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Calories at maintenance shock
NickelChip replied to Hope4NewMe's topic in General Weight Loss Surgery Discussions
So, post-op he is definitely not advocating for a pound of veggies per day, at least no time soon. That goal is for a person who has not had surgery or is years out and has regained a pretty standard appetite. What he does suggest for bariatric patients is that for that honeymoon period of the first year or so, you focus on protein first. But as time goes on and your hunger returns and you have more capacity to add foods, you should increase the veggies you eat while keeping your protein and starch servings small by comparison. He likes to say veggies should be the star of your meal. In other words, instead of going from 3 oz of chicken to 6 oz so you can feel more full, you would eat your usual 3 oz of chicken and fill up the rest of the way on healthy veggies (but only to your personal capacity, whatever that is). Same with snacks. If you get hungry and need a snack, make it a healthy one with veggies instead of a junk food snack. From what I gather, the strategy is one that really helps to combat that weight gain in later years when it becomes a little too easy to eat a lot more like you used to (the way that got us all into trouble to begin with!) -
Goal Weights
pintsizedmallrat replied to earthshrimp's topic in POST-Operation Weight Loss Surgery Q&A
I think it's very hard to determine how you think you'll look or feel at a certain weight, especially if you've been heavy your entire life and the last time you weighed that little you were a child (True story; I currently weigh the least I have weighed since I was 14 years old, and I look much thinner now than I did then because I have more muscle as an adult). Be flexible, be realistic, and expect the number to change as you and your body evolve. -
Had surgery for GERD, need to gain weight... suggestions?
pintsizedmallrat replied to jesscanntoo's topic in Revision Weight Loss Surgery Forums (NEW!)
I have trouble with a lot of pasta, rice, potatoes and bread still because they always feel like they "swell" in my stomach, so gaining weight was hard for me after I too found myself underweight following a health scare. I'm also a sleeve patient who dumps, so eating things like ice cream was out of the question. If you are ABLE to eat those things without issue, I don't see there being anything wrong with consuming a little extra treat here and there to gain weight, unless you are concerned that once you get back to a weight you're happy at, you won't be able to stop eating those things. I was eating peanut butter quite a bit when I was trying to gain; I found some high protein waffles that agree with me (Kodiak), so I'd eat one of those with peanut or almond butter on it, maybe a LITTLE drizzle of honey, a few dark chocolate chips, or some sliced banana. It was giving me more calories with a nice healthy dose of fats and protein vs carbs, which felt "healthier" to me. -
Let's Talk About Maintenance
pintsizedmallrat replied to maintenanceman's topic in General Weight Loss Surgery Discussions
Trying very hard to maintain, but the hardest thing to get into that state is my BRAIN. I've not only spent the last 2 years meticulously monitoring every bite of food I put in my mouth (even though my doctor didn't insist upon it I've been counting calories since day 1), but I spent the last 20 YEARS in the mindset that if I wasn't actively trying to LOSE weight, I was going backward. So, at 41, I have to learn how to eat to maintain which for some reason is VERY hard for me. I can't get out of the "weight loss" mindset. I don't eat enough. I monitor and measure and check and re-check everything. I pour myself a bowl or plate of something and put half of it back. I just can't seem to accept that I am *done* losing weight. -
Let's Talk About Maintenance
GreenTealael replied to maintenanceman's topic in General Weight Loss Surgery Discussions
There was a very active maintenance thread a few years ago. I’m glad someone is starting the discussion again! I’m a few years into maintenance. I never forget that I had WLS but it’s really only in the forefront when I’m dealing with food. When I prep my meals I have full control and prefer it. If I’m eating out I scan the menu and immediately go to small plates or side orders. Very rarely will I get an entree because I’ll never finish it and I don’t really like leftovers (even though I take them). Otherwise this is my new normal. It doesn’t feel like a burden. I actually don’t even remember what it felt like before when I was obese. I feel like I was always this size (I think that must be a form of body dysmorphia). Sometimes I think I may not even notice if I gain/lose a substantial amount of weight. So I keep measurements and weigh often for peace of mind. So my lesson learned is to confront any WLS related issues very very quickly. -
Had surgery for GERD, need to gain weight... suggestions?
jesscanntoo posted a topic in Revision Weight Loss Surgery Forums (NEW!)
So I had a revision to bypass at a very low weight (120 pounds) due to GERD. I saw three separate doctors for second opinions as I was quite concerned about losing too much weight by having the bypass. I have struggled to keep weight on for years due to the GERD and the vomiting it has caused me to have to deal with... and it was destroying my esophagus and stomach lining. That said, the GERD is gone, so Yay.... but I am still quite concerned about keeping my weight up. I am 4 weeks post surgery and down to 107 pounds. I am getting in all of my protein and liquids as I have been asked to, and this week I am finally allowed to eat more soft food. That said, I want to eat stuff that is more dense calorically - and that would normally not be allowed.... such as pasta...because I think that will help me keep the weight up better. I had some chef boyardee ravioli yesterday an it was definitely soft enough,... and had 8 grams of protein in the 1/4 cup I was able to eat. So, although it had more carbs than is suggested - I liked that - as I am trying to regain what I have lost... Is there ANY reason why I should not be able to eat pasta or bread products (toasted) if I can handle them.... besides them being bad for weight loss? Or is there something that could hurt my new anatomy? I don't want to break rules and injure myself, but I do want to keep my weight up. The nutritionist at Kaiser has been fairly silent when getting back to me... and keeps treating me like all the other patients.... I don't need to lose weight... I need to keep it on. And, yes, I've had to lose weight in the past.... just not since 2016. I know how to eat to keep weight off... just not quite how to eat to put weight on at this point. Thanks all for any help/ideas. -
Goal Weights
The Greater Fool replied to earthshrimp's topic in POST-Operation Weight Loss Surgery Q&A
Personally, I never much cared about a goal weight. I had quite a bit of weight to lose and I could decide on a goal when I got there. A less obvious reason was in how my mind works. Not reaching a goal weight could have turned a 500+ pound weight loss into a failure. Just part of the joy of having OCD. Many folks make the mistake of thinking that getting back to the nice weight they were at several years ago is a reasonable goal. It's not. After obesity, mileage and years our bodies are different. You may end up looking very much as you did and still have many more pounds than before. My goals were about how I felt, my health, my happiness. These also happened to be what my surgeon asked me about. The actual number on a scale was never a topic unless I brought it up. Good luck, Tek -
That is totally not me. LOL I question everything. Thank you for the kind words. And I agree. I am the first one to admit to being a nonconformist. I am a little over halfway to meeting my weight goal and who knows how I'll look when I get there. At the moment friends and family are all telling me how great I look, but who knows if that will change as the scale goes down. To be honest, it won't bother me at all to have a rail thin body. But if it comes with a face that ages me twenty years, I don't think I'll be happy with it or need anyone else to point it out to me. Does that hurt anyone else? No. My point in bringing up Sharon Osbourne and my family doc is one... if you read the article, she is warning people against the use of Ozempic. She saw and recognized the effects on her own body and stopped using it. Doctors doling it out to anyone that can afford it, regardless of whether they are diabetic or overweight is hurting people. And some of the side effects are life threatening. And two, how my doctor misuses this drug directly affects me. She's not diabetic or overweight and making decisions on meds for me and others that are potentially harmful to continue long term. More than one patient has voiced their concerns to me regarding her. So, if you have more than one person telling you it's gone too far, it might be advisable to listen. Especially if it's coming from people you love and trust. If it's from people that are jealous of your weight loss than that's another matter and they can wanker off. xD You got that right brother. Thanks for the input.
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Cleared for Exercise 3 weeks post op
saramelie replied to Nicnak's topic in Gastric Sleeve Surgery Forums
Cleared for cardio and light weights training (less than 15 pounds) 2 weeks post-op. Clearly not the norm. -
Ozempic Face
The Greater Fool replied to BabySpoons's topic in General Weight Loss Surgery Discussions
I'm sorry but I've seen more than one photo spread of what went wrong with the last Sharan Osborn medical adventure over the years. Somehow I can just pin this photo on her last adventure. What folks near and dear to each of us may not have expressed is that quick weight loss made many of us appear less than healthy, sick even. I know I was surprised to hear it, but not altogether shocked by the news since I saw many others the same way. We each make our choices and have to live with the consequences, both good and ill. Generally most of the consequences are temporary, some less so. Life is a crap shoot. Good luck, Tek -
I picked a goal weight right in the middle of my healthy (hahahaha what even IS that?) BMI range. I had many many times lost weight and got there by various means previously. My surgeon and dietician thought it might be too ambitious given the average loss with a sleeve, so I was prepared to lose MUCH less. You can do it any way you like OP! Perhaps pick a weight that you have been comfortable at before. OR a weight/BMI that you really want to reach, for whatever reason. Or lick a finger and hold it up into the wind. Turns out my team's advice meant virtually nothing. I got to my goal weight and then lost some more. I didn't need to try or do anything specific - just stuck to my plan. I wish you the best of luck.
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Oooh I hope this is going to be a fascinating thread - what is 'it's gone too far' - is it in the eye of the beholder?? We might all have our own idea of that. Thanks for the chance to discuss this OP!! I get asked pretty regularly now whether or not I am well (I SO AM) and whether or not I planned to lose this much weight (I SOOOOO DID). The inference being - you at best look thin of face and body, or at worst look really unwell (in that person's eye). I filter/ignore those comments depending on how much I trust/want to hear about that person's eye! I think allowing people to do what they want to and need to with their bodies for their own reasons without judgement is probably a good thing on a general and totally generic level. I know it can be difficult when people go beyond what we ourselves are comfortable with, and then that it goes up another level if they do things well outside our norms AND societal norms. If they are not hurting anybody then fantastic. Honestly you do you - if you want to have a skeletal face (and get paparazzi to follow you and your daughter for a day of "shopping") and it feels good to you then dooooooo it! And make your money out of it if you need that too. Absolutely ready for a big old discussion on this one. 😍
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There is a lot of good information above and, as you’ll see, see it varies. My doctor gave me several. For me, the first one was based on getting out of the “obese”category of BMI, that was 240 pounds. The second, which I just hit, was getting out of the “overweight” category of BMI which was 200 pounds. The last I think is 187 pounds based on healthy weight. You’ll find yourself gravitating towards weights that you may have hit in the past as you lose, but you’ll know what to strive for as you start getting closer to them on the scale. I do suggest setting several as you go down rather than one large, low weight. It helps to hit the mini goals as you go.
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Some use the BMI as a guide. Sometimes your surgeon will suggest a weight you might achieve. For some it’s just a number they pick for no real reason except maybe it sounded like an okay weight. You may chose not to even have a goal weight. I chose a weight I had bounced up from & down to most of my adult life. It would put me in the healthy BMI range (23) but knowing it was a weight I felt good was more important. My surgeon agreed & thought it was achievable. Whatever weight you choose as your goal (as a final weight or as goals along the way), remember it may not be the weight you end up at. Some people discover they feel better at a different weight, it’s easier to maintain at a different weight (set point), or a different weight better complements their lifestyle & how they want to live their life. Factors like genetics, metabolism, medications, health issues & most importantly what your body’s new set point is (the weight your body is happiest at & is easiest to maintain) have a great influence on your final weight. It’s okay if you don’t reach your goal. Achieving a specific number on the scales isn’t nearly as important as the other benefits of your weight loss. All the best.
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Calculators are a way to get a good general idea of how much you should weigh based on height, sex and age, What it doesn't do is take into account bodyfat percentages or muscle mass. But gives you a generalized weight reference to go by. Ideal Weight Calculator A better determinate is bodyfat measurement. My bariatric team weighs me using a bodyfat scale. Between the two types of formulas, it should give you a good idea where you need to be. I only ever had one goal because I knew before I ever gained weight what I should weigh so 150 has always been it. But the number to me isn't as important than being in a healthy range and no longer considered obese. So it's subject to change. GL @earthshrimp and congrats on your weight loss so far!!
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This past week I have seen the effects of Ozempic on 2 different people. One a celebrity recently in the news about it. Sharon Osbourne, 70, reveals 30 pound Ozempic-aided weight loss | Metro News The other my own GP. When the reaction is... holy shi* upon seeing them, you know it's gone too far. I hadn't seen my family doctor for months but last week when she walked into the room I was taken aback. I wanted to ask but didn't. Pretty sure she's using it unless she's got some major health issues going on. She runs another clinic as well for botox injections etc. I can't help but think body dysmorphia. Skeletal facial features is not a good look. JS I'm going back in to see her next week for some preventative tests I was putting off until after I recovered from surgery. Maybe it's none of my business but if it's what I think it is, I'm seriously thinking about switching doctors. I'm also going to talk to my bariatric team when I see them in Oct. to discuss my meds. I was told by them that after WLS I should be able to get off most of them. My GP told me I'll probably be on all of them for the rest of my life???? I always wondered if she gets some kind of kickback from prescribing them because in the past she always seemed to want to add more every year. But now that all my tests are coming back normal, what's a doc to do??? It will be interesting what the bariatric team tells me compared to her. That may be the determining factor in whether I switch doctors or not. Am I wrong to think that if my doctor isn't taking proper care of herself, how can she take care of me? But then I think...well there are a lot of overweight doctors and nurses too. It's a conundrum... but atm wanting to keep me on all my meds is a bigger concern.
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I had no idea how far this surgery would take me. I also didn't want to dream too high. I had crashed and burned to many times before. I thought that if I lost 60lbs then that would equal what I managed to loose once with Slimming World and again with Weight Watchers and again under my doctor. I smashed through that target very quickly. Then 100lbs came and went. I used to watch the Greatest looser and always wanted to say I was in onderland as I don't ever remember being that weight. My scales clunked down to that dream target too. Now, I am in a place that I am happy in my body. I could happily stop loosing but very occasionally the scales go very slowly down. I posed your question to this forum a while ago. Many answered and told me that my body would tell me when it was at the right weight. It seems like it will. BTW, My NHS doctor wants me under 140lbs but the NHS here will not remove my loose skin so they can go fish . My surgeon and his team are over the moon with my progress. I know I paid for my own surgery but they could have turned me away, I was very unfit. I will always be grateful to them. Good luck at achieving any weight you decide on
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I don't use butter, but I do olive oil. I have a spritzer bottle and sometimes use it when baking or air frying. You'd be surprised how little oil you need to crisp things up. But I mostly use 0 calorie cooking spray for that purpose. Also, heating olive oil to high temperatures cause it to lose a lot of its health benefits. Better to have a good nonstick skillet than fry anything. Even with a healthier choice of oil. The thing to remember is that the use of high fat oils can clog up your arteries and spike your cholesterol regardless of our weight. I know a lot of unhealthy thin people. Use sparingly.
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I've recently joined the forum and I was adding my details and it asked for a goal weight. I've never really discussed exactly what the endgoal should be so I wondered - is there a way to work out what a healthy goal weight should be? And specifics aside, it is useful to create multiple goals for as you go along or just stick with one 'endgoal'? Just interested to hear opinions on this and also any advice on how to work out what a healthy goal is would be appreciated.
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I weighed 199 pounds (90 kg) this morning! I felt accomplished and happy, and celebrated by going to the gym to lift some weights. Hoping everyone else out there is making progress, whether you are pre- or post-op 😊
Today is 7 weeks and two days post-op for me. I've been through two stalls already, but I am sticking to the program. I want long-term success from all of the sacrifice and pain. You all know I mean!
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Welcome to One-derland!!! Look at you doing your thing and making strides. Who knew we had this in us?
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October 2023 surgery buddies
Wildflower Bohême replied to Shotputqueen's topic in PRE-Operation Weight Loss Surgery Q&A
I think in my case it was due to my insurance requirements. I have Medicaid, so they have very specific demands. I had to have six meetings with my surgeon's nurse practitioner and the bariatric dietitian. I ended having many many more than that, since it's been nearly 2 years since I started. And I had to get all the medical clearances and psych eval and everything. I have only met my surgeon once, but I will have another meeting with her 6 days before my surgery. I didn't have to lose any weight either, but like you, I couldn't gain any weight. But I did gain weight, plus the dietitian required me to be 3 months binge-free before approving me, so it took a lot of extra time. But looking back, I think I needed that time to really figure myself out (with the help of my counselor)! So I feel more confident going into it now. -
October 2023 surgery buddies
Arendiva replied to Shotputqueen's topic in PRE-Operation Weight Loss Surgery Q&A
I find it so interesting how different doctors have different pre-op procedures, pre-op diets, weight loss requirements etc. It's cool to hear about other people's programs and compare notes. My program didn't have any specific weight percentage that I had to lose. But there was the ongoing expectation that I always be losing weight. My surgeon is very firm that from the day of your first appointment with him and your first weigh-in you are never allowed to gain weight at any subsequent appointments. That said though I don't have any specific pre-op diet. I had to get psych clearance and nutritionist clearance and zoom attended 2 informational seminars but the expectation is just to make healthy choices in the lead up to the surgery and to fast after the midnight of surgery day. My surgery will be 10/20. I don't even have another pre-op appointment between now and then. I've only had 2 appointments with my surgeon the one where I started the program, then 2 months later the one wear I got approved because I had finished everything on the checklist given at the first appointment. It's possible that this may be due to my insurance not covering the surgery I suppose. Maybe some of the other hurdles are required by insurance? -
ANy book recommendations for stage 4 eating plans?
Alfred_Wilkerson replied to Sigh's topic in Post-op Diets and Questions
Planning ahead and seeking local support as you progress through the stages of your weight loss journey is a great approach. While I can't provide specific book recommendations, I can suggest a few general types of books that might be helpful as you transition to stage 4 and beyond: Bariatric Cookbooks: Look for cookbooks specifically designed for individuals who have undergone weight loss surgery. These often provide recipes and meal plans tailored to each stage of post-surgery recovery. Nutrition Guides: Books that focus on post-bariatric surgery nutrition can be very informative. They can help you understand the nutritional requirements for your specific procedure and guide you in making healthy food choices. Healthy Eating and Lifestyle Books: While not specific to bariatric surgery, these books offer valuable information on maintaining a healthy lifestyle, making smart food choices, and managing your weight in the long term. -
He's showing his insecurity. I'd suggest he try counseling with possible couples counseling. I hate to say it, but if he's feeling insecure now...how will he be once you've lost all your desired weight? Maybe suggest counseling for you both...to "help you with your body image"... the counselor will see his insecurity for what it is without putting it on him 😉
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I've been thinking of getting a helix piercing for quite awhile, just haven't gotten around to it! I have several piercings and a small tattoo (one I haven't seen well due to weight)..not sure I want to see it after the weight loss 😆! I say do what makes you happy!
