Core Bariatrics
Core Bariatrics
Dr. Maria Iliakova & Tammie Lakose
Welcome to Core Bariatrics, the podcast dedicated to walking your bariatric journey with you. Hosted by a bariatric surgeon and her very first bariatric patient. Their paths crossed as patient-doctor, but now they work and lead together. This podcast is your trusted source for valuable insights, expert advice, and inspiring stories that will empower you to make informed decisions about your health. In each episode, we explore the world of bariatric surgery, covering a wide range of topics such as different types of procedures, pre-surgery preparation, post-surgery care, nutrition, exercise, mental health and much much more.But Core Bariatrics is more than just a podcast—it's a supportive community where you can connect with real people who have walked the same path you're on now. Listen to personal testimonials from individuals who have undergone bariatric surgery, sharing their challenges, triumphs, and the incredible impact it has had on their lives.We will discuss the importance of post-surgery lifestyle changes, including healthy eating habits, regular exercise, and mental wellness strategies, ensuring your weight loss journey is sustainable and fulfilling.Join us on Core Bariatrics as we foster a sense of community, providing a platform where you can find encouragement, motivation, and practical tips to navigate the challenges of obesity and achieve lasting weight loss success. Whether you're considering bariatric surgery, are in the post-surgery phase, or simply interested in learning more about this life-changing option, our podcast is here to support you every step of the way.Remember, your path to a healthier, happier life starts here at Core Bariatrics. Subscribe now and embark on a transformative journey towards a better you.
Episode 15: Dr. Sara Monfared
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.Support the Show.
Apr 25, 2024
28 min
Episode 14: Confidence: Good and Bad
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.Support the Show.
Apr 18, 2024
39 min
Episode 13: Talking with Others
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.Support the Show.
Apr 11, 2024
33 min
Episode 12: Beyond Restriction: The Full Spectrum of Bariatric Surgery
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.Support the Show.
Apr 4, 2024
35 min
BONUS EPISODE: Beyond the Script: Random Recommendations
Have you ever wondered how a simple cup can become your ally on a transformational journey? Join Tammie as she shares the hydration hacks that are crucial for anyone navigating life after bariatric surgery. In the intimate setting of our latest episode, Tammie opens up about her go-to tools for keeping hydrated, including the versatile Stanley cup, chic Brumate, and the tech-savvy Hydrate Spark Cup. But it's not all about the gadgets; Tammie also taps into the heart of the Core Bariatrics community, sharing golden nuggets of wisdom from Ashley, founder of the Bariatric Woman Support Facebook group. Together, they remind us that the road to self-improvement is unique, and celebrating your own milestones is where the true joy lies.Stepping away from the physical transformation, we shift our focus to the mental and emotional journey that often accompanies bariatric surgery. While Maria isn't with us in the studio, her insights resonate as we balance raw, personal storytelling with hard facts. This episode is a call to those who understand that beyond every physical change, there's a mental game being played. It's a rallying cry for building a community where tough love meets genuine support, where victories and setbacks are shared with equal openness. Tune in as we extend an invitation to join our statewide network—a haven of empathy and understanding for anyone touched by the bariatric experience.Support the Show.
Apr 2, 2024
25 min
Episode 11: Pregnant at 2.5 month Post-Op with Tammie's Sister-in-law
This week we welcome Brittany Lakose, Tammie’s sister-in-law and dear friend. During this episode she opened up about her bariatric surgery journey, the raw truths. This episode is a deep dive into her experiences, unearthing the profound mental and emotional transformations that accompany such an impactful physical change. Brittany's story illuminates the oft-ignored significance of mental health and support networks through the trials of bariatric surgery. She candidly addresses the challenges she faced post-surgery, from fluctuating friendships to discovering her own self-worth, offering an intimate look at how life can pivot on the axis of personal health decisions.This episode underscores the importance of mental well-being, particularly when life throws us curveballs. Navigating the waters of a major surgery is one thing, but she also figures out the journey of pregnancy following that major surgery. We talk about the increase in fertility that can follow weight loss surgery, a crucial discussion for those considering the procedure, and the importance of transparent communication with healthcare providers to safeguard the health of both mother and child.Brittany's resilience radiates through her story, reminding us of all of the power of self-drive and the courage to face adversity. Her determination to live authentically, to embrace second chances, and to not be defined by past missteps is nothing short of inspiring. As one of your hosts, Tammie finds herself offering a heartfelt apology for past misunderstandings while celebrating Brittany's strength. This conversation is an open invitation to anyone grappling with similar hurdles, to engage with us on social media, share your own stories, and find hope in Brittany's incredible journey.Support the Show.
Mar 28, 2024
27 min
Episode 10: Battling Weight Gain
Have you ever thought that a little weight gain after bariatric surgery was a setback? Maria and Tammie are here to bust that myth wide open. Join them as they dissect the J-curve phenomenon and celebrate the body's quest for metabolic equilibrium post-surgery. No, it's not failure—it's science. And as they unpack the hormonal ballet that influences weight in both men and women, they'll also challenge societal body image norms and the endearing 'dad bod' trend to affirm that true attraction is an intricate tapestry woven from personality, individual quirks, and, yes, looks.Now, if you think post-surgery life is just about sipping water and munching on veggies, prepare to have your mind refreshed. Maria and Tammie mix it up with creative hydration hacks and a candid look at nutrition that goes beyond the bland. From the importance of protein to the role of carbs and how to handle a Halloween candy temptation, they navigate the nutritional tightrope with finesse. And for those navigating the complexities of binge eating disorders, they share insights into personalizing your plate for success.But it's not all about what we eat. Stress, sleep, and sweat play pivotal roles in the weight management waltz. Maria and Tammie will share their personal tales of weight plateaus and gains while unraveling how their emotional well-being can shape their physical journeys. Discover the underestimated power of REM sleep, and the vital need for intentional exercise—your daily grind doesn't cover it. In wrapping up, they extend a heartfelt thanks for joining these candid conversations. They are not just sharing tips; they're building a community rooted in the holistic pursuit of health and happiness. So, tag along and let's continue this transformative voyage together.Support the Show.
Mar 21, 2024
43 min
BONUS EPISODE- Bariatric Surgery Pathway
Dr. Maria Iliakova guides you through the bariatric surgery process, a transformative but complex journey that changes lives. You'll emerge from this episode with a clear roadmap of what lies ahead, including the financial considerations, insurance intricacies, and the essential medical and psychological evaluations that pave the way to the operating room. We promise to equip you with the knowledge to confidently navigate the pre-surgery maze, understanding the why behind every blood test, heart check, and specialist consultation, and how they contribute to the safety and success of your surgical endeavor.With the soothing voice of experience, Dr. Iliakova shares her insights into the medical intricacies and the compassionate approach necessary for candidates of bariatric surgery. You'll learn about the potential twists in the path, such as delayed surgeries for additional health improvements or alternate treatments like lifestyle changes and medication. We'll also explore the comprehensive postoperative support vital for your journey—because surgery is just the beginning. Stay tuned to discover how we, alongside your bariatric team, can support you in making an informed decision about your body, health, and future.Support the Show.
Mar 20, 2024
18 min
Episode 9: Q&A with Maria
In this episode, Tammie turns the tables on Maria, posing a series of insightful questions that illuminate key health topics for anyone navigating life post-op. Together, they delve deep into the critical vitamins necessary for optimal ongoing health, unpack the challenges of hypoglycemia—a hurdle for some individuals and explore the benefits and considerations of intermittent fasting. They also discuss age restrictions for bariatric surgery, among other pertinent issues. Whether you're seeking guidance for post-op well-being or curious about the impacts of bariatric procedures, this episode is packed with invaluable advice and expert insights.Support the Show.
Mar 14, 2024
26 min
Episode 8: More babies and better sex?
Embarking on a journey through the entangled paths of obesity and reproductive health, we pulled back the curtain on a topic that affects millions yet often remains whispered about.  From fertility woes to the intricate dance of sexual wellness, our conversation illuminated the stark realities faced by individuals with a BMI over 30. Dr. Maria Iliakova and Tammie LaKose approach the delicate subjects of conception challenges and pregnancy complexities with compassion and a quest for deeper understanding. The statistics are more than just numbers; they represent real people yearning for a chance at parenthood and a fulfilling intimate life.As laughter about our children's latest antics faded, the focus shifted onto how conditions like PCOS, entwined with insulin resistance and high androgen levels, can derail a woman's reproductive plans. The potential complications during pregnancy, such as preeclampsia and gestational diabetes, came to the fore, alongside vivid personal stories. Yet, within these narratives emerged a glimmer of hope, as we discussed the transformative impact of weight loss and bariatric surgery on fertility and sexual function. It was a reminder that beyond the statistics and medical jargon, lie individual stories of struggle, hope, and the pursuit of joy.In the nuanced world post-bariatric surgery, we navigated the altered landscape of conception and nutrition, stressing the pivotal role of tailored contraception and vigilant prenatal care. The candid sharing of personal experiences unveiled the often-unexpected odyssey of sex life transformations post-surgery, acknowledging the deeply personal nature of this journey. Our dialogue was more than just an exchange of facts; it was a collective call for support, research, and a safe space for individuals to share their intimate challenges. Join us as we champion a future where joyful lives and fulfilling relationships are accessible to all, regardless of the numbers on a scale.Support the Show.
Mar 7, 2024
25 min
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