### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
I am a 30 y/o woman that was told I have a Degerative Disc Disease at 19 y/o. It affects my L4 L5 S1 S2. I have severe siatic pain and numbness on my right side and it has started in on my left. I have had 2 children and put on 30lbs. with each of them and I can NOT get rid of it. I have tried diets, exercise( I do what exercises I can but I sometimes end up hurting myself more... I am unable to walk or take care of my 2 special needs children sometimes due to the pain and my right leg just won t support me. I don t know what to do. My doctors tell me if I lose the weight it will help but I have been trying for 8 years.... I was considering an abdominalplasty because it would help tighten my stomache muscles where my back muscles are failing and help with the excess weught I can t get rid of, so it would reduce the extra strain on my back..... Please help me

### output:

Hello, First, if you take hormonal therapy for contraception or replacement therapy, you should ask a gynecologist for help. Because the higher dose can disturb the metabolism of your body resulting in the accumulation of fat. Second, if you have a systemic disease such as hypertension you should receive medical treatment, reduce fat and salt intake.  You should take vitamins B complex once per day after meals, Benfotiamine 40 mg twice per day after meals. If you did not respond in a month, you should ask a specialist in neurosurgery for help. Hope I have answered your query. Let me know if I can assist you further. Take care Chat Doctor. 