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Obesity: How Prejudiced is the NHS?
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<blockquote data-quote="DavidGrahamJones" data-source="post: 1437121" data-attributes="member: 245335"><p>Finally watched the program on iPlayer and delighted to see an old "friend", Professor John Wass, who I was referred to privately, several years ago. I had the same problem then as I do now, I eat much less than my RMR and even with exercise, I do not lose weight. His advice then was gastric surgery which I wasn't keen on but at least I took the time and made the effort to find out more before saying no. </p><p></p><p>That's when I discovered that in High Wycombe, they were liquidising mars bars and chocolate to get their calories up to 1200 cals per day (not current advice I'm pleased to say). They were also almost always fitting bands rather than giving bypasses and one of the reasons I declined a band was because I felt I could get down to 1200 cals per day without surgery and that's what I have been able to do.</p><p></p><p>I later discovered that the bypass works slightly differently, not just restricting food, and indeed, at the time, they weren't 100% clear on how it did work, especially with the BG and BP meds no longer being required.</p><p></p><p>In the program it was strange when the guy said that he had never been able to lose weight on any diet before and I'm hardly surprised, most formal dieting regime recommend only 500 cals less than RMR. Post op, he was down to a few mouthfuls and I'm assuming 1200 cals per day, which seems to be the bare minimum sensible for health reasons.</p><p></p><p>It was an interesting program though, if only they could say categorically how much people ate to become obese. I can go back through my food diaries about 8 years at least and there's many occasions where weight has been gained while eating less than my RMR. </p><p></p><p>I'm tempted to look at the gastric bypass again but I just want to lose weight by eating less and exercising more, just like they say you're supposed to be able to. I suppose I can dream.</p></blockquote><p></p>
[QUOTE="DavidGrahamJones, post: 1437121, member: 245335"] Finally watched the program on iPlayer and delighted to see an old "friend", Professor John Wass, who I was referred to privately, several years ago. I had the same problem then as I do now, I eat much less than my RMR and even with exercise, I do not lose weight. His advice then was gastric surgery which I wasn't keen on but at least I took the time and made the effort to find out more before saying no. That's when I discovered that in High Wycombe, they were liquidising mars bars and chocolate to get their calories up to 1200 cals per day (not current advice I'm pleased to say). They were also almost always fitting bands rather than giving bypasses and one of the reasons I declined a band was because I felt I could get down to 1200 cals per day without surgery and that's what I have been able to do. I later discovered that the bypass works slightly differently, not just restricting food, and indeed, at the time, they weren't 100% clear on how it did work, especially with the BG and BP meds no longer being required. In the program it was strange when the guy said that he had never been able to lose weight on any diet before and I'm hardly surprised, most formal dieting regime recommend only 500 cals less than RMR. Post op, he was down to a few mouthfuls and I'm assuming 1200 cals per day, which seems to be the bare minimum sensible for health reasons. It was an interesting program though, if only they could say categorically how much people ate to become obese. I can go back through my food diaries about 8 years at least and there's many occasions where weight has been gained while eating less than my RMR. I'm tempted to look at the gastric bypass again but I just want to lose weight by eating less and exercising more, just like they say you're supposed to be able to. I suppose I can dream. [/QUOTE]
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