JohnnyCakes

this post is so chock-full of misinformation and falsehoods i wouldn't know where to begin. just.... wow. thankfully Little Green corrected most of this drivel. seriously people, if you don't take the time to do real research, stop peddling myths off as truth. it does a serious disservice to those coming here trying to make an informed decision.

eat more salt and see if you can eat some *casein* protein right before bed (as opposed to whey). either a shake, or cottage cheese has a lot of casein. casein, unlike whey, is absorbed slowly. it's best taken at night while sleeping, your muscles will absorb it better. the "slow-release" protein will stabilize your blood sugars over the course of the night and you should wake up feeling better. but that's a minor detail. the bigger issue is what i said above, you are eating far too few calories and expending far too much. that's the equation you need to rectify.

ugh... that sucks. i'm sorry. it's unfair, i've had zero nausea since the surgery. i don't know why it varies so much person to person. all i can say is that from reading anecdotal evidence on this site and others, it seems like the sickness will eventually go away for you in time. but make sure you are seeing SOME improvement week to week. if the level of sickness/nausea stays the same or get worse, don't hesitate to call your surgeon. good luck.

two nights, about 48hrs total. i actually requested to stay the second night because i could not get rid of all the air they pumped into me. i felt like a swollen tick. glad i did. the next day i was a little better and much more able to go home.

so let me get this straight.... you just had bariatric weight loss surgery. you're losing massive amounts of weight. you're on severely restricted calories. you are engaging in extreme amounts of intense exercise. it's the middle of a hot summer in Florida. you admit not drinking enough water or eating enough protein. and you find yourself light-headed. hmmmm...... whatever could it be????? it's not hypoglycemia, it's not a B12 deficiency, it's not anemia, it's not hypotension, or vertigo, or anything else. Occam's razor FTW here - you are (drum roll)........ OVER-DOING IT. you aren't (and can't) take in enough calories to cover your basal metabolic rate plus the active calories you are using. your brain needs calories as much as your zumba-muscles do, and there just isn't enough there. that's why you are lightheaded. and that's why orange juice makes you feel better. that's liquid sugar and the glucose goes right to your brain. don't over think this. you know you are doing too much. during these first few intense weight-loss months, you need to take it easy. there will be plenty of time to play gym-hero in the future when you have stopped losing and started taking in more calories.

no, ghrelin is reduced in RNY more than VSG. despite the fact that the stomach remains in the body. http://www.medpagetoday.com/endocrinology/obesity/43097 "In addition, bypass patients lost more belly fat and had improved insulin secretion compared with patients who had sleeve gastrectomy, even though their total weight loss was the same, according to Sangeeta R. Kashyap, MD, of the Cleveland Clinic, and colleagues. The finding that bypass surgery patients had greater suppression of acylated ghrelin two years after surgery and had better metabolic outcomes, including pancreatic beta-cell function, suggests that ghrelin suppression may play a key role in improved glucose control, they wrote in the International Journal of Obesity, published online Nov. 22. A two-year analysis of the trial, reported last June, showed that while both surgical techniques resulted in similar weight loss at 2 years, bypass patients had greater losses in android fat -- popularly known as belly fat -- and better rates of diabetes remission. And even though the two surgical groups lost similar amounts of weight, Kashyap said the RYGB group lost about 10% to 15% more belly fat." instead of everyone throwing out baseless claims, let's do some research and link to some studies, shall we?

2 weeks, 25lbs

let's put our minds to it and come up with more descriptive subject lines than a bunch of hearts.

yes, the stall threads are getting old. my nutritionist said my weight loss is going to look like a staircase, not a slide. expect it, it's normal, it's required by your body - be patient.

your meals should be 2oz a month out. not 4oz.

impressive you have been losing 1lb/day on that many calories. your crossfire workouts must be intense. keep it up!

what is your diet like? calories?

first appt - June 2 surgery - June 28 amazing what can happen without insurance mucking up the works.

i go pretty tired of the chocolate protein shakes too after the pre-op diet. so post-op i stocked up on bottles of Isopure. they are clear, fruity drinks. they taste good and have a whopping 40g of protein per bottle. i have half the bottle in the morning, diluted with water, and the other half in the afternoon, diluted with water. then i have a protein shake at night. that's 65g of protein for the day. then i'll add in some broth for sodium. and sips of V8 or tomato soup. a spoon of non-fat organic greek yogurt if the mood strikes me. variety is definitely key. and the broth is key for me because i'm a salt person, not sweet. and yes, one of the laparoscopic holes in my abdominal wall is still hurting 2.5 weeks after surgery. but only when i stretch it too far or lift something i shouldn't. saw my doc a couple days ago and he said it's very normal, that everyone has one spot that takes longer to heal. btw - if you're interested in the Isopure drinks, the best (cheapest) place to get it is direct from their website.

always my thinking too. the sleeve is much more drastic because of the finality of it. and despite some saying RNY is irreversible, that is not true. my surgeon (director of medical group at bariatric center of excellence, has done over 3,000 bariatric surgeries) said he could easily reverse an RNY. of course, he then added that he's never been asked to, but the option is there! not so with sleeve.

i think it'd be a great idea not to own a scale during the weight loss period (first year or so after surgery). it will definitely help you avoid obsessing and focusing on health and how you feel. but i think after the weight loss has ended and you are at your new weight, it is probably a good idea to get a scale at that point. because as we all know, weight loss can be slow, insidious, and sneaky. you won't always see it in the mirror and before you know it, 20lbs have crept on. weekly weigh-ins i think will be crucial to lifelong maintenance.

i'm doing great. it's been about 2.5 weeks. zero complications. no nausea, throwing up, anything. energy is good and i'm losing a pound a day so far. can take in plenty of fluids and i'm up to 2 miles a day walking. thanks for asking. back on topic - the reason my doctor and i chose RNY over sleeve is because of the "magic" (his word, not mine) of the malabsorption component of RNY. because restriction of food/calories has never been my problem in my lifelong struggle with weight. i've never suffered from uncontrolled hunger, incessant cravings, or food addiction. for the past 5 years, i've been able to gain a significant amount of weight keeping calories around 2,000/day and most of them very clean calories (avocado, eggs, fish were/are my mainstays). i am just genetically programmed to store fat, no matter what. so because of that, we didn't think i'd get good results with just a restrictive procedure like the sleeve. we needed the ace of spades card. recent studies are bearing this out. showing that up to 70% of the weight loss after RNY is due to the profound changes in gut microbiota (not calorie restriction). there is some change in gut microbiota with the sleeve, but not nearly as much as with RNY. https://www.medpagetoday.com/endocrinology/obesity/65603 https://www.ncbi.nlm.nih.gov/pubmed/27440168 further - it's interesting to me that the #1 reason i see a lot of sleeve patients cite in making their decision over RNY is "i didn't like the idea of my intestines being rearranged". this is fascinating to me. mainly because i LOVE the idea of my intestines being rearranged. i'm a nerd and the science of it, and the elegance of the surgery, is just so cool. i love being the subject in my own walking science experiment! also, i don't understand the reasoning because "god" (or whatever) never intended a surgeon to slice off 80% of your stomach with laproscopic instruments under general anesthesia either. oh well, not hating, we all have our issues!

a brief jaunt thru your posting history clearly indicates that it is YOU who has "knotted knickers", waging a constant smear campaign against the RNY procedure. this includes promoting ridiculous myths and scare-stories. quit it. you are helping no one but yourself get over whatever insecurity you clearly have with your decision to get the sleeve. it's not a contest.

this is simply incorrect. every single study shows RNY with higher long term weight loss than the sleeve. the mini-gastric bypass beats the RNY by a hair, and the DS offers the most loss potential (but with higher chances of malnutrition complications).

wtf?!? you should not be throwing up at all. something is wrong. contact your doctor.

as long as what you're eating is healthy, don't even pay attention to calories. vegetables, beans, fish, nuts, meats (in that order, preferably). exercise WILL make you hungrier so you are listening to your body which is good. give it what it wants and needs with some more good calories. also, as you near your goal weight (new set point), you will naturally begin to eat more. this is supposed to happen and you should obey those hunger signals. think about it - if you didn't start to eat more, you would waste away to nothing. this doesn't mean your stomach is stretching. that is a myth. the key is, to satisfy that increased appetite with healthy foods. do that, and you don't have to count calories and your chances of long term success are quite high. but if you start eating processed foods, fast foods, and sweets again, the weight will slowly creep back on regardless of exercise.

focus less on weight. more on how clothes fit and how you feel. switch up exercise. up the water. stop obsessing about a largely meaningless number. (i.e. stop weighing yourself. a crossfit instructor told me my first mandatory workout is to go home and run your scale out to my trash can at the end of the driveway)

check out this short video sometime. i think you'll find it very useful/enlightening...

water (and most liquids) empties out of the pouch very quickly, almost immediately, and into your roux limb. so if you can drink without pain, go right ahead. if your roux limb is filled up with liquid and you keep drinking, you will then get a pain in your pouch. but that isn't a big deal either and you certainly aren't stretching anything out. it's just a signal to wait a few minutes for your new plumbing to clear out.

precisely why i am only going to weigh myself once a month. if that. i'd love to go scale free entirely. because weight tells you very little quality information about your health. i also know my quasi-OCD self could easily become obsessed with the numbers and i don't want that to happen. i did this surgery to be MORE happy, dammit!