Ricardo Cohen
@rvcohen
Presidente IFSO World . Cirurgia da Obesidade e Diabetes/MD- Bariatric and Metabolic Surgery
Bariatric surgery offers more than weight loss: improved health, mobility, and mental well-being. With expert dietary support, patients achieve sustainable results. Nutrition plays a key role, says Mary O’Kane, specialist bariatric dietitian. #IFSO #Dietitian #Nutrition
A new report in @PLOSGPH uses a flawed definition of clinical obesity to claim the new diagnosis artificially reduces prevalence and undermines early detection and prevention. Here is a fact-check: 1. The study used an inaccurate definition of clinical obesity, omitting key…
IFSO statement@Lancet DE: Med-induced WL isn't a reason to delay bariatric surgery. Many stop meds due to cost, intolerance, or wanting a "definitive" fix. Clinicians must not wait for the predictable relapse of complications. The goal is sustained health, not temporary metrics

Obesity is not a result of poor willpower, it's a chronic, multifactorial disease influenced by biology, environment and hormonal regulation. Metabolic Bariatric Surgery is a safe, effective and evidence-based treatment that improves lonterm weight management and overall health.
“Thinking out loud”- in the current era of modern pharmacotherapy , where we understand that malabsorption is not a mechanism, but rather a complication, is it worth a complex intervention with 5% of major complications @1 year? @FRubinoMD
Addressing recurrent weight gain after Roux-en-Y gastric bypass: efficacy of a dual surgical approach—short-term results of a single-center cohort study - Surgery for Obesity and Related Diseases #bariatricsurgery #soard #obesity soard.org/article/S1550-…
Aristotelian syllogism: Major premise: Accurate diagnoses must reflect clinical reality. Minor premise: The individual health impact of obesity exists on a spectrum. Conclusion: Therefore, the diagnosis of obesity must reflect that spectrum. In other words, because both clinical…
Clinical obesity (CO) is a disease diagnosed by specific organ dysfunction caused by excess fat. Its true prevalence will remain uncertain until we systematically assess for it—and that’s okay. For now, we can estimate using existing databases, but considering unadjusted data…
Two new papers give us sharply different estimates of #ClinicalObesity prevalence. One, in @TheLancetEndo, says it's 35.5%. The other, in #OBESITY, says it's 9.7%. "Ambiguity and uncertainty" are abundant on this subject. HT: @FRubinoMD conscienhealth.org/2025/07/crunch…
Personalized care in #obesitytreatment starts with listening, adapting, and treating the whole person, not just the condition. Tailored strategies like surgery, pharmacotherapy, nutrition & emotional support are essential. #obesitycare #lifestyle #MBS #IFSO
A certificate of excellence in Metabolic Surgery
✨IFSO Certification in MBS An international mark of excellence designed to recognize surgeons who demonstrate advanced knowledge, clinical judgment and commitment to the highest standards in the surgical treatment of obesity. FINAL DEADLINE JULY 27! ifso.com/ifso-certifica…
Metabolic Bariatric Surgery Is Superior to Non-surgical Intervention for the Long-Term Management of Obesity-Related Primary Hypertension: A Systematic Review and Meta-analysis of Randomised Controlled Trials | Obesity Surgery link.springer.com/article/10.100…
World Obesity Federation Session @ IFSO2025 in Santiago! 🔗ifso2025.org #IFSO2025 #IFSO2025SANTIAGO #OBESITY
We had to think differently about obesity Now it’s everyone else’s turn. Read @TIME how the @TheLancetEndo Commission redefined obesity in alignment with medical principles of disease diagnosis @WorldObesity @IfsoSecretariat @rvcohen @EricTopol @EASDnews time.com/7301143/obesit…
Three years ago, I joined IFSO as I started seeing more pre- and post-MBS (metabolic bariatric surgery) patients. Plenty to learn from their resources and global network of surgeons, dietitians, psychologists, physicians, exercise specialists. . Honoured to receive the Integrated…
Bariatric surgery provides an auto-transfusion of native glp1 every time you- bariatric surgery the original glp1 agonist
My article in The Daily Mail today highlights how a low carb diet reduces appetite & increases GLP-1 hormone naturally instead of the jabs Also showcases @DoctorTro paper His patients lost as much weight low carb as people paying for Wegovy 👍 dailymail.co.uk/health/article……
Recurrent weight gain isn’t failure, it’s part of the journey. At IFSO, we meet it with compassion, not stigma. Because lasting health isn’t about perfection, it’s about support, persistence, and science. Let’s shift the narrative. 💬 #BariatricSurgery
Gut-Based Therapeutics: Redefining the Continuum of Metabolic Care Endoscopic Sleeve Gastroplasty (#ESG) exemplifies a growing class of gut-based endoscopic interventions with the potential to reshape the metabolic disease treatment paradigm. Positioned between pharmacotherapy…
"A obesidade é uma condição médica, não uma falha pessoal. A cirurgia bariátrica é um caminho comprovado para melhorar a saúde. Converse com especialistas. Vamos superar o preconceito e focar na sua saúde!" Ricardo Cohen IFSO President #BariatricSurgery @rvcohen
“After 12 tough years, I found myself again.” For Claudia, the last 12 years were a constant struggle with weight and physical discomfort. Bariatric surgery changed everything. 👉 Bariatric surgery isn’t just a procedure. It’s a fresh start! #newbeginning #patientchallenge
Should the title be more explicit? That seems predominantly After SG
Our group was the first to define POSED (Post-Obesity Surgery Esophageal Dysfunction), a newly recognized motility disorder that can develop in a subset of patients after metabolic bariatric surgery. In our latest @NGMJournal Neurogastroenterology & Motility study, we uncover a…
🚨 New in Obesity Surgery: Can AI + human expertise improve bariatric surgery? Yes—through Collaborative Intelligence (CI). CI merges AI’s speed with surgeons’ judgment for better outcomes, training, and ethics. Must-read editorial 👉 doi.org/10.1007/s11695…
