{"id":23959,"date":"2023-01-25T07:00:48","date_gmt":"2023-01-25T07:00:48","guid":{"rendered":"https:\/\/updates-www.mccdn.io\/vitals\/?p=23959"},"modified":"2023-12-26T21:53:26","modified_gmt":"2023-12-26T21:53:26","slug":"medical-weight-loss-helps-woman-avoid-knee-surgery","status":"publish","type":"post","link":"https:\/\/updates-www.mccdn.io\/vitals\/medical-weight-loss-helps-woman-avoid-knee-surgery\/","title":{"rendered":"Puyallup woman\u2019s medical weight loss helps her avoid knee surgery","gt_translate_keys":[{"key":"rendered","format":"text"}]},"content":{"rendered":"

In the spring of 2020, Lynnette Duenas, 59, paid a visit to her primary care doctor to get what she thought would be a referral for knee replacement surgery. Instead, she received a referral she wasn\u2019t expecting.<\/p>\n

\u201cI had a lot of knee pain and knew there was very little cartilage left in my knee,\u201d explains Duenas. \u201cI thought my doctor would refer me to surgery, but without warning, he said, \u2018At your weight, you don\u2019t qualify for surgery. You need to lose weight.\u2019 I was devastated. I knew I was heavy, but I didn\u2019t expect to hear that.\u201d<\/p>\n

Her doctor told her he would refer her to a medical weight-loss program.<\/p>\n

\u201cBecause I was still a little upset about what happened, I didn\u2019t pursue getting an appointment,\u201d Duenas says. \u201cBut when MultiCare called me to follow up on the referral, I thought, \u2018OK, I might as well,\u2019 and made the appointment. I\u2019m so glad I did.\u201d<\/p>\n

A non-surgical approach to weight loss<\/h2>\n

When Duenas went in for her first appointment with Ayumi Salva, DO<\/a>, at the MultiCare Center for Weight Loss & Wellness<\/a> in Puyallup, Duenas immediately liked her.<\/p>\n

\u201cAt my first visit, Dr. Salva and I discussed my options,\u201d she says. \u201cWe created a plan together, and I got started right away.\u201d<\/p>\n

The medical weight-loss team at MultiCare Health System works with a person\u2019s specific needs and health goals to create a personalized plan to help them lose weight effectively. The plan consists of healthy eating, exercise, behavioral changes and may also include the use of certain medications.<\/p>\n

In Duenas\u2019 case, Dr. Salva believed medications would help, so she prescribed Contrave \u2014 a medication used to help curb food cravings. And since Duenas has insulin resistance (but not diabetes), she was also put on Metformin, a medicine that helps control high blood sugar. Dr. Salva is also a registered dietitian, so she has the extra experience in nutrition counseling to help her patients make informed decisions about food.<\/p>\n

At her monthly appointments, Duenas gets weighed, has her body measurements taken and meets with Dr. Salva.<\/p>\n

\u201cDr. Salva has been supportive, encouraging and not judgmental,\u201d says Duenas. \u201cIt has been one of the best experiences I\u2019ve ever had with a doctor. Dr. Salva really listens and made me want to succeed.\u201d<\/p>\n

As she lost weight, Duenas noticed her body was changing, which made her even more motivated. At the start of each appointment, Dr. Salva shows her a graph of her weight loss progress, which has been a consistent downward slope \u2014 another motivating factor.<\/p>\n

Making positive changes<\/h2>\n

Taking a slow-and-steady approach, and with the support of Dr. Salva, Duenas created habits over time by eliminating unhealthy foods and replacing them with healthier ones. Dr. Salva encouraged her to choose clean, whole foods over processed ones.<\/p>\n

\u201cI had the time to change the way I felt about food, and eventually, making healthier choices became natural,\u201d Duenas says. \u201cI got to a point where certain foods didn\u2019t taste good, either. After a while, you just don\u2019t want those foods anymore.\u201d<\/p>\n

Duenas says she doesn\u2019t deprive herself of anything, and her meal sizes are much smaller.<\/p>\n

\u201cI\u2019m more in tune with my body now and know some foods make me feel like I\u2019ve eaten garbage,\u201d explains Duenas. \u201cVisualization helps. I can visualize eating a piece of cake, knowing it\u2019s all sugar, and I know it would make me feel lousy. So, instead I make a conscious choice to eat something that will make my body feel good.\u201d<\/p>\n

Improvement in health conditions<\/h2>\n

Weight loss is shown to improve or resolve medical conditions such as diabetes, GERD and sleep apnea, among others.<\/p>\n

For Duenas, once the weight started coming off, she no longer had high blood pressure, trouble sleeping or anxiety, so she was able to stop taking medications to treat those issues. And she no longer needs to use a CPAP machine.<\/p>\n

\u201cThe medication I was taking for anxiety contributed to my weight gain, which was keeping me from progressing with my weight loss,\u201d she explains. \u201cThat fact was motivation enough for me to get off the medication, so I could get the full benefit of all the work Dr. Salva was helping me do.\u201d<\/p>\n

In addition, Duenas has had asthma since she was a young adult, but since the weight loss, she hasn\u2019t had to rely on inhalers like she used to.<\/p>\n

\u201cLosing weight has helped me not just with my physical health, but with my mental health as well,\u201d says Duenas. \u201cI used to feel ashamed to be out in public, and it made me feel bad about myself. Now, I\u2019m more comfortable in my own skin.\u201d<\/p>\n

Staying active<\/h2>\n

Duenas is more active now than she\u2019s ever been. And to stay active, she goes to a gym. She does a mix of cardio, stretching and weightlifting. She also works with resistance bands.<\/p>\n

\u201cI focus on strengthening my muscles, so they support me,\u201d she says. \u201cThis also helps in not aggravating my knee issues.\u201d<\/p>\n

Her knee pain has decreased since her weight loss. She says she\u2019s no longer experiencing the pain that was pushing her toward knee replacement.<\/p>\n

\u201cI recently took my two granddaughters to Disneyland, and we were walking all day. I was able to get on all the rides with the kids,\u201d says Duenas. \u201cDuring past family vacations, I felt too heavy to participate in any activity.\u201d<\/p>\n

\u2018This is what I\u2019m doing for the rest of my life\u2019<\/h2>\n

Over the two-and-a-half years she\u2019s been in the program, Duenas has experienced steady weight loss and has lost more than 80 pounds. And because she lost the weight over time and created healthy habits, she feels confident she can keep it off.<\/p>\n

\u201cI have 35 pounds to go, so I\u2019m still on Contrave. However, once I reach my goal weight and go off the medication, Dr. Salva will continue to monitor me to make sure I stay healthy,\u201d she says.<\/p>\n

Duenas now sees Dr. Salva once every three months for a checkup instead of monthly. She notes her insulin is staying in check and she\u2019s maintaining a healthy diet.<\/p>\n

\u201cI am privileged to be part of Lynnette\u2019s weight-loss journey,\u201d says Dr. Salva. \u201cEven though she was hesitant to make that first appointment, she adapted very well to the plan, stayed motivated and made positive lifestyle changes that will be long-lasting.\u201d<\/p>\n

\u201cI tell anyone who asks about my weight loss that I went to MultiCare\u2019s weight-loss center, and I recommend you do it if you want to lose weight,\u201d says Duenas. \u201cI know this sounds like a commercial, but it really is that great. It got me on the right track to eating better and being more active, and I know this is what I\u2019m doing for the rest of my life.\u201d<\/p>\n

To schedule a consultation with the MultiCare Center for Weight Loss & Wellness clinic near you, call 253-301-5280 or <\/em>request an appointment online<\/em><\/a>.<\/em><\/p>\n","protected":false,"gt_translate_keys":[{"key":"rendered","format":"html"}]},"excerpt":{"rendered":"

In the spring of 2020, Lynnette Duenas, 59, paid a visit to her primary care doctor to get what she thought would be a referral for knee replacement surgery. Instead, she received a referral she wasn\u2019t expecting. \u201cI had a lot of knee pain and knew there was very little cartilage left in my knee,\u201d […]<\/p>\n","protected":false,"gt_translate_keys":[{"key":"rendered","format":"html"}]},"author":451,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[35,79],"tags":[],"class_list":["post-23959","post","type-post","status-publish","format-standard","hentry","category-weight-loss","category-profiles-stories"],"acf":[],"yoast_head":"\nWoman avoids knee surgery with medical weight loss- MultiCare Vitals<\/title>\n<meta name=\"description\" content=\"The medical weight-loss team at the MultiCare Center for Weight Loss helps a Puyallup woman lose weight with healthy eating, exercise and behavioral changes.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, 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