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 […]


