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                    "text": "Homerton bariatric service: physiotherapy essential advice",
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                    "text": "Why is exercise important before and after bariatric surgery?",
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                    "text": "Physical activity plays a vital role in your bariatric surgery journey – from preparing your body for surgery to helping ensure a safe recovery, and supporting long-term weight management. Below we have outlined the advised recommendations for a safe and successful surgery outcome. If you are struggling to meet these guidelines, it is important you discuss this with a member of the Bariatric team to establish if any further support is required.",
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                    "text": "Before Surgery – Get Your Body Ready",
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                    "text": "After Surgery – Keep Moving, Stay Strong",
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                    "text": "Goals:",
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                            "text": "Improve fitness for surgery (reduces anaesthetic risks and surgical complications)",
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                                "l": 81.74424,
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                            "text": "Build muscle strength and stamina to improve post-op recovery",
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                    "text": "Recommended Activities:",
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                            "text": "Aim for at least 150 minutes of moderate-intensity exercise per week (e.g., brisk walking, cycling). This can be broken down into 10-minute bouts.",
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                            "text": "Include strength-building activities at least 2 days a week (e.g., bodyweight exercises, resistance bands)",
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                    "text": "Reduce sitting time – stand or move regularly throughout the day",
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                    "text": "Start gradually if you are not active. Every movement counts!",
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                            "text": "Enhance weight loss outcomes",
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                            "text": "Preserve muscle mass during weight loss",
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                            "text": "Help reduce risk of weight re-gain",
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                            "text": "Improve blood pressure, blood sugar and cholesterol",
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                    "text": "Early Recovery (0–6 weeks):",
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                            "text": "Start gentle walking as soon as advised – usually within 24 hours",
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                            "text": "Avoid lifting heavy objects for 4–6 weeks",
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                    "text": "6 Weeks and Beyond:",
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                            "text": "Gradually return to 150–300 minutes/week of moderate-intensity aerobic activity",
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                            "text": "Add muscle-strengthening exercises (e.g., resistance training) at least 2 days/week",
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                    "text": "Risks of Not Exercising",
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                            "text": "Higher risk of post-surgical complications (e.g., respiratory problems, slower wound healing)",
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                    "text": "Further information:",
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                            "text": "Please refer to the Homerton Bariatric Surgery Service Website (www.homerton.nhs.uk/obesity-surgery-bariatrics/). Under the ‘patient resources’ section, review the physiotherapy resources for further essential education videos, exercise videos and patient testimonials.",
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                                    "text": "bariatrics/).",
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                            "text": "Seek out resources in your local borough, for example ask your GP to refer you to your local 'Physical Activity on Referral' programme if available.",
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                            "text": "Search for resources online to exercise at home, such as the NHS fitness studio videos (www.nhs.uk/live-well/exercise/about-our-videos/).",
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