Bariatric Surgery as the Founding Discipline of Trajectory Engineering

From Metabolic Intervention to a Planetary Infrastructure Robin Blackstone, MDBlackstone HealthIBC University of Oxford 2026 CongressSeptember 16, 2026 Editorial note: The talk title is preserved as delivered at Oxford. The framework formerly called “Trajectory Engineering” is now formally named Health Trajectory Engineering. The updated name is used below when referring to the framework in the…

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Surgery and the Gordian knot of metabolic syndrome

Effects of metabolic and bariatric surgery on the metabolic syndrome.

ACS Metabolic Surgery Symposium — Collected Papers Surgery and the Gordian Knot of Metabolic Syndrome Robin P. Blackstone, MD, FACS; Walter J. Pories, MD, FACS; Bruce Wolfe, MD, FACS; Marc Bessler, MD, FACS; Eric J. DeMaria, MD, FACS; et al. Originally published in the Bulletin of the American College of Surgeons, January 2019;104(1):53–61. In 333…

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Do You See Me, America?

Do You See Me, America?

A tumbleweed caught in a slot canyon, and what it taught me about American healthcare. By Robin Blackstone Antelope canyon is one of  the most photographed place on earth, which should have made me distrust myself. Everyone who enters it makes the same pictures: the wave of sandstone, the shaft of light, the walls the…

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She Gave the Answer First

She Gave the Answer First

On the ghats of Varanasi during Dev Deepawali, November 2024 By Robin Blackstone The first thing she did was lift a leaf to her face. She was sitting at the base of a banyan, an old woman in a red bandhani sari with a pattern of small white squares, two heavy silver bangles stacked on…

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