In this episode, Ruth Blackham talks with Consultant Obstetrician & Gynaecologist Dr Eman Al-Naggar about polycystic ovarian syndrome (PCOS), why it impacts ovulation and fertility, and how bariatric surgery can help many women regain regular cycles and improve chances of pregnancy.

We cover practical advice on waiting 12–18 months or until weight is stable before conceiving, the importance of monitoring iron, vitamin D and B12 after surgery, and the value of multidisciplinary care; while many women conceive after surgery, other fertility factors may still need investigation.

Consultant Obstetrician Dr. Eman Al-Naggar joins the Aurora Blueprint to explain pregnancy after bariatric surgery: when it’s safe to conceive, how sleeve and bypass procedures differ, and the main risks to watch for (nutritional deficiencies, reflux, small bowel obstruction and gallstones).

She also covers the benefits—improved fertility, lower rates of gestational diabetes and hypertensive disorders, and higher chances of vaginal delivery—and practical advice on vitamins, folic acid, contraception and coordinated care with your GP and surgeon.

In this episode Consultant Anaesthetist Dr. Gene Palmer explains the anaesthetic approach to bariatric surgery, covering multimodal pain relief, low-opioid techniques, anti-nausea strategies, and ultrasound-guided abdominal blocks to promote rapid recovery.

He also answers practical patient questions about what to expect in the first 24 hours, piercings and nail rules, medication instructions, and simple pre- and post-op tips to improve comfort and outcomes.

In this episode we interview Consultant Anaesthetist Dr. Gene Palmer about the role of anaesthesia in bariatric surgery.

They cover anaesthetist training, what happens before, during, and after surgery, airway management, monitoring, and safety measures used in modern practice.

Dr. Palmer also explains how patients can help make their operation safer—preoperative diet, stopping smoking/vaping, sharing medication and sleep apnea history, and bringing CPAP if needed—and reassures listeners about the safety and team-based care in theatre.

Dr. Sarah Page discusses what to expect for loose skin and facial volume loss after significant weight loss, explaining how factors like the amount and speed of weight loss affect skin elasticity.

She outlines prevention and treatment options—from nutrition, sunscreen, and retinoids to injectables, lasers, and surgery—and emphasises patience, realistic expectations, and supportive care during the adjustment period.

Dermatologist Dr. Sarah Page explains why many people experience hair loss after weight loss or bariatric surgery, focusing on telogen effluvium — a delayed shedding that often appears about three months after the trigger. She covers common causes such as rapid weight loss, iron and zinc deficiencies, thyroid changes, hormonal shifts and stress.

Dr. Page outlines practical steps: get blood tests (iron, zinc, vitamin D, thyroid, hormones), replace specific deficiencies rather than taking generic supplements, consider treatments like topical minoxidil (which can initially shed hairs before thickening them), and be gentle with styling. Recovery commonly takes several months and can take up to a year.

Most cases are temporary; reduce stress, address nutrition, and see a specialist if hair loss persists.

Congratulations on reaching six weeks post-surgery! In this milestone episode, we guide you towards your next big step: transitioning to full solid foods. Discover the key nutrition principles that will safeguard your results and the strategies for advancing your exercise routine. We also address common challenges during months two to six, offering solutions to avoid setbacks and stay on track. With a carefully crafted six-month action plan, you'll be set for lasting success. Join us as we celebrate your amazing progress and lay the groundwork for a healthier future.

Gain insights into mindful eating practices, learn to manage portion sizes, and explore a balanced exercise regimen that combines cardio, strength, and flexibility for optimal health. Join our discussion on overcoming obstacles such as portion creep and grazing, while focusing on your unique journey and celebrating every win, big or small.

Welcome back to the Aurora Blueprint, your go-to guide for thriving after weight loss surgery. At five weeks post-surgery, you'll begin to experience more normalcy with your meals and notice a boost in energy, but this stage also presents its own set of challenges. This episode helps you navigate these changes by expanding your soft food variety and introducing progressive strength training. Learn how to balance cardio and resistance work for long-term success, troubleshoot common week five challenges, and prepare for the transition to a full solid diet in the coming weeks. Embrace this turning point as you rehearse the habits that will sustain your lifelong health journey.