"I am not ever here to tell someone who is fatter than I have ever been, how to live their life," she says. Bariatric surgery appears to decrease the risk of some cancers, but it increases the risks of others. There's this weird increase in the risk of alcoholism after bariatric surgery because your stomach absorbs alcohol more efficiently and so you just get like a bigger spike. And then the long-term health effects of bariatric surgery are like not very well studied.