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Asking ? for cousin with sleeve...
RickM replied to marfar7's topic in General Weight Loss Surgery Discussions
Something isn't adding up here. If she's getting in 109g protein, that's 436 calories right there. If she's only taking in 662 calories, then her protein would be about 65% of that. Maybe some misinterpretation of what MFP is reading? I can see that they might "recommend" 35% protein for her low calories - a typical normal diet might be 15-20%, and a bariatric weight loss diet might well be 50-60% (or more, at the beginning when we are eating little else other than protein.) 60-80g would be a typical recommendation for a woman with a sleeve, as there is no significant malabsorption involved, though some go higher than that as a means of avoiding "carbs", or under the false assumption that the extra will help avoid loss of muscle mass (it will to the point that one is actually working to build muscle mass, but the only thing the excess does, other than make expensive urine, is to avoid deficiency, but one doesn't need much extra to avoid that - the typical bariatric recommendations will cover it.) It does sound like a bariatric RD would be a good person to consult, and if she is truly only getting 6-700 calories and still struggling, then there may be some other metabolic issue going on, and some other appropriate specialist may be in order. But a good RD would be a great start in getting a good baseline of what is really happening dietwise. Starting at 400 lb, a sleeve is often somewhat marginal for getting to normal, particularly for a woman of that size (how tall is she - that's a factor as well in determining an appropriate goal and understanding metabolic issues.) You say that she recently moved cross country - where is she now - that can be a help in finding new specialists. It might be that the VSG is indeed marginal for her needs, and she really needs something stronger. A DS is a straightforward conversion from the VSG (as it uses the sleeve as its basis) and is typically the strongest metabolic tool of the mainstream procedures, so that is also a longer term consideration. -
This. Your weight loss is likely to be most in the first month after surgery and then slow down and slow down and slow down more as you progress. Added to that everyone's journey is different. I am exactly the same as you - I wanted certainties going into this surgery, and things I could influence or control. Several months in I just realised that the surgery does its job if I do my job, and it was all SO much relaxed thereafter. Best of luck on your journey xxx
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monthly weigh in and measurements
Spinoza replied to liveaboard15's topic in Gastric Sleeve Surgery Forums
I am 14 months post gastric sleeve, now in maintenance, and I have weighed myself every single day. Small fluctuations don't bother me, nor do stalls - I just like to know what's going on! If it will bother you not to see consistent losses then I recommend leaving it as long as you can between weigh-ins. But you do you! -
Starting Out and Self-Pay in Mexico?
summerseeker replied to WeightAMin's topic in General Weight Loss Surgery Discussions
I had the surgery last year when I was 62. Only regret was waiting so long but I never had the funds before. I feel so well now and am super happy with my weight loss so far -
monthly weigh in and measurements
catwoman7 replied to liveaboard15's topic in Gastric Sleeve Surgery Forums
when I was in the weight loss phase, I weighed myself daily except for when I was in a stall - then I'd just weigh about once a week until the stall broke. Once I hit maintenance, I started weighing about once a week. -
You see your biggest drops the first month or two. As others have said or implied, weight loss drops off the further out you are from surgery, and the closer you get to a normal BMI. You're obviously starting at a lower BMI than I did, but it took me 20 months to lose all my excess weight. After I hit the year mark, I was losing about 2 lbs a month, despite working pretty hard at it.
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monthly weigh in and measurements
Tomo replied to liveaboard15's topic in Gastric Sleeve Surgery Forums
I weigh myself once every morning and log it in an app. If I am at home, I weigh myself all the time, just to look at the number. I have a scale in the restroom, so if I go in to brush my hair, for example, I step on it. lol Weight fluctuations don't bother me. Probably because I have a history of water retention. -
monthly weigh in and measurements
Smanky replied to liveaboard15's topic in Gastric Sleeve Surgery Forums
I weighed myself weekly to begin with, but once it became clear that I was going to be a serial-staller, I stopped weekly weigh ins and went with bi-weekly to monthly. As I got closer to goal, I weighed myself less and less, letting months go by. I found that actually really healthy, mentally. So I hit milestones like "under 100kg", and finally "goal weight" without even realising until weeks later. Obsessing about the scale isn't helpful. I could feel my clothes getting looser, which was much more significant, and I was sticking to my plan so even when weight loss slowed down, I knew I was heading in the right direction. -
I would say that estimate is likely conservative. You're starting at low BMI, as I did. Your prognosis is very good. Many low BMI patients lose all (or almost all) of their excess weight. These are two great videos that talk about weight loss in low BMI patients:
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To celebrate reaching my goal weight (95% excess weight loss), I had a DexaScan done to measure my body fat percentage. I'm at 20.6%, which is in the Ideal range for my age. The scan revealed that my weight loss was mostly fat and not muscle.
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Some people lose less, some lose more, but you lose more pounds per month the higher your BMI. I lost 23 pounds the first month, but I was also well over 300 pounds. I lost 16 pounds the second month and 17 pounds the third month and only 7 pounds the fourth month and 11 pounds the fifth. My point is... your weight loss isn't going to be steady. It'll be all over the place. And even if your numbers are smaller... every pounds adds up. I reached my goal weight in 18 months (admittedly I did have the gain back that happens during your second year leading up to your third, partially due to a med that made me gain weight, but I'm still satisfied with my weight loss which is maintaining at 186-191. I'm 189 today. But I'm also having my monthly so I'm sure it'll go down again after the fact lol. TMI, sorry.). Technically speaking I still lost over the amount that was projected for me. My lowest weight according to my surgeon's office was estimated to be around 189 pounds (where I'm today) but I got down to 175 at my lowest. It was estimated that I'd end up at 199 during the gain back period when I hit 3 years. I'm at 189 currently and my 3 year surgiversary is about 2 weeks away. So you can certainly lose more than you surgeon says, but it's very much about your own body, metabolism, and dedication. I mean, I honestly feel like I could have lost another 10-15 pounds if I'd been super strict with my diet, but I didn't feel like I could have maintained that and kept my sanity. During the weight loss phase I took that time to learn a new way to eat in a sustainable way. Being super restrictive just is not something that I can do for the rest of my life to keep off an extra 10-15 pounds. My dietician says that the way I chose to go about things is healthier and sustainable and my blood work looks great so I'm clearly getting enough nutrition with my diet and my weight has been steady and maintained for the last 6 months (for almost a year before that it maintained at 179-183, but the stupid med made me gain weight. It's been maintaining where it's at now though for 6 months, so that's good). Just, take your doctors numbers into account and then try and smash them if you can lol. Also, sorry for the long post. I'm an aspie so sometimes I do give out what some think of as pointless info that they feel they don't need, but hopefully this did help you in some way. That was the intent, anyway.
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There are a few things you can rely on during this process. And all of them are okay. None are wrong or right. Everyone loses at their own rate. Some lose more quickly. Others lose more slowly. Many factors influence this including, age, gender, pre existing health conditions, medications, etc. Hence the range of possible loss your surgeon suggested in your first month. The more you have to lose, the faster you’ll lose at first. Everyone’s rate of loss slows as they get closer to their final weight. Stalls happen. You will have times the scales won’t move. The first often occurs around week 3+/- & they often last 1-3 weeks. Just stick to your plan & your weight loss will start again. Not every one reaches their goal & some exceed their goal. The average loss at the three year mark is about 65% of the weight you were to lose to put you in a healthy range. I’d expect that is where the 55lb weight loss your surgeon has suggested comes from. Like you, my BMI was 35. I’d lost all my weight by 6 months but continued to lose for another 11 months while sitting out my maintenance, albeit very slowly, to about where I am now. But that was my journey. Yours could be similar or different & that’s okay. All the best with your surgery & journey.
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I am driving myself crazy with pre-op jitters but anyhow. I have a BMI of 35 and my doctor told me to expect to lose 55ish pounds from surgery. I read you lose 8 to 16 pounds first month so I am confused everywhere I read says it takes 18 months to reach that weight. How is that so if I lose 8 to 16 pounds a month? I don't know if weight loss is much slower than what I am reading because I have a lower bmi. Can anyone clarify?
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It's now been nearly 3 years since my surgery (34 months), and a year and a half since this post, so I thought I'd post an update. Mostly, I'm still gloriously happy with my results! I still have my protein powder latte most mornings, and eat 2 eggs about every other day. I still aim for 6000 steps a day and get them about 2/3 days. I did indeed lose and then regain. When I made this post at the 18 month mark, I was 140 lbs (down from 208 before surgery). I hit my low point of 136 lbs at 23 months. I'm currently 142 lbs. (Though a few lbs might be holiday/too-cold-to-walk weight - 139-141 lbs has been my usual for the 6-8 months.) But curiously, I also went down a pants size in the past year as I was slowly regaining - from size 6 to size 4. So I expect that a few pounds of the regain could be muscle lost during the rapid weight loss phase right after surgery. One of my friends told me I look better now than I did a year and a half ago. I'm not sure that I can tell any difference from looking at my photos though. May 2021, 14 months post, 142 lbs Feb 2022, 23 months post, 136 lbs. Face does look a little thinner. Dec 2022, 33 months post, 142 lbs. A tad less cheeky compared to the previous one at this weight, but mostly my skin looks better.
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Starting Out and Self-Pay in Mexico?
WeightAMin posted a topic in General Weight Loss Surgery Discussions
Hi, I’m at the very start of this journey! A little about my situation: I’m 53, live in the Atlanta area and have a BMI of 40. I live with excruciatingly painful knee osteoarthritis. I have a long history of failing at various efforts to lose weight. If you can believe it - I’m otherwise pretty darn healthy…sleep apnea but no elevated blood pressure or cholesterol and a healthy A1C. Haven’t found a single orthopedic surgeon who will operate on me without my losing a significant amount of weight - both my GP and my orthopedic consults have suggested bariatric surgery. My employer-provided healthcare excludes virtually anything to help me with weight loss - no meds, no programs and of course, no surgery (even if medically necessary). (Apparently having a heart attack or getting other serious health issues is preferable??SMH) One of my coworkers had the gastric sleeve done (she is independently wealthy and self-paid) and looks/feels fantastic. I haven’t found anyone locally who can do a gastric sleeve (I prefer this to RnY) under 15,000. All my research domestically yields prices that are comparable, as the quoted price is always more than the one in the ad. As a teacher, I have limited means. Surgery in Mexico is probably my best bet. My GP was trained in Guadalajara and recommends Puerta de Hierro hospital. I’m considering this over Tijuana because it is closer and I’d be in a plane for less time. Research seems to indicate a low of about 5K and high of 7K. I speak Spanish fluently (native speaker), so communicating will be no problem. To that end, I have a few questions: 1) Has anyone had a bariatric procedure in Guadalajara? Experiences? 2) I feel quite old in getting this surgery - has anyone done it after 50? 3) For those who have had the surgery in Mexico, what have you done for follow-up care? Any groups/resources for post-op support? 4)Is there anything you wish you’d known before you had the surgery? Any tips you would love to pass on? My deepest thanks for reading this and for any responses! -
Glad you got a guide from your doctor. As @Arabesque says, it might be close to that or further away depending on a whole lot of factors - what matters is that you're happy with your loss and that you can maintain your final weight. Nobody wants to be 'on a diet' forever after WLS. Best of luck!
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monthly weigh in and measurements
catwoman7 replied to liveaboard15's topic in Gastric Sleeve Surgery Forums
Yea the weight loss does get slower the closer you get to a normal BMI. My last 20 or so pounds were a BEAR to get off. I worked my butt off and lost about 2 lbs a month. But I finally got there... -
I weigh myself on the 4th of every month along with measurements. Little late on posting i forgot. But yea no big changes at all in the last month. Weight loss has slowed down by a lot which is expected this far out. I had surgery in April of 2022. Struggling to get below 200. I leave on Sunday for the Caribbean which sucks because well the big food down there is everything is fried lol. So i am bringing me a load of "snacks and foods" in my suitcase lol.
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Nutrifol??
SleeveToBypass2023 replied to SleeveToBypass2023's topic in POST-Operation Weight Loss Surgery Q&A
I take biotin, but that's more for my current hair. Helps it to be healthier but doesn't do a thing for slowing loss or speeding up regrowth. I've been thinking about Nioxin, but I wasn't sure if I wanted to go that route or Nutrifol. Or if I can do both. Not really sure yet. I do hair masks and take biotin and collagen to keep the hair I have looking and feeling good and healthy. So we'll see. I'll let you guys know what I decide to do!!! -
December VGS buddies//introductions
PsychoMantis replied to smc124's topic in Gastric Sleeve Surgery Forums
I haven't really needed the pain meds except for at night before bed. I ran out of one of my sleeping meds and I needed a prior authorization again so it did help a bit falling asleep. They gave me like 60 pills to take 3 times a day as needed. Like I think 30 would have been fine. I'm more annoyed with the hives from the medical glue. The pain only really hurt while moving, coughing, sneezing, or laughing and only at the incision sites. I didn't feel any gas like I did when I had my hysterectomy. I never had any hair loss for the hysterectomy either (I had endometriosis pretty badly), and I've never had hair loss from any surgery. I have tons of thick hair so I might not even experience hair loss and even if I do it might not even be noticeable. In fact it might feel nice in the summer lol. -
Nutrifol??
catwoman7 replied to SleeveToBypass2023's topic in POST-Operation Weight Loss Surgery Q&A
I don't know how many of those products actually do the trick. Some people swear by biotin; others say it doesn't do a thing. I've never heard of Nutrifol, but I expect it also has its fans and detractors. Those hairs are already dead and will eventually fall out, so I don't think anything can help with that - it's just the natural growth/fallout cycle, it's just been sped up due to the trauma of surgery + restricted calories. At most, some of those products may help with the regrowth once it starts. The loss will stop eventually - it was three months for me (but fortunately, I didn't lose much hair. Not enough for me - or anyone else - to notice, other than I did notice more hairs than usual in my comb -so I knew I was losing some) -
Nutrifol??
SuziDavis replied to SleeveToBypass2023's topic in POST-Operation Weight Loss Surgery Q&A
I have lost about half my hair... I also had very thick hair, thank god. but it has gotten really bad, so if you have luck with it, let us know. -
Nutrifol??
kcuster83 replied to SleeveToBypass2023's topic in POST-Operation Weight Loss Surgery Q&A
I have saw adds for it too and did some digging. The reviews are all over the place. Good, bad, indifferent. I couldn't make an honest opinion about if it was worth trying or not so I never did. I also have very thick hair and have always had lots of shedding so I honestly can't tell if it is worse now or my normal. I think it did get a little worse, my hair general feels thinner. BUT! It is definitely not nearly as healthy so I was thinking about trying to take something to make it healthier. My little hairs are all over the place so I know it is growing back but all in all my hair is a mess. haha If you decide to try it out, send us a follow up! -
Nutrifol??
Jeanniebug replied to SleeveToBypass2023's topic in POST-Operation Weight Loss Surgery Q&A
I haven't heard of that one. I'm using Nioxin. My niece is a hairdresser and she said that the Nioxin will slow down the hair loss. It doesn't stop it completely, but it definitely slows it down. *shrug* -
Anyone have any experience with it? I'm 8 months post op and my hair is still coming out like crazy. I'm lucky I started out with a LOT of thick hair, otherwise I feel like I would be darn near bald by now lol I've been seeing ads for Nutrifol everywhere, and while it sounds and looks really good, I just want to see if anyone here has ever used it and if it actually does what it says. I know it's a waiting game for the hair to stop shedding, and I know protein consumption is the best thing for hair regrowth. But any additional help I can give my poor head, the better, you know?
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