In this engaging conversation, Aimee Rothe, a board-certified bariatric nurse and post-op bariatric patient, shares her journey from being a medical provider who sought treatment for her obesity after a harrowing experience with a patient, when she was over 400 lbs, to being a provider in the field of obesity care.

She emphasizes the importance of normalizing obesity treatment, individualizing care for patients, and overcoming the stigma associated with weight loss surgery and onboarding adjunct treatments such as GLP-1’s. The discussion highlights the emotional challenges faced by patients post-surgery, the role of support groups, and the need for ongoing care and understanding from healthcare providers.

Aimee advocates for a compassionate approach to obesity treatment, encouraging patients to seek help and not feel ashamed of their journey.

Keywords

bariatric surgery, weight loss surgery, VSG, Gastric Bypass, metabolic syndrome, SADI-s, obesity care, individualized treatment, patient support, emotional health, chronic condition, healthcare, normalization, weight loss, patient-provider relationship, GLP-1, Type 2 diabetes remission, sleep apnea, PCOS, high blood pressure

Takeaways

Obesity is a chronic medical condition, not a failure of willpower.

Bariatric surgery should be viewed as a treatment, not a last resort.

Individualized care is crucial for effective obesity treatment.

Patients should not feel ashamed or stigmatized for seeking help.

Support groups play a vital role in the emotional journey post-surgery.

The journey of weight loss is a marathon, not a sprint.

It's important to normalize conversations about struggles with obesity.

Patients should maintain open communication with their providers.

Utilizing multiple treatment modalities is acceptable and necessary.

Healthcare providers must understand the complexities of obesity and support their patients.

Chapters

04:55 Meet Amy Rothe: A Journey from Patient to Provider

08:25 Understanding Obesity as a Chronic Condition

11:55 The Importance of Individualized Care in Obesity Treatment

16:06 Normalizing Conversations Around Obesity and Treatment

20:24 The Role of Support Groups in Bariatric Care

25:56 Navigating Body Image and Relationships Post-Surgery

30:12 The Emotional Journey of Bariatric Surgery

35:08 Understanding the Reality of Uncomfortable Situations

38:15 Breaking Points and the Decision for Surgery

42:34 The Importance of Individualized Care in Obesity Treatment

47:39 Normalizing Multiple Modalities of Treatment

Guest Bio

Aimee Rothe, BSN, RN, CBN, CEN, TCRN, NHDP-BC serves as the Hospital Program Director of Metabolic and Bariatric Surgery at a hospital in Birmingham, Alabama. Under her leadership, the program maintains multiple national recognitions, including designation as a BCBS Blue Distinction Plus Center for Bariatric Surgery, an Aetna Institute of Quality for Bariatric Surgery, an Optum Center of Excellence for Bariatric Surgery, and an American College of Surgeons Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program Comprehensive Center. Aimee is a Certified Bariatric Nurse and is active within the American Society for Metabolic and Bariatric Surgery. She serves on multiple national committees, represents the nursing discipline as a Member-at-Large on the ASMBS Integrated Health Leadership Council, and acts as the Integrated Health Board Liaison for the ASMBS Alabama State Chapter. In 2017, Aimee underwent bariatric surgery to address her own chronic medical condition. That experience strengthened her commitment to guiding patients through the bariatric and obesity medicine journey while advocating for recognition of obesity as a chronic, treatable disease. Her work centers on improving patient outcomes, strengthening evidence-based education, and advancing best practices in metabolic health management. She is also focused on building stronger collaboration across medical specialties, expanding outreach efforts that encourage earlier intervention, coordinated care, and open dialogue about obesity and its associated conditions.

Links

Aimee Rothe Contact Information

[email protected]

WeightManagementUABStVincents

BariNation Membership Community: BariNation.mn.co

The BariNation Podcast is a production of the BariNation Foundation, a 501c3 nonprofit that advances metabolic wellness for people living with obesity by providing evidence-based education, stigma-free support, and meaningful connections in the moments that shape daily life. The Foundation's mission is to walk alongside individuals pursuing medical, surgical, and comprehensive care, supporting real decisions, challenges, and victories that influence long-term health with the support and guidance of obesity medicine experts.

Learn more about the BariNation Foundation and make a tax-deductible donation by going to BariNation.org

The BariNation Podcast is a production of the BariNation Foundation, a 501c3 nonprofit that advances metabolic wellness for people living with obesity by providing evidence-based education, stigma-free support, and meaningful connections in the moments that shape daily life. The Foundation's mission is to walk alongside individuals pursuing medical, surgical, and comprehensive care, supporting real decisions, challenges, and victories that influence long-term health with the support and guidance of obesity medicine experts.

Learn more about the BariNation Foundation and make a tax-deductible donation by clicking HERE going to BariNation.org

In this conversation, April Williams and Katie Booker, licensed therapist and bariatric patient, explore the critical connection between the mind and body, particularly in the context of bariatric surgery. They discuss the importance of recognizing disconnection, identifying signs of it, and the strategies to reconnect. The conversation emphasizes the role of community support in the healing journey and provides practical tips for movement and mindset. The overarching theme is that transformation is a continuous journey, requiring patience, self-compassion, and a willingness to engage with one's body and emotions.

Keywords

Obesity, Bariatric Surgery, Advocacy, Healthcare Barriers, Community Support, Patient Stories, BariNation Foundation, Metabolic Surgery, Roux-enY, Gastric Bypass, VSG, Gastric Sleeve, DS, Duodenal Switch, SADI-S, Obesity Medications, GLP1’s, Ozempic, Wegovy, Mounjaro, Zepbound, Mind-body Connection, emotional health, mindfulness, self-compassion, Healing Journey, Weight Loss, Disconnection, Personal Growth

Takeaways

Our bodies and minds are designed to be connected.

Disconnection can manifest in various ways, especially for bariatric patients.

Identifying signs of disconnection is crucial for healing.

Mindful movement can help re-establish the mind-body connection.

Community support is essential for emotional healing and growth.

Self-compassion is key in the journey of transformation.

It's important to recognize that transformation is a lifelong process.

You can always start again, no matter where you are in your journey.

Practicing mindfulness can enhance awareness of hunger and fullness cues.

It's okay to feel conflicting emotions at the same time.

Chapters

00:00 The Importance of Mind-Body Connection

08:43 Understanding Disconnection in Bariatric Patients

16:16 Identifying Signs of Disconnection

22:50 Strategies for Reconnecting Mind and Body

24:30 Understanding the Body-Mind Connection

30:22 Recognizing Trauma and Its Impact

35:42 The Journey of Reconnection

42:47 Embracing Self-Compassion and Healing

48:30 Navigating Emotions and Self-Compassion

50:00 The Four Pillars of Bariatric Success

52:04 Mindful Movement and Body Awareness

55:40 Mindset Strategies for Reconnection

01:01:22 The Role of Community in Healing

01:04:58 The Journey of Transformation and Patience

Katie Booker Bio

Katie is a mental health therapist in New York State that specializes in trauma. She is certified in EMDR, is a registered play therapist, and completes bariatric psychological evaluations for pre-surgery approval. She offers a unique perspective to the mindset work of bariatric surgery as a bariatric patient herself.

PDF of Katie's Class: https://drive.google.com/file/d/1IslQ-N59bmE7ZY7yaeni9K7O6IH_4rWw/view?usp=sharing

The BariNation Foundation

The BariNation Podcast is a production of the BariNation Foundation, a 501c3 nonprofit that advances metabolic wellness for people living with obesity by providing evidence-based education, stigma-free support, and meaningful connections in the moments that shape daily life. The Foundation's mission is to walk alongside individuals pursuing medical, surgical, and comprehensive care, supporting real decisions, challenges, and victories that influence long-term health, with the guidance of obesity medicine experts.

Learn more about the BariNation Foundation and make a tax-deductible donation by going to BariNation.org

Episode Summary

In this episode, April Williams and Monique Coleman, a bariatric patient and Certified Fitness Instructor and BariNation community member, discuss the many barriers faced by women in the Black and Brown communities in navigating family and cultural bias in their journey to access bariatric care. The importance of representation, the power of community support in overcoming stigma and misconceptions about obesity, and treatment options are key to changing perceptions faced by those battling the disease now and for future generations.

Keywords

Obesity, Bariatric Surgery, Black and Brown Community, Representation, Advocacy, Healthcare Barriers, Community Support, Race and Health, Patient Stories, BariNation Foundation, Metabolic Surgery, Roux-enY, Gastric Bypass, VSG, Gastric Sleeve, DS, Duodenal Switch, SADI-S, Obesity Medications, GLP1’s, Ozempic, Wegovy, Mounjaro, Zepbound

Key Takeaways from the Conversation:

1. Representation Matters: Individuals are more likely to engage with resources when they see others who share similar backgrounds and experiences.
2. Breaking the Stigma: Obesity is a lifelong disease, not a moral failing. Treatment options like Roux-en-Y or VSG should be accessible and stigma-free.
3. The Power of Advocacy: Sharing your personal story can empower others to reclaim their lives and advocate for the care they deserve.
4. Community is Everything: Finding a safe space—like the BariNation Foundation—can help overcome the isolation often felt during a health journey.

Guest Name & Bio

Monique Coleman is a Wellness & Motivation Coach for Women Over 40, founder of Curvy Fit Fitness & Healthy Living With Monique, and a bariatric surgery and GLP-1 wellness advocate. At 46, she empowers midlife women to stop procrastinating, move their bodies with confidence, and feel good in their skin again.

Five years post-bariatric surgery and navigating perimenopause, Monique combines mindset, movement, and real-life strategy to help women break free from shame, food noise, and self-doubt. Through fitness events, virtual programs, speaking, and community building, she creates safe spaces for women to heal, grow, and show up boldly in the second half of life.

Chapters

00:00 Introduction and Background

02:47 Representation and Community

06:37 Cultural Barriers to Treatment

10:50 Reclaiming Life After Surgery

12:42 The Journey of Self-Discovery

15:22 Overcoming Barriers to Care

17:45 The Role of Community Support

19:51 Understanding Obesity as a Disease

21:30 Advocating for Yourself

23:42 The Importance of Empathy in Healthcare

25:47 The Journey of Healing and Self-Discovery

27:45 Individualized Health Journeys

29:20 The Importance of Representation in Healthcare

31:21 Documenting the Bariatric Journey

33:38 Navigating Cultural Barriers in Health

35:16 Empowerment Through Advocacy

39:20 Understanding Obesity as a Disease

41:00 The Role of Community in Healing

44:08 Creating Safe Spaces for Conversations

52:31 Sharing Your Story as Empowerment

Resources

BariNation Foundation - barination.org

Support This Work, Become a Donor- https://barination.givecloud.co/fundraising/forms/8NDR96EK

BariNation Support Community- https://barination.mn.co

Monique Coleman's Social Media - IG @healthylivingwithmonique1

Community Room Zoom Link- https://us02web.zoom.us/j/84398962120

Today changes everything.

In this special episode of the BariNation Podcast, we officially announce the launch of the BariNation Foundation, a federally recognized 501(c)(3) nonprofit organization dedicated to supporting people fighting the chronic disease of obesity.

Founded by patients, built by patients, and guided by experts, the BariNation Foundation exists to bring knowledge, community, and hope together, without barriers.

In this episode, April Williams is joined by co-founders Jason Smith and Natalie Tierney, along with Melanie Lindell, Christine Mason, and Lori Dustin, to share:

✔ Why BariNation transitioned into a nonprofit

✔ What 501(c)(3) status means for patients

✔ How this expands access to lifelong obesity care

✔ Why patient voice must remain central in obesity treatment

✔ The future of bariatric surgery, GLP-1 medications, and metabolic care

✔ How you can become a Foundational Donor

The BariNation Foundation exists to bring knowledge, community, and hope together to support people fighting the disease of obesity.

We are treatment-agnostic and committed to supporting individuals pursuing:

1. Bariatric surgery
2. GLP-1 medications
3. Medical obesity treatment
4. Lifestyle-based treatment
5. Long-term metabolic care

A future where there are no barriers to accessing lifelong obesity care and support, financial, educational, technological, or systemic.

1. People First
2. Science Over Stigma
3. Community as Care
4. Access Without Barriers
5. Partnership & Integrity
6. Hope with Honesty

More than 100 million Americans live with obesity.

Hundreds of thousands undergo bariatric surgery each year.

Millions are navigating GLP-1 medications and metabolic treatment.

And too many are doing it alone.

The BariNation Foundation is building a bridge between:

Patients

Clinicians

Researchers

Industry

And real-world lived experience

As a 501(c)(3), donations are tax-deductible where state law allows.

Become a Foundational Donor and help eliminate barriers to obesity care.

🔗 https://barination.givecloud.co/fundraising/forms/8NDR96EK

Every deductible dollar goes directly toward:

1. Podcast education
2. Community support groups
3. Advocacy
4. Free educational resources
5. Patient access initiatives

Thank you for watching, sharing, and supporting the BariNation Podcast and now, the BariNation Foundation. We could not do this without your support and we are deeply grateful for you.

00:00 – The Big Announcement

05:00 – Why Nonprofit Status Matters

10:00 – Patient Voice at ASMBS

15:00 – Expanding Support Beyond Bariatric Surgery

20:00 – Sustainability & Financial Stewardship

30:00 – Our Mission, Vision & Values

35:00 – How to Support the Foundation

Have you ever worked so hard to lose weight, only to feel frozen at the idea of intentionally putting weight back on your body?

You’re not alone. And this episode is for you.

In this BariNation Podcast episode, we sit down with Kayla Girgen, RD, LD, CPT, registered dietitian, personal trainer, and author of the new book Ruck Fit, to break down rucking through a bariatric lens, the fears, the resistance, and why this simple practice may be one of the most powerful (and overlooked) tools for post-op metabolic health.

Rucking is simply walking with weight, and while that sounds straightforward, for bariatric patients, it can bring up a lot of hesitation:

1. “I worked so hard to lose this weight—why would I add it back?”
2. “What if I hurt myself?”
3. “What if it doesn’t actually help?”

Kayla meets those fears head-on with science, compassion, and real-world experience.

Episode Quotes:

"It might sound dramatic to say that rucking saved me, but shouldering the load helped me reclaim my sense of self, perseverance, and inner peace." Kayla Girgen

“Rucking's going to help preserve that muscle and help make sure that you can maximize your blood sugar management...By adding weight back in the form of a weighted vest or a ruck, you help provide that weight bearing stimulus that helps tell your skeleton, hey, we still need this bone density."

1. The emotional and psychological resistance to “adding weight back”
2. How fear, all-or-nothing thinking, and perfectionism keep us stuck
3. Why doing nothing often feels safer than trying something new

1. Walking with a weighted vest or backpack (ruck)
2. Why rucking is low-impact, scalable, and accessible
3. How rucking is different from traditional cardio or gym workouts

1. Why rapid weight loss can increase risk of muscle and bone loss
2. How rucking provides the weight-bearing stimulus your skeleton needs
3. Why preserving muscle matters more than “burning calories”

1. What metabolic flexibility actually means (without medical jargon)
2. Why bariatric patients often feel hungry quickly or “carb dependent”
3. How rucking helps muscles access fuel without relying on insulin
4. Why this matters for insulin resistance, inflammation, and long-term health

1. How rucking supported Kayla through panic attacks and burnout
2. Why rucking helps people escape the “all in or all out” cycle
3. The underrated mental health benefits of movement + nature

1. How much weight to start with (hint: less than you think)
2. Weighted vest vs backpack: pros, cons, and posture considerations
3. Creative ways to ruck without going on a long walk (yes, housework counts)
4. Why not every walk needs to be a ruck

1. Why rucking works well in groups (even at different fitness levels)
2. How community reduces fear and builds confidence
3. Why post-pandemic connection matters more than ever

Kayla Girgen, RD, LD, CPT is a registered dietitian, certified personal trainer, and movement educator who discovered rucking during a season of burnout and anxiety. Her new book, Ruck Fit, explores:

1. The history of rucking
2. The science behind why it works
3. How rucking supports metabolic, mental, and physical health
4. Practical, beginner-friendly guidance to get started safely

This episode brings the book to life, especially for bariatric patients navigating movement after weight loss surgery.

If this episode sparked questions like:

1. “Is rucking safe after bariatric surgery?”
2. “When is the right time to start?”
3. “What if I’m scared I’ll fail?”

You’re exactly who this conversation is for.

👉 Leave a comment,

👉 Email us at [email protected], or

👉 DM us inside the BariNation Community

We’ll be inviting Kayla back to go even deeper—and your questions help shape those conversations.

Links and Resources:

BariNation Newsletter Sign- Up: https://barination.kit.com/ea1ff73fb9

Metabolic Flexibility Blog: https://kaylagirgenrd.com/metabolic-flexibility/

BariNation Support Community: https://barination.mn.co

Metabolic health is more than weight loss—it's about addressing the root causes of obesity as a disease. Today’s episode is sponsored by AdventHealth and we were excited to sit down with Dr. Damon Tanton, Executive Medical Director of AdventHealth Central Florida's Metabolic Health Institute, to explore how insulin resistance drives weight gain and metabolic dysfunction. Dr. Tanton explains why treating obesity requires whole-person care rather than focusing solely on diet and exercise. We discuss the root causes of metabolic syndrome and how personalized care is transforming lives by addressing hyperinsulinemia and reversing metabolic damage before it becomes irreversible.

What You Will Learn in this Episode:

✅ Why insulin resistance is the foundation of metabolic health issues and how hyperinsulinemia causes your body to store fat rather than burn it for energy preferentially.

✅ Why whole person care and personalized treatment are essential for long-term success, and how AdventHealth Central Florida's approach eliminates shame and judgment from obesity medicine.

✅ How understanding the cause can determine the best treatment course, and how bariatric surgery and GLP1/GIP medications work as potent insulin sensitizers that can reverse years of metabolic damage and reduce inflammation throughout the body.

Tune in, and don’t forget to join the BariNation Community to attend community meetups, watch exclusive bonus content and support the podcast for as little as $5 per month! You can also contribute to BariNation and become a Drive To Thrive Supporter with a one-time or recurring donation.

TIMESTAMPS:

00:00 Metabolic health, obesity medicine and understanding insulin resistance and hyperinsulinemia

06:56 Why obesity is a physiological, not a behavioral issue, and obesity is not your fault

18:52 How visceral fat triggers the metabolic disease cascade and the domino effect

28:30 The importance of early intervention in metabolic syndrome

30:43: Discussion of personalized individualized care and the frustration with healthcare

38:20 Whole person care approach at AdventHealth Central Florida

44:34 Overcoming shame and judgment in obesity treatment and creating trust between patient and doctor

55:50 Life gained through metabolic wellness and authenticity, and when is the best time to have surgery

1:00:22 Jason shares how his life has changed, and Dr. Tanton encourages being your authentic self to the listener

KEY TAKEAWAYS:

💎 Insulin resistance affects over 100 million Americans and is the underlying cause of 70% of all diseases, including cardiovascular disease, cancer, anxiety, and reproductive problems. Addressing hyperinsulinemia is the key to reversing metabolic health decline.

💎 The medical system has been backwards for decades, blaming patients for behavioral issues instead of addressing the science first. Personalized care that treats the whole person without judgment is essential for sustainable results.

💎 Bariatric surgery and GLP-1 medications are not just weight loss tools—they're powerful treatments that correct physiological dysfunction by dramatically lowering insulin levels and reducing inflammation throughout the body.

ABOUT THE GUEST:

Damon Tanton, MD, is board-certified in endocrinology, diabetes and metabolism. He serves as Executive Medical Director of the Metabolic Health Institute at AdventHealth and sees patients at AdventHealth Medical Group in Orlando, Florida. A University of Miami School of Medicine graduate, he completed his residency at Wright-Patterson Medical Center and fellowship in endocrinology at Lackland Air Force Base. He specializes in diabetes, insulin resistance, obesity treatment, PCOS, and thyroid disorders.

AdventHealth Central Florida - Instagram

AdventHealth Orlando - Website

AdventHealth Central Florida, Damon Tanton, MD,

AdventHealthWeightLoss.com

RESOURCES MENTIONED:

BariNation Website

BariNation - Email

BariNation - Partnership Monthly Membership

BariNation’s How to Find an Obesity Specialist Guide

If you’ve ever felt confused, discouraged, or even ashamed about your weight—especially if you’ve tried “everything” and it still feels difficult—this conversation will change how you understand your body and your journey.

In this encore episode, recorded live at AdventHealth, bariatric and metabolic medicine specialists Dr. Melissa Bagloo and Dr. Shiva Seetahal explain why weight loss is not just about willpower or discipline, but about biology, hormones, metabolism, and how our bodies are designed to protect us.

This episode is for anyone who:

1. Is considering bariatric surgery
2. Is pre-op, post-op, or experiencing a plateau or regain
3. Has struggled with dieting, weight cycling, or self-blame
4. Wants to understand what their body is actually doing — and why

You’ll walk away with clarity, relief, and a much kinder understanding of yourself.

By listening to this episode, you’ll learn:

1. Why bariatric surgery works differently than diets, and how it changes gut hormones, insulin response, hunger, fullness, and metabolic signaling instead of just “restricting” food.
2. Why obesity is a chronic, biological disease, not a personal failure, and why that changes how it should be treated and supported long-term.
3. Why weight loss is often a side effect of improved metabolic health, not the primary mechanism, and why focusing only on the scale can miss what really matters.
4. Why plateaus, slowdowns, and even weight regain are not signs of failure, but a normal part of how the body adapts and recalibrates over time.
5. How medications can support weight and metabolic health before or after surgery, and why adding a tool doesn’t mean surgery didn’t work.
6. Why surgery is not the end of the journey, but the middle of it, and why ongoing support, follow-up, and community matter for long-term success.
7. How to release shame and self-blame by understanding the science behind weight regulation, so you can replace judgment with compassion and informed care.
8. What whole-person, compassionate obesity care actually looks like, and why your emotional, mental, and physical health all deserve to be part of the conversation.

So many people struggling with weight feel isolated, broken, or like they’re doing something wrong.

This episode reframes that story.

It explains why your body may feel like it’s working against you, and how bariatric and metabolic medicine work with your biology instead of fighting it.

Most importantly, it reminds you that you’re not alone, you’re not failing, and you deserve care, support, and understanding along the way.

1. Pre-op and trying to understand what surgery actually does
2. Post-op and wondering why your journey looks the way it does
3. Feeling stuck, plateaued, or discouraged
4. Curious about how hormones, metabolism, and biology affect weight
5. Ready to replace shame with clarity and support

If this episode resonates with you, consider sharing it with someone who might need to hear this message, too, because weight is heavy enough without carrying it alone.

Click HERE to learn more about whole-person care at AdventHealth Central Florida.

A special thank you to AdventHealth Central Florida for making this episode and education possible!

You got this, and we got you.

RESOURCES:

1. Check out this exclusive AdventHealth BariNation Monthly Membership for only $29/mo!
2. BariNation Website
3. Join the BariNation Membership community meetups to support you on your journey with obesity treatment. https://barination.com/pages/join-our-community
4. Want to see bonus content? Head over to https://www.patreon.com/BariNationPodcast to get more and support the podcast for as low as $5 per month!

GUEST RESOURCES:

Melissa Bagloo, MD - AdventHealth Website

Shiva Seetahal, MD - AdventHealth Website

BIOGRAPHIES:

Dr. Melissa Bagloo is a board-certified bariatric and general surgeon and a Fellow of the American College of Surgeons and the American Society of Metabolic and Bariatric Surgery. A Florida native, she trained in the Northeast before joining AdventHealth. She earned her medical degree from the University of Florida. She completed her general surgery residency at NYU, followed by a minimally invasive and bariatric surgery fellowship at Weill Cornell and Columbia. Specializing in advanced laparoscopic and robotic surgery, Dr. Bagloo has performed over 500 robotic and thousands of minimally invasive procedures. She is dedicated to whole-patient care, helping patients achieve lasting weight loss with minimal recovery time.

Dr. Shiva Seetahal is a board-certified surgeon specializing in minimally invasive and laparoscopic procedures, strongly focusing on patient care and satisfaction. He earned his medical degree with honors from the University of the West Indies, completed his surgical residency at Howard University Hospital, and pursued a Minimally Invasive and Bariatric Surgery fellowship at Atlanta Medical Center. He has been actively involved in research, has published numerous works, and has served on editorial boards for surgical journals. Dr. Seetahal is also a member of the American Society for Metabolic and Bariatric Surgery (ASMBS).

ABOUT:

If the BariNation podcast helps power your bariatric journey, become a monthly podcast supporter and help us produce the show! Visit www.barinationpodcast.com and help us support people treating the disease of obesity with humor, humility, and honesty.

We need your help to keep the BariNation Podcast in production. Your one-time or recurring donations help us ensure this free support remains open to everyone. Click Drive To Thrive - Donation to learn more and give. THANK YOU for your support!

What if the reason change feels so hard isn’t because you’re failing…

…but because you’re finally doing it right?

In this first episode of 2026, April, Jason, and Natalie gently but firmly dismantle one of the biggest lies in the bariatric space: that transformation is something you can plan, download, buy, or perfect.

It isn’t.

Real transformation isn’t clean. It isn’t aesthetic. It isn’t linear.

It’s what happens when you hit present reality at high velocity and stop trying to tape the pieces back together the way they were before.

In this conversation, we explore:

1. Why surgery is not the transformation, it’s the catalyst
2. Why so many of us hit a wall post-op and think something is wrong with us
3. Why chasing “the next right thing” (the planner, the diet, the supplement, the system) is often a way to avoid the actual work
4. Why the middle, the messy, uncomfortable, identity-shifting middle, is the work
5. And why transformation is less about becoming someone new and more about becoming honest

This episode is for you if you are:

1. Contemplating a different way forward
2. Preparing for bariatric surgery
3. Or sitting in chaos, knowing you cannot keep living the way you are

It’s a loving confrontation and a deep exhale.

You’re not broken.

You’re not behind.

You’re in the middle.

And that’s exactly where transformation lives.

Click here to read the Substact Post by Suleika Jaouad that helped us look at "resolutions" in a new way.

Did something in this episode resonate with you? Let us know by leaving a comment on the platform you are watching or listening to, or by emailing [email protected].

We love hearing from you, learning your takeaways, "aha" moments, and questions you might have after taking in this episode.

BariNation is a patient-created and patient-led orginization that needs your support to produce this show.

➡️ If you enjoyed this episode, give us a High Five $5 donation. Your support helps us reach more people and support patients in every stage of their journey.

Yes, $5 does help.

You've got this, and we've got you.

_____________________________

Connect with BariNation

1. Instagram: @bari.nation
2. Facebook: @barination
3. TikTok: @barination
4. YouTube: @barination
5. Website: www.barination.com
6. Support Community: www.barination.mn.co
7. Email: [email protected]

Are you struggling to see obesity as more than a number on the scale? Do you wonder why shame and stigma still dominate the conversation around bariatric surgery?

In this revisited episode, we explore the truth about obesity as a chronic disease and how we can shift the narrative to one of compassion, education, and long-term support. Our guest, Carah Horn, brings her clinical expertise and lived experience to the table in an eye-opening and empowering conversation. We talk about the outdated perceptions surrounding bariatric surgery, the crisis in obesity care, and why finding the right provider makes all the difference. Carah shares powerful analogies—like her “lawn care” metaphor—to help us understand why long-term maintenance and ongoing support matter. She also explains the dangers of anti-obesity medications without proper oversight and how the BariNation Community provides a unique space for education, encouragement, and behavior change. Whether you are post-op, pre-op, or still considering surgery, this episode will leave you feeling seen, supported, and more equipped for the road ahead.

IN THIS EPISODE:

1. (01:24) Carah shares her professional background in obesity disease and bariatric surgery
2. (12:19) The narrative surrounding obesity needs to change, and finding the correct doctor
3. (19:14) Carah speaks to the crisis of care, anti-obesity medications and comorbid conditions
4. (33:03) Each patient is different, and she encourages going back to your surgeon when health changes occur
5. (39:31) Carah shares the word picture she tells her patients
6. (56:12) Making your bariatric journey positive rather than negative and using the tools provided by the BariNation Community

KEY TAKEAWAYS:

1. Obesity is a complex, chronic disease affecting every aspect of a person’s life—physical, emotional, and social. It should be promoted as a legitimate medical condition that requires real treatment. Unfortunately, shame and stigma surrounding obesity prevent many people from seeking treatment.
2. Treating obesity is about improving health, not appearance. Viewing it through the lens of disease management—similar to diabetes or cancer—can help shift public perception and lead to better care. Medications and surgery are tools to treat the underlying condition, not just to achieve a certain weight.
3. The lack of long-term support and education around obesity medications is dangerous. When prescribed without proper medical oversight or behavioral support, these medications can lead to serious health risks. Without a comprehensive program—including nutrition guidance, mental health care, and consistent follow-up—patients are more likely to misuse medications, relapse, or face complications, especially if access to treatment is suddenly lost.

RESOURCES:

1. BariNation Website
2. Join the BariNation Membership community meetups to support you on your journey with obesity treatment. https://barination.com/pages/join-our-community
3. Carah Horn - LinkedIn

BIOGRAPHY:

MBA-HCA, BSN, RN, CBN, FASMBS-IH

Carah is a clinician who is passionate about engagement. She believes that change and best practices happen in the community. She is active at the local, state, and national levels of obesity treatment and advocacy, as well as an Integrated Health Star in Florida for the American Society of Metabolic and Bariatric Surgeons (ASMBS). She has four daughters and five grandsons and loves fitness and learning! 1 Corinthians 10:31—So whether you eat or drink, or whatever you do, do it all for the glory of God.

Bariatric surgery patients often face intense fear about weight recurrence, but understanding obesity as a chronic disease can transform the healing journey. In this BariNation episode, we explore what happens when therapist and bariatric patient Melanie Lindell wears a simulation suit that recreates her pre-surgery body. The experience revealed how trauma and fear live just beneath the surface, even years post-op. We discuss the reality of weight reoccurence, the struggle with body image, and why community support becomes essential for long-term success. Melanie shares insights about finding rest, practicing gratitude, and becoming a "benevolent witness" to your own story. This conversation validates the emotional healing required beyond physical transformation and offers hope for anyone navigating the process of coping with weight recurrence after weight loss surgery.

What You’ll Learn in This Episode:   

How weight recurrence triggers deep psychological responses even years after bariatric surgery, and why understanding obesity as a chronic, progressive disease helps patients release shame and embrace self-compassion.

The concept of being a "benevolent witness" to your own story and others' experiences, which creates safe spaces for emotional healing within the bariatric community and reduces the isolation that often accompanies weight regain struggles.

Practical strategies for finding rest amid the constant pressure of obesity treatment, including stepping back from social media comparison, attending post-op support groups, and recognizing that single moments don't define your entire surgical weight loss journey.

Tune in, and don’t forget to join the BariNation Community to attend community meetups, watch exclusive bonus content and support the podcast for as little as $5 per month!  You can also contribute to BariNation and become a Drive To Thrive Supporter with a one-time or recurring donation.

TIMESTAMPS: 

00:00 The simulation suit experience at the Bariatric Solutions Conference, and Melanie shares her background

08:45 Understanding weight recurrence and the fear of weight regain

20:07 Living in a world not built for larger bodies, obesity, and insurance company challenges

31:38 Gratitude as the foundation for emotional healing and recovery

35:54 Finding rest through community support and benevolent witnesses

55:02 Post-op grief, body image, and processing transformation and your personal bariatric story

1:14:53 Being your own benevolent witness and practicing self-compassion

1:20:39 Being open and embracing your feelings

KEY TAKEAWAYS:  

The fear of weight recurrence never entirely disappears, even years after successful bariatric surgery, because memories live in the body and can be instantly triggered by experiences that remind patients of their former struggles with obesity.

Finding a bariatric community where you can be authentically witnessed—without judgment or expectation of solutions—provides essential emotional healing and combats the isolation that obesity treatment journeys often create.

Practicing gratitude and self-compassion serves as a powerful antidote to the relentless pressure of maintaining weight loss, allowing patients to recognize that single moments don't define their entire post-op journey or determine long-term success.

ABOUT THE GUEST: 

Melanie Lindell, LMHC, serves as BariNation’s CHRO and is a licensed counselor with over a decade of experience in trauma and abuse. A bariatric patient herself, Melanie had Roux-en-Y surgery in 2019 and faced a complex recovery that included complications, additional surgeries, and time on a feeding tube. Her passion is helping others heal and thrive, and she considers it a privilege to walk alongside fellow bariatric patients as a support group leader.

Melanie Lindell - Instagram

Lindell Counseling - Website

The Body Keeps Score - Book

When I Put the Fat Suit On - Melanie Lindell - Blog

BariNation Website

BariNation - Email

BariNation - Partnership Monthly Membership   

BariNation’s How to Find an Obesity Specialist Guide