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Introversion

Gastric Sleeve Patients
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Everything posted by Introversion

  1. I gain anywhere from 3 to 7 pounds in fluid weight during the monthly cycle, which disappears about a week after the first day of my period. I only weigh myself once a month, about a week after my period ends. Weighing in more often isn't going to make the scale's number move faster, but it does create anxiety for some of us. Here's a great posting regarding weights and the scale: http://www.weightymatters.ca/2017/08/psa-scales-measure-gravity-not-health.html
  2. Although I have not regained any of my lost weight, I can answer this question. Here's a hint...regaining weight is never really about the food itself. Many people undergo weight loss surgery without resolving pre-existing psychological issues. Many bariatric patients are emotional eaters who have always used food to cope with stress, grief, boredom, joy, pain, and life itself. They lose massive weight after surgery, but regain once the next crisis occurs such as a death, job loss or divorce since they self-soothe with food. Many bariatric surgery patients are hardcore food addicts. They lose significant weight after surgery, but regain once they add addictive trigger foods back into their diets. Many bariatric surgery patients have undiagnosed binge eating disorder. They lose significant weight after surgery, but regain once they start binge-eating again. Many bariatric surgery patients experienced childhood trauma such as growing up around domestic violence, alcoholic patients, or drug-addicted parents. A large number of obese people (especially females) were sexually abused in childhood. Those with adverse childhood experiences (ACEs) often drown out the bad memories of their upbringings with comfort food. They lose significant weight after surgery, but regain once they revert back to food to deal with the uncomfortable memories and flashbacks. So when someone posts she's regained all her weight after experiencing some emotionally traumatic event, she often asks about getting "back on track" to lose the regain. What she really needs is counseling to adopt healthy coping techniques that don't revolve around the comfort of food. Success with weight loss maintenance after surgery is 90 percent psychological. Those who fail to address underlying issues will continue the regain/loss cycle. After all, it's never really about the food. Regaining is a symptom of a deeper problem.
  3. Liquids don't challenge the sleeve or initiate a sense of fullness or restriction. They pass through the stomach into the small intestine rapidly. This is normal. You'll be stuffed to oblivion if you attempted to eat 4 ounces of steak or chicken breast. Only lean proteins and non-starchy veggies challenge the sleeve enough to provide restriction. Even junk food (e.g. donuts, chips) passes through without any restriction kicking in, so these foods are referred to as "sliders" because they slide right through the stomach.
  4. Introversion

    Pre traject

    Here's my timeline... Initial consultation & first weigh-in: October 23, 2014 Paperwork submitted to insurance company: November 2014 Approval from insurance company: December 26, 2014 First surgery date: February 4, 2015 (couldn't make it due to weather) Second surgery date: March 16, 2015 (canceled; I failed cardiac clearance) Third surgery date: April 20, 2015 (finally happened) So, if everything had gone as planned, my original surgery date would have been 3.5 months after my initial consultation. However, some unforeseen delays arose.
  5. Firstly, congratulations on the baby! Most respondents are advising the original poster to track intake and increase the quantity of protein-rich food to get back on track. These suggestions, although spot-on, do not address the original poster's root cause for regain and spiraling out of control. She readily admitted she had an addiction to food in her post. The original poster can certainly go on another diet and lose her massive regain, but she will likely continue the cycle of regaining and losing unless the food addiction component is addressed. I suggest counseling. Once the psychological component of the food addiction is fully treated, the next step would be getting back on track to lose the regained weight. However, going on yet another diet without dealing with the food addiction is like washing clothes without soap: since neither action gets to the root cause, the action itself is futile. Good luck to the original poster. She's got this.
  6. I probably go through 20+ packets of Equal and Sweet-N-Low per day. I add it to my coffee, iced tea, herbal teas, and plain yogurt. I don't get intense cravings and have maintained my body weight with precision since entering maintenance one year ago.
  7. Introversion

    Post nine month recipes

    Tuna casserole Sardine fritters Salmon croquets Rosemary garlic chicken Chicken parmesan Zucchini ranch meatloaf Chicken enchiladas Pork chops Beef stew Turkey chili As you can tell, I cook the majority of my meals, although I do eat fast food and restaurant meals about twice a week.
  8. Introversion

    Stomach Stretching is a Myth

    Before surgery, insulin resistance was the culprit that ensured my hunger was raging: https://www.liverdoctor.com/signs-of-insulin-resistance/
  9. While I didn't have a thyroidectomy, my thyroid was irradiated via radioactive iodine ablation in 2005. I have been hypothyroid for 12 years and on Levothyroxine ever since. I was sleeved in April 2015, very slowly lost 100 pounds over 17+ months, and have been maintaining my goal weight for approximately 1 year. So far I have no regrets about my decision to have bariatric surgery.
  10. Introversion

    Vitamins

    Click on the link below to read up on general supplementation guidelines for sleeve gastrectomy patients. Keep in mind that each surgeon's requirements might differ somewhat. http://www.hopkinsmedicine.org/johns_hopkins_bayview/_docs/medical_services/bariatrics/nutrition_sleeve_gastrectomy.pdf
  11. Introversion

    Very slow weight loss

    Welcome! Maybe your expectations on the rate of weight loss are unrealistic. When is the last time you lost 10 pounds in 2.5 weeks with old-fashioned diet/exercise? I am guessing the answer is "Never." It took me nearly 18 months to lose 100 pounds. Most of my monthly losses were single digit (1 to 7 pounds a month). The majority of people who lose 30+ pounds monthly are super morbidly obese, like in the high 300s and 400s on the day of surgery. Patience is vital. Good luck to you.
  12. Introversion

    Trying to Decide - Sleeve or RNY?

    You can succeed with either a bypass or sleeve with PCOS... The weight loss will likely be speedier with a bypass. Sleeved women with PCOS tend to lose at a painfully slow rate, especially if revising from some other procedure to a sleeve. You can reach your goal weight with a sleeve. Other sleeved women with PCOS have gotten to goal. Just be warned that the rate of weight loss may be slower than average. Also, revision patients tend to lose more slowly than first-time bariatric surgery patients overall. This is because a revision patient's body has already dealt with the metabolic shock of a previous bariatric surgical procedure.
  13. Introversion

    How are people losing 10lbs/month?!

    Keep in mind I'm 2.5 years out and physically active in the context of running 20+ miles a week, weightlifting 3 times a week, and supplementing with other cardio (e.g. stationary bicycling, elliptical machine, stair mill machine). So, I work out 6 days a week. I consume 2000 to 2300 calories per day and have maintained my body weight in 118 to 122-pound range for the past year eating that way. However, I was eating less than 1000 calories a day until 4 months out.
  14. Introversion

    How are people losing 10lbs/month?!

    I was a slow loser who took 18 months to lose 100 lbs and reach goal. With the exception of the first 2 months, all of my monthly losses were single digit (1 to 7 lbs per month). I'd lost 27.5 lbs at 2 months out, so your progress is similar to the rate at which I lost.
  15. Introversion

    Trying to Decide - Sleeve or RNY?

    More information is needed. How much do you weigh and how much would you like to lose? Do you have any metabolic diseases such as diabetes or PCOS? Do you have GERD? Although I am pleased with my sleeve, lost 100+ pounds and have been maintaining my goal weight, the gastric bypass is the gold standard for those with metabolic issues that hinder weight loss such as PCOS and diabetes. Also, if you are a female with more than 250+ pounds to lose, the odds of reaching your goal weight with a sleeve are stacked against you, but some women have defied the odds. People with severe acid reflux (a.k.a. gastro-esophageal reflux disease or GERD) are advised by most bariatric surgeons to opt for the bypass because a sleeve can worsen it.
  16. Introversion

    Approved...Now What

    My advice is to figure out why/how you became overweight. You need to know the root cause before you can conjure up a permanent solution. Here's a hint...food is never really the root cause of our weight problems. Some people are emotional overeaters who use food to cope in times of stress, boredom, joy, pain and uncertainty. Others are garden variety eaters whose social lives revolve around overeating. Some people became obese due to hardcore food addictions and others have psychological diagnoses such as binge eating disorder. Finally, some people overeat to soothe past trauma they experienced or witnessed such as sexual abuse or violence. Some people will swear up and down they never eat too much, exercise regularly, and still became obese. Nonetheless, obesity due to medical issues only occurs in less than 5% of cases. In my personal experience, the people in profound denial who lack insight and are unwilling to practice introspection (e.g., "I got up to 300 pounds eating 1200 calories a day!") are often the same ones who seek their third or fourth revision surgery due to each previous procedure "not working." In other words, be honest with yourself. I ate too much for physical reasons because insulin resistance kept me chronically hungry. Also, I experienced childhood traumas such as domestic violence and drug addiction, and food soothed me when those ugly memories resurfaced. So I attended a few counseling sessions as I reached my goal weight. Good luck to you.
  17. Introversion

    Genetic Markers

    I don't think testing is offered to the general public. Dr. Matthew Weiner, a bariatric surgeon with an extensive YouTube presence, mentioned in one of his videos that a person probably has the 2 favorable genetic markers if he/she had a first degree relative who was a rapid loser after undergoing bariatric surgery. Only 1 percent of the population falls into the nonresponder category, so in all likelihood your body will respond to bariatric surgery. How fast or slow will you lose? Only time will tell.
  18. It depends on you and your unique carb tolerance... Some people tolerate carbs a few months post-op without issues. Others develop intense cravings and notice frequent plateaus and weight loss stalls upon re-introducting carbs. I tolerate carbs well and eat bread, pasta and tortillas regularly. Then again, I run 20+ miles a week and lift weights 3 times weekly, so my body uses the carbs to fuel my workouts. For those who are less active, carb re-introduction often spells REGAIN. This is just my humble opinion, but protein should be the main focus during the first post-op year. Of course, your mileage may vary. Good luck to you.
  19. Introversion

    #HATEYOUHARVEY

    I'm keeping everyone in Southeast Texas in my thoughts..... Although I'm in North Texas, the residual storm effects (torrential rain, winds, lighter flooding) have been happening here. We're all going to need to pull together to address the devastation. Again, I'll be thinking of the affected residents of the Texas Gulf Coast.
  20. Introversion

    Stomach Stretching is a Myth

    I was a major volume eater prior to surgery...I was the type who ate 3 or 4 McDonald's double cheeseburgers with a large drink and still felt insatiably hungry afterward. I'd eat 1 Subway 12-inch sandwich before eating another sub a few hours later and my hunger still wasn't tamed. I'd eat 3 or 4 plates of food at an all-you-can eat buffet and still feel hunger. So, in that respect, the sleeve is great for those of us who once ate large volumes of food and still felt chronically hungry. It's knocked out 2 issues (hunger and portion control) with 1 stone.
  21. Introversion

    Genetic Markers

    It's a favorable marker on chromosome 15... In essence, those with two favorable genetic markers on chromosome 15 are rapid losers. These people can lose weight like a house on fire without really adhering to lifestyle changes. They'll still lose rapidly while grazing on Dunkin' Donuts and Lays potato chips all day. People with one favorable genetic marker on chromosome 15 usually end up to be average or slower losers. These people must adhere to healthier dietary and lifestyle changes in order to reach (and maintain) their goal weights. People with no favorable genetic markers on chromosome 15 are non-responders. These people usually lose less than 30 pounds total. Fortunately, non-responders are just 1% of the population.
  22. I thought I'd never get to my goal weight, either. I was a slower loser. It took me nearly 18 months to lose 100 pounds. Most of my monthly losses were single digit (1 to 7 pounds a month). I usually consume my meat with a non-starchy veggie such as green beans, broccoli or Brussels sprouts. I usually have 4 to 6 ounces of meat with a cup of steamed veggies. I also eat seafood such as tuna casserole, mackerel cakes, shrimp, salmon croquets, sardine fritters, catfish, trout, and blackened tilapia, but these do not challenge my sleeve enough to provide as much restriction as harder proteins.
  23. Basically, any meat I need to cut with a knife provides the most satiety and restriction. Steaks Pork chops Chicken breasts
  24. According to a popular total daily energy expenditure (TDEE) calculator, a sedentary 65-inch tall (5'5") 35-year-old male who weighs 300 pounds burns 3026 calories daily. Per the same TDEE calculator, a sedentary 65-inch tall (5'5") female of the same age who weighs 300 pounds burns 2516 calories daily. Since men tend to have more metabolically active muscle mass, they have faster metabolic rates (and therefore: higher calorie burn rates) than women. This results in higher daily caloric needs. http://www.fitnessfrog.com/calculators/tdee-calculator.html

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