Have you experienced weight recurrence after bariatric surgery, or worried about it happening to you? Do you want to understand how to manage your weight loss journey as a chronic disease? Tune in to this enlightening episode of the BariNation podcast to gain clarity! 

We know how daunting weight recurrence can feel after bariatric surgery, and that’s why we’re thrilled to bring you this powerful episode of the BariNation podcast. Joining us again is Dr. Saniea F. Majid, a dedicated bariatric surgeon and obesity medicine specialist,to discuss weight gain as part of the chronic disease of obesity. Her research-driven insights and compassionate approach to patient empowerment will leave you inspired, equipped with tools to navigate your weight loss journey, and ready to advocate for your metabolic wellness with confidence. Weight recurrence isn’t your fault.

Don’t forget! BariNation is proud to be this year's National Sponsor of TREO Foundation's The Walk: Stomp the Stigma. Sign up to join BariNation’s virtual team for the September 27th, 2025, The Walk: Stomp the Stigma, which raises awareness and access to care. There are also 12 in person walks happening and more being organized. To find a walk near you, or set one up visit the TREO Foundation website linked below.

IN THIS EPISODE:

• (00:28)  Join BariNation for the TREO Foundation’s The Walk: Stomp the Stigma on Saturday, September 27th
• (02:03) Dr. Majid introduces herself, highlighting her emphasis on obesity as a chronic disease. 
• (06:10) Discussion of understanding and defining weight recurrence and what research reveals
• (16:45) Frame weight recurrence as a disease progression and focus on disease management
• (26:15) Patients should return to their bariatric surgeon for weight recurrence issues
• (34:30) Dr. Majid stresses patient empowerment through education 
• (40:06) Bariatric surgery improves metabolic wellness beyond weight loss, such as resolving sleep apnea
• (48:28) Seeing bariatric surgery as a transformative obesity treatment, and a health transformation 

KEY TAKEAWAYS:

• Weight recurrence is a natural part of the chronic disease of obesity, not a patient failure, and understanding it as a disease management issue can empower bariatric community members to seek timely bariatric care and maintain their weight loss journey.
• Bariatric surgery significantly alters the trajectory of weight gain, improving metabolic wellness by reducing the severity of obesity-related conditions. Still, ongoing follow-ups with a bariatric surgeon are crucial for sustained health transformation.
• Standardizing definitions for weight recurrence is essential for effective obesity treatment, enabling clinicians and patients to address weight management proactively and foster patient empowerment through education and obesity awareness.

RESOURCES:

• Join BariNation on the TREO Walk
• TREO Foundation - The Walk
• TREO Walk Discounted BariNation Membership  
• BariNation x TREO Landing Page
• TREO Fall In-Person Walks
• Weight Regain After Bariatric Surgery: Scope of the Problem, Causes, Prevention, and Treatment
• Meet Dr. Majid – Award Winning Weight Loss Doctor NJ | WLWC
• Weight Loss & Wellness Center - Instagram 
• Dr. Majid’s Email
• BariNation Website
• BariNation - Email

GUEST BIOGRAPHY:

Dr. Saniea Majid, a board-certified bariatric surgeon and obesity medicine specialist, founded the Weight Loss and Wellness Center in northern New Jersey, leading innovative bariatric surgery programs. She pioneered minimally invasive and endoscopic treatments, including New Jersey’s first adjustable gastric balloon and endoscopic sleeve gastroplasty, while establishing MBSAQIP-accredited centers. Committed to obesity care, she expands access to treatments for childhood and adolescent obesity, integrating nutrition and behavioral health. As TREO Foundation president and ASMBS leader, Dr. Majid drives critical research and stigma awareness to advance bariatric community care.

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.

April Williams: You've just tuned into a podcast that welcomes you into a community, a resource center, and a safe place that powers your [00:00:15] journey towards personal wellness.

Natalie Tierney: Our goal is you leave us today feeling hopeful, inspired, and ready to live your best bariatric life.

Their virtual walk to stomp the stigma is on Saturday, September 27th, and we want you to walk with us. Join our virtual Bari Nation team by clicking the link below in these show notes. Join the team, [00:01:00] walk with us, raise awareness when we come together as a nation. Great things happen. Hi friends. Welcome back to the Bari Nation Podcast.

Just gonna say it. The, the, the new term and the more patient friendly term, the more realistic term [00:01:45] is weight recurrence. Dr. Majid is joining us today to help us understand what this phenomenon is, why it happens, and what we can do when we experience that. Dr. Majid, [00:02:00] before we dive in, will you introduce yourself to our friends?

Now, if you [00:02:30] include my fellowship here, um, 15 years. Um, I've been fortunate to be trained by fathers pioneers of bariatric surgery who really propelled me further ahead than, you know, [00:02:45] an average bariatric surgeon coming out of training 15 years ago, uh, by making me understand, um, that we are talking about a disease and not just a procedure.

Uh, last one is my, for myself. So I understand like my own practice. I understand. Um. How tough it is to run an effective, patient centric, [00:03:45] uh, model. Mm-hmm. And how you have to really constantly, actively be engaged and stay on top of every piece of that, whether you Yeah. Have a hospital name on it or you [00:04:00] don't.

April Williams: Yes. Right. The disease of obesity does not discriminate. Right. It, it affects anybody. A and it's a global issue. This is not ju just an issue in, in the United States. A

Dr. Saniea F. Majid: hundred

Right before surgery, you are terrified that it's gonna happen to you. After surgery, you continue to worry [00:05:00] and as soon as you hit that first stall or your weight takes a a, a little rebound, that fear. Instantly comes top of mind for you. And when I met you at this year's a s SBF conference, we, we were in a, a [00:05:15] smaller gathering and I was speaking to, to several other people, and, and you came up and you started sharing some of the research that you're doing in weight recurrence.

So I'm hoping that with today's conversation you'll help us better understand why patients can regain weight after surgery if there are [00:06:00] things that are contributing to that and what you know are the best things that patients can do to help mitigate it once they are experiencing that.

That everybody avoids to talk about. Yeah. Not just the, not just the patients, but also the clinicians. And that was my frustration, which is why many years ago [00:06:30] I was like, we've gotta, the clinicians themselves, the bariatric surgeons need to come together and address this phenomena, um, and not just push it to the side.

There was always some form of, I felt like, I don't like to use the word blame, but an explanation,

April Williams: right? Mm-hmm. Mm-hmm.

Mm-hmm. If you need to break it, break it down to rebuild it, we have to do that for, because if you don't diagnose the problem as a clinician, and if you just write the treatment. [00:07:45] You could be right some of the times, but you're not gonna be right all the time. And if you don't understand what you're dealing with, why even present the solution?

It cannot be anything that's published [00:08:30] anywhere. Maybe even popular newspapers. That's not our standard. Mm. We have our own peer reviewed scientific journal that, um, has what we call an impact factor, and we go by [00:08:45] what's published there. Mm. And no pun intended, but the weight of that publication. Right.

Signi contributed in this field with their research. We invited them to be part of this group because you're never, you're not alone. You cannot do any of this alone. You are just as good as your team. So, [00:09:30] um, I was fortunate to have a team alongside me who all wanted the same thing. This, you know, this, these questions answered, and we started digging into what's already published in these [00:09:45] high quality medical scientific journals within the English literature.

That, that number [00:10:30] still blows me away because here we are doing scientific research in, you know, the top journals in our field. And what has been a, what's been published is there's no set criteria. [00:10:45] Yeah. So the fact that we, and that it's not because people don't care, it's 'cause people don't understand.

But my thing, one of the big thing that came out of that is like, okay guys, we have a problem. We need to define this. Mm-hmm. Everybody needs to be, to be speaking the same [00:11:30] language.

April Williams: Mm-hmm.

Dr. Saniea F. Majid: You can't have apples and oranges. Right. So imagine if BMI in, uh, New Jersey meant something different than BMI in Washington state than BMI in Australia.

April Williams: Yeah.

Dr. Saniea F. Majid: It's the same

April Williams: example. Yeah. Yeah. Because whe when, when you're all working off a different definition, nothing is standardized and therefore the, the care is not standardized and the approach is not standardized.

Dr. Saniea F. Majid: That is insane. Absolutely. So that is then got us digging further into, we need to [00:12:15] have, um, a consensus mm-hmm.

April Williams: On what

Dr. Saniea F. Majid: the definition would be.

April Williams: Mm-hmm.

Dr. Saniea F. Majid: And we, as you know, scientists because, uh, we are going to medicine based on, it's a science.

April Williams: Yeah.

Dr. Saniea F. Majid: Um, to do research. Um, that quality research requires tremendous amount of funds.

April Williams: Yeah.

And obviously once you start digging into it, there's a lot [00:13:30] more, right? Yeah. So, for example, when somebody has an intervention like bariatric surgery, they lose the weight. They get to their, um, you know, a good healthy weight within a certain time period. [00:13:45] That's like success, right? If somebody, if another patient with same procedure does not get to that percentage of weight loss.

But how much of that. Weight recurrence is considered normal versus considered, okay, now we've gotta do something about it. So we need to [00:14:45] define that criteria yes. As to how much is okay, and how much warrants, medical intervention, or some other form of intervention. So to do this properly, all these different, you [00:15:00] know, um, um, intervals need to be fully understood and simply defined.

And weighing them. I, my goal, my team's goal was how do we equip that individual mm-hmm. With a very simple tool [00:15:45] to be able to have that conversation with first diagnose, right. Okay. Your weight recurrence needs your attention.

April Williams: Mm-hmm.

Maybe it's what I ate last night. Maybe it's, you know, I'm swelling up because up it's too hot. Mm-hmm. Or [00:16:15] maybe it's, you know, my relationship that's not going that great and I'm stressed out. Or maybe it's the job or it's the vacation. Like, as I said, doing, doing this for 15 years, I've heard all kinds of different explanations.

April Williams: Mm-hmm.

Dr. Saniea F. Majid: The fact that you have done something about the disease of obesity mm-hmm.

April Williams: Yep.

April Williams: Yeah.

Dr. Saniea F. Majid: And asking for help, like if you're sitting here in my office, that means you are a success story because you've overcome countless barriers.

April Williams: Yeah.

Dr. Saniea F. Majid: What we really need to understand is that this is a disease that's not static.

It doesn't just present itself. Like, I'll give you an example, like gallbladder.

April Williams: Mm-hmm. You have

Dr. Saniea F. Majid: a gallbladder, we all have it.

Dr. Saniea F. Majid: It's, you know, you cannot live without a gallbladder when you're born, um, you develop gallbladder stone, so some kind of gallbladder disease, the gallbladder comes out, you recover from the surgery and is behind you.

April Williams: Mm-hmm.

April Williams: Mm-hmm.

You follow them, you'll see there will be a natural [00:19:00] weight increase. That's normal, that's natural, that's not, that's the way it's supposed to be. So first is to understand that if there was nothing. No obesity disease, nothing. Your weight is gonna go up, okay? As you [00:19:15] age, the weight goes up, right? The metabolism slows down, the hormonal changes both in male and female, the activity level, all of that.

Two. Obesity such as cancer, such as diabetes, such as [00:20:00] sleep apnea, such as rapidly deteriorating joints, right. Arthritis of your knee, your back migraines. I mean the list is so long, right? Yeah. The all those chance, fatty liver disease, all those go up [00:20:15] because your weight and BMI has gone up.

April Williams: Mm-hmm. And

Dr. Saniea F. Majid: it's going to go up if you don't do anything about it.

April Williams: Yeah.

Dr. Saniea F. Majid: In the next five years, your weight is gonna go up.

April Williams: No matter what

Dr. Saniea F. Majid: that, no matter what, and you don't hide it behind stresses of life.

Then let's say your identical twin. [00:21:15] So same genetic, same everything, yeah. Who's starting off at a lower weight in BMI? Now you've had an intervention of surgery, for example, weight loss. Mm-hmm. So you've broken that, you've done something about it. You've broken that curve, right, that graph. [00:21:30] So it's, instead of going up like this, it'll go up close to.

The normal population, but it'll go up.

April Williams: Okay.

April Williams: mm-hmm.

Mm-hmm. Towards better health. Right. So you are success because if you had not [00:22:15] done that, you'd be worse off. Yes. So now you're gonna be much less like you're gonna be healthier.

April Williams: Yeah.

So, you know, partial response, uh, versus non-response or full response. I'm using these words carefully. Partial response, non-response. And this is part of, [00:22:45] uh, what my team and my group that I was part of. Mm-hmm. Generated. Okay. So all these years we, we presented the recommendations to our society, okay? And we said.

April Williams: Yeah.

Dr. Saniea F. Majid: It's weight recurrence because it's understanding that the disease has recurred and the patient has not gained the weight.

Therefore [00:24:00] the word weight recurrence is something, and I'm really proud of the fact that as part of the group that pushed this recommendation, and we were very well received, and I, I still see some medical and surgical societies using, [00:24:15] um, the older terms and, but I see much less of that. So I know I digressed.

Because they should know what the weight means. One month, three months, six months, nine months, one year, two years, five years out of [00:25:00] the opera after the operation. And at least in my practice, we literally have a graph and we can determine that the rate, the velocity of the weight loss, whether they are the patients are going on a path [00:25:15] of full response versus partial response versus no response and therefore intervene sooner.

But that's not the way medicine, that's not the way medicine should be [00:25:45] practiced. And that's not the way, you know, I practice. And the, as I said, they're are not unique in this. A lot of people feel, um, this, uh, uh, bariatric surgeons and clinicians, um, share my sentiment and belief. So now [00:26:00] you've had the surgery and now you've had weight recurrence defined.

Let's say, you know, um, who should you be going to see?

April Williams: Mm-hmm.

Dr. Saniea F. Majid: Right. That's okay. Where do I start?

April Williams: Yep.

April Williams: Mm-hmm.

Yep. That's the only way you get empowered is by knowledge. So, which is why [00:27:00] I, that's my belief. I tell my patients and I do a lot of education and sometimes I'll be like, well, so and so got their surgery done, you know, so much sooner. And here I am like chugging along in your practice. I'm like, there's a [00:27:15] process.

And a lot of my own patients, despite listening to all of this, I have them sign, you know, five [00:27:45] page agreements. I will come back for the rest of my life to see you every year. And I'm like, I don't see them. So, um, so it happens. Way more often than it should. But the point is, go back to your [00:28:00] surgeon.

April Williams: Mm-hmm.

There's so much more to it. Uh, but at least do that. [00:28:30] And this way when you have weight fluctuations and you're like, wait 10 pounds, what do I make of it? Should I worry? Should I not worry? Yeah. Should I do something? Should I, you don't have to deal with those questions yourself. You [00:28:45] don't have to take the burden of making, of making those decisions yourself.

Let's do something about it. Whichever direction it goes.

Dr. Saniea F. Majid: lot.

And all of those words mean a lot. They're, those words mean a lot, uh, as they stand alone. But when you combine them, it, it [00:30:15] requires that we treat it as such. And if you are a patient or if you're thinking about onboarding surgery, and you are worried about all of the work that you are going to have to do after surgery, that worry is [00:30:30] valid, right?

So you do need to continue to treat this disease even after you've onboarded initial treatment, right? So just being [00:31:00] honest about what to expect after surgery, I think is, is important. And as we were talking before we hit record, you don't know what that's going to feel like and look like for you until you're living it.

And that powerful visual that [00:31:45] you gave me, and I know that you have given our listeners and the people watching this, is that if our graph was going to look like this anyways, right? It's gonna, it's gonna go up. If we choose to have surgery, it's going to have a period of stability. It's going to have a period of treatment, [00:32:00] and then the graph will continue to go up, right?

While that's true on some levels, it's not as true as I have always given it because it's the disease that is adding the weight to my frame, not me. [00:32:45] It's, it's not me. Yes, there are things that I can do to, to stop the disease a little bit, right? I can attend support groups, I can focus on whole food eating.

Dr. Saniea F. Majid: Right? And I, I do want to, um, reiterate what you said.

April Williams: Yeah.

Yeah. I think our [00:34:00] society has a huge responsibility, um, uh, to take for this. And in this society is other people who become patients or the family members of [00:34:15] patients.

April Williams: Yeah.

Dr. Saniea F. Majid: Clinicians. All of us are responsible for this. And hence, I think we all need to play our part in undoing this. And it's not going to happen overnight, but it Yeah.

Yeah. Right. They're not really your support system. Mm-hmm. People who. [00:35:00] And I've seen this so many times, like your family, your friends, people who love you, it's not that they don't love you, but they don't understand and they're actually holding you back from where you

Exactly. And right. And as a patient, if you don't even have the words or the knowledge to understand [00:35:30] that there's, there's no way to stop it because you're just not understanding what you're battling from that disease perspective.

April Williams: Mm-hmm. Right? Mm-hmm. Even

Dr. Saniea F. Majid: though, um, celiac disease is a disease

April Williams: mm-hmm.

If it's not gluten-free, I'm not going to eat it, or I'm gonna bring my own gluten-free, you know, meal. Mm-hmm. And not have any qualms about it. No [00:36:30] stigma, no bias. No being ashamed, not nothing. Right. In fact, the host would be, oh, I'm so sorry. If they were not prepared for the gluten-free guest.

April Williams: Yeah.

When we have people suffering from the disease of obesity, they feel like it is their burden, their responsibility.

April Williams: Mm-hmm.

So this is, I'm just giving [00:37:15] an example because I feel that an empowered patient mm-hmm. Somebody who, who needs to speak up and as I said, be the best advocate needs to [00:37:30] start at every level. Mm-hmm. Something as routine and simple as, you know, dinner parties at home or what, what's being ordered in the office or whatever it may be.

I tend to have a herd mentality, right? Mm-hmm. We follow some people and you'll be able to then have an impact that goes beyond just [00:38:15] yourself. Yeah. And that's just, you know, a very small example, but I wanted to take this opportunity to just plant that seed, because I hear it all the time. Oh, what do I do?

I eat what's delivered in the office.

Dr. Saniea F. Majid: had, if you had celiac disease, you would say, wait a minute. Yeah. What you're delivering doesn't work for me.

April Williams: Yes. Yeah. Why can't

Dr. Saniea F. Majid: you do say the same for,

So we continue to internalize, we continue to own, own that blame and, and that shame [00:39:00] and. When we only think about bariatric surgery as a solution for weight loss, right. Not as a holistic treatment for a metabolic disease, we continue to latch on to that weight and as soon as [00:39:15] our weight increases, the, the blame and shame is back a

Dr. Saniea F. Majid: hundred percent.

Mm-hmm. So we have, while we are doing all this weight recurrence research mm-hmm. One of the biggest challenge, one of the, that had challenges at every step, but one of the biggest [00:40:00] challenges was, well, bariatric and metabolic surgery is not just about weight.

April Williams: Yeah.

Dr. Saniea F. Majid: It's about quality of life.

April Williams: Mm-hmm.

Dr. Saniea F. Majid: The sleep apnea, the shortness of breath that became, yeah.

April Williams: Yeah.

You can be a healthier, safer pregnancy. The benefits are so wide.

April Williams: Mm-hmm.

Sleeve gastrectomy is still the most popular bariatric surgery being performed in the world. And in the US five years out, if we, let's say [00:41:15] 20% of the patients, so one in five experience, some weight recurrence, that is clinically significant, right? So remember that there's gonna be some weight fluctuation, but I'm talking about clinically significant, that if you stick that [00:41:30] graph, let's stick to the graph example.

I think it's, it's so powerful. So you direct that, con that graph down. Right? You changed it. Now it went up, let's say five years. I'm going out of my screen. [00:42:00] So five years it goes up. You are still at a much lower point mm-hmm. Than you would be mm-hmm If you were going without surgery. And that delta, that difference is not insignificant.

April Williams: Yeah.

Dr. Saniea F. Majid: Plus the medications that you're still not back on.

April Williams: Mm-hmm.

Yeah. You're five years older.

April Williams: Yeah.

Yes. Right. The extra medication that you did not need to be on for blood pressure, for [00:43:00] diabetes, all those negative things are very powerful, positive things that metabolic and bariatric surgery enabled you to avoid.

Right. Hundred percent. 'cause it allow, it allows us to shift the conversation, right? So when people in our community are in our regain support group, let's say, let's, let's take an example and, and which is the one that I attend most regularly [00:43:45] because I too have experienced weight recurrence. But to be in that space and say, I'm really frustrated that my weight is up, but then have a community and experts who follow that question up with That's understandable.

High blood pressure, uh, bending, being able to hike. And, you know, the [00:44:30] list is endless. It helps us reframe the conversation for, for us and what we have seen in our community is that when patients can reframe their understanding of, of weight and of this disease, [00:44:45] they all of a sudden have not only the education, but the words to take back to a provider to say, I'm frustrated about this.

So I'm not necessarily here to talk [00:45:30] about the weight. I'm here to talk about the things that are going on behind the scenes that's contributing to weight being added to my frame. Very well said. It blows my mind that I'm [00:45:45] today years old, that I'm six years post-op in my journey, and I'm just having this.

Move more. Stop going through the drive-through, right. Do start doing this crazy, try this diet, do this, this. That was the only medical advice I was given. Drives me nuts. Me too.

April Williams: Yeah.

April Williams: Yeah.

April Williams: Mm.

April Williams: Mm-hmm.

Dr. Saniea F. Majid: And make the most of it.

April Williams: Yeah.

Mm-hmm. Not through commercialization of different products to be able to make a well informed decision for their treatment. That is bias free, both [00:48:00] internally and from their loved ones. And I'm, again, using these words carefully. I'm, I'm sure you know what the impact of this, because I've seen every, there's always like a patient or a story in my mind that generates that term, right.

April Williams: Mm-hmm.

Why [00:48:45] am I looking for a change? And if I am not going to change how I'm living today, how am I going to ask for a different outcome? You have to change something you're doing today, [00:49:00] otherwise things are gonna not gonna change. No. Right. So a lot of it is, I like the word reframe that you used in in a previous conversation.

Yeah. We want a successful outcome Yeah. Of surgery. We want with, um, to be at a healthy place and to stay there. We are on the same side.

April Williams: Yes.

But today I think a patient should go into whatever treatment option, knowing the pros and cons. [00:50:00] Yeah. Understanding that whatever treatment option you're gonna go down is not a one and done thing.

April Williams: Mm-hmm.

Dr. Saniea F. Majid: But they're, and they're not equal. No, no. Some are more powerful than the others. Yeah. And then make the decision.

Focus on that from today onwards. Yeah. Our patients are informed and, uh, when they make a [00:50:45] decision, they should understand the implications of their decision. You don't have to agree with my decision, but just make sure you understand the decision you're making and what comes with it.

April Williams: Yeah. And I know it's scary to right.

Dr. Saniea F. Majid: Who wants that? Yep. Who wants that?

Thinking about that [00:51:30] graph can be a tool that you use to help you make this decision. What do I want my graph to look like? Do, do I want my graph to look right like this, or do I want my graph to, to have some, some level out? Do? Do I want that graph [00:51:45] to shift downward, right? To help me achieve a level of health that I am not going to be able to reach on my own?

It is going to require intervention. And I understand that. That's scary. I made the decision [00:52:30] myself. I'm a six year post-op patient. It took me two decades to, to get here. Right. But I'm here and just as you said, I'm here now for a reason. And if you are just battling yourself over this decision, if, if you are listening or watching this and you [00:52:45] haven't onboarded surgery and, and what you are telling yourself is, I'm just gonna try one more thing.

So today, tell yourself, I'm going to treat my excess weight as a disease. Just try that on, say that to yourself and see what it feels like to just think differently, a little bit about what [00:53:30] you've been battling with, and then tell us how that felt. Tell yourself how that felt. That's, that's how you start to treat this thing differently.

Dr. Saniea F. Majid: The hardest thing to do, but the most important thing to do is to, yeah. Work here. A hundred percent. Yep. Uh, and I, and I think [00:54:00] that's like what you just said. You know, I, I, I'm trying to figure out how to put it in words as to how powerful it is.

April Williams: Oh, yeah. Yeah.

Dr. Saniea F. Majid: I hear that quite a bit. And I wanted to just take a moment to acknowledge and address that.

No surgeon can. Mm-hmm. [00:55:15] Um, but the majority of the people. Who undergo this treatment.

April Williams: Mm-hmm.

Yeah. Because time is the only thing we have. Yeah. We only have time and every year that goes by struggling with obesity, not being able to live [00:55:45] life to your fullest. Hiding behind like other people when they, they're taking a picture or a selfie, you know, keeping some roller coaster rides, like avoiding certain events and places.

I'll be like, okay, start with this medication and let's layer it on, right? Mm-hmm. That's the only option I have.

April Williams: Mm-hmm. To give

Dr. Saniea F. Majid: you.

April Williams: Mm-hmm.

That's what what, that's what we should be focused on.

But the, again, the, the more times that we can have these conversations with experts like yourself, uh, [00:57:15] we, we will see more people accessing care because they just start to realize it's not it, it's not what I've been thinking all these years. It really is something different. And if I really do want a different result, I'm gonna have to do something differently.

Absolutely. If you would like to have this kind of conversation with an expert and with your peers, this happens every day in our Bari Nation membership community that will also be [00:58:15] linked down below. I know how challenging it can be to try to do this. Learning on your own variation exists so that you have a safe place to not only learn these things, but practice having these conversations with yourself and others.

Dr. Saniea F. Majid: Absolutely. Um, my website is weight loss and wellness center.com. It's all spelled out, including the [00:58:45] end. I wanted to keep it simple. People, you know, people don't have to add one more thing to remember.

April Williams: well, thank you so much. Thank you so much for your time today. Thank you for the work that you're doing to shed light on weight recurrence, uh, and, and helping patients lift the shame and the stigma that they feel around that this.

Bye friends.

Natalie Tierney: Join us at BariNation.mn.co. If you found this podcast valuable, help us produce it by becoming a $5 monthly supporter at Barinationpodcast.com. And just remember at the end of the day, you've got this. We've got you. And we'll see you next time. Bye [01:00:15] everybody.