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Ever wondered why your bariatric surgery alcohol tolerance has plummeted? In this episode of the Keep It Off podcast, Mel Harris explains why gastric bypass patients lose their "first-pass metabolism," causing blood alcohol levels to spike dangerously fast. We dive into the science of the stomach enzyme changes and why you might be at a higher risk for alcohol use disorder post-op. CHAPTERS 00:00 Welcome! 00:42 Today's Topic: Alcohol & Changed Tolerance Post-Bariatric Surgery 01:38 The Science: How Alcohol Affects Your Surgically Altered Body 02:08 Increased Risk of Alcohol Use Disorder (AUD) Post-Surgery 03:25 Why You Can't See Addiction Coming: The Perfect Storm 04:41 Physiological Changes 07:31 The Calorie Problem: Empty Calories & Limited Pouch Space 09:33 Worse Hangovers & Dehydration Post-Op 10:24 Summary of Physiological Changes & Risks 10:50 The Elephant in the Room: Alcohol Addiction Transfer 13:53 Warning Signs of Problematic Alcohol Use Post-Surgery 14:47 Importance of Support & Not White-Knuckling It Alone 15:57 Clinical Guidelines for Alcohol Post-Bariatric Surgery 17:27 Evidence-Based Guidelines & Harm Reduction Strategies 19:09 Harm Reduction Strategies (If You Choose to Drink) 24:00 Personal Stories & The Importance of This Conversation 26:03 Final Recap: Changes, Risks, Guidelines, Harm Reduction & Support 🎙 About KIO (Keep It Off) Hosted by Mel, the UK’s original Weight Management Mentor, who has lost just under 15 stone and maintained it for over 21 years, KIO focuses on weight loss maintenance, preventing regain, and life after bariatric surgery or weight loss injections. 🔗 Connect with KIO Website: https://www.kiomethod.com YouTube: / @kiomethod Instagram: / kiomethod TikTok: / kiomethod Facebook: / kiomethod LinkedIn: https://www.linkedin.com/company/kiom... #BariatricSurgeryUK #GastricBypassJourney #AddictionTransfer #WeightLossSurgery #AlcoholTolerance #WLSCommunity #KeepItOff #GastricSleeve #PostOpLife #MentalHealthUK