NIH-funded research R01 grant

Why alcohol use can increase after bariatric (weight-loss) surgery

Official title: Biobehavioral Mechanistic Model of Alcohol Use Following Bariatric Surgery: The BREW ME Model

Funded at Sanford Research North · NIH-11190847 · Data updated 2026-11-12

This project looks at whether changes in gut bacteria and brain reward after bariatric surgery make alcohol more rewarding for people who have had the operation.

Quick facts

Grant typeR01 grant
Study typeNIH-funded research
Funding institutionSanford Research North
NIH-funded
Lab location1 site (Fargo, United States)
Project startSeptember 15, 2024
Project endAugust 31, 2029
Funding year2025
Award (this year)$701,314
NIH project number5R01AA031237-02
Project IDNIH-11190847 on NIH RePORTER

Who could benefit from this research

Could help

Adults who have undergone or are planning to undergo metabolic/bariatric surgery and who are willing to provide clinical information and biological samples would be ideal candidates.

Less likely to help

People who never had bariatric surgery or whose alcohol use is driven entirely by social or non-biological factors may not benefit directly from this research.

What this research studies

If you've had bariatric surgery, researchers will explore how your gut microbiome and brain reward responses change after the operation and how those changes might make drinking feel more rewarding. The team will combine data from animal models and clinical work to link microbiome shifts with drinking behavior and brain signals. They will collect behavioral data, measure microbes in the gut, and examine neurobiological pathways to build a mechanistic model called BREW ME. The goal is to explain why some patients develop hazardous alcohol use after surgery.

Why it matters

Potential benefit: If successful, this work could help identify patients at higher risk for alcohol problems after bariatric surgery and point to ways to prevent or treat those problems.

How similar studies have gone: Previous research has shown increased alcohol problems after bariatric surgery and early links between the microbiome and brain reward, but integrating these findings into a causal model is relatively new.

Where this research is happening

  • Sanford Research North
    Fargo, United States
    Active

Researchers

  • Principal investigator: Engel, Scott G — Sanford Research North
  • Study coordinator: Engel, Scott G

Related research

Other NIH-funded projects on the same topics.

  • BREW ME Model: How bariatric surgery changes alcohol use biology

    A study investigates why some people drink more or develop hazardous drinking after bariatric surgery, using biology and behavior to understand the change.

    NIH research Sanford Research North · Fargo, United States · NIH-11408840

  • Understanding alcohol use after weight loss surgery

    This study is looking into why some people start drinking alcohol again after having weight loss surgery, focusing on how their feelings and eating habits might play a role, and it aims to help create better support for those patients.

    NIH research Henry Ford Health System · Detroit, United States · NIH-10836974

  • Understanding alcohol use after weight loss surgery

    This study looks at how weight loss surgery might change drinking habits and the risk of alcohol problems, focusing on how the gut and brain work together after surgery, so we can better understand what might lead some patients to drink more afterward.

    NIH research Sanford Research North · Fargo, United States · NIH-10774539

  • Using technology to help reduce alcohol use after weight loss surgery

    This study is testing a helpful program for people who have had weight loss surgery and might be dealing with alcohol use issues, using a computer-based tool and supportive text messages to make it easier for them to manage their drinking.

    NIH research Henry Ford Health System · Detroit, United States · NIH-10470842

  • Biomarkers to detect recent heavy drinking in veterans

    A doctor-scientist team is testing blood biomarkers to better identify recent excessive alcohol use in veterans so clinicians can screen, counsel, and care for those at risk.

    NIH research Rlr VA Medical Center · Indianapolis, United States · NIH-11685217

  • Understanding how heavy drinking and anxiety relate in emerging adults

    This grant studies how heavy alcohol use and anxiety symptoms interact in young adults (ages 18–34) and what biological stress markers might reveal about that relationship.

    NIH research Brown University · Providence, United States · NIH-11627893

About this research

  1. This is an active NIH-funded research project — typically early-stage science, not a clinical trial accepting patient enrollment.
  2. Some NIH-funded labs run parallel clinical studies or seek volunteers for related work. To check, contact the principal investigator or institution listed above.
  3. For full project details, budget, and progress reports, visit the official NIH RePORTER page.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.