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Just about me! Any challenges, success, health tips, exercise, etc.

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Weight Regain after Bariactric Surgery

I found this information and I thought it was good to post it's something that some of  the long term sleevers have concerns about even some of the newbies have concerns about what if:     Weight regain after bariatric surgery can be an uncomfortable subject and one that both surgeons and patients want to avoid talking about, but can’t. To be sure, weight regain happens – the real question revolves around the cause. We understand that the choice to have weight loss surgery was a big one and the return of weight (in any amount) is disappointing. But understanding the way our bodies work and what may be behind the weight regain can help us address the issue more effectively.   First and foremost, don’t get down on yourself. In all likelihood, your surgery did work and you are doing the right things, but our bodies change. As our bodies change, so too do our needs.   Natural Regain: Some weight regain after bariatric surgery and especially gastric bypass is normal. If you regain 5-10% of your excess body weight after a few years of losing consistently, don’t fret. Speak to your surgeon, but it is likely no problem at all.     Diet modification: Many of us tend to overdo it in our diets. It is tempting to over-diet, but the results can be counterproductive. Crash diets can even cause us to retain more fat than a diet of moderation. Be sure that you follow your diet plan closely and work with your dietician to ensure the very best results.       Exercise habits: As with diets above, there is a fine line between good and bad exercise. Understanding the exercises to which your body responds and working with an exercise physiologist can help ensure that your exercises are doing good and not harm.   Pouch or stoma enlargement: The stomach pouch and/or stoma (the opening into the stomach) can in fact stretch over time. This can cause mild or significant weight regain and can be corrected with one of several simple outpatient procedures.       Revision Surgery can be effective, but ONLY as a last resort. Simple outpatient procedures and even major surgery can be used to revise an unsuccessful primary procedure. While revisions are generally effective, they do carry a higher risk of complications and all other solutions to the weight regain should be implemented before considering a revision procedure.
atPeace55

atPeace55

0
 

Weight Loss Surgery Support Group - I Love it! Come Out and Hang

Weight Loss Surgery
Support Group


2nd Saturday every Month
10a – 12 noon

Lesher Room
John Muir Medical Center, Concord
2540 East Street
Concord, CA 94520

No Fee to Attend – No Referral Needed

Monthly Topic: The 6 Successful Habits of
Weight Loss Surgery Patients

  Fluid Intake (February)
  Regular Exercise (March)
  Vitamins and Supplements (April)

I love attending this it keeps me grounded!     Attached Thumbnails  
atPeace55

atPeace55

0
 

Protein and Bariactric Surgery

What is protein and why is it so important? Protein is an essential part of life and it’s found in almost every part of our bodies. It makes up the enzymes that power many of the chemical reactions in the body and the important hemoglobin that carries oxygen in the blood. Appropriately, bariatric surgery or not, its classical meaning is “first importance.” Indeed, the protein heavy diet prescribed after surgery helps the body heal and regain its former strength.   We’ve all had a sensation of being hungry shortly after a big meal. This is usually a result of eating emptier calories in the form of sugars and saturated fats and foods low in protein. Foods that are high in protein, such as chicken, beef and most beans, slow the movement of food from the stomach into the small intestine and reduce the blood sugar spikes that can be disruptive to the continuity of our day (and eventually cause insulin secretion problems).   The result of eating a diet high in protein is that you will feel full sooner and stay full longer. Protein also has a secondary effect in that it forces your body to work harder to break down and digest the food you’ve eaten. This means that you’ll burn a few additional calories just by eating the right foods.   The benefits of eating protein after bariatric surgery are huge. Not all protein is equal though, so check to make sure that what you are eating is a “complete protein,” which means it contains all the amino acids you need.   So when planning meals after your surgery, make sure you have plenty of protein. You might find that you are not able to consume enough protein to satisfy your daily requirement in which case you speak to your dietitian about supplementing your diet with appropriate bariatric friendly protein shakes. No two people are the same, so stay in touch with your dietitian who will work to make sure you lose weight safely and receive the appropriate nutrition to remain healthy.
atPeace55

atPeace55

0
 

My Two Besties!

These two make my day a little lighter. Since my surgery I have had like most folks i've seen on here really bad acid reflux. I usually take a PPI - Protonics but my surgeon doesn't want me to stay on them long time he suggested that I get another GI and that I may need to have a revison to the RNY (not happening)! I continue to search for natural remedies to resolve this issue but until then these two are my "Besties"!!  
atPeace55

atPeace55

0
 

Let's Talk Coconut Water

Well i'm trying my best over these hot summer months to stay very hydrated which is very important. We have been hitting the 100's lately and working out in the heat or just hanging out in the sunshine can be draining. I love water but, a friend of mine suggested that I try coconut water, believe it or not i've never tried it before - i've seen it everywhere but never had the urge to try it - mind you I like coconut cake, coconut milkshakes and coconut cream pie! (I know I know all fatty) ! I even use raw unrefined coconut oil & cream in my hair to naturally moisture it but never drank the water.   So my friend was like, you should try it, it's so good for you. So I decided to see why it's considered so good for me before I go and buy it right?!?!   Turns out that "Coconut Water" is the latest beverage trend and its health claims are many, from preventing cancer to curing hangovers (Hmmm sounds interesting) LOL!   It's a clear liquid found in young green coconuts, It also says out there in internet land that it slows aging, promote smoother skin, regulate blood pressure, lower cholesterol, break up kidney stones, and cure a range of digestive disorders. (Sounds like a cure all and a age definer) Hmm Alrighty then!   Can it Really Cure Cancer??? When it comes to cancer, no major studies link coconut water to cancer prevention. Some of the compounds in coconut water, such as selenium, have antioxidant properties and fight cancer in the lab, but many common fruits and vegetables are packed with these compounds. (That's more like it, was sounding too good to be true)   What about Hydration? When someone exercises heavily, the body can lose electrolytes via sweat. Electrolytes are elements that carry a charge, either positive or negative. The natural balance of electrolytes keeps our body’s cells running smoothly. Sodium, potassium and magnesium are electrolytes, and coconut water has them all especially sodium and potassium. The handful of studies on exercise and coconut water suggests that after vigorous exercise, coconut water has the same positive effect as a sport drink. But most people do not exercise at such strenuous levels that they would need to replenish their electrolytes. (This is the information that I have been commonly finding out there on the internet - I can believe that)   So How does it Taste? To be honest when I first tasted it I didn't like it at ALL! To me it had too much of a strong coconut taste, it's thicker then water and it's kind of salty to me if that makes any sense kind of like gatorade. So my first try was not the best. I did however give it a go again and this time I found one that was blended with another flavor (peach and mango) I put it in the freezer to make sure it was super cold - a friend told me to do that and I tried it again.......Still kind of salty tasting maybe that's the potassium but after a few more drinks of it my palette started getting use to it so, it's not so bad!   Will it totally replace water for me? Not so much like I said I LOVE Ice cold water but it's an alternative - a healthly alternative that I will put in my rotation for hydrating myself. I definitely want to try it after and/or during a workout at the gym to see how it makes me feel.   So is it a cure all or some sort of superfood? In my opinion based on what I've read I don't think so but it can be many things for many different types of people. It is refreshing, it's not sugary like flavored water (which I hate), it's high in potassium which is good, low in calories - the one I have now is 60 calories per 8 fl. oz and it about 2 serving in this contain so that's about 120 calories. Thus far I like it!   I would encourage you to check it out for yourself if interested and let me know your thoughts. I have attached a pic of the one that I like drinking thus far.
atPeace55

atPeace55

1
 

Kick Ass April - Fitness Challenge! Who's In?

I've been doing these challenges with friends on FB since the new year and I gotta say it's been a blast and so much fun to do with folks in your area or on social networks we encourage each other and keep each other accountable! Who's interested is joining in on the fun with me?!
atPeace55

atPeace55

23
 

I Cheated?

I may not be like others when it comes to this but there is a reason why and it was confirmed for me recently why I don't really talk about it much.   I was talking with a family member who knows that I had the VSG surgery last year and they have put on a few pounds recently (well over time). We were speaking of the US standard of BMI and I had stated that with all i've lost i'm still considered "overweight", and they said oh yeah well what do they say about my weight and I said well I don't really know your size but it you are 200 lbs or more and based on your height you are probably considered "obese". I even said a year ago I was considered "morbidly obese" according to the standards but i'm glad i'm not there anymore.   Well once I said that they stated well if it had not been for the surgery you would probably still be but you "CHEATED"!!   I was like cheated - really?? At that point I confirmed that no matter how many people say congratulations or i'm proud of you or you did it! In the back of some of their minds they feel "I Cheated"!  That's why I don't tell people I just say I had my gall badder removed (which is true) and I can no longer eat the way I use too and I exercise and eat right (which is all true).   I did not know there was a right or a wrong way; a honest way or a chearters way of losing weight?? Do you?! Just because I didn't join Weight Watchers again for the 4th time or try the lastest fad diet like most of my friends and drop some weight and then blow back up again shortly after does that make me a cheater?  It doesn't matter if I slaved away in a gym 5 days a week or that I still need to eat right and be mindful of what I eat they still see me as a cheater! I hate that stigma but, at the end of the day I made a decision that was best for me and my life, i'm not coping out to being a cheater - I still have to put in the work both physically and mentally despite what people may think about bariactric surgery and it's supposed "quick fix".   I've seen people gain it all back so I know that it is not a quick fix and you still have to work at it - it's a tool. Used wisely or unwisely you will it the fruits of it.   I just needed to vent I guess and it hurt me to hear that from a loved one but like I said that's why it has been a personal choice of mine not to be forth coming with this journey of mine because of that very comment. Hopefully one day I will feel open enough to let more people in on my journey but until then that's why I have my VST family where i'm not judged!
atPeace55

atPeace55

10
 

Dietary Guidelines After Bariatric Surgery

I found this information and I thought it was good to post for "New Post-OP Sleevers" and/or if some "Veteran Sleevers" out there would like to review or restart their Post-OP phase because maybe the hit a stall:            Dietary Guidelines After Bariatric Surgery       General Guidelines   Eat balanced meals with smaill portions.Keep a daily record of your food portions and of your calorie and protein intake.Eat slowly and chew small bites of food thoroughly.Avoid rice, bread, raw vegetables and fresh fruits, as well as meats that are not easily chewed, such as pork and steak. Ground meats are usually better tolerated.Do not use straws, drink carbonated beverages or chew ice. They can introduce air into your pouch and cause discomfort.Avoid sugar, sugar-containing foods and beverages, concentrated sweets and fruit juices.For the first two months following surgery, your calorie intake should be between 300 and 600 calories a day, with a focus on thin and thicker liquids.Daily caloric intake should not exceed 1,000 calories.                      Fluids   Drink extra water and low-calorie or calorie-free fluids between meals to avoid dehydration. All liquids should be caffeine-free. Sip about 1 cup of fluid between each small meal, six to eight times a day. We recommend drinking at least 2 liters (64 ounces or 8 cups) of fluids a day. You will gradually be able to meet this target. We strongly warn against drinking any alcoholic beverages. After surgery, alcohol is absorbed into your system much more quickly than before, making its sedative and mood-altering effects more difficult to predict and control.                       Protein Preserve muscle tissue by eating foods rich in protein. High-protein foods include eggs, meats, fish, seafood, tuna, poultry, soy milk, tofu, cottage cheese, yogurt and other milk products. Your goal should be a minimum of 65 to 75 grams of protein a day. Don't worry if you can't reach this goal in the first few months after surgery.                      Supplements You must take the following supplements on a daily basis to prevent nutrient deficiencies. Please remember that all pills must be crushed or cut into six to eight small pieces. You are not able to absorb whole pills as well as before surgery, and it can be difficult for the pills to pass through your new anatomy.                      Multivitamins Take a high-potency daily chewable multivitamin and mineral supplement that contains a minimum of 18 mg of iron, 400 mcg of folic acid, selenium, copper and zinc. Brands that contain this formula include Trader Joe’s and Centrum Adult chewable multivitamins. Take two tablets daily for at least three months after your surgery, and then one tablet daily for life.                      Calcium Supplement Take 1,200 to 2,000 mg of calcium daily to prevent calcium deficiency and bone disease. To enhance absorption, take the calcium in two to three divided doses throughout the day - for example, a 500 to 600 mg supplement taken three times a day. Calcium citrate is the preferred form of calcium.                      Vitamin D Supplement Take a total of 800 to 1,000 International Units (IUs) of vitamin D each day. This total amount should be taken in divided doses of 400 to 500 IUs twice a day. Vitamin D should be taken with your calcium supplement. If you prefer, you can take a combination calcium-vitamin D supplement to avoid taking multiple pills, so long as it contains the proper dosages.                      Vitamin B12 Supplement Take 500 mcg of vitamin B daily. It can be taken as a tablet, or in sublingual forms placed under the tongue.                      Other Supplements Some patients need additional folic acid or iron supplements, particularly women who are still menstruating. Your dietitian will discuss this with you.                      Diet Progression After Bariatric Surgery Immediately following surgery, you will begin with a clear liquid diet. You may gradually start adding thicker liquids to your diet after you are discharged from the hospital. Two weeks following surgery, you may progress to blended and puréed foods. You may use high-protein (more than 20 grams protein), low-calorie (less than 200 calories) liquid supplement drinks or powders to meet your protein requirements during this period. It is important to know that following surgery, your stomach size is very small - less than 1/4 cup, or about the size of an egg. The opening that allows food to pass out of your stomach is also very narrow. For this reason, it is important to take only two to three sips or bites at a time of any new food and then wait 10 minutes before taking more. This will help you learn your limits and tolerance. Liquids will empty faster from your stomach than soft solids. If you overeat or eat too quickly, you may experience nausea or pain. You should avoid rich, creamy liquids such as gravies, sauces and ice creams.                                        Diet for the First Two Weeks Post-Surgery You will begin adding thicker liquids that are high in protein and low in fat and sugar. (For examples, see the list below.) You may use high-protein, low-calorie liquid supplement drinks or powders to meet your protein requirements during this period. The goal is to consume small portions that will empty easily from your pouch. Begin with 1 tablespoon portion sizes and increase to 2 tablespoons as tolerated. Begin drinking 1/4 cup of liquid at a time and increase to a 1/2 cup as tolerated. Your daily caloric intake should not exceed 400 calories. It is also very important to stay well hydrated. Drink 1 to 1.5 liters of water or other non-caloric liquids per day.     Recommended thicker liquids:   Nonfat or 1% milk, if you can tolerate milk Lactose-free or soy-based low-calorie drinks Sugar-free pudding Sugar-free, nonfat yogurt Low-fat cottage cheese Blended broth-based soup or other low-fat soups Refined hot cereals that are low in fiber, such as cream of rice or cream of wheat. Make them with extra liquid to create a soup-like consistency. Do not eat oatmeal. Optional high-protein, low-calorie liquid supplement drinks (drinks containing less than 200 calories and more than 20 grams of protein in an 8- to 11-ounce serving).   To increase your protein intake, add 2 tablespoons non-fat dry milk powder, egg substitute or powered egg, or other protein powder to each 1/2 cup of nonfat or low-fat milk. You can also add these to soups, hot cereal and other thick liquids. Remember to drink 1 cup of water or other non-caloric fluids between meals. Take a multivitamin supplement every day.                     Diet for Weeks Two to Four Post-Surgery Begin adding very small portions of puréed and soft foods as tolerated. Take very small bites and chew everything very well. Do not take more than two bites every 20 minutes when adding a new food. Recommended puréed and soft foods:   Applesauce Yogurt Cottage cheese Well-cooked, puréed vegetables Hot cereals Mashed potatoes Noodles Scrambled egg whites or egg substitute Canned fruits Canned tuna fish Lean fish Tofu Lean ground meats or poultry   Avoid all bread and meats that are not easily chewed.                     Recommended Meal Plan For Weeks Two to Eight Until Two Months Post-Surgery At this time, your caloric intake will probably be no more than 500 calories a day, divided into six to eight small meals. Recommended portion sizes are 1/4 cup for solids and 1/2 cup for liquids. Sample Menu This sample menu includes different foods that are safe for you to eat. You may adjust the menu to fit your tastes and tolerance. Breakfast 1/4 cup hot cereal made with non-fat milk Mid-Morning 1/2 cup nonfat milk* Late Morning Two scrambled egg whites Lunch 1/2 cup low-fat chicken noodle soup Mid-Afternoon 1/4 cup low-fat cottage cheese Late Afternoon 1/4 cup sugar-free, nonfat yogurt Dinner 2 ounces lean ground meat 1/4 cup puréed or well-cooked vegetables Bedtime Snack 1/4 cup non-fat milk * Add 1 tablespoon non-fat dry milk powder to each 1/4 cup nonfat milk for additional protein. Remember to drink 1 cup of water or other non-caloric fluids between meals. It is important to take a multivitamin and mineral supplement every day, plus additional iron if required, and calcium and vitamin D supplements two to three times per day.                     Recommended Meal Plan for Two to Six Months Post-Surgery Consume 900 to 1,000 calories and at least 65 to 75 grams of protein a day. For balanced nutrient intake, your daily servings should include:   3 servings milk and dairy products (nonfat and low-fat) 3 servings meat or meat alternative (lean and low-fat) 3 servings starch (limit bread and rice) 1 serving fruit (avoid dried fruits and fruits with skin) 2 servings vegetable (well-cooked only)   Recommended portion sizes are 1/4 cup for solids and 1/2 cup for liquids. Discontinue taking high-protein liquid supplement drinks or powders if possible. We recommend meeting your protein needs with food. Sample Menu This sample menu includes different foods that are safe for you to eat. You may adjust the menu to fit your tastes and tolerance. Breakfast 1 egg or 1/4 cup egg substitute 1/2 cup hot cereal Mid-Morning 1/2 cup nonfat milk Late Morning 1/2 cup chopped melon Lunch 1/2 cup low-fat chicken noodle soup Two Saltine crackers Mid-Afternoon 1/4 cup low-fat cottage cheese 1/4 cup canned fruit packed in water or juice Late Afternoon 1/2 cup sugar-free, nonfat yogurt Dinner 2 ounces lean meat or fish 1/4 cup mashed potatoes 1/4 cup pureed or well-cooked vegetables Bedtime Snack 1/2 cup nonfat milk The sample menu offers eight small meals per day. You may wish to eat more or less often, but be sure to eat at least six times each day. Remember to drink 1 cup of water or other non-caloric fluid between meals. It is important to take a multivitamin and mineral supplement daily, plus additional iron if required. In addition, you must take calcium and vitamin D supplements two to three times per day.                     Recommended Meal Plan for Six Months Post-Surgery and Beyond Continue consuming 900 to 1,000 calories per day Decrease to three meals and only one to two snacks per day Discontinue taking high-protein liquid supplement drinks Increase the variety of low-fat, low-sugar and low-calorie foods, as tolerated Avoid raw vegetables, fresh fruits with skins, dried fruits, breads, popcorn, nuts and red meats only if poorly tolerated                     Long-term Dietary Guidelines Over time, you will be able to increase the variety and consistency of foods in your diet. Some foods may continue to be poorly tolerated, including red meats, chicken, breads, and high-fiber fruits and vegetables. Focus on low-fat, low-sugar and low-calorie foods and continue to count your calories every day. Try to meet your serving goals for all food groups based on the 900 to 1,000 calories diet plan described above. To stay well hydrated, drink at least 2 liters of water or non-caloric fluids daily, unless this is contraindicated due to a medical condition.              
atPeace55

atPeace55

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