FluffyChix

" Actually the studies were for 10% “overweight” so 10% over the top of the range. But you do you! And your BP should definitely be a guide. But for me, no, I honestly don’t feel different at 135 and at 160. I do believe those are vanity pounds not health pounds. " Thanks for clarifying this @jess9395! So my RDs position is correct. Good and interesting to know you felt no difference with 25extra pounds on you! That's amazing, honestly. Yes, I can only do me. I do think there are vanity issues mixed with my desire to be in normal weight zone. I also hope to be as low as I healthily can to ease pain and maybe help the bp. I don't know about that though, since I have heart damage from chemo/radiation and also have a familial blood pressure issue. My skinny sissy is ideal weight and still has super high bp. So did our mom.

Just eat the damn salmon. LOL. Seriously. The only thing that gets me sick post RNY is a food that is too fatty, or too rich, or too much cheese. Then it makes me seriously nauseated and ill. But I've been eating salmon since week 4 and it never bothers me. I now eat between 3-4oz at a meal with 1/2c of veg + 1/8c of avo/tomato salad. I am losing just fine. My doc is happy with the rate of loss (even though I'm a slow poke). and it's good healthy fats. I also eat sardines packed in water for other healthy fatty omega 3 fish. I try to eat 3 portions per week of fatty omega-3 rich proteins. I don't think you'll have issues either with the relatively high caloric load of salmon, or the higher fat macro from it. It's really good-for-you fat to have...and I eat a very low fat diet. But like Rick said, I do take in my meal load when planning for the day. So on the days I have salmon, I do plan lighter meals before that meal so I still make my daily macro and caloric targets. I weigh and measure everything.

Wow congrats on your major accomplishments!! I'm not a gym person--walking only and starting to do some baby whole body movement stuff to increase core strength only. So it's not like I have a huge caloric burn from exercise. I've heard that you shouldn't "re-eat" your exercise calories during weight loss mode. So maybe keep your one day a month cheat, but try to get some kind of plan or organization to it, so you know what to expect and estimate from that cheat day, but then go back to eating 1200 cals/day. Weigh, measure and log every bite. Protein first. Dense protein first. Clean up the crap. Limit the amount of cheese and processed meats. Toss out crappy simple carbs and excess bread. Ditch sugar if it's in your life. Limit artificial sweeteners, protein bars, protein drinks as much as you can. Eat pretty clean: dense lean protein, healthy fats, 1/2c of veggies, 1/8c salad of some kind or avocado/tomatoes. Drink LOTS. Eat 3 meals + 1-2 small snacks if you need them (100 cal prot/veg or low glyc fruit snack). And see where that gets you? You can eat a crap ton of food for 1200 cals if it's lean and mean healthy food. I know. I presently eat a crap ton of food on only about 650-850 cals day.

I'd choose your Dr. Sis over Dr. Google any day of the week.

I was 260 day of surgery. I’m 209 today (just haven’t updated). And 130?!? Yikes I’d look like the crypt keeper! Haha! For sure! ((hugs))

Your medically defined ideal body weight is 130lbs. 100lbs for 5 feet. 6x5=30lbs for the six inches over 5 feet. So 130lbs ideal body weight. Surgery day you were about 210lbs. That means you had 80lbs of EBW (excess body weight) to lose--(210lbs-130lbs=80lbs EBW). Congrats!

Congrats! Those are outstanding NSVs!!

That’s actually true. They have done studies that show people who are 10% over their ideal body weight actually live the longest. Yes, but your statement and my statement from the RD are different. Ideal body weight for a woman is medically defined as: 100lbs for the first 5 feet, then 5 pounds for every inch over 5 feet. I'm 5'4" so my ideal body weight is 120lbs. You are saying the studies observe that +10% over ideal body weight which for me would be 132lbs shows no medical disadvantage. The possiblity being that for every pound over 132lbs, there is medical disadvantage. My RD is saying that "what does it hurt to let yourself off the hook." You look great now at this weight (163lbs). So go ahead and get down to the 151lbs (70% loss of EBW -- which is based on ideal weight) and not worry about trying to go lower. Cuz it is not significantly better if you are 10% above "normal weight." Normal weight range is defined for me as anywhere from 108-145lbs depending on which chart you are looking at. And RD is saying that 145lbs +10% is 159-160lbs. I'm betting there are medically significant problems with being at 159-160lbs at my height. I actually experience some of them still--even though they are greatly improved. Just the reduction in weight bearing load alone will improve my arthritis pain from 159-160lbs down to the 130ish area. I will have less fat, so hopefully, my cancer recurrence rate will also improve in the normal weight range. And I may finally be able to ditch my last bp med. My bp is still hangin between 130-145/80. Two completely different weights lol: 132lbs and 160lbs. I bet you felt better when you got to 135lbs than you did at 160lbs? Running was easier? Well, my secret goal is 125-130lbs. But I'm afraid to hope and plan for that cuz I don't want to let myself down. So I set a goal of <145lbs. Anything below it works cuz I will officially be in normal weight territory. Sorry for the math stuff!!! Cheers everyone!

I've been low carb for a very very long time. I only eat adequate protein though, not high protein. I've never heard of keto rash--doesn't mean it doesn't exist, but I'd think it was a food sensitivity or allergy of some sort. Have you changed soaps or dry cleaners or anything lately? How are the fall pollens in your area?

Gorgeous! Congrats!

Congrats and what a relief to check that off your list!!

Going by this calculator, I'm past 80% of the population mark at 6 months rather than 18months. I'm now working on the 50% mark. I was 222lbs surgery wt. I'm currently 163lbs, a 59lb loss. Ideal body weight for 5'4" woman is 120lbs. So I had 102lbs of EBW. 59/102=57.8% of my EBW has already been lost at 6 months. Something my doc was very happy about yesterday. If I am to expect an 70% loss average for RNY patients post surgery, my expected average new weight would be: 102 x 70%=about 71lbs of loss. So 222-71=151lbs. By the way, that website cites the 50% of patients reach their 70% goal. That's my 50% range goal=151lbs. At that number though, I would still be in the overweight category. I'm going to do everything short of crazy to get to a "normal" weight. Incidentally, my RD told me yesterday that statistically there is no health advantage in getting into the "normal" weight bracket from the bracket I'm currently in right now, which is a BMI under 30. I'm not sure I buy that...but whatevs. I'm hoping to get to anywhere below 145lbs.

I know, I was just giving myself something humorous and purile to laugh about on TGIF.

Never mind that one, man! What position were you put in for your 20 minute colonoscopy? ROFLMFAO!!!

Just plug those numbers into My Fitness Pal under "goals" and you should be golden.

So sorry for your huge loss!! ((hugs)) Talking is good. Talk through your feelings and grief with anyone you can! I second the grief groups through church and also counseling. There are counselors in churches who also know how to help people grieve. Cry, shout, sing, wail, laugh, remember the good things. Watch lots of comedies. Go exercise/walk. Get out in the sun for Vitamin D therapy. Do not bring crap into your house. And do three things (positive) to help yourself and care for yourself every day. Check them off your list as you go. Hang in there!!

Congrats! Good luck this time through!

Holy cow! Beautiful! Now gimme your arms!

Yes. The most recent studies are trending toward VSG, short op time, lower complication rate, and they think that malabsorption isn't as great as it was with the longer bypasses from the old days. After about 18mos to 5 years, the malabsorption level is minimal anyway. Microvilli in the gut regrows at an alarming rate so that the body can "clean" more nutrients and calories out of the food that is swiftly passing through the gut. It's an adaption process the body goes through.

Ok, so last appointment before surgery the doc throws out, "Oh, btw, I'm gonna give you a shorter bypass..." And I was into my uber-compliance doc-pleasing phase and didn't think to say, "Wait! Whah? NOOOOOOOOO!!!" Her reasoning I believe is because by that time, I'd already come down from 287 to 234lbs. And my RD was reporting "super-compliance" and over-attention to details and self-restriction--which they already knew anyway. So she could have been hedging her bets that she would give me an RNY style food restriction in a low pressure system (not as much GERD issues cuz of low pressure system and not as much reflux from acid due to stomach partitioning--which is why she agreed with no VSG in the first place. I have pre-cancerous cells in tummy and duodenum). I think she maybe didn't want to do as much bypass to reduce a little of the malabsorption and maybe not run into issues with the effectiveness of my cancer drug being absorbed. If she'd had her way I would have had a VSG--so no cancer drug absorption to worry about, and lower weight at time of operation, etc.

Which part. LOL?

Mine really wanted me to have VSG based on the amt of weight I had left to lose and the level of my diet compliance. She arbitrarily chose to give me a "short bypass." And I'm thinking she may have left my RNY purposely bigger too. I need to order a copy of my surgical report from the hospital...

Sorry! That's a typo in my history. I was stuck at 260lbs. LOL. Not 160lbs. I haven't been 160 since 20 years ago. LOL. Will go correct it.

Yep. I wanted a "one shot deal." My doc doesn't do DS and I wanted to stay within my health system cuz of all the cancer and surgeries. So I chose RNY.

You should google the studies/work of Dr. Walter Long (think he's out of USC)? And also Krista Varady. I think Dr. Chang is also very actively pursuing the studies on longevity. The all revolve around the Sirtuan SIRT genes and restoration of telomere length. Dr. Longo is a normie/normal weight dude and still does IF/ADF. He does it to promote longevity.