The early phase of the post bariatric surgery recovery plan involves significant dietary restrictions. For the first several weeks after surgery, you will cycle through various restrictive dietary phases including clear liquids, liquids, soft foods and ultimately a modified regular diet. Some modifications will continue for the rest of your life, but after six to eight weeks, the overall diet will become somewhat less restrictive.
There will be a point however where dietary restriction alone no longer works. This is why we stress that diet and exercise must go hand-in-hand. You will lose weight faster by limiting the number of calories you consume, but there is a finite number of calories you can cut before it becomes unhealthy. Continue reading
Obesity is a prevalent issue in the U.S. that affects people of all ages and backgrounds. By some estimates upwards of 40% of all American adults are obese. A full 2/3’s of adults are overweight. The medical complications that come with obesity are numerous, increasing in severity the higher a person’s weight is. The health impact of obesity has once again come to the forefront of concern and is has been shown to be a major risk factor for poor outcomes in patients who contract the Covid-19 virus.
Some of the facts, available at www.cdc.gov, that impact obesity and Covid-19 are:
- increasing the seriousness of respiratory compromise from Covid-19.
- tripling the risk of hospitalization if you are infected by Covid-19
- increasing your risk of dying from Covid-19
Mindfulness can play a very important part of the postoperative lifestyle. Mindfulness is a very simple concept – to be in the present moment when performing various activities. For a bariatric patient, that might be understanding and appreciating the food we eat, as we eat it.
The COVID pandemic has stopped many of us from performing activities in the gym, Pilates or yoga studio or at spin class. Whether the result of closures or being afraid to contract COVID, we likely aren’t losing as much weight as we should. First, it is important to remember that everyone is going through the same thing and second, very few people have been able to get through this very difficult and strange time without experiencing some kind of weight concern. However, while it may seem difficult, you can actually get excellent exercise – at home.
Before figuring out how exactly to make your home workouts most efficient, we have to discuss an important point. There is no one-size-fits-all solution. Every patient has a different exercise or activity they enjoy and as such the list in this article is simply a guide and not necessarily endorsing one exercise over the other.
Recently, the drug Semaglutide, which is used to treat Type II diabetes, was reported by the New England Journal of Medicine to have success in treating obesity. The reported weight loss for the nearly 2000 study participants randomized to either the weekly injections of semaglutide or a placebo was 15-20 percent of their weight.
The insurance process can vary between patients and insurance companies…even policies, but rarely is the process a short one. First, patients and providers alike have to deal with insurance companies that are pressed for time and may not be able to handle requests in a timely manner. Unfortunately, this is just a byproduct of the massive volume of preapprovals that need to be generated each and every day.
Further, the insurance company wants to be entirely sure that the procedure in question is medically necessary. This is particularly true for bariatric surgery.
After substantial weight loss, it is not uncommon for a person to gain back some of the weight they lost. This calls for having a game plan for how to maintain one’s new weight. Regular four-times-weekly exercise, healthy eating habits, a good support system and a positive mindset are all things to be mindful of when maintaining weight loss.
A weight loss journey is unique on a patient-to-patient basis, but there are guidelines you can follow in order to increase your chances of keeping weight off.
The benefits of weight loss surgery are not limited to the change in the number that shows up on the scale, but an entire lifestyle reboot. Surgery is just a puzzle piece in the grand scheme of weight loss – it is one tool in the toolbox. After weight loss surgery, there are many aspects of life you have to commit to changing including your diet, physical activity, and mindset.
Proton Pump Inhibitors or PPIs have become the front-line treatment for mild to moderate acid reflux, also known as gastroesophageal reflux disease or GERD. Virtually every patient that has not seen improvement with antacid such as TUMS has moved on to PPIs which are readily available, over the counter, and are relatively inexpensive. These highly marketed medicines are the next step in GERD treatment and work by suppressing acid in the stomach. In other words, the reflux does not go away, but rather the contents that are refluxing are no longer as acidic.
In the bariatric postoperative recovery process, we encourage patients to not only diet, but also exercise more frequently and consistently. In the beginning, as wounds are healing, exercise may be in the form of several minutes or even a half hour of walking, as tolerated. However, as patients begin to increase their activity levels, we like to see them perform somewhat strenuous, but low impact, activities. Contact sports, running and more can all be very stressful on the joints, especially with excess weight, and should therefore be avoided.
Swimming is a fantastic exercise that is easy on the joints yet works virtually every muscle in the body. For that reason, not to mention getting outside and enjoying the sunshine, we like to promote swimming as one of the best exercises after bariatric surgery. It is very important to make sure your surgeon has advised you that your incisions are healed enough to get in a pool.