ReSet Weight Management - Dr Michael Devadas

20/10/2026

We know that peptides can come with real health risks, but it’s especially alarming to see the pressure they’re placing on our health system.

Since July last year we’ve seen over 1,180 presentations to our EDs with liver damage, kidney damage, severe allergic reactions, vomiting and other significant health complications linked to peptide use.

I’m urging the community to be mindful of these very real health harms and speak with your GP for evidence-based health advice.

19/10/2026

Almost 1,200 people have presented to NSW emergency departments in the past year after using unregulated peptides, many of them promoted on social media as a quick fix for weight loss and wellness.

One quarter of those patients were aged just 16 to 24, with doctors warning the true number is likely higher and the health minister urging people to avoid any product not prescribed by a GP or supplied by a pharmacy.

Tune in to 10 News at 5pm for the full story.

16/10/2026

07/10/2026

Anaesthetists are warning patients to disclose the use of GLP-1s or unapproved peptides before surgery.

A new study found there was an 11-fold risk of aspiration or regurgitation under general anaesthetic for GLP-1 users.

National guidelines recommend patients on GLP-1 drugs take clear fluids for 24 hours, followed by a standard six-hour fast before surgery.

Read more: https://ab.co/4ANBtUF

14/09/2026

Sadly I managed a case like this recently

TGA issues alert after person was hospitalised after believing they were taking experimental weight loss drug retatrutide

03/09/2026

Agreed

A neurosurgeon left this in my comments:

“Don’t choose a surgeon who feels the need to advertise on social media. No good surgeon needs to advertise, and ethically they’re not supposed to. Massive red flag.”

That sounds like principle. It isn’t.

Physicians are allowed to communicate publicly. The ethical line is not “never be visible.” The real lines are clear: don’t lie, don’t mislead, don’t invent outcomes, and don’t treat a public post like a private patient visit.

I didn’t become a spine surgeon on social media. I became one the long way — the studying, the scores, the late nights, the sacrifices, and thousands of hours in the operating room.

My credentials came first:

• Board-certified Orthopedic Spine Surgeon
• Combined Neurosurgery/Orthopedic Spine Fellowship

That work was done long before a single post went up.

For the past 8 years, I’ve used this platform the same way I use my clinic: to teach spine health, prevention, what actually happens in the OR, real outcomes, nutrition, and — critically — when someone does not need surgery.

If this were “advertising” in the way he implies, the easy content would be telling everyone they need an operation. That isn’t what I do.

Teaching patients how their spine works is not a red flag.

• False claims are a red flag.
• Guaranteeing results is a red flag.
• Attacking another surgeon in front of patients, without ever seeing the case, is a red flag.

Two surgeons can disagree about a case. We do it with imaging, a physical exam, and the patient’s history — not by telling the public that a colleague is unethical for educating them.

The comments section is not peer review. It is not an ethics committee. And it is not the place to warn patients off a surgeon whose work you have never evaluated.

I will keep operating. I will keep explaining when surgery is the answer and when it isn’t. That is the job.

If a colleague has a genuine professional concern, there are formal medical channels for that. A comment section isn’t one of them.

Educating the public shouldn’t require a thick skin. I’m not stopping because one colleague doesn’t like how I teach.

— Dr. Steven Cyr | Orthopedic Spine Surgeon | 📍San Antonio & Houston

Have other physicians treated patient education like a character flaw?

Share the pattern — not the names.

→ Appointments & consultations: 210-487-7463

31/07/2026

FULL CIRCLE: Almost 40 years ago, Sam Orde's much loved godfather underwent a lung transplant in Britain, giving him another two decades of life - and the opportunity to make more memories with his godson.
Now Sam, an intensive care staff specialist at Nepean Hospital, is on the frontline of organ donation conversations with families on their darkest days.
“The connection you receive as a medical person, talking to a family about their loved one and how they would feel about organ donation is an incredibly intense experience," he says.
He knows better than most the importance of registering your intentions and discussing it with loved ones long before the need arises in an intensive care unit.
"Critical illness and death are difficult to talk about. If the worst happens, it can be really stressful to make the decision about organ donation when you can’t talk to the person who’s potentially going to be the donor. That is why registering your decision is so important.”
Every organ donor can save the lives of seven people, and help many more through tissue donations.
To register as an organ donor and for more information, please visit https://www.donatelife.gov.au/register-donor-today
Credit: Nepean Blue Mountains Local Health District.