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https://www.askpmos.org/component---src-pages-decision-aid-pcos-we…ort-weight-loss-tsx-ed51bb71b35a6b3870f5.js

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1"use strict";(self.webpackChunkask_pcos_application=self.webpackChunkask_pcos_application||[]).push([[1515],{27421:function(e,t,o){o.d(t,{E:function(){return s}});var a=o(93041);const s=function(e){var t;void 0===e&&(e={});return{title:"Surgery to support weight loss",optionNumber:8,nextOptionPath:a.r.COMPARE_CHOOSE,previousPath:a.r.INCRETINS_BASED_MEDUCATIONS,howItWorks:[{tag:"How it works",lists:["May be an option for people with PCOS who haven't lost weight through lifestyle changes or medications.","Surgery can help by reducing stomach size or changing how food is absorbed, which can lead to feeling full sooner and eating less.","Requires life-long changes to eating habits and physical activity."],description:"Surgeries for weight loss can be restrictive or a combination of restrictive and malabsorptive:.",additionalInfo:["<span><strong>Restrictive weight loss surgery (e.g., gastric banding or gastric sleeve):</strong></span> This type of surgery makes the stomach smaller. It limits the amount of food the stomach can hold.","<span><strong>Restrictive and malabsorptive (e.g., Roux-en-Y gastric bypass):</strong></span> In addition to making the stomach smaller, this type of surgery also changes the path of the intestine. Food goes around (or bypasses) part of the intestine. Since nutrients are normally absorbed in the intestine, bypassing a part of it reduces how much it can absorb."]}],whatInvolves:[{tag:"What does it involve?",lists:["Typically involves a keyhole (laparoscopic) surgery under general anaesthesia (put to sleep), where the surgeon makes several small cuts and uses small tools and a camera to guide the surgery.  ","Requires a hospital admission of 1-3 days. ","Several activities are restricted to help your body heal and avoid complications after surgery (e.g., no heavy lifting, no driving, limited diet of liquids/pureed/soft foods). Depending on the type of weight loss surgery these restrictions could last anywhere form 2-5 weeks.   ","After surgery you need to make lifelong changes to how you eat and drink:","<span><strong>Eat small meals: </strong></span> Your stomach will only hold a tiny amount of food. ","<span><strong>Eat slowly: </strong></span> Eating slowly and chewing food very well prevents pain and vomiting after meals. ","<span><strong>No drinks with meals: </strong></span> No fluids 30 min before, during and 30 min after. Your stomach cannot hold food and drink at the same time.  ","<span><strong>Avoid alcohol: </strong></span> you may become intoxicated much more quickly. Alcohol can also cause ulcers in your stomach and intestines. ","<span><strong>Daily vitamins: </strong></span> Oral vitamins will be taken daily to supplement food intake. You will no longer get enough nutrition from your meals, either because you eat such small amounts and/or because your body won’t absorb all of the nutrition from your food.  ","<span><strong>Avoiding certain foods: </strong></span> High sugar foods like lollies, fruit juice, ice cream and soft drinks, can move through the stomach and intestines too quickly and cause dumping syndrome – shaking, sweating, dizziness, rapid heart rate, cramping, nausea and severe diarrhoea. This is more likely after Roux-en-Y gastric bypass surgery.","Usually only recommended in PCOS for women who have a BMI >35 and sometimes with a BMI 30-34.9 kg/m2. "]}],potentialBenefits:[{tag:"Potential benefits",lists:["Will lead to the most substantial weight loss – often 20-35% of body weight (e.g., 20-25kg for a 100kg person) depending on the type of surgery. ","Surgery results are typically longer-lasting than diet, exercise, or medication alone.","If you live in a larger body, you will see a greater improvement in PCOS symptoms with weight loss when compared to lifestyle and many weight loss medications.  "]}],potentialProblems:[{tag:"Potential problems",lists:["All types of surgery carry risks, including blood clots, infection, complications from anaesthesia and in very rare circumstances death. ","Many people have nutrition problems because they eat so little and/or do not absorb all of the nutrients from their foods. Lifelong vitamin/mineral supplements are required to prevent conditions such as anaemia or osteoporosis. ","Rapid weight loss from reduced food intake can lead to substantial muscle loss if protein needs are not met.","Nausea, vomiting, reflux, bloating, or changes in bowel habits are common in the early weeks after surgery. These effects usually improve with time and diet changes. ","Dumping syndrome can occur after gastric bypass. This is when food moves too quickly through the stomach and intestines, causing symptoms like sweating, cramps, diarrhoea, or feeling faint.","After bariatric surgery, fertility often improves, so contraception is recommended to avoid pregnancy during rapid weight loss. Getting pregnant too soon can increase r
1isks for the baby, such as growth problems or preterm birth. It’s advised to wait at least 12 months or until your weight has stabilized before trying to conceive.","In people who do not follow the changes in eating and exercise, weight regain is much more likely.","Surgery is expensive and the out-of-pocket costs are much higher for those who do not have private health insurance.  "]}],whatMatters:[{tag:"What matters to you?",description:"How you feel about your weight, body image and relationship with food and exercise will affect how you consider the medical information presented in this app. Please use the sliders to show how you feel about these statements.",reasonToChoose:["You are looking for a more effective weight loss option than lifestyle and oral medications (e.g., more than 15% loss of body weight).","You are looking for a longer-term solution to weight loss maintenance. ","You feel confident that you can make major diet and exercise changes after surgery."],reasonToDecline:["Your weight does not bother you enough to consider surgery, especially given the risks involved.","You are concerned about surgery side effects, including nausea, vomiting, or long-term vitamin/mineral deficiencies.","You don't think you can afford to pay for surgery."]}],safetyPrecautions:[{tag:"",warning:"Bariatric surgery is generally safe for most people. However, certain health conditions make surgery unsafe or inappropriate. These include: ",lists:["Existing and untreated eating disorders","Severe uncontrolled mental illness (e.g., severe depression, active psychosis)","Active drug or alcohol abuse","End-stage organ disease (e.g.,advanced liver cirrhosis, heart failure)","Active cancer treatment or presence of metastatic/inoperable malignancy","Pregnancy","None of the above"]}],instructions:e.instructionImages?{tag:"Instructions",heading:"Swap through the evidence",photos:e.instructionImages.map((e=>e.childImageSharp))}:void 0,image:null===(t=e.SurgeryToSupportWeightLossImage)||void 0===t?void 0:t.childImageSharp}}},96146:function(e,t,o){o.r(t),o.d(t,{default:function(){return y}});var a=o(96540),s=o(33622),n=o(24794),i=o(32532),r=o(284),l=o(77083),g=o(44706),h=o(93041),c=o(27421);var u=e=>{var t,o,s,u,d;let{data:m={}}=e;const{userProfile:p}=(0,r.s)(),{getRating:y,getPersonalFitRating:f,getUserNotes:v,getSafetyPrecautions:w,getWhatMattersResponses:b,handleRatingChange:k,handlePersonalFitRatingChange:S,handleUserNoteChange:I,handleSafetyPrecautionChange:P,handleWhatMattersChange:C,saveData:T}=(0,l.y)(h.K5.SURGERY_TO_SUPPORT_WEIGHT_LOSS,p||void 0,"PcosWeightManagement"),R=(0,n.useStaticQuery)("4263315369"),E=(0,i.c)(null==R?void 0:R.SurgeryToSupportWeightLossImage),A=(0,i.c)(null==R?void 0:R.SurgeryToSupportWeightLossInstructionImageStep1),W=(null==E||null===(t=E.images)||void 0===t||null===(o=t.fallback)||void 0===o?void 0:o.src)||"",x=[A?{childImageSharp:{gatsbyImageData:A}}:null].filter((e=>null!==e)),M=(0,a.useMemo)((()=>(0,c.E)({SurgeryToSupportWeightLossImage:E?{childImageSharp:{gatsbyImageData:E}}:void 0,instructionImages:x})),[E,x]),N=v();return console.log("DoNothing - userNotes from database:",N),a.createElement(g.A,{title:M.title,optionNumber:M.optionNumber,description:(null===(s=M.howItWorks)||void 0===s||null===(u=s[0])||void 0===u||null===(d=u.lists)||void 0===d?void 0:d.join(" "))||"",imageUrl:W,gatsbyImage:E,rating:y(),treatmentId:"PcosWeightManagement",optionId:"surgery-to-support-weight-loss",userNote:N,howItWorks:M.howItWorks,whatInvolves:M.whatInvolves,potentialBenefits:M.potentialBenefits,potentialProblems:M.potentialProblems,selectedSafetyPrecaution:w(),whatMattersResponses:b(),onRatingChange:k,onPersonalFitRatingChange:S,onUserNoteChange:I,onSafetyPrecautionChange:P,onWhatMattersChange:C,onSave:T,whatMatters:M.whatMatters,safetyPrecautions:M.safetyPrecautions,nextOptionPath:M.nextOptionPath,instructions:M.instructions,previousPath:M.previousPath,nextButtonText:"Compare And Choose",previousButtonText:"Option 7 Incretins-based medications"})},d=o(83313),m=o(77528),p=o(16700);var y=()=>a.createElement(d.A,{redirectTo:p.si},a.createElement(s.A,{pageTitle:"Decision Aid"},a.createElement(m.A,{title:""}),a.createElement(u,null)))}}]);
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