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@Tupelo and @vsgchick I’m curious how is your weight loss going with Mounjaro now that it’s been months
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February 2019 weight loss buds
L. Knight replied to TheMarine79's topic in Gastric Bypass Surgery Forums
@froufrou how are you doing with the wegovy and how much weight have you lost since taking it? -
I started at 205 day of surgery on my 6 moth check up I was 156 in 4 months I have only lost 7 pounds. I'm now 149 been stuck there for 3 months. Total weight loss in 10 months is 56lbs is that ok?
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Do you think I can lose 70lbs naturally? I'm at a crossroads :(
HealthyMe67 replied to helenah's topic in General Weight Loss Surgery Discussions
Helena, Wow you sound like me. I am older (55) though. I have always just wanted to be around the 200lb mark also. I am 5'9. My weight hovered around 275 for most of my adult life. I was able to get down to 230 on my own several times, but then hit a wall, and gained it all back. As i got older, I started having blood sugar issues and was told I needed a total knee replacement. I was too heavy for that surgery. I decide to do a gastric sleeve two years ago. I had my knee replaced two months ago. I have maintained my weight loss for 2 years. This was a Godsend for me. This is a personal choice, but worked wonders for me. It is not the magic wand. You still need to watch what you eat and do the right thing everyday. Hoping this helps. ~Lisa -
My first stall hit at 2 weeks post op and lasted about a month. Stalls are a normal part of the process. If the scale is making you crazy, stay off of it. Follow the plan. Trust the process. You'll be fine. The pattern that my body seems to have settled into is, I lose about 3 pounds. Stall for a couple of weeks. Gain back 2 pounds. And then stall for a week. And then it starts all over again. I'm losing on average of about a pound a week. So the scale is going down, but not without going up first. Your body is going to do what your body is going to do. If you're eating in a calorie deficit, you're going to lose weight.
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Stalls are the worst! I had a stall that was 5 weeks long and now the weight loss has slowed way down. I wasn't told to go back to shakes though, but to increase my calories and add strength training. Its weird how each dr has their own plan and we just have to hope that our dr can get us to our goals. You have done so well though and should be proud! My favorite shakes were the fairlife ones if you haven't tried them yet. Good luck and keep us updated on if the shakes work.
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protein question after visiting non-bariatric dietician
New To This23 replied to New To This23's topic in Pre-op Diets and Questions
She actually has me on a 1200-calorie diet, up until the last visit with the protein thing, I have had no restrictions, except to keep my diet at 1200 calories, she told me that she believes that no food should be off limits and that people need to be eating carbs (she was very adamant about that) I was actually scared to try her suggestion of Dave's bread, but I did and I have lost weight. I am also only the 2nd person she had counseled that is on the bariatric surgery track. She does not spend time looking anything up and gave me a whole book on diabetic healthy meals, even though I am not pre-diabetic or diabetic at all. -
Frustrated, but still determined...
Sleeveme_Please replied to ClevelandBiker's topic in Gastric Sleeve Surgery Forums
Congratulations on the weight loss and I can understand how this can be frustrating. I have lupus and I am in the pre op stage. I do not receive any infusion treatments. I hope that your surgery will only delay you for a month or so. -
protein question after visiting non-bariatric dietician
Jeanniebug replied to New To This23's topic in Pre-op Diets and Questions
I would reach out to the surgeon's office and see if you can do video appointments with their dietician. My surgeon's office offered those. I had to go in for the first appointment, but all the rest were over video chat. You weigh 300 pounds, so yes, you should be eating enough protein for a 300 pound person. This will keep you from losing muscle. But, you'll need to adjust that, as you lose weight. So keep an eye on it. -
Frustrated, but still determined...
mcipanda replied to ClevelandBiker's topic in Gastric Sleeve Surgery Forums
Hey there, congrats on your 56lb weight loss! I don’t have an auto immune disorder, just wanted to let you know I appreciate how determined you are in the face of such setbacks. It really shows how much you want this for yourself. Best of luck with everything! -
protein question after visiting non-bariatric dietician
catwoman7 replied to New To This23's topic in Pre-op Diets and Questions
I know you're probably getting tired of this, BUT - first of all, I had a "non-bariatric" dietitian for my pre-op diet as well. But that surgery is so common now they know what they're dealing with and the requirements - or if not, it's easy enough for them to look it up. My dietitian had worked with several pre-op bariatric patients in the past, even though she was a generalist. also, if you're going to cut calories (which of course you should if you're wanting to lose weight), protein is the LAST macro you want to cut. Protein preserves muscle mass. If you don't get enough, you'll be eating through muscle. As long as your overall calories are lowered, you'll lose weight. I don't remember how much protein mine had my eating because it was nine years ago this summer that I started with her, but I know I was eating a lot more protein and a lot fewer carbs than I was before I started seeing her. also, I still eat 100-150 grams of protein a day because if I get less than 100, my prealbumin level tanks. Most bariatric patients eat somewhere in the 60-80 (or some clinics say 60-90) gram range, but some of us need to eat more than that for various reasons. -
protein question after visiting non-bariatric dietician
catwoman7 replied to New To This23's topic in Pre-op Diets and Questions
protein needs are higher for post-surgical bariatric patients than they are for "normal" people. Most of us eat higher protein/lower carb diets than do normal people. This is percentage-wise, not gram-wise. So yes, the dietitian will likely have you eating fewer calories, but a higher protein to carb ratio. So I don't find her recommended protein level that unusual. on my pre-op diet, the dietitian had me eating 2200 calories/day. As a 300+ lb person, I lost weight on that, because I'm sure I was eating 3000 or more cal/day to maintain my 300+ lb weight. On the flip side, many 170 lb people (well, women anyway) would gain weight if they averaged 2200 calories a day, unless they're very active. However, in addition to having me average 2200 cal/day, she also increased my protein to carb ratio, to more or less match what it would be after surgery. I lost weight like crazy (over 50 lbs before surgery) - and it was probably a healthy way to do, too. cutting your intake down to what a 170 lb person would normally eat might not be very sustainable at this point. That would likely be around 1700-cal (for women), give or take depending on your metabolism and how active you are. It was even hard for me to get used to 2200 (although I eventually did) - but I did lose a ton of weight on that. -
Some protein may be hard at first, and some days one thing will work. But the next it won't. I was going to be referred to an endo for PCOS, but since I was going to go ahead with the surgery I ended up not going. Everyone is different and loses at different rates, try not to compare yourself to others. I know its hard but once you get past that you are able to see how else you are improving. It can be measurements, energy, regular cycles, better sleep etc. The weight will come off, just keep track of your protein amd water intake. Sent from my SM-G960U1 using BariatricPal mobile app
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protein question after visiting non-bariatric dietician
New To This23 replied to New To This23's topic in Pre-op Diets and Questions
99 grams is what you are supposed to have at 300 lbs in order to lose weight. If you are an athlete then it would be more. So in other words no, you would not eat protein in an amount that supports an unhealthy weight when trying to lose weight, which makes sense because you do not eat anything else at that level (fats, carbs, sugars, calories) to support an unhealthy weight when trying to lose. -
protein question after visiting non-bariatric dietician
New To This23 replied to New To This23's topic in Pre-op Diets and Questions
I will be seeing the dietician in the program when I finish my pre-surgery steps 12 dietician visits, 6 weigh-ins, and the goal weight that is set for me, I have to do it by a certain date, which is coming up pretty soon. Then I will start with the clinic that has a surgeon and its own dietician. As far as meal options I am happy with what I currently eat, I do not like to waste time and energy on making something new every meal. I was just concerned about why she would have me at a normal calorie level but then want to me eat a protein amount that is supportive of a heavier person. Especially since I have not complained about being hungry, because I haven't been hungry. She doesn't even want me to take any vitamins, because she says what I eat I get enough vitamins. -
protein question after visiting non-bariatric dietician
New To This23 replied to New To This23's topic in Pre-op Diets and Questions
I have completely changed my eating habit, I have already lost 20 lbs since starting with the dietician. I my question is why would I eat a protein amount based on an unhealthy weight? I have made a huge effort to eat the 150 grams today and I feel beyond full and kind of nauseated. I also have not been feeling hungry at all, so I do not know why she would suddenly bring the protein thing up with me. -
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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