summerset

Comparing a 189 cm male vs. a 152 cm female in regards to energy expenditure doesn't make much sense. What's too much food and what not is the decision of SpaceCowboy alone. I can eat more with my MGB as well and still weigh less. One can never know how weight will develop after the band is gone. The bypass lottery seems to have given me quite a bit of malabsorption. (It also gave me some intolerances that luckily I don't mind that much.) "Wise choices" are important but when it comes to diet and nutrition there is more than one road to Rome. I deem many choices users on here make in regards to food as flat out unhealthy and unreasonable (a meat burger, bun or no bun - that's something I would consider not a very wise choice). Many of the meals pictured in the "Food before and after" thread - I wouldn't go near them because I think of them as very unhealthy and unreasonable choices. However, it seems to work for a lot of users and if some diet will work long term in regards of both weight and health or not - that's something nobody knows. Trial and error. Not everybody seems to thrive on the same diet.

You should have been around when the real tough lovers dealt out their "love", lol. And I guess one will never forget about that one was supposed to put on "the big girl panties" when someone dared to complain about their "tough love". 😂

These drop out rates are always an issue. Patients don't go to follow-ups for various reasons. The hospital I got surgery at recommends life long follow-ups. Of course you can't force people to make their appointments.

You maintain your weight when you meet your TDEE. Your TDEE depends on quite a lot of things, e. g. age, gender, activity level, past dieting attempts etc. For the sleeve people... yeah, maybe it is the metabolism thing sillykitty already mentioned. For the bypass people there is also the mechanism of malabsorption on top. However, quite a few patients complain that they start gaining on 1800-2000 kcal.

4) You get rid of quite a lot of empty and hungry fat cells that scream "FEED ME!!!"

And I'm willing to bet that by far not all "successful" patients are as compliant in the long run as many newbies seem to think.

Because there is no gold standard. Recommendations regarding diet differ from country to country and from hospital to hospital. Experience based, not evidence based.

Interesting reaction.

This is a good example of what I wrote above. From my own experience I'd say "No way!" - however, that would label Billy Bob either a liar or a patient who's not smart enough to tell physical hunger from head hunger. I don't want to label him either. I believe that what he tells us is the truth. However, that also means that the experience of WLS and its pros and cons differs a lot between different patients. So who really wonders about different outcomes anymore??

Ah yes, they do...

Banded in March 2001, revision to MGB in May 2016. Hernia is back and since that part of the reflux symptoms and surgeons want to do another revision. I guess I need to schedule it, huh? Weight wise I'm an unspectacular normal weight. Still can't make up my mind about plastics but my skin is bothering me more and more. I'm looking into the Avelar technique (would have to go to Austria to get it but since I'm most likely going to be a self-pay anyway...) but with a revision looming over my head I have other problems at the moment.

I don't know. I'm on the fence with quite a few things regarding WLS, "compliance" and "how many calories to eat and reach a normal weight" being two of them. On the one hand I think "It simply HAS to work when one does everything one is supposed to do!", but on the other hand I don't want to label people who complain about a lack of success as "liars" when they tell me they only eat so und so much calories a day. I also look at myself and think... "Well, seems to work even if your diet is kind of shitty and not going to the gym six times a week two times a day." So regarding compliance? Are really all long term normal weight maintainers super-compliant? I doubt it. But what exactly is the reason they maintain the weight if not being 110% complaint? How can e. g. an antihypertensive drug work better in one patient than in another even though both take their pill regularly? I personally can't see why that should be but that's the way it is. There are so many factors involved - how many of them does science really know about? Same with WLS success.

Not every coffee tastes good black. Did you test different brands already?

How do you drink your coffee? Black coffee is ok.

Yes, if the therapy doesn't work, simply blame the patient.

Given regain rate etc. it's not an irrational fear. There is never a guarantee. You get surgery and hope it will work. You'll do your best and hope it's going to be enough.

What were the circumstances? Passing out is never normal.

I doubt your psychiatrist really thinks you're underweight. Maybe she's looking at the whole story from a different kind of view. There is more to "picking a goal weight" than contemplating how you'll look and/or feel physically at this weight. It's also a question of what it takes to get there and stay there. Fix "goal weights" and sometimes also "weight loss rates" become fixed ideas all too often, putting unnecessary pressure on patients. Ranges from/to put much less pressure on people. There are too many patients who're unhappy and think they're "failures" because they didn't make it to some arbitrarily picked goal weight. (Like patients who made it from e. g. BMI 50 to BMI 27 would be considered "a failure" by anybody but themselves...) In the end "picking a goal weight" is different from picking the best looking apple out of a pile at the grocery store. Of course people have to decide for themselves what they're willing to sacrifice for an additional few lbs of weight loss and of course there will always be patients who don't have to sacrifice as much as others. The principle of "best weight" by Yoni Freedhoff is an interesting one. However, I can understand why it might not be a very popular one, especially not in the WLS community. Take care.

Yes, it would mean another surgery.

Lol, some assumption. I guess I don't know too many healthy people.

It also takes 3500 kcal to lose a pound. That's something a lot of people who had WLS seem to forget.

You have a TDEE. You can lose weight only at a certain rate depending on your TDEE which depends on a lot of things. Water weight.

Yes, it's possible. It's not going to be a classic RNY bypass but the anastomosis will be changed to an RNY one anyway. I think I'm going to get this along with hiatoplastic and gastropexia (hernia is back again and with it reflux got worse). I'm still on the fence though because at the moment things seem to be better again. ETA: fixing bile reflux after MGB is obviously quite like fixing bile reflux after partial gastrectomy with a Bilroth II anastomosis. They change the anastomosis into an RNY one.

This. I think it's very important to take into the equation why one wants/needs a revision. Anyway, results regarding revision and weight loss seem to vary a lot.

Oh, I thought it was about this "person of size" thing?