Capt Derel

I was the same way. I ate really healthy all my life. No candy, chips, pizza or junk foods. I never ate more than my plate of food. Everytime I would go eat out I always had to bring food home. Before my surgery I was totally boggled as to why I couldnt lose weight and that had an emotional effect on me. But in return since I really didnt eat to harsh my stomach from point A "esphogas" to point B "large intestines" isnt really that long so since I got sleeved my new stomach isnt big at all. Since being sleeved I can see all to well as portion size was my problem. I didnt realize that one should only eat so very little. Instead of plate they should only make saucers because ultimately thats what everyone should have as a plate 4-5 times a day. Now heres my new problem. I goto lots of car shows since I have a show car. This past weekend I took home a 1st place trophy "yay" lol. Well at pretty much all of them they sell beer, hamburgers, hot dogs, nachos, hot links you know the typical fairground foods. I choose the hamburger but I get them to use double cheese and no sauces. I let the hamburger cool down and I pick the bread off and discard. You know how when cheese cools down it binds to a layer of bread so when I peel it off I have a tiny layer of bread. I eat a 1/4 at 11ish, a 1/4 at 2is and a little on the way home. I have never finished one yet. So hamburgers arent all that bad. Now being at 13 weeks out I am scared to eat a Taco shell. I know that I can eat a taco salad shell because I tried that to see if the grease would irritate me but that shell is way softer than a corn shell of a taco.

Rimonabant hcl is fda approved. Not on the doctors lists so theres no kick backs for him to push but if you ask for it it is available. My wife quit smoking in a week because it made her. Heres the true background information: Rimonabant also known as SR141716, is an anorectic drug primarily used for comprehensive anti-obesity treatment. It is an inverse agonist for the CB1 cannabinoid receptor.[1] The primary method of action is through reduced caloric intake, due to the anti-hunger effects of rimonabant. An inverse agonist refers to a chemical that binds to a receptor and, when compared to a known agonist for that receptor, shows approximately the same affinity and exhibits roughly inverse effects of one or more primary effects of the agonist.[2] One of the primary effects of cannabinoid receptor agonists is an increase in appetite; rimonabant reduces appetite, demonstrating an inverse effect. Some effects of rimonabant are admittedly under-studied or not well known or explorer; for example, rimonabant-dosed mice reduced voluntary wheel-running behavior when compared to a control group.[4] Rimonabant does have other uses besides weight loss; though the mechanism is not well understood it has been demonstrated to increase probability of quitting smokers by 50%: From the preliminary trial reports available, rimonabant 20 mg may increase the odds of quitting approximately 1(1/2)-fold. Adverse events include nausea and upper respiratory tract infections; the risk of serious adverse events is reported to be low. However, there is current concern (August 2007) over rates of depression and suicidal thoughts in people taking rimonabant for weight control. The evidence for rimonabant in maintaining abstinence is inconclusive. Rimonabant 20 mg may moderate weight gain in the long term.[5] Researchers hypothesized, in keeping with the inverse-agonist nature of rimonabant, that (because cannabinoids nearly univerally impair memory), rimonabant may improve memory; this is borne out thus far in rat studies: The positive influence of rimonabant on performance indicated that the action of endocannabinoids was to reduce SmR code strength, resulting in trials that were at risk for errors if the delay exceeded 10 s. Thus endocannabinoids, like exogenously administered cannabinoids, reduced hippocampal encoding necessary to perform long-delay trials. The findings therefore indicate a direct relationship between the actions of endocannabinoids on hippocampal processes and the ability to encode information into short-term memory.[6] Researchers speculate that due to the pervasive role of the endocannabinoid system in the reward (and therefore addiction-perpetuating) system, rimonabant might be successfully used to treat other addictions besides nicotine.[7] Rimonabant has been demonstrated to successfully block the psychological effects of cannabis use without interfering with the physiological effects.[8] Respective excerpts follow: Recent studies have shown that the endocannabinoid system is involved in the common neurobiological mechanism underlying drug addiction. This system participates in the primary rewarding effects of cannabinoids, nicotine, alcohol and opioids, through the release of endocannabinoids in the ventral tegmental area. Endocannabinoids are also involved in the motivation to seek drugs by a dopamine-independent mechanism, demonstrated for psychostimulants and opioids. The endocannabinoid system also participates in the common mechanisms underlying relapse to drug-seeking behaviour by mediating the motivational effects of drug-related environmental stimuli and drug re-exposure. In agreement, clinical trials have suggested that the CB(1) cannabinoid antagonist rimonabant can cause smoking cessation. Thus, CB(1) cannabinoid antagonists could represent a new generation of compounds to treat drug addiction.[7] Single oral doses of SR141716 produced a significant dose-dependent blockade of marijuana-induced subjective intoxication and tachycardia. The 90-mg dose produced 38% to 43% reductions in visual analog scale ratings of "How high do you feel now?" "How stoned on marijuana are you now?" and "How strong is the drug effect you feel now?" and produced a 59% reduction in heart rate. SR141716 alone produced no significant physiological or psychological effects and did not affect peak THC plasma concentration or the area under the time x concentration curve. SR141716 was well tolerated by all subjects. CONCLUSIONS: SR141716 blocked acute psychological and physiological effects of smoked marijuana without altering THC pharmacokinetics. These findings confirm, for the first time in humans, the central role of CB1 receptors in mediating the effects of marijuana.[8] Citations: [1]Fong TM, Heymsfield SB (September 2009).Cannabinoid-1 receptor inverse agonists: current understanding of mechanism of action and unanswered questions. Int J Obes (Lond) 33 (9): 947–55. [2]Kenakin T (2004). Principles: receptor theory in pharmacology. Trends Pharmacol. Sci. 25 (4): 186–92. [3]Suicide risk fears over diet pill. BBC News. 15 June 2007. (URL: http://news.bbc.co.uk/2/hi/health/6755665.stm). [4] Keeney BK, Raichlen DA, Meek TH, Wijeratne RS, Middleton KM, Gerdeman GL, Garland T, Jr. Differential response to a selective cannabinoid receptor antagonist (SR141716: rimonabant) in female mice from lines selectively bred for high voluntary wheel-running behavior. Behavioural Pharmacology 19: 812–820. 2008. [5] Cahill K, Ussher M. Cannabinoid type 1 receptor antagonists (rimonabant) for smoking cessation. Cochrane database of systematic reviews (On[line) (4): CD005353. 2007. [6]Deadwyler SA, Goonawardena AV, Hampson RE. Short-term memory is modulated by the spontaneous release of endocannabinoids: evidence from hippocampal population codes. Behavioural pharmacology 18 (5-6): 571–80. 2007. [7]Maldonado R, Valverde O, Berrendero F. Involvement of the endocannabinoid system in drug addiction. Trends Neurosci. 29 (4): 225–32. 2006. [8]Huestis MA, Gorelick DA, Heishman SJ, et al. Blockade of effects of smoked marijuana by the CB1-selective cannabinoid receptor antagonist SR141716. Arch. Gen. Psychiatry 58 (4): 322–8. 2001.

My meds preop Synthroid 175mcg Metformin Testosterone Enanthate 200mg once a week Lysinopryl As of today I am perfect. How can I be perfect at 251lbs? Dr said no more pills and come back in another 6 months to retest to see whats happening. Feels good to have a baseline of no meds.

Well its been 3 months and heres where I stand According to my Dr I started at 329lbs right before Feb 17th 2012. I have been keeping my Proteins around 56-109g, Carbs around 40-80g, fats around 26g. Now I have been monitoring my sodium intake cause that is a losing factor for me. So far I have not had any pain or issues related to the surgery besides gas pain 2 times which Gasx relieved almost instantly and acid from fresh lemonade which put me in pain for 3 hours and that was no joke. I didnt have any prilosec with me but now I carry 3 bottles with me to work. Other than that I feel awesome. I do find that I keep busy doing stuff all day long. My son hates it cause I wear him out. LoL. I do notice that I dont have alot of stamina when doing an activity. Preop I could bust ass all day long but now I can do 3 hours then I have to take a break for awhile. Calorie related? Probably so. Now for the up to date part so far. I am 3 months and 2 days post op today. My weigh in was 251.8lbs. Which is fantastic compared to some others. I still havent hit the gym yet but I do other activities to help out some. Going buy a elliptical real soon on the other hand. Just wanted to do a 3 month update. My next post will be my 3 month bloodwork update. Cant wait to see where I stand. I took no meds since surgery in order to see where I really stand. Keep it real people. Capt Derel

He last couple of days I have been getting alot of compliments about the drastic changes lol I am on the right path all the way Started @ 329 and as of today 257

Thanks yall. I just got home last night and people have been astonished lol

Actually it was towards the rear of the plane but it was a bigger plane. The smaller plane I got a window seat so no one would irritate me. They fixed me up. The flight to mexico irritated me so bad I almost offered this kid $100 bucks to sit next to the window. He was knocked out before I got to that point though so I just dealt with it but I did learn from that mistake hence why I approached the desk upon arrival for my flight back home

Queen when I drank them straight they were so gross lol. But cutting them with juice is a great idea. I just didnt expect it to taste that bad. And thats coming from someone who eats very exotic stuff

I flew American Airlines and I verify the above statement. Cause I did it

I just drank alot of protein shakes and apple juice cut with water up up to the 3 week mark. I feel the same way you do. I am cautious of what I eat and the amount of what I eat. Plus I dont chug any fluids either cause the better I let it heal the better off in the long run its going to be. I totally took my time with my progression

I just walked up to claim my tickets post op and told them that I needed window seats because I just had bariactric surgery and they gave them to me without a problem. They also put me in back of a crash bulkhead which turned out to be awesome due to the extra footroom. My 1st flight was 5 hours ,2nd flight was 1 hour. I had no problems at all with gas. I was more concerned with nausea. It would hit me in spells but I never used the bag.

I keep seeing 12 weeks out is the earliest but i had tuna wraps with romaine lettuce but I had cut the hard vein out at 10 weeks and did fine

Half a cup is pretty dead on. Thats how I fix my portions. I imagine how much it takes to fill up a half a cup. Then I dont finish it either

Nope thats way way more than what I can handle lol. At 3weeks, hell even right now at 11 weeks its hard to eat that much. I just ate some scallops and shrimp. I probably ate 5 25-30count shrimp "which are t-tiny and 3 scallop halves and I ate to much. I threw up a little bit now I am fine. Live n learn everyday. Just dont be like me and drink lemonade. I thought I was going to die last night. That didnt agree with me at all

Theres no difference between what goes on in the US or Mexico. If you live close to mexico you hear more of whats going on but for someone from the east coast or the northern parts of america you would never hear anything. Theres so much stuff going on in our own country that the media refuses to reveal so they try and blast mexico to help relax the US citizens. In mobile, AL theres murders everyday that go unreported and its over drugs too. The only difference is we dont behead our people over here. Beheading for them is a custom from the Aztecs.

Fried foods. Cause you wont have them again. Well atleast without alot of discomfort.

Your NP should kick rocks. Shes just hating on you. Maybe the diet guide lines that she gave you suck. I started drinking 5 RTD Low carb Protein shakes yesterday and plan on doing so for 5 days. Try something like that.

Are yall all using a program like fit day? I am actually using it to tweak my food intake. I have noticed my sodium climbing so I lowered it to 700mg "it was at 2250mgx4days and I gained a pound from increased Water retention. Once lowered it fell off overnight. All I am saying is that it is an awesome tool to use to help our own tool work better to see better results. When you record your daily intake look at everything. You can notice patterns and when you stop losing you can go back to look at whats been going on and manipulate certain things to kickstart the losing process once again. Keep in mind working out increases alot of cortisol, water retention, and other things I cant really think of cause I just woke up.

Lmfao. Really. Simply they use it to mimic ghrelins growth hormone releasing agents in the body. Ghrelin just didnt control hunger. I knew that preop but I also knew about this preop as well. Docs dont tell you everything apparently

The whole reason behind me having this surgery was because of the USCG wanting to pull my license. Well I have lost 67 pounds according to my doctors charts in 11 weeks pre/post op combined. I only have 32 pounds more to go to meet their requirements. It feels great to know that they can bugger off. I guess I am getting an early feeling of anxiousness. Its just around the corner lol. Just wanted to share have a great day!!!

Lipozine is made up of powdered Konjac root. When it is ingested it takes the Fluid retained in your stomach and turns it into Gelatin. Konjac is made into all kinds of foods in asia like the shirataki noodles that you hear alot of us talk about because they are zero calorie noodles. Does Lipozine work for an unsleeved patient? Haha why am I sleeved then. Now that I look back on it I ate healthy before except for breads and fruits "carb high foods". I just had problems with portion control cause I was never taught what a real portion really was growing up in the south. But being I always ate healthy before has helped me post op by losing at a good pace. I am in control now. But all in all if your always hungry now. Your doomed to fail. I believe it is possible to do it without surgery but I was in a spot to where I really didnt have a chance to take a chance anymore. But I told my wife that after doing the preop diet correctly in the end ,the lifetime of hunger finally disappeared. At that point I knew that I had regained control but I was already paid up for my surgery and I didnt want to back out now since I was already there.

Same here. Popcicles saved my life. Bad breath is from Ketosis