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Those who are candidates for bariatric surgery typically fall into the below categories:
For patients in Kearney, NE we do offer initial steps of the program to be completed with Dr. Moeller. Learn more about this opportunity.
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If you are someone who has tried multiple diets and has tried to lose weight over and over again without success, then bariatric surgery is something you should take into consideration as an option.
You will need to check your insurance benefits first and foremost. Ask if you have the "bariatric surgery benefit."
After surgery, food travels down the esophagus and enters your new pouch. Depending on what surgery you may have, weight loss is determined by decreasing portion size and how well the body absorbs calories/nutrients. Adherence to a food plan, exercise, and support after surgery will promote success.
Most patients require 1-3 days in the hospital. Many patients return to work in approximately 2 weeks. Heavy lifting and taxing physical activity is discouraged for up to 4 weeks.
Pending your pain tolerance, this is individualized. We do everything in our power to treat pain via all avenues. We use the multi-modal pain management intervention model that utilizes different types of medications to decrease pain in different ways.
During the healing process you may have occasional episodes of nausea with retching and or vomiting. This is usually associated with the surgical procedure itself and will gradually subside. Once you begin to introduce soft foods back into your eating plan, you may have an occasional episode where a particular food does not digest well and may make you sick. Patients that overeat and overfill their pouch experience stomach/chest pain & pressure, and often vomiting. Frequent episodes of nausea and vomiting are a red flag that you may not be following the rules. In this case, notify the nurse or dietitian to discuss.
Yes. Many patients lose up to 50-75% of their excess weight 3 years after surgery. It is important to stay connected with your bariatric support team for long term support. Remember, medically complicated obesity is a chronic disease process and you must maintain good healthcare practices, following doctor’s guidelines for the rest of your life.
Depends on the type of exercise. You should begin walking while still in the hospital, unless instructed otherwise. As you heal, begin to increase your exercise time and intensity. Your surgeon will allow you to increase your activity based on your progress. After surgery, exercises such as weights, sit-ups, pull-ups, or any abdominal straining should wait until you get the go-ahead from your doctor.
Weight loss is not necessarily the goal...body fat loss is the goal! Our program focuses on body composition for overall health. So each individual going through the program has the opportunity to have their body composition analyzed by our "InBody" machine. This will calculate the amount of body fat that is realistic and attainable if a patient chooses the lifestyle interventions to meet their specific goal.
Not necessarily, this is very individualized based on patient preference and/or potential skin rash complications.
Some hair loss is common between 3 and 6 months following surgery. Even if you take all recommended supplements, hair loss will be noticed until the follicles come back. Hair loss is almost always temporary. Adequate intake of protein, vitamins and minerals will help to ensure hair re-growth and avoid longer term thinning.
YES, you will need to take a bariatric specific vitamin the rest of your life post-operative to prevent acute and chronic vitamin deficiencies
Not necessarily diet, but you will be expected to make permanent lifestyle changes in your dietary intake and physical activity regimen. These expected lifestyle changes will prevent acute and chronic post- operative bariatric surgery complications and re-hospitalizations.
In the end each individual going through this process has "choices". We tell patients "you do what you need to do to be where you want to be.” It is essential for long term safety that every post-op patient needs to eat at least 60-90 Grams of protein daily and eat foods in this order: protein first, vegetables second, fruits third. Additionally, just know that not everyone will tolerate all foods the same they did pre-operatively.
Some patients have a severe reaction to sweets caused by the high sugar content. Other patients are able to tolerate without difficulty. The important thing to focus on is that you will limit sweets as they are not in the protein family and add empty calories. Often, sweets are a trigger food for many. Once you have a sweet treat it triggers the craving to have more. This can sabotage your meal plan and weight loss.