transformative experience just two months after VSG surgery. Jonathan shares how the BariNation community helped him navigate post-op bariatric surgery recovery challenges, from managing protein intake to celebrating non-scale victories. He reveals how the "space and grace" motto became his daily mantra when struggling with post-op bariatric life expectations. Natalie Tierney and Herb Lentz, who host the beginner bariatric meetup groups in the BariNation Community, co-host the episode to advocate for the power of peer connection versus unreliable internet searches and Facebook groups.What You’ll Learn in This Episode:   ✅ How bariatric support groups provide emotional validation and practical advice that Facebook groups and internet searches cannot match✅ Why connecting with the bariatric community with Natalie Tierney in BariNation helps navigate post-op bariatric life challenges like protein and hydration goals✅ The "space and grace" approach to managing frustration during weight loss surgery recovery and celebrating non-scale victories✅ How beginner bariatric patient support meetups create a safe space for pre-op and newly post-op patients to share experiences✅ Why joining trusted virtual support groupsand meetups in BariNation  leads to better outcomes than self-diagnosing symptoms through unreliable online sourcesTune in, and don’t forget to join the BariNation Community to attend community meetups, watch exclusive bonus content and support the podcast for as little as $5 per month!  You can also contribute to BariNation and become a Drive To Thrive Supporter with a one-time or recurring donation.TIMESTAMPS:  00:00 Natalie Tierney opens the episode and invites Jonathan Cleveland and Herb Lentz to introduce themselves as members of the BariNation membership community. Jonathan is a two-month post-op bariatric patient, and Herb hosts beginner bariatric meetups02:36 How bariatric support groups provide a community with like-minded individuals who understand the unique struggles and non-scale victories06:05 The "space and grace" motto helps manage frustration with protein intake after surgery and hydration goals during weight loss surgery recovery, and other tips10:17 Overcoming fear of joining bariatric community online meetups as a newbie and finding welcoming peer support12:32 Jonathan shares why bariatric support groups provide trusted advice versus going down rabbit holes on Facebook groups and unreliable internet sourcesKEY TAKEAWAYS:  💎Bariatric support groups offer understanding that friends and family cannot provide, creating a space where members celebrate non-scale victories like not needing seatbelt extenders with genuine excitement💎 The "space and grace" mantra helps manage early post-op bariatric life frustrations when struggling to meet protein intake after surgery and hydration targets during weight loss surgery recovery💎 Virtual support groups provide vetted advice from real bariatric patient support members and medical professionals, preventing harmful self-diagnosis from unreliable Facebook groups and internet rabbit holes💎 Beginner bariatric community online meetups create cohorts where pre-op and newly post-op patients practice curiosity, ask questions without judgment, and build family-like connectionsABOUT THE GUEST: Jonathan Cleveland currently resides in Dallas/Fort Worth, Texas. He is 6 months post-op from VSG surgery by Dr. Edmund Chen of the Texas Center for Bariatrics & Advanced Surgery. He has lost a total of 115 pounds. He loves to travel across the world in his free time. RESOURCES MENTIONED: BariNation WebsiteBariNation - EmailBariNation - Partnership Monthly Membership   BariNation’s How to Find an Obesity Specialist Guide

In this revisited episode, we're diving into the theme of curiosity—how it shapes our journey, fuels personal growth, and helps us navigate life after bariatric surgery. Curiosity isn’t just about asking questions; it’s about staying open to new possibilities, exploring uncharted paths, and discovering what works best for you. Our definition of thriving is to progress towards or realize a goal despite or because of circumstances, and curiosity plays a key role in helping us thrive. Together, we’ll unpack how curiosity can lead to breakthroughs, deepen your self-awareness, and transform your perspective on health, wellness, and beyond. Let’s jump in and spark some curiosity!Tune in, and don’t forget to join the BariNation Community to attend community meetups, watch exclusive bonus content and support the podcast for as little as $5 per month!  You can also contribute to BariNation and become a Drive To Thrive Supporter with a one-time or recurring donation.IN THIS EPISODE:00:00 Introduction0:49 Using the tool of curiosity to thrive in 2025 after bariatric surgery2:54 Jason describes how relentless curiosity has taken him to the gym7:01 Natalie shares how she struggled with what was within her control10:33 This episode is for everyone to thrive and use relentless curiosity 11:53 Get curious about your bariatric journey and try new things within your control13:44 Being relentless about curiosity to thrive and actively using the BariNation communityKEY TAKEAWAYS:Try using curiosity as a proactive tool to overcome obstacles and thrive, regardless of circumstances. This approach involves shifting from frustration to asking empowering questions like "I wonder what would happen if...?" to spark problem-solving and innovation.Instead of feeling overwhelmed by all the challenges, try solving one problem at a time. This focused approach allows for incremental progress, whether adapting a fitness routine, making bariatric dietary adjustments, or tackling life challenges.Practicing curiosity within a supportive community amplifies its impact. Engaging with others who understand and encourage experimentation creates a safe space to try new things, share insights, and celebrate progress together and bariatric surgery.RESOURCES:BariNation Website ABOUT:If the BariNation podcast helps power your bariatric journey, become a monthly podcast supporter and help us produce the show! Visit www.barinationpodcast.com and help us support people treating the disease of obesity with humor, humility, and honesty.

What are the advantages of a bariatric surgery care team? Today, you will discover the vital role of an integrated health team in bariatric surgery. On this episode of the BariNation podcast, we are thrilled to interview Heidi Bednarchuk, exploring why a cohesive bariatric surgery care team is key to patient care success. From pre-op preparation to post-op support, discover how to choose a team that supports your obesity treatment journey and enhances quality of life. Heidi shares insights on building an integrated health team for bariatric surgery, emphasizing the importance of interdisciplinary collaboration for long-term wellness.What You’ll Learn in This Episode:   The critical role of a bariatric surgery care team in ensuring successful patient care throughout the obesity treatment journeyHow an integrated health team collaborates to provide comprehensive pre-op preparation and post-op support for lasting resultsWhy prioritizing quality of life is key to choosing the right bariatric surgery care team for your needsPractical questions to ask to identify an integrated health team for bariatric surgery that supports long-term wellnessThe importance of patient care advocacy and how a cohesive team enhances obesity treatment outcomesTune in, and don’t forget to join the BariNation Community to attend community meetups, watch exclusive bonus content and support the podcast for as little as $5 per month!  You can also contribute to BariNation and become a Drive To Thrive Supporter with a one-time or recurring donation.TIMESTAMPS:  02:50 Heidi’s role in integrated health team leadership for patient care and the vital role of the bariatric surgery care team beyond pre-op preparation and post-op support12:28 Heidi explains why evaluating the bariatric surgery care team is crucial for quality of life in the obesity treatment journey, such as roles like the bariatric nurse14:33 Heidi uses a fruit smoothie analogy to describe a cohesive, integrated health team for bariatric surgery, enhancing quality of life25:05 Advice on questions to identify an effective bariatric surgery care team, focusing on interdisciplinary team communication32:24 Heidi discusses studies showing patient care priorities like nutrition and mental health in post-op support, often overlooked42:24 Discussion of the stigma, eliminating old mindsets and communicating with care teams who are not integrated                                                                                                                      47:30 Emphasis on staying connected with the bariatric surgery care team to avoid post-surgical support drop-off for obesity treatmentKEY TAKEAWAYS:  An integrated health team for bariatric surgery collaborates to enhance quality of life and address challenges in obesity treatment.Asking the right questions helps identify an effective bariatric surgery care team focused on interdisciplinary team communication.Patients must advocate for their own patient care needs to build a bariatric surgery care team that supports long-term success in obesity treatment.ABOUT THE GUEST: Heidi Bednarchuk, APRN, CNS, CBN, FASMBS-IH, is a Clinical Nurse Specialist, Advanced Practice Registered Nurse at the Bariatric and Comprehensive Weight Loss Program at the Mayo Clinic.  She has worked in metabolic and bariatric surgery since 2012 and genuinely loves her work. She is committed to supporting individuals affected by obesity and to highlighting the vital role Integrated Health plays in delivering lasting, patient-centered outcomes. Heidi is also the Immediate Past President of the Integrated Health Leadership Council at ASMBS (American Society of Metabolic and Bariatric Surgeons), having held multiple leadership and committee roles over the past several years.Heidi Bednarchuk - LinkedInPatients’ experiences of life after bariatric surgery and follow-up care studyA Comparison of Health Professionals' and Patients' Views of the Importance of Outcomes of Bariatric Surgery StudyA systematic scoping review of multidisciplinary team working in surgical services: the need for bariatric surgery researchRESOURCES MENTIONED: TREO Foundation - The WalkTREO Walk Discounted BariNation Membership BariNation - Partnership Monthly Membership   BariNation’s How to Find an Obesity Specialist Guide

Have you ever felt stuck in your bariatric journey, unsure what to do next?  Are you seeking a supportive community that understands life's challenges after surgery? If these questions resonate with you, you won’t want to miss this episode of the BariNation podcast.In this re-release episode, we dive deep into the real experiences and challenges of bariatric patients, offering tools and insights to help you on your journey. In this episode, we’re exploring two pivotal concepts—"space and grace" and "pause and pivot"—that are integral to the BariNation support community for bariatric patients. These tools are designed to assist members in navigating their weight loss journey with greater ease and understanding.Whether you're just starting your weight loss journey or you've been living with bariatric surgery for years, the BariNation community is designed to provide the support and motivation you need to stay on track. Tune into this conversation and community that will make you feel understood, supported, and empowered on your path. Tune in, and don’t forget to join the BariNation Community to attend community meetups, watch exclusive bonus content and support the podcast for as little as $5 per month!  You can also contribute to BariNation and become a Drive To Thrive Supporter with a one-time or recurring donation.IN THIS EPISODE:[1:26] BariNation is here for your bariatric surgery journey[3:20] BariNation offers Space and Grace[7:12] When facing a challenge, Pause and Pivot[11:11] The BariNation community is here to support youKEY TAKEAWAYS:Space and Grace – This concept emphasizes the importance of removing yourself from triggering situations (physically or mentally) and giving yourself understanding rather than harsh self-criticism. It’s about creating space to manage emotions and extend yourself grace without making excuses.Pause and Pivot – When facing challenges or hitting a plateau in the bariatric journey, taking a moment to pause, reflect, and reassess your direction can help you make intentional and sustainable changes. This prevents reactive decision-making and supports long-term success.Community and Support Matter – The BariNation podcast and support community provide a space for bariatric patients at all stages to connect, share experiences, and seek guidance from professionals and peers. Engaging with others on a similar journey can provide essential encouragement and perspective.BariNation Website

Have you had or are you preparing for bariatric surgery or starting GLP1’s and wondering how to avoid nutritional deficiencies? Do you know what Wernicke’s encephalopathy is and how easy it is to prevent and treat it? Tune in to this episode of the BariNation podcast to uncover critical insights! We’re thrilled to welcome Dr. Emma Patterson, a renowned expert in bariatric surgery with 25 years of experience. Dr. Patterson shares her research on thiamine deficiency (aka vitamin B1), offering practical advice on preventive care and thiamine supplementation to help safeguard your health before and after metabolic and bariatric surgery (aka weight loss surgery.) Don’t miss her expert tips on vitamin supplementation to ensure a successful bariatric journey!Don’t forget! BariNation is proud to be this year's National Sponsor of TREO Foundation's The Walk: Stomp the Stigma. Sign up to join BariNation’s virtual team for the September 27th, 2025, The Walk: Stomp the Stigma, which raises awareness and access to care. There are also 12 in person walks happening and more being organized. To find a walk near you, or set one up visit the TREO Foundation website linked below.IN THIS EPISODE:(03:15) Dr. Emma Patterson shares her 25-year focus on bariatric surgery(10:45) Wernicke’s encephalopathy is an acute neuropsychiatric syndrome caused by thiamine deficiency(17:00) Surgeons should monitor nutrition to prevent thiamine deficiency and what are the classic symptoms (28:21) Dr. Patterson notes the low risk of thiamine supplementation, encouraging bariatric patients to discuss it with their surgeons (35:44) Wernicke’s encephalopathy typically peaks two to three months post-bariatric surgery, but can occur later if nutritional deficiencies persist(43:59) Dr. Patterson gives advice to bariatric patients starting GLP-1 medications (48:30) Discussion of the importance of  vitamin B1’s role in, cell maintenance, and nerve functionKEY TAKEAWAYS:B1/Thiamine deficiency can lead to Wernicke’s encephalopathy, a severe neurological condition, particularly in bariatric patients post-surgery due to reduced nutrient intake.Preventive care through B1/Thiamine supplementation (100 mg daily) starting two weeks before bariatric surgery and continuing for three months post-op is critical to avoid complications.Patient education on bariatric nutrition, especially the importance of vitamin B1, empowers individuals to advocate for their health and prevent malnutrition risks.RESOURCES:Join BariNation on the TREO WalkTREO Foundation - The WalkTREO Walk Discounted BariNation Membership  BariNation x TREO Landing PageTREO Fall In-Person WalksBariNation WebsiteBariNation - EmailBariNation - Partnership Monthly Membership   BariNation’s How to Find an Obesity Specialist GuideDr. Patterson’s website GUEST BIOGRAPHY:Dr. Emma Patterson, a board-certified bariatric surgeon, has over 25 years of experience, performing 6,000+ bariatric surgery procedures like Sleeve Gastrectomy and Gastric Bypass after her fellowship at Mount Sinai Hospital. As the Northwest’s first laparoscopic bariatric surgery specialist and Bariatric Medical Director at Wilshire Surgery Center (MBSAQIP Center of Excellence), she’s authored 50+ peer-reviewed papers, including in NEJM, and contributed to NIH’s LABS consortium. Renowned for her expertise in thiamine deficiency and Wernicke’s encephalopathy, she advocates for bariatric nutrition and serves as an expert witness in medical advocacy (Practical Gastro, YouTube).ABOUT:If the BariNation podcast helps power your bariatric journey, become a monthly podcast supporter and help us produce the show! Visit www.barinationpodcast.com and help us support people treating the disease of obesity with humor, humility, and honesty.

Are you searching for a bariatric surgeon who truly understands the importance of lifelong support? Do you want to know how inclusive healthcare can transform your bariatric journey? Then you don’t want to miss this conversation because it may completely change how you think about your options for obesity care.Before we dive in, we’re thrilled to share that BariNation is a national sponsor of the TREO Foundation’s Walk to Stomp the Stigma which is happening in 10+ cities throughout the fall. The Virtual Walk is on Saturday, September 27th and we invite you to join our BariNation team. Together, we’ll shine a light on the importance of better access to obesity care for all. Click the link in the show notes to join our BariNation team and walk with us virtually—you don’t want to miss the chance to be part of this movement.In today’s episode, we sat down with Dr. Maria Brown, a fellowship-trained bariatric surgeon in Arizona who specializes in robotic bariatric surgery and leads a comprehensive program designed to give patients everything they need in one place. Her practice offers medical weight loss, nutrition support, fitness guidance, and a line of vitamins to ensure no piece of the puzzle is missing. Dr. Brown is deeply committed to building safe healthcare spaces where every patient—regardless of their background, identity, or financial status—feels seen, heard, and supported.Tune in, and don’t forget to join the BariNation Community to attend community meetups, watch exclusive bonus content and support the podcast for as little as $5 per month!  You can also contribute to BariNation and become a Drive To Thrive Supporter with a one-time or recurring donation.IN THIS EPISODE:(00:00) Opening(00:29) Join BariNation for the TREO Foundation’s Walk to Stomp the Stigma on Saturday, September 27th(01:55) Dr. Brown is a bariatric surgeon specializing in robotic bariatric surgery(05:17) Discussion of inclusive healthcare, Medicare, Medicaid, self-pay, and ensuring obesity care for all patients(05:52) Brown’s practice is a safe space for every patient, including the LGBTQIA (08:34) Shop around for the right bariatric surgeon and build a lifelong relationship of trust (10:40) Obesity care doesn’t end with surgery—it’s a chronic disease requiring long-term support(11:52) Patients deserve to feel seen and heardKEY TAKEAWAYS:Building a strong BariNation Community and long-term patient support system is just as important as the medical side of bariatric surgery, helping patients succeed beyond the operating room.Dr. Maria Brown emphasizes inclusive healthcare and safe healthcare spaces, ensuring that every patient—regardless of race, gender, or sexuality—has access to compassionate obesity care.A holistic approach that combines robotic bariatric surgery, medical weight loss, nutrition support, fitness guidance, and specialized bariatric vitamins creates a comprehensive path to better outcomes on the lifelong bariatric journey.RESOURCES:BariNation WebsiteBariNation - EmailBariNation Partner and Practice Monthly Membership   BariNation’s How to Find an Obesity Specialist GuideTREO Foundation - The WalkJoin BariNation on the TREO WalkDr. Brown - WebsiteAZ Weight Loss SurgeryGUEST BIOGRAPHY:Dr. Maria Brown, a Cuban American from Upstate New York, studied Spanish in Mexico and earned a B.S. in Biology from Siena College, graduating magna cum laude. She gained healthcare experience in Belize, worked at Pfizer, and trained at St. George’s University School of Medicine, with rotations in England, Grenada, and New York City. After completing her General Surgery Residency and a fellowship in Minimally Invasive Robotic, Advanced GI, and Bariatric Surgery, she moved to Phoenix, Arizona, where she is owner and director of Valley Bariatric Medical & Weight Loss Center and a national proctor for Intuitive’s da Vinci Robotic Systems. In her free time, she enjoys hiking, camping, and paddleboarding with her two Huskies.ABOUT:If the BariNation podcast helps power your bariatric journey, become a monthly podcast supporter and help us produce the show! Visit www.barinationpodcast.com and help us support people treating the disease of obesity with humor, humility, and honesty.

Have you experienced weight recurrence after bariatric surgery, or worried about it happening to you? Do you want to understand how to manage your weight loss journey as a chronic disease? Tune in to this enlightening episode of the BariNation podcast to gain clarity! We know how daunting weight recurrence can feel after bariatric surgery, and that’s why we’re thrilled to bring you this powerful episode of the BariNation podcast. Joining us again is Dr. Saniea F. Majid, a dedicated bariatric surgeon and obesity medicine specialist,to discuss weight gain as part of the chronic disease of obesity. Her research-driven insights and compassionate approach to patient empowerment will leave you inspired, equipped with tools to navigate your weight loss journey, and ready to advocate for your metabolic wellness with confidence. Weight recurrence isn’t your fault.Don’t forget! BariNation is proud to be this year's National Sponsor of TREO Foundation's The Walk: Stomp the Stigma. Sign up to join BariNation’s virtual team for the September 27th, 2025, The Walk: Stomp the Stigma, which raises awareness and access to care. There are also 12 in person walks happening and more being organized. To find a walk near you, or set one up visit the TREO Foundation website linked below.IN THIS EPISODE:(00:28)  Join BariNation for the TREO Foundation’s The Walk: Stomp the Stigma on Saturday, September 27th(02:03) Dr. Majid introduces herself, highlighting her emphasis on obesity as a chronic disease. (06:10) Discussion of understanding and defining weight recurrence and what research reveals(16:45) Frame weight recurrence as a disease progression and focus on disease management(26:15) Patients should return to their bariatric surgeon for weight recurrence issues(34:30) Dr. Majid stresses patient empowerment through education (40:06) Bariatric surgery improves metabolic wellness beyond weight loss, such as resolving sleep apnea(48:28) Seeing bariatric surgery as a transformative obesity treatment, and a health transformation KEY TAKEAWAYS:Weight recurrence is a natural part of the chronic disease of obesity, not a patient failure, and understanding it as a disease management issue can empower bariatric community members to seek timely bariatric care and maintain their weight loss journey.Bariatric surgery significantly alters the trajectory of weight gain, improving metabolic wellness by reducing the severity of obesity-related conditions. Still, ongoing follow-ups with a bariatric surgeon are crucial for sustained health transformation.Standardizing definitions for weight recurrence is essential for effective obesity treatment, enabling clinicians and patients to address weight management proactively and foster patient empowerment through education and obesity awareness.RESOURCES:Join BariNation on the TREO WalkTREO Foundation - The WalkTREO Walk Discounted BariNation Membership  BariNation x TREO Landing PageTREO Fall In-Person WalksWeight Regain After Bariatric Surgery: Scope of the Problem, Causes, Prevention, and TreatmentMeet Dr. Majid – Award Winning Weight Loss Doctor NJ | WLWCWeight Loss & Wellness Center - Instagram Dr. Majid’s EmailBariNation WebsiteBariNation - EmailGUEST BIOGRAPHY:Dr. Saniea Majid, a board-certified bariatric surgeon and obesity medicine specialist, founded the Weight Loss and Wellness Center in northern New Jersey, leading innovative bariatric surgery programs. She pioneered minimally invasive and endoscopic treatments, including New Jersey’s first adjustable gastric balloon and endoscopic sleeve gastroplasty, while establishing MBSAQIP-accredited centers. Committed to obesity care, she expands access to treatments for childhood and adolescent obesity, integrating nutrition and behavioral health. As TREO Foundation president and ASMBS leader, Dr. Majid drives critical research and stigma awareness to advance bariatric community care.Tune in, and don’t forget to join the BariNation Community to attend community meetups, watch exclusive bonus content and support the podcast for as little as $5 per month!  You can also contribute to BariNation and become a Drive To Thrive Supporter with a one-time or recurring donation.

Are you ready to stomp the stigma around obesity care and treatment? Walk with us! Don’t miss this BariNation episode that’s all about empowering the bariatric community! BariNation is proud to be this year's National Sponsor of TREO Foundation's The Walk: Stomp the Stigma.Joining us is Dr. Saniea F. Majid, a bariatric surgeon and obesity medicine specialist who’s leading the charge as President of the TREO Foundation. She and April discuss the Virtual Walk on September 27th, 2025 and how to find an In Person Walk near you.  At the heart of this event is the TREO Foundation's work around the goal of impacting personal wellness and treatment improvement.  People suffering from the disease of obesity face stigma in all aspects of their lives including medical providers. Dr. Majid discusses the importance of patient involvement, the role of the ASMBS conference in advancing critical research, and how the virtual team for the September 27th, 2025, The Walk: Stomp the Stigma, is going to be raising awareness and access to care. There are also 12 in person walks happening and more being organized. To find a walk near you, or set one up visit the TREO Foundation website linked below.Tune in, and don’t forget to join the BariNation Community to attend community meetups, watch exclusive bonus content and support the podcast for as little as $5 per month!  You can also contribute to BariNation and become a Drive To Thrive Supporter with a one-time or recurring donation.IN THIS EPISODE:(00:00) Introduction(00:29) Join BariNation for the TREO Foundation’s virtual The Walk: Stomp the Stigma on Saturday, September 27th, 2025(01:52) Dr. Saniea F. Majid introduces herself, highlighting her holistic approach to wellness (04:00) The TREO Foundation’s mission emphasizes its role in stigma awareness and access to care(05:32) The societal bias against obesity, its impact on personal wellness, and the need for public action (07:37) Research by the ASMBS has led to advancements like GLP-1 medications(09:47) Dr. Majid addresses bias in healthcare and reducing it through educationKEY TAKEAWAYS:BariNation is a proud national sponsor of the TREO Foundation’s Stomp The Stigma Walk on September 27th, 2025, encouraging the bariatric community to join their virtual team to raise stigma awareness and support obesity care.The TREO Foundation focuses on treatment improvements, critical research, and education to enhance access to care and combat weight recurrence, as highlighted by Dr. Saniea F. Majid at the ASMBS conference.Patient involvement in the TREO Foundation’s initiatives, like The Walk, Stomp the Stigma, promotes public action and fosters personal wellness by addressing bias even in the healthcare field and improving bariatric surgery outcomes.RESOURCES:Join BariNation on the TREO WalkTREO Foundation - The WalkTREO Walk Discounted BariNation Membership  BariNation x TREO Landing PageMeet Dr. Majid – Award Winning Weight Loss Doctor NJ | WLWCDr. Majid’s EmailBariNation’s How to Find an Obesity Specialist GuideBariNation WebsiteBariNation - EmailGUEST BIOGRAPHY:Dr. Saniea Majid, a board-certified bariatric surgeon and obesity medicine specialist, founded the Weight Loss and Wellness Center in northern New Jersey, leading innovative bariatric surgery programs. She pioneered minimally invasive and endoscopic treatments, including New Jersey’s first adjustable gastric balloon and endoscopic sleeve gastroplasty, while establishing MBSAQIP-accredited centers. Committed to obesity care, she expands access to treatments for childhood and adolescent obesity, integrating nutrition and behavioral health. As TREO Foundation president and ASMBS leader, Dr. Majid drives critical research and stigma awareness to advance bariatric community care.

Do you ever wonder why the obesity epidemic continues to grow worldwide? Do you want to know how you can be part of the change? This conversation goes beyond borders to shine a light on the urgent need for better obesity awareness, more inclusive bariatric support, and stronger access to care across the globe. We’re here to show you that your story matters and that solutions exist, no matter where you live.In this episode, we talk with Dr. Ricardo Cohen, a leading obesity medicine specialist and president of IFSO (International Federation for the Surgery of Obesity and Metabolic Disorders) from São Paolo, Brazil, who shares his expertise on the global state of obesity care. Together, we discuss the new obesity definition, why obesity diagnosis matters, and how individualized obesity treatment—from lifestyle interventions to weight loss surgery—can help fight this chronic disease.Tune in, and don’t forget to join the BariNation Community to attend community meetups, watch exclusive bonus content and support the podcast for as little as $5 per month!  You can also contribute to BariNation and become a Drive To Thrive Supporter with a one-time or recurring donation.IN THIS EPISODE:(00:00) Opening(00:49) Join the TREO Foundations, ‘The Walk’ on Saturday, September 27th(01:48) Dr. Cohen highlights his work in obesity research and obesity treatment(02:35) Preclinical obesity vs clinical obesity, obesity diagnosis and obesity stigma (04:39) Discusses the global rise of the obesity epidemic, pointing to obesity genetics(07:30) Discussion of a biological, chronic, complex disease with no single solution for obesity treatment(10:35) Discussion of obesity awareness, access to obesity support, and improving obesity outcomesKEY TAKEAWAYS:  The obesity epidemic is not just a U.S. issue—it’s a global health challenge. This episode highlights how obesity care and bariatric support can break stigma, improve access to treatment, and empower patients around the world.Like other progressive conditions such as diabetes, lupus, and cancer, obesity requires a thorough understanding of its progression and a comprehensive, multi-faceted medical approach. It is also a disease that both deserves and needs proper treatment.The TREO Foundation is leading the way by funding obesity research and expanding access to care. Their mission supports better treatments, early diagnosis, and more inclusive approaches to obesity awareness worldwide.BariNation is proud to be the national sponsor of the Trio Foundation’s Walk, standing with the bariatric community in advancing obesity treatment, building community resources, and offering inspiration and hope for anyone navigating their journey.RESOURCES:BariNation WebsiteTune in, and don’t forget to join the BariNation Community to attend community meetups, watch exclusive bonus content and support the podcast for as little as $5 per month! You can also contribute to BariNation and become a Drive To Thrive Supporter with a one-time or recurring donation.BariNation - EmailBariNation’s How to Find an Obesity Specialist GuideInternational Federation for the Surgery of Obesity and Metabolic DisordersTREO Foundation - The WalkJoin BariNation on the TREO WalkThe Lancet Report on ObesityDr. Anne Rogers - Ep 252Dr. Jaime Ponce - Ep. 250GUEST BIOGRAPHY:Dr. Ricardo Cohen, with over 30 years of experience, including 15 at Hospital Alemão Oswaldo Cruz, is a globally recognized bariatric surgeon named among the top 30 by ASMBS. With over 10,000 surgeries, he pioneers research on metabolic surgery for type 2 diabetes. He holds a PhD from the University of São Paulo, is editor of Obesity Surgery, and was the former president of the 2016 IFSO World Congress in Rio.Additionally, he is a past president of SBCBM (2011-2012) and IFSO Latin American Chapter (2018-2019), and he is currently the President of The International Federation for the Surgery of Obesity and Metabolic Disorders (IFSO), a Federation composed of national associations of bariatric surgeons and Integrated Health professionals. Currently, there are 76 official member societies of IFSO, as well as individual members from countries that thus far have not formed a national association. ABOUT:If the BariNation podcast helps power your bariatric journey, become a monthly podcast supporter and help us produce the show! Visit www.barinationpodcast.com and help us support people treating the disease of obesity with humor, humility, and honesty.

Did you know that ADHD is more common in the bariatric community? In today’s episode, we’re going to explore how ADHD and neurodivergence shape our relationship with food, how this affects the bariatric community and discover strategies to thrive. We are happy to introduce a clinical psychologist with 20 years of experience working in bariatric medicine, who brings personal insight as a bariatric patient managing ADHD and weight regain. Dr. Karen Stewart shares practical approaches like meal prepping and mindfulness, while addressing how perimenopause and hormone replacement influence emotional regulation and decision making in the bariatric community. By exploring executive functioning, dopamine, and self-compassion, we’ll uncover tools to support the bariatric community in overcoming obesity and weight regain.Tune in, and don’t forget to join the BariNation Community to attend community meetups, watch exclusive bonus content and support the podcast for as little as $5 per month!  You can also contribute to BariNation and become a Drive To Thrive Supporter with a one-time or recurring donation.IN THIS EPISODE:(00:00) Introduction(02:30) Dr.  Stewart shares her area of expertise and journey with ADHD and weight regain(08:00) ADHD neurodivergence may lead to obesity due to disordered eating patterns(14:30) Connection between ADHD, multitasking, and mindfulness (20:15) Defining ADHD, neurodivergence, executive functioning, and weight regain(29:47) Effects of perimenopause and hormone replacement on ADHD Symptoms and emotional regulation(34:40)  Practical strategies for bariatric patients with ADHD, focusing on dopamine, executive functioning, and self-compassion(39:13) Lowering the expectation on the food frontKEY TAKEAWAYS:ADHD and Neurodivergence are more prevalent in the Bariatric Community, contributing to obesity through disordered eating patterns driven by Dopamine-seeking behaviors and Executive Functioning challenges.Task switching, cognitive flexibility, and decision making tax the brain, especially in ADHD, necessitating strategies like meal prepping to conserve mental energy.For neurodivergent individuals, food often serves as a quick Dopamine hit. However, healthy eating alternatives and non-food activities, such as walks, can help replace unhealthy habits.RESOURCES:BariNation WebsiteTune in, and don’t forget to join the BariNation Community to attend community meetups, watch exclusive bonus content and support the podcast for as little as $5 per month! You can also contribute to BariNation and become a Drive To Thrive Supporter with a one-time or recurring donation.BariNation - EmailBariNation’s How to Find an Obesity Specialist GuideKaren Stewart - InstagramKaren Stewart - FacebookDr. Karen Stewart - WebsiteGUEST BIOGRAPHY:Dr. Karen Stewart is a clinical psychologist who’s spent 20 years supporting bariatric patients—and she’s been through the process herself. She brings both personal and professional insight to her work, with a special focus on how ADHD affects eating habits, self-care, and long-term health. Karen helps people understand what’s driving their patterns and find practical, sustainable ways to feel better in their bodies.ABOUT:If the BariNation podcast helps power your bariatric journey, become a monthly podcast supporter and help us produce the show! Visit www.barinationpodcast.com and help us support people treating the disease of obesity with humor, humility, and honesty.

Have you ever wondered what else bariatric surgery can do for your health beyond just weight loss? If you're on a weight loss journey, or even just considering it, this episode will help you see how metabolic surgery can transform your overall wellness, not just the number on the scale.Dr. Saurabh, a board-certified bariatric surgeon and obesity medicine specialist, joins us to talk about the true power of bariatric surgery—including its ability to reverse or improve conditions like type 2 diabetes, GERD, sleep apnea, and high blood pressure. He also shares how hormonal changes after surgery play a key role in resetting the body’s metabolic function and offers advice on what to look for in post-op care.Tune in, and don’t forget to join the BariNation Community to attend community meetups, watch exclusive bonus content and support the podcast for as little as $5 per month!  You can also contribute to BariNation and become a Drive To Thrive Supporter with a one-time or recurring donation.IN THIS EPISODE:(00:00) Opening(01:45) Dr. Saurabh is a board-certified bariatric surgery and obesity medicine specialist (02:26) Being certified in obesity medicine allows a doctor to offer both surgery and medications(06:23) Benefits of surgery beyond weight loss, including type 2 diabetes, sleep apnea, and GERD(08:43) Reversing type 2 diabetes through hormonal changes(10:31) Many health concerns improve even before significant weight loss (14:15) Short-form education on Instagram delivers key messages about holistic bariatric careKEY TAKEAWAYS:Metabolic and bariatric surgery offer far more than weight loss—they can lead to remission or improvement of serious health conditions like type 2 diabetes, GERD, sleep apnea, and high blood pressure, helping patients reclaim their health and extend their quality of life.Choosing a provider who is certified in obesity medicine ensures a more comprehensive, holistic bariatric care approach that addresses the root causes of obesity and supports long-term success through personalized treatment plans.The bariatric community at BariNation provides ongoing education, expert insight, and support after surgery, empowering patients with tools to celebrate non-scale victories and live a full, vibrant life post-op.Dr. Saurabh is the latest Bariatric Surgeon and Obesity Medicine Specialist to join BariNation as an expert.  You’ll see him on future podcast episodes, in the BariNation Membership Community leading groups, and getting onboard with us on the Struggle Bus some Tuesdays at 7p eastern/4p pacific answering all your metabolic wellness questions.  RESOURCES: BariNation WebsiteTune in, and don’t forget to join the BariNation Community to attend community meetups, watch exclusive bonus content and support the podcast for as little as $5 per month! You can also contribute to BariNation and become a Drive To Thrive Supporter with a one-time or recurring donation.BariNation - EmailBariNation’s How to Find an Obesity Specialist GuideShireesh Saurabh, MD | Seattle, WADr. Saurabh Partners with BariNationDr. Saurabh - InstagramGUEST BIOGRAPHIES:Dr. Shireesh SaurabhDr Saurabh is a board-certified general surgeon, and a fellowship trained bariatric surgeon. He received his medical degree from All India Institute of Medical Sciences (A.I.I.M.S). He completed his General Surgery residency from the Drexel University College of Medicine and Bariatric Surgery fellowship from University of Iowa. He specializes in advanced laparoscopic, robotic, and endoscopic surgical techniques in general and bariatric surgery. He is involved in research related to bariatric surgery and has presented his results at various national conferences. He is part of several local and national committees related to American Society for Metabolic and Bariatric Surgery (ASMBS). He is also board certified in Obesity Medicine. Dr. Saurabh practices at Swedish Weight Loss Service at the First Hill and Issaquah locations, both in Washington State. Melanie LindellMelanie Lindell, LMHC, serves as BariNation’s CHRO and is a licensed counselor with over a decade of experience in trauma and abuse. A bariatric patient herself, Melanie had Roux-en-Y surgery in 2019 and faced a complex recovery that included complications, additional surgeries, and time on a feeding tube. Her passion is helping others heal and thrive, and she considers it a privilege to walk alongside fellow bariatric patients as a support group leader.ABOUT:If the BariNation podcast helps power your bariatric journey, become a monthly podcast supporter and help us produce the show! Visit www.barinationpodcast.com and help us support people treating the disease of obesity with humor, humility, and honesty.

Have you ever found yourself shrinking—physically or emotionally—just to make others feel more comfortable? We’ve been there. But what if you permitted yourself to take up space, to share, to grow, and to heal? That’s precisely what BariNation is about: creating space for every part of your journey, with people who get it.Today, Natalie speaks with two amazing BariNation community members, Herb and Christine, a host and regular attendee of The Beginner Bariatrics group. They’ve not only walked the walk, but they’ve also made it their mission to help others feel safe and seen along the way. We discuss the emotional weight of obesity, the power of community, and the unexpected mindset shifts that can change everything. Christine shares how attending Bariatric Beginning meetups in the BariNation Community helped her understand that the disease of obesity is not a moral failing and needs to be a lifelong commitment to wellness. If you’ve ever felt alone or unsure about where you belong in this process, this episode is for you.Tune in, and don’t forget to join the BariNation Community to attend community meetups, watch exclusive bonus content and support the podcast for as little as $5 per month!  You can also contribute to BariNation and become a Drive To Thrive Supporter with a one-time donation.IN THIS EPISODE:(00:00) Opening(04:27) Christine reveals her emotional "why" for weight loss surgery (09:23) A support group is a simple but powerful way to stay engaged in the bariatric lifestyle(13:25) Herb’s meetups are welcoming, warm, and a place where anyone can take up space without judgment(17:12) Christine discusses her initial hesitation to join groups, how isolation pushed her to engage, and the emotional reward that comes from connecting(21:09) Discussion of the "power of the pause" of moral failure and obesity as a disease(27:59) Every day is brand new, and thoughts on a pumpkin spice latteKEY TAKEAWAYS:Beginner Bariatric Meetups are a powerful support tool for those just starting their bariatric surgery journey, helping members feel less alone and more confident in their process.The BariNation membership community plays a vital role in rekindling hope and sustaining long-term post-op success, proving that community connection can transform not just your health but your life.Sharing personal bariatric stories builds deeper understanding and connection within the weight loss surgery community, offering relatable insights for both new and seasoned members.RESOURCES:BariNation WebsiteTune in, and don’t forget to join the BariNation Community to attend community meetups, watch exclusive bonus content and support the podcast for as little as $5 per month! You can also contribute to BariNation and become a Drive To Thrive Supporter with a one-time donation.BariNation - EmailBIOGRAPHY:Hi, I’m Christine Donovan. I had VSG in 2024 with Dr. Joe Cribbins at the Texas Center for Bariatrics & Advanced Surgery and have lost over 225 pounds—but more importantly, I’ve gained a whole new perspective on life. I’m here to talk about the real stuff—how community, mindset, and support make all the difference on this wild ride. Oh, and I’m powered almost entirely by Barebells protein bars at this point; they should probably sponsor me.Herb Lentz: Whether as a classically trained singer, business management professional, or peer-to-peer messaging consultant, Herb’s passion lies in the formation of community. Having had VSG surgery in 2021, he has successfully lost over 150 pounds and achieved a newfound active lifestyle, keeping up with his family. As lifelong bariatric patients, Herb encourages us all to focus on mindset challenges and is constantly exploring what it means to be committed, focused, and motivated. He is enthusiastic about empowering others in the bariatric world by meeting them at whatever point they are on in their journey, specifically for individuals in the LGBTQIA+ community.ABOUT:If the BariNation podcast helps power your bariatric journey, become a monthly podcast supporter and help us produce the show! Visit www.barinationpodcast.com and help us support people treating the disease of obesity with humor, humility, and honesty.

Ready to unlock the secret to supercharging your bariatric journey through gut health? Tune into this episode featuring Dr. Edmund Chen for transformative insights! As a passionate bariatric surgeon and devoted BariNation advocate, Dr. Chen reveals how the gut microbiome, fueled by bariatric surgery and a fiber-forward diet, can reduce inflammation and enhance your metabolic wellness. He shares practical tips for bariatric patients to thrive with minimally processed foods. Join our vibrant BariNation membership community for live support, delicious whole foods recipes, and a welcoming bariatric community to fuel your inspiration for as little as $5 per month! You can also contribute to BariNation and become a Drive To Thrive Supporter with a one-time donation.Start elevating your health today!IN THIS EPISODE:(00:00) Opening(02:08) Discussion of gut microbiome in the digestive system, producing metabolites that affect gut health(03:45) Discussion about diets of ultra-processed foods, inflammation, cardiovascular health issues, and autoimmune diseases (08:15) Bariatric patients temporarily transition from protein shakes to whole foods after post-bariatric surgery(12:45) A fiber-forward diet with minimally processed foods is the second-best way to enhance the gut microbiome(14:30) Bariatric surgery is a critical step that bariatric patients have already taken to improve their overall healthKEY TAKEAWAYS:Bariatric surgery is the most effective way to improve gut health and gut microbiome, shifting it to a healthier state that enhances metabolic wellness and supports weight loss, as evidenced by studies showing positive changes in microbiome complexity post-surgery.A fiber-forward diet rich in whole foods and minimally processed foods is crucial for maintaining a healthy gut microbiome, as it provides essential fuel to beneficial organisms and reduces inflammation caused by ultra-processed foods.Ultra-processed foods and saturated fats can harm the gut microbiome, leading to increased inflammation and health issues like obesity, cardiovascular health problems, and autoimmune diseases, making it vital for bariatric patients to prioritize fiber and real foods.RESOURCES:BariNation WebsiteTune in, and don’t forget to join the BariNation Community to attend community meetups, watch exclusive bonus content and support the podcast for as little as $5 per month! You can also contribute to BariNation and become a Drive To Thrive Supporter with a one-time donation.BariNation - EmailGUEST RESOURCES:  Texas Center For Surgery - WebsiteTCBAS BariNation Membership - WebsiteDr. Edmund Chen - LinkedInBIOGRAPHY:Dr. Edmund Chen, a skilled bariatric surgeon, graduated with honors from Johns Hopkins University and earned his medical degree from Cornell University. After researching metabolism at the National Institutes of Health and training at Northwestern and Duke, he specializes in ultra minimally invasive procedures using the da Vinci system for bariatric surgery, including gastric sleeve, bypass, and revisions. Known for compassionate, patient-focused care, he optimizes outcomes for bariatric patients at his Dallas practice.ABOUT:If the BariNation podcast helps power your bariatric journey, become a monthly podcast supporter and help us produce the show! Visit www.barinationpodcast.com and help us support people treating the disease of obesity with humor, humility, and honesty.

Ever wondered why your cravings seem unstoppable despite your best efforts? At BariNation, we’re peeling back the layers on ultra-processed foods to help our bariatric community make informed choices for gut health and lasting wellness.We’re joined by Dr. Eric Smith of the Kentucky Bariatric Institute, who breaks down the science behind food addiction, the deceptive allure of hyper-palatable products, and why whole foods are key to silencing food noise. Discover actionable steps and resources like Food Fight USA to transform your approach to obesity treatment.Tune in, and don’t forget to join the BariNation Community to attend community meetups, watch exclusive bonus content and support the podcast for as little as $5 per month!  You can also contribute to BariNation and become a Drive To Thrive Supporter with a one-time donation.IN THIS EPISODE:(02:20) Dr. Smith advocates for whole foods and how ultra-processed foods derail patients' efforts(06:56) Big Tobacco’s strategies influenced hyper-palatable food production, creating food addiction through ultra-processed foods(14:30) Example of a grilled chicken patty with 47 ingredients illustrates the hidden complexity of ultra-processed foods(21:00) Discussion of the Blue Zone and discussion of food noise and chemical noise(38:15) Dr. Smith gives an example of an addictive drink and how to overcome it(44:42) Discussion on balancing protein goals with whole foods to reduce obsession with macronutrients (51:15) Critique of SNAP programs providing non-nutritional items like soda, which lack nutritional value (54:25) Trying a diet of 80% whole foods for a month to assess improvements in gut healthKEY TAKEAWAYS:Ultra-processed foods contribute significantly to food addiction and food noise, making it harder for individuals, especially in the bariatric community, to maintain a healthy diet, as they are designed to be hyperpalatable and trigger cravings.Focusing on whole foods with single ingredients is a sustainable approach to achieving nutritional value and supporting long-term gut health. Educating oneself about food sources, as advocated by Food Fight USA, empowers individuals to make informed choices, reducing reliance on artificial sweeteners and addressing systemic issues like the Farm Bill to combat obesity treatment challenges.RESOURCES: BariNation WebsiteTune in, and don’t forget to join the BariNation Community to attend community meetups, watch exclusive bonus content and support the podcast for as little as $5 per month! You can also contribute to BariNation and become a Drive To Thrive Supporter with a one-time donation.BariNation - EmailGUEST RESOURCES:  Kentucky Bariatric InstituteDr. Eric Smith - InstagramFood Fight USA - WebsiteBIOGRAPHY:Eric F. Smith, DO, FASMBS, CAQ-MBSDr. Eric Smith is a board-certified general and bariatric surgeon who has been in practice since 2006. He is the Medical Director for the Kentucky Bariatric Institute, a SRC Center of Excellence in Robotic Surgery, a national proctor, speaker, and teacher for Intuitive Surgical in the specialty of robotic bariatric surgery. He is board certified in bariatric and robotic surgery, member of the American Society of Metabolic and Bariatric Surgeons. He is an engaged, caring and dedicated physician who has completed thousands of bariatric surgeries.ABOUT:If the BariNation podcast helps power your bariatric journey, become a monthly podcast supporter and help us produce the show! Visit www.barinationpodcast.com and help us support people treating the disease of obesity with humor, humility, and honesty.We need your help to keep the BariNation Podcast in production. Your one-time or recurring donations help us ensure this free support remains open to everyone. Click Drive To Thrive - Donation to learn more and give. THANK YOU for your support!  

Welcome to the BariNation Podcast, where summer sparks a choice: hide indoors, caught up in body image struggles, or embrace the sun with confidence? Today, we explore body neutrality, a powerful approach to move beyond negative self-talk and live fully in your bariatric journey. This week, we are taking a deep dive into the concept of body neutrality, exploring eye-opening statistics about body image and sharing personal stories from our bariatric journey. Whether you’re embracing body acceptance or working through negative self-talk, this episode is packed with insights to help you live joyfully in your summer body. Join our vibrant bariatric community today and dive into a journey of self-discovery and empowerment! At BariNation, we’re here to support you with humor, humility, and honesty as you navigate your bariatric life.Tune in, and don’t forget to join the BariNation Community to attend community meetups, watch exclusive bonus content and support the podcast for as little as $5 per month!  You can also contribute to BariNation and become a Drive To Thrive Supporter with a one-time donation.IN THIS EPISODE:(00:15) - Introduction to bariatric community support, emphasizing a safe space for personal wellness and inspiration for a bariatric life(01:30) - Discussion on body neutrality and body positivity on your bariatric journey(03:00) - National Eating Disorders Association; 5 Steps to Body Neutrality article, defines “body neutrality” as not hating or loving your body, but having a neutral perspective (03:32) - Shocking statistic that 97% of women have a daily “I hate my body” moment(06:45) - Strategies for achieving body neutrality, including physical awareness and catching negative thoughts to improve personal wellness(11:45) - Emphasis on shifting from negative self-talk to body acceptance, making it easier to find joy and live fully in the bariatric life(13:27) Join the BariNation Community to receive the support you deserveKEY TAKEAWAYS:Body neutrality is about accepting your body as it is, without hating or loving it, and helping those on a bariatric journey move away from negative self-talk.Over 90% of women dislike their bodies, but success lies in accepting body neutrality and embracing the summer months in your vessel, your body.Practical steps, such as recognizing and reframing negative thoughts, focusing on what you can’t change immediately, and engaging in joyful activities, can foster personal wellness and body neutrality.RESOURCES:BariNation Website BariNation - Email5-steps-Body NeutralityABOUT:If the BariNation podcast helps power your bariatric journey, become a monthly podcast supporter and help us produce the show! Visit www.barinationpodcast.com and help us support people treating the disease of obesity with humor, humility, and honesty.We need your help to keep the BariNation Podcast in production. Your one-time or recurring donations help us ensure this free support remains open to everyone. Click Drive To Thrive - Donation to learn more and give. THANK YOU for your support!  

Have you ever wondered how hormones affect your health and contribute to weight gain, obesity and a host of health conditions? Are you ready to break free from the isolation of obesity and tap into the power of community? Want to feel hopeful, inspired, and empowered on your bariatric journey? Today, we’re joined by Dr. Priya Jaisinghani, a triple-board-certified specialist in internal medicine, endocrinology, and obesity medicine at NYU Grossman School of Medicine, trained at NewYork-Presbyterian Weill Cornell. Dr. Jaisinghani discusses obesity from a holistic perspective, exploring hormonal changes, weight management, and the importance of individualized lifestyle prescriptions to empower your health journey.Tune in, and don’t forget to join the BariNation Community to attend community meetups, watch exclusive bonus content and support the podcast for as little as $5 per month!  You can also contribute to BariNation and become a Drive To Thrive Supporter with a one-time donation.IN THIS EPISODE:(04:51) Dr. Jaisinghani explains her triple board certification in internal medicine, endocrinology, and obesity medicine(12:30) Weight bias, seeking weight management and the importance of choosing providers with obesity medicine expertise(24:29) Hormones and how other life changes are interrelated, impacting emotional, physical, and mental health(30:39) Setting small, achievable lifestyle goals to aid in your bariatric journey(43:15) The body is constantly aging and changing, impacting weight management strategies(48:15) The basic tenets of health and advice that Dr. Jaisinghani gives patients in the BariNation CommunityKEY TAKEAWAYS:Obesity often thrives in isolation and shame. Weight management support groups, such as the BariNation Community and shared experiences reduce stigma, foster empowerment, and make recovery more achievable through community.Hormonal changes, such as menopause, can impact weight loss. Understanding these shifts as natural, rather than personal failure, allows for strategic and guided adjustments to support long-term health.Broad advice can feel overwhelming, but small, personalized goals—like simple exercises or gradual changes—build confidence and create sustainable habits worth celebrating.RESOURCES:BariNation Website Tune in, and don’t forget to join the BariNation community to attend community meetups, watch exclusive bonus content and support the podcast for as low as $5 per month!  You can also contribute to BariNation and become a Drive To Thrive Supporter with a one time donation.BariNation - EmailGUEST RESOURCES:Priya Jaisinghani, MD, DABOM (@priya_jaisinghani)Dr. Priya Jaisinghani - LinkedInBIOGRAPHY: Dr. Priya Jaisinghani is an endocrinologist and obesity medicine specialist, as well as a Clinical Assistant Professor at NYU Grossman School of Medicine, where she brings expertise shaped by her training at NewYork-Presbyterian/Weill Cornell. She plays an active role in the Tristate Obesity Society and Obesity Action Coalition. Her work has been featured in major outlets including ABC News, the Today Show, The New York Times, and The Wall Street Journal.ABOUT:If the BariNation podcast helps power your bariatric journey, become a monthly podcast supporter and help us produce the show! Visit www.barinationpodcast.com and help us support people treating the disease of obesity with humor, humility, and honesty.We need your help to keep the BariNation Podcast in production. Your one-time or recurring donations help us ensure this free support remains open to everyone. Click Drive To Thrive - Donation to learn more and give. THANK YOU for your support!  

Are you ready to confront the shame and stigma surrounding obesity? Want to join a community that empowers your bariatric journey? In this episode, straight from the ASMBS conference in Washington, DC, we unpack the Mason Lecture’s powerful insights on easing shame and stigma in obesity care. We delve into how these barriers hinder treatment, fuel weight regain, and even originate from medical providers, while highlighting how our patient community inspires us to overcome these challenges. Tune in, and don’t forget to join the BariNation Community to attend community meetups, watch exclusive bonus content and support the podcast for as little as $5 per month!  You can also contribute to BariNation and become a Drive To Thrive Supporter with a one-time donation.IN THIS EPISODE:(00:45) The significance of the Mason Lecture and its focus, and how stigma comes from society, family, and medical providers.(02:45) Research shows that shame and stigma can lead to weight recurrence (06:45) Patients are often more stigmatized after choosing obesity treatment(08:00) Emphasis on how peer support and patient community are essential tools for healing and overcoming shame(09:15) Research validates patient experiences with shame and stigma(13:10) Join the BariNation Community to receive the support you deserveKEY TAKEAWAYS:Shame and stigma—especially from medical providers—are significant barriers to obesity treatment. Patients with obesity face both internal and external shame that not only discourages them from seeking care but can also increase the risk of weight regain after treatment. Research shows that a significant portion of this stigma originates from the very healthcare professionals meant to support them.Obesity treatment can ironically increase stigma. Even after choosing medical or surgical intervention, patients often feel greater judgment and isolation, leading many to keep their treatment decisions secret. The societal narrative shifts from blaming people for their weight to blaming them for how they address it, making shame a persistent issue regardless of treatment status. While systemic changes in research, policy, and provider education are crucial, the most immediate and effective support comes from community connection. Sharing experiences with others who understand the journey helps reduce the power of shame, fosters acceptance, and creates a space where patients can truly feel seen and supported.RESOURCES:BariNation Website BariNation - EmailABOUT:If the BariNation podcast helps power your bariatric journey, become a monthly podcast supporter and help us produce the show! Visit www.barinationpodcast.com and help us support people treating the disease of obesity with humor, humility, and honesty.We need your help to keep the BariNation Podcast in production. Your one-time or recurring donations help us ensure this free support remains open to everyone. Click Drive To Thrive - Donation to learn more and give. THANK YOU for your support!  

Are we doing enough to ensure that no one is left behind in the fight against obesity? What if bariatric surgery is not just about weight loss, but about treating a chronic, misunderstood disease?In this episode, we sit down with Dr. Richard Peterson, the newly elected president of the ASMBS, to talk about his mission to No One Left Behind. From his military roots to his passionate advocacy, Dr. Peterson delves deeply into why obesity is considered a disease, how bariatric surgery is a critical form of medical care rather than a cosmetic procedure, and what must change to ensure equitable access, education, and support for all.Tune in, and don’t forget to join the BariNation community to attend community meetups, watch exclusive bonus content and support the podcast for as low as $5 per month!   IN THIS EPISODE:(03:47) Dr. Peterson shares his professional background and the mission of ASMBS(10:40) As president, past initiatives will move forward and the discussion of bias toward obesity(18:01) Dr. Peterson’s mission is a call to action to “No One Left Behind,” which stems from his military background(31:06) Bariatric surgery is not a cosmetic procedure. Obesity is a disease(40:40) The importance of obesity education and why obesity not being associated with a specific organ was a game changer(49:06) Words matter, you aren’t just losing weight, you are fighting obesity(54:55) If you are suffering from obesity, you can get help. The mission is to remove the barriersKEY TAKEAWAYS:Dr. Peterson’s theme is “No One Left Behind," focusing on ensuring access to obesity treatment for all patients, supporting practices, and fostering unity across the bariatric community.Dr. Peterson continues efforts to reduce shame and stigma by educating medical professionals and the public that obesity is a disease, not a personal failing.Initiatives focus on integrating obesity education into medical curricula and advocating for comprehensive treatment access to enhance patient care.RESOURCES:BariNation Website Join the BariNation Membership community meetups to support you on your journey with obesity treatment. https://barination.com/pages/join-our-communityWant to see bonus content? Head over to https://www.patreon.com/BariNationPodcast to get more and support the podcast for as low as $5 per month!    OTHER RESOURCES: BariNation - EmailGUEST RESOURCES:ASMBS - WebsiteDr. Richard Peterson LinkedInUT Health San Antonio BIOGRAPHY: Dr. Peterson serves as the Chief of Bariatric and Metabolic Surgery for UT Health San Antonio and is the medical director of the Christus Weight Loss Institute at Westover Hills.Dr. Peterson is highly active in both clinical and academic aspects of bariatric surgery. He is the current president of the American Society for Metabolic and Bariatric Surgeons (ASMBS), a past president of the Texas Association for Bariatric Surgery (TABS) and has chaired several committees for the American Society for Metabolic and Bariatric Surgery (ASMBS), including the Public Education Committee and the Communications Committee. He moderates and runs the largest online bariatric journal club on Facebook and serves as the Social Media Editor for Surgery for Obesity and Related Diseases (SOARD), the official journal of the American Society for Metabolic and Bariatric Surgery (ASMBS). ABOUT:If the BariNation podcast helps power your bariatric journey, become a monthly podcast supporter and help us produce the show! Visit www.barinationpodcast.com and help us support people treating the disease of obesity with humor, humility, and honesty.We need your help to keep the BariNation Podcast in production. Your one-time or recurring donations help us ensure this free support remains open to everyone. Click Drive To Thrive - Donation to learn more and give. THANK YOU for your support!  

Have you ever wondered what happens when bariatric surgery doesn’t go as planned—or when life throws new challenges your way after weight loss? In this episode, April, Natalie, and Jason openly discuss the realities of obesity, the emotional toll of weight recurrence, and the hope that revisional surgery can bring. Together, they explore how bariatric surgery is not a one-and-done solution, but rather a lifelong medical tool in the treatment of obesity. If you or someone you know is facing the possibility of revisional surgery, this empowering conversation will remind you that you are not alone—and that obesity is a disease, not a personal failure.Tune in, and don’t forget to join the BariNation community to attend community meetups, watch exclusive bonus content and support the podcast for as low as $5 per month!  You can also contribute to BariNation and become a Drive To Thrive Supporter with a one time donation.  IN THIS EPISODE:(00:29) April announces their panel at ASMBS focused on lifting shame and stigma around revisional surgery(01:49) Natalie shares how losing over 150 pounds after revisional surgery transformed her life(05:59) Three ways to reduce the obesity stigma: build trust, offer peer support, and provide ongoing education(09:42) Jason discusses weight recurrence as a valid medical reason for revision KEY TAKEAWAYS:Revisional surgery can be life-changing and profoundly empowering. Both Jason and Natalie shared how overcoming shame and stigma around having a second or third bariatric procedure opened doors to a fuller life, including travel, physical activity, and self-confidence. These benefits came after initial procedures failed, showing that it's never too late to reclaim your health.Shame and stigma remain major barriers to revisional care. Many patients internalize the failure of a previous surgery as personal failure. Still, weight regain or complications are often due to the chronic nature of the disease of obesity, not personal shortcomings. Honest conversations with compassionate practitioners can break through these emotional barriers.Patients need supportive practitioners and community — lifting shame and stigma takes a team. Surgeons who listen, educate, and normalize revisional options play a crucial role in patient success, and platforms like BariNation help amplify those voices.RESOURCES:BariNation Website Don’t forget to join the BariNation community to attend community meetups, watch exclusive bonus content and support the podcast for as low as $5 per month!  You can also contribute to BariNation and become a Drive To Thrive Supporter with a one time donation. BariNation - EmailASMBS - WebsiteABOUT:If the BariNation podcast helps power your bariatric journey, become a monthly podcast supporter and help us produce the show! Visit www.barinationpodcast.com and help us support people treating the disease of obesity with humor, humility, and honesty.We need your help to keep the BariNation Podcast in production. Your one-time or recurring donations help us ensure this free support remains open to everyone. Click Drive To Thrive - Donation to learn more and give. THANK YOU for your support!  

What if bariatric patients could shift the narrative around obesity from shame and blame to biology and treatment? Today, Dr. Ann Rogers, the current president of the ASMBS, joins us again to help us break down the stigma of obesity, challenge outdated measures like BMI, and openly discuss the truth: obesity is a disease, not a personal failure. This episode is your call to action—start the process, seek support, and share your story to empower others on their journey.Tune in, and don’t forget to join the BariNation community to attend community meetups, watch exclusive bonus content and support the podcast for as low as $5 per month!    IN THIS EPISODE:(02:42) Dr. Rogers shares her background and discusses the mission of ending the stigma of obesity(04:06) Past ASMBS President Dr. LaMasters believes everyone is deserving of treatment(07:01) Is obesity a disease, and takeaways from the Obesity Summit(12:02) Dr. Rogers references President elect Dr. Richard Peterson comments about there being essentially no training on obesity in medical school(17:25) Getting beyond the concept of BMI and other associated medical problems(31:48) It is essential to educate yourself about the disease of obesity and the ramifications that are not weight-related(35:50) Stick with it, be your advocate, make the appointment with a provider and share your storyKEY TAKEAWAYS:Obesity is a complex, chronic condition that warrants medical treatment, yet stigma remains a significant barrier to care. Many still view obesity as the result of poor personal choices rather than understanding the biological, psychological, and societal factors involved. Improving obesity care requires collaboration among healthcare providers across specialties, including surgery, primary care, endocrinology, and more. Unified efforts are needed to enhance education, expand access to care, and prioritize compassionate communication. BMI alone does not accurately capture an individual’s health status. Alternative diagnostic tools—such as waist circumference, DEXA scans, and assessments of visceral fat—offer a more complete picture. These methods aim to identify obesity-related health risks better and move away from outdated, one-size-fits-all metrics.RESOURCES:BariNation Website Join the BariNation Membership community meetups to support you on your journey with obesity treatment. https://barination.com/pages/join-our-communityWant to see bonus content? Head over to the BariNation community to get more and support the podcast for as low as $5 per month!    OTHER RESOURCES: BariNation - EmailGUEST RESOURCES:Ep 234 - ASMBS President Dr. Ann Rogers Has a Mission: Ending Stigma and Shame in Obesity and Bariatric Treatment Ep. 250 - Individualized & Innovative Approaches to Diagnosing and Treating Obesity ASMBS - WebsiteDr. Ann Rogers - EmailThe Lancet Diabetes & Endocrinology Commission ReportBIOGRAPHY: Dr. Rogers is the Director of the Penn State Health Surgical Weight Loss Programs. She is currently serving as the President of the American Society for Metabolic and Bariatric Surgery  (ASMBS), with her term concluding in June 2025 at the National ASMBS Conference in Washington, D.C.ASMBS MISSION: To enhance the well-being of individuals affected by obesity and associated illnesses through the progression of metabolic and bariatric surgical techniques and other medical interventions.ABOUT:If the BariNation podcast helps power your bariatric journey, become a monthly podcast supporter and help us produce the show! Visit www.barinationpodcast.com and help us support people treating the disease of obesity with humor, humility, and honesty.We need your help to keep the BariNation Podcast in production. Your one-time or recurring donations help us ensure this free support remains open to everyone. Click Drive To Thrive - Donation to learn more and give. THANK YOU for your support!  

Are you still relying on the scale to measure your health? Have you ever wondered what your body is made of?Today, we’re exploring a topic that’s revolutionizing the way we approach weight loss, fitness, and long-term health: body composition. What is it? Why does it matter? And where do we even begin?Dr. Nina Crowley, a clinical expert in bariatric care and weight management, discusses what body composition reveals, beyond just the pounds on a scale. She explains how bioimpedance technology works, why BMI isn't the whole story, and how understanding your muscle mass and fat mass can completely change your approach to health.Whether you’re newly post-op, years into your journey, or just getting curious about what’s under the surface, this conversation is for you.IN THIS EPISODE:(01:01) Dr. Crowley shares her professional bariatric and weight loss background(03:12) Discussion of body composition, muscle mass, and fat mass and bioimpedance technology and analysis explained(09:15) Why it is critical to know your body composition and the limitations of using BMI as a health metric (13:30) Why some providers hesitate to use body composition tools and how to overcome those barriers.(17:58) Dr. Crowley shares how to work toward your goals once you have the dataKEY TAKEAWAYS:Dr. Nina Crowley emphasizes that traditional weight measurements, such as stepping on a scale, only tell part of the story. Body composition analysis reveals what the body is made of—primarily fat mass versus fat-free mass (including muscle, bone, and water). This deeper understanding enables patients to make more informed decisions about their health and wellness, particularly during the aging process or following bariatric surgery.Crowley explains how bioimpedance analysis offers quick, reliable, and clinically validated results on fat and muscle mass by sending a low electrical current through the body. It provides a point-of-care tool for clinicians and patients to receive meaningful data in under a minute, enabling more effective, real-time conversations about health goals.Understanding internal health drives better lifestyle choices. This data empowers individuals to focus more on nutrition, movement, and aging-related health concerns, rather than obsessing over a single number on the scale.RESOURCES:BariNation Website Join the BariNation Membership community meetups to support you on your journey with obesity treatment. https://barination.com/pages/join-our-communityWant to see bonus content? Head over to https://www.patreon.com/BariNationPodcast to get more and support the podcast for as low as $5 per month!    OTHER RESOURCES: BariNation - EmailGUEST RESOURCES:Dr. Nina Crowley LinkedInseca websiteBeyond BMI: Understanding Body Composition & Obesity YouTube Videohttps://secambca.com/ask-your-provider-to-offer-body-composition-analysis/https://www.obesityaction.org/resources/all-about-body-composition/BIOGRAPHY: Nina Crowley, PhD, RD, is a nationally recognized expert in obesity care and a longtime advocate for patient-centered communication and access to treatment. She began her career as a bariatric dietitian and led the Metabolic and Bariatric Surgery Program at the Medical University of South Carolina. Nina now serves as Director of Clinical Education and Partnerships at seca. She sits on the Board of Directors for the Obesity Action Coalition, advancing education, advocacy, and the use of body composition to support individualized care beyond the scale.ABOUT:If the BariNation podcast helps power your bariatric journey, become a monthly podcast supporter and help us produce the show! Visit www.barinationpodcast.com and help us support people treating the disease of obesity with humor, humility, and honesty.We need your help to keep the BariNation Podcast in production. Your one-time or recurring donations help us ensure this free support remains open to everyone. Click Drive To Thrive - Donation to learn more and give. THANK YOU for your support!  

Have you ever wondered if you're getting the correct diagnosis regarding your weight?What if the number on the scale or your BMI doesn’t tell the whole story about your health?In this episode, we sit down with Dr. Jaime Ponce, President and Medical Director of the Weight Loss Center of Chattanooga, for a powerful and eye-opening conversation about how obesity is diagnosed, why BMI is outdated, and how we can approach treatment more effectively and compassionately.We talk through how obesity is a complex, chronic disease—not just a matter of willpower or size—and how you can be overweight without technically having a diagnosis of obesity. But here’s the truth: excess weight can still impact your health. It’s not something to brush off or wait to treat. Dr. Ponce explains that conditions like preclinical obesity—when the damage is starting even before a formal diagnosis—can be just as serious and deserve clinical attention. If you’ve tried to lose weight for years or decades with no lasting success, you’ll walk away from this episode with one clear message: this is not your fault, and more effective and personalized treatment options exist. Let this conversation be the start of your transformation.IN THIS EPISODE:(00:00) Opening and introduction(00:55) Dr. Ponce shares his professional journey and discusses obesity rates worldwide(08:32) Discussion of the disease called obesity, and BMI is not a good indicator of obesity(15:01) Identifying obesity, overweight, and preclinical obesity(25:21) Quality of life is a part of clinical obesity, and a thorough evaluation with your doctor(37:20) The healthcare system doesn’t recognize obesity for what it is(39:53) Time to spread the word—bariatric surgery changes lives.(49:30) Dr. Ponce advises anyone considering bariatric surgeryKEY TAKEAWAYS:You don’t need an official obesity diagnosis to take excess weight seriously—any amount can affect your health, even as outdated views still delay proper treatment.Obesity is a complex, individualized disease that requires tailored treatment approaches — not every person with obesity has the same internal damage or health risks.Managing obesity is a lifelong process, not a one-time fix — even after initial success with surgery or medication, the disease can persist or recur.Stigma and fear often keep people from seeking obesity treatment, but real patient stories are powerful tools to raise awareness and break down those barriers.RESOURCES:BariNation Website Join the BariNation Membership community meetups to support you on your journey with obesity treatment. https://barination.com/pages/join-our-communityWant to see bonus content? Head over to https://www.patreon.com/BariNationPodcast to get more and support the podcast for as low as $5 per month!    OTHER RESOURCES: Patient Case Study Graphic 1Patient Case Study Graphic 2BariNation - EmailGUEST RESOURCES:Jaime Ponce MD (@JaimePonceMD) / XJaime Ponce, MD - President - Weight Loss Center of Chattanooga PLLC | LinkedInDr. Jaime Ponce - InstagramDr. Jaime Ponce - FacebookAmerican Society for Metabolic and Bariatric SurgeryObesity Action CoalitionWeight Loss Center of ChattanoogaBIOGRAPHY: Dr. Jaime PoncePast-President of the ASMBS (2012-2013), honored with the Outstanding Lifetime Achievement Award (2023), now President and Medical Director of the Weight Loss Center of Chattanooga ABOUT:If the BariNation podcast helps power your bariatric journey, become a monthly podcast supporter and help us produce the show! Visit www.barinationpodcast.com and help us support people treating the disease of obesity with humor, humility, and honesty.We need your help to keep the BariNation Podcast in production. Your one-time or recurring donations help us ensure this free support remains open to everyone. Click Drive To Thrive - Donation to learn more and give. THANK YOU for your support!  

Have you ever wondered if eating just 1200 calories a day could be the key to success after bariatric surgery? In this episode, we dive into this burning question with our guest, Kayla Girgen, a Registered Dietitian and Certified Personal Trainer. Join us as we explore the truth behind obesity management and calorie-restricted diets. Kayla tackles whether 1,200 calories a day is sustainable for bariatric patients, and we break down the science of calories, energy, and resting metabolic rate, revealing how your body uses fuel. She also uncovers the hidden dangers of diets that are too calorie-restricted, from mental strain to metabolic slowdowns. Finally, we discuss whether the marketing of packaged foods misleads us into thinking we’re eating healthy. With the support of our BariNation Community, this episode debunks calorie myths, empowers you with personalized nutrition strategies, and highlights the mental and physical impacts of low-calorie diets. IN THIS EPISODE:(00:00) Opening and introduction(01:13) Kayla answers the big question: Can I just eat 1,200 calories a day for the rest of my life and be successful?(03:38) Discussion of calories, energy and resting metabolic rate(06:39) Kayla talks about the dangers of a diet that is too calorie-restricted(08:54) Does marketing of packaged foods mislead the consumer to believe they are eating healthy in their journey of obesity management(09:59) Kayla advises where to start to determine the correct amount of calories for youKEY TAKEAWAYS:A 1,200-calorie restricted diet approach often fails. Kayla offers insights into how the body’s metabolism and the disease of obesity complicate calorie management, making it a must-listen for anyone navigating post-surgery nutrition.There are practical ways to manage obesity, like focusing on protein to curb hunger and using tools like resting metabolic rate testing to understand and meet unique caloric needs. The episode provides actionable steps to combat the disease of obesity effectively.Extreme calorie restriction has hidden dangers, from mental stress and grazing habits to metabolic slowdowns that can stall weight loss. This episode offers a balanced perspective on achieving sustainable health.RESOURCES:BariNation Website Join the BariNation Membership community meetups to support you on your journey with obesity treatment. https://barination.com/pages/join-our-communityWant to see bonus content? Head over to https://www.patreon.com/BariNationPodcast to get more and support the podcast for as low as $5 per month!    GUEST RESOURCES:Ep. 225 - Slider Foods and Blood Sugar: Managing the Roller Coaster Effect with Kayla GirgenKayla Girgen - InstagramKayla Girgen - WebsiteBIOGRAPHY: Kayla Girgen is a Registered Dietitian and Certified Personal Trainer determined to help women stop dieting, ditch all-or-nothing thinking, and develop healthy habits for life. With technology like CGM, Kayla shows women how to balance their blood sugar and maximize their tool for sustainable success after bariatric surgery. ABOUT:If the BariNation podcast helps power your bariatric journey, become a monthly podcast supporter and help us produce the show! Visit www.barinationpodcast.com and help us support people treating the disease of obesity with humor, humility, and honesty.We need your help to keep the BariNation Podcast in production. Your one-time or recurring donations help us ensure this free support remains open to everyone. Click Drive To Thrive - Donation to learn more and give. THANK YOU for your support!  

Have you ever wondered if you're truly ready—mentally and emotionally—for bariatric surgery? Or how much support matters throughout your bariatric journey?In this episode of the BariNation Podcast, we talk with Dr. Kati Duncan, a licensed psychologist and owner of Assessment & Therapy Associates (ATA). We explore how the pre-op evaluation is a tool for success, not a barrier, and why working with a therapist who understands bariatric life makes all the difference. We also dive into emotional prep, connection, and the decisive shift when the physical and emotional weight is finally lifted.IN THIS EPISODE:(00:00) Opening and introduction(01:39) Discussion of working with therapists who see bariatrics from a patient's perspective and discounted benefits for members of the BariNation Community(07:11) Insurance companies' requirements and being mentally ready for the bariatric journey(15:05) Preparing for pre-op and post-op surgery and bariatric life(23:16) Disaster planning and writing a letter to yourself before surgery(35:13) Natalie explains how she approached the period before her last surgery(41:04) The power of faith in believing bariatric surgery will work(46:47) Dr. Kati predicts the future of the bariatric space and leaves parting words for listenersKEY TAKEAWAYS:The pre-surgical psychological evaluation isn’t a barrier—it’s a support tool designed to ensure patients are mentally and emotionally prepared for surgery and long-term success. When paired with a therapist who specializes in bariatrics, the guidance becomes even more impactful, offering relevant support rooted in a deep understanding of obesity and disordered eating.Connection is a biological necessity, not a luxury—and in the bariatric journey, preparing with self-compassion and surrounding yourself with people who truly understand can be just as vital to healing as the bariatric surgery itself.Obesity quietly consumes emotional and physical energy, often unnoticed until that weight is lifted. After surgery, many experience a profound peace and clarity, realizing how much space the constant struggle had occupied. Support groups and shared vulnerability play a vital role in recovery, offering a safe space to receive and eventually give back, creating a powerful healing cycle.Dr. Duncan commends Dr. Ann Rogers, President of the ASMBS, for prioritizing reducing stigma and improving access to obesity care during her presidency. There's a hopeful shift in how obesity is discussed—as a disease rather than a personal failing—encouraging more people to seek treatment. Finally, the Access to Care Committee, is dedicated to  making sure that every patient has access to obesity care.RESOURCES:BariNation Website Join the BariNation Membership community meetups to support you on your journey with obesity treatment. https://barination.com/pages/join-our-communityWant to see bonus content? Head over to https://www.patreon.com/BariNationPodcast to get more and support the podcast for as low as $5 per month!    OTHER RESOURCES: ATA Bariatrics and BariNation have teamed up to ensure you never walk this bariatric journey alone. Both organizations aim to connect patients with the education, tools, and resources needed to find and maintain personal wellness along their journey. Check out the link below!Practice Partnership | ATA Bariatrics and BariNationGUEST RESOURCES:Assessment & Therapy Associates - InstagramAssessment & Therapy Associates - WebsiteASMBS WebsiteAccess to Care CommitteeBIOGRAPHY: Dr. Kati DuncanI have worked with bariatric patients for over 20 years and truly love my work. I own ATA Bariatrics, a practice with 18 specialized providers dedicated to supporting patients through every stage of the bariatric journey. I’m excited to be part of the BariNation community and to continue helping patients thrive!ABOUT:If the BariNation podcast helps power your bariatric journey, become a monthly podcast supporter and help us produce the show! Visit www.barinationpodcast.com and help us support people treating the disease of obesity with humor, humility, and honesty.We need your help to keep the BariNation Podcast in production. Your one-time or recurring donations help us ensure this free support remains open to everyone. Click Drive To Thrive - Donation to learn more and give. THANK YOU for your support! Bariatric Surgery, Bariatric Journey, Bariatric Life, Weight Loss, Obesity, BariNation Community, BariNation Community Support, Bariatric Diet, NSVs, GLP-1, VSG, Vertical Sleeve Gastrectomy, LapBand, Roux-en-Y, Gastric Bypass, SADI-S, Mental Health, Emotional Wellness, Therapy Support, ASMBS, American Society of Metabolic and Bariatric Surgeons, Access to Care

Could bariatric surgery change your life? Do you wish you had a community to support you on your weight loss journey? On today’s episode of the BariNation podcast, we’re honored to introduce you to Dr. Sachin Kukreja, a new BariNation practice partner and the director of DFW Bariatrics and General Surgery. Dr. Kukreja shares how he discovered the life-changing power of bariatric surgery, explains why he believes obesity is a disease that deserves long-term care, and discusses the importance of finding support through the BariNation Community.Click the link to keep connecting and learning from Dr. Kukreja in the BariNation Membership Community! https://bit.ly/DFWBariNationIN THIS EPISODE:(00:00) Opening and introduction(01:00) Dr. Kukreja shares his professional journey(03:00) Dr. Kukreja admits that he fell in love with bariatric surgery because of how it transformed his patients on their weight loss journey(07:57) Dr. Kukreja explains that obesity is a disease with no cure(09:05) Dr. Kukreja shares his excitement for becoming a partner with BariNation(12:13) Keep the conversation going by using the tools provided by the BariNation Community KEY TAKEAWAYS:Dr. Sachin Kukreja emphasizes a highly individualized approach to bariatric care, recognizing obesity as a chronic, multifactorial disease that requires long-term relationships and tailored treatment plans, not one-size-fits-all solutions.Dr. Kukreja didn’t initially set out to become a bariatric surgeon but discovered its life-changing potential through experience. He now finds joy in helping patients “reverse the clock” and transform their health and lives.Dr. Kukreja views BariNation as a crucial extension of his practice. It offers patients consistent, safe, and specialized support beyond what a surgical team can provide alone, highlighting the importance of community in long-term success.RESOURCES:BariNation Website Join the BariNation Membership community meetups to support you on your journey with obesity treatment. https://barination.com/pages/join-our-communityWant to see bonus content? Head over to https://www.patreon.com/BariNationPodcast to get more and support the podcast for as low as $5 per month!    OTHER RESOURCES: Click the link to keep connecting and learning from Dr. Kukreja in the BariNation Membership Community! https://bit.ly/DFWBariNationGUEST RESOURCES:DFW Bariatrics and General SurgeryDFW Bariatrics Store - Hand-Picked for Weight Loss PatientsDr. Kukreja - LinkedInBIOGRAPHY: Dr. Kukreja is proud to direct DFW Bariatrics and General Surgery. He truly loves the art and challenges of General and Bariatric surgery. Being Board-certified in Obesity Medicine and Fellowship Trained in Minimally Invasive and Bariatric Surgery, he offers comprehensive obesity care from medications and diet counseling, to non-surgical solutions, to the full range of surgical options – all through small (or no incisions) for a faster recovery. As a testament to his expertise and reputation in the Dallas-Fort Worth region, Dr Kukreja has been recognized by the D Magazine as the Best Doctor for the 7th consecutive year in 2024!ABOUT:If the BariNation podcast helps power your bariatric journey, become a monthly podcast supporter and help us produce the show! Visit www.barinationpodcast.com and help us support people treating the disease of obesity with humor, humility, and honesty.We need your help to keep the BariNation Podcast in production. Your one-time or recurring donations help us ensure this free support remains open to everyone. Click Drive To Thrive - Donation to learn more and give. THANK YOU for your support!  

Are you struggling to see obesity as more than a number on the scale? Do you wonder why shame and stigma still dominate the conversation around bariatric surgery? In this episode, we explore the truth about obesity as a chronic disease and how we can shift the narrative to one of compassion, education, and long-term support. Our guest, Carah Horn, brings her clinical expertise and lived experience to the table in an eye-opening and empowering conversation. We talk about the outdated perceptions surrounding bariatric surgery, the crisis in obesity care, and why finding the right provider makes all the difference. Carah shares powerful analogies—like her “lawn care” metaphor—to help us understand why long-term maintenance and ongoing support matter. She also explains the dangers of anti-obesity medications without proper oversight and how the BariNation Community provides a unique space for education, encouragement, and behavior change. Whether you are post-op, pre-op, or still considering surgery, this episode will leave you feeling seen, supported, and more equipped for the road ahead.IN THIS EPISODE:(00:00) Introduction and opening(01:24) Carah shares her professional background in obesity disease and bariatric surgery(12:19) The narrative surrounding obesity needs to change, and finding the correct doctor(19:14) Carah speaks to the crisis of care, anti-obesity medications and comorbid conditions(33:03) Each patient is different, and she encourages going back to your surgeon when health changes occur(39:31) Carah shares the word picture she tells her patients(56:12) Making your bariatric journey positive rather than negative and using the tools provided by the BariNation Community KEY TAKEAWAYS:Obesity is a complex, chronic disease affecting every aspect of a person’s life—physical, emotional, and social. It should be promoted as a legitimate medical condition that requires real treatment. Unfortunately, shame and stigma surrounding obesity prevent many people from seeking treatment. Treating obesity is about improving health, not appearance. Viewing it through the lens of disease management—similar to diabetes or cancer—can help shift public perception and lead to better care. Medications and surgery are tools to treat the underlying condition, not just to achieve a certain weight.The lack of long-term support and education around obesity medications is dangerous. When prescribed without proper medical oversight or behavioral support, these medications can lead to serious health risks. Without a comprehensive program—including nutrition guidance, mental health care, and consistent follow-up—patients are more likely to misuse medications, relapse, or face complications, especially if access to treatment is suddenly lost.RESOURCES:BariNation Website Join the BariNation Membership community meetups to support you on your journey with obesity treatment. https://barination.com/pages/join-our-communityWant to see bonus content? Head over to https://www.patreon.com/BariNationPodcast to get more and support the podcast for as low as $5 per month!    GUEST RESOURCES:Carah Horn - LinkedInBIOGRAPHY: MBA-HCA, BSN, RN, CBN, FASMBS-IHCarah is a clinician who is passionate about engagement. She believes that change and best practices happen in the community. She is active at the local, state, and national levels of obesity treatment and advocacy, as well as an Integrated Health Star in Florida for the American Society of Metabolic and Bariatric Surgeons (ASMBS). She has four daughters and five grandsons and loves fitness and learning! 1 Corinthians 10:31—So whether you eat or drink, or whatever you do, do it all for the glory of God. ABOUT:If the BariNation podcast helps power your bariatric journey, become a monthly podcast supporter and help us produce the show! Visit www.barinationpodcast.com and help us support people treating the disease of obesity with humor, humility, and honesty.We need your help to keep the BariNation Podcast in production. Your one-time or recurring donations help us ensure this free support remains open to everyone. Click Drive To Thrive - Donation to learn more and give. THANK YOU for your support!  

Have you ever felt like no one truly understands what you're going through on your bariatric journey? What if the missing piece to your success isn’t more willpower but an actual, supportive community that gets it?In this episode, a familiar face and voice to the BariNation Podcast, licensed therapist and obesity medicine coach Lora Grabow, joins us as we celebrate the fourth anniversary of our first podcast together and reflect on just how far we’ve come. Lora shares her connection to BariNation, and we dive deep into the power of live, professional-led support groups. These groups are more than just a place to talk—they’re where we learn how to practice life after bariatric surgery. From navigating emotional eating to building confidence in maintenance, this episode reminds us that community isn’t a bonus—it’s part of the treatment. Plus, don’t miss an exciting announcement about how you can qualify for a discounted membership to the BariNation Community.IN THIS EPISODE:(00:00) Opening and intoduction(00:36) April and Lora talk about the fourth anniversary of their first podcast(01:52) Lora shares her story of connection to BariNation(03:26) April discusses the different support groups  (05:12) Lora explains the importance of community after bariatric surgery (11:12) April announces that if you work with Lora, you are eligible for a discounted membership(14:11) Visit BariNation Community to join a group of patients that will empower your wellness journey KEY TAKEAWAYS: Bariatric patients thrive when they’re surrounded by others who understand the journey. While individual therapy and medical advice are crucial, nothing compares to the support, empathy, and shared experience of being in a live, safe, and emotionally supportive group setting. Community is not just helpful—it’s treatment.Support groups led by experienced professionals offer patients a unique space to work through challenges, celebrate wins, and practice emotional growth in real time. These groups go beyond general advice—they allow members to “practice the how” of bariatric life by engaging with peers and receiving expert feedback when needed.Much of the support offered focuses on the key transitional points in the bariatric journey: pre-op, post-op, maintenance, emotional eating, and everything in between. ​RESOURCES:BariNation Website Join the BariNation Membership community meetups to support you on your journey with obesity treatment. https://barination.com/pages/join-our-communityWant to see bonus content? Head over to https://www.patreon.com/BariNationPodcast to get more and support the podcast for as low as $5 per month!    GUEST RESOURCES:Lora Grabow, LMSW -Website Lora Grabow, LMSW - InstagramLora Grabow, LMSW - FacebookBIOGRAPHY: Lora Grabow, LMSW, is an obesity medicine therapist, coach, and professional speaker with over 20 years of experience working with obesity medicine patients. Lora helps patients discover the missing piece of their treatment plan: A piece she calls Headwork™. She owns a thriving private practice, which serves patients affected by the disease of obesity. Her expertise includes providing individual therapy and 1:1 coaching, facilitating support groups, and engaging patients in her online course, Foundations in Headwork for Healthy Weight Loss. She is an active leader of the American Society for Metabolic and Bariatric Surgery. (ASMBS) She is a sought-after podcast guest and speaker at national provider and patient obesity medicine conferences.  ABOUT:If the BariNation podcast helps power your bariatric journey, become a monthly podcast supporter and help us produce the show! Visit www.barinationpodcast.com and help us support people treating the disease of obesity with humor, humility, and honesty.We need your help to keep the BariNation Podcast in production. Your one-time or recurring donations help us ensure this free support remains open to everyone. Click Drive To Thrive - Donation to learn more and give. THANK YOU for your support!  

Have you ever wondered what it takes to truly embrace movement as a lifestyle, not just an obligation? In this episode of BariNation, April speaks with longtime bariatric friend, Casey Kilduff, whose journey as a runner is nothing short of inspiring. Casey opens up about the determination it took to run after bariatric surgery, how she had to adapt her training and nutrition to fit her new body, and why movement—no matter what form it takes—is deeply personal. They talk about consistency, finding joy in the process, and ditching the judgment that often comes with fitness. Whether you are just starting your movement journey or looking for motivation to keep going, Casey’s story proves that small steps lead to incredible transformations. Tune in for an inspiring story of determination in a no-judgment zone, and check out the BariNation Community to discover the resources we provide.IN THIS EPISODE:(00:00) Opening and BariNation community(01:13) April introduces Casey, and they talk about their long-lasting friendship(03:34) Casey discusses training for a marathon after bariatric surgery(13:36) Consistency and taking baby steps toward your bariatric fitness goals(17:24) Using a chalkboard to track and motivate and finding the movement right for you(25:11) Tweaking movement for the bariatric lifestyle and removing the judgment(37:23) Casey creates her life around running and talks about listening to a positive voice(43:13) Visit BariNation to join a community of resources that will empower your wellness journey KEY TAKEAWAYS:​Transitioning from an active lifestyle before surgery to becoming a dedicated long-distance runner illustrates how movement is a deeply personal and evolving journey. Beginning with small steps—walking and participating in fun runs—and gradually progressing to half marathons and eventually a full marathon demonstrates that there's no one-size-fits-all approach to fitness; it's about discovering what brings joy and motivation. Movement should be a sustainable and enjoyable part of life rather than something dictated by rigid expectations. Fitness, particularly in the bariatric community, should not be defined by pace, performance, or external benchmarks but by personal growth, participation, and joy.Casey discusses the unique challenges bariatric patients face when training and fueling their bodies compared to non-bariatric athletes. She underscores the value of working with professionals who understand these needs and adjusting expectations to fit one's body and abilities.RESOURCES:BariNation Website Join the BariNation Membership community meetups to support you on your journey with obesity treatment. https://barination.com/pages/join-our-communityWant to see bonus content? Head over to https://www.patreon.com/BariNationPodcast to get more and support the podcast for as low as $5 per month!    GUEST RESOURCES:Casey Kilduff - InstagramBIOGRAPHY: I had Vertical Sleeve Gastrectomy surgery in March of 2021 and lost half my body weight. In December of 2023 I had revisional surgery to Roux n Y RNY due to severe GERD and a hiatal hernia. Movement has been my biggest growth point post op. My favorite thing to do is spend time with my sweet old lady rescue dog, Olive.ABOUT:If the BariNation podcast helps power your bariatric journey, become a monthly podcast supporter and help us produce the show! Visit www.barinationpodcast.com and help us support people treating the disease of obesity with humor, humility, and honesty.We need your help to keep the BariNation Podcast in production. Your one-time or recurring donations help us ensure this free support remains open to everyone. Click Drive To Thrive - Donation to learn more and give. THANK YOU for your support!  

What if just a few minutes each day could transform your wellness journey? In this episode, we dive into the impact of the 100-Day Pillars Challenge and how BariNation members embraced the four key pillars—movement, mindset, metabolic wellness, and community. The members share their takeaways, from small daily habits that created lasting change to the surprising insights that reshaped their approach to health. Whether learning about gut health, rethinking nutrition, or finding sustainable ways to stay engaged, this challenge proved that progress isn’t about perfection but consistency. Tune in for an inspiring discussion, and check out the BariNation Community to discover how the community can aid you on your bariatric journey.IN THIS EPISODE:(00:00) Opening and introduction(00:29) BariNation members discuss what they took away from the 100-Day Pillar Challenge(03:22) BariNation members discuss why they started the challenge(06:11) The revelations that were learned on the challenge(12:40) What aspects of the 100-Day Pillar Challenge will be a part of their continued journey?(18:51) Visit BariNation to join a community of resources that will empower your wellness journey KEY TAKEAWAYS:The 100-Day Pillars Challenge aimed to deliver small, digestible knowledge each morning, offering quick insights on key wellness pillars. These micro-learnings, ranging from one to five minutes, provided a daily boost of wisdom while encouraging deeper exploration through linked research and articles. The challenge helped participants push past the typical short-term engagement of most challenges and commit to a long-term exploration of movement, mindset, metabolic wellness, and community. The challenge encouraged members to embrace what worked for them rather than feeling pressured to do everything perfectly. Christine highlighted how she engaged with daily readings without necessarily journaling, and Cece found value in bookmarking resources for ongoing learning.A significant insight for many participants was the impact of gut health on emotions and overall well-being. Learning about ultra-processed foods and tools like the Nova app will shift perspectives on nutrition and metabolic wellness.RESOURCES:BariNation Website Join the BariNation Membership community meetups to support you on your journey with obesity treatment. https://barination.com/pages/join-our-communityWant to see bonus content? Head over to https://www.patreon.com/BariNationPodcast to get more and support the podcast for as low as $5 per month!    GUEST RESOURCES:@geriatricbariatric@cmbknyBIOGRAPHY: Christine MasonChristine Mason had Bariatric surgery in January 2021, once she fully realized that her metabolic disorder was not something she could control with restrictive dieting and excessive exercise. She joined the BariNation Membership Community in its early days and has attended at least one support group a week for 3 years and plans on keeping that commitment to herself going. In addition to running two Strategy, Marketing and Media consultancies, she also serves as the Chief Operating Officer of BariNation.Cecilia RouleauCece from NH. Lap Band 2009 to RNY March of 2023. Found BariNation listening to the Podcast. Been a member for 2 years and loving it!Cherilyn WalkerI am an energetic wife, mother, roller coaster junkie , high school assistant principal and casting director who decided to ditch the diets and really honor my body by having VSG in November 2022. I've lost 112 lbs and am loving learning how to take good care of myself.ABOUT:If the BariNation podcast helps power your bariatric journey, become a monthly podcast supporter and help us produce the show! Visit www.barinationpodcast.com and help us support people treating the disease of obesity with humor, humility, and honesty.We need your help to keep the BariNation Podcast in production. Your one-time or recurring donations help us ensure this free support remains open to everyone. Click Drive To Thrive - Donation to learn more and give. THANK YOU for your support!  

If you’ve ever wondered how to make a real impact in the fight for obesity care and bariatric surgery access, this episode is for you. We are thrilled to host Dr. Renee Hilton to explore the power of bariatric surgery advocacy—what it takes to push for policy change, how mentorship plays a critical role, and why patient stories are the key to breaking down the stigma surrounding obesity. From the challenges of insurance coverage to the growing conversation around GLP-1 medications, this discussion sheds light on the hurdles and opportunities in bariatric surgery advocacy. Join us to learn how you can be part of the movement for change.IN THIS EPISODE:(00:00) Opening and intro(01:37) Dr. Hilton shares her professional journey and why she is passionate about advocacy(07:12) Access to care and pursuing advocacy for bariatric surgery in Georgia(19:19) Patient's stories make a difference, the stigma surrounding the surgery, and the percentage of people needing the surgery is extremely high(28:15) The number on the scale is not as crucial as the comorbidities and how to get involved in advocacy(36:22) Insurance companies make obese patients jump through hoops(43:15) GLP-1 medications and discussion of who pays for the care neededKEY TAKEAWAYS:Successful advocacy requires more than passion—it demands mentorship, strategy, and collaboration. Learning from experts and leveraging resources like ASMBS is key to driving policy change.The impact of patient stories on policymakers is substantial. These stories demystify the bariatric surgical procedure, make it relatable, and help to break down the stigma surrounding it.Despite widespread insurance coverage for bariatric surgery, utilization rates remain low. This discrepancy underscores the significant role of stigma in preventing individuals from seeking necessary treatment. While advocacy for obesity treatment is evolving and gaining recognition, the need to demonstrate a clear return on investment (ROI) remains a significant challenge. RESOURCES:BariNation Website Join the BariNation Membership community meetups to support you on your journey with obesity treatment. https://barination.com/pages/join-our-communityWant to see bonus content? Head over to https://www.patreon.com/BariNationPodcast to get more and support the podcast for as low as $5 per month!    GUEST RESOURCES:Renee Hilton, M.D. - FacebookRenee Hilton, M.D - InstagramAugusta University - WebsiteRenee Hilton, M.D. - XBIOGRAPHY: Dr. L. Renee Hilton-Rowe is an Associate Professor at the Medical College of Georgia at Augusta University Medical Center and serves as the Section Chief of Minimally Invasive Surgery and the Director of the Center of Obesity and Metabolism. She is the past ASMBS State Access to Care Representative for the state of Georgia and is currently serving as the immediate past president of the Georgia ASMBS state chapter. She is the Access to Care Committee Chair for ASMBS. ABOUT:If the BariNation podcast helps power your bariatric journey, become a monthly podcast supporter and help us produce the show! Visit www.barinationpodcast.com and help us support people treating the disease of obesity with humor, humility, and honesty.We need your help to keep the BariNation Podcast in production. Your one-time or recurring donations help us ensure this free support remains open to everyone. Click Drive To Thrive - Donation to learn more and give. THANK YOU for your support! 

Have you ever felt your body isn’t keeping up with your favorite workouts? Movement must evolve as we recover from injury, or are getting started with a movement routine; finding the proper exercise can make all the difference.In this episode, we dive into the journey of adapting fitness routines to support long-term health. Our guest, Melanie Lindell, shares what she’s learned about movement—specifically how swimming can be a powerful, whole body workout that strengthens the body and provides a multitude of wellness benefits while protecting the joints. She discusses the importance of embracing new forms of exercise, trusting expert guidance, and allowing movement to evolve. Today’s inspiring podcast is just a preview—be sure to listen or watch the full episode exclusively on the BariNation Community to discover how minor adjustments can lead to lifelong wellness.IN THIS EPISODE:(00:00) Opening and intro(01:29) Melanie’s story of pivoting her movement and fitness journey (05:11) Looking at swimming through a different lens and the safety it provides(08:57) Accepting current body image and trying something new(10:25) Choosing swimming as a lifelong fitness routineKEY TAKEAWAYS:As the body changes, certain forms of exercise may no longer be sustainable. Exploring alternatives like swimming can provide long-term support for joint health and overall mobility.Swimming offers a full-body workout that enhances cardiovascular health, reduces stress, and minimizes the risk of injury. Its accessibility across all fitness levels makes it a valuable form of movement.Embracing new fitness routines requires a willingness to adapt and learn. Investing in proper techniques and trusting expert guidance can lead to long-term success and enjoyment in physical activity.. RESOURCES:BariNation Website Join the BariNation Membership community meetups to support you on your journey with obesity treatment. https://barination.com/pages/join-our-communityWant to see bonus content? Head over to https://www.patreon.com/BariNationPodcast to get more and support the podcast for as low as $5 per month!    GUEST RESOURCES:Instagram: @myroux_n_whyWebsite: https://lindellcounseling.com/ https://barination.mn.coBIOGRAPHY: Melanie Lindell, LMHC is a professional counselor who has spent the last decade working in the area of trauma and abuse. It is her deepest belief that we were all created for relationship, that we want to be known and loved and have the ability to freely know and love others. Her passion is helping clients work through maladaptive survival strategies/patterns learned and replacing them with adaptive strategies that help them thrive. She is a bariatric patient, having had Roux-en-Y on August 23, 2019. Her recovery process was atypical and led to additional surgeries, several complications and a long season on a feeding tube and learning to eat again. She serves in BariNation as a Support Group and Meetup Leader, tapping into her expertise and patienthood to guide members through the ups and downs of bariatric life. ABOUT:If the BariNation podcast helps power your bariatric journey, become a monthly podcast supporter and help us produce the show! Visit www.barinationpodcast.com and help us support people treating the disease of obesity with humor, humility, and honesty.We need your help to keep the BariNation Podcast in production. Your one-time or recurring donations help us ensure this free support remains open to everyone. Click Drive To Thrive - Donation to learn more and give. THANK YOU for your support!