Gastric Bypass to SADI-S Who Might Be Suitable for Revisional Surgery?
Gastric bypass surgery can lead to significant weight loss and improvements in obesity-related health conditions. However, not everyone achieves the same results. Some patients may lose less weight than expected, while others may experience weight regain several years after their original surgery. This can be particularly difficult for patients who have made considerable changes to […]
Why Hydration Can Be Harder After Bariatric Surgery and How to Stay on Top of It
One thing patients often tell me in the early weeks following bariatric surgery is, “I didn’t realise drinking enough would take this much thought.” It is understandable. Most people preparing for weight loss surgery are thinking about how much they will be able to eat, what foods they can have and how quickly they might […]
Do You Have to Stay on Mounjaro for Life to Keep the Weight Off?
Mounjaro has changed obesity treatment for many people. Some people who have struggled with their weight for years are experiencing meaningful weight loss with tirzepatide. Their appetite may be easier to manage. Blood sugar control can improve. Everyday activities may become easier. Then comes a question we hear increasingly often: Will I have to take […]
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 […]
