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SpartanMaker

Gastric Bypass Patients
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Everything posted by SpartanMaker

  1. SpartanMaker

    Eating/Bite Timer

    I picked one up called Chlow. I haven't really used it, but it's free, so you can always give it a try and see if it works for you.
  2. SpartanMaker

    September surgery buddies!!

    Wow, that's a long time, but hopefully it will be easier post-surgery than it would beforehand.
  3. SpartanMaker

    September surgery buddies!!

    Oh no! sorry to hear that. I'm kind of expecting the same thing, so I laid in a supply of bone broth and unflavored protein powder, as well as bariatric pal soups and hot chocolate. Hopefully the variety will keep me going. 2 weeks on a liquid diet is a long time.
  4. SpartanMaker

    September surgery buddies!!

    Got it. Guess I'll try to enjoy the easy days!
  5. Could be dumping syndrome, especially because you ate something you know you shouldn't have. Everyone reacts differently and the foods that trigger it can vary. The other option may be orthostatic hypotension. This is really common in bariatric surgery patients. It happens because you used to have a massive blood volume to carry blood to all that fat. As you lost weight, your overall blood volume also went down because you didn't need that much any more. The problem is that your veins and arteries don't shrink as quickly as the blood volume dropped, so now you have less blood, in a still large container. That equals lower blood pressure in general, but it's especially bad when standing from a sitting position. Your blood can rush to your legs and that causes a corresponding loss of blood in your head. That can cause dizziness and fainting. For most people, this will go away in time as your veins and arteries shrink, but it could take a few months. In the interim, some strategies you can use would be increasing your salt intake and the use of compression stockings. As always, don't take the work of some rando on the internet (me). Talk to your surgical team and get it checked out.
  6. Sounds about like my experience with an endoscopy. I went into it really worried because I was concerned they were going to find something and tell me that I was not a good candidate for bariatric surgery. Thankfully that was not the case. The guy that did it was not my surgeon, but one of her partners. He came over as soon as I woke up and told me that he didn't see anything concerning that would prevent bariatric surgery. I was very appreciative of him doing that.
  7. SpartanMaker

    Surgery the end of this month!

    This will be my 15th or 16th actual surgery, including open heart surgery in 2020. I'm always nervous about them and I think that's healthy. It's perfectly normal to wonder if you'll get the results you are hoping for, to be concerned about how much pain you'll have and how your life might change, and to be concerned about potential complications. The way I have always coped is to learn as much as I can about the surgery in question. Regarding my bariatric surgery, I know my specific risk factors and how to minimize those risks. I have detailed plans for every step of the recovery process, including how I'll eat, and how I'll deal with pain or complications. I know that stalls are a normal part of the process and that scales lie. I know that what really matters is how I feel. I know exactly why I want the surgery and how my life will improve as I lose weight. I have very specific goals related to % body fat loss and rewards planned as I progress. I short, I have done everything I can to mentally and physically prepare myself for this surgery. This preparation reassures me that this is the right choice and makes be feel in control, which goes a long way toward alleviating the fear.
  8. I think your focus may be on the wrong thing? I feel like you're asking if there's something wrong with your surgery, but it seems to me the real issue is your mental state and your relationship with food. I say this because you mentioned you shouldn't be able to eat that much, and that it concerns you that you can, yet you still did it anyway. We all sometimes do things we know we shouldn't, but when the "shouldn'ts" become a habit, we have an issue. The surgery as a tool will only get you so far. You still have to put in the work to follow your plan. If you're struggling to keep on plan, the help you need may be therapy to understand why you're being driven to over eat.
  9. SpartanMaker

    September surgery buddies!!

    Day two here. Day one was easy, but maybe too easy? Makes me wonder if it's going to get harder since so many people complain about how hard it is. On the broth, have you considered making your own broth? It's pretty easy and you can control the sodium content.
  10. 2 weeks out from surgery and I'm starting my pre-op liquid diet today.  3-4 shakes per day, plus clear liquids.  Also allowed one cucumber or pickle per day if I need something to crunch.  Concerned, but hopeful...

  11. SpartanMaker

    Beware The Coffee Creamer Pipeline

    I drink decaf and use some of a premier protein caramel drink as the "creamer". It works for me, get's me a bit more protein in my diet and avoids the sugar.
  12. Sorry, two of the fairlife nutrition drinks = 60 grams of protein, not three.
  13. I recently posted something that might help? https://www.bariatricpal.com/topic/441918-six-sources-of-behavior-change/
  14. You need to stop thinking of the concept of "meals". It's too soon for that. Instead you should be doing 2 things: Drinking water or other clear fluids. Most docs want you to hit 64 oz or more, but this can be a challenge for some. Things like flavored water, herbal tea, broth, popsicles, sugar free jello, etc. all count as fluid. Get protein in liquid form or maybe pudding consistency depending on your program. (Some programs have you advance to yogurt and/or cottage cheese sometime between day 4-14.) Premade protein drinks, protein powders, etc. all count here. You should be targeting 60 grams of protein, which is basically 3 of the Fairlife Nutrition drinks you already have. At this point you should be sipping these and it may take 30-60 minutes to drink one. If you don't want to do those, you can also add unflavored protein powder to broth, or try a flavored protein water drink, though you'd generally have to drink more of these to get to 60 grams of protein a day. The good thing about the protein water is it would count toward both your protein and your water goals, unlike the shakes.
  15. Sharing a blog post I wrote a few years ago that I thought might help some of you... On the face of it, losing weight seems so simple. How many times have we all heard statements like “just eat less and move more!” While that type of sentiment is factually true, it can be incredibly hard in practice. The reason is because we all are creatures of habit. Now when I say habit, I don’t want you to think of the negative connotation we sometimes give to the word habit. Habits can be and often are, good things. An example would be brushing your teeth before bed. If that’s a habit you have (may of us do), it would be hard to classify that as a bad thing. We do it partly because we know we should, but also because it’s just become a habit, and things would feel off if we didn’t do it. In fact, because so much of what we do on a day-to-day basis is routine, habits help us get those things done without having to exert much extra mental energy to them. It follows that if we want weight loss or other healthy behaviors to become habit, we have to “hack” our brains a little. We do that by replacing old behaviors with new behaviors. Over time, the new behavior become a habit that replaces the old behavior we want to get rid of. This again sound simple enough, but because we as humans are wired to seek out rewards, we sometimes do things we know we shouldn’t. This means we can’t just flip a switch and start working out, or ”eating better” (whatever that means). We first have to make sure the reward we get for the current behavior is minimized, and the reward we get for the new behavior is maximized. By doing that, we can slowly change behavior. To make this easier, I have grouped behavior change into six dimensions we need to focus on: We’ll start with the 3 dimensions of motivation. Motivation is often misunderstood, so I want you to think about it a little differently than you may think of it now. Motivation is simply the mental processes that drive your behavior. Thus when someone says “I have no motivation”, that’s actually incorrect. They do have motivation, they just have motivation to do something else. Personal Motivation – These are things that internally motivate you as an individual person to act in a particular way. There are several factors that make up personal motivation, but the most important factor is how a new behavior makes you feel vs. the current behavior. To change behavior, we need to minimize the negatives associated with the new, desired behavior and maximize the positive aspects of it. We also want to do the exact opposite for the bad behavior we want to replace. For a more personal example, I like fishing but am not a big fan of slow cardio (too boring to me). I can turn boring exercise into playing simply by using a row boat or kayak to fish from, rather than a motorized boat. If you have small children, you could play tag or hide and go seek with them, rather than walking on a treadmill. Social Motivation – This form of motivation is all based on the fact that at our core, people are social animals. In short, we crave acceptance by others. While this can be a negative if taken to the extreme, we can also make it work to our benefit. Examples would be having one or more accountability partners or using social pressure to ensure compliance. Structural Motivation – Also known as the “carrot & stick”. The goal is to find ways to add in additional punishments for bad behavior and rewards for good behavior. For example, many people find that meaningful financial rewards or punishments can drastically impact behavior. An example might be “placing a bet” with a family member that you will not eat any highly processed foods for the next month. If you succeed, you get the payout, but if you fail, you have to pay instead. Obviously the carrots & sticks don’t have to be financial at all, but for many people money is a big motivator. We move now from Motivation to Ability. I want you to think of ability as how prepared you are to replace bad behaviors with good ones. It does us no good to be super motivated to take on a new good habit if we don’t have the knowledge, skills, or ability to actually incorporate the that habit into our lives. Personal Ability – This is all about learning and developing the skills, tools & knowledge you’ll need to actively engage in the new behavior. For example, if my goal was to use horseback riding as exercise, I’d have to get a horse, find a place to board the horse, learn to ride, learn to care for the horse, etc. before that could become a reality. This is obviously an extreme case, but too many times we expect that simply having motivation will be sufficient to reach a goal. The fact is it’s not. No matter what the goal is, there is some level of knowledge or skill needed to make it happen. A more concrete example might be “wanting to eat more vegetables”. For many people, this is a challenge not because they don’t like vegetables, but because they have no idea how to prepare them. Learning to do so would be the TRUE first step to a better diet. Social Ability – Teamwork is the operative word here. Perhaps you really struggle to walk enough on a daily basis, but you also know if you have someone to walk with you, it would make it much more enjoyable for you. This can also refer to using a coach or expert to help. If you know you need to use strength training to reach your goals, but don’t have any idea where to start. Enlisting the help of a professional might be just the thing you need. Structural Ability – I like to think of this one as cheating to your advantage! So many times, we create environments where we’re almost bound to fail. Examples are things like keeping a bag of chocolate or saving your “fat clothes” just in case. Another classic example would be failing to plan meals ahead of time. Instead, we need to change everything we can about our environment to support us making good choices and eliminating anything that causes us to stumble. Taken together, these six sources of habit change can help you replace bad habits with good ones, but it’s not magic. You still have to work at it and you still have to make yourself more aware of when and why you are choosing bad habits over good ones. This awareness is really the first step to success.
  16. On the face of it, losing weight seems so simple.  How many times have we all heard statements like “just eat less and move more!”  While that type of sentiment is factually true, it can be incredibly hard in practice.  The reason is because we all are creatures of habit.  

    Now when I say habit, I don’t want you to think of the negative connotation we sometimes give to the word habit.  Habits can be and often are, good things.   An example would be brushing your teeth before bed.  If that’s a habit you have (may of us do), it would be hard to classify that as a bad thing.  We do it partly because we know we should, but also because it’s just become a habit, and things would feel off if we didn’t do it.  In fact, because so much of what we do on a day-to-day basis is routine, habits help us get those things done without having to exert much extra mental energy to them.

    It follows that if we want weight loss or other healthy behaviors to become habit, we have to “hack” our brains a little.  We do that by replacing old behaviors with new behaviors.  Over time, the new behavior become a habit that replaces the old behavior we want to get rid of.  

    This again sound simple enough, but because we as humans are wired to seek out rewards, we sometimes do things we know we shouldn’t.  This means we can’t just flip a switch and start working out, or ”eating better” (whatever that means).  We first have to make sure the reward we get for the current behavior is minimized, and the reward we get for the new behavior is maximized.  By doing that, we can slowly change behavior.   

    To make this easier, I have grouped behavior change into six dimensions we need to focus on:  

    image.png.ac68caf6a15b52bae650279b6f652ddf.png

    We’ll start with the 3 dimensions of motivation.  Motivation is often misunderstood, so I want you to think about it a little differently than you may think of it now.  Motivation is simply the mental processes that drive your behavior.  Thus when someone says “I have no motivation”, that’s actually incorrect.  They do have motivation, they just have motivation to do something else.

    Personal Motivation – These are things that internally motivate you as an individual person to act in a particular way.  There are several factors that make up personal motivation, but the most important factor is how a new behavior makes you feel vs. the current behavior. To change behavior, we need to minimize the negatives associated with the new, desired behavior and maximize the positive aspects of it.  We also want to do the exact opposite for the bad behavior we want to replace.  

    For a more personal example, I like fishing but am not a big fan of slow cardio (too boring to me).  I can turn boring exercise into playing simply by using a row boat or kayak to fish from, rather than a motorized boat.  If you have small children, you could play tag or hide and go seek with them, rather than walking on a treadmill.      

    Social Motivation – This form of motivation is all based on the fact that at our core, people are social animals.  In short, we crave acceptance by others.  While this can be a negative if taken to the extreme, we can also make it work to our benefit.  Examples would be having one or more accountability partners or using social pressure to ensure compliance.

    Structural Motivation – Also known as the “carrot & stick”.  The goal is to find ways to add in additional punishments for bad behavior and rewards for good behavior.   For example, many people find that meaningful financial rewards or punishments can drastically impact behavior.  An example might be “placing a bet” with a family member that you will not eat any highly processed foods for the next month.  If you succeed, you get the payout, but if you fail, you have to pay instead.  Obviously the carrots & sticks don’t have to be financial at all, but for many people money is a big motivator.  

    We move now from Motivation to Ability.  

    I want you to think of ability as how prepared you are to replace bad behaviors with good ones.  It does us no good to be super motivated to take on a new good habit if we don’t have the knowledge, skills, or ability to actually incorporate the that habit into our lives.    

    Personal Ability – This is all about learning and developing the skills, tools & knowledge you’ll need to actively engage in the new behavior.  For example, if my goal was to use horseback riding as exercise, I’d have to get a horse, find a place to board the horse, learn to ride, learn to care for the horse, etc. before that could become a reality.  This is obviously an extreme case, but too many times we expect that simply having motivation will be sufficient to reach a goal.  The fact is it’s not.  No matter what the goal is, there is some level of knowledge or skill needed to make it happen.  A more concrete example might be “wanting to eat more vegetables”.  For many people, this is a challenge not because they don’t like vegetables, but because they have no idea how to prepare them.  Learning to do so would be the TRUE first step to a better diet.    

    Social Ability – Teamwork is the operative word here.  Perhaps you really struggle to walk enough on a daily basis, but you also know if you have someone to walk with you, it would make it much more enjoyable for you.  This can also refer to using a coach or expert to help.  If you know you need to use strength training to reach your goals, but don’t have any idea where to start.  Enlisting the help of a professional might be just the thing you need.

    Structural Ability – I like to think of this one as cheating to your advantage!  So many times, we create environments where we’re almost bound to fail.   Examples are things like keeping a bag of chocolate or saving your “fat clothes” just in case.  Another classic example would be failing to plan meals ahead of time.  Instead, we need to change everything we can about our environment to support us making good choices and eliminating anything that causes us to stumble.

    Taken together, these six sources of habit change can help you replace bad habits with good ones, but it’s not magic.  You still have to work at it and you still have to make yourself more aware of when and why you are choosing bad habits over good ones.  This awareness is really the first step to success.
     

  17. SpartanMaker

    September surgery buddies!!

    If you're on a PC, click on your name at the top, then "My Surgery": Then: Progress: Then change your weight: Then click save:
  18. SpartanMaker

    September surgery buddies!!

    Do you have anyone that can help you for a few weeks? My doctor's office said they don't even want us bending over to do things like load/unload the dishwasher or do laundry.
  19. SpartanMaker

    September surgery buddies!!

    You might also look into protein waters. Gatorade makes one, as do other companies that don't have the electrolytes in them. There are a lot of folks on here that complain about not being able to hit their water or protein goals early on, so I'm hopeful these will help me better hit both, since it's double-duty.
  20. SpartanMaker

    Is this normal?!

    Great to hear!
  21. SpartanMaker

    September surgery buddies!!

    Based on that, and a starting weight of 345, that means your lean mass (muscles, organs, bones, etc.), is 172. While you will lose some of that lean mass as well as fat post surgery, I hope you can see why 125 is just too low. If we pick a healthy percentage of body fat of 27%, and use a proprietary calculator I developed that assumes a certain percentage loss of lean mass into account, that would put you somewhere between 185 and 220. I know that's a lot higher than what you were thinking, but I feel that's a better goal for now. Like I said, once you get to 220 (or 200 if you want to split the middle), you can always adjust downward if you're not happy with how you feel.
  22. SpartanMaker

    September surgery buddies!!

    I think it's a great idea. Were I you, I'd focus on cleaning up my diet, e.g. start eliminating the junk and focus on eating more lean protein and vegetables. Even low carb junk is still junk, so it's best to avoid it. I can understand the desire to be lower than your spouse, but I honestly think 125 is way too low for you. Obese people have enlarged hearts and livers, denser, heavier bones, and increased blood supplies to carry blood to all that fat. As a result, you can't use "averages" based on height (such as BMI) as a guide. The best bet would be to use your percentage of body fat and pick a health body fat from something like this: My best guess would be that somewhere between 150 and 175 would probably put you in the right range. If you know you actual percentage of body fat now, I can calculate a better number for you. Remember too that if you get to a higher weight, you can always set a new lower goal if you don't like the way you look and feel at that weight. On the other hand, if you set a goal that's too low, you'll just get frustrated trying to reach an unattainable goal.
  23. SpartanMaker

    So many updates, so little time...

    That's awesome, congrats! I know if can't have been easy to do that when working full time. Oh, and thanks for helping keep our money safe from the slime balls.
  24. SpartanMaker

    So many updates, so little time...

    Glad to hear you're doing better! I hope the scope identifies the cause and you get some relief. If you don't mind my asking, what degree are you working on?
  25. SpartanMaker

    Is this normal?!

    GERD is just a more serious version of reflux. The difference is that GERD is recurring, vs. the occasional reflux that everyone gets now and again. Often with GERD, the esophagus is damaged because the lower esophageal sphincter (between the esophagus and the stomach), is damaged. That allows acid to freely flow up into the esophagus. Bottom line, you may have reflux, but typically you'd need a doctor to confirm GERD. To your pain... I agree you should speak to your surgical team. This does not sound normal, but they would know best. I would expect you to have some extra pain around day 4 if you had a nerve block like Exparel, but what you're describing sounds different than typical post-surgical pain.

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