3 Kidney Transplants, Bodyweight Achieve and a Journey Back to Wellness

Rowena Roque, 46, was acquiring a dilemma that numerous folks can relate to: accomplishing every thing in her electricity to shed bodyweight and get balanced but hardly ever succeeding.

From trend diet plans to two-hour workout routines, there is not a food plan or work out routine that Roque didn’t consider. 

“My excess weight worries have been an difficulty my overall existence,” stated Roque. “I’ve probably attempted each individual diet plan system out there.”

Roque, a registered nurse, claims her overall health hurdles commenced prolonged just before adulthood.

At 15, she was identified with immunoglobulin A nephropathy, a continual kidney disease that would direct to kidney failure. In the end, she required a kidney transplant.

More than a span of 20 decades, her physique endured dialysis, steroid drugs, key strain and two kidney transplants–all contributing things to her ongoing wrestle with fat acquire.

In 2020 Roque underwent her 3rd kidney transplant at Cedars-Sinai Comprehensive Transplant Center.

My final close goal is to be nutritious,” explained Roque. “I am not performing this fat reduction journey to appear a specific way or to be super skinny or glimpse like a supermodel. My purpose is to be healthful so that my 3rd kidney transplant will with any luck , be my previous.”

Determined to maintain her kidney balanced, Roque realized she would have to continue to keep her blood pressure minimal and lower her physique mass index (BMI), so she kicked her balanced habits into overdrive.                                                                                           

Roque invested the following calendar year and a 50 % counting calories, having a few wholesome meals a day and training 5 days a 7 days. Her exercise session plan consisted of walking 10,000 ways a working day, weight schooling and cardio routines.

The scale did not shift.

Concerned that something was completely wrong, Roque reached out to her community of medical doctors, relatives, and friends, but no 1 could diagnose what was taking place. Some did not feel her when she explained her fat loss efforts.

“I turned to various physicians who just gave me distinctive answers, this sort of as, ‘Maybe your entire body just likes that weight,’ or, “Maybe you just need to check out more difficult,’” stated Roque. “It wasn’t right up until I spoke to one of my transplant doctors at Cedars-Sinai, who advisable I go see Dr. Velazquez.”

Amanda Velazquez, MDAmanda Velazquez, MD, director of Obesity Drugs in the Section of Operation at Cedars-Sinai, suggests Roque’s story is not exceptional.  

“There is significant stigma about weight problems,” claimed Velazquez. “Individuals are typically considered to lack willpower and assume that is what got them to where by they are with their bodyweight, when that is not genuine. What is actually actually occurring is they could be up towards a serious continual disease–obesity–that is incredibly sophisticated.”

Weight problems is an epidemic in the United States, with 42% of grown ups obtaining a BMI in excess of 30, in accordance to the Centers for Illness Control and Prevention. This amount is predicted to increase to 50% in 2023.

A BMI of 18.5-25 is regarded as healthful, and one particular involving 25 and 30 qualifies as overweight.

“Rowena had been seeking her hardest for a long time to test to assistance herself get rid of body weight to boost her overall health and preserve the health and fitness of her kidney. But in spite of her excellent attempts, her entire body had a propensity for her weight to keep going up,” stated Velazquez.

With pounds acquire principally in her belly space and a BMI of 35.7–putting Roque at a increased risk for heart ailment and other metabolic complications–Velazquez identified Roque with weight problems and recommended semaglutide.

Semaglutide, bought under the manufacturer names Ozempic and Wegovy, is a treatment accessible for the treatment method of style 2 diabetes and being overweight, respectively, that can support clients shed and keep fat decline.

This class of pounds administration medications works by imitating a intestine hormone identified as glucagon-like peptide, or GLP1, that can help people feel fuller and decreases hunger.  

Due to the fact beginning her excess weight reduction journey with Velazquez, Roque has shed around 25 lbs and to date has reduced her BMI to 29.

“The outcomes have been rather astounding,” reported Roque. “I am placing in the exact quantity of work and willpower that I was previously carrying out a year and a 50 percent in the past. The change is that I’m now dropping fat many thanks to body weight administration medications.”

Nourishment, workout and a healthful lifestyle are essential to complementing body weight reduction prescription drugs.

Nowadays Roque’s program consists of functioning out 5 days a week, strolling at minimum two miles a day and enjoying a well balanced diet loaded with protein, fruits and vegetables.

“We acknowledge and understand that being overweight is elaboratethe body is doing work versus youso we get that it is really hard to drop weight,” claimed Velazquez. “Therefore, we want individuals to experience empowered to seek out out care for the reason that these resources can assistance you to eliminate the pounds and increase your in general wellbeing.”

To master far more about excess weight reduction prescription drugs, discuss to your health care staff or speak to the Cedars-Sinai Heart for Fat Management and Metabolic Health and fitness.

Read extra from the Cedars-Sinai Site: Weighing In on Fat Reduction Prescription drugs

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