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05 Aug 2008

need help
i am 50 years old and had a bypass 5 years ago,and instead of have a healthier lifestyle it got worst......so now i am here aa a friend and need support and help from all of u to get me going......i am very unfit,obesive and really want to change my lifestyle...if anyone is out there who will help me i will be very thankfull....sorry for the bad english as i am afrikaans speaking
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Expert
DietDoc
DietDoc

01 Jan 0001

Dear Karien
I am sorry to hear that you have had to have a bypass and that you then did not follow instructions to stay healthy. However you have at least now reached a point where you have taken the right step. To regain your health you need to firstly have a medical checkup just to make sure that you are for example allowed to do exercise and also what type of exercise - do NOT just start with an exercise programme without having such a checkup. Then you should lose weight slowly and steadily by using a low-fat, low-cholesterol, high-fibre diet. Because of your previous history it is essential that you consult a clinical dietitian (visit the Association for Dietetics in SA Website at: www.adsa.org.za and click on "Find a Dietitian" to find a dietitian in your area), who will help you with a diet that promotes weightloss and also controls your blood fat levels. To lower your cholesterol levels basically you will have to eat a diet that is low in total fat, saturated fat, and cholesterol, and high in dietary fibre and protective nutrients - this entails eating plenty of fruit and vegetables, low-fat milk and dairy products, very lean meat, fish, only 4 eggs per week and only mono- or polyunsaturated margarine or oil (this is where you can use olive oil in normal quantities). Click on 'Diet' and 'Weight loss' and 'Slimming Diet' for a copy of a low-fat, high-fibre diet - if you don't need to lose any weight you can use larger portions of the permitted foods, but should otherwise stick to the portion sizes. You need to check the foods you buy in the supermarket - compare the total fat content of say standard Vienna sausages and that of Low-fat or Lean Viennas - if the latter still contain more than 5g of fat per 100g, then it is better to avoid them. Rather use less processed food, e.g. cook chicken without skin and without added fat (grill or boil in a stew), to have greater control of the fat content than when you eat processed foods. You can also use omega-3 fatty acids (Salmon oil capsules - buy at chemist) to reduce blood cholesterol and try Flora pro-activ which contains plant sterols to lower blood cholesterol (most supermarkets sell this type of margarine). For additional articles, click on 'Diet' and 'You are what you eat' and read the 'Healthy Heart' section.
If you are given permission to exercise by your dr then join a post-bypass exercise group that is supervised by a biokineticist just to be safe.
Stick to your resolve and may you achieve your goals.
DietDoc
The information provided does not constitute a diagnosis of your condition. You should consult a medical practitioner or other appropriate health care professional for a physical examination, diagnosis and formal advice. Health24 and the expert accept no responsibility or liability for any damage or personal harm you may suffer resulting from making use of this content.
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