• Episode 19: Genetics and Obesity
    May 23 2024

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    Embark on a scientific odyssey with us as we reveal the hidden ties between our genetic blueprints and the scales. With expertise in molecular biology and genetics, Dr. Iliakova dives into the nuanced interplay between DNA and obesity, breaking down myths and simplifying science. Discover rare genetic syndromes and their surprising implications for our understanding of weight regulation. We also inspect groundbreaking medications targeting genetic factors in overeating, offering a sneak peek into the future of personalized obesity treatment.

    Our journey doesn't stop at genetics; we traverse the complex terrain of hormones and their delicate dance with our weight. We unpack how obesity can disrupt this balance, affecting everything from fertility to metabolic health. Learn about the link between conditions like PCOS and hormonal harmony, and how thoughtful weight management can bolster fertility and overall well-being. Plus, we highlight cutting-edge treatments, from receptor agonists to the staggering potential of CRISPR gene editing and the transformative power of fecal transplants. Join us for this enlightening exploration of weight, health, and the pioneering science that's shaping our approach to both.


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    34 mins
  • Episode 18: The Worst 5 Minutes of Tammie’s Life
    May 16 2024

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    Embark on an emotional voyage with us as we explore the intricate world of bariatric surgery and the heartfelt journeys of those who traverse it. Tammie who is both a bariatric coordinator and a patient herself, provides an insider's look at the tangled web of feelings and fears that patients face, emphasizing the critical need for a compassionate healthcare environment. We delve into the significance of empathy and the essential role of post-operative support in shaping a patient's experience—because the road to wellness extends far beyond the operating room.

    Dr. Iliakova and Tammie share their insights on the transformative power of respect and understanding, discussing the profound impact these gestures have on building trust and ensuring patients stay engaged with their post op journey long after they leave the hospital.

    Tailoring the treatment to the tapestry of each patient's life, we discuss how personal circumstances and individual needs are the threads that, when woven together, produce the most successful outcomes in bariatric care. We invite listeners to weigh in with their experiences and perspectives on clinical environments, as we strive to create a supportive community attuned to the nuances of bariatric healthcare. Join us in this heartfelt conversation that's not just about shedding pounds, but also about shedding light on the path to a healthier, more understanding world.


    Living Purposed

    We want to gather with a purposeful intention to explore the world around us. ...

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    34 mins
  • Episode 17: What Tammie Wish She Knew
    May 9 2024

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    Ever felt a chill after a hearty salad, or craved Brussels sprouts wrapped in bacon? That's the kind of unexpected shift in appetite and body temperature regulation Maria and Tammie are talking about on this episode, where they peel back the curtain on the life-altering journey of bariatric surgery. Their conversation serves up the raw, unspoken truths about post-op life, including why Tammie's water mug is now her most treasured accessory. Their narrative stitches together the fabric of lifestyle readjustments, unwrapping the delicate dance between treating oneself and adhering to a new health-conscious existence.

    Social dynamics take a front seat as Tammie navigates the post-bariatric world, from the anxiety of standing out in a crowd to the emotional tumult of weight-loss compliments. Maria and Tammie dissect the influence of cultural and familial dining customs that clash with the new reality of smaller portions and the tactics to manage the ensuing social tension. And just when you think you've got it all figured out, they bring to light the post-operative surprises like gallbladder woes, urging open dialogue with your surgeon, and confronting the emotional impact of significant weight loss. Tune in for an honest, heartfelt exploration of the post-bariatric life that goes beyond the scale.

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    41 mins
  • Episode 16: Talking with Healthcare Professionals
    May 2 2024

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    When a fellow physician's offhand remark about obesity struck a nerve, it brought home the reality of the insensitivity that pervades our medical community. It's discussions like this that Tammie and Maria tackle head-on, breaking down the complexities of weight management far beyond the oversimplified calories in versus calories out. Their conversation sheds light on the multifaceted influences of genetics, metabolism, and lifestyle choices on an individual's weight, underscoring the urgent need for a more educated approach within healthcare.

    As they peel back the curtain on bariatric care, they're confronted with the stark realities of accessibility, especially in rural areas. The advancements in surgery and evolving outpatient policies come into sharp focus alongside the role of primary care physicians in the referral process. Maria gets personal, sharing her own experience with binge eating disorder, and together, Tammie and Maria expose how few eligible patients receive the care they need. They also explore how telemedicine, a beacon of hope post-COVID, could revolutionize follow-up care and bridge the healthcare divide.

    The finale of the episode takes on a proactive stance, stressing the significance of early intervention in weight management. They emphasize the value of a multi-disciplinary approach and the necessity for primary care doctors to be well-versed in weight management. Wrapping up, they extend an open invitation to our listeners to connect with them on social media for further discussions and insights. With Tammie's invaluable perspective, they hope their candid dialogue resonates with listeners and sparks a much-needed transformation in how the healthcare field addresses weight management.

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    41 mins
  • Episode 15: Dr. Sara Monfared
    Apr 25 2024

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    Discover the transformative power of bariatric surgery with Cleveland Clinic's Dr. Sara Monfared in a conversation that could forever alter your view of obesity and its treatment. Dr. Monfared passionately articulates her path to specializing in this life-changing field, emphasizing the urgent need to reframe obesity as a chronic disease rather than a personal failing. By intertwining her personal motivations with professional expertise, she illuminates how bariatric surgery isn't just about weight loss—it's a proactive strike against cancer, heart disease, and more. Our talk sheds light on the imperative for medical care to evolve, placing preventive obesity treatments alongside routine health screenings.

    Peek behind the curtain of bariatric surgery with us as we scrutinize the intricacies of various procedures tailored to individual needs. Dr. Monfared walks us through the cutting-edge, such as endoscopic outlet reduction, while addressing the challenges post-surgery patients face, such as weight regain. Her insights aim to dispel the stigma that shrouds this topic, reinforcing the message that setbacks are not reflective of personal failings but rather a call for innovative, minimally invasive solutions that cater to each unique journey.

    As our episode reaches its conclusion, we rally for the cause of broadening bariatric surgery access and delve into the necessity of persistent research to secure insurance coverage for state-of-the-art treatments. Dr. Monfared's analysis of the shifting perceptions around endoscopic sleeve procedures, along with the evolution of gastric bypass surgery, offers a beacon of hope for those navigating these waters. We wrap up by inviting listeners to join our vibrant online community, where shared experiences and knowledge merge to support and enlighten anyone touched by the topic of bariatric surgery.

    Redefining Strength Fitness Hacks Podcast
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    29 mins
  • Episode 14: Confidence: Good and Bad
    Apr 18 2024

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    Have you ever felt like a caterpillar emerging from a cocoon, stepping into a world where you're seen in a whole new light? That's exactly where Tammie's journey took her after bariatric surgery, and in our latest episode, she opens up about the intricate dance of self-confidence and societal perceptions. Dr. Maria Iliakova and Tammie Lakose peel back the layers of what it means to transform not just physically, but emotionally, as Tammie navigates the bittersweet symphony of changed relationships and self-esteem post-weight loss.

    Tammie discusses on the virtues of humility in healthcare, where admitting she doesn't have all the answers can actually be her greatest strength. Sharing stories of vulnerability, they explore how such honesty not only benefits our patients but also fosters a culture of growth and support among medical professionals. It's a raw look at the struggles behind the stethoscope and the importance of emotional intelligence in patient care.

    Wrapping up, the episode takes a deep and personal turn, reflecting on the ways in which Tammie's relationships and mental health are intertwined with her journey towards self-improvement. Emotional maturity doesn't come easily, and often it's the closest relationships that challenge and shape us the most. As Maria and Tammie bid farewell, remember that your reflections and feedback are invaluable to us. Join them on this continuous path of discovery, growth, and self-care.

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    41 mins
  • Episode 13: Talking with Others
    Apr 11 2024

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    Have you ever tiptoed around a conversation, feeling the weight of words unsaid? This week, we wade into the complexities of discussing bariatric surgery, sharing stories that resonate with the need for empathy and understanding in these intimate dialogues. Reflecting on an encounter that struck a nerve, we dissect the nuances of suggesting such personal medical decisions. It's a candid look at confronting societal judgments, where we compare the wide acceptance of certain medical aids to the stigma that shrouds weight loss surgery and reveal how we've grown more confident in standing up for our stories.

    Navigating the rough seas of toxic relationships, this episode doesn't just skirt the storm, it sails right through. We unveil the gritty reality of trying—and sometimes failing—to turn the tide on someone's perspective, and why it's sometimes necessary to drop anchor and sail away for the sake of self-respect. We share our arsenal of tactics for bracing difficult conversations, from setting time limits to the power of a simple "no." It's an episode that reaffirms the notion that our worth is not tethered to others' viewpoints, and that being open to the ever-evolving conversation on weight and health is a voyage we're all on together.

    As the curtains draw on this episode, it's not a farewell but a heartfelt thanks and a "see you later" that we extend to you, our dedicated listeners. We invite you to keep the conversation alive by joining our vibrant online community, where the support and insights continue to flourish beyond the microphone. We part with laughter and a promise to return with more stories that stir the soul and support that strengthens the spirit. And if you want to stay looped into our journey, follow us on Instagram at Core Bariatrics. Here's to the next chapter, and to each of you who make this podcast a harbor for hope and understanding.

    Living Purposed

    We want to gather with a purposeful intention to explore the world around us. ...

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    35 mins
  • Episode 12: Beyond Restriction: The Full Spectrum of Bariatric Surgery
    Apr 4 2024

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    Are you ready to revolutionize your understanding of bariatric surgery? Prepare to have your misconceptions shattered and witness the unveiling of the metabolic miracle. Dr. Maria Iliakova, alongside Tammie Lakose, navigates the transformative journey that bariatric patients undertake. It's not a mere alteration of stomach size - it's a full-body metamorphosis. From discussing the nuanced realities of procedures like the gastric band to addressing how individual health histories shape surgical choices, this episode promises to challenge everything you thought you knew about weight-loss surgery.

    Weight loss is just the tip of the iceberg when it comes to the profound hormonal and metabolic shifts post-surgery. Our conversation takes an in-depth look at how these changes can foster enhanced fertility, manage diabetes, and even alleviate PCOS symptoms. It's a path that requires unwavering dedication, akin to the prolonged commitment we see in other major life endeavors. We're peeling back the curtain on the myth that bariatric surgery is a shortcut, revealing the truth about the demanding journey of lifestyle transformation that follows.

    As we close this insightful episode, we share our appreciation for your companionship on this educational voyage. Dr. Lamasters has illuminated the intricate details of our bodies' responses to bariatric procedures, and we extend an invitation to you to join the conversation. Your experiences and topics of interest are crucial to the fabric of our narrative, and we're committed to fostering a community rooted in evidence-based learning. Until the next episode, we leave you with a sense of belonging in our bariatric family, eager for the continued shared journey towards understanding and wellness.


    Redefining Strength Fitness Hacks Podcast
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    36 mins