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 […]
Weight Regain After Injections vs Bariatric Surgery: What is the Difference

Weight regain is one of the biggest fears people have when starting any form of obesity treatment. Whether it is weight loss injections or bariatric surgery, the same question comes up again and again. Will the weight come back? The honest answer is that weight regain can happen with both treatments. The difference lies in […]
Gastric Sleeve vs Gastric Bypass vs SADI-S

Which Bariatric Surgery Is Right for You in Ireland, UK & Northern Ireland? Choosing bariatric surgery is not simply about losing weight. It is about improving health, reducing long-term medical risk and selecting the right procedure for your BMI, metabolic condition and overall health profile. Patients across Ireland, the UK and Northern Ireland often compare […]
Which bariatric surgery is best for type 2 diabetes in Ireland

Type 2 diabetes is one of the most common and serious complications of obesity in Ireland. Many patients find that despite tablets, insulin and lifestyle efforts, blood sugar levels remain difficult to control. Over time, the risks increase for heart disease, kidney damage, nerve problems and vision loss. For patients living with obesity and type […]
Managing multiple comorbidities in patients with BMI over 50

Patients with a BMI over 50 rarely present with a single diagnosis. More often, they are living with type 2 diabetes, hypertension, obstructive sleep apnoea, osteoarthritis, fatty liver disease and significant mobility limitation at the same time. For many GPs across Ireland, this group represents some of the most complex cases in everyday practice. At […]


