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RACS Post Op Podcast

Royal Australasian College of Surgeons

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RACS Post Op Podcast is a medical podcast by the Royal Australasian College of Surgeons. It features extended interviews on articles in the current issue of Surgical News magazine, plus practical advice that surgeons can implement in their practices, including insights on financial management and wealth creation, legal and tax advice and economic forecasts.
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In this monthly podcast series, Deloitte Vietnam will talk you through notable matters that are directly making impact on your business by the Covid-19 pandemic. Strategic forecasting, recommendations, and helpful solutions are what Deloitte Vietnam experts will share in every episode of this series. Have any questions? Reach out to us at seapodcast@deloitte.com #deloittevoices
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This week I delve into some of the common myths and misconceptions I come across working as a bariatric dietitian. It's common to think that this is THE THING to stop me from gaining weight ever again and thinking that this is the change that will stop "all my bad habits". But on the contrary, it is important to realise that the body is CLEVER. It …
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In this episode, I go through how the process of weight loss surgery is undertaken in Australia. This may vary from clinic to clinic so please check with your preferred clinic. The costs vary depending on the surgeon and location so it's best to do your own research and find a clinic that suits your needs. This episode is more of a general overview…
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Your body changes completely after bariatric surgery. This also includes your blood sugar levels. In this episode, I go through how to effectively manage your blood sugar levels post-op. It can be challenging, particularly if you have diabetes or suffer from reactive or post-prandial hypoglycaemia. This episode can help you with food for thought on…
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Bariatric surgery changes the anatomy of the gastrointestinal system and the absorption. This also affects how your body responds to nutrients long term. There is a significant risk of nutrient defciencies particularly as time goes on. You might feel well but aren't actually realising that it can take years for a deficiency to develop. I go through…
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Are you immediately or in your first year after bariatric surgery? In this time after weight loss or metabolic surgery, the habits and routines that you need to be mindful of don't seem so important as the weight falls off. This episode reminds you to not get complacent in your first year post-op. It's an exciting time but also a time to build stro…
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Ulcers after bariatric surgery are rare, but are you doing actions that might increase the risk? Today on Reverse the Post-Op Regain I give you an overview of lifestyle and some medical factors that may increase the risk of ulcers. I let you know the signs and symptoms to look out for but most importantly, please keep in contact with your surgery t…
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You can't live a new lifestyle in the same environment. The triggers, the habits and routines would all still be there. It is hard to change in a new environment. In this episode, I give you some strategies on how to change your environment to support your journey after bariatric surgery. Let's chat: Work with me 1:1 by learning about my coaching: …
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Welcome to another episode of Reverse the Post Op Regain. Today, we're going to explore a crucial aspect of post-weight loss surgery journey: overcoming the fear of failure. Weight loss surgery can be life-changing, but it also comes with its own set of challenges, including the fear of regaining weight. Join us as we discuss strategies to conquer …
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Carbohydrates often get a bad rap. It is important to remember that carbohydrates are a source of energy and nutrition; one to not remove entirely post-op. In this episode, I break down simple and complex carbohydrates and how to include them after weight loss surgery. Let's chat: Work with me 1:1 by learning about my coaching: https://simpleandeas…
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Today on Reverse the Post-Op Regain I am going through why protein feels dense after weight loss surgery. Protein plays a crucial role in the post-surgery journey, and understanding its importance is key to achieving long-term success. There are days that protein is just too filling and can be very challenging. In this episode I discuss the various…
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Chronic diseases are long lasting conditions with persistent effects. Their social and economic consequences can impact on peoples’ quality of life. Chronic conditions are becoming increasingly common. 47% of Australians suffered with one of the top 10 chronic diseases in 2021-22. But, how do we balance a chronic disease and our bariatric surgery r…
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As time progresses after the surgery, you might find that you're sticking to the same portions you did when you just had the surgery. This is a common mistake that can lead to regain after bariatric surgery. I discuss the portions and what is expected as you progress in your weight loss surgery journey in today's episode. Let's chat: Work with me 1…
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Ramadhan is a spiritual month where we break from worldly pleasures - as we know; these include food, water, intimacy and vulgar talk - whilst conversely, increasing our Taqwa, piety and awareness of oneself, and connecting with Allah (swt). The month of Ramadhan is one of restriction. However, with a gastric sleeve or bypass it is harder to mainta…
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February is Gut Health Month. This month I am focusing on your gut health after weight loss surgery. There is some literature around gut health and bariatric surgery, however more research is needed. In this episode, I explain the basics of your gut. There is over 95 trillion species of bacteria in the gut from the mouth all the way through to the …
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GLP-1 Medications are arguably one of the most innovative weight loss drugs of our time. In tandem with bariatric surgery, they can be a fantastic combination to help you reach the goals you are aiming for. However, we run the risk of it being another diet or a 'quick fix' if we are not concerned with what we are actually eating whilst on these med…
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In this episode, Suraya discusses three simple yet impactful lifestyle changes applicable to every stage of weight loss surgery, whether you're pre-op, post-op, or years beyond. These are three easy, implementable tips that you can add in to make a big impact to your goals after weight loss surgery. I help you navigate the challenges of nutrition a…
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After last week's episode on reducing inflammation after weight loss surgery, I thought this would be a great topic to discuss on how to increase your fruit and vegetable intake. Often, the simplest efforts are the ones that make the most impact. Hopefully you receive some inspiration from this episode to add more fruit and vegetables to your day t…
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Weight loss surgery can make it difficult to include those foods that we know are beneficial for our health. In today's episode, I go through what inflammatory foods are, why they are helpful to the body, and how you can incorporate them after the surgery. REFERENCES: Harvard Health 2021, Foods that fight inflammation, https://www.health.harvard.ed…
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Weight regain after bariatric surgery can be a tough journey, filled with unique challenges. So, if you're feeling alone or struggling, know that you're not the only one. Social media support groups and communities have become a lifeline for many on this journey. They offer a sense of understanding and empathy that may be lacking in our immediate s…
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Do you find yourself doing all the old habits you used to do? Do you feel unworthy of having success after bariatric surgery? Do you find yourself eating foods for no purpose and it being something you used to do? You might be self sabotaging your success. This episode is a bit of tough love and how to recognise if you are indeed, sabotaging your o…
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I often get the question, did my surgeon do the surgery right? Why don’t I feel full? Sometimes it has to do with the composition of the diet, as many don’t feel full on the fluid phase. However, at various time in your WLS journey, you might notice varying levels of restriction/fullness. I'm here to explain with you that there are many reasons as …
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Weight loss surgery is a transformative journey, and while it can bring many positive changes to your life, it can also lead to a habit of comparing yourself to others. Comparing ourselves to others is a natural human tendency but it can bring harm. Today, on Reverse the Post-Op Regain, we'll explore the reasons behind this tendency and share pract…
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Reinventing the Holiday Food - What to do with the leftovers? Replay from 2022! So, Christmas and our big family gatherings might be done and dusted for another year. So, what do you do with the leftovers? In this episode we will discuss some ideas on transforming those leftovers into new dishes you’d actually enjoy. This episode is short and sweet…
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Christmas and several religious holidays at this time of year are about food, drink, celebration and enjoying each others company. It is also a tricky time for many where you might previously have some altercations, trauma or unique challenges with family events. Today I will go through how to eat confidently on Christmas day by focusing on simple …
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You're still human after weight loss surgery. Your taste buds and appetite still want some sweet and savoury snacks. I have complied a small recipe book, that encompasses these snacks here for you - download the recipes here. Below you'll find the list of the snacks I refer to in the episode: Savoury Snacks: Egg muffins with processed smoked meat S…
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Vitamin B6 is a water soluble vitamin that was thought not to build up in the body. Clearly, it can. In recent years, more B6 toxicity has been reported and become problematic for many people. There are severe side effects. In this episode, I go through what to look out for, how to diagnose and treatment. It is important to test, not to guess, so i…
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Have you had the foamies? If you said yes, you probably know what I’m talking about. If you don’t know what the foamies are, it is the term described by the weight loss surgery or bariatric community of this thick mucus or saliva that comes up during or after meals. In this episode, I'll go through the causes of the foamies and strategies to minimi…
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Pregnancy can throw a spanner in the works for anyone, however especially after weight loss surgery. It is important to know from the get go, that you can have a healthy baby after a pregnancy post- weight loss surgery. In today's episode, I go through aspects and things to consider if you're planning a pregnancy after weight loss surgery. This doe…
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It is almost summer here in Australia which means it can be very challenging to meet those fluid goals. Between the kids finishing school, work and the many commitemnts that come at the holiday season, getting enough fluid can be a challenge. In today's episode, I go through some great strategies to ensure you're hydrated and limiting the risk of d…
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Nutrition after weight loss surgery can be overwhelming and confusing. In today's episode I go through the use of the bariatric plate (this episode is not affliated but resources and be shown here for ease): Great Ideas In Nutrition Bariatric Plate (buy porcelian if you intend to use in the microwave). The use of the plate can make it easy to follo…
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A common longer time symptom or condition after weight loss surgery is reactive hypoglycaemia or post-prandial hypoglycaemia. It is different to diabetes in any form, but can happen due to the altered release of hormones after weight loss surgery. Reactive hypoglycaemia is where the body releases too much of the hormone insulin after bariatric surg…
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Knowing when you're hungry and when you're full is new and different after weight loss surgery. Those symptoms you used to get to know when to eat or when to stop are different post-op. It takes time to learn these symptoms. In today's episode, I break down what to look out for when you are hungry and when you are full. I have a resource called the…
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In today's episode I go through five aspects of your diet and lifestyle that might not be working to your advantage. I go through how to identify these traps that you might fall into, and how to work through those common pitfalls I see people make when they are trying to reduce their weight. I reference my colleague Johann Erasmus in this episode. …
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In this episode of Reverse the Post-Op Regain Podcast, I share invaluable insights on how to steer clear of common pitfalls after undergoing weight loss surgery. Whether you're in the early stages of recovery or years post-op, these practical tips are designed to help you navigate your nutrition journey with confidence. Let's chat: Work with me 1:1…
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Today on Reverse the Post Op Regain, I'm discussing three simple and practical strategies that you can use to minimise the effects mindless eating has on you after weight loss surgery. You could wake up with the best intentions and have all the food available, but one thing happens during the day and you're in the cookie jar. We've all been there. …
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In this podcast episode, we delve into the question that often plagues individuals who have undergone weight loss surgery: "Have I stretched my stomach after WLS (Weight Loss Surgery)?" Whether you've had a gastric sleeve, gastric bypass, or any other metabolic procedure, this concern is a common one. Suraya guides us through the intricacies of und…
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In this episode I go through five key reasons that small group coaching can help you propel your results in reversing weight regain. I go through the aspects of support, accountability, access to a health professional, and the community that you do receive when you join a small group coaching program. I invite you if you're interested to my six wee…
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Calorie counting can be a tedious task. Often you may have done this when you have dated in the past and found little to no success. There are many applications out there to help you - my favourites are Easy Diet Diary and Bariatastic. In this episode I go through: What calorie counting is Pros/Cons of Calorie Counting Who best is suited to calorie…
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The final stage before moving onto normal foods again, is the soft foods. It's a great time to continue to establish those new eating behaviour habits, eating regular meals and as always - getting adequate protein and fluids. It is also a time for a chance to get back to old habits. Try to do your best to reduce this risk by capitalising on your mo…
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The Puree stage of the post-operative recovery after a weight loss surgery is most commonly the hardest. The texture alone is enough to turn you off eating food, but I have some strategies to help. The post-op stages are often mind over matter with a huge goal of healing the staple line for a complication free recovery. Remember these podcasts are …
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This episode is for you if you've just had surgery. Usually I focus on weight regain, however developing content for everyone at any stage, whilst focusing your mindset on ensuring you look after you and you heal well - will support you in any stage post-op. I go through some tips and tricks on how to maximise healing in the first two weeks after w…
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Today, we are doing a four or five part mini-series going through how to manage the pre-operative VLCD Diet - then we will go through the fluid, puree, soft then creating ongoing success after WLS. If you or someone you know is having surgery soon, please share this episode with them as it may help them go through the fortnight of VLCD shakes/soups…
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In this episode of "Reverse the Post-Op Regain," your host Suraya Nikwan, a weight loss surgery dietitian, delves into a little known trick that can make a significant difference in your weight loss or regain journey. If you're struggling to lose weight after regaining it, this episode is for you. Suraya shares a personal story of her battle with l…
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Today on Reverse the Post-Op Regain, we are exploring why overthinking and overcomplicating is affecting your overall nutrition and quality of life. It has effects on your ability to be flexible in social situations, why this might increase the risk of regain, reduce your quality of life and create guilt and shame. It is important to stop the overt…
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In this episode of Reverse the Post-Op Regain, I take a look into Ozempic, the once-weekly injectable drug that has gained popularity for weight loss. Join us as we explore how Ozempic works, its role in weight loss surgery, and its potential impact on weight regain. We'll discuss key considerations, the importance of maintaining muscle mass, and p…
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This week on Reverse the Post-Op Regain I am discussing the use and ongoing use of protein supplements. Protein is crucial after weight loss surgery and a deficiency of it can cause muscle wastage, fatigue, hair loss and overall lethargy. Sufficient and adequate protein can be difficult, especially in those early phases post-op where protein supple…
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Dumping Syndrome, a common complication after bariatric surgery, can significantly impact the lives of individuals after bariatric surgery. In this episode, we delve into the physiology of dumping syndrome, its symptoms, and the challenges it poses to you as an individual. We explore the two types of dumping syndrome: early and late dumping, discus…
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Did your bowels change after having bariatric surgery? Has constipation been a problem? Well, today we are going through fibre and how to make sure you get enough after weight loss surgery. Balancing fibre and protein is no easy feat, however I have some simple yet effective strategies to help you do your number 2's with less discomfort and more of…
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Pouch resets have long been touted as an internet solution to obtaining the restriction that you once had immediately after bariatric surgery. It is a diet that often follows the post-operative diet of fluid --> puree --> soft foods then solid foods. Some people find that it helps them get 'back on track' however for the most part, it tends to slip…
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For nearly 20 years, general and acute care physician Dr Simon Quilty has witnessed up-close the poverty that inflicts indigenous communities in the Northern Territory. The conditions are exacerbated by systems failures and lack of health care. Despite the incredible challenges, there are opportunities. Dr Quilty commends the Royal Australasian Col…
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