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Congratulations on your success!! Happy to hear that you have such great support, too. I'm at the start of this process and wondering if you could share some details about your experience with SurgeryPlus. My insurance offers this now, but it won't kick in until Jan. 1st. Were you satisfied with the experience? I'm disappointed that I can't go to the weight management center at the local hospital where I'm already familiar with the physicians...they aren't in the SurgeryPlus network (although they are a Center of Excellence). Any thoughts would be appreciated. Best of luck on your journey!!
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hi! im 4 years out too! (50 yrs old, female, 5'2", moderately active and weighed 119.2 this morning) i stopped basing my diet on macros a couple years ago, i mostly rely on calorie monitoring (i still track everything out of habit). Based on my data, i've been averaging about 60g protein a day, of course there are some days i have like 20 and other days when i have 150...but on average its about 60. I haven't noticed any significant relation to weight gain/loss with my protein intake. Nor any relation with fats or carbs for that matter. (carbs do seem to have an affect on my appearance, but that's another story). the only thing that affects my weight is number of calories consumed over time, and to a lesser degree, activity levels. so its been an ongoing tweaking process to balance the two. A couple years ago i was an exercise fiend, and was taking in 2500+ calories. Now i'm a 2-3 day a week casual exerciser and average about 1800. im sure if i didn't reduce my intake when my activity levels went down, i'd be 20-30 lbs heavier than i am today. For those keeping score, i've (so far) maintained below goal weight since i reached it at 7 mnths post op. FULL DISCLOSURE: i am in good health (as my most recent labs can attest), and i have no diagnosed medical issues that would affect my metabolism. @SpartanMaker summed up the science surrounding protein well enough that i dont need to add anything more, but i do want to highlight the point they raised about the fact that the body can only metabolize x amount of protein (the amount varies slightly from person to person), and that any excess protein will be stored for energy (i.e., fat if you dont use it up). So i wonder, did your team give you a scientific or medical reason as to why they object to your protein level intake? Also, did they offer an opinion as to how you would replace those protein calories to stay at 1500 over all? (more fat? more carbs?) While i would not recommend NOT listening to your team, i do advocate the asking of questions to get an understanding of the reasoning behind a recommendation so you can make an informed decision for yourself. Good Luck! ❤️
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The 2019 clinical guidelines from the American Society of Metabolic and Bariatric Surgeons (ASMBS), calls for bariatric surgery patients in active weight loss eat 1.2 g/kg of bodyweight. For those in maintenance, the range should be .8-1.2 g/kg. I don't know how much you weigh, but 135 g a day sounds like it might be a bit on the high side based on those recommendations? There is research that intake levels between 1.2-1.5 g/kg may maximally stimulate muscle protein synthesis, but there's not a lot a data to suggest rates over 1.5 g/kg are beneficial. Rates above that might be necessary in certain people such as if are a professional strength athlete or top tier fitness competitor trying to maximize muscle growth. Especially if you're just trying to lose some fat, you probably can't metabolize that much protein. I can tell you from experience that many trainers will push this recommendation up to 2 or even 2.2g/kg of lean mass, because they believe if some is good, more must be better. The reality is that your body can't store extra protein, so any above the minimal needed just gets converted to fat. My recommendation would be to follow the ASMBS guidelines for your weight. Unless your trainer has extensive experience working with bariatric surgery patients nutritional needs, I'm afraid their recommendation may be targeted more at a different population.
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Weight loss continues almost 2 years post op
Studio54 posted a topic in Gastric Bypass Surgery Forums
I had surgery RNY February 2021. 300 lbs before — I am now 132 lbs 5’7” which is way too skinny in my opinion. My BMI is 20 (getting REAL close to 19). Honestly have a hard time eating even 1400 calories a day, too full! Everyone tells me “eat more” but of course I can’t. I have an appointment with dietician in a few weeks to assess. I want to stabilize, or gain back maybe 20 lbs but can’t seem to be able. Lost 10 lbs in the last 6 months so it’s a slow loss right now. But I am almost afraid to exercise for fear of losing more! Help! -
It depends a lot on where you’re at and your level of activity. Normal ranges for women are 50-60g per day, but there’s huge variation for muscle mass, activity, age, etc. The guidance for active people is 1.2 to 2.0 grams of carb per kilogram of body weight per day. I weigh 71 kilos, I’m a 51 year-old woman, and I’m very active (heavy training for strength and cardio performance), so my targets are 160g protein, 150 carbs (250g on big endurance days), and 80g fat per day. I am 8 years out from RNY and this has been very effective for me.
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After a stall for a while, my weight finally went down today and I'm 94.3 kilos, which is a little less than 208 pounds. It has become more likely that I'll meet my goal of 93 kilos (205 pounds) before the end of the year. That would meand that I'd lost 20 kilos even (44 pounds) since this summer. Of course, reaching 91 kilos (200 pounds) would be even better, not to mention 90 kilos (198 pounds). That would mean I was no longer technically obese and also at 90 kilos I'd weigh less than I did a decade ago. That's the next goal for the new year. But I'm happy to see the number on the scale moving again. I'm trying to get used to shorter hair, although I feel it makes me look older.
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Hey everyone. I am 4 years out and struggling with the covid 20 and some additional weight gain on top of that. I am working with an online coach for exercise training and nutrition following a macro based diet. I have not lost any weight so I reached out to the team where I had my surgery and they commented that my macros are way to high for protein. They were happy my calories were in the 1500 range (135g protein/160g carb/ 45g fat) but concerned about the protein being so high (optimum is 60-80g). Anyone else follow macro based plans?
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November 2022 Surgery Buddies
Scorpio77 replied to Crystal Leifheit's topic in Gastric Sleeve Surgery Forums
Ugh, the 3 week stall is now extending well into week 4! I've gaining and losing the same 2 pounds since last Thursday 😭 Trying hard to trust the process... Hope everyone is doing well! -
I did it!!! I lost 100 pounds!!!!
SleeveToBypass2023 posted a topic in POST-Operation Weight Loss Surgery Q&A
I can't believe it. As of today, 7 months and 1 week since my surgery, I have officially lost 100 pounds!!!! I was 388 the day of my surgery. I cried this morning when I weighed myself. My next goal is to hit 270, which is what I weighed when I met my husband. After that, my last goal is to get to 200. Once I do that, I'll have to maintain it for a while and then SKIN SURGERY!!!!! There's no magic cure, no pill or food or drink that just magically makes the weight melt off. This is the result of the sleeve surgery, keto, working out 5-6 days per week (and alternating between cardio and weight training), and staying on track with what, and how much, I eat. No one thing works for me, it all has to be combined into a partnership for my mind and body. Surgery alone isn't enough. Keto alone won't work (at least it didn't for me). Working out by itself helps a little, but not enough. It ALL has to work together, and the key is to stay motivated and dedicated. Stalls suck, and they get frustrating. But as long as I keep my eyes on the prize, I'm actually gonna get there!!!! I never thought this was possible, but here I am- 25 replies
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Your mom sounds a lot like my mom. Mentally stuck in 90's/2000's diet culture that makes them think anything enjoyable is bad for you & you can only lose weight is your food is green & tasteless. I'm now close to 3 months post op & she has learned about food & macros during my journey. I've made it a point to educate, as annoying as it is sometimes. Ofc you don't have to do that bc I know how stubborn moms are but NO you did not over-react. Our journey is so specific to us & they're on the outside looking in. They won't understand unless they spend the same hours we spent reading about this. Good on you for sticking to ur plan!
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3 months post op status and questions
catwoman7 replied to Young 69 yrs's topic in Gastric Sleeve Surgery Forums
quantity definitely increases over time. Lifetime monitoring becomes pretty important if you want to keep the weight from coming back. I don't eat anywhere near where I used to, but on the other hand, no one would be able to tell I've had weight loss surgery. They just assume I'm a fairly light eater - but that's not anything different from a lot of my other women friends who've never been obese. yes you'll eventually be able to eat salad and veggies. my taste didn't really change in that I didn't like things that I liked before or vice versa, but my sense of taste became more intense after surgery. Sweet things tasted sweeter; spicy things tasted spicier. I don't notice it anymore and haven't for several years. Not sure if it gradually went away, or if I just got used to it. hydration has never really been a problem for me. For me, it helped drinking a 16 oz bottle of flavored water every morning before I had anything else, even coffee. Then I already had two cups of fluids knocked out before I even showered or got dressed. do you know for sure that you dump? It's actually fairly rare with sleevers - although not unheard of. -
Lost 47lbs from 2022 mid summer high point and 30lbs since 9/12/22 sleeve surgery. Had doubts on doing the surgery given my age (69) and 36.7 bmi but received a lot of encouragement from fellow travelers. The most difficult part for me is recognizing that eating will never be the same. I can’t physically eat a lot and now get satiated with very little. This is very different from how I lived. I would always eat a lot. Some foods taste differently and since my eyes are still larger than my stomach I tend to leave food on my plate. If I eat too much or too quickly, dumping is a real threat. The other challenge is staying hydrated. I don’t get enough water from food (fruits and salads) and need to constantly have a water bottle nearby and remember to use it. This has been a struggle. After 3 months these are my key issues. Overall the weight loss and general good feeling compensate any challenges. Would love to hear from + 6 or 12 months fellow travelers. Does taste improve? Can quantity increase to allow for salad and veggies? Does hydration improve? Thanks.
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There were days when in the first month or so that I ate a dozen or more SF Popsicles. I did them because early on I could barely eat or drink and the little bit of fluid and big flavor helped tremendously in many ways. They were lights on dark days. As I was able to eat and drink better the SF Popsicles fell out of my diet on their own. For the record my medical team suggested SF Popsicles for early on for the very reasons I used them. There is no way I didn't and don't take my surgery and plan seriously even now. I was a plan Nazi the first 3 years and slightly more flexible since. I lost my excess weight and have maintained it. SF drinks are a frequent element of my diet. I think artificial sugars are the gods' gift and have no issue consuming them when I want a sweet flavor. Everyone, interestingly, is different. If consuming artificial sweeteners causes you issues, go with me here, don't consume them. If anything causes you issues avoid them. If you don't have a problem, don't let anyone make it a problem. Good luck, Tek
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Oh wow, I feel your pain! My parents came to visit me, after I had lost 200 pounds, and my mom saw me mixing the essential amino acid supplement that I take daily (as recommended by my PCP). She looked at the label and said, “You know that has CALORIES?!” Five. It has five calories in a scoop. And thanks, mom, I lost 200 pounds without your help but I still need you to micromanage my calories. I guess some moms just can’t help themselves. Most of the time — and I think this is true in your case and mine — they have good intentions but no idea how harmful they can be. My mom put me on the path of yo-yo dieting from my pre-teen years. I’m sure she just wanted me to be healthy and never anticipated that the yo-yo dieting would contribute to long-term weight gain. So I feel free to ignore her comments.
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Dealing with others (especially family) who don’t fully get it can be challenging, frustrating & upsetting. They’re trying to be supportive but … I remember my mum saying in frustration she didn’t know what I ate anymore & didn’t know what to have in the house when I visited. Well I ate pretty much what she did & did all the cooking when I was there but she felt lost, confused & didn’t want to jeopardise my weight loss. Maybe this is where your Mum’s coming from. Have you tried sitting her down with your program & going through it with her or even attending one of your dietician appointments. Remind her no one diet works for everyone because how bodies have different require to to function effectively & well. Your program has been designed to support your recovery & healing from surgery, to introduce healthy, nutrient dense foods to benefit your weight loss & health, & can be modified to meet any specific needs you might have. Can’t hurt. While sugar free popsicles are allowed I wonder if eating 4, 5 or more are too many in a day. Yes, they have no added sugar but they have artificial sweeteners which continue to feed your desire/craving for sweet. Also many develop an intolerance to sweeteners (particularly the alcohol sugars - end in ‘ol’) & over consuming may increase your risk. Try reducing how many you have each day & swap in alternative fluids like protein waters, green or herbal teas, etc. Worth a chat with your dietician but it is your choice.
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And adding to @SpartanMaker’s post, the area you carried more weight will be the slowest place to lose. Be it abdominal weight or the weight in your butt & thighs it’s where ever you have the most fat to lose. Take some body measurements - sometimes the number on the tape measure will reveal more of what you’ve lost than looking in the mirror or the fit of clothing.
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Everyone is different. A lot of where you both gain first and where you lose last is genetic.
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Before and After Pics
loli_lotus replied to Roserie's topic in POST-Operation Weight Loss Surgery Q&A
Facebook memories showed me this Christmas picture from five years ago. While not my highest weight, there's definitely a difference to be seen. So here's the five years ago pic, one from April of this year (5 months PRE OP), and one from today (3 months POST OP). I don't smile with teeth often, so hopefully that awkwardness doesn't show lol. -
Loosing teeth after gastric bypass and the easy way out?
margrette38 replied to Erin18's topic in General Weight Loss Surgery Discussions
I’m 7 yes post op and have had to have a few teeth pulled due to cavities. Although I’m religious about brushing and flossing. I think the surgery probably has a small bit to do with it but for me at least it’s genetic. I have since gotten a partial denture. Hair loss after WLS is not uncommon and as I found out in my follow up with my program today it is common to happen again if you’re not keeping up with your protein. My biggest piece of advice is to keep your follow up appointments that are recommended by your program. I didn’t and have struggled with the rollercoaster of losing and gaining I had before. Thankfully I’m back in the program though not necessarily for another surgery but to get things going in the right direction. Good luck to you!! -
Hi All, I had lap band surgery in 2009 when I was 22. I lost 100lbs in 3yrs and had a normal bmi. Over the years I've gained 70lbs back and the lap band is a pain. I have a conversion consult on Wednesday. I've always thought I wanted to go with the sleeve but I now know a few people who haven't had great success with it. I know a couple with bypass who look great and are very happy. I'm wondering if anyone else is in a similar situation or has any thoughts/advice? Thanks! Sent from my SM-N975U using BariatricPal mobile app
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Revision Denied by BCBS of North Carolina
KimA-GA replied to Liv_94's topic in Revision Weight Loss Surgery Forums (NEW!)
are you doing any weight management appointments with a dr or nutritionalist? if that’s their denial reason, then it won’t hurt for you to do it while it gets sorted out.. may be able to manage GERD better in the meantime if a nutritionist who understands consults with you.. drs offices deal with denials all the time and are good at sorting it out, especially if you do everything you can to speed it up on your end -
help my husband lol
KimA-GA replied to heatherdbby's topic in General Weight Loss Surgery Discussions
give him a list of makeup you like or want (very specific he will appreciate knowing exactly what), hair ties, hair brush, hair conditioning deep treatment, face masks, you could give him a list of good sugar free candy, little framed picture, jewelry (can be cute an inexpensive), gum if you can have it, hydrocolloid acne patches of weight loss is making you break out, or your on little tool set to keep in your car! -
how did surgery save you money?
NP_WIP replied to KimA-GA's topic in General Weight Loss Surgery Discussions
I paid for my surgery, but knew I was investing in my health and it will make up for it. So far our grocery trip is lasting almost 3 weeks and if I wanted I can make it to the month, since I can't have produce/fruits yet, and 1lb of protein is good for 10 meals, so I'm freezing some portions and my husband is eating from the protein I make. My blood pressure med is back to 5mg so my prescription of 3 months is going to last 6, have not been out to eat since Oct and even then I had started to only eat half of my portion and taking the rest home. I stopped drinking few weeks before surgery so we no longer have 2 boxes of beer in the pantry, no unhealthy snacks, or bread that goes bad. On the other side, my self esteem is coming back awd with that the wanting to shop lol but I have some clothes that do not fit and are new that I will wear till I hit the 100s, will mainly need bottoms, but once goal weight is hit, all bets are off [emoji1787] Sent from my SM-G960U1 using BariatricPal mobile app -
Revision Denied by BCBS of North Carolina
catwoman7 replied to Liv_94's topic in Revision Weight Loss Surgery Forums (NEW!)
I don't know about this company or policy in particular, but many won't approve revisions for weight gain. Some, however, approve them if there are medical issues. Since you've had issues with GERD and high blood pressure, that *might* be enough for some companies -but again, not all companies approve revisions. I wonder if a doctor could have a peer-to-peer review with them. Although your current surgeon isn't in your network, so that might be an issue - is there a bariatric surgeon who's in your network that you could do a consultation with? -
Revision Denied by BCBS of North Carolina
Liv_94 posted a topic in Revision Weight Loss Surgery Forums (NEW!)
Hello everyone, I’ve gone through the long process of trying to get a revision surgery after gaining most of the weight back after having the sleeve in 2014. I’ve had mental health issues in the years following and also developed GERD and High blood pressure in the recent years since. The insurance company (BCBS of North Carolina) has been giving me issues from the start first saying that my surgeon wasn’t in network so they wouldn’t cover the surgery. Upon further investigation from my doctors office the real issue was them denying my claim for a revision because there was a lack of evidence showing that I followed proper diet and exercise after my first surgery. Has any experienced something similar? I have the two comorbidities and my bmi is currently 45 so I’m just kinda in shock they denied me especially without even informing me.
