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The Impact of Bariatric Surgery on Chronic Pain Syndromes

In this episode, we explore the significant relationship between obesity and chronic pain, and the impact of weight loss on conditions such as fibromyalgia, specifically highlighting bariatric surgery. Key aspects discussed include different types of bariatric surgeries, their mechanisms, benefits, risks, and long-term commitment required for success. Various studies are reviewed showcasing the effects of weight loss on knee osteoarthritis, chronic pain improvement post-surgery, and overall physical function. Future episodes promise to delve into the impact of GLP-1 agonists, very low-calorie diets, and whole food plant-based diets on chronic pain and autoimmune conditions.

00:00 Introduction to Chronic Pain and Obesity
00:39 Understanding Eating Disorders and Weight Loss
01:11 Overview of Weight Loss Interventions
01:45 Bariatric Surgery Explained
03:47 Types of Bariatric Surgery
05:47 Post-Surgery Effects and Benefits
06:46 Risks and Long-Term Commitment
08:29 Impact of Bariatric Surgery on Chronic Pain
08:35 Study on Knee Osteoarthritis and Bariatric Surgery
14:41 Predictors of Chronic Pain Post-Surgery
16:55 Longitudinal Study on Pain and Function
20:23 Meta-Analysis on Back Pain and Bariatric Surgery
22:53 Conclusion and Next Week's Preview

International Conference on ADHD in November 2025 where Dr. Lenz will be one of the speakers.

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When I started this podcast—and the book that came before it—I had my patients in mind. Office visits are short, but understanding complex, often misunderstood conditions like fibromyalgia takes time. That’s why I created this space: to offer education, validation, and hope. If you’ve been told fibromyalgia “isn’t real” or that it’s “all in your head,” know this—I see you. I believe you. You’re not alone. This podcast aims to affirm your experience and explain the science behind it. Whether you live with fibromyalgia, care for someone who does, or are a healthcare professional looking to better support patients, you’ll find trusted, evidence-based insights here, drawn from my 28+ years as an MD.

Please remember to talk with your doctor about your symptoms and care. This content doesn’t replace personal medical advice.*

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