Meat Snack!

The Pound of Cure Weight Loss Podcast

In Episode 4 of the Pound of Cure podcast, Dr. Matthew Weiner, a bariatric surgeon and weight loss specialist, and Zoe Schroeder, a registered dietitian, dive into key topics around sustainable weight loss. They explore sleeve gastrectomy vs. gastric bypass, patient success stories of overcoming weight regain after bariatric surgery, and the growing use of GLP-1 medications for weight loss. The hosts also provide practical nutrition tips and answer listener questions related to post-op challenges, focusing on the intersection of surgery, medication, and nutrition.

Bariatric Surgery vs. GLP-1 Medications for Weight Loss

Dr. Weiner and Zoe start by discussing an article from The Atlantic that examines the benefits of sleeve gastrectomy vs. gastric bypass alongside the rising popularity of GLP-1 medications like Wegovy and Zepbound. Dr. Weiner highlights that both bariatric surgery and GLP-1 medications cause similar neurohormonal changes that regulate appetite and metabolism, aiding in weight loss. While surgery has a significant upfront cost, it often proves more affordable in the long term compared to the high monthly expenses of medications like Ozempic. He emphasizes that combining surgery with GLP-1 medications and a structured nutrition plan provides the most sustainable weight loss, especially for those who experience weight regain after bariatric surgery.

Overcoming Weight Regain After Bariatric Surgery

Dr. Weiner shares a patient success story involving a woman who initially lost 125 pounds after a sleeve gastrectomy but experienced weight regain, reaching 310 pounds. With the help of Dr. Weiner’s nutrition program and GLP-1 medications for weight loss, she returned to 250 pounds. Dr. Weiner underscores that weight loss is not linear, and setbacks such as weight regain are common but can be overcome with the right tools and medical support.

Nutrition Tip: Pre-Planning Grocery Delivery

Zoe offers a practical nutrition tip for busy individuals and vacations—pre-plan your meals and order groceries for delivery while you are still traveling. This strategy helps ensure you return home to healthy food, reducing the temptation of takeout and setting you up for a successful week of balanced eating. Both Dr. Weiner and Zoe stress the importance of maintaining a nutritious diet, whether you’ve had bariatric surgery or are managing your weight with GLP-1 medications.

Weight Regain, Cottage Cheese, and More

Dr. Weiner addresses a listener’s concern about weight regain after a sleeve gastrectomy. Explaining that while the initial weight loss is due to the hormonal shifts the surgery causes as well as the stomach size reduction, the lack of intestinal changes makes weight loss less durable. He suggests GLP-1 medications like Wegovy or Zepbound to support long-term weight management. Another listener asks about the benefits of cottage cheese, which Zoe describes as a high-protein, versatile food that can aid recovery after bariatric surgery.

The episode also covers the SADI procedure as an option for weight loss, iron supplementation after surgery, and the potential dangers of rapid, unintentional weight loss. The hosts remind listeners to monitor their health closely and seek medical advice if they notice unexpected changes.

Conclusion: Sustainable Weight Loss

Dr. Weiner and Zoe reaffirm their commitment to helping listeners achieve sustainable weight loss through a comprehensive approach that combines surgery, medication, nutrition, and personalized support. They encourage listeners to see their weight loss journey as ongoing, with setbacks serving as opportunities to learn and improve.

Chapitres

1. Meat Snack! (00:00:00)

2. In the News - We've had a cheaper, more potent, Ozempic alternative for decades (00:01:01)

3. Patient Story - Weight regain after a Sleeve found success with nutrition and Ozempic (00:04:47)

4. Nutrition Segment - Tip for traveling (00:06:56)

5. Weight regain caused by Bougie size? (00:09:41)

6. Thoughts on cottage cheese (00:14:30)

7. Thoughts on the SADI procedure (00:18:29)

8. Iron Supplements (00:23:06)

9. Unintentional rapid weight loss 5 years post-op (00:24:22)

10. Eating meat as a snack (00:26:48)