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Slow Loser - Anyone else?
SleeveToBypass2023 replied to SarahByNumbers's topic in Gastric Sleeve Surgery Forums
1-2 pounds per week is actually a healthy rate of weight loss. That's where doctors and nutritionists want to see a person at. But if you want to change things up, try changing your workouts, giving yourself variety in what you eat, weigh and track your food so you know where empty calories and carbs are coming from, Typically, the first 6 months after surgery is the time when we lose the most. After that, weight loss slows way down (you can still lose, but not at the rate that you were). We can definitely still lose weight, but it slows SIGNIFICANTLY and we end up "fighting" to lose more weight. I'm still losing, but it's slooooow going. Slow and stead wins this race. -
So I'm considering getting the gastric sleeve surgery. I'm almost 40 years old and weight almost 440 pounds and have a BMI of 67 and ive tried literally everything to lose weight and nothing has worked. I've never lost more than 20-30 pounds at a time.Bariatric surgery is really the last option for me. So I'm in a bariatric program right now and we've decided that the gastric sleeve would be the safest operation for me. The problem my team including my surgeon is trying to address? I'm schizophrenic and Bipolar and take Antipsychotics. I've maybe gained 100 lbs over the course of trying meds since 2011 to find the right medicine combination. Right now I'm taking Latuda and Seroquel for antipsychotics. My GP has stated over and over again that Latuda might not be the greatest medicine for me to be on because it requires me to consume 350 calories in order for it to work properly. But reallym the medication does wonders with me. When/if I get bariatric surgery that's going to be a challenge for my bariatric team finding a meal or snack that I can fit those calories in. Not to mention my surgeon has mentioned that it will be an extra challenge for him to try to work around my anti psychotics. He didn't say it was impossible but he did call it a great challenge. I guess why I'm posting here is to ask is, is the gastric sleeve an option for me? Or should I consider the switch instead? My bariatric team pretty much flat out said that the bypass would be too risky of a surgery to do with me and they don't do the lap band anymore and my bmi is too risky for the lap band anyway. But before I go and permanently change my stomach I'd like to know what my options are. My team hasn't really been forthcoming and just seem to want to do the surgery as soon as possible. But, I'd like it to be a success as well. Especially when the sleeve is a permanent change to my body.
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Schizophrenia and the sleeve operation
Neostarwcc replied to Neostarwcc's topic in Gastric Sleeve Surgery Forums
Yeah I've been on almost every antipsychotic under the sun. It took doctors a long time to find one that worked for all of my symptoms since I'm both schizophrenic and Bipolar. Vraylar had the worst side effects out of all the ones doctors have tried over the years. I was actually going to give up hope because I had been on so many different meds. So I'm under as much control as possible now. It's enough to keep me out of the hospital anyway. Good luck with your weight loss journey too I hope you reach your weight loss goals. I know for women it's extra hard to lose weight. -
Just had first consult…settled on Gastric Bypass!
carrielee replied to carrielee's topic in Gastric Bypass Surgery Forums
Because of my co-morbid conditions he feels that is best, and also the amount of weight I need to lose to be in a safe/healthy space. I have pre existing pretty severe GERD and Gastroparesis and he said that Bypass is best and I need to lose at least 180 pounds to be closer to an ideal weight, and he said Bypass allows for a greater percentage of loss versus sleeve. -
Did anyone else stall when...
NickelChip replied to NickelChip's topic in POST-Operation Weight Loss Surgery Q&A
You're probably right about the need to search for patterns when there aren't any! The only scientific explanation I can think of is the amount I've lost this time, and the amount I lost 7 years ago to get to this same weight, is basically the same, and about 20% of my total body weight. I know I've read that 20% tends to be where the body starts really fighting weight loss, and even if the surgery makes it possible to overcome those mechanisms and lose more, it may be that the short term effect is a brief stall while it all gets sorted out internally. So it's probably just coincidence, maybe based on having lost about the same number of pounds as last time. -
Does your pre-op diet weight loss "count"?
NickelChip replied to NickelChip's topic in General Weight Loss Surgery Discussions
I have a tendency in every aspect of my life to set unrealistically high expectations, so I'm trying to manage that, which is why it matters somewhat to me. For me, it provides peace of mind to see numbers (totally get that not everyone feels that way). For background, I was watching John Pilcher's "Real Weight Goals" video, and he says at the 3 month milestone (which is approaching for me), you've generally lost half the weight you're going to lose. He says "not the weight when you first met us, but the weight just before surgery." I got caught up on that phrasing and couldn't figure out if he meant literally the day of surgery or the day you start the pre-op prep, which is a pretty big difference for me. So I was hoping for a more definitive answer on how doctors calculate this type of thing. -
Did anyone else stall when...
Spinoza replied to NickelChip's topic in POST-Operation Weight Loss Surgery Q&A
I haven't ever noticed this and I can't think of a scientific reason for it! What I will say is as humans we are hard-wired to look for patterns and then read into those something significant. I suspect you've just hit a stall. We all do, many times, on our weight loss journeys. If you can just relax into it and wait for it to break and then resume losing I think you'll be good. My experience with WLS is that my body chose a new set weight and I just got there with a bit of effort and sticking to the rules. Totally agree that with previous diets my set weight might have been very different but those haven't intruded *at all* into my life post sleeve. -
Best exercises to do for weight loss
ripburn replied to Roselyn.327795's topic in Fitness & Exercise
Cycling is a great way to lose weight, and it is a low impact, adaptable exercise. You can burn about 400-750 calories an hour riding a bike. -
February 2024 Surgery Buddies?
NickelChip replied to NickelChip's topic in PRE-Operation Weight Loss Surgery Q&A
@BlueParis Frustrating as it is, I think it takes most people about a year to reach their lowest weight. Those lucky few who drop the weight really fast are unusual. I know it's hard! But you're a healthy weight and looking great, so it's worth being proud of how much you've accomplished, especially with such a difficult travel schedule. At least your stall has broken! As for scars, mine are similarly dark purple. This is not a surprise to me as I get very dark scars, even from spider bites. Those pajama pictures reminded me that I had to get rid of an old favorite pair of pajamas as they were much too large. I look forward to buying a cozy new pair when the cold weather rolls around! I honestly don't know how anyone stays on track while traveling, especially on vacation. It is so hard when eating at restaurants non-stop, not to mention being surrounded by snack foods and temptations like ice cream and candy, which are much too easy to eat. I dread what my weight will be at the end of the week when I get home from my family trip. This will be the most days in a row I've missed weighing myself since surgery. But now that I've had a day of indulging in some treats, and realizing that eating junk isn't as appealing as I remember and kind of makes me feel blah, I'm hoping I'll be better about limiting myself to the healthiest options I can find. -
I had gastric Bypass in 2019. I have gained about 13 pounds back, but pretty happy overall. Last year when I was laying flat on the floor and went to sit up I felt the oddest sensation. It was a pain and pressure along with a knotty feeling protrusion that popped out in my stomach right below by right ribs. I was able to push it back in. I saw my gastric surgeon, who couldn't feel anything but sent me for a CT. The CT showed nothing. However, this protrusion has happened many times since. I even had my husband feel it last time to ensure I am not going crazy. Has anyone else had anything similar? What are your symptoms and what has been done for you? Any advice? Thanks! Lynda
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How do you work through a weight loss plateau? Thank you!! amanda
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Does your pre-op diet weight loss "count"?
SomeBigGuy replied to NickelChip's topic in General Weight Loss Surgery Discussions
I am counting from my highest ever weight on my tracker on this site (352), but my surgery team and primary care doctor count from my pre-op start weight (321). There's a 2 year and 30lb gap for me, but I'm counting that for me since it was work to break old habits during that period, which helped me set the pace to be more successful post surgery. As far as sticking to a plan, as others have mentioned, they do use average numbers. Everyone will fluctuate a little above or below at each stage. Also the weight loss progression will look more like stairs/steps rather than a straight line. You can expect a period of weight loss, followed by multiple plateaus. That's just your body freaking out over an unusual weight loss event, and recalibrating things to make sure you're not starving to death. Since it can't know you're doing it intentionally, it will retain fat and fluids as it panics, then release them once it realizes you are safe. Just stay the course, and don't get caught up on seeing a steady loss, otherwise you'll end up worrying over nothing (like I tend to do haha). -
When did you get your ring resized?
MrsFitz replied to AmberFL's topic in POST-Operation Weight Loss Surgery Q&A
When I had lost weight many moons ago, my jeweller put 2 balls of white gold inside my platinum bands to reduce the size and it worked perfectly. No damage to my rings, easy to remove if needed 🙂 -
Excess Weigh Lost for sleeve to Bypass
ShoppGirl posted a topic in Revision Weight Loss Surgery Forums (NEW!)
It looks like I may have to have a revision to Bypass now. I will know for sure next month after they scope me but I’m curious how much of the excess weight is lost with the revision. My surgeon said his experience is it’s only about 70% but I’m hoping that some people experienced a greater loss. Also, when computing excess loss, what is the ideal body weight we calculate from? That’s never really been clear to me. -
How do you know what your goal weight should be?
SleeveToBypass2023 replied to AmberFL's topic in POST-Operation Weight Loss Surgery Q&A
Yeah, my "optimal healthy weight" is between 145 - 155. Absolutely not. No way. I weighed that back in high school and people thought I had an eating disorder. I looked sickly. I liked how I looked when I weighed 165. But I'm older now and I've had kids. I'm not trying to look like I did in high school. So I'm thinking 190 may be the final, optimal weight for me, as well. -
My primary doctor has me MAD!! Think it's time for a new one...
SleeveToBypass2023 posted a topic in POST-Operation Weight Loss Surgery Q&A
So my doctor has me seriously ticked off. She told me she'd like to see my weight and bmi down. I said "WHAT???? I weigh 183 and my bmi is 30. What's wrong with it???" She told me she wants to see my weight around 155 or 160 and me at a normal bmi. I was like "if I do that, I'll look sickly!!! I've always been bigger boned and somewhat curvy, I carry my weight differently. Not one person would look at me right now and think I look like I weigh 183. No way would I look healthy if I went down to 160" and she said it would be better for my health and I should at least think about it. I told her "my blood pressure already runs on the low side of normal. I struggle to keep it up to 103/55!!! My A1c is 5.0 and my glucose is 96. I'm not on any meds except what I take for my MS. All my labs come back perfect. What else do you want??" I told her I feel amazing, I'm really active, I'm able to work as a clinical medical assistant for a busy specialty practice (infectious disease) which has always been my dream, I hike, I work out, literally I'm living the life I only dreamed about. What am I missing here???? I was so mad. And she said we'll discuss it at our appt on the 17th. I said "oh we'll discuss some stuff, alright, but that ain't happening". She's going based off my height, weight, bmi, and their supposed "ideal weight" BS. My bariatric surgeon is ecstatic with my progress. He actually said I've lost more, with both surgeries, than he realistically expected that I would. My neurologist is thrilled because losing all the weight has significantly improved my MS symptoms. My gastroenterologist is thrilled because all of my GI issues have gone away. Just this idiot yahoo isn't happy. I definitely think I need a new doctor. This is just too much. For reference, here's what I looked like when I first started seeing her, and here's what I look like now, literally this week....as in Monday and yesterday..... -
weight lifting and high intense cardio
SomeBigGuy replied to eveharris29's topic in General Weight Loss Surgery Discussions
That is a good point that I didn't consider in my earlier response. I think you would need to check with a nutritionist or trainer to figure out what your target should be. With more intense workouts, you'll definitely burn more, so its easier for your body to be in too big of a deficit, and think you're in starvation mode. In that case, its possible for some people to burn muscle and preserve fat since your body is in a defensive state. There will be a range where you're getting enough calories and protein to build muscle, but still let the body know its safe to burn off the excess fat, but that's unique to everyone and would need a professional to help narrow down what that is for you. But again, based on the numbers on your profile here, you're roughly half way through the excess weight loss target weight you had. The scale plays a part in the journey, but its not the only indicator of success, especially in the second half. Recognize the gains you're getting with the increased weights you can lift, increased reps/sets, more endurance, and energy. The scale can remain the same or even gain a few pounds, but that's due to the muscle weighing more than the fat it replaced, and during that time you may have lost a shirt or pants size and gotten stronger! Obsessing on the scale number alone leads to stress, which leads to increased cortisol (stress hormone) production, which in itself tells the body to store all the fat it can because it falsely things there's a survival emergency. I know its impossible to avoid all stress, and its needed for us in short bursts, but learning to escape from chronic ongoing stress and worry will also help your body burn off the remaining fat. -
Does your pre-op diet weight loss "count"?
ms.sss replied to NickelChip's topic in General Weight Loss Surgery Discussions
nah, i get it, i'm a numbers gal myself, and i LIVE for tracking and data and spreadsheets! ok,so if i were to respond to this specific statement then, my surgeon made his calculations with my weight when i first got accepted into the program...which was 2+ YEARS BEFORE my actual surgery (long story, but i backed out twice before i finally went through it). granted, for ME, it didn't really make a difference because i was the same weight on my acceptance date in 2016, as i was 2 weeks prior to my surgery date in 2018. but im sure many others could not say the same if they were to use the same barometer. long story short, "excess weight" is arbitrary, and the calculations are different depending on who you ask. your best measure of success and progress in the endeavour of weight loss is yourself. is your weight loss graph trending down? yes? then YAY! again, you are doing great...but you don't need me (or anyone else) to validate that, you can see it yourself in your numbers and hard work ❤️ . -
Hi 👋 I’m right at the very beginning of my bariatric journey and I’m equal parts excited, apprehensive and relieved. I’m 55 and have had numerous attempts at weight loss (like many, many of us!) Thankfully I found an incredibly supportive GP who has helped with menopause issues and was really understanding of my frustration with my weight, and the constant feelings of guilt, anxiety and failure. She put me forward for bariatric surgery and has helped me with the initial stages. Mobility is an issue - I have Rheumatoid Arthritis, Osteoarthritis in both knees and left hip and generally feel like crap - constant pain and just a general feeling of being fed up. I’ve had my first education support meeting at the hospital and now have appointments for the dietitian, sleep test, and support group (waiting for endoscopy appointment) I’ve read, researched and downloaded what I can. I have also familiarised myself with all the information provided by the hospital and have downloaded a couple of bariatric recipe books for the different stages. I always like lots of information when embarking on something major! My plan is to start a weight loss plan come Monday and start getting my head around higher protein, lower carbs and better eating all round once again. My weight is currently 303lbs and I’m 171cm tall. I’ve taken the dreaded ‘before’ pictures (😖) and have re-started my weight loss app membership to record everything and make myself accountable. I’m looking forward to ‘meeting’ people who are on this journey too, regardless of the stage!
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Revision Surgery - Band to Sleeve-any tips or success stories
mhorton82 replied to cutlass6521's topic in Gastric Sleeve Surgery Forums
I went from a band to sleve may 9th. I had my band removed last November and quickly gained back 40 pounds. The procedure went fairly smooth , except it took my surgeon 4 hours do to all the scar tissue I had in my stomach plus he had to repair a hiatal hernia. I just started on soft foods on Thursdays and it has been a tougher then I thought it would be. I had some egg salad last night and it didn’t go well. I got really hot and sweaty and thought I was going to die. But I didn’t and it passed, I had some refried beans this morning and I did well with them. Good luck on your procedure it’s worth it. -
I'm currently having this issue as I'm almost a year (9 months) into it; I was satisfied with my 160 for a couple of weeks ago, but I'm currently at 155 and I'm starting to get worried. I know I haven't been eating more than a meal or two a day which can be the reason, but I'm having a tough time in going beyond two meals. Should I just load up in empty calories and junky snacks? I'm also trying to go to the gym more regularly so the muscles can gain more pounds.
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Hubby said I can share this
summerseeker replied to SleeveToBypass2023's topic in POST-Operation Weight Loss Surgery Q&A
You both look so much younger. If we had, couple of the year like at weight watchers, you two would defo get my vote. Thank you for sharing, its made my day -
Revision for GERD to bypass- what was your process?
rhplus replied to MacEBE's topic in Revision Weight Loss Surgery Forums (NEW!)
I was recently converted from a sleeve (6-10-2013) to a RNY (11-7-2023) because of GERD. Getting insurance to cover it took 8 months. 4 appeals. And Multiple calls and emails all the way up to the VP of the company. I work in medical education so I fought and fought and fought and finally proved they had an immense amount of bias towards obese individuals. They kept denying me because I "gained weight" and "just want to lose more weight" that I "don't have GERD". In that 8 months of proving I have GERD I had to have an EGD, Barium Swallow, Stress Test, Colonoscopy, and a PH Monitoring study (that was the really crazy one).... and they were positive for GERD. They kept insisting that no they weren't positive and if I just lost weight I wouldn't have heartburn. When I had my first sleeve I was 380 pounds I got down to 170 pounds in 2017. In 2022 when I started the program to get the revision I was 220. So yes I had gained some weight but NO I hadn't regained all my weight. My entire experience has been very eye-opening how quickly someone in insurance will deny obesity as a medical condition and say it is a lifestyle choice. Especially when the entire point of the conversion was to fix GERD and not lose weight! If you seek to have the revision my advice is keep all the framing on GERD. Don't even reference weight or weight loss. It has to be for GERD. Study that insurance companies weight loss surgery policy and reference it often. It is best practice to convert a sleeve to RNY to fix GERD. And craziness I had the conversion and haven't had GERD once since! Don't let them tell you no. If the tests prove you have GERD get the conversion. -
Stalls are very normal. I am a week ahead of you surgery-wise and stalled around the same time and around the same weight (bouncing between 201 and 203 for about 3 weeks). My highest weight was also similar to your, although I had lost quite a bit before surgery, so actually my post-op loss has been much smaller. I've read that somewhere in the 3-6 month range it's common to reach a stall. It generally has nothing to do with your eating or your exercise. It's just an internal metabolic thing. Remember, weight loss from surgery is not immediate. After the first several weeks of rapid loss, you will slow to 1-2 lbs per week, and it will take 1-2 years to stabilize. This calculator can help you figure out how many pounds you might lose at each month mark by inputting your starting weight, height, age, and other factors. https://riskcalculator.facs.org/bariatric/ And this one shows you the likely results for years 1-3: https://michiganbsc.org/DecisionTools/
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Any tips for maintaining weight? It's not going well over here....
SleeveToBypass2023 replied to SleeveToBypass2023's topic in POST-Operation Weight Loss Surgery Q&A
I thought about that. I just worry I'll start looking too skinny an sickly. That happens if my weight goes too low. Maybe I'll go 2 weeks and then weigh and see what it looks like.
