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About 10% wt. loss--From , RN, KSSF, via Martha

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I asked Dykhuizen about the 10% rule, and why some patients

don't have to adhere to it and some do; also, why sometimes they

change the goal weight midstream, thus causing confusion and

frustration. She writes back:

" Dr Stiles assesses every patient on an individual basis. Some people

are asked to lose more for a variety of medical/physical issues. There

are no favorites or bending of the rules. People carry their body

weight in different areas. Our weight looks different when we are on

our back. Women tend to carry their weight in their thighs, hips, and

buttocks. It is important to go to surgery in the best package

possible. Kaiser wants the odds to be in that patient's favor when

they're on the operating table. Older patients and men tend to have

more fat around their internal organs particularly around the liver.

This makes the surgery far more difficult. Patients are all

individuals and should be treated as such. SSF discovered that 10%

weight loss requirement doesn't necessarily work. Also, just a

comment--Some patients will go to great lengths to beat the system

such as putting rocks or weights in their pockets at orientation.

Please ask yourself: Does this help you to be successful AFTER the

surgery? "

--Martha

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Martha I agree with you, and I believe even though it was hard. I am glad I had to lose the 10%, it prepared me for my journey so much better, I wouldn't of wanted it any other way. I was prepared what to eat, how to eat, how well to chew the food, I got use to not drinking with the meals on and on. I believe this made it easier for me to stick on track and get to goal. Great information. Thanks Martha, take care. Donna J.nursefera2 wrote: I asked Dykhuizen about the 10% rule, and why some patientsdon't have to adhere to it and some do; also, why sometimes theychange the goal weight midstream, thus causing confusion andfrustration. She writes back:"Dr Stiles assesses every patient on an individual basis. Some peopleare asked to lose more for

a variety of medical/physical issues. Thereare no favorites or bending of the rules. People carry their bodyweight in different areas. Our weight looks different when we are onour back. Women tend to carry their weight in their thighs, hips, andbuttocks. It is important to go to surgery in the best packagepossible. Kaiser wants the odds to be in that patient's favor whenthey're on the operating table. Older patients and men tend to havemore fat around their internal organs particularly around the liver.This makes the surgery far more difficult. Patients are allindividuals and should be treated as such. SSF discovered that 10%weight loss requirement doesn't necessarily work. Also, just acomment--Some patients will go to great lengths to beat the system such as putting rocks or weights in their pockets at orientation.Please ask yourself: Does this help you to be successful AFTER

thesurgery?"--MarthaDonna JordonDSJordon@...

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