The Pound of Cure Weight Loss Podcast – Détails, épisodes et analyse

In this episode, we cover a wide range of topics related to diabetes, weight loss, and bariatric surgery. We kick things off by talking about the underlying cause of diabetes. Most people believe that diabetes is caused by an over consumption of carbohydrates. But that’s incorrect. In fact, studies show that the consumption of animal fat is what causes your insulin receptors to become less sensitive. 
 
 Next, we answer the question, “How long should you be on the Metabolic Reset Diet?” It’s a question we get asked daily and, as usual, the answer isn’t universal. Rather, it’s about determining what things you need to change in order to make the Metabolic Reset Diet work for you long-term. We offer practical advice on how to do this.
 
 Next, we tackle weight regain after bariatric surgery, especially for those who’ve had a sleeve gastrectomy (VSG). Almost half of patients deal with weight regain, and it’s not just about eating too much or slacking on exercise. The conversation dives into why this happens, focusing on hormonal changes and the body's natural resistance to weight loss. We also talk about how combining surgery with medications like GLP-1s can help manage weight over the long term.
 
 Finally, we share some tips on how to minimize hair loss after bariatric surgery. It’s a common concern for most patients. We cover practical ways to reduce hair thinning, including preventative measures like proper nutrition, key supplements, and medication to build reserves that assist in keeping as much of your hair as possible after surgery.

In this episode, Laura, a previous guest on the podcast, returns to share more about her successful peer support group for those who have undergone weight loss surgery. The conversation revolves around the value of community and how it provides a sense of connection and understanding for people on their weight loss journeys. Laura's group, lovingly nicknamed "Laura's Losers," meets regularly to offer emotional support, share personal stories, and discuss tips for staying on track.

Laura emphasizes the importance of creating a welcoming, living-room-style atmosphere where participants can openly discuss their struggles, especially around topics like post-op stalls and feeling isolated. She shares her own experiences, including her recent vacation where she was able to indulge mindfully while still staying true to her health goals. This helps alleviate some of the common fears that new patients have about life after surgery.

The conversation touches on the emotional toll of weight loss, particularly the societal pressure and feelings of guilt that many people face. Laura, along with the hosts, stress the importance of self-compassion and avoiding the trap of perfectionism. They remind listeners that there is no "finish line" when it comes to health, and that setbacks are a normal part of the journey.

The episode ends with a discussion of future plans for the group, including in-person meetups and continued support, underscoring the ongoing importance of community in long-term weight loss success.

Episode 31 of The Pound of Cure Weight Loss Podcast is titled, Obesity Discrimination is Alive and Well, Just Ask Chris. The title comes from our In the News segment where we talk about an article from The Maine Wire that examines a lawsuit filed against Cigna claiming that obesity is a disability and Cigna’s failure to cover GLP-1 medications constitutes discrimination based on disability. 

 In our Patient Story segment, we talk to Nikki. Though not a patient of ours, Nikki had a gastric bypass back when the procedure was done by opening up the stomach to operate. She also works for a great organization called Obesity Help. A lot has changed since her surgery and she is here to share her experience as well as talk about all the great things Obesity Help is doing for the bariatric community. 

 Reading the nutrition facts label can be confusing. This is not by accident. Big food companies have influenced the label design in order to confuse consumers into thinking foods are healthier than they actually are. So, in our Nutrition segment, Zoe offers some tips on how to navigate the nutrition facts label. 

 In our Economics of Obesity segment, we dive into the cost of obesity and whether or not it’s financially viable for insurance companies to cover expensive treatments like GLP-1 medications. 

 Finally, we answer 3 of our listeners questions including, what can be done to prevent gallstones after bariatric surgery, our thoughts on oats in almond milk, and whether or not taking GLP-1 medication before surgery increases postop weight loss.

 Here is the information referred to in the Patient Story:
 https://www.obesityhelp.com/events/tickets/ -Promo Code: POUNDOFCURE25 for $25 off through 7/7/24 

https://www.obesityhelp.com/events/speakers/ -More coming 

https://www.obesityhelp.com/events/hotel-accommodations-2/

https://www.facebook.com/events/s/bariatric-connect-2024-nationa/739412618351241/

https://www.obesityhelp.com/articles/2024-bariatric-connect-scholarship-tickets/

 nikkih@obesityhelp.com

Episode 30 of The Pound of Cure Weight Loss Podcast is titled, GLP-1 Supplement Scams.
 
 In our In the News segment, we cover an article in Today titled, Poppi Prebiotic Soda Brand Faces Class-Action Lawsuit Over Gut Health Claims. Poppi is a brand of soda marketed as a prebiotic and this lawsuit is questioning the validity of the claim. 
 
 In our Patient Story segment, we talk to Graham who had a highest weight of 311 pounds. He opted for the gastric bypass and we included GLP-1 medications along the way. He is now comfortable sitting at 168 pounds. Not only did he embrace the medical treatments we offered but he also embraced strength training as another tool to help maintain that weight loss. His story is very poignant for anyone interested in sustainable weight loss. 
 
 In our Nutrition segment, we dive into another product review. Biocare is a supplement being marketed to GLP-1 users offering to, “Scientifically Help Reduce Side Effects, Preserve Lean Muscle Mass & Provide Essential Nutrition.” Does it work? Tune in to find out!
 
 Anytime a new FAD diet emerges, the food, beverage, and service companies scramble to create products to fit the new trend. And, over the past year or so, we’ve seen this happen in the GLP-1 space. So, in our Economics of Obesity segment, we dive further into the growing market of GLP-1 supplements and services. 
 
 Finally, we answer 3 of our listeners questions including, our thoughts on Phentermine, when to start taking your vitamins post-op, and how to navigate the GLP-1 shortages. 

Episode 29 of The Pound of Cure Weight Loss Podcast is titled, Wegovy for the Long Run. The title comes from our In the News segment where we discuss an article in US News titled, More Studies Support Wegovy's Long-Term Weight-Loss Benefits. This article details the outcomes of the Select trial which showed that long-term use of Wegovy provided continued weight loss and cardiovascular benefits. 
 
 In our Patient Story segment, we talk to Armetta - one of my most memorable patients. She ended up having surgery in Mexico because of an exclusion policy on her insurance plan. After a serious complication, she became one of my double black diamond cases, and her insurance company ended up spending 1.5 million dollars on her treatment because of the complication. It’s a fascinating story.
 
 Before the invention of popular sports drinks, most people didn’t know what electrolytes were. Now it’s one of our most frequently asked questions. Do you really need to drink sports drinks to replenish your electrolytes? Zoe answers this question in our Nutrition segment.
 
 In out Economics of Obesity segment, we talk about going to Mexico for bariatric surgery. Many people choose this option thinking that it’s less expensive. But when 95% of all insurance plans cover bariatric surgery coupled with the higher complications rates and lack of post-op care, is it really the best choice? 
 
 Finally, we answer 3 of our listeners questions including, whether or not the Metabolic Reset Diet works for Vegans, the mechanics of the sleeve that contribute to GERD, and what strategies to employ to maintain your weight while on GLP-1 medications.

Episode 28 of The Pound of Cure Weight Loss Podcast is titled, How a Gastric Bypass Could Ruin Your Life. 

The title comes from our In the News segment we cover an article in Medscape titled, Alcohol to Blame: Weight Regain After Bariatric Surgery. It should come as no surprise that alcohol consumption could lead to weight gain. What could be surprising is the 5x increased risk of alcoholism after a gastric bypass and 2x increased risk of alcoholism after a sleeve. Tune in to learn why!

In our Patient Story, we talk to Janet about her struggle to lose weight after surgical menopause. As a nurse she was conflicted about working in the healthcare industry because she was battling her own weight issues. She tried everything to lose weight on her own but nothing worked. Finally, she reached out to us for help. 

In our Nutrition segment, Zoe is back from her honeymoon with some great tips on how to avoid weight gain while on vacation. It’s a common-sense approach that won’t rob you of your fun or enjoyment of food. 

In our Economics of Obesity segment, we talk about how much money people spend on weight loss medications and the socioeconomic aspects of GLP-1 use. Would you be surprised to know that more than half of all GLP-1 users pay less than $50 per month? 

Finally, we answer 3 of our listeners questions including, our thoughts on green drinks, how to lose more weight after a permanent stall, and how to avoid losing too much weight after surgery.

Join us as we dive in on our most recent episode of the Pound of Cure Weight Loss Podcast titled, Ozempic, baby!

Episode 27 kicks off with our In the News segment where we discuss an article by CNN that discusses how GLP-1’s are increasing fertility. This comes as no surprise considering we saw the same results after weight loss surgery. So why do GLP-1’s and weight loss surgery cause increased fertility? Tune in to find out!
 
 In our Patient Story, we talk to Lacey who came to us for help after she regained weight approximately 7-8 years post gastric sleeve. We got her on a GLP-1 medication and she has since lost all of her regain and is back to her postop weight. She is now considering creative dosing strategies for weening off the meds and we offer advice on how to do this without regaining weight.
 
 In our Nutrition segment, Deidre offers advice on how to eat at restaurants and enjoy your meal without destroying your weight loss progress. There are 2 different approaches and frequency is key.

 Finally, we answer our listener’s questions including, whether or not Trulicity damages the Vagus nerve, will a revision cause additional weight loss, and our thoughts on the product label statement "Discontinue Ozempic in women at least 2 months before a planned pregnancy".

Episode 26 of the Pound of Cure Weight Loss Podcast is titled, Ablation Conflation and Healthcare Inflation. The title comes from our In the news segment where we discuss an article from Forbes about a new bariatric procedure called Gastric Mucosal Ablation. This procedure uses a laser to burn the Fundus Mucosa. Does it work? And, will this procedure cause long-term weight loss? Tune in to find out! 

In our Patient Story, we talk to Barb who is our Bariatric Coordinator. Barb is unique in that she is a Registered Nurse, has worked in the industry for decades, and is also a bariatric patient. She started with a lap band which was revised to a gastric bypass and is now on GLP-1 medications to help control her weight regain.

In our Nutrition segment, Deidre talks about the benefits of walking after eating. This is especially good for bariatric surgery patients but also aids in digestion for those who haven’t undergone surgery.

In our Economics of Obesity segment, we talk about what to do if you need bariatric surgery and you either don’t have insurance or your insurance won’t cover the surgery. Should you travel to another country where the self-pay costs are cheaper? Dr. Weiner addresses the options for those without coverage for bariatric surgery.

 Finally, we answer 3 of our listeners questions including, whether Ozempic could stop working, constipation after surgery, and alternative options for Protein Pump Inhibitors (PPI’s). 

Episode 25 of The Pound of Cure Weight Loss podcast is titled, From 369.5 to 19,341: Lynsey’s journey to the top of Mount Kilimanjaro. The title comes from our Patient Story where we talk to Lynsey who came to us at 369.5 pounds. She lost a ton of weight after her gastric bypass but she didn’t stop there. She embraced physical activities that led her to the tallest free-standing mountain in the world! Her story is truly inspiring!
 
 Our In the News segment features an article from US News that talks about another beneficial side effect of taking Zepbound. In clinical trials, Zepbound has been proven to drastically reduce sleep apnea. Does that mean that insurance companies will now approve the use of Zepbound for the treatment of sleep apnea? Tune in to find out!
 
 BMI or Body Mass Index is a measure of body fat based on height and weight. It’s used, almost universally, by both the medical and insurance industries. In our Nutrition segment, Zoe explains why BMI is unreliable and, in her words, “trash”.
 
 The Zepbound shortage has left a lot of people struggling without their medication. So, in our Economics of Obesity segment, we talk about the Wegovy coupon and how some patients may be able to switch from Zepbound to Wegovy to help get them through.
 
 Finally, we answer 3 new questions from our listeners including, our thoughts on Poppi prebiotic soda, whether or not Medicare will cover revision surgery, and hypoglycemia while taking GLP-1 medication. 

Episode 24 of The Pound of Cure Weight Loss podcast is titled, Zepbound to happen: More Drug Shortages. The title comes from our Economics of Obesity segment where we discuss the Zepbound shortages and offer strategies that you can use to ride out the shortage. 

In our In the news segment, we discuss an article from the New York Times titled, The Miracle Weight-Loss Drug Is Also a Major Budgetary Threat. In the United States, we pay more for medication than any other country in the world - often 3-4 times more. So, what can we do to bring those prices down? Tune in to find out!

In our Patient Story, we talk to Janet who started gaining weight after pregnancy. She lost well over 100 pounds on Mounjaro and is currently using a creative dosing strategy to save money during maintenance. 

For the first few months after surgery and while taking a GLP-1 medications, you might not feel like eating but your body still needs fuel. So, in our Nutrition segment, Zoe offers advice about what to do when you just don’t feel like eating.

Finally, we answer 3 of our listeners' questions including, how to transition from weight loss to weight maintenance, why does a revision carry more risk, and how to keep your set point lower while on weight gaining medications.