M19. Melhorando sua libido depois da Bari - Live 1. Causas físicas da baixa libido Pós Bariátrica
Welcome to the Bariatric Week with Libido
Introduction to the Event
- The host welcomes participants to the first live session of "Bariatric Week with Libido," introducing guests and setting a vibrant tone for the week.
- The host expresses excitement about wearing red throughout the week, symbolizing energy and enthusiasm for the event.
Overview of Upcoming Sessions
- The host announces that from today until Thursday, there will be five special guests who will help attendees reignite their sexual desire post-bariatric surgery.
- Dr. Luciano Machado is introduced as the first guest, focusing on physical aspects such as hormones and vitamins that may affect libido after bariatric surgery.
Importance of Libido Post-Surgery
- Emphasizes that low libido can negatively impact relationships, which is often a motivation for undergoing bariatric surgery in the first place. A healthy sex drive contributes to overall happiness and fulfillment in life.
- Encourages viewers to engage by sending hearts on Instagram to increase visibility and support others who might benefit from this information during Bariatric Week.
Engaging Content Ahead
- Mentions an upcoming session with Eliane, a sexologist, who will discuss behavioral factors affecting libido tomorrow, highlighting that libido is influenced by both physical and psychological elements.
- Tomorrow's discussions will include insights from Elsy, a psychologist focused on emotional aspects related to libido post-surgery. This indicates a comprehensive approach covering various dimensions of sexual health after bariatrics.
Introducing Dr. Luciano Machado
Guest Interaction
- The host invites Dr. Luciano Machado into the live session; they express mutual excitement about collaborating during this informative week aimed at helping those affected by bariatric surgery improve their quality of life through enhanced libido.
Preparation for Discussion
- Dr. Luciano shares his preparation efforts for this discussion, indicating he has researched modern medical evidence regarding factors influencing libido post-surgery and has notes ready for reference during their conversation.
Anticipation of Practical Insights
Understanding Libido Changes Post-Bariatric Surgery
The Experience of Low Libido in Women
- Many women experience a drop in libido after bariatric surgery, often feeling isolated in their struggles. They hear anecdotal evidence suggesting improvements post-surgery but may not share the same experience themselves.
- A survey conducted on Instagram revealed that approximately 70% of women who underwent bypass or sleeve surgeries reported decreased libido, highlighting that they are not alone in this issue.
- The discussion encourages participants to engage actively by sending comments and questions, fostering a supportive environment for those experiencing low libido.
Insights from Research and Personal Experiences
- The speaker shares personal insights from participating in a similar survey, which yielded results consistent with the initial findings (around 70% reporting low libido). This emphasizes the widespread nature of the issue among women post-surgery.
- There is a notable discrepancy between these findings and existing literature on sexual dysfunction following bariatric surgery, prompting further investigation into why such high percentages exist.
Importance of Addressing Sexual Dysfunction
- Dr. Luco Machado introduces himself as a bariatric surgeon committed to changing perceptions about bariatric surgery's impact on quality of life, including sexual health issues like low libido. He emphasizes collaboration with others to spread knowledge and modern practices regarding these topics.
- A study indicates that around 45% of both bariatric and non-bariatric individuals suffer from some form of sexual dysfunction, reinforcing that this is a common concern across different populations. Understanding this can help normalize discussions around it for affected individuals.
Factors Contributing to Decreased Libido
- It’s crucial to understand that libido is influenced by various factors beyond just hormonal levels; at least eight medical causes can contribute to decreased libido post-surgery, alongside nutritional and behavioral aspects. This complexity suggests that solutions must be multifaceted rather than relying on singular remedies or treatments.
Understanding Sexual Dysfunction and Its Symptoms
Common Symptoms of Sexual Dysfunction
- The speaker discusses various symptoms associated with sexual dysfunction, including mood changes, persistent fatigue, bone mass loss, muscle strength reduction, and hair thinning. These symptoms are linked to sexual dysfunction and memory alterations.
- Acknowledgment from the audience indicates that many individuals experience these symptoms. The speaker emphasizes that sexual dysfunction is not solely defined by a decrease in libido but encompasses a range of other symptoms as well.
Prevalence of Sexual Dysfunction
- Recent research reveals that 10% of women report no sexual desire at all, mirroring statistics from the United States. Additionally, 25% have never experienced an orgasm.
- Approximately one-quarter of women face difficulties with arousal, which is crucial for initiating sexual activity. Furthermore, around 20% experience pain during intercourse.
Importance of Libido and Quality of Life
- Libido is highlighted as a complex issue influenced by multiple factors beyond just vitamins; it requires a holistic approach for recovery.
- The speaker stresses that sex contributes significantly to overall health and quality of life. This is particularly relevant for post-bariatric surgery patients who are undergoing lifestyle changes.
Factors Affecting Libido Post-Surgery
- Discussion on potential reasons for decreased libido after bariatric surgery includes hormonal changes and psychological factors such as self-acceptance and anxiety.
Hormonal Influences on Sexual Health
- The conversation shifts to hormonal influences on libido. While vitamins play a role, hormones like estrogen and specific cytokines are also critical yet often overlooked in discussions about female libido.
- Testosterone is commonly associated with libido; however, the speaker notes that simply replenishing testosterone may not yield expected results in improving sexual function.
Role of Dehydroepiandrosterone (DHEA)
- Introduction to DHEA (dehydroepiandrosterone), described as a precursor hormone important for both men and women. It plays roles in energy levels, strength, weight management, and metabolism.
- DHEA must be adequately transported within the body to exert its effects; low levels can hinder its conversion into testosterone necessary for enhancing libido.
Observations on Bariatric Patients' Hormonal Levels
- Many bariatric patients exhibit significantly low DHEA levels compared to normal ranges. This deficiency can contribute to issues related to libido post-surgery.
The Role of Dehydroepiandrosterone (DHEA) in Libido
Understanding DHEA's Impact on Sexual Health
- Discussion centers around DHEA, highlighting its potential role in enhancing libido. It has receptors in various parts of the body including ovaries and vagina.
- The speaker suggests that DHEA may have a more significant impact on libido than testosterone, noting cases where individuals with normal testosterone levels still experience low libido due to low DHEA.
- A metaphor is used to describe the effects of low DHEA levels, comparing it to being "frozen" or experiencing frigidity when levels drop significantly.
Importance of Medical Supervision
- Emphasis is placed on the necessity of medical supervision for hormone supplementation; self-prescribing can lead to adverse effects and disrupt natural hormone production.
- Personal anecdote shared about a negative experience with improper DHEA prescription, underscoring the importance of careful medical guidance.
Navigating Hormonal Treatments
- The discussion aims to provide information rather than treatment advice, encouraging viewers to consult healthcare professionals for personalized care.
- Highlights the need for a multidisciplinary approach when addressing hormonal issues, as individual symptoms can vary widely.
Diagnostic Challenges in Hormonal Assessment
- Observations made regarding women experiencing sexual dysfunction despite normal testosterone and DHEA levels; diagnostic kits often lack precision.
- Stressing the importance of comprehensive testing that includes multiple hormones and binding globulins for accurate assessment.
Insulin Resistance and Hormonal Function
- Discussion on how insulin resistance affects hormone transport proteins like SHBG (sex hormone-binding globulin), which can influence overall hormonal balance.
- Connection made between metabolic syndrome and decreased production of SHBG, emphasizing that obesity and inflammation are contributing factors.
The Emerging Role of Oxytocin
Oxytocin's Functions Beyond Childbirth
- Introduction to oxytocin as an under-discussed hormone gaining attention for its broader implications beyond childbirth-related functions.
Implications for Sexual Health
The Role of Hormones in Healing and Well-being
Importance of Hormones in Recovery
- The discussion highlights the role of certain hormones, particularly oxytocin, in enhancing healing processes and improving sleep disturbances.
- Oxytocin is linked to weight loss studies, emphasizing that effective weight management focuses on reducing body fat rather than just losing weight.
Stress and Its Impact on Hormonal Balance
- Cortisol, a stress hormone, is produced from the same precursor as dehydroepiandrosterone (DHEA), indicating a connection between stress levels and hormonal balance.
- Surgical procedures like bariatric surgery introduce physical stress to the body, which can lead to increased cortisol production and affect DHEA levels negatively.
Managing Stress for Better Health Outcomes
- Individuals can exacerbate their stress through lifestyle choices such as poor sleep habits or lack of exercise; addressing these factors is crucial for recovery.
- Reducing stress can help regulate cortisol levels, making it easier to increase DHEA and oxytocin—both hormones associated with libido.
Post-Surgery Hormonal Changes
- Contrary to some beliefs, oxytocin levels may improve after bariatric surgery due to its anti-inflammatory effects.
- It’s essential for patients post-surgery to maintain healthy habits like exercise and nutrition for optimal hormonal balance.
Engaging with Healthcare Providers
- Patients are encouraged to discuss hormone testing with their doctors proactively; this dialogue helps break down barriers regarding treatment options.
- Emphasizing patient involvement in their treatment plans fosters a collaborative approach between healthcare providers and patients.
Understanding Female Hormones Related to Libido
- Bariatric surgery has been shown to significantly increase female hormones related to libido by four to five times on average.
Understanding Hormonal Changes in Women
Importance of Addressing Menopause and Hormonal Balance
- The speaker emphasizes the significance of understanding how to treat women who are in pre-menopause or menopause, highlighting that obesity and metabolic syndrome play a crucial role in hormonal changes.
- Estrogens, particularly estrone, are discussed as key hormones responsible for creating a quality endometrium for gestation but also contribute to increased body fat and fluid retention.
- The speaker notes that during the estrogenic menstrual cycle, women may experience rapid weight gain due to water retention, leading to feelings of distress about their bodies.
- High levels of estrogen can decrease libido; thus, maintaining hormonal balance is essential. A supportive healthcare team is necessary for managing these hormonal fluctuations effectively.
- It’s important not just to rely on contraceptives or hormone injections without proper monitoring since they can exacerbate issues like decreased libido by altering hormone levels.
Dietary Impact on Hormones
- Diet plays a significant role in hormone levels; high-calorie diets rich in fats and refined sugars can elevate estrogen levels beyond physiological norms.
- Many healthcare teams overlook simple hormone evaluations like estrone testing, focusing instead on testosterone alone while neglecting the importance of balancing other hormones such as estrogen.
- Both high and low estrogen levels negatively affect libido; therefore, achieving equilibrium is critical for sexual health.
Effects of Contraceptives on Libido
- The speaker discusses how various contraceptives can lead to reduced libido due to their hormonal effects. Mirena has a more localized action but still impacts sexual desire negatively.
- Most contraceptives increase SHBG (sex hormone-binding globulin), which binds testosterone and reduces its availability for action, further complicating libido issues among users.
- For those using contraceptives, it becomes more challenging to maintain healthy libido levels; however, solutions exist despite these challenges.
Community Awareness and Support
- The speaker acknowledges the audience's growing awareness regarding hormonal health and encourages open discussions about these topics within their community.
- There’s recognition of the progress made by individuals seeking surgical options related to bariatric procedures while emphasizing the importance of informed decision-making regarding hormonal treatments.
Conclusion: Navigating Hormonal Health
Understanding the Role of Hormones and Mental Health in Sexual Dysfunction
The Importance of Hormones
- Cortisol, known as CTH, is a protective stress hormone that also serves as a precursor to testosterone. Emphasizing the significance of progesterone is crucial for overall hormonal balance.
Anxiety and Its Impact on Sexual Health
- Brazil has been identified as having high levels of anxiety, ranking first globally according to studies from 2021. This prevalence raises concerns about its effects on mental health and sexual function.
- Alongside anxiety, Brazil also ranks among the most depressed countries, highlighting a dual challenge affecting its population's well-being.
Types of Sexual Dysfunction
- Male sexual dysfunction can be categorized into three main types: premature ejaculation, erectile dysfunction, and another unspecified type.
- Female sexual dysfunction is more complex with at least ten subclassifications related to psychological factors such as anxiety or depression.
Psychological Factors Influencing Libido
- Anxiety can stem from traumatic experiences and feelings of low self-esteem or inferiority. These issues significantly impact libido and sexual relationships.
- Negative body image, marital conflicts, depression, anger towards partners, and lack of support are all contributing factors that can diminish sexual desire.
Relationship Dynamics Post-Surgery
- After bariatric surgery, many women experience a boost in self-esteem and attractiveness; however, their partners may not undergo similar changes which can lead to relationship strain.
- Women often feel less admiration for partners who do not make an effort to maintain their appearance or support them emotionally during their transformation journey.
Addressing Relationship Issues
- It’s important for partners to recognize the need for mutual effort in maintaining attraction post-surgery. Encouraging husbands to invest in their appearance can help strengthen relationships.
Discussion on Obesity and Its Implications
Relationship Between Jealousy and Criticism in Relationships
- The speaker discusses how jealousy can lead to a husband mistreating his wife, highlighting the emotional dynamics in relationships.
- A woman mentions that some husbands criticize their wives' appearances, which negatively impacts their self-esteem.
Understanding Obesity as a Chronic Disease
- The speaker emphasizes that obesity is a chronic disease, stating that undergoing surgery does not eliminate the condition.
- Current research suggests there may be potential treatments for young patients, but no definitive cure exists yet.
Hormonal Influences on Obesity
- Despite surgical intervention, the underlying causes of obesity remain present and can still affect libido and overall health.
- The speaker reflects on societal perceptions of body weight and how they have evolved over time.
Metabolic Syndrome and Hormonal Responses
- Discusses the hypothalamic-pituitary-adrenal axis's role in regulating hormones related to obesity.
- Highlights that hormonal responses differ significantly between obese individuals and those with normal weight, affecting stress responses.
Importance of Integrated Treatment Approaches
- Advocates for a holistic view of patient care, emphasizing teamwork among healthcare professionals for effective treatment strategies.
Understanding the Impact of Nutritional Deficiencies on Libido
The Role of Stress and Hormones
- High cortisol levels, often due to stress, can negatively affect sleep and emotional well-being, leading to low libido.
- Recent studies indicate that nutritional factors significantly influence libido; particularly, vitamin D deficiency in women before and after menopause is linked to reduced sexual desire.
Key Nutrients for Libido Enhancement
- Vitamin D and zinc are crucial for hormone production; correcting deficiencies in these nutrients may improve libido.
- A study showed women with low zinc levels (average 62 in blood tests) experienced improved libido after supplementation, alongside increased testosterone levels.
Importance of Addressing Nutritional Deficiencies
- Post-bariatric surgery patients often face vitamin deficiencies that hinder hormone production; awareness of proper nutrient levels is essential for recovery.
- Treating nutritional deficiencies should be a priority; understanding which vitamins (like D and zinc) are lacking is critical for improving overall health.
Neurotransmitters and Sexual Desire
- Libido regulation involves complex neural controls; serotonin alone does not dictate sexual desire—dopamine plays a significant role as the "pleasure neurotransmitter."
- Excess serotonin from certain medications can reduce libido, highlighting the need for balance between serotonin and dopamine.
The Connection Between Diet and Hormonal Health
- Dopamine production requires specific nutrients such as tyrosine, magnesium, B6, which bariatric patients often lack due to dietary restrictions.
- Without adequate intake of proteins and greens, bariatric patients risk severe deficiencies affecting their hormonal balance.
Misconceptions About Supplements
- Knowledge about nutrition is vital; relying solely on supplements like maca peruana without addressing underlying issues will not yield desired results.
- Many individuals mistakenly believe that taking multiple types of the same supplement will solve their problems without considering their specific nutritional needs.
Understanding Medical Protocols and Community Support
Importance of Communication with Healthcare Providers
- The speaker emphasizes the necessity for patients to communicate openly with their medical teams, ensuring they feel comfortable discussing their health concerns.
- Acknowledges the diverse healthcare landscape in Brazil, highlighting that experiences can vary significantly across different regions.
Community Engagement and Resources
- The speaker encourages joining a community for support, where members share experiences about managing health issues and accessing medical care.
- Highlights the wealth of educational resources available within the community, including frequent classes and Q&A sessions led by knowledgeable professionals.
Personal Experiences with Health Challenges
- A participant shares her experience of seeking knowledge on women's health topics through community resources, illustrating the value of continuous learning.
Discussion on Libido and Relationship Dynamics
- Introduction of Fabinha, who discusses her personal journey regarding libido post-bariatric surgery, emphasizing its importance in maintaining intimacy in relationships.
Concerns About Hormonal Changes Post-Surgery
- Fabinha reflects on societal perceptions surrounding libido changes after bariatric surgery and her proactive approach to maintain it through non-hormonal contraceptive methods.
Navigating Post-Surgery Health Monitoring
Initial Reactions After Surgery
- Fabinha describes her initial optimism following surgery regarding libido levels but notes a gradual decline over time.
Importance of Regular Checkups
- She highlights the significance of regular check-ups to monitor hormonal levels post-surgery, addressing common fears associated with weight loss surgeries affecting sexual health.
Comprehensive Health Assessments
Nutritional Deficiencies Post-Surgery
Initial Health Assessment
- The speaker discusses their initial health routine, which included taking a standard multivitamin. They express surprise at the need for more comprehensive supplementation after a health check-up.
Discovery of Nutritional Deficiencies
- During a complete check-up, significant deficiencies were discovered: low levels of iron (ferritin around 20), vitamin D (also 20), and other essential minerals like zinc, selenium, copper, and chromium.
Impact of Surgery on Nutritional Status
- The speaker reflects on how three to four months post-bariatric surgery led to alarming deficiencies that may have existed prior but worsened significantly due to dietary restrictions.
Supplementation Adjustments
- After identifying severe deficiencies in vitamins B12, D, and others, the speaker transitioned to a more comprehensive multivitamin regimen and began injectable supplements for better absorption.
Recovery and Energy Levels
- Within about 30 days of starting the new supplementation plan, the speaker noticed improvements in energy levels and overall well-being. They highlight the importance of addressing nutritional needs for maintaining vitality.
Hormonal Balance and Sexual Health
Hormonal Concerns Post-Surgery
- The speaker mentions consulting with an endocrinologist regarding fatigue despite normal hormone levels. They emphasize that hormonal balance is crucial for energy and libido.
Body's Energy Allocation Mechanism
- The discussion includes how the body prioritizes energy use during caloric restriction post-surgery. It conserves energy by reducing non-essential functions such as sexual desire when nutrients are scarce.
Importance of Micronutrients
- The speaker stresses that adequate micronutrient levels are necessary not just for physical health but also for maintaining sexual function and overall quality of life post-surgery.
Addressing Common Post-Surgical Issues
Role of Vitamins in Sexual Health
- There’s an emphasis on ensuring proper vitamin levels before considering hormonal treatments. The speaker notes that many issues can be resolved through adequate nutrition rather than immediate hormone replacement therapy.
Ongoing Adjustments Needed
- Even nine months post-surgery, adjustments in supplementation continue to be necessary as they navigate changes in their body’s needs following bariatric surgery.
Discussion on Lubrication Issues
Understanding Post-Bariatric Surgery Effects on Libido
Medical and Nutritional Insights
- After bariatric surgery, there is a noted decrease in blood flow to the genital organs, which can affect sexual function.
- Dehydration post-surgery can lead to reduced blood volume, impacting overall health and libido.
- A decrease in nitric oxide production may occur after surgery; this substance is crucial for dilating blood vessels, including those involved in sexual arousal.
- Vitamin D deficiency can lower libido by reducing nitric oxide levels, leading to less lubrication due to decreased blood flow.
- Arginine, an amino acid that converts into nitric oxide, may be insufficient in patients' diets post-surgery, further affecting sexual health.
Nutritional Recommendations
- Key nutrients such as water, vitamin D, and arginine are essential for maintaining libido and should be emphasized in dietary plans.
- Hormonal imbalances related to progesterone and estrogen may arise during the first year post-bariatric surgery due to contraceptive use or other factors.
- Women often take longer than men to regain hormonal balance after surgery; this imbalance can contribute to reduced lubrication.
- Consulting with a gynecologist or endocrinologist is recommended for women experiencing hormonal issues post-surgery.
Addressing Sexual Health Concerns
- Topical lubricants are suggested while waiting for hormonal rebalancing; many healthcare providers recommend these solutions during consultations.
- The conversation around sexual health remains sensitive; however, it’s important not to overlook potential nutritional deficiencies that could impact libido.
Misconceptions About Libido Enhancement
- Many individuals mistakenly believe testosterone is the sole factor affecting libido; other deficiencies like iron or vitamin D should also be considered.
- Personalized supplementation strategies are necessary for those who do not use hormonal contraceptives but still experience menstrual cycles.
Gender Differences in Libido Recovery
- Men typically see rapid improvements in libido following testosterone increases compared to women who experience slower adjustments due to hormonal changes.
Discussion on Men's Reluctance to Seek Help
The Importance of Communication
- Men often show greater reluctance to open up and seek professional help for their issues, leading to unnecessary suffering.
- Many individuals avoid seeking assistance due to embarrassment, highlighting a significant communication gap in modern society.
Seeking Professional Guidance
- It's essential to consult professionals like nutritionists or endocrinologists when facing health challenges; they can provide the necessary support and guidance.
- The speaker emphasizes the importance of not hesitating to reach out for help, regardless of the issue at hand.
Questions About Anal Practices and Health Concerns
Addressing Common Queries
- A question arises regarding anal sex practices post-bypass surgery, indicating a need for clarity on safe practices.
- The speaker notes that such questions are frequently asked, reflecting common concerns among individuals about sexual health after surgical procedures.
Safe Practices in Sexual Activities
- It is crucial to approach anal activities with care, ensuring methods are healthy and enjoyable without causing harm or discomfort.
- Using approved toys and lubricants from reputable sources is recommended; avoiding makeshift items like vegetables is critical for safety.
Health Risks Associated with Improper Practices
Importance of Proper Hygiene
- Special lubricants should be used during anal activities; anesthetic agents can lead to injuries by masking pain and causing micro-tears.
- Understanding the risks associated with improper cleaning methods (like using regular shower heads) is vital as it may lead to infections or other complications.
Recommendations for Safe Cleaning Techniques
- Specific products designed for anal hygiene should be utilized; these are available at sex shops and have been vetted for safety.
- Emphasis on avoiding unconventional items (e.g., vegan products like carrots or pears), which could cause harm during use.
Final Thoughts on Safe Practices
Key Takeaways
- Proper cleaning techniques must be employed before engaging in anal activities; understanding anatomy helps prevent potential complications from excessive volume usage during cleaning.
Discussing Self-Esteem and Body Image Post-Surgery
Importance of Hygiene and Self-Care
- Emphasizes the need for proper hygiene using specific products rather than home remedies to enhance personal quality and pleasure in relationships.
Connection Between Self-Esteem and Libido
- Highlights the upcoming discussion with a sexologist and psychologist about self-esteem's impact on libido, indicating a multidisciplinary approach to understanding these issues.
Personal Experience with Body Image
- The speaker reflects on their journey post-bariatric surgery, noting that they did not have self-esteem issues before but are now navigating body image changes after significant weight loss.
Challenges of Body Recognition
- Discusses the emotional highs and lows associated with recognizing one's new body after losing approximately 32 kg, including feelings related to excess skin.
Comparison and Acceptance
- Talks about the tendency to compare oneself to others, especially those who may not share similar life experiences or challenges, stressing the importance of self-acceptance.
Navigating Physical Changes After Surgery
Exercise Routine Post-Surgery
- Mentions maintaining a consistent exercise routine since 32 days post-surgery while dealing with genetic predispositions affecting skin elasticity.
Emotional Impact of Physical Changes
- Shares how excess skin can affect self-perception in different clothing situations, emphasizing the need for support from partners during this transition.
Future Plans for Body Contouring
- Indicates plans for potential cosmetic procedures once weight loss stabilizes, highlighting an ongoing journey towards body acceptance.
Psychological Support in Weight Loss Journey
Importance of Psychological Counseling
- Stresses that psychological support is crucial throughout the weight loss process to help individuals cope with changing body images and emotions tied to them.
Partner Support as Key Factor
- Underlines the significance of having a supportive partner who appreciates one’s journey and encourages positive self-image despite physical changes.
Nutrition's Role in Libido
Dietary Considerations for Health Improvement
- Advises against vegan diets post-surgery; emphasizes adherence to nutritional guidelines focusing on easily absorbable liquids for better health outcomes.
Final Thoughts on Libido Factors
- Concludes that libido is multifactorial, heavily influenced by diet quality; stresses patience and working with specialists for optimal recovery post-surgery.
Supplementation Needs After Bariatric Surgery
Importance of Individualized Supplementation
- Warned against neglecting supplementation needs post-surgery; highlights that even comprehensive multivitamins require tailored dosages based on individual health needs.
Personal Experience with Supplements
Bariatric Week: Libido and Behavioral Changes
Upcoming Sessions Overview
- The discussion will continue tomorrow with a focus on bariatric week, specifically addressing libido.
- A sexologist named Else will be featured in the session scheduled from 8 PM to 9 PM.
- Eliane from Destrave, known for her expertise, will also participate in the discussions.
- From 9 PM to 10 PM, psychologist Elsy will address behavioral changes post-bariatric surgery.
Behavioral Insights Post-Surgery
- Elsy's session aims to explore how new habits and behaviors can affect libido after bariatric surgery.
- Discussion points include potential body image disorders that may arise due to physical changes post-surgery.