Neil Floch MD FACS FASMBS DABOM
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neilflochmd.bsky.social
Neil Floch MD FACS FASMBS DABOM
@neilflochmd.bsky.social
1.9K followers 2.8K following 160 posts
Bariatric and Foregut Surgeon passionate about educating and advocating about obesity causes and treatments including medications and bariatric surgery - Associate Professor of Surgery Yale School of Medicine and a self-taught artist - Tufts Graduate
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neilflochmd.bsky.social
Neil Floch MD FACS FASMBS DABOM @neilflochmd.bsky.social · 2d
American Society for Metabolic and Bariatric Surgery review of the body mass index #obesity #bariatricsurgery #SOARD www.soard.org/article/S155...
American Society for Metabolic and Bariatric Surgery review of the body mass index
The body mass index was first described almost 200 years ago and has since been used as a measure of obesity. This review describes the history, advantages, disadvantages, and alternatives to the body...
www.soard.org
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neilflochmd.bsky.social
Neil Floch MD FACS FASMBS DABOM @neilflochmd.bsky.social · 2d
Intussusception is a condition or complication where one part of the intestine telescopes into another. It can occur from a mass of the bowel such as a polyp or growth or from fixed point such as in bowel or gastric bypass surgery. #obesity #pediatric surgery #gastricbypass
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neilflochmd.bsky.social
Neil Floch MD FACS FASMBS DABOM @neilflochmd.bsky.social · 18d
To register for this event… sign up here! view.message.yale.edu?qs=4715460d6...
Disclosure Policy The policy of Yale School of Medicine's Continuing Medical Education (CME) program ensures the all its educational activities maintain balance, independence, objectivity, and scientific rigor. To achieve this:
view.message.yale.edu
neilflochmd.bsky.social
Neil Floch MD FACS FASMBS DABOM @neilflochmd.bsky.social · 18d
yale.cloud-cme.com/default.aspx
Yale Continuing Medical Education Continuing Education
Yale Continuing Medical Education, The Yale School of Medicine is accredited by the Accreditation Council for Continuing Medical Education as a provider of continuing medical education. The school off...
yale.cloud-cme.com
neilflochmd.bsky.social
Neil Floch MD FACS FASMBS DABOM @neilflochmd.bsky.social · 18d
The Yale Obesity Symposium
A one-day 7 CME event
November 21 2025
NEW developments in
Obesity Treatment

Speakers including:

Lee Kaplan MD PhD
Ania Jastreboff MD PhD
John Morton MD

Register NOW! cme.edu
@Yale @YaleMed @YaleSurgery
Obesity GLP-1ra Semaglutide Tirzepatide Retatrutide GLP1
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Reposted by Neil Floch MD FACS FASMBS DABOM
fogolf.bsky.social
FOGOLF, FOLLOW GOLF @fogolf.bsky.social · Apr 30
I lost 160 pounds, here is a side by side comparison of my swing

https://www.fogolf.com/952118/i-lost-160-pounds-here-is-a-side-by-side-comparison-of-my-swing/

I had gastric bypass surgery in June of 2024, I had quit golf completely and sold my clubs because I thought I wouldn’t be able to play …
I lost 160 pounds, here is a side by side comparison of my swing
I had gastric bypass surgery in June of 2024, I had quit golf completely and sold my clubs because I thought I wouldn’t be able to play again. by naughtyasf143
www.fogolf.com
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Reposted by Neil Floch MD FACS FASMBS DABOM
natrevendo.nature.com
Nature Reviews Endocrinology @natrevendo.nature.com · Aug 12
From our September issue: Bile acids in the crosshairs for hypoglycaemia after gastric bypass, a News & Views from Marzieh Salehi (£) bit.ly/3H6tHhG #EndoSky #MedSky
Figure showing enterohepatic circulation of bile acids.
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neilflochmd.bsky.social
Neil Floch MD FACS FASMBS DABOM @neilflochmd.bsky.social · Sep 4
onlinelibrary.wiley.com/doi/10.1002/...
Tirzepatide Associated With Improved Health‐Related Quality of Life in Adults With Obesity or Overweight in SURMOUNT‐4
Objective In SURMOUNT-4, participants with obesity or overweight regained substantial weight after tirzepatide withdrawal, whereas continued treatment resulted in additional weight reduction. We eva.....
onlinelibrary.wiley.com
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Reposted by Neil Floch MD FACS FASMBS DABOM
drdemetre.bsky.social
Demetre Daskalakis @drdemetre.bsky.social · Aug 28
Enough is enough. The health of the country is in danger. Read our resignation letters: insidemedicine.substack.com/p/breaking-n...
Breaking News: Read three top CDC officials' resignation emails.
The end of an era.
insidemedicine.substack.com
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neilflochmd.bsky.social
Neil Floch MD FACS FASMBS DABOM @neilflochmd.bsky.social · Aug 26
Revisional Bariatric Surgery in The Elderly: A Comprehensive Review of the Safety and Efficacy Profile - Surgery for Obesity and Related Diseases www.soard.org/article/S155... #SOARD #bariatricsurgery #obesity
Revisional Bariatric Surgery in The Elderly: A Comprehensive Review of the Safety and Efficacy Profile
Despite the well-known safety and efficacy of metabolic and bariatric surgery (MBS), certain patients require revisional bariatric surgery (RBS) due to weight-related and/or procedure-related complica...
www.soard.org
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neilflochmd.bsky.social
Neil Floch MD FACS FASMBS DABOM @neilflochmd.bsky.social · Aug 12
The Impact of Bariatric Surgery on Cardiovascular Risk Factors and Outcomes: A Systematic Review | Cureus
x.com/neilflochmd/...
x.com
neilflochmd.bsky.social
Neil Floch MD FACS FASMBS DABOM @neilflochmd.bsky.social · Aug 12
Effect of food environment on weight loss after bariatric surgery - Surgery for Obesity and Related Diseases #SOARD #bariatricsurgery #obesity

x.com/soard_journa...
SOARD Journal on X: "Effect of food environment on weight loss after bariatric surgery - Surgery for Obesity and Related Diseases #SOARD #bariatricsurgery #obesity https://t.co/THiNjGTHAR" / X
Effect of food environment on weight loss after bariatric surgery - Surgery for Obesity and Related Diseases #SOARD #bariatricsurgery #obesity https://t.co/THiNjGTHAR
x.com
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neilflochmd.bsky.social
Neil Floch MD FACS FASMBS DABOM @neilflochmd.bsky.social · Aug 12
x.com/neilflochmd/...
Neil Floch MD on X: "Effect of Bariatric Surgery on Non-alcoholic Fatty Liver Disease: An Exploratory Metabolomics and Validation Study | Obesity Surgery https://t.co/muF9lrejTk" / X
Effect of Bariatric Surgery on Non-alcoholic Fatty Liver Disease: An Exploratory Metabolomics and Validation Study | Obesity Surgery https://t.co/muF9lrejTk
x.com
neilflochmd.bsky.social
Neil Floch MD FACS FASMBS DABOM @neilflochmd.bsky.social · Jul 21
Single-anastomosis duodenal-ileal bypass with sleeve gastrectomy for diabetes: predictors of remission and metabolic outcomes in a multicenter study - Surgery for Obesity and Related Diseases www.soard.org/article/S155...
Single-anastomosis duodenal-ileal bypass with sleeve gastrectomy for diabetes: predictors of remission and metabolic outcomes in a multicenter study
The single-anastomosis duodenal-ileal bypass with sleeve gastrectomy (SADI-S) combines the restrictive aspects of a sleeve gastrectomy (SG) with the hypoabsorptive advantages of a gastric bypass. SADI...
www.soard.org
neilflochmd.bsky.social
Neil Floch MD FACS FASMBS DABOM @neilflochmd.bsky.social · Apr 23
GLP-1 receptor agonists and the risk of postoperative nausea and vomiting after laparoscopic sleeve gastrectomy: a single-center, retrospective cohort study - Surgery for Obesity and Related Diseases www.soard.org/article/S155...
GLP-1 receptor agonists and the risk of postoperative nausea and vomiting after laparoscopic sleeve gastrectomy: a single-center, retrospective cohort study
Whether preoperative exposure to glucagon-like peptide-1 receptor agonists (GLP-1 RAs) are associated with postoperative nausea and vomiting (PONV) after laparoscopic sleeve gastrectomy (LSG) remains ...
www.soard.org
neilflochmd.bsky.social
Neil Floch MD FACS FASMBS DABOM @neilflochmd.bsky.social · Apr 20
Weight stigma asa barrier to care www.medscape.com/viewarticle/...
Weight Stigma Remains a Barrier to Patient Care
Patients with obesity often report being shamed and stigmatized in medical settings. How can physicians address weight sensitively?
www.medscape.com
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Reposted by Neil Floch MD FACS FASMBS DABOM
goggledocs.bsky.social
GoggleDocs @goggledocs.bsky.social · Mar 21
Oral semaglutide cost-effective vs. liraglutide—even at 50% ⤵️ price

🔹 🇬🇧 modelled data: ⤴️ QALYs (+0.18) & ⤵️ comp.

🔸 💊 = ⤵️ Rx burden vs. daily 💉

🔹 Results robust across sensitivity analyses

⚠️ funded by NovoNordisk

👉 Challenges low-cost liraglutide, supports 🎯 oral GLP-1 use

🔗 ggdocs.co/9h0bz1
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Reposted by Neil Floch MD FACS FASMBS DABOM
goggledocs.bsky.social
GoggleDocs @goggledocs.bsky.social · Mar 22
📢 #GLP1 ⤵️ kidney decline, CV events & mortality in CKD❗️

🔹 Meta-analysis of 18K pts w/ eGFR <60:
⤵️ eGFR decline ≥50% (OR 0.72)
⤵️ 💔 (OR 0.86)
⤵️ ☠️ (OR 0.77)

🔸 ⤵️⤵️ with human GLP-1 backbone

🥇Evidence across CKD stages—not just macroalbuminuria

👉 GLP-1 now a key 🎯 in CKD + #T2D

🔗 ggdocs.co/tnqomz
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Reposted by Neil Floch MD FACS FASMBS DABOM
profderekconnolly.bsky.social
Prof Derek Connolly @profderekconnolly.bsky.social · Mar 22
🌍 Our real-world paper shows GLP1s are associated with lower risk of MACE & less costs than DPP4s or insulin in T2DM at higher CV risk 💔

link.springer.com/article/10.1...

@pccs.bsky.social @goggledocs.bsky.social @sabouretcardio.bsky.social @astonuniversity.bsky.social @swbhnhs.bsky.social
Real-World Comparisons Between Glucagon-Like Peptide-1 Receptor Agonists and Other Glucose-Lowering Agents in Type 2 Diabetes: Retrospective Analyses of Cardiovascular and Economic Outcomes in England...
Introduction Clinical trials have demonstrated that glucagon-like peptide-1 receptor agonists (GLP-1RAs) reduce the risk of major adverse cardiovascular events (MACE) in adults with type 2 diabetes (T...
link.springer.com
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Reposted by Neil Floch MD FACS FASMBS DABOM
goggledocs.bsky.social
GoggleDocs @goggledocs.bsky.social · Apr 15
📢 Danuglipron dropped—can orforglipron still be the “oral GLP-1 that delivers”?

🔹 Pfizer halts danuglipron after liver signal

🔸 Orforglipron P2=HbA1c ⤵️2.1%, Wt ⤵️14.7%, no liver signal

🔹 P3 2025—will it safely deliver?

👉 Small molecule GLP-1: blockbuster or cautionary tale?

🔗 ggdocs.co/5qu8y3
ggdocs.co
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neilflochmd.bsky.social
Neil Floch MD FACS FASMBS DABOM @neilflochmd.bsky.social · Apr 19
Stress Eating and the Microbiome
Can you treat eating disorders with a #microbiome-friendly diet? www.psychologytoday.com/us/blog/mood...
Stress Eating and the Microbiome
Stress eating changes your gut microbes, which increases stress in a vicious cycle. By fixing your microbiome, you become more resilient, making it easier to gain back control.
www.psychologytoday.com
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Reposted by Neil Floch MD FACS FASMBS DABOM
scottcanderson.bsky.social
Scott C Anderson @scottcanderson.bsky.social · Apr 18
What a fecal microbiota transplant lacks in glamour, it totally makes up for in efficacy.
scottcanderson.substack.com/p/a-surprisi...
A Surprising Fix for a Personality-Changing Liver Disease
“Our bodies have a finely tuned, built-in detoxifying system: It's called our liver, and it can detoxify our bodies better than any cleanse or fast.” —Harley Pasternak
scottcanderson.substack.com
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neilflochmd.bsky.social
Neil Floch MD FACS FASMBS DABOM @neilflochmd.bsky.social · Apr 13
www.nytimes.com/2025/03/06/w...
Are Ultraprocessed Foods Addictive?
The question has generated controversy among scientists. Here’s what we know.
www.nytimes.com
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neilflochmd.bsky.social
Neil Floch MD FACS FASMBS DABOM @neilflochmd.bsky.social · Apr 12
A message from @OMAsocial past PRESIDENT and #OAC board member @DrAngelaFitch:

IT IS TIME for #GLP1 #obesity medication pharmaceutical producers to:

#betheHERO #betheHERO!

Cut the cost to $299 a month and Increase access to care!
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neilflochmd.bsky.social
Neil Floch MD FACS FASMBS DABOM @neilflochmd.bsky.social · Apr 3
Yes people are
Success people
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