OutsideMatchInside

Dumping really sucks. Usually having it happen to you once is enough for most people to .never want it to happen again.

@@PhillyAj You might as well get used to bleeding. You will probably be spotting off and on for the next year. Get stock in proctor and gamble.

@@Aggiemae Because medicine in America is a for profit business. My Dr only does the sleeve because it is fast and he does 10 in a day. I am under no illusions about what he is doing. I got in right before it turned into a surgery mill. A lot of doctors are pushing what is most profitable for them. People need to think about that when considering surgery.

@@Finding_Stacy Did your Dr really explain why you have to have your surgery in 2 parts? The only people that usually have the DS in 2 parts are people that are in the 500-600 range. At 371, you should be able to have the entire surgery at one time.

It is always men that think it is okay to tell, and that nothing will happen and everyone will be supportive and it will be awesome. Spend one day as a middle school female and you will change your opinion. Even people that know me, don't think I had surgery. I eat in a way they can't and it doesn't even cross their mind. I was a low carber before surgery and now people just think it is working for me because I am more dedicated to it, which is accurate.

What is keto? Sent from my iPhone using the BariatricPal App Keto is high fat, low carb moderate protein. My daily macros look kind of like this... 25 g Carbs (9%, 100 kcal) 110 g Protein (41%, 440 kcal) 59 g Fat (50%, 528 kcal) I don't usually get that much fat in but I try, I always hit my protein goal. I very rarely have more than 15 net carbs in a day. I find is almost impossible to get a lot of carbs in, veggies don't really have them, and I don't eat other things, just meat and veggies.

My doctor said something similar. He said the average weight loss is only 75 pounds. Of course I'm thinking why? If it can help you lose 75, why not 80, 100, or 150, even? But like you said, I too have read and seen in videos people talking about already eating mashed potatoes three weeks in. I think, and this is just my personal observation, is that many people can find they can still eat the variety of food that always gave them comfort and still lose. The same food that caused them to be in this situation to begin with. But unfortunately, that positive side effect most likely ends somewhere around the ninth month when the stomach stretches, and instead of eating only a few bites, they now can eat a half a plate, or even a whole plate, several times a day, and that's where the tipping point is for many regainers. Again, just my observation. I know we're all brainiacs before we are actually thrown into these situations, and I can talk like an expert because I'm not forced into it quite yet. I'm just trying to learn from others, both good and bad. For instance, I'm going to try my damnedest to not stretch my stomach by overeating or drinking, and to keep it 'small' as long as possible. The longest I've ever done low carb was ten months and I got a 100 off. I'm thinking if I can apply that same strategy with this tool, hopefully I'll be ahead of the game, and the longer I can keep it, the sooner new habits will hopefully be retrained into this thick skull of mine. So no mashed potatoes. No candy. No milkshakes (I've seen this one quite a bit and it always shocks me). So, we'll see soon if I can put my money where my mouth is. One thing I strongly urge people to do, something my mom taught me when I was in Jr. High, is to do your daily neck exercises. Stretch your head back as far as you can then say your vowels in an over exaggerated fashion, stretching your facial and neck muscles in the process. This should help with double chins and tightening up your facial muscles. I always start with fifty a day, but after surgery I'll probably be doing two and three sets of fifty. You can't stretch a properly formed sleeve. I feel like I have to say this every week around here. Sleeves do not stretch. They do heal. The restriction that people have right after surgery is healing, not true restriction. Once your stomach is fully healed at 6 months, that is your truest restriction. Read back what you wrote about. People start eating SLIDERS in the first month, and continue eating them all along. At first people can only have two or three tablespoons of mashed potatoes, at 6 months they can probably have a whole cup. They claim their sleeve has stretched but in reality, they aren't even invoking restriction because they don't eat dense Protein. Once they heal and have their normal sleeve capacity they can eat more sliders, possibly infinite amount of sliders because their stomach is not swollen or inflamed anymore. pizza toppings for me, offer no restriction, I could eat the toppings off a whole large pizza or at least a whole frozen one, they do nothing for me. So I don't eat toppings off pizza. salad greens are a slider for me also, but a whole bag of salad greens from the grocery store is 20 calories, so I can eat a whole bag of salad if I want and burn more calories eating it than the veggies even cost. So when I want to munch on something in the afternoon I have baby spinach. Sleeves don't stretch, people eat sliders. They drink their calories, they self sabotage.

I was a lot heavier than you and had been that heavy for a long time. I love myself so I really didn't know the difference between being massive and being normal sized. So I was't unhappy being large because I just accepted myself as I was. I didn't feel like being large held me back from anything. Now that I have lost weight and know the difference, I would never ever want to be that large again. I am far more comfortable even with loose skin, being smaller, and life is just a lot easier in big and small ways.

@@Finding_Stacy We are close in age, I doubt losing weight will age you. I didn't have any wrinkles before and I don't have any now. As a person living with a lot of loose skin, it is never too early to start worry about it. Having a plan helps. It is a pain to live with. I wear a size 10/12 now and I could easily be an 8 or smaller without the skin. Honestly most people that have the sleeve and RNY that need to lose 200 pounds never get there. It has nothing to do with the tools but a lot to do with the people. People that over weight are food addicts. I was one. Unless people can mentally fix their issues with food, they are going to fail once they heal from the initial surgery, because surgery just doesn't do it all for you. So if someone has 200lbs or more to lose, the sleeve/RNY is probably only going to get 100 pounds off of them in the first 6 to 9 months. Then it is a lot of good old fashioned will power and making the right choices. If people follow their program and don't advance their stages, you relearn how to eat again like a baby, and you learn to love good healthy food. Most people advance their food stages, reintroduce carbs early and start on sliders ASAP like eat crackers with tuna fish on soft foods . Those people won't hit goal and will start to regain at one year or close after.

I have 100 to 130 grams of protein and less than 25 carbs a day

I am a sleever. I would need to loose 200 pounds to lose all my excess weight. At almost 1.5 years I have lost 175 pounds. I look solidly 10 to 14 years younger than my age. The men that approach me in public and ask me out are 26 to 30. I had a pretty face before I lost weight and I still have a pretty face. I think how you eat post op determines if you look healthy or not. A lot of WLS patients stay on low calories forever, slowing down their metabolism and denying themselves essential fats. I eat keto, and the few other sleevers I know that eat Keto all look younger than their age. Most people that lose weight with keto even without surgery don't age by dropping a lot of weight they look younger. The fat helps with that. Also upping you calories and keeping them up helps. Calories and Protein should be pegged to your lean muscle mass. People who have been super morbidly obese for a long time have more muscle and denser bones because carrying all that weight changes your body. I have between 100 and 130 grams of protein a day. Also what is 100% of excess weight for a morbidly obese person is will be different than a person that was never morbidly obese. I am probably pretty close to 100% right now with my extra muscle and loose skin. Again on the aging, I never had the huge fat neck that some people have I always had a neck and could wear regular chokers even at 370 pounds. People that have a ton of neck and face fat do usually age terrible if they drop a ton of weight because they have loose skin in their face. That is just genetics and weak jaw lines. If my doctor would have suggested the DS I would have considered. It is extreme but it does work THE BEST. Still I wouldn't want the malabsorption issues, which is why I have worked so hard on my food and eating right. Eating correctly on keto in a way that sustainable to me, that does not feel like a diet has been the key to my weight loss. After 9 months I feel like my weight loss was due to my food and lifestyle, not my sleeve. I decided when I had the sleeve, if I didn't get to a certain weight with it, I would get a revision to the DS. I have been very successful with the sleeve, and no further surgery is needed, except plastics to remove the skin. If your health is in bad condition and you need to lose weight fast, I wouldn't hesitate to have the DS.

I hate when people say this. No people don't figure it out. Most people think diet and exercise actually work. So if you change your diet and exercise, people think that is why you lost weight. Surgery doesn't cross most peoples minds. You are under no obligation to tell your boss the truth. However, I wouldn't tell a lie like having your gallbladder removed because you might need that later. Just tell them you are have gastro intestinal issues and you are having surgery to correct a problem. Just because in the current climate, people think that oversharing is the norm, it isn't. You don't have to tell your co-workers about your life. Most work places would be better places if people kept their personal lives personal.

Well you are in the right place to get some good nutritional advice. So basically you have to spend 6 months trying to lose weight, knowing you won't lose weight because their program sucks?

The only time I was nauseous was taking the horrible pain meds. No pain meds no nausea.

Heart scare at a young age was too much, when it was just because I was fat and not eating well enough. If I was healthy I would still be fat though, I didn't mind being fat, I hated not being healthy though.

You are tired of buying clothes, and you are a shopaholic by nature

Why such a long wait for surgery?

Before and after. That was an 8 plus ounce pork chop pre cooked, 6.6 cooked. After I finished I weighed the bone and subtracted it, the bone was one ounce. So about 5.5 ounces of pork loin chop. I probably wouldnot normally eat that much but I am short on calories and it is getting late in the day. 4 ounces is about the perfect amount for me but depending on the fat/moisture content I can eat a little more. I'm stuffed right now, so I probably should have stopped at 4. I just wanted to add that unlike a lot Bariatric patients, I use regular plates and utensils and always have. I wanted to be mindful that I was eating smaller portions and I felt the best way to get that point across to myself was to use regular plates so I could learn what proper portions look like in relation to normal plates. It helps when eating out to Guage when to stop when I do not have scale.

You have to find things to replace boredom eating. You really need to work that out before surgery. Surgery won't stop you from boredom eating. I don't have a physical appetite but I still have cravings and tastes. Mostly for healthy foods but sometimes for not so healthy foods. That is something I have to mentally work through. Surgery doesn't help with that. It will support you in making good choices but you have to want to make good choices.

You have to kind of figure it out for yourself, because everyone is different. However you nutritionist should be able to give you a meal plan. If you are paying them, fire them, they are useless. Most long term successful people eat low carb. I eat keto. I use a calculator to set my macro requirements. I eat foods I like that fit my macros and the keto way of eating. Once you are healed how you eat is up to you. Still your nutritionist really makes me angry. They should be able to give you real suggestions. That is their job

Liquids in liquids out. You can't have a solid BM, when you aren't having solid food.

What a great share. I didn't have surgery at Blossom but I found that their staff and nutrition information to be top knot have. I refer to it often especially for supplement suggestions. They seems to be more realistic and advanced than most programs.

Man I wish we could sticky this. People need to understand that the losing phase post-op I'd a one time chance. Go as low as possible as fast as possible while still being healthy. This is the only time it is going to be this "easy" later you have to fight like everyone else. All the band revision people pretty much prove this theory.

Read the ingredients it's all fake and they keep changing to formula and depending on what the formula is this 6 month period, it causes various digestive problems for people. Just Google Quest bars. There is plenty of information, don't just go by my opinion. Any artifical sweetener can make you stall out.