Integrative Strategies in Primary Care: Addressing Recurrent Weight Gain Post-Metabolic and Bariatric Surgery

Area of Science:

• Obesity Medicine
• Primary Care
• Surgical Outcomes

Background:

• Metabolic and bariatric surgery (MBS) is effective for obesity but can lead to weight regain in some patients.
• Primary care settings are key for monitoring patients post-MBS and preventing weight recurrence.

Purpose of the Study:

• To clarify the role of primary care providers (PCPs) in managing recurrent weight gain after MBS.
• To enhance long-term outcomes and prevent weight regain through primary care interventions.

Main Methods:

• This narrative review synthesizes current guidelines and clinical considerations.
• Focuses on the primary care setting's unique strengths and challenges.

Main Results:

• Primary care follow-up allows identification of nutritional, behavioral, and psychological challenges post-MBS.
• Multidisciplinary teams in primary care (behavioral health, dietitians, PTs) are vital for addressing weight regain.

Conclusions:

• Primary care providers can effectively manage recurrent weight gain post-MBS.
• Recommendations are provided for PCPs and specialty clinicians to optimize care and reduce weight stigma.