The BariNation Podcast

“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 If you’re tired of outdated advice, want to cut through the stigma, and are eager to understand the true complexity of obesity, this conversation will inspire hope and empower action.Join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

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 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

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 hello@barination.com, 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

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!

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.

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!  

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

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

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

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 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.