Obesity is a complex, chronic disease that needs understanding, support and correct treatments.
In this episode, we talk extensively with Prof. Univ. Dr. Cătălin Copăescu, the first and only surgeon of excellence in Romania with double European and American certification in metabolic and bariatric surgery, and founder of the first Center of Excellence in Obesity Treatment in Eastern Europe, about everything you need to know about extra pounds.
We discuss the real causes of obesity, why it's not just about willpower, what happens in the body of an obese person and why diets often fail. We talk about modern pharmacotherapy (with drugs that regulate appetite and satiety), about Gastric Sleeve surgery and the profound changes that occur after surgery.
A necessary episode for all those who want to better understand what obesity is, beyond prejudices and myths.

Material supported by Ponderas Academic Hospital, part of the Regina Maria Network.
https://www.reginamaria.ro/ponderas

👉🏻 And if you want to learn more about losing weight, I'll be waiting for you on December 7, 2025, at POINT, at a new edition of the Bun Bine brunch, let's talk about losing weight and knowing your body, beyond diets and guilt. Reserve your spot on https://bunbine.ro/

Project manager: Claudiu Enescu
Video editor: Cătălin Constantin
Social media manager: Vlad Ionescu

TIMESTAMPS
00:00 – Intro
01:20 – Presentation of the topic: Obesity
02:42 – Presentation of the guest: Prof. Univ. Dr. Cătălin Copăescu
03:52 – Obesity is a disease
05:19 – Bariatric surgery in Romania
10:57 – Minimally invasive surgery - gastric sleeve
13:01 – Stigmatization of obese patients
13:30 – Functioning of the body. Hunger
15:06 – Normal weight vs obese person
18:50 – Obesity has nothing to do with willpower
20:15 – The most absurd diets
20:58 – What does balanced nutrition mean
22:35 – Causes of obesity
24:04 – Hunger. Hunger Center
27:22 – Help for obese people. Statistics in Romania
30:18 – The first step: assessment and correct information
33:10 – First medical solutions
35:00 – Young people and obesity
38:00 – Obesity does not appear overnight
40:46 – Personalized solutions proposed by the doctor
44:47 – How many manage to lose weight with diet and exercise
48:13 – Solutions for people who fail to lose weight with exercise and diet
50:06 – Pharmaceutical therapy for weight loss
53:16 – Modern pharmacotherapy regulates appetite and satiety
56:10 – Formulas for diabetes and obesity
57:04 – Medical evaluation and supervision
58:53 – Pharmaceutical therapy vs. bariatric surgery
59:30 – What does bariatric surgery entail
01:01:06 – Microbiome modification after bariatric surgery
01:02:42 – Long-term benefits of surgery bariatric
01:04:19 – Pharmacological treatment is a chronic treatment
01:05:38 – Relapses in bariatric surgery
01:08:38 – Causes of relapse after bariatric surgery
01:10:16 – Inappropriate medical interventions. Medical tourism.
01:12:19 – Contraindications for medical tourism
01:16:21 – Dangers of diabetes surgery in Turkey
01:20:25 – What gastric sleeve surgery entails
01:24:49 – What happens in the body after gastric sleeve surgery
01:27:13 – Kilograms lost after gastric sleeve surgery
01:29:06 – Resetting type 2 diabetes
01:32:29 – Changes in the first 6 months after gastric sleeve
01:35:27 – Obesity: a chronic, evolving disease. Multidisciplinary treatment
01:40:17 – The joy of post-operative results (a patient's experience)
01:41:20 – Discussion with the doctor is essential
01:43:56 – The ideal weight benchmark
01:47:07 – Psycho-emotional support is important
01:48:35 – The message for those who need help
01:50:07 – Bun Bine | About losing weight and knowing your body - bunbine.ro
01:52:50 – Thanks
01:54:51 – Outro

You can find more information about health on the website. And, if you have any questions and want to know what recommendations Dr. Mihail has for you, access the AI ​​assistant - Ask Dr. Mihail, here: https://doctormihail.ro/

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👨🏼‍⚕️ I am Dr. Mihail, a specialist in general surgery and health educator, and my mission is to make information about health, longevity, nutrition and sports accessible and easy to understand.
Host https://bunbine.ro/
Host TV https://medicool.ro/ @Antena 1

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