OlgaC

Hello!

28 posts in this topic

@BurgundyBoy @Jen581791 thank you! I really appreciate your words! I'm dying to get some more excercise, unfortunately I have a hernia on my lower back, which is killing me and I'm not able to walk long distances, (I'm on a treatment to avoid back surgery) 

I think what kills me is that I wish I could do more but I am phisically unable to work out.

The first month my surgeon and my dietician allowed me to eat a few carbs (specially during the pureed and mashed foods phase) but I ate more than I should have, but now I'm determined to follow my new diet and not cheat at all, I'm finally allowed to use protein shakes which I know will help a lot.

 

 

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12 minutes ago, OlgaC said:

@BurgundyBoy @Jen581791 thank you! I really appreciate your words! I'm dying to get some more excercise, unfortunately I have a hernia on my lower back, which is killing me and I'm not able to walk long distances, (I'm on a treatment to avoid back surgery) 

I think what kills me is that I wish I could do more but I am phisically unable to work out.

The first month my surgeon and my dietician allowed me to eat a few carbs (specially during the pureed and mashed foods phase) but I ate more than I should have, but now I'm determined to follow my new diet and not cheat at all, I'm finally allowed to use protein shakes which I know will help a lot.

 

 

Sorry about your hernia, but hopefully losing weight will help with that. Don't hurt yourself with walking if you shouldn't! Some people definitely do this without a lot of exercise, so it is certainly possible. Here's an article on why exercise can't be counted on to make you lose weight, if that makes you feel better about this situation: https://www.vox.com/2016/4/28/11518804/weight-loss-exercise-myth-burn-calories

Protein shakes are definitely a big help. They're so convenient. 

The first month is so stressful with all the changes, and the new feelings in your stomach, and recovering from surgery. Don't be hard on yourself. Your new way of eating is just getting started now. It will change a lot in the next few months (and get easier!). 

 

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@Olga Sorry to hear about your back. My back was so bad I thought I would have to retire early, but it is now fine after losing nearly 50 lbs. (My arthritic hip is another story). WLS should help your back even if it does not cure you of the problem. With a somewhat herniated lumbar disc it was still possible for me to swim, and the swimming helps keep my spine limber (and reduced my disc pain). Weight loss, swimming, and yoga have made my back much better. I hope you can find something in addition to the surgery that could help your back. 

It's important to not oversell or under-sell the value of exercise. It is very important for health but not a primary driver of weight loss per se as the article posted by @Jen581791 goes into. Overwhelmingly the driver for weight loss after WLS is eating less. However, I still see it as a valuable second tier tool.

In the context of this forum for being considering or having had WLS, there are 2 main reasons: Statistically, significantly more weight loss after WLS in people who exercise, and: Maintenance of lower weight after achieving goal.

A review of 14 scientific studies of exercise after WLS done in 2010 found that (on average) the BMI of people who exercised was significantly lower (a bit more than 4%) at 12 and 24 months than in those who did not. By this the article meant that if the BMI in those who exercised was 22, it was 26 in those who did not. There are more papers that have been published since the review was done but I can't find another review since the 2010-2011 time frame that looks just at exercise. This paper was recently published (2016) and again found a significant weight loss benefit to exercise: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5299089/. The magnitude of the difference in BMI was again about 4, similar to what the review in 2010 had found. 

Some studies have looked at people who are able to maintain their weight loss over time. Reasons cited (amongst others) for regaining weight are (1) going back to bad eating habits and (2) a lack of exercise. The scientific data for this has not be critically reviewed to my knowledge. Studies done some time ago found that people who exercised after WLS had less fat and more muscle, which could mean an higher metabolic rate, but really, who knows. 

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