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But there is more to it than CICO. And there are legit slow losers who aren't secretly stuffing Little Debbie Ho Hos down their piehole. All of weight loss is based on metabolic cascades and interwoven feedback loops that are fueled and powered by things like enzymes, receptor sites, hormones, pro-hormones, etc, if any of them are blocked or limited through disease, imbalance, hormonal disregulation, nutrient disregulation, medications, health conditions, et al...then the natural progression will slow down... It's so complex. Even the professionals are constantly evolving their nutritional position.

What are your sources? Cuz there is a doctor in Newcastle who did a study on diabetics where he reduced their diets to 800 and had them eat a more Mediterranean protocol. It effectively reversed the diabetes in many of them. The key was calorie restriction, but it was also important to have a lower protein from more fish rather than red meats or a western diet mix. So much lower in fat with different fat composition. The diet has a seriously low calorie density (high fiber, low fat, lots of veggies, fruits, legumes) and seriously high nutrient density. I am aware that in the absence of carbs, protein requires calories to metabolize for energy. I guess my prob with what you're saying is that all carbs are created equal and that all calories are created equal and that just isn't the case. The amount of processing, the glycemic index and the glycemic load all play into how badly our bodies are effected by them. The degree to which we are metabolically broken is also important. I do believe we must all have a caloric restriction/macro restriction to lose--especially if we are MO...

Even having studied holistic health, Ayurvedic medicine, and nutrition- As well as living with metabolic disorders. I’m far from understanding anything. Except that calories are not equal, both the form it takes a AND how each person’s body metabolizes it. I think this argument can keep going til the cows come home but reality is while yes calories are important, depending on the way your body works All calories are definitely not equal. Also exercise is not for weight loss as much as it is for building muscle and muscle uses more calories per lb than fat. At rest, Body Fat only burns 3 calories per lb! While muscle (I don’t remember exactly) I think burns 50 calories per lb. as for protein intake It’s important to adapt your daily intake based on your current weight. Approximately 0.8 grams of protein per kilogram of body weight, or 0.36 grams per pound. Personally I think it’s healthy to stick to guidelines of protein, little to no sugar, then adding vegetables as tolerated. And introducing complex carbs in maintenance as tolerated. Also low carb doesn’t always = meat only or high protein ... as for calories ... corn is not the same calories as spinach sprouted grain sourdough bread isn’t the same as processed white bread Etc etc etc I’m too tired ... sorry also ... @FluffyChix posted some very informative videos

Trust your professionals and follow your own plan. Enough said.

Not sure how I feel about this - if she's eating the pancakes every day or 3+ times week then yes, I think it's a bad choice. If she's 3+ months post-op and eats it maybe once a week? I'm ok with that. I (hopefully) will subscribe to the moderation plan. Restricting whole kinds and types of foods in the past never worked for me. What do I plan to do? Find healthier versions of the things I like - and by healthier versions I mean lower carb and higher protein.

Ok, I'm done. This was meant as a way to help some people stay on their calorie count so they could lose weight. Now we are on the Mediterranean maintenance diet on how fish is better for diabetes. I will end with this: many Asian cultures diets consist almost entirely of rice. Virtually all Asian cultures are fit and trim, but alas, there are also sumo wrestlers who instead eat primarily fish, vegetables, meat and tofu. It's how much you eat, not what, and for those of us on the WLS path, keep that in mind. For the maintenance and after life, that's a completely different issue. bad science makes for bad results when people are trying to gain knowledge. Calories per food were developed for the sole purpose of learning how much energy humans can draw from each different food. It's really pretty simple, and shouldn't be confused just because one food group has other side effects. Calories first, then which calories. Not the other way around, other than to help people maintain a count. over and out.

For those who have had brachioplasty (arm lift), are you happy with the results? Do you mind sharing photos? My biggest concern is the long scar that inevitably comes from it. Thanks.

Thank you so much for sharing this. I was in a dark place after my gastric bypass surgery. My body went into sensory overload and I was bed bound because of its impact on my chronic illness. I want thigh tuck so bad at some point and maybe some other things. I’d definitely have to go to Mexico probably would do BariatricPal Mx hospital. I do worry about those first days after even though I have high pain tolerance it takes its toll body and mind. I am sorry your first days were hellish and hope that each day of recovery gets better (and it will) I’m glad you shared an open honest story since that’s what I look for. And the result is already looking great.

I have thought about in the long term postponing but I don't want to get surgery and wear compression garments in the summer so early spring would be best. I really don't want to go another summer wearing 3/4 length sleeves to hide my arms. I am also thinking that if I don't have as much loose skin and fat on my arms then if my body changes a bit or if I gain a few pounds it could actually be better ie fill in my saggy boobs or wrinkly butt. That may just be wishful thinking and it would go straight to my feet or something bizarre.

The compression garment is supposed to be tight, and you neeeeeed to wear it. I stopped wearing mine too soon, and had complications that I wouldn’t wish on anyone. It sounds like yours is much tighter than mine, though - it was like a tight girdle or spanx, but not so intrusive that I couldn’t sleep or that was actually painful. I’d talk to the surgeon’s team about that one. As for the drains, there really is nothing to worry about. It’s a small tugging sensation that lasts a couple of seconds at most, with absolutely no pain.