Keep It Off

Keep It Off

AT LONG LAST - a podcast where you will find the unfiltered truth about what happens after losing a huge amount of weight, and how to deal with the challenges we all face in keeping that weight off no matter how you did it. A podcast created for anyone that’s lost a significant amount of weight whether with surgery, GLP-1s, meds, or any other method and that is now dealing with the real challenge: keeping their weight off for life. Crucial episodes including – Weight regain | Alcohol | Fake GLP-1’s – and so much more. Look out for our regular monthly episodes with special guest Mr Shaw Somers – Leading weight loss surgeon and GPL-1 specialist – host of The Fat Doctor and Medical Director/Founder of Streamline Weight Loss Clinics nationwide. Everything bariatric, Everything weight loss drugs and Everything to help you keep your weight off for life. 100% facts, 100% experience and 0% bullshit. We get real about weight regain, mindset shifts, and everything nobody tells you after the scales move. No fluff, no judgment, just honest conversations that actually help. If you’ve ever thought, “Why is this still so hard?” — you’re not alone. This is the place for that.

Episodes

October 5, 2026 • 15 mins
A craving is an experience, not an instruction. It feels urgent, but it is not an emergency. Mel breaks down practical, real-world strategies to help you gain control over food cravings without relying on harsh self-criticism or extreme restrictions. Mel shares actionable tactics to create space between the urge and your action—from labelling the craving out loud and introducing a 10-minute pause, to changing your immedia...
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Ever wondered why nobody bursts through the front door after a brutal day at work, drops their bag, and desperately demands a bowl of lettuce? Cravings can feel like an absolute steamroller, but here’s the secret: a craving is an experience, not an instruction. When fatigue, stress, or emotional overload hits, the brain’s reward system starts looking for a rapid hit of comfort. It isn't a lack of willpower; it&rsquo...
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We are cutting through the social media headlines to get into the questions that actually matter: does the weight loss pill work, and how does it compare to the injection? We break down the clinical trial data behind oral semaglutide, unpack the real-world difference between a 14% and 17% weight loss stat, and confront the daily realities of managing a strict pill routine. From navigating side effects like hair loss and nausea to e...
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September 14, 2026 • 18 mins
Ever find yourself staring into an open fridge an hour after dinner, desperately searching for comfort you know isn't in a yogurt container? It’s time to stop treating food like a partner you can break up with and start understanding the deep-rooted psychological and biological signals driving your daily habits. From early childhood conditioning to post-work stress triggers, we unpack why your brain reaches for dopamine-heavy...
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The new Wegovy weight loss pill has finally hit private UK pharmacies, but dropping the needle comes with a whole new set of rules. While it contains the exact same active ingredient as the injection, taking a daily tablet is a completely different ballgame. From mandatory 8-hour fasts to why a 25mg pill isn't ten times stronger than a 2.4mg jab, get the straight-talking, science-backed truth without any hype or fluff. Plus, learn ...
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Ever feel like every decade just hands us a brand-new set of body standards to stress over? From scouring Jackie and Vogue in the 1960s to scrolling past AI gadgets and social media filters today, the pressure to look a certain way keeps changing its costume. Reflecting on growing up alongside Barbie dolls, early peer pressure, and the shift toward body positivity, it becomes clear how easily influenced everyone really is. But whil...
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Hitting your goal weight is only the start of the road—keeping it off for life is where the real work begins. This week, we're diving into the honest questions that crop up long after the initial weight drops off. From finding the scale sweet spot to navigating restaurant menus and avoiding awkward comments from well-meaning friends, keeping control of your progress doesn't mean living in fear. We unpack why building habits t...
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August 17, 2026 • 20 mins
Thinking you can rewrite your entire life in 21 days is a total trap. That famous timeline actually came from a 1960s plastic surgeon watching patients adjust to their new faces in the mirror—not real habit research. The truth? Real habit formation takes months, not weeks, and missing a single workout or eating one slice of birthday cake doesn't mean you've ruined everything. Shift your perspective on how habits actually form...
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We’ve all felt that overwhelming fear of putting the weight back on—or maybe you’re right in the middle of it. It turns out that 76% of people who have weight loss surgery regain weight, and appetite comes back four times stronger after stopping weight loss injections. But the real danger isn't the food; it's the exact moment you permit yourself to slip. Sitting at a family dinner, holding out a plate for birth...
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Ever found yourself clearing a full plate of dinner before your friends have even picked up their forks? It happens to the best of us, but rushing through meals might be the single thing standing between you and your weight goals. Slowing down isn’t just standard advice for post-bariatric care—it’s a total game-changer for anyone wanting to shed pounds or maintain their progress. Your mouth is the ultimate food b...
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Navigating weight loss when surrounded by people who have never experienced obesity can feel deeply isolating. Mel Harris tackles the persistent stigma that framed obesity as laziness or a lack of willpower, explaining why flippant advice like "just say no" fails to address the real physiological and psychological challenges. She opens up about her personal experiences—from feeling judged at the dinner table and eating entir...
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Ever wonder if the daily battle with habits and health will ever just feel effortless? It’s a beautifully simple question, but the reality is beautifully complex. Stripping away the weight is a massive victory, but staying three or more years down the line brings a completely different set of hurdles. True maintenance means accepting that there isn't a final finish line—our biology and the unpredictable chaos of everyda...
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The landscape of weight loss medications is evolving faster than ever, moving well beyond household names like Mounjaro and Wegovy. Obesity surgeon Mr Shaw Somers joins the show to unpack the pipeline of next-generation treatments, including upcoming daily pills and "Triple G" injectables that target three appetite-regulating hormones simultaneously. While these new compounds promise weight loss mimicking surgical procedures, ent...
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The phrase "yo-yo dieter" shouldn't be a label you quietly accept, because the truth is, you haven't failed—the system was carefully designed to fail you. Taking a furious look at the predatory mechanics of a multi-billion-pound diet machine, this solo episode breaks down how the entire industry relies entirely on returning clients to keep their empires growing. From completely unsustainable powdered meal replacements to rigi...
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Dropping a massive amount of weight is a physical triumph, but the internal transformation that follows can completely blindside you. It forces a complicated question: have you lost sight of who you actually are? Stripping away the weight often means shedding a lifelong identity rooted in desperate people-pleasing and feeling utterly invisible. But as confidence grows and a new identity emerges, the world around you reacts. Relatio...
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Just when we got used to the weekly jab, there is a brand-new weight loss player entering the game—and this time, it’s a daily tablet. Eli Lilly is working on a fresh molecule called Orforglipron, but if you think it is just a copy-and-paste job of Mounjaro in a pill format, think again. There is a fascinating world of difference in how our bodies process oral medications compared to standard injectables. From the str...
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Dropping multiple stones and fitting into a size ten or twelve is an incredible achievement, but what happens when you look into the mirror and your brain still insists on seeing the old, heavy version of you? It is an uncomfortable reality that losing physical weight does not instantly erase decades of deeply ingrained emotional patterns and self-doubt. Delve honestly into the concept of the 'inner mirror' and the lingering strugg...
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Ever wondered what actually happens to your body when you take the gallbladder out, or why you’re suddenly dealing with weird tummy issues years after the surgery? We’re lifting the lid on gallbladder health to clear up the massive web of misinformation out there about post-surgery diets, phantom pains, and chronic bathroom runs. From why chugging water is your best defence against stones to the real reason some people ...
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Adhesions after bariatric surgery are invisible, silent, and can become life-threatening — and most patients are never told they exist. Mel Harris was. She still ended up in an ambulance screaming in pain, three weeks after major spinal surgery, because of scar tissue that had been quietly building inside her body since 2004. This episode is the second in a series following on from Why Your Post-Surgery Recovery May Not Be O...
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Waking up groggy and reaching straight for a coffee isn't a lack of caffeine—it's a sign your body hasn't had the time it needs to regenerate. This conversation breaks down the unfiltered, physiological truth about how chronic stress and poor sleep hygiene sabotage long-term weight maintenance. From the dangerous fads of over-the-counter cortisol blockers to late-night doom scrolling that completely strips away your mental re...
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