Ep 239 - Identifying and Understanding Process Addictions After Bariatric Surgery with Sarah Smith

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...

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?&nbsp;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&nbsp;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.&nbsp;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&nbsp;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 <a href="https://www.patreon.com/BariNationPodcast" rel="noopener

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&nbsp;&nbsp;(05:12) Lora explains the importance of community after bariatric surgery&nbsp;(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&nbsp;KEY TAKEAWAYS:&nbsp;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&nbsp;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!&nbsp;&nbsp;&nbsp;&nbsp;GUEST RESOURCES:Lora Grabow, LMSW -Website&nbsp;<a...

Have you ever wondered what it takes to truly embrace movement as a lifestyle, not just an obligation?&nbsp;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&nbsp;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.&nbsp;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&nbsp;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!&nbsp;&nbsp;&nbsp;&nbsp;GUEST RESOURCES:<a...

What if just a few minutes each day could transform your wellness journey?&nbsp;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&nbsp;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.&nbsp;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&nbsp;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!&nbsp;&nbsp;&nbsp;&nbsp;GUEST RESOURCES:@geriatricbariatric@cmbknyBIOGRAPHY:&nbsp;Christine...

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.&nbsp;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.&nbsp;RESOURCES:BariNation Website&nbsp;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!&nbsp;&nbsp;&nbsp;&nbsp;GUEST RESOURCES:Renee Hilton, M.D. - FacebookRenee Hilton, M.D - InstagramAugusta University - WebsiteRenee Hilton, M.D. - XBIOGRAPHY:&nbsp;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...

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&nbsp;(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..&nbsp;RESOURCES:BariNation Website&nbsp;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!&nbsp;&nbsp;&nbsp;&nbsp;GUEST RESOURCES:Instagram: @myroux_n_whyWebsite: https://lindellcounseling.com/&nbsp;https://barination.mn.coBIOGRAPHY:&nbsp;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...

What makes AdventHealth's approach to bariatric care different, and how are they setting patients up for long-term success?In this special episode, BariNation is hitting the road and recording in a professional broadcast studio! Join hosts Jason, Natalie and Sarah as they sit down for this special episode, recorded live at AdventHealth in Central Florida. They’re joined by two expert guests, Dr. Melissa Bagloo and Dr. Shiva Seetahal, to dive deep into the bariatric patient process and the holistic approach AdventHealth takes to support long-term success. This conversation covers everything from qualifications for surgery to the latest advancements in metabolic care. Plus, hear about the exclusive $29/month membership to the BariNation community for patients of the AdventHealth system. Get ready for an insightful and game-changing discussion on the future of obesity treatment and what it means for bariatric patients everywhere!IN THIS EPISODE:(00:00) Opening and introduction(02:00) Qualifications for bariatric surgery and how does it work(09:25) AdventHealth provides various surgeries and how they support their patients(15:52) What co-morbidities does bariatric surgery treat, and when should you consider anti-obesity medication(21:51) Discussion of adolescent surgery, treating the whole person, the science behind bariatric surgery and the metabolic effects(29:13) Knowing what surgery is right for you, the AdventHealth difference, medications and patient support(39:46) What predictions are there for the future of obesity treatment&nbsp;KEY TAKEAWAYS:The qualifications for bariatric surgery have broadened, allowing more patients to access life-changing treatment. Previously, candidates needed a BMI of 40 or a BMI of 35 with medical conditions. Now, individuals with a BMI of 35 (without medical issues) or a BMI of 30 (with medical conditions) may qualify. This expansion reflects growing recognition of bariatric surgery’s benefits, including diabetes resolution, improved fertility, and reduced cancer risks.AdventHealth in Central Florida emphasizes a holistic, team-based approach to bariatric care. Bariatric providers communicate closely with primary care doctors, endocrinologists, and cardiologists to ensure continuity of care before and after surgery. This integrated model helps patients receive comprehensive support for long-term success.Bariatric surgery is not just about reducing stomach size and is not a one-time fix, but fundamentally alters hormone regulation and metabolism. This shift is why many in the field now refer to it as “metabolic surgery” rather than simply "weight loss surgery," helping to combat the stigma and highlight its role in treating obesity-related diseases..RESOURCES:Check out this exclusive AdventHealth BariNation Monthly Membership for only $29/mo!&nbsp;BariNation Website&nbsp;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 <a...

Have you ever overcome one addiction only to find yourself struggling with another compulsive behavior?Welcome to another episode of the BariNation Podcast! We know that after bariatric surgery, many of us experience profound changes—not just in our bodies, but in our relationships with food, alcohol, shopping, and other behaviors. That’s why we’re diving into the topic of process/transfer addiction with addiction therapist Sarah Smith. Together, we explore how addiction can evolve after surgery, the triggers to watch for, and why seeking support from your surgeon or a therapist can be a game-changer. Sarah also shares the bottom line on early prevention, giving us the tools to recognize and address these patterns before they take control.&nbsp;IN THIS EPISODE:(00:00) Introduction(00:32) The process of addiction after bariatric surgery(03:04) What is transfer addiction?(05:26) What triggers should you look for(10:32) Seek the help of your surgeon or a therapist(13:33) Sarah leaves listeners with the bottom line of early preventionKEY TAKEAWAYS:After surgery, some individuals unconsciously replace food addiction with other compulsive behaviors, such as excessive shopping, alcohol, drug use, or even exercise. This shift happens because their primary coping mechanism (food) is no longer an option, leading them to seek alternatives.Key red flags include increased reliance on substances or activities for emotional regulation (e.g., suddenly drinking more alcohol, excessive online shopping, or compulsive exercise). People may also notice escalating negative consequences, such as financial strain, guilt, or stress when unable to engage in the behavior.If someone notices these behaviors in themselves, they should reach out to their surgeon, a therapist specializing in addiction, or supportive communities like BariNation. Talking about concerns in a shame-free environment can lead to healthier coping strategies and support for managing post-surgical challenges.RESOURCES:BariNation Website&nbsp;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!&nbsp;&nbsp;&nbsp;&nbsp;OTHER RESOURCES:&nbsp;Alcohol Use Disorder can impact anyone on a bariatric journey. We can help in BariNation in private and confidential ways.. Connect and learn with Sarah in the BariNation Membership Community, where she leads an Addiction Transfer Support Group every Monday at 4 pm PST / 7 pm EST and General Support every other Friday at 6 pm PST/ 9 pm ESTLearn more at https://barination.mn.coGUEST RESOURCES:Changes in Alcohol Use after Metabolic and Bariatric Surgery: Predictors and Mechanisms https://pmc.ncbi.nlm.nih.gov/articles/PMC7057935/Why Drinking Problems Develop After Gastric Bypass Surgery<a...

What if we told you that accessing the proper care for obesity could be more straightforward, supportive, and ultimately more successful than you might think?&nbsp;Welcome to another episode of the BariNation Podcast! In this episode, we’re joined by Dr. Betsy Dovec, founder of BodyByBariatrics, and her right hand, Hannah Schuyler, to discuss how they’re changing the game for bariatric surgery. In this conversation, we dive into why Dr. Dovec opened BodyByBariatrics, how they’re breaking down the barriers to surgery, and how they’re helping patients move through the surgery process and post-op more efficiently. From mindset to movement, meals to motivation, we’ll walk through how their innovative approach helps patients reset and take control of their health in meaningful ways. They also share the exciting news of the grand opening of the BodyByBariatrics surgical center in Orlando, which is on March 6, 2025, at 6 PM EST!&nbsp;IN THIS EPISODE:(00:00) Introduction(03:36) Meet Hannah Schuyler and Dr. Betsy Dovec(07:24) Why Dr. Dovec opened BodyByBariatrics(15:03) Partnering with BariNation Community(24:32) How has Body by Bariatrics provided more to the patients than just pre-op and the barriers to surgery from jumping hoops to insurance(40:18) Getting the surgery process on the fast-track and fighting with the insurance company(53:00) March 6, 2025, 6 PM EST is the grand opening for BodyByBariatrics in OrlandoKEY TAKEAWAYS:Bariatric care is evolving to improve patient access, focusing on actively partnering with professionals, surgeons, and centers.&nbsp;Bariatric surgery is a wise investment that yields significant returns for patients and insurers. It’s time to update outdated policies that hinder access to this vital care.A more holistic, patient-centered approach to obesity care is essential. This requires stronger collaboration between primary care physicians, bariatric surgeons, and support teams.&nbsp;RESOURCES:BariNation Website&nbsp;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!&nbsp;&nbsp;&nbsp;&nbsp;GUEST RESOURCES:Dr. Elizabeth Dovec&nbsp; - InstagramBodyByBariatrics - WebsiteWeight Loss Collab - InstagramHannah Schuyler - InstagramBIOGRAPHY:&nbsp;Dr. Elizabeth “Betsy” Dovec is a pioneering bariatric surgeon, entrepreneur, and thought leader revolutionizing obesity care. As Founder and CEO of BodyByBariatrics, BodyBySkin Med Spa, and The Surgical Institute of Central Florida, she has created a cutting-edge, 15,000-square-foot ASC and wellness center integrating bariatric surgery, medical...