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February 2024 Surgery Buddies?
NickelChip replied to NickelChip's topic in PRE-Operation Weight Loss Surgery Q&A
Here is my 4-week post-op update: Highest weight: 251 Start of 2 week pre-op diet weight: 238 Day before surgery weight: 226 Today's weight: 214.8 I had a stall that began exactly at the 3-week post-surgery mark and lasted 7 days. Below are photos taken before surgery and this morning. -
Weight Comparison 3.22.24.png
NickelChip posted a gallery image in Before and After Gastric Bypass Photos
From the album: My Progress
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I would love to say don’t worry about the comments but the honest truth is I probably would too. lol. Maybe if you get in to see your team and run it by then they will make you feel better about allowing your body to find its new happy place. Keeping in mind that most people do have some bounce back weight whether it’s the same year or three years down the road you will be lucky in my opinion to have a little cushion there. I also have to ask, are the people making these comments bigger than you now? Some people could actually be jealous or they just need you to be heavy to make themselves feel better. Maybe They were used to you bejng the overweight friend making them feel better about their own insecurities. Some may be Thinking things like I may be overweight but it’s not like I’m as big as some people I know (aka you). Now they have to look at themselves and feel what they actually feel without justifying it in that way. Or Perhaps they are thin but they felt inferior to you in some other way and In their mind their insecurity was off set by the fact that you were overweight (I’m not as funny or smart or whatever it may be but at least I’m not overweight). Not sure if that makes sense or if it’s exactly one of those thing but if I had to guess it’s something that is 100% a them thing not a you thing. You are doing great!!
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Well, I think you look spectacular and very healthy. The transformation is absolutely stunning! I also think as our population trends heavier, we don't see the extra weight as much. I was a chubby kid, and I was like one of maybe 3 chubby kids in my entire grade, not just my class. I dieted like an idiot as a teen and got down to 126 lbs and I was nowhere close to the thinnest person in my friend group. Nobody said anything about me getting too skinny, for sure. I gained weight in college and by the time I graduated, I was overweight again, and obese by the time I hit my late 20s. I always felt like the biggest person in the room (at, like 210 lbs). But by the time I was in my mid-30s, I started seeing bigger people than me all around. Everyone was getting bigger. My weight went up to 225, but many of the parents of kids in my daughters' grades were way bigger than that. It almost had an insulating effect from my own weight gain, because I was no longer the biggest person in the room. I just kind of looked normal. When a friend heard I was getting bypass, her first response was "but you're not that big" and at this point I was 250 lbs with a 40+ BMI, plus high blood pressure, prediabetes, and high cholesterol. And this was from a person who is in the healthy BMI range and never been overweight. So I definitely think we've become so used to seeing larger people that we think "obese" is a term reserved for the people on television shows who weigh 600+ pounds. And, of course, the rapid weight loss from surgery is jarring so people notice it more. But don't let their comments get to you!
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I agree 100% that BMI is completely flawed. When I was young I did fit right in there but at around 25 I just started gaining and never stopped. I would love to get back to that perfect BMI but I just don’t see if Happening for me.
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I love that last part. That’s so true. I am looking at every way or calculating it and it boils down to the fact that losing only a percentage of that I am most likely not going to reach my “happy weight” however I will lose a large amount of weight and I will be healthier. That’s what matters most.
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Excess body weight equals your starting weight minus your "ideal" body weight (not the highest weight in your healthy BMI range). You can calculate your ideal body weight here: https://www.calculator.net/ideal-weight-calculator.html You get several slightly different calculations with this, plus a healthy BMI range (in my case, 114.6-154.9). For me, 3 out of 4 calculations tell me my ideal weight is 130, so I'll go with that. It should be noted, that is not my "goal" weight. Keep in mind all of this is a guessing game, not an exact science.
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We really didn't know each other that well then, so I don't think they would have said anything when I was overweight... In fact nobody did. I've even had people tell me that they didn't notice that I was over weight. Weird. And I guess, sure. I have friends who are overweight and I don't "see" it because I love and care for them. The problem for me, is I carry what weight I have very well and look way smaller than my weight suggests, which might spur the comments. I also dress myself in a way that makes me appear smaller, so 🤷♀️ I've included the most recent picture. My jeans are a 2 and my shirt is a small
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Dang. That eliminates what I would say. I will say this, though. Did these same people tell you to your face you were "too fat" when you were obese and your weight was actively trying to shorten your lifespan? Or is it just your skinniness that worries them? Because you are right in the middle of a healthy weight range right now. You could drop to 125 lbs and STILL be 100% healthy and normal weight. So, if these people weren't telling you every day when you were 262 lbs how worried they were about your weight, I don't think I'd trust their judgement where weight is concerned. I'm not saying the comments don't come from a place of love, but they do seem to come from a place of ignorance.
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Thanks, everyone! Let me ask, how'd you handle the comments of "You're too skinny?" I get that from several people and it's infuriating. They are older and I respect them, so I don't want to give a mean comment. Oh, and the stares and jealous looks. In my mind I tell myself, "if your (talking to them in my head 🤷♀️) weight were that big and issue to you, then do something about it. That's all I did." An 126 lb weight loss in less than a year is massive change but the comments and looks...so isolating sometimes. Thankfully, another friend of mine has had the surgery as well, so I can talk through it with her. But what really iced my cake is she doesn't get the same stares and comments from the same group we run in. Unless, I'm reading too much into it. People who didn't know me from before look at me or comment me like a "normal" person. For example, I was at the doctor's office yesterday and we were discussing a dose change for a medication, and he said, "for people of healthy weight, such as yourself... " I just want to video it and play on repeat. Sorry, my passive aggressive fell out 😂
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From what I know if you look at your BMI range, it is the top figure weight, say in my case, 78 kg. You now take your current weight, which when I started surgery was say 128 kg. Sorry I work in Metric but it works the same in imperial. 128-78 equals 50 kg. That 50 kg is my XS weight, so if mini gastric bypass has a predicted loss of 70 to 85% of the XS weight then it is 70% of 50 kg to 85% of 50 kg. I.e 35 to 59.5 kg is what I am expected to lose with the procedure. When it comes right down to it from what I understand. If like me, you have been obese all your life. Then you will have thicker, heavier bones to support that weight, more skin to wraparound it and a larger heart to pump blood around your body, so that means no matter what the general BMI limit is it is not totally relevant and there has been some suggestions by bariatric surgeons that to aim for a BMI of 30. BMI is intrinsically a flawed concept as it does not take into account, body muscle mass. You will know the example of the brick **** house musclebound New Zealand rugby player with no fat, looking like a crazy obese person on paper because they have a BMI of 45. I am 52 this year, so I think I would be happy with something above the BMI range. Otherwise my skin will waft in the breeze! 🤣
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Would I be right in thinking your nutritionalist is recommending a keto like diet? They are big on no root vegetables & no corn, peas because of their naturally high sugar content. (Potatoes are often a no because they are considered a starch.) I regularly ate carrot & sugar snap peas. I threw frozen corn & peas into soups, mince dishes, some slow cooked dishes, omelettes, etc, I usually just microwave my vegetables with a splash of water & a dab of butter but also will stir fry & occasionally roast (especially cauliflower with a little hummus & zataar to serve). I love vegetables & enjoy them best simply with salt & pepper but don’t be afraid to try herbs & spices. The only vegetables I don’t eat is potato, sweet potato & pumpkin (they tend to sit heavily) except a very small piece (bite or two) with a roast dinner. My thoughts were & are vegetables are vegetables (except potato). They are highly nutritious (all those vitamins, minerals & fibre) so a valuable addition to our food choices. And the little we eat, especially in the first months will have minimal impact on your calorie intake & weight loss. I mean 1/4 cup peas is 30 calories if you can eat that much. Plus the ‘sweet’ vegetables are naturally sweet so they don’t count towards your sugar intake. Certainly didn’t affect my weight loss or maintenance. I say eat your vegetables, just watch portion size & what you serve or add to them. Like no honey glazed carrots, sour cream or cheese sauces at least for a while.
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From what I know if you look at your BMI range, it is the top figure weight, say in my case, 78 kg. You now take your current weight, which when I started surgery was say 128 kg. Sorry I work in Metric but it works the same in imperial. 128-78 equals 50 kg. That 50 kg is my XS weight, so if mini gastric bypass has a predicted loss of 70 to 85% of the XS weight then it is 70% of 50 kg to 85% of 50 kg. I.e 35 to 59.5 kg is what I am expected to lose with the procedure. When it comes right down to it from what I understand. If like me, you have been obese all your life. Then you will have thicker, heavier bones to support that weight, more skin to wraparound it and a larger heart to pump blood around your body, so that means no matter what the general BMI limit is it is not totally relevant and there has been some suggestions by bariatric surgeons that to aim for a BMI of 30. BMI is intrinsically a flawed concept as it does not take into account, body muscle mass. You will know the example of the brick **** house musclebound New Zealand rugby player with no fat, looking like a crazy obese person on paper because they have a BMI of 45. I am 52 this year, so I think I would be happy with something above the BMI range. Otherwise my skin will waft in the breeze! 🤣
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February 2024 Surgery Buddies?
BlueParis replied to NickelChip's topic in PRE-Operation Weight Loss Surgery Q&A
Morning all ( well it's the morning here)! I weight in (officially) every Friday (In truth I have issues avoiding jumping on the scales every day) I'm 5 weeks post-op today. Opération day weight 91.1kg ( 200.5 lbs - 14 stone 4 and a half) • Current weight 80.9kg ( 178 lbs - 12 stone 10 and a half) • Weight Lost 10.2kg or 11.19% of starting weight ( 22.5 lbs 1 stone 8 and a half ) • Starting BMI 32.65 • Current BMI 29.1 So my stall has well and truly broken and I think I'm on the right path! -
i lost 10 lbs in the month after reaching goal. and then another 5 or so lbs in thr 2-3 months following. the fear of losing too much weight is a common concern to those who reach goal (or are nearing it) it doesn't last long. slowly up your calories if you can...if u cant now, trust me, you will have no problem later. if you continue to lose weight over months (not weeks as its way too soon for concern) and you dip below 18.5 BMI and your doc/team is concerned , then that will be your cue to be concerned. otherwise use this time to figure out what YOUR maintenance calories are (not what is recommended to you as we are all different and require different calorie intakes) and enjoy and bask in your success! congrats!
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I kept losing for almost another year after I reached my goal. It began at a similar rate of loss as I was experiencing but gradually got less & less until it stopped. Over that time I increased my calorie intake (added more & more snacks) & my portions got a little larger. I was eating about 1300 calories when I initially stopped losing but eat about 1500/1600 to maintain at about the same weight now. Like @Spinoza, I’m a believer in our changed set point. This is the weight my body is happy at & this is the weight it wants me to be thanks to the surgery. Could I eat my set point up? Yes, if I wanted. I mean that’s what we did before - ate our set point higher. Our original set point wasn’t an obese weight. Don’t forget you may initially stop at a lower weight than you expected but it may give you wriggle room if you experience the bounce back regain around years 2 or 3. Give your body time to resettle. Lots of things change when your weight starts to stabilise. Just give it time. Slowly increase those calories. Get in touch with your dietician for ideas of what you can add or how you could adjust your current eating plan. Good luck.
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Interesting question. Some say it’s the weight you need to lose to put you at a healthy BMI. Some say it’s the weight they personally want to lose to put them in their happy weight zone - a weight that worked for them in the past or they think will work for them in the future. Personally, I think of it simply as the weight you want to lose to get to your goal regardless of how you worked it out or chose it. Not as a sort of standardised amount of weight defined by someone else (surgeon, dietician, etc.) or statistical data. This (weight loss) is all about you & your experiences & no one else’s. As you know not every one reaches their goal & statistically average weight loss with sleeve or bypass is about 65% of the weight you are to lose (based on BMI defined excess weight). And then there are those who find they’re happier at a weight that is more or less than the goal they initially chose. They all lost excess weight & are healthier for it.
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Question. How do they determine “excess weight.” Is it calculated from a certain BMI?? I tried to get an answer to this three hears ago when I was awaiting the sleeve and I still haven’t figured it out.
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You can take my advice with a grain of salt since I've never been in the position of losing too much weight and am only 4 weeks post-op, but I think at this point your best bet is to ignore calories and just listen to your body. Eat if you're hungry, don't eat if you're not, and focus on nutritious food. Your body will stop losing weight when it feels like it. I agree with @Spinoza that I think the surgery gives you a new set point. It's best to just see what that is and only worry about it if it's so low that it's unhealthy. More than likely, it'll bounce back up on its own if it's too low for you to maintain. But better you bounce up to where your goal was initially than put the brakes on now and then bounce up 10 lbs higher than you wanted in a year.
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Differences in size never cease to amaze me. I am almost exactly the same weight as you but 3 inches taller and I am a US size 8-10. No idea how that happens. OP I am a firm believer in the concept of a new set weight after bariatric surgery. I would have been happy 15 or 20 pounds heavier than where I settled. That was my goal actually. After I got into that ballpark I didn't try to lose any more, but it just happened. And then, eating very much the same stuff, my loss then stopped. And I've maintained thereabouts for a year or more with very little effort. If you can keep eating healthy and nutritious foods then could you just see where that gets you to? There are lots of healthy people with a BMI of 25+ and lots with a BMI of 19-. You'll find yourself somewhere in the middle eventually I suspect.
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3 Days Post Op - Just Documenting My Journey
doubleJointed replied to doubleJointed's topic in Gastric Sleeve Surgery Forums
Thanks for the reference. I ended up having a capsulorrhaphy procedure on my right shoulder about two months after my VSG surgery. They also repaired the labrum, rotator cuff, and she spent over 45 minutes just cleaning up the bursitis. She put in 4 anchors during the procedure just to try and stabilize the shoulder. I used Alison Cabrera @ UTSW, and would highly recommend her. I ended up on daily hydrocodone just to get me to that surgery, however, I was still able to maintain my daily steps. Shoulder surgery is no joke! And this was all done to try to get me another 10 years so I can get reverse shoulder replacement 😐 My range of motion is limited now, but that was to be expected. I'm doing my best to protect my left shoulder so I can avoid surgery as long as possible. I've finally gotten used to sleeping flat on my back. For VSG follow up, I ended up about 80lbs lost. Right now I'm sitting about 75lbs down (gained 5lbs back) as I am noticing I can eat a little more (but still really restricted). I have a little anxiety about that as I am just over 10 months post VSG surgery. The last thing I want to do is undo all of the work. I'm still staying positive and using the Streaks app (iOS) to help with motivation (70K steps a week, plus 360 minutes of workout per week (includes walking)). I need to get back into putting all of my food into the fitness pal app. After the VSG surgery and the shoulder surgery, I ended up in a depression. Talking with a therapist who had experience with bariatric surgery helped. I don't think it was a depression just because of the VSG. I'm sure the chronic pain followed by a shoulder surgery (sling for 6 weeks post-op; and PT for 5 months) contributed significantly. As I mentioned previously, make sure your are taking care of your mental health. @Humikrig Good luck on your surgery! -
Introducing myself -SIPS revision from sleeve in 2019
ShoppGirl replied to SunnyG's topic in Revision Weight Loss Surgery Forums (NEW!)
Hello sunnyg. I just learned today that sips is the same thing as SADI which I am looking at converting to from sleeve pretty soon I hope. I was hoping for a bypass and he told me to research this procedure as well. I am glad because it seems like a better fit. I hope you are doing well in your weight loss these first couple of months -
I don’t have a date yet but I think I have pretty well settled on the SADI surgery for my revision. I meet with him the end of next month to ask my final questions and then I guess it’s a waiting game. I am hesitant to post on the regular pre op boards and say I’m pending revision because I gained it all back. I feel like I may discourage someone from trying.
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Struggling to stop losing
BlondePatriotInCDA replied to LindsayT's topic in Gastric Bypass Surgery Forums
Its just like doing a keto diet for life, you each week up your carbs until you fall out of ketosis than back off by 5-10 grams then maintain that carb load for life. You do the same for calories, increase by 100 for two weeks, still losing..tack on another 100 each few weeks until weight loss stops, now you've found your maintenance calorie load. -
Doubts about plastic surgery
sillykitty replied to Summermoose's topic in Plastic & Reconstructive Surgery
I believe we should get the the bodies we want, and that doesn't necessarily stop at weight loss surgery. It's wonderful your husband thinks you're perfect, but he's not living in your body. And, yeah, you may want more procedures, but why not? If you can get a body you're comfortable in through plastics, why is that a bad thing? I've had two sets of plastic surgery (but not an arm lift). Recovery sucks in the short term. But what's a few week vs. being happy with your arms forever? Additionally, there is a study that shows that those who get plastics after WLS are more apt to keep the weight off. Anecdotally, the group of women I am in touch with on here who have had plastics, and all 5+ years out, and all have had no significant weight gain, outside the normal bounce.
