Episode 373: Dr. Steven Reyes
12/30/24 • 61 min
Thank you for joining us for another episode of the Low Carb MD Podcast. Dr. Steven Reyes is an experienced clinician with many specialties including bariatric psychology, body image issues, substance dependence, mood disorders, and relationship issues. He is affiliated with multiple Centers of Excellence (COE) bariatric programs in southern California where he does pre-surgery psychological assessments, & facilitates pre-surgery educational classes. As an active member of the weight loss surgery community, he is passionately committed to helping people implement their own long-term behavioral change strategy.
In this episode, Drs. Tro , Brian, and Steven talk about...
- (02:55) How Dr. Steven became interested in pursuing Bariatric Psychology as a career
- (04:31) Common denominators among those who, in Dr. Steven’s experience, seek out and/or would benefit from Bariatric Psychology
- (08:30) Challenges faced by those who have undergone bariatric surgery
- (18:22) The social/psychological aspects and complexities of obesity and poor metabolic health
- (23:02) Satiety, pop tarts, and food addiction
- (26:48) Indicators that a particular patient is not a good candidate for bariatric surgery
- (29:28) The acceptance rate of patients seeking bariatric surgery, problems with the incentive structure for bariatric surgery, and how the incentive structure might be fixed
- (39:42) GLP-1 and post-op weight regain
- (44:35) How to stay ahead of hunger and be prepared for those moments and circumstances where you will feel week to your cravings
- (54:09) How to help and be there for those in our lives who struggle with food addiction
- (56:03) How to help yourself psychologically and emotionally if you struggle with food addiction
For more information, please see the links below. Thank you for listening!
Links:
Resources Mentioned in this Episode:
- New England Journal of Medicine Article on the “Spread of Obesity in a Large Social Network over 32 Years”: https://www.nejm.org/doi/full/10.1056/NEJMsa066082
- ASMBS Study on the Top 6 Behaviors that Post-op Bariatric Surgery Patients Engage In: https://asmbs.org/wp-content/uploads/2020/12/Heinberg-Bariatric-Behavioral-Health-Post-Operative-Considerations.pdf
Dr. Steven Reyes:
- Website: https://www.drstevenreyes.com
- Instagram: https://www.instagram.com/dr.stevenreyes/
- Books: https://www.drstevenreyes.com/thebariatriccode
- The Self care Society: https://www.drstevenreyes.com/membershipsupport-1deb03be
Dr. Brian Lenzkes:
- Website: https://arizonametabolichealth.com/
- Twitter: https://twitter.com/BrianLenzkes?ref_src=twsrc^google|twcamp^serp|twgr^author
Dr. Tro Kalayjian:
- Website: https://www.doctortro.com/
- Twitter: https://twitter.com/DoctorTro
- Instagram: https://www.instagram.com/doctortro/
- SMHP Position Statement: https://journalofmetabolichealth.org/index.php/jmh/article/view/100#:~:text=The%20SMHP%20recommends%20open%20access,research%20on%20TCR%20for%20T1DM
Toward Health App
Join a growing community of individuals who are improving their metabolic health; together.
Get started at your own pace with a self-guided curriculum developed by Dr. Tro and his care team, community chat, weekly meetings, courses, challenges, message boards and more.
Apple: https://apps.apple.com/us/app/doctor-tro/id1588693888
Google: https://play.google.com/store/apps/details?id=uk.co.disciplemedia.doctortro&hl=en_US&gl=US
Learn more: https://doctortro.com/community/
Thank you for joining us for another episode of the Low Carb MD Podcast. Dr. Steven Reyes is an experienced clinician with many specialties including bariatric psychology, body image issues, substance dependence, mood disorders, and relationship issues. He is affiliated with multiple Centers of Excellence (COE) bariatric programs in southern California where he does pre-surgery psychological assessments, & facilitates pre-surgery educational classes. As an active member of the weight loss surgery community, he is passionately committed to helping people implement their own long-term behavioral change strategy.
In this episode, Drs. Tro , Brian, and Steven talk about...
- (02:55) How Dr. Steven became interested in pursuing Bariatric Psychology as a career
- (04:31) Common denominators among those who, in Dr. Steven’s experience, seek out and/or would benefit from Bariatric Psychology
- (08:30) Challenges faced by those who have undergone bariatric surgery
- (18:22) The social/psychological aspects and complexities of obesity and poor metabolic health
- (23:02) Satiety, pop tarts, and food addiction
- (26:48) Indicators that a particular patient is not a good candidate for bariatric surgery
- (29:28) The acceptance rate of patients seeking bariatric surgery, problems with the incentive structure for bariatric surgery, and how the incentive structure might be fixed
- (39:42) GLP-1 and post-op weight regain
- (44:35) How to stay ahead of hunger and be prepared for those moments and circumstances where you will feel week to your cravings
- (54:09) How to help and be there for those in our lives who struggle with food addiction
- (56:03) How to help yourself psychologically and emotionally if you struggle with food addiction
For more information, please see the links below. Thank you for listening!
Links:
Resources Mentioned in this Episode:
- New England Journal of Medicine Article on the “Spread of Obesity in a Large Social Network over 32 Years”: https://www.nejm.org/doi/full/10.1056/NEJMsa066082
- ASMBS Study on the Top 6 Behaviors that Post-op Bariatric Surgery Patients Engage In: https://asmbs.org/wp-content/uploads/2020/12/Heinberg-Bariatric-Behavioral-Health-Post-Operative-Considerations.pdf
Dr. Steven Reyes:
- Website: https://www.drstevenreyes.com
- Instagram: https://www.instagram.com/dr.stevenreyes/
- Books: https://www.drstevenreyes.com/thebariatriccode
- The Self care Society: https://www.drstevenreyes.com/membershipsupport-1deb03be
Dr. Brian Lenzkes:
- Website: https://arizonametabolichealth.com/
- Twitter: https://twitter.com/BrianLenzkes?ref_src=twsrc^google|twcamp^serp|twgr^author
Dr. Tro Kalayjian:
- Website: https://www.doctortro.com/
- Twitter: https://twitter.com/DoctorTro
- Instagram: https://www.instagram.com/doctortro/
- SMHP Position Statement: https://journalofmetabolichealth.org/index.php/jmh/article/view/100#:~:text=The%20SMHP%20recommends%20open%20access,research%20on%20TCR%20for%20T1DM
Toward Health App
Join a growing community of individuals who are improving their metabolic health; together.
Get started at your own pace with a self-guided curriculum developed by Dr. Tro and his care team, community chat, weekly meetings, courses, challenges, message boards and more.
Apple: https://apps.apple.com/us/app/doctor-tro/id1588693888
Google: https://play.google.com/store/apps/details?id=uk.co.disciplemedia.doctortro&hl=en_US&gl=US
Learn more: https://doctortro.com/community/
Previous Episode
Episode 372: Dr. Mohammed Alo
Thank you for joining us for another episode of the Low Carb MD Podcast. Dr. Mohammed Alo is a cardiologist based out of northwest Ohio. Dr. Alo grew up in Toledo, Ohio, attended St. John’s Jesuit High School and then went on to complete an Economics degree and graduated Magna Cum Laude from the University of Toledo. He worked in politics, business, computers, sales, and networking and then went to medical school in Chicago at Midwestern University’s Chicago College of Osteopathic Medicine. He has a passion for teaching and travels the country giving talks on various topics. Most of his lectures focus on teaching other physicians on various cardiology topics that span a wide gamut of topics from cardiology, to health and fitness, to diet and weight loss. Dr. Alo has countless research publications and articles in scientific, peer-reviewed journals. He’s had thousands of articles published in magazines in print and online.
In this episode, Drs. Tro and Mohammed talk about...
- (01:29) Why Dr. Mohammed chose to go into medicine and become a doctor
- (05:10) What Drs. Tro and Mohammed agree about
- (11:32) The genetics of familial hypercholesterolemia patients, how these patients are treated, and the health complications they face
- (23:41) Lifelong lowering of lipids, atherosclerosis, preventing atherosclerosis, and when to consider using medication
- (33:04) CCT scans, LDL, and high LDL’s association with atherosclerosis
- (42:05) The power of zero study and coronary artery calcium in cardiac risk assessment
- (45:12) Tro’s LDL levels and atherosclerotic/cardiac event risk
- (59:09) The findings of the ACCORD trial which studied the effects of intensive glucose lowering in the management of patients with type 2 diabetes mellitus
- (01:08:22) Pros and cons of statins and other drugs
- (01:16:04) Smoking and endothelium destruction; diabetes and cardiovascular risk
- (01:20:50) Whether or not plaque can be reduced/reversed
- (01:24:20) Fish oil pills, Colchicine, and cardiac health
- (01:30:03) Summing up points of disagreement as well as common ground
For more information, please see the links below. Thank you for listening!
Links:
Dr. Mohammed Alo:
- Website: https://mohammedalo.com/
- YouTube: https://www.youtube.com/user/TheMohammedAlo
- Cholesterol TRUTHS (book): https://www.dralo.net/cholesterol
Dr. Brian Lenzkes:
- Website: https://arizonametabolichealth.com/
- Twitter: https://twitter.com/BrianLenzkes?ref_src=twsrc^google|twcamp^serp|twgr^author
Dr. Tro Kalayjian:
- Website: https://www.doctortro.com/
- Twitter: https://twitter.com/DoctorTro
- Instagram: https://www.instagram.com/doctortro/
- SMHP Position Statement: https://journalofmetabolichealth.org/index.php/jmh/article/view/100#:~:text=The%20SMHP%20recommends%20open%20access,research%20on%20TCR%20for%20T1DM
Toward Health App
Join a growing community of individuals who are improving their metabolic health; together.
Get started at your own pace with a self-guided curriculum developed by Dr. Tro and his care team, community chat, weekly meetings, courses, challenges, message boards and more.
Apple: https://apps.apple.com/us/app/doctor-tro/id1588693888
Google: https://play.google.com/store/apps/details?id=uk.co.disciplemedia.doctortro&hl=en_US&gl=US
Learn more: https://doctortro.com/community/
Next Episode
Episode 374: Dr. Lindy Louise
Thank you for joining us for another episode of the Low Carb MD Podcast. Dr. Lindy Louise is a doctor of physical therapy with her own private practice. She earned her clinical doctorate from Northwestern Feinberg School of Medicine and holds a Bachelor’s of Science degree in biology. She is more than your average physical therapist, addressing diet and nutrition in addition to movement and structural issues. She is an advocate of eating real whole foods and even incorporates nutritional intervention into post-op recovery for her patients.
In this episode, Drs. Tro , Brian, and Lindy talk about...
- (00:00) Intro
- (02:11) Helping patients recover from post-op inflammation using dietary intervention
- (05:59) Why some PRE-op nutritional intervention could help out surgeons and patients alike
- (08:08) Physical therapy as a preventative measure against surgery
- (11:29) Helping PT patients overcome the stress of fear associated with physical therapy
- (19:26) Why Dr. Lindy came to be so interested in nutrition as a DPT and
- (23:32) Dr. Lindy’s horrible personal experience with the COVID vaccine
- (26:44) How Dr. Lindy’s colleagues/patients have responded to her new ideas about nutrition
- (32:10) The best path forward for upcoming physicians and medical care professionals to get a quality education and practice effectively
- (38:43) Falls, fractures, and calcium replacement
- (44:15) Fall prevention tips
- (48:33) PRP and whether or not people should consider it before surgery
- (50:39) Stem cell therapy for back pain
For more information, please see the links below. Thank you for listening!
Links:
Dr. Lindy Louise:
- Website: https://lindylouise.carrd.co/
- YouTube: https://www.youtube.com/@dr.lindylouise/featured
- X: https://x.com/lindy_lou_j
Dr. Brian Lenzkes:
- Website: https://arizonametabolichealth.com/
- Twitter: https://twitter.com/BrianLenzkes?ref_src=twsrc^google|twcamp^serp|twgr^author
Dr. Tro Kalayjian:
- Website: https://www.doctortro.com/
- Twitter: https://twitter.com/DoctorTro
- Instagram: https://www.instagram.com/doctortro/
- SMHP Position Statement: https://journalofmetabolichealth.org/index.php/jmh/article/view/100#:~:text=The%20SMHP%20recommends%20open%20access,research%20on%20TCR%20for%20T1DM
Toward Health App
Join a growing community of individuals who are improving their metabolic health; together.
Get started at your own pace with a self-guided curriculum developed by Dr. Tro and his care team, community chat, weekly meetings, courses, challenges, message boards and more.
Apple: https://apps.apple.com/us/app/doctor-tro/id1588693888
Google: https://play.google.com/store/apps/details?id=uk.co.disciplemedia.doctortro&hl=en_US&gl=US
Learn more: https://doctortro.com/community/
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