S10 EP27 Reframing Weight Loss Surgery with Dr. Teresa LaMasters

Teresa LaMasters, MD, FACS, FASMBS, DABOM, DABS-FPMBS, a highly
qualified professional with expertise in the medical management
of obesity, joins us today to answer your questions about weight
loss surgery and weight loss medicine. Among her many accolades,
she is the Medical Director of Bariatric Surgery at UnityPoint
Clinic Weight Loss Specialists in West Des Moines, Iowa and has
performed over 4000 bariatric surgeries in the past 17+
years. 


How do we talk about body positivity, health at all sizes and
obesity as a disease in the same sentence? In this episode we
address the stigma surrounding weight loss surgery and emphasize
that obesity is a life threatening medical condition that can and
should be treated, and as early as possible. Did you know obesity
is a brain disease? Understanding obesity is so important, not
only for those struggling with it, but for everyone, because it
is so prevalent. Today, Dr. LaMasters opens our eyes to this
misunderstood health condition and leaves us with some tools and
hope for the future. 


Dr. LaMasters Links:


UnityPoint Clinic Weight Loss


Dr. LaMasters: teresa.lamasters@unitypoint.org


Obesity Action Coalition


ASMBS


Active Bariatric Nutrition


Obesity Medicine Association


(00:00:00) Introducing Teresa LaMasters


(00:02:43) Teresa LaMasters’ personal story and what led her into
this field.


(00:05:54) The stigma associated with the disease. It’s not a
willpower problem.


(00:09:40) Walking the line between body positivity, health at
all sizes, and obesity as a disease.


(00:11:03) Obesity is complex, there’s no one-size-fits-all
treatment, and the role genetics play. 


(00:16:04) Judgment, frustration, shame and blame for those with
the disease.


(00:17:40) Why obesity is a “brain disease” and how it feels
unfair. 


(00:24:29) The importance of getting treatment asap, your body’s
idea of normal and trying to get to perfection. 


(00:30:45) BMI calculation is a useful tool but isn’t always an
accurate measure of obesity for athletes, and other measures to
employ. 


(00:38:10) Getting nutritional needs met after surgery and myths
about calorie intake, specifically for athletes. The importance
of what you eat and when, and navigating bad advice.


(00:45:15) Post bariatric patients can be athletes and what to
expect realistically. 


(00:47:28) Macros and any type of diet that supports muscle
growth after surgery, and dieticians that specialize in bariatric
athletes. 


(00:52:36) Thoughts on Ozempic and similar drugs, food noise, and
the support needed when taking the medication.


(01:15:30) How to get in touch with Dr. LaMasters and helpful
resources


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