Post-Bariatric Surgery Guidelines

Post-Bariatric Surgery GuidelinesMany people have a hope that weight-loss surgery is a magic bullet that will cure their weight problems forever. This is wishful thinking that can lead to weight regain from patients taking a passive approach toward lifestyle change. The truth is that while bariatric surgery has been literally life-saving for some severely obese people, to have long-term success the bariatric patient must be committed to making life-long changes after surgery.

All bariatric surgery patients should receive follow-up care from a multidisciplinary team of experts that includes a primary care physician, endocrinologist, and gastroenterologist. This team can work together to help prevent weight regain and provide guidance about options for staying well after surgery.

All bariatric surgery patients should participate in nutrition educational programs, and they should be followed closely to prevent, detect, or treat nutritional deficiencies. This is essential among those who have malabsorptive surgeries such as gastric bypass.

General dietary guidelines after bariatric surgery:

  • Eat balanced meals with small portions.
  • Follow a diet low in calories, fats, and sweets.
  • Eat slowly, and chew small bites of food thoroughly.
  • Avoid rice, bread, raw vegetables and fresh fruits, as well as meats that are not easily chewed, such as pork and steak. Ground meats are usually better tolerated.
  • Do not use straws, drink carbonated beverages, or chew ice. They can introduce air into your pouch and cause discomfort.
  • Avoid sugar, sugar-containing foods and beverages, concentrated sweets and fruit juices.
  • For the first two months following surgery, your calorie intake should be between 300 and 600 calories a day, with a focus on thin and thicker liquids.
  • Daily caloric intake should not exceed 1,000 calories.
  • Drink extra water and low-calorie or calorie-free fluids between meals to avoid dehydration.
  • Sip about 1 cup of fluid between each small meal, six to eight times a day.

If you are considering weight-loss surgery, make an appointment for a consultation with Dr. Tsuda.

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Exercise Trends: Strategies for Keeping Fit

BlogYou know exercise is good for one’s health, but deciding what’s best for you can take a little experimentation. There are many ways to be active and enjoy the health benefits of exercise, but the top trends this year include body-weight training, high-intensity interval training (HIIT), and using experienced, certified personal trainers.

Body-weight training requires no exercise equipment since you use your own body weight for resistance, meaning little to no expense to you. There are many benefits to incorporating body-weight exercises into a strength-training routine. They can be done anywhere so it’s easy to keep up with workouts; they train fundamental movement patterns, and mastery of body-weight movements leads to improved performance on exercises requiring an external load; and they can be used in the early phases of training, along with stretching, to overcome the muscle imbalances that are a product of daily routine like sitting hunched over a computer.

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High Intensity Interval Training is a specific type of interval training routine. There are many benefits to this type of training. For one, excluding warm ups and warm downs they last no longer than 20 minutes. This may seem like a very short space of time, but if you do the workout correctly you will be exhausted by the end of it. The goal of HIIT is to hold an anaerobic state for a long cumulative time. It is designed with rest intervals to allow you to sprint harder for longer. The absolute best for HIIT is sprinting. If, however, you are unable to run, pick something else like riding a stationary spinning bike or swimming.

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Using a personal trainer has been popular for years, but as the fitness industry continues to grow, there has been a surge in demand for fitness professionals who are at the top of their field. Fitness programs are not one size fits all. Hiring a personal trainer to design a custom fit plan tailored to your needs might be just what you need to stay on track with your commitment to healthy living.

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Exercise Before and After Bariatric Surgery

Bariatric surgery (also known as weight-loss surgery) is a fast and effective way to lose weight for those whose lives are endangered by severe obesity and/or the serious health conditions associated with it. However, when one chooses to have a bariatric procedure, they are not getting a quick fix. Achieving and maintaining a healthy weight requires commitment to life-long change. Developing a sustainable and individualized diet and exercise plan that begins before surgery and resumes as soon as possible after surgery is very important for a successful outcome.

Patients who start an exercise regimen before surgery have been found to have better success in adjusting to exercising after surgery. Exercise can be quite difficult for the severely obese, so starting slow is imperative, and having a cardiac evaluation by your doctor before you start is important. For most, the goal should be 20-30 minutes of physical activity 3 times per week. Start by walking for 10 minutes twice per day or even marching for 20 minutes while seated in a chair. Even a small increase in exercise can improve a patient’s flexibility, range of motion, and balance, as well as decrease the chance of injury and soreness. Although it is sped up by bariatric surgery, weight loss requires time and effort to be effective. Begin your exercise with low-intensity, low-impact activities and, as you progress, gradually increase difficulty.

The most important part of your pre and post bariatric surgery exercise routine is to strengthen your heart. A healthy heart will help develop healthy muscles. Rapid weight loss can cause you to lose both fat and muscle. Since muscle is essential to a healthy metabolism, exercise is the safest and most effective way to maintain lean body mass and improve weight loss. Just like your diet, the goal of your post bariatric surgery exercise should not be just to look better but to live better.

If you are considering weight-loss surgery, contact Dr. Tsuda for a consultation.

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Weight-loss Trends and Approaches

DietAccording to the Center for Disease Control and Prevention (CDC) approximately 65% of the U.S. population is overweight. The CDC estimates that more than 30% of Americans would be considered to be not only overweight, but also obese. Weight-related issues have become a priority in the health fields, and you can’t open a magazine or turn on the T.V. without seeing some “miracle” weight-loss product or program. How are we to discern the real solutions from the too-good-to-be-true?

For decades we’ve heard that diet and exercise are the keys to maintaining a healthy weight. We’ve seen the fad diets, the celebrities who publically yo-yo up and down, and we’ve seen the reality T.V. competitions to see who can lose the most within a certain amount of time. It seems that there is no magic bullet for this problem. Instead, an integrated and life-long approach seems to be the answer.

New multifaceted approaches including enlisting the guidance of professional fitness, nutrition, and health experts are becoming more evident. Health clubs have personal trainers and nutritionists on their payrolls now as a matter of course to meet the demands of their clientele and their desires for an integrated approach to their health and fitness goals. Even restaurants have gotten into the trend with not only labeling healthy options on their menus, but also providing an ever-growing list of healthy selections and nutritional information.

Physician services such as those provided by Dr. Tsuda have been growing in popularity as well due in part to the overwhelming success rates of things like bariatric surgery for those who have tried to lose weight but have been unsuccessful or have serious obesity-related health problems.

If you are considering bariatric surgery, contact Dr. Tsuda for an appointment. He and his dedicated, experienced team can help design the perfect plan for you.