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The bottom line is that this is a life long journey with a very short window of "quick" weight loss. And you only have one golden shot at it. Because revisions are not usually as "easy-ish" as the first time. So you do you, Boo. But I think for you to be so categoricaly mis-aligned with your doc/RD that it's going to make your journey difficult and the sad thing is you will likely give up going to your check-ups etc. Which could spell disaster for you long term and regain in your future. So like, why have it at all? Or why have it with them. There are docs/centers who espouse a WFPD for all their surgical patients. Look one of them up and make the transition now. I will also tell you that I DO have a bias. I am pro-low carb and pro-lower healthy fat for the quickest losses and maintenance is done by adding healthy fats rather than adding protein or more fast acting carbs. I would have never gotten to my goal nor been maintaining had I been eating the grains and lots of fruit. I wouldn't. I have too many metabolic strikes against me. And not that it can't be done, but I think the life of a vegan or vegetarian WLS patient is very hard. The ones I know of in real life have either not gotten to goal ever or they have suffered big time regain. But I do know of a couple of women here who are very successful following a WFPD. But, they are also endurance athletes and as such, they're as much outliers as I am... I encourage you to look at other bariatric teams who are more closely aligned with your belief system. Studies show that long term success is directly linked to after care by a team of bari pros.
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***UGH I am so effing hungry!!
FluffyChix replied to tal's topic in POST-Operation Weight Loss Surgery Q&A
Generally, if people are hungry every two hours after some time out, it could be a few things, but Occam's Razor (simplest is best), will show you that most of the breakthrough hunger is caused by: 1. Blood sugar crashes and insulin spikes from the previous meal. ( A meal should be able to last someone 3-6 hours and if you're feeling hungry at <2hours, you can find the culprit by looking at your food log. Anything with added sugar, fake sugar, or fast carbs - talking bout you Mr. Ritz! will cause this type of phenomenon. It can also be caused by habit...habitually eating every 2 hours never allows our blood sugar to go back to normal, and so we perceive that we need to eat cuz we're starving or shaky when the blood sugar hits normal rather than "low" or low normal. Point blank, it also hard wires the habit to receive a hit to the hedonic pleasure center every 2 hours. So the more we eat the more we get used to eating and want to eat. Also, snacks are usually pretty unregulated. I can EASILY add 500 calories in a snack to my daily total. So not only will I stall...I will gain.) 2. Your restriction prevents you from taking in adequate protein per meal. Usually 2-4oz of protein per meal will last a "normal" non-athlete between 3-4 hours. Anything less than that, and yeah you could be legit straight up hungry every 2 hours. 3. Your exercise level is causing blood sugar disregulation and causing you to go low (usually anything over 2 hours) which causes hunger. 4. It could be that time of the month...just sayin... 5. It could be that a medicine you're now taking or a vitamin you're taking has gone too high. (I can tell when I need to lay off my B-Complex and B-12 for a couple days. I get voraciously hungry. And the hunger dissipates the further out from my last dose of Bs. Check your vit levels with your doctor and tell him/her about your voracious appetite. 6. You need water. Lots of it. You are dehydrated. 7. It's natural. Around 7-9 months my appetite came back like there is no tomorrow. I added in IF at that point since I could easily satisfy daily protein needs with food. By adding IF, I was able to control my insulin and no more blood sugar rollercoasters and lost the rest of my weight. -
How do you psychologically deal?
FluffyChix replied to TheAngryMeow's topic in PRE-Operation Weight Loss Surgery Q&A
@Brent701 I'm sorry the last part of the "so called honeymoon" period has been stressful to you. Think back on WHY this is. My theory: In the first 6 months you were gung-ho and super compliant about your diet, and the weight was falling off you and the scale was MOVING. Fast forward to the last 6 months: We ALL begin experimenting with the things that got us MO in the first place. Weight loss slows to a crawl. The scale is NOT moving much and can move up. It isn't offering the motivational reward of seeing the constant down tick. The cravings increase as dietary latitude increases. Diet fatigue sets in. Life begins again for many of us cuz we feel so much butter. And we lose focus of the end goal. That is the end of the honeymoon period. But it doesn't have to be. The honeymoon ends when WE say it ends by what we put in our mouths and how much we put in our mouths. Any one of us 18+ months out can STILL lose weight--all the weight we CHOOSE to lose. It's not some magic bell you ring...welp, your 18 months are up kid, sorry, you didn't finish. Wah. Wah. Wahhhhhh. Nope. Weight loss can and WILL continue as long as you are focusing on your food plan and working it. And doing the physical side of it too. I know that's a dirty word for you. -
In both North America and Europe, removal of anywhere from 70% to 85% of the stomach is standard, so when you study VSG statistics, be assured that the percentage of stomach removed is not a factor in determining successful outcomes. There’s also increasing evidence that VSG induces weight loss through other physiological alterations, not just restriction, including increased intraluminal stomach pressure, which causes early satiety; increased gastric emptying for faster small-bowel transit time; and neurohormonal changes, including the reduction of both fasting and meal-stimulated ghrelin production and increased glucagon-like peptide-1 and peptide-YY, an intestinal hormone that increases satiety. The most recent study I read that assessed the stomach volumes and pressures of several hundred patients in the US who had undergone VSG, where the standard bougie size for VSG is 32Fr to 50Fr, found that sleeve volumes held anywhere from 90 to 220 ml. Normal stomach volume is approximately 1,500 ml for both adult men and women; there is actually very little variation there. When the sleeves were filled with a volume of saline, the pressure inside the sleeve rose to 43 mm Hg compared with 34 mm Hg when the stomach was intact, meaning that VSG reduces the stomach’s ability to distend, thereby increasing the amount of pressure within the intraluminal space. This increase in pressure is what leads to the feeling of fullness, and allows us to drastically reduce caloric intake. It’s quite some time after surgery before we are able to eat with anything resembling speed, and part of our pre- and post-surgery routine should be building a vigilant mindfulness practice to train ourselves to eat slowly until doing so becomes a deeply ingrained neural behavior. Once you've entered maintenance (if not well before), you'll be grateful for the small volume and the restriction as it's essential for keeping the weight off long-term.
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January 2020 Surgery Folks
BadWolfGirl replied to TattooedSeaStar's topic in POST-Operation Weight Loss Surgery Q&A
Last few days: Breakfast: 1 egg with half slice American cheese Lunch: 1 oz refried beans with sprinkle cheddar cheese, 1 oz avocado, 1 ounce sour cream Dinner: eggdrop soup with protein/collagen powder Breakfast: 4 oz cottage cheese with pureed pineapple Lunch: mashed cauliflower and parsnips (so much better than potatoes! So yummy!) Dinner: buffalo chicken dip Breakfast: 3 oz yogurt, 2 baby food (apple peach spinach pouch) Lunch: string cheese and applesauce Dinner: pureed lobster bisque (was so good I ate it too fast and got the sweats lol) Breakfast: 1/2 banana with 1 tbsp peanut butter Lunch: Yes! Brand soup (cauliflower and roasted potato) Dinner: refried bean plate as above. I've only been on purees/soft foods for four days so that's the basic run down. But I'm satisfied and happy! I don't snack in between right now because I was doing poorly on my fluids and it helps to have more time in between to drink more fluids. I hate protein shakes so viscerally much, I bought Genepro and have been just mixing that in my fresh iced tea. Sent from my Pixel 3 using Tapatalk -
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Buzzing Through Life No More!
Cia2020 replied to Cia2020's topic in Tell Your Weight Loss Surgery Story
That's my hope! The 75 pounds helped my plantar fasciitis but not the rest, and I am usually in more pain from my daily 5ks. Trade off, but working out is addictive "me" time. I'm not a coffee drinker, but I was a diet-soda-a-day-er. Plus I drank a ton of loose leaf tea that's caffeinated, especially since I'm always fighting off the Kindergartener Kooties! Used a habit tracker journal to help quit when I entered the program. As far as the buzzing... well, on my profile cover photo is part of picture I took after chasing bees in a field for about an hour. They move deceptively fast for these round, fuzzy critters flying from flower to flower seeking out pollen to make the sweet stuff. Took me forever to get a good shot framed properly! -
January 2020 Surgery Folks
rene50 replied to TattooedSeaStar's topic in POST-Operation Weight Loss Surgery Q&A
Oh, goodness! I sure hope the constipation, nausea, dizziness, shortness of breath, and fast heart rate all go away soon . That's a lot to deal with. 😬 -
Sunday 2/9 I did a 2 mile run at 12:00 before my first meal. I have always liked running in a fasted state. I made it till 2 before I ate my yogurt with walnuts. 8 am- coffee/cream 10 am- coffe/cream 2 pm- activia vanilla yogurt with 2 tbls walnuts 7 pm Copy Cat recipe for Olive Garden's chicken margherita with parmesan crusted zucchini. Calories- 836 Net Carbs- 22.4g Fiber- 8.3g Protein- 49g Fat-43g GL-1.4
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For those who have lost 100+ pounds
SueSaBelle replied to lbugher's topic in General Weight Loss Surgery Discussions
I had started my WLS journey because I needed a right total hip replacement due to osteoarthritis and my ortho surgeon wanded my BMI to be under 40 before he would do it. Fast forward to the shots in my hip no longer working so I had my hip replaced on 5-29-2018. I had gastric bypass on 9-5-2018. Today I have lost 149 pounds and I am still recovering from my left total hip replacement on 1-17-2020. Recovery this time was so much easier - I was back to work in 17 days. I am still doing PT to make sure I have the proper gait and muscle recovery. I look back at pictures and think how did I walk 60 miles in 3 days with all this excess weight? Like everyone else, I only regret not doing the surgery sooner. -
Had EGD today and I have my surgery date
medicpup2 posted a topic in General Weight Loss Surgery Discussions
I had my EGD done today and I have a surgery date of March 19th. All paperwork is being sent to HCA Aetna for approval. The time is going to go by really fast, the past three months have flown by. I am really excited. WooHoo!!!! -
Food Before and After Photos
MarvelGirl25 replied to GreenTealael's topic in General Weight Loss Surgery Discussions
Lunch today: Steak “stew” is the best way I can describe It. I call it lomo. It has onions, tomatoes, and jalapeños. Zero oil You can’t really tell the difference between the before and after. I took a few bites and ended up getting full fast. -
February Surgery ?
divag822 replied to PSquared_vsg's topic in PRE-Operation Weight Loss Surgery Q&A
@ Lisa. This one week difference seemed to go by so fast. I hope you’re fully recovered from the sickness and ready Tomm. I’m excited for you. Good luck in the am. -
How are my fellow December surgeries doing?
Arthur Belly replied to lys's topic in Gastric Bypass Surgery Forums
Had by Bypass on the 16th Dec. Lost 15lb in the first month and 4 lb in the last month! I'm disabled with reduced mobility ( in a wheelchair) so realize it will be slow going. My surgeon at my checkup actually advised me to get out walking! Anyway even though I thought I would have lost more and it does upset me, I have just got to realize it is going just not as fast as I liked.😁 -
I am scheduled for later this month - brachio and modified TT (skin only). My PS office said I can put the garments in the washer on cool and dryer on cool while I take a shower. Will they dry fast enough for me to put it back on an hour later. I thinking the longer they are off the more you swell and the harder it will be to put it back on. The abdominal one has a fasten at the bottom to go to the bathroom easy but is Velcro around the waist so it seems like it would be easy to get back on. However, the arm one sounds more difficult. Should I buy a different arm one to have on hand? They will be giving me a long sleeve one that I should wear for 6 weeks. If that is too hot would it be ok to get a 3/4 sleeve one? Did everyone really wear them 24/7 for 6 weeks? Were you strict for a few weeks then slowly deceased the time you wore them? Their paperwork also said to stop any protein shake and vitamins that have vitamin E but i talked to the surgeon and he was fine with me continuing to take it. The nurse did recommend Arnica especially since I can't take anti-inflammatories.
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do you weigh, measure, and track your food? I use an app called baritastic it's very helpful, I also use my fitness pal for sleep n step tracking I do the water n food on everything else. I also follow DR. Duc Vuong on facebook and youtube, He has a lot of good information, but he does use a lot of foul language too. I was 210 at surgery 230 highest weight and now one year out 122 I have been holding there since month 8 out. I go to gym 3 times a week mon 30 min stair climber wed 30 min treadmill fast and raised up a bit fri split 15 stair 15 treadmill. now that I am a year Im going to add yoga n weights on tues n thurs.
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Intermittent Fasting Daily Menu/Results/Accountability
GreenTealael replied to FluffyChix's topic in Post-op Diets and Questions
IDK... It seems like the longer I fast the less I eat. But i have a comfortable buffer zone. Is your VSG preventing you from eating more? Or lifestyle? I was at much higher calories when I started IF (1000-1200 or higher in August 2018) and no exercise. This hasn't changes 😂 So I didn't use it for weight loss, although I lost a little. Personally I ❤ IF as a hydration facilitator, maintenance tool and all it's other holistic properties (anti-inflammatory, autophagy, etc) -
Intermittent Fasting Daily Menu/Results/Accountability
Sheribear68 replied to FluffyChix's topic in Post-op Diets and Questions
Lol, I keep having this same problem. TBH, I love IF so much that I’m almost to the point where I’m willing to risk dropping a few more pounds just to keep the IF lifestyle. I’ve found that I’m more anxious and grumpy when I have a larger eating window, and I’m toying around with the idea of saying, “screw it, let’s see where this leads!” The whole point of this process was for me to start living my best life possible, and when I started this journey, I had never heard of IF, let alone try it. It was only after surgery that I found this thread, started reading, then watched all of Dr Fungs videos, then read his books, etc.... Discovering IF was a huge “A HA” in my life and when I don’t have IF days, I don’t like it. I feel lazy, unmotivated, and blah. So if I truly want to lead my best life, that’s gonna include way more days with IF than without. Eventually my body will let me eat more once I break fast, no? -
@Apple1-really messes w your mind huh?! Work our hard and see the scale go up is disheartening. I’ve been back to the gym now for 3 weeks and the scale hasn’t went down. My hub says it’s bc I’m building muscle. Maybe so. When I had my sleeve I lost a lot of muscle. So maybe I’m slowly building it back. Wish looking back that I had lost slower w keeping my muscle up as oppose to losing really fast and losing a lot of muscle. Anyways working at building it back but it sure is depressing to work hard at the gym and not see the reflection on the scale (I weigh every day). Helps me be accountable and catch fluctuations like I have now. Still in my window but at the top of window.
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Intermittent Fasting Daily Menu/Results/Accountability
GreenTealael replied to FluffyChix's topic in Post-op Diets and Questions
I took a break from extended fasting (24 hr wet fast then 18hr modified fast) because my weight dropped to quicky (10 lbs in 2 days) Most of it was swelling/water weight but I want to be careful also I dialed it back to 14hr modified today and will start 18hr again tomorrow night 🌈 -
Wow, that was a super fast turnaround and great news for you! Congratulations! That alleviates my fears a little. there’s a woman in another bariatric group that I’m in that just had Aetna deny her claim because they wanted five years of her weight history instead of two. Isn’t it strange? I totally think it’s just up to the whim of the person reviewing it.
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Intermittent Fasting Daily Menu/Results/Accountability
summerset replied to FluffyChix's topic in Post-op Diets and Questions
Energy expenditure and how much I ate the day before seems to be a big influence for me. When it comes to sleep... I know I'm going to crash after I've eaten when I'm tired. So after a crappy on-call-duty I tend to fast as long as possible to stay at least moderately alert. -
Background info: 22 year old male, 87kg, 175cm. My lowest weight was 78kg but I regained over the past couple of months due to relapsing back into old habits. Been back on track for the past 5 days but I can't figure out how many calories I should consume daily. There are plenty of online tools that help you calculate your TDEE based on gender, age, height, weight and activity level. Based on my information I should consume around 1550 calories per day to lose weight fast, and around 2000 to lose weight. I currently have no problems getting to those numbers, but they still feel a bit high for someone who has had weight loss surgery. I also hear of people having drop all the way below 1000 calories to lose weight. This makes me uncertain whether the TDEE is the same after weight loss surgery. I can't find any information about this online. -
Intermittent Fasting Daily Menu/Results/Accountability
Sheribear68 replied to FluffyChix's topic in Post-op Diets and Questions
True. If I don’t get at least 7 hrs sleep, I’m going to feel like crap and need to break my fast earlier. Which sucks bc getting enough sleep sometimes is nearly impossible -
Just an update. I was 236 lbs in 7th grade. Went as high as 340 in early 20's. March of 2019 I was weighing 280. Started 2 week preop diet at 274. Surgery was 7-23-19 and now 6.5 months later I am 173lbs. Initial goal was 175 (5'7") but still have some more to lose so setting goal around 165 before I start trying to add some muscle back. Stayed around 600 cal and 60g protein for about 4.5 months then tried to up it around 800 and 100g protein, that seemed to work ok. Occasionally I'll hit 1000 but other days struggle to get 600. Very little hunger, just know when I NEED to eat. Food just not that important to me anymore. Still foamies and throw up when I eat to fast. Very little I can't eat, haven't really tried breads or pastas though. Heartburn got bad had to start omeprazole again. Helluva year, ruptured aortic aneurysm last January with aortic valve replacement, sleeve in july, vasectomy in December and new baby boy 12-31! Just wanted to offer a little encouragement to those considering this or new in the process. No regrets, sure sometimes I miss sitting down and gorging but I just try to remember what it felt like afterwards. Lots of positives, clothes that fit right, chairs that seem to big, etc...sucked to get rid of perfectly good clothes that were never wore and by the time you try to wear something else, it's to big. Nice trade off I guess. Anyway, just my story. I'm almost 44 and wish I'd done this sooner. Just like everyone else I had my doubts before surgery but it was definitely a good choice.
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I'm scheduled for sleeve on 02/26. I am feeling ALL of the feels right now. Mostly I'm ready. I could use some friends as I'm not really telling people about my surgery. I was approved back in November, but I got that notification the same day I got a new job offer so I asked to wait to schedule anything until I got settled into my new position. I lost a lot of weight a few years ago when I took phentermine. I am looking forward to losing weight, keeping it off and not being a jittery rage monster like I was on the drugs. Also: weight came back fast. All of my preop appointments and labs are done. I just need to make sure I don't get sick between now and then. I am super stressed about that. I start pre-op diet on 02/12. I'm working on eliminating coffee right now- I'm told no coffee for six months post op. I'm down to four ounces or less per day, but giving it up entirely is proving to be really, really hard. I'm planning to take three weeks off post op.
