Patients who work hard on exercise early after the surgery find it very rewarding . Two objections to the exercise program that we frequently hear are that the patient is too heavy, or too fatigued. The first of these is unfortunately valid in many of our patients who are extremely heavy people with a BMI of 70 or more frequently cannot engage in routine exercise. The good news is that people with extreme weights burn a large number of calories by simply walking. The message here is that the benefits of exercise can be realized in many ways just work as hard as you can and do it frequently.
Fatigue is the second objection.
Patients sometimes tell us that they can t imagine walking to the door and back, especially in the first few months after surgery. Our answer is to do your best to exercise anyway. This complaint is likely to be a manifestation of hibernation syndrome, which can be shaken off by exercise. The first thing to understand is that when the pouch is filled with food it sends signals to the brain that say that hunger is satisfied no additional food is needed. This will limit the volume of food and naturally limit the number of calories.