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How to lose weight prior to operation
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<blockquote data-quote="DavidGrahamJones" data-source="post: 1129244" data-attributes="member: 245335"><p>How long is a piece of string?</p><p></p><p>Obviously weight loss will make recovery from a knee op easier as does knee strengthening exercises. The doctors want to be able to guarantee success. You may not be having knee replacements, but my experiences are based on 2 TKRs. A consultant at the London Knee Clinic took my money for x-rays, and a consultation before saying I was too heavy for him to operate (could have told me that the minute I saw him before the x-ray and consultation). Sorry, that's another story, although relevant.</p><p></p><p>I had been religiously following a low calorie diet for a long time and swimming a km 3 - 5 times a weeks and 1hr gym work 3 times a week and I lost nothing. I tried 500 calories less than BMR (Harris Benedict formula), I tried 1,000 less. Then I tried cutting out the carbs (against doctor's advice) which obviously meant a further decrease in calories, but I did replace some of the 700 calories of carb with things like eggs, yoghurt, fish and beef.</p><p></p><p>I lost 3 1/2 stone and although I needed to lose more I'd also found a prosthetic knee made by Smith and Nephew warranted for 35 years rather than the 10 years the NHS kept going on about. Better still I found a surgeon who believed that getting my mobility back was more important. Simple effective exercise like walking (very good for general health, as is swimming) are beyond your capabilities and being told to lose weight for an op isn't very helpful if they can't tell you how to do it.</p><p></p><p>Dieting just isn't as simple as eat less, exercise more. I'm pretty sure that obesity isn't <strong>all</strong> down to eating more and exercising less.</p><p></p><p>Somebody has already said it, cut the carbs. No pasta, bread, potato or rice. As for the HF bit of LCHF, it's up to you, I increased protein not fat. if LCHF isn't working, it's time for LCLF. All the best.</p><p></p><p>If all else fails, find a surgeon who will operate. Even on the NHS the views and opinions of surgeons varies. I wish they all sang from the same song book.</p></blockquote><p></p>
[QUOTE="DavidGrahamJones, post: 1129244, member: 245335"] How long is a piece of string? Obviously weight loss will make recovery from a knee op easier as does knee strengthening exercises. The doctors want to be able to guarantee success. You may not be having knee replacements, but my experiences are based on 2 TKRs. A consultant at the London Knee Clinic took my money for x-rays, and a consultation before saying I was too heavy for him to operate (could have told me that the minute I saw him before the x-ray and consultation). Sorry, that's another story, although relevant. I had been religiously following a low calorie diet for a long time and swimming a km 3 - 5 times a weeks and 1hr gym work 3 times a week and I lost nothing. I tried 500 calories less than BMR (Harris Benedict formula), I tried 1,000 less. Then I tried cutting out the carbs (against doctor's advice) which obviously meant a further decrease in calories, but I did replace some of the 700 calories of carb with things like eggs, yoghurt, fish and beef. I lost 3 1/2 stone and although I needed to lose more I'd also found a prosthetic knee made by Smith and Nephew warranted for 35 years rather than the 10 years the NHS kept going on about. Better still I found a surgeon who believed that getting my mobility back was more important. Simple effective exercise like walking (very good for general health, as is swimming) are beyond your capabilities and being told to lose weight for an op isn't very helpful if they can't tell you how to do it. Dieting just isn't as simple as eat less, exercise more. I'm pretty sure that obesity isn't [B]all[/B] down to eating more and exercising less. Somebody has already said it, cut the carbs. No pasta, bread, potato or rice. As for the HF bit of LCHF, it's up to you, I increased protein not fat. if LCHF isn't working, it's time for LCLF. All the best. If all else fails, find a surgeon who will operate. Even on the NHS the views and opinions of surgeons varies. I wish they all sang from the same song book. [/QUOTE]
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