Related to a question I posted earlier so I’ll be following this question.
Progressively based on what the client wants and where they want to be. The problem with gastric bypass is that they get the impression that its a “fix all”. They need to realize that it needs to also change their habits in the kitchen and gym as well.
If not they’ll just gain the weight back and the surgery will have been for naught.
Just as with all clients, those post bariatric surgery will need initial clearance from their surgeon (and if possible, their primary care physician and if applicable, physical therapist). I have only worked with one bariatric surgery client. They were referred to me by their surgeon. The surgeon gave me initial restrictions that went into the program design. I had the program design approved by the surgeon. The client went in for regular check ups and I would send along progressions/regressions for the surgeon to clear. All went well, but there were a few periods of time when the client was restricted to very minimal activity due to minor complications. As I am very conservative in the initial phase of all client programs, the exercises were not an issue. Within a year the client was doing very well on all aspects of wellness.
But every client is an individual case and needs to be treated as such. Although I start all clients out with foundation movements and indicated assessments, each progresses/regresses according to their individual reaction to exercise and their needs.