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Your Health Matters: Weight Loss Surgery Support and Breaking the Stigma

9/24/2025

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By David Ballerstein - Marshfield Now!

MARSHFIELD – Part two in the latest episode of Your Health Matters with Marshfield Clinic continued its in-depth look at weight loss surgery, featuring bariatric surgeon Dr. Nirujogi, program coordinator Amy Kramas, and nurse practitioner Amanda Connor. Host Laura Kibbel guided the discussion, highlighting not only the medical aspects of bariatric surgery but also the emotional, financial, and social challenges patients face.

Lifelong Care and 24/7 Support
Dr. Nirujogi explained that Marshfield Clinic’s bariatric program not only treats its own patients but also assists individuals who had surgery elsewhere and are now experiencing complications. From reflux and swallowing issues to emergency situations such as ulcers or bowel blockages, patients are welcomed into the program for long-term follow-up care.

“I take care of not only just my patients but anybody who has had bariatric surgery and is having problems—whether it is an emergency or elective,” she said
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Addressing Emotional Health
Connor emphasized the importance of psychological support in the weight loss journey. Every patient meets with a behavioral health specialist before surgery to address the root causes of obesity and ensure lasting lifestyle changes.

“Food is a comfort item for a lot of people. We need to teach them new strategies and find other outlets for that comfort so they’re not always turning to food,” Connor explained

Guiding Patients Through the Process
Coordinator Amy Kramas walked viewers through the practical side of starting bariatric care—from watching informational sessions and completing health questionnaires to navigating insurance and financial options. She stressed that the process can take six to twelve months but is designed to set patients up for success.

“I am their person of contact all the way through the program,” Kramas said. “Our team guides patients every step of the way so they can focus on their health”

Breaking the Stigma of Obesity
The panel also tackled the stigma surrounding obesity and surgical treatment. Dr. Nirujogi noted that obesity is recognized as a disease by the American Medical Association and that bariatric surgery is not just about weight loss—it can also improve or even cure conditions such as type 2 diabetes, heart disease, arthritis, and fertility issues.

“Obesity surgery reduces your risk for 12 different types of cancers and can add 10-plus years to your life,” she explained

Connor added, “It takes courage for people to step forward and admit this is a problem. That’s not weakness—it’s taking accountability for your health and your life.”

Looking Ahead
The episode concluded with a lighthearted discussion about Wisconsin’s four seasons, with each guest sharing their favorite local activities. Kibbel closed by reminding viewers that October is Breast Cancer Awareness Month, previewing next month’s program which will feature Marshfield Clinic’s breast cancer specialists.

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