Introduction and Goal Setting (10 minutes)

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• Welcome and hello, and foster a supportive environment.

• Discuss the weight gain experience post-VSG surgery.

• Set specific, measurable, achievable, relevant, and time-bound goals for the session.

 

Understanding Weight Gain Post-VSG (15 minutes)

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• Review factors contributing to weight regain after VSG surgery, such as dietary habits, physical activity levels, hormonal changes, and emotional triggers.

• Discuss the concept of metabolic adaptation and its implications for weight management.

• Address common misconceptions and challenges associated with weight regain post-VSG.

 

Nutritional Assessment and Planning (20 minutes)

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• Conduct a comprehensive review of your dietary patterns, including food choices, portion sizes, meal frequency, and hydration status.

• Identify potential dietary pitfalls and areas for improvement.

• Collaborate to develop a personalised nutrition plan focusing on nutrient-dense foods, balanced macronutrient intake, mindful eating, and portion control.

• Discuss strategies for managing cravings, emotional eating, and dining out.

 

Physical Activity and Exercise Prescription (20 minutes)

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• Assess your current physical activity level, exercise preferences, and any barriers to regular exercise.

• Consider post-VSG limitations and safety precautions to tailor an exercise plan to your needs.

• Incorporate various aerobic, strength training, and flexibility exercises to enhance metabolism, muscle mass, and overall fitness.

• Provide guidance on setting realistic exercise goals and gradually increasing intensity and duration.

 

Behavioural Strategies for Sustainable Weight Management (20 minutes)

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• Explore your thoughts, feelings, and behaviours related to food, exercise, body image, and self-care.

• Identify triggers for overeating, emotional eating, and other maladaptive behaviours.

• To promote positive lifestyle changes, introduce evidence-based behavioural techniques, such as self-monitoring, goal setting, stimulus control, and cognitive restructuring.

• Encourage self-compassion, resilience, and motivation to overcome setbacks and stay on track with weight management goals.

 

Emotional Support and Coping Strategies (15 minutes)

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• Check emotions and experiences related to weight regain post-VSG surgery.

• Offer empathetic listening, encouragement, and practical coping strategies for managing stress, anxiety, and emotional triggers without turning to food.

• Discuss the importance of self-care practices.

 

Action Planning and Follow-Up (10 minutes)

 

• Summarise key insights, action steps, and resources discussed during the session.

• Collaboratively develop a concrete action plan outlining specific tasks, timelines, and accountability measures.

• Schedule follow-up sessions to monitor progress, troubleshoot challenges, and adjust strategies as needed.