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protein question after visiting non-bariatric dietician
Arabesque replied to New To This23's topic in Pre-op Diets and Questions
What you need to do eating wise before surgery & after surgery is different. Before surgery is to show you can commit to a changed way of eating, introduce you to healthier food options, make you more aware of the nutritional value of what you eat & to lose weight & fat around your liver to make your surgery safer & easier. So a non bariatric dietician should be fine. After surgery, other considerations come into play such as during the staged return to eating solid foods, importance of macros & knowledge of the usually temporary effects of the surgery around food intolerances, nutritional needs, etc. May be consider seeing the bariatric dietician after your surgery. I know the distance can be prohibitive but you can always have zoom or phone appointments & only travel to see the dietician every month or two. Something to consider. No scale is the same plus you’re not the same. I tend to weigh myself first thing in the morning before food or drink & usually after pooping. But when I go to my doctor, it’s later in the day, I’m dressed, I’ve eaten & been drinking, etc. Scales on carpet will weigh differently than those on wood or tiles (uneven surfaces). The age of the scales, age if batteries, moisture in a bathroom, dust, etc can affect the accuracy. I didn’t care so much what my doctors scales read as I knew what mine did. They had their records of my weight loss & now maintenance & I have mine. Your weight loss should be the basically the same - if you lose 5 lbs it will show on everyone’s scales regardless what the numbers actually say. I’m going to presume you don’t have access to a stove & oven which limits your ability to cook your meals. What about a microwave or toaster oven? They don’t take up a lot of room & just need a power point & will give you more meal options. -
protein question after visiting non-bariatric dietician
Toesinthewater replied to New To This23's topic in Pre-op Diets and Questions
150 grams of protein is only 600 calories. You need to eat the correct amount of protein so the weight you do loose is mostly fat and not muscle. Also protein keeps you satisfied longer so you shouldn't be hungry quickly after eating. My biggest suggestion is not to second guess your dietician, surgeon, etc. Not to be harsh but what you have been doing apparently hasn't worked or you would not need WLS. In order for WLS to be successful, you will have to stop making excuses and follow the plan. WLS is not easy or a quick fix. It is just a tool. You and only you will still have to work hard. Whoever says it is easy hasn't done it! You CAN be successful just like so many others on this site. -
protein question after visiting non-bariatric dietician
catwoman7 replied to New To This23's topic in Pre-op Diets and Questions
150 grams of protein for a 300 lb person is not too much - and in fact, skewing toward eating more protein vis-a-vis fat and carbs will help you lose weight. Protein takes longer (and more calories) to burn off than do the other two macronutrients, and it can also keep you satisfied longer. -
protein question after visiting non-bariatric dietician
summerseeker replied to New To This23's topic in Pre-op Diets and Questions
Choose any one scale, if its at home put it in exactly the same space every time. If I move mine to the other side of my bathroom I gain 7lbs. Is the dietician the one your surgeon uses ? and is this the surgeons advice to you ? 150 grams of protein is not a lot pre surgery. Eating protein will make you feel fuller while keeping calories low. I imagine you need to keep the Carbs low. Can you add what you protein count is usually like, it will help us help you Are you vegetarian or vegan? There are so many protein options out there now. Find some protein yogurts that you can eat or add extra protein to your milk and yogurt. Dhal is great for protein, add extra yogurt and seeds to top it. -
BARELY any weight loss in first two weeks??
MaameWata replied to MaameWata's topic in Gastric Sleeve Surgery Forums
I had my first follow up with my surgeon last night as this week makes it 6 weeks. I told him all my concerns that I shared in this thread and he basically told me to stop comparing myself to everyone else, as people lose weight at different speeds. He also told me that I don't need to be juggling down the 50g protein shakes I have been doing as it's all liquid calories, and that now I can eat solid foods again, to concentrate more on food protein than liquid protein. He said he's very happy with my progress, although I don't know if I believe him? I've stalled for the last three weeks and put on a pound this week, but he seems to be happy that I've lost a stone since 31st January. Personally, I think it's very slow. But I guess that's part of the comparison stuff isn't it? I'm moving house so I've packed my scales away and am going to try and weigh myself once every two weeks. -
protein question after visiting non-bariatric dietician
New To This23 posted a topic in Pre-op Diets and Questions
tl;dr at the bottom I could use some advice. I went to see my dietician today (not a bariatric surgery dietician, I can explain why I am seeing her if you want to know). She knows I am going to have weight loss surgery as long as I hit the goal weight my insurance told me I need to be at. I have to be at the goal weight by June 24, 2023, in order for my insurance to pay for my surgery. I had a weigh in the doctor's office a couple of days ago and weighed 301, my scale at home said 302. However, on the same day, the scale at a friend's house said 313. I knew I had this Dietician appointment two days later and I knew she would weigh me. I continued to weigh myself at home (after getting new batteries) and I was at 302 then 299 and today at home I weighed 303, right before my appointment, when I got to her office I was weighed and it said 313. I am concerned about what to believe since the doctor's office and my scale show similar numbers. I also bought a new scale today and it said 313. The Dietician told me I needed to eat more protein, which honestly I struggle with. she said I needed 150 grams!! I said are you kidding? that seems like a lot. She used my weight to come up with this number. Should I really be trying to eat enough protein for a 300-lb person or should I be eating protein for a goal-weight person (mine is 170)? also, my clothing is loose like I lost the 20 lbs mine and the doctor's scale shows, and not 10 lbs like everyone else's scale shows. Also, I have always naturally been more muscular even when I was 120 lbs and did not eat any protein aside from what is in plants. tl:dr- should I be eating enough protein to support a 300lb person or should I be eating protein for a "normal" sized person? AND should I trust the Doctors scale more so than the Dietician's scale? -
Not everyone experiences dumping & fewer do with sleeve than bypass. You may never experience it. Dumping occurs from eating high fat or sugar. Can occur with high processed simple carbs & dairy but less common again. If your shakes are too thick add more water or milk. I used to double the water to my shakes. I cannot stress enough to follow your plan & your staged returned to eating diet. It is in place to protect & support your healing tummy & digestive system. Remember all those sutures & staples holding your tummy together. All because you drank or ate something without an issue doesn’t mean you should. You could have just been lucky. There are several vegans on this forum who successfully lost weight & maintain their lower weight. You just have to be careful to meet your protein & other nutrient goals. There are so many plant based protein alternatives you can choose from. Your dietician should be able to guide you about your options if you have concerns. If eating meat & dairy upset you before surgery they still will after surgery. Are you experiencing real hunger or head hunger? Wanting to eat a specific food or texture or flavour is head hunger. A lot of the area in your tummy that produces the hunger hormone Ghrelin was removed plus because of the nerves that were cut during surgery, the message to say you’re hungry doesn’t get through to your brain or if they do they are often different. And they won’t until you are fully healed. Head hunger is very powerful & is usually what drove us to eating in the past so we think that feeling is real hunger.
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I believe it can slow your rate of loss. There are a few here that have PCOS & were slow losers too so don’t give up. Some people are slow losers & didn’t have PCOS - it’s just how our individual bodies work. 19lbs in about 6 weeks is still a decent achievement. I always say celebrate every pound. Keep following your plan & tracking your food. You will eventually get to a weight you’re happier at. P.S. Chicken often causes people problems at first. (So can eggs + beef). It’s usually temporary & because it can be very dry & coarse. Try thigh instead & use lots of gravies & sauces etc. to keep it & all meats moist.
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tl:dr at bottom,
I could use some advice. I went to see my dietician today (not a bariatric surgery dietician, I can explain why I am seeing her if you want to know). She knows I am going to have weight loss surgery as long as I hit the goal weight my insurance told me I need to be at. I have to be at the goal weight by June 24, 2023, in order for my insurance to pay for my surgery.
I had a weigh in the doctor's office a couple of days ago and weighed 301, my scale at home said 302. However, on the same day, the scale at a friend's house said 313.
I knew I had this Dietician appointment two days later and I knew she would weigh me. I continued to weigh myself at home (after getting new batteries) and I was at 302 then 299 and today at home I weighed 303, right before my appointment, when I got to her office I was weighed and it said 313.
I am concerned about what to believe since the doctor's office and my scale show similar numbers. I also bought a new scale today and it said 313.
The Dietician told me I needed to eat more protein, which honestly I struggle with. she said I needed 150 grams!! I said are you kidding? that seems like a lot. She used my weight to come up with this number.
Should I really be trying to eat enough protein for a 300-lb person or should I be eating protein for a goal-weight person (mine is 170)?
also, my clothing is loose like I lost the 20 lbs mine and the doctor's scale shows, and not 10 lbs like everyone else's scale shows. Also, I have always naturally been more muscular even when I was 120 lbs and did not eat any protein aside from what is in plants.
tl:dr- should I be eating enough protein to support a 300lb person or should I be eating protein for a "normal" sized person? AND should I trust the Doctors scale more so than the Dietician's scale?
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I had the same issue. My scale was 6 pounds heavier than my bariatric doctor's. My scale agreed with my nutritionist's scale. I asked my bariatric doctor to have her scale recalibrated and she said it was a really expensive scale, so she trusted it. So, when it comes down to it, the scale that matters isn't the one that's right, it's the one that determines if you get your surgery or not. I would ask her when it was last calibrated and see if she will calibrate it. The difference is I Iost weight so well on the lifestyle change diet that I had to stop losing weight or risk not getting the surgery.
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I had surgery on March 3rd. I weighed 202 on the morning of surgery and lost 9 lbs the first week. I then stalled for 7 days but have started losing again this week. My initial 9 pound loss included a lot of water weight (at least 4 to 5 pounds). My second week stall was my body replenishing the excess depleted water to normalize the body's healthy hydration levels. During that stall, for every depleted water pound I was "regaining", I was actually losing a fat pound. So although the scales showed no pounds lost, I actually restored the body's healthy fluid levels and lost an equal amount of fat pounds.
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Hi! I have met with the surgeon, had a psych eval, did some online courses and have set a date of June 5th for my surgery. People keep asking me if I’m excited about it and honestly I am not. I have never had surgery.I’m not excited because I have had so many failures with weight loss that I feel skeptical. I am anxious for the outcome, that’s for sure. I’m ready to teach my boys how to ride bikes and ski, I’m ready to travel with them on an airplane, I’m ready to jump on trampolines and climb trees. Those are the things I’m excited for, not the surgery. I’d love to read how y’all prepared for surgery. When did you start the bariatric diet? I was thinking after Passover I’d start weighing my food and eating the things that are recommended (almost two months to get in a habit of bariatric eating). how drastic of a change is your taste buds? What do you wish you knew before surgery that you’d like to share with me? I hope to build some relationships and a great support group here. Thanks for taking your time to read!
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My Weight Loss Journey: From 150 kg to 64 kg, and Now Back to 94 kg - Seeking Support and Advice
Tink22-sleeve replied to Seif_s88's topic in General Weight Loss Surgery Discussions
Hi Seif_s88, Yes I can relate. I lost about 100 pounds and have gained back about 50. 10 days ago I restarted a keto diet which has worked for me in the past. Down 10 pounds so far. I find that the keto diet helps with cravings and I like the discipline. I check my urine ketones every morning, and I find that to be motivating, as well as seeing the scale move down. I remembered to get baseline measurements, so I can see progress that way too. Omgoodness- body image issues. I get that too. I am 55 and was sleeved almost 10 years ago. The ups and downs sometimes make my head spin. Some days I look in the mirror and am shocked to how time has gone by. Overall, I try to be kind to myself. When I get too much in my head about my appearance, I try to remind myself that I am more than this body. So much more.. and so are you -
BARELY any weight loss in first two weeks??
DebbieDoo replied to MaameWata's topic in Gastric Sleeve Surgery Forums
im roughly 6 weeks out and am finding weight is coming off a bit quicker than it was (but im a lower BMI to begin with, so not as quick as many). i think it is REALLY important to NOT compare yourself to others. Its really hard NOT to do, I know, but if you are doing what you are supposed to, and being HONEST about that, than it will work. the SURGERY does not fail, PEOPLE do. Also often we lose inches and not numbers on the scale, and vice versa. important to not only go by ONE metric. I only do my measurements once a month (i weight twice a week) and am dying to do my measurements again but am forcing myself to wait till the 1st. lol its painful at this point LOL hang in there everyone! -
Does anyone else with PCOS find that there still seems to be a struggle with weightloss? Background for me: I started at 220ish lost 6lbs during the pre surgery diet and lost about 19 lbs since surgery. When I talked to my surgeon yesterday she said it sounds like I'm doing the right things but she did agree that most people would be down a lot more. She wants to look at my gallbladder since I have been having trouble holding down food like chicken specifically so maybe there is something there. But I feel like the point of the surgery was I was struggling to lose weight on my own. I thought PCOS was making that harder and it felt like everyone and their mother suggested WLS for me to help and now I feel like it's failing. My doc didn't really seem to want to give nutritional guidance besides hitting 60g of protein and 60oz of water. She is more concerned with me holding food down which is understandable but my focus is this weight. Is there something I should be doing that maybe PCOS patients need to adjust compared to "normal" patients? Sent from my SM-S908U using BariatricPal mobile app
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BARELY any weight loss in first two weeks??
lexylynn92 replied to MaameWata's topic in Gastric Sleeve Surgery Forums
Have you found anything to help you? I'm in the same boat and feel hesitant about making my own post because when I talk about not losing weight after the surgery the questions feel like they turn into what am I doing wrong. I can barely eat the highest I hit in a day was 1000 calories and that was a very active day. Most the time it's in the 500 cal range. I hit my protien and water goals. My surgeon says I'm doing the right things and wants to check my gallbladder. It honestly feels like I'm in that percent that this surgery just doesn't work for and it feels like you can't talk about it. Sent from my SM-S908U using BariatricPal mobile app -
Post-gastric sleeve, lost 86 kg, gained 30 kg back. Cravings & balance struggles. Any tips? Let's chat! 💪😊
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Hello everyone, I wanted to share my weight loss journey and seek some support and advice from fellow members who might have faced similar challenges. Three years ago, I underwent gastric sleeve surgery and successfully lost a significant amount of weight, dropping from 150 kg to 64 kg. However, over the past year, I've gained back 30 kg and now weigh 94 kg. To be honest, I didn't really like how I looked when I lost so much weight, but now I'm struggling with cravings and finding it difficult to control my eating habits. I'm not sure how to strike a balance between my weight and my appearance, and I feel like I need some guidance on how to manage my current situation. Has anyone else experienced weight regain after gastric sleeve surgery or struggled with body image after significant weight loss? How did you cope with these challenges? I would appreciate any tips, advice, or personal stories that could help me navigate this difficult time. Looking forward to hearing your thoughts and learning from your experiences. -
Met with surgeon, I just don't know...
Arabesque replied to LandofHopeandDreams's topic in Gastric Sleeve Surgery Forums
Welcome. It’s not always easy to make the decision whether to have surgery or not. Many here have been in the same place. Imagine your life without the need of medication to manage your high blood pressure, a CPAP machine to ensure help you’re breathing & take pressure off your heart at night. You can have your knee replacement surgery & never experience pain or an inability to be as active & mobile as you want. You’ll have so many more options available to you at a lower weight & with better health - no more restrictions or potential limitations on how you want to live your life. I didn’t have any comorbidities at all before my surgery but I knew they very likely were ahead of me. My risk was very high & now it’s extremely low. If you’re worried about the possibility of gerd go the bypass route. Constipation is easily managed & while it can be a regular event while you are losing it improves a lot once you are eating more & a wider variety of foods. Add soluble fibre to your diet & keep in top of any episodes by using a treatment if it persists for more than 3or 4 days. We can give you so many reasons to have the surgery but if you’re not all in or believe you’re being pushed or don’t have any other option, you won’t reap the full benefits of the surgery. The importance of your head in this can not be underestimated - we don’t talk about doing the head work for nothing. But it is your choice. All the best whatever you choose to do. -
Usually they say to boost your metabolism you should exercise more, weight train, sleep more, eat more protein, drink more water, drink green tea, eat spicy food, eat regularly & don’t skip meals. You likely still are drinking lots of water & getting in lots of protein. I’ve been drinking green tea for 20 years - never helped me lose weight. 🤷🏻♀️ You can’t exercise but can you do some upper body weights or resistance band exercises? You could do these sitting down so no strain on your hip or knee. Spicy food would stir up your gerd so that’s a no - it certainly stirs up my reflux. I try to keep my metabolism burning by eating regularly( meals & snacks) which I never did before (was a big meal skipper). I don’t exercise as such just do stretches & use some resistance bands but it all helps. What is it about bypass that specifically concerns you? Maybe some with bypass will share their experiences & alleviate some of your worries about it. Your Gerd does seems quite severe & has already done damage I would think eradicating it would be a good reason to try a bypass. But that’s my thinking.
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Met with surgeon, I just don't know...
BigSue replied to LandofHopeandDreams's topic in Gastric Sleeve Surgery Forums
Welcome! I hope you find this site helpful no matter what you choose to do. I see a lot of similarities in your story to mine. I was morbidly obese my entire adult life, but always in good health. Never took a sick day. Never went to the doctor. Didn’t have any prescriptions. But I got a promotion to a more sedentary job and gained even more weight, and my quality of life was terrible. I went to the doctor for a routine checkup and was diagnosed with hypertension and diabetes, and was facing having to go on medications to control those. I got to a point that felt like a crossroads. I could give up, keep enjoying eating (my one pleasure in life), and adapt as much as I could to my increasingly limited mobility, or I could take extreme action and get the surgery as a last-ditch effort to turn my life around. I had looked into WLS a long time ago and couldn’t imagine making my life revolve around my surgery. But when things changed to the point that it was effectively a life or death decision, I decided to give it a shot. I will tell you it has NOT been easy. I’m 2.5 years out and every day is still a struggle. Keeping the weight off is hard, hard work. But life a non-obese person is totally different. I lost 200 pounds — more than half my highest weight — and not carrying around a whole extra person has opened up the world to me. This would not have been possible without surgery. It’s a big commitment, but if you are ready and willing, it can change your life. -
I will for fire ! I think I’ll know sometime in may. Has it been hard to maintain your weight? I’m right at the 40.6 bmi. I can’t go over at all !
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Met with surgeon, I just don't know...
learn2cook replied to LandofHopeandDreams's topic in Gastric Sleeve Surgery Forums
I am still cautious about surgeries. Was I nervous before getting RNY, yes! But my asthma and sleep apnea improved, GERD is almost non-existent, and I can put off thinking about my knees for a while. Honestly, as many have said in this forum, I’m more fearful of doing nothing and facing a slow painful death from obesity. At least I know I tried a scientifically proven method of weight loss maintenance. The only other people I’ve met who lost 150lbs AND KEPT IT OFF had WL surgery. -
5 Pounds lost in 6 weeks?
SemperVeritas replied to RaiderRhode's topic in POST-Operation Weight Loss Surgery Q&A
Wow, very noticeable difference!! Nicely done and I hope you find that visual progress encouraging! 😁 A few thoughts- 1) you've just passed a month since major surgery and your body is working hard to recovery, repair and get you back out there to your active life 🤗 I'm just a couple weeks from my bypass and working on talking to myself/honoring my body, sometimes with humor 😅 but acknowledging "my body is amazing, and strong, look how well I'm recovering", stuff like that. 2) your food plan looks good to me 3) while you can't actually build brand new muscle without being in a calorie surplus, I wouldn't be surprised if getting back to working out after a lull could cause some micro tissue tears and some water retention 4) need new scale batteries? Lastly, I don't know if you'd have access to one somewhere, but a BodPod uses air displacement (something like that) to accurately measure fat vs non-fat. It was so enlightening to me to see that pre -surgery, I legitimately could burn 3000 cals on an active day, even at 5'4 😅 because of my build. Anyhow, I just needed to know that, so when the scale wasn't moving I could say "science!!" If I'm eating 500 cals and burning even just 2000, I will eventually see it on the scale or tape measure. The body is just going to process weight loss and healing in its own sweet time. All that to say, it must really be disheartening to not see the numbers change after all your hard work and I hope you find some answers. Maybe for now frame your loss since Christmas or New Year's, because you've lost so much! Good luck to you! -
Gastrogastric Fistula Repair
Dee Steppe replied to ashleegee's topic in Revision Weight Loss Surgery Forums (NEW!)
Hello, I just had my fistula surgery on 3/13 like you, my original surgery was in 2007. I did awesome for the first 5 years then I started gaining. I just figured I was a failure and accepted it. Fast forward 2022, I have a 9 cm umbilical hernia. Went to UPMC and they told me they wouldn't repair it and go back to where I got the bypass. I went and through all the testing and that's how they found my 2.5 cm fistula. Lot of drama with the insurance company and I ended up having to pay out of my pocket. When I woke up from surgery, I found out it was a bigger mess than they expected. They had to remove a bunch of adhesions, I actually had 2 fistula, my stoma at the bottom of my pouch was completely closed and that part of my intestines were attached to my remnant stomach. Essentially it was like I never had the bypass. They had to remove part of my pouch and intestines and remove almost all of my remnant stomach. Sent from my SM-G973U using BariatricPal mobile app -
5 Pounds lost in 6 weeks?
RaiderRhode replied to RaiderRhode's topic in POST-Operation Weight Loss Surgery Q&A
Solid solid point. I think I just expected to still lose weight while gaining muscle, I have been pretty rotund so I wanted to be able to see muscle as opposed to just my own roundness. I have decided I'm not going to weigh myself till next month and maybe check every two weeks after that. Yeah, Im thinking I'll leave the groups. Seeing other peoples posts and the responses in them is really disheartening. I will say that I took a picture at the gym and compared it to my 1 week pre-op picture and I can definitely see a difference (I'll attach it cause Im so pleased)! I'm still going to talk to my doctor next Monday and get his opinion to make sure I'm going about things the correct way.
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