|EUROPEAN ORTHOPAEDIC RESEARCH SOCIETY|
Smart and Sensible Weight Loss For Total Knee Replacement
If you need knee or hip replacement, and you are overweight, your doctor may advise that you lose weight first, before the operation. In fact, if you lose 25 lbs, you may not need surgery at all.
Doctor: I would like to introduce to you, Jeniffer, a new patient for us.
Doctor: And this is the first day you've been here. And you told me such a very interesting story that I asked if you would please tell other people or other patients. Because I think you can help them, because I think you've got a secret, and am gonna ask you a little bit about that secret because I think it is very beneficial.
Doctor: And the second fact that you are interesting is that you are 40 years of age and you are told that you had to kind of live with your problem. And your problem, how far can you walk before you have pain?
Jennifer: From the car to the door!And that's not something that's very nice to live with. No not at all.
Jennifer: Yes yes I do, am swollen.
Doctor: That's why you are here. And how did you feel when they said there is nothing we can do for you, and that you are going to have to live with that?
Jennifer: Not great, very frustrated, but still I felt like there was something that can be done.
Doctor: And you've had some family members who have had knee replacement.
Jennifer: Yes and its been very successful.
Doctor: And its doing very well?
Jennifer: I've lost 52 pounds.
D: And you haven't been able to exercise?
J: I haven't been able to exercise.
D: And how did you magically do that? And you said you did some research?
J: I did. I obviously gained quite a bit of weight and was not able to exercise. So I just started doing some research on different foods, and carbohydrates and sugar and fats and I found that a lot of times people are having success with a low carb and low sugar diet."
D: And that I said is absolutely right. So you essentially knocked out all sugars and carbohydrates?
J: Exactly yeah! Very few carbs. I have limited myself to 20g carbohydrates and 10g of sugar.
D: And you stayed a little higher on proteins?
J: I do a lot higher on the protein side, which is good because if you eat a lot of proteins it does make you feel fuller, you are not in binge eating or anything like that. But once you've started, I mean if you can get through the first two weeks, you know, I was home free.
J: Well, the first couple of weeks were hard, because it's like putting your body through detox. Your body is used to getting all the sugar and carbohydrates, and when you completely cut that out or lower it to the amount that I did, it was a like wanting to withdraw. I had a lot of headache. You know, because you feel like you are just starving your body, but you are not! You are retraining it. And after about two weeks, I didn't have any more headache, I was getting used to it. And I decided that I would not check my weight until once a month. So the third month, I realized this is working, I've dropped some weight, lets see how this goes.
J: Actually I don't crave, pasta, potatoes ,bread, sugar,cake, candy, I don't even crave it anymore.
D: That's amazing, that's the secret though. That's the amazing story. So I asked you just to give example of the food. You have a very light breakfast?
J: Right I have, prior, like a protein bar, low carb protein bar.
[Editor's note: A clinically proven program to lose weight safely is Nutrisystem. Read how it works. Similarly, BistroMD weight loss program by bariatric physician Dr Cederquist is a great option.]
J: No not at all.
D: But then at lunch time, do you have some protein?
J: Yes I have, eaten sometimes, another protein bar, I ate eggs, I can introduce some scramble or an omelet. If you did research you can see that you can add peppers and things like that to make it more interesting for you, the best of your sauces can do.
J: Probably, real chicken, eaten some red meat because of low carbs.
D: So at lunch time you can treat yourself a little bit more?
J: Right, so you know I eat that, and cheese. You know you can have all the cheese and butter if you want, you know they are good fats.
J: Yea absolutely. And after the first couple of months I also read that it is good, sometimes, to give yourself a cheap day and just kind of eat whatever you want. And that's good because it kind of re-kicks your metabolism, restart it, so you don't just plateau, you know when your body gets too used to it. So its actually very effective to have a day where you can eat whatever you want. But for me, I'm even still conscious, conscious about it.
J: Thank you!
D: You have to have that will power. To do it. I mean its your choice you know, even going out to a restaurant, you have a choice to eat that bread or not, I don't.
J: That's great!
J: I look forward to it!
D: Good! Is there anything you wanna say about our interview or what's going on here today?
J: No, I have been thoroughly impressed with everyone having treated me, how you've treated me, and have been very honest. I'm looking forward to working with you and anybody else in the rehab and push this establishment.
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