What Does Bariatric Surgery Look Like after 5, 10 and 15 Years?
The Question That Matters Most Many patients considering weight loss surgery in Ireland focus, understandably, on what happens in the first year. The weight loss is rapid, the changes are visible, and the impact on energy and health is often transformative. But the question I always want patients to think about is a longer one: what does this […]
Is Obesity Genetic, and Can Bariatric Surgery Help
There is a particular frustration we see in clinic, and it is different from simple disappointment with dieting. It is the frustration of someone who has watched obesity move through their family for years. A mother who developed type 2 diabetes in her forties. A father who struggled with weight and heart disease. Siblings who […]
Gastric Sleeve vs Gastric Bypass: Which is Right for You?
The Most Important Question I’m Asked If you are considering weight loss surgery in Ireland, one question comes up in almost every consultation: should I have the sleeve or the bypass? It is the right question to ask. Both procedures are highly effective, both are proven to produce durable weight loss, and both are available at Blackrock WeightCare using […]
Obesity is a Disease of Biology, Not Behaviour – What the Latest Science Means for Treatment
A Paradigm Shift in How We Understand Obesity The medical community’s understanding of obesity has undergone a significant evolution. Where it was once viewed primarily as a lifestyle issue — a comorbidity arising from poor choices — it is now increasingly classified as a chronic, progressive disease in its own right. This is not merely […]
Why Losing Weight Is So Hard – And Why It’s Not About Willpower
Your Body is Fighting Back – And That’s Not Your Fault If you have tried – really tried – to lose weight and found it almost impossible to keep off, there is something important you need to hear: your body is actively working against you. Not because you lack discipline. Not because you are not […]
When should GPs consider referral for revision bariatric surgery
Bariatric surgery remains the most effective long-term treatment for severe obesity and its associated metabolic complications. However, as with any chronic disease intervention, a proportion of patients may require further assessment years after their initial procedure. Revision bariatric surgery is a specialised area of practice, and appropriate referral from primary care plays a central role […]
Knife and Needles
We need to stop asking “GLP-1s or surgery?” for obesity. That’s the wrong question. The right question is: what does this patient need, at this stage of their disease? Obesity is chronic, progressive, and heterogeneous. The era of picking a lane — medical or surgical — is over. The best outcomes come from building integrated […]
Still Waiting on the NHS for Bariatric Surgery? There’s a Better Way — Just Across the Water
If you’re living with obesity and stuck on an NHS waiting list for bariatric surgery, you already know the toll it can take — not just on your body, but on your confidence, energy, and quality of life. The months (or even years) of waiting can feel like life is on hold. But here’s the […]
Why Diet and Lifestyle Alone Rarely Work for Obesity: What the Data Really Tells Us
At Blackrock WeightCare, we often meet individuals who’ve tried every diet under the sun, joined every fitness class going, and still struggle with their weight. If this sounds familiar, you’re far from alone – and more importantly, the science backs you up. A major UK study published in the American Journal of Public Health examined […]
Beyond the Surgery: Embracing a Healthier Life After SADI-S
Undergoing SADI-S surgery is a monumental step toward reclaiming your health, but it’s only the beginning of your transformation. The real magic happens in the months and years that follow—through the choices you make, the routines you build, and the self-compassion you carry along the way. If you’ve had SADI-S recently, or you’re a few […]
