Casey Grover, MD, FACEP

Addiction Medicine Made Easy

Casey Grover, MD, FACEP, FASAM

  • A Bariatric Surgeon Schools Me On Food Addiction and Weight Loss Surgery

A Bariatric Surgeon Schools Me On Food Addiction and Weight Loss Surgery

Monday 17th November 2025

Explore the complex link between food addiction and weight loss surgery with Dr. Mark Vierra's expert insights.
69 minutes
Informative
Engaging
Compassionate
Educational
Eye-opening

About this podcast

Addiction Medicine Made Easy
Author:
Casey Grover, MD, FACEP
Overview:
Categories:
Innovative Treatments & Recovery Paths
Navigating Alcohol Dependency
Family Recovery from Addiction
Navigating Intimate Relationships
Nutritional Pathways to Recovery
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Bariatric Surgery: Beyond the Scalpel

Episode Overview

  • Weight-loss surgery isn't always necessary for obesity treatment.
  • Genetics and hormones play a significant role in weight management.
  • Understanding a patient's relationship with food is crucial.
  • Surgery can lead to hormonal changes affecting appetite.
  • Alcohol use post-surgery requires careful monitoring.
"The goal is to help people live happier and healthier lives, whether through surgery or other means."
How do individuals turn their lives around after addiction? In this captivating episode of 'Addiction Medicine Made Easy,' Dr. Casey Grover sits down with bariatric surgeon Dr. Mark Vierra to discuss the complex relationship between food addiction and weight loss surgery. Dr. Vierra shares his expertise on how genetics and hormones can significantly influence obesity, sometimes overpowering even the strongest willpower. You'll learn why not everyone struggling with obesity needs surgery and how Dr.
Vierra's approach often involves a careful programme that considers both medical and psychological aspects. The episode dives into how weight-loss surgery can reshape appetite signals through hormonal changes, providing insights into GLP-1 surges, ghrelin drops, and PYY's 'brake.' Dr. Vierra also addresses the stigma faced by those who are overweight, likening it to the stigma faced by people with addiction.
He highlights the importance of understanding a patient's relationship with food before considering surgical intervention, and shares anecdotes that illustrate the transformative impact of weight-loss surgery on patients' lives. The conversation extends to the risks associated with alcohol use post-surgery, emphasising the need for a comprehensive understanding of a patient's lifestyle and mental health. This episode is packed with engaging stories and expert advice, leaving you with plenty to ponder about the intersection of addiction, obesity, and surgical intervention.
If you're curious about how different strategies aid in addiction recovery, this episode is a must-listen.
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