PatientEleventyBillion

Just keep doing cardio, visceral fat is a combo of cardio and especially diet. I've been doing situps and pushups with decent success, even though they don't specifically target visceral and subcutaneous fat in that region. Hiking helped me as well once upon a time.

20 years old is not too young. Have you or our child ever seen hepatologists or endocrinologists? They will point out a common epidemic.. kids in their teens and twenties in western nations (especially the US) are coming at record pace for advanced liver disease (fibrosis, cirrhosis) and endocrine problems (diabetes, metabolic syndrome, heart disease, etc.) at an age which these diseases were only seen by the elderly beforehand. It's a very serious problem that one wants to tackle early rather than late. The key to this process isn't merely the surgery but more importantly making important lifestyle choices -- being a smaller person means living like a smaller person. For many of us obese people our endocrine system is out of whack, we eventually become at the behest of our brain, psychoactive effects of carb-laden foods, and the physiological hormonal results of our body telling us we're hungry when we shouldn't be. While lifestyle plays a huge role in breaking the body's endocrine system, once it's broken sometimes it takes serious intervention beyond lifestyle to see positive changes.. but if those underlying causes aren't changed, permanently, the tool which is the surgery becomes useless. I'd say you're on the right track of support, support good choices here on out, and medical research is always a plus. Get multiple opinions, talk with your child to see the best course of action. Don't ever take the advice of one person or overly rely on one person for information.

We were all there at one time. Not even just the peanut brain for me but being too depression prone and stubborn.

- Go to store - Look at product and nutrition labels - Read reviews and buy ones that seem best fit to your goals/needs - Go to register, purchase, take home, and enjoy

Avoiding processed anything is best. The more important thing regarding fat vs protein is how to utilize the energy you get from it. The only benefit of carbs is the immediate availability of energy. There's no question that this is the fastest way to get it due to not only how quickly it moves through the body and bloodstream but how quickly the muscles utilize as well. Fat and protein take longer to digest, take longer to be utilized, but no question the next thing that the body goes for after carbs are depleted is fat available for energy. Protein is necessary to prevent muscle weakness but to even get the muscles to burning up the proteins within the muscle need to burn through carbs and fat. For those of us who are overweight that's why it's essential to get protein first and foremost, because the muscles will rapidly burn through it's energy stores and need replenishment, or else is burns the muscle proteins and makes one weaker, which has a doubling effect on those of us who are overweight.. makes us weaker and more prone to injury. The fat is merely for more sustained energy utilization.

Thank you. Everyone has been congratulating me.. I see a myriad of doctors/specialists regularly. It's hard to feel like I accomplished something given I've been fighting off the health effects of being a dumbass for years, and only now am I on the verge of finally being perfectly healthy. But being realistic, I think I'll be happy when I'm off my last medication.. metoprolol, beta blocker for heart rate and BP. Post-op it's been 100-120/60-90, but I think my doctors/specialists want to see it on the lower end of that permanently before taking me off this. RHR has regularly been 50-80.. so I don't think that's much an issue anymore. As far as my daughter goes, and our future kids, definitely being aware of what they eat, and minimizing the junk carbs from the diet. My wife has PCOS and has been losing weight seeing me lose a bunch of it, and from all those months of me begging her to stop eating so many carbs so she doesn't go through what I did with my enormous weight gain in such a short timespan. Women seem to have a tougher time losing it.

HBa1c 4.9 and completely normal now.. Was on 2 diabetes meds pre-op, Forxiga and Metformin (1000mg twice a day), peaked at 7.9 last year. Last several standing order A1C results: - September 2016: 6.5 - December: 6.1 - March 2017: 5.7 - June: 4.9 Stopped Forxiga day before surgery, and stopping Metformin as of today.. starting to be normal again.

The truth isn't "God-forward" enough? As clergy, or rather, in a general sense, as someone who is trying to be a role model for others, it seems more logical to be honest and forthcoming, if you're trying to tailor your experience to others.

I'd say thats an outlier too. There are also things that contribute to nausea people may not be aware of.. especially taking medications or supplements on an empty stomach. If we look at calcium for example.. calcium carbonate, the most popular version of calcium supplement, shouldn't be taken on an empty stomach or else it might cause nausea - which is why calcium citrate is recommended over carbonate and others. Some medications are the same way. Of course, right after surgery we can't really have a lot of stuff, yet we must take our meds and supplements anyways, so.. that's just one of the many juggling acts we have to put up with as part of the process, and that's on top of situations like yours where each person's body reacts differently.

Best of luck to you.

I felt nausea at first when first getting back on meds and taking chewable supplements the following morning after discharge. Since then, the only time I've felt some nausea was when I overate. Yet to actually throw up though. I wouldn't call myself fearful of throwing up I just have a very high aversion to it so I do all I can to suppress it unless I have no choice.

I haven't, and sorry to hear your experience was this bad. Crossing my fingers the rest of your journey is a lot more successful.

Yes, that's what I get for posting when tired. The juice thing does make sense due to how quickly simple carbs pass through the body. During my liquid phase I'd constantly be feeling lows because my liver would send the signals to make more insulin but because the drinks I had were already through me the insulin was there unnecessarily. OP did say they had lows before taking the juice though. Interesting situation.

Regardless of the surgery, norovirus had me hospitalized for days one time -- the only time in my life I've ever taken an ambulance. I'd have definitely went to the ER.

As I just cited, it's not a permanent change, the stomach stretches -- it's a muscle. It's all part of how people manage themselves afterwards. For example, someone that maintains an infrequent diet and doesn't consume much food, will remain having a smaller stomach, and the hormones leptin and ghrelin will be activated less -- this is not merely for VSG but also for RNY patients -- the answer to the question of "how much?" is up to them. This also directly affects peristalsis in the intestinal region, something activated by those hormones, which has a doubling effect of creating hunger. This is no different for thin people like my sister who have no hormonal (and thus metabolic) issues. I think people need to understand that having your stomach cut is not the primary function of why the surgery works well.. it's the hormonal changes. If cutting the stomach merely was all there was to it, people would find themselves with a plate of food in front of them at all hours of the day because they'd be starving all the time. The idea that the stomach doesn't grow after VSG or RNY is false. Even our bones grow/shrink (due to Wolff's Law), so why wouldn't muscle? The surgery metaphorically starts the stomach anew, which especially includes hormones. The emphasis on lifestyle changes is because the surgery is rendered useless by those who do exactly what they did to get themselves in trouble in the first place. The physical restriction is not a life-long savior. Anyone who believes this needs to get it out of their heads immediately. It's lifestyle choices in the long run that is what keeps the stomach smaller.

http://www.obesitycoverage.com/weight-loss-surgeries/gastric-sleeve/gastric-sleeve-will-my-stomach-stretch Anyhow, my post was directly related to the fact that restriction gives way later on, and the hormone ghrelin returns to normal levels. This is why they say you can't rely on the surgery forever. People's intake increases, and as a result, the stomach grows. People can eat more. In the beginning it's a mixture of swelling reduction and stomach growth, later on it's related to diet, which most people increase. The stomach will retract as well to accommodate those who eat less as well. The main function of the surgery is related to hormones. Most of us who have issues with overeating, it stems from busted hormones constantly telling us we're hungry, and doing ourselves no favors by eating bad food. The surgery is a tool to help change those things.

If you're not on medications and are hitting lows like that, that's rather worrisome.. it does sound like it's possibly some type of overstimulation of the kidneys, either by some kidney malfunction or by the liver pushing it to produce too much insulin. Ping-ponging blood glucose around OR date isn't that uncommon, but generally there's an easy explanation that involves meds like Metformin. Please update us OP on what's going on.

My advice is stop blaming anything other than your conscious choice for what you did. I can't see how you won't do this again and again if you aren't being up front with yourself.

Pretty much. Even some complex carbs (potatoes, breads, rice, etc., something someone mistakenly called simple carbs earlier) have a negative effect on certain people. Me, I just avoid them in near entirety.

I second this.. a blessing in disguise.

It's not liquid that makes the liver shrink, so don't worry about that.

https://medlineplus.gov/ency/imagepages/19529.htm How this is relevant to many of us, especially those of us who are diabetic, is complex carbs, entering the bloodstream slower, tend to be better on the glycemic index, and have more nutrients. If one is going to have carbs, these are the ones to have as priority.

Intense exercises justify the increased calories, and getting more of that from (complex) carbs if need be. Carbs represent more immediately available energy, which is important if doing that kind of exercise.

What diet? The whole premise of the pre-operative diet is to shrink the liver.. so it would be an utter surprise not to be on a diet that's viewed to accomplish this.