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The BariNation Podcast

April Williams
The BariNation Podcast
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  • Obesity is Not Your Fault But It's Your Fight With Dr. Faiz Shariff | Ep 272
    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position that "Obesity is Not Your Fault But It's Your Fight"06:19 Why Obesity Is Not Your Fault: Breaking down the outdated calories in/calories out paradigm and genetic factors in obesity science09:00 Understanding leptin resistance, hormonal imbalance, weight gain, and how the set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...
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  • Understanding The Whys of Hair Loss After Bariatric Surgery/GLP1’s and The Hows Of Regrowith With Dr. Ed Chen | Ep 271
    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...
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  • ENCORE - Past ASMBS President Dr. Ann Rogers Has a Mission: Ending Stigma and Shame in Obesity and Bariatric Treatment
    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.
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  • Kellie Armstrong Is Building Bridges For An Integrated Health Approach to Bariatric Care
    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.
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  • ENCORE - Relentless Curiosity: Transforming Lives Through Bariatric Surgery with Dr. Sarah Hayek - Part One
    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...
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Sobre The BariNation Podcast

Welcome to The BariNation Podcast, your go-to resource for all things bariatric surgery. Hosted by real patients, we're here to support you on your weight loss journey, whether you're considering surgery or have already taken the plunge. You will find bariatric surgery insights, expert interviews, nutritional tips, and strategies to maximize and maintain weight loss here. We dive deep into our emotional health and well-being before and after surgery and share success stories from real patients so you know you can do this, too! BariNation is your home for bariatric community and support.
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