jess9395

Typical low carb high protein. Didn't get above 400-600 calories till about six months out. Then maybe 900 a day to goal at 12 months out. Needed at least one protein shake a day to meet my 90g goal till about 18 months post op because I couldn't eat enough. I didn't touch bread, rice, potatoes or pasta till goal and still don't eat rice or pasta and bread and potatoes are once a month or so. I save those extra calories/carbs for my sweet tooth and have a cookie or few bites of other dessert a few times a week. Fruit was maybe once or twice a month till goal unless I had a race long run or race. Ditto oatmeal. I kept carbs to 30-40g per day and most were from dairy.

It's safe but the less sugar you consume the better. For a lot of us opening that door makes us crave more and wakens the hunger beast.

5'6" started at 271 four years out and maintaining at 135

Started couch to 5 k at four weeks, yoga at three months. Start slowly and build as tolerated. Or wait and start later. Everyone's journey is different

Maybe science will bear out your theory one day and figure out that it's dead on for a certain segment of the population! I'm glad you've found what works for you because you are your own subject. What worked for me was completely different and exercise didn't cause any stalls or increase in hunger. You and I have discussed set point on another thread and I would argue it's because I wasn't at mine and that the exercise helped me set a new one that gave me a body fat percentage in the low 20's and amazing muscles... long and lean but awesome legs and yoga arms. Not sure that would have happened if I waited till my weight loss slowed because it never did till I got to goal.

True. Because there isn't one answer because our genetics and such are very different and because science doesn't have all the answers yet so each surgeon is making their best educated guess based on their clinical experience. Science will slowly catch up and provide more certain answers. The best doctors will keep up with the developing science and change or adapt their recommendations to fit.

I started couch to 5k at four weeks out and ran my first half marathon at eight months out. Added yoga at three months out and did 4-5 hours per week. Reached my goal weight at a year out. Lost 136lbs from 271 to 135. Size 20 to size 4. 74% body fat to 17%. Didn't cause any stalls or hunger for me. I think there is no one answer. We are all different with different genetics and habits and histories and mental process. One day science will know a lot more and know the people for whom exercise will work well off the bat and those if will cause hunger and stalls for. If I hadn't exercised like I did my lean body mass and musculature would be very different so it was definitely the right thing for me. So I suggest experimenting with your study subject of one--yourself.

Cheese. Nuts. Jerky. Ostrim meat sticks. No sugar added Greek yogurt. Cottage cheese. Laughing cow cheese. Cold cuts, rolled up with cheese/cream cheese (some times I put cilantro or green onion or pickle in the middle, sometimes I grill) tuna salad, celery stuffed with peanut butter/cream cheese, turkey pepperoni, string cheese, hard boiled eggs, laughing cow cheese. Can you tell I like cheese?

Lord help the person who gets between me and my coffee! Thank goodness that wasn't off the table for my plan! At least that's a different reason than most give--that it's a diuretic. It's not, science has disproven that (I've posted links in other threads and don't have the time to look them up again). Yeah it has some acid but if it's brewed properly that's minimized. But there is no increased risk of ulcers from drinking coffee: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3680393/ Science sez. AND gonna blow your mind here... we are at no higher risk for ulcer than the average bear. Ulcers are almost always caused by a virus. The issue with sleevers and ulcers is not increased risk, it's that if we DO get an ulcer the normal treatment (basically removing the ulcerated tissue surgically) is next to impossible because we've removed so much already. So it's not that we have a higher risk it's that the consequences are much more dire if we get one.

Well it burns a lot more quickly. You burn about 100 calories per mile whether walking or running. You just burn it faster running.

Yes! If I wanted to stay in the 120's I would have to eat 1000-1200 per day! If I'm happy with 135-140 I can eat more than 2000! Crazy!

My daughter has several chronic pain conditions including rheumatoid arthritis, ehlers-danlos and dysautonomia. One of her doctors talks about the 10% solution. No treatment for her is likely to control all her pain. So we go for 10%. If her Celebrex helps 10% and her TENS unit helps 10% and her physical therapy helps 10% and her solonpas patches help 10% and acupuncture helps 10% and her braces help 5% heat helps 5% and rest helps 5% that's 65%. She has tried some other meds including some antidepressants that have been shown to work on chronic pain and some nerve pain ones (I take Neurontin/Gabapentin for a different issue) but they don't do much for her and one actually caused a different issue. Anyhow... I do like the 10% solution. Just something to think about. Self care can be a b***h with chronic conditions. I'm sure weight loss will be 10% for you and hopefully you can find what you need to add up to your 65%! I am very much in favor of judicious opioid use, for sure. But I do think that our cultural expectation that we can be pain free has contributed to the opioid abuse crisis. I am NOT in any way putting you in that category. It's just something that's on my mind. I only have the sleeve so I can't speak to the malabsorption issue. I do hope you find the answers you seek.

Some will claim the carbonation will stretch the sleeve, but the science doesn't support that. The gas bubbles don't do well in many sleeves though. I'm four years out and it hurts my stomach something fierce if I even take a few sips on accident (switched cocktails with hubby and got his gin and tonic a few days ago). Others don't have that issue. But MOST carbonated drinks are sugar filled and not what we should be choosing anyhow. Rice... for me same thing. For whatever reason it hurts. Those are the only things that hurt. Untoasted bread and pasta sit like a rock, but they don't hurt. Everything else is fine. Simple carbs--rice, bread, pasta, potatoes--are all things most plans advise you actively avoid while losing. They provide you nothing more than quick energy which you don't need if you're trying to lose weight. Even the "whole grain" versions provide no protein and truly very little fiber. Get that from veggies, beans and occasionally some fruit (which is also loaded with sugar, so I avoided it while losing). The truth is there are very few never foods. There are some that won't agree with your stomach, there are some poor choices that will slow or stop your weight loss. But eventually if you can use moderation you can eat most things. But simple carbs trigger desire for more simple carbs in most of us so long term they may be something you want to avoid.

Peaches and pears are pretty high in sugar too.

Two docs said it. Science says otherwise. Believe whom you chose.

I think keeping most of the loss IS the norm. Loss is typically 65% of excess weight and people maintain loss of 50% of excess weight (see studies above). That's HUGE. And far better results than any other weight loss plan. As science advances we may improve that.

That's much more helpful than ether the "50% regain" or the other weird and unclear statement above and yeah I clicked on the links and followed to the study and that's just what it says yes. And yup but I think a big part of that is the set point thing. I lost to what I now call an artificial low... I was 17% body fat and my size 4's were loose. Like many (most?) I experienced what I term a "rebound" rather than a regain to my new set point. Lost 142 and keeping off 130-135 of it easily. It takes a LOT to go above or below that. The science on all of this is still so new. It will be interesting to see what we learn over time.

Yeah like others have said, constipation is the biggest issue but it's actually a risk factor for colon cancer so pretty serious. You can supplement with benefiber and psyllium husks (you need both soluble and insoluble fiber so best to use both supplements). I did both from early days through about the six month mark. And yeah, too little fat and you can get gallstones. It's also the best for satiety. Balance in all things.

Not uncommon. And yes it gets easier. Eventually TOO easy for most of us! I'm surprised your diet includes puréed fruit though. Mine never did.

I'm in maintenance and also run 20-30 miles per week and do yoga 5-6 hours. I still limit my refined carbs, but between dairy, fruit, veggies, beans and the occasional sweet potato I get about 120-140 carbs per day. I do allow myself refined carbs once a week or so in limited amounts. In the weight loss phase I kept to 30-40 per day and almost all was dairy. "Net carbs" is total carbs - fiber -sugar alcohols (not processed by the body) I always counted net carbs and still do.

That isn't the same as a 50% regain. It says MOST keep AT LEAST 50%. Quite different. One of my degrees is statistics. Too many wiggle words in that statement. It could mean anything from 50% of people gain 50% of their weight back and 1 person gains 49% and the rest gain 100%.... to 99% of people keep 99% of their excess weight off. Most is anything over 50% and "at least" is 50% plus 1lb or 99%.

Oh and I believe in the set point theory too. It's definitely been my experience. My body decided where it wanted to be and I'd have to fight to go either way. My WL surgeon believes in it so much he doesn't set goal weight with his patients instead telling them, a 10% loss has these positive effects, a 20% loss has these, etx

6 months stable is what all the surgeons I talked with said. I got mine done at six months stable and it was perfect.

Eggs hurt my stomach till about month six. Keep trying every now and then. Keep them moist.

My doc and nutritionist consider soup food and not a drink. They don't apply the no drinking/eating together to soup. I've followed their instructions and done just fine. I am not a huge soup eater to begin with so it's only a couple times a year. Now chilli I do all the time! Four years out and about 1/2 a cup is a meal, it's quite filling.