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Oh, it's such a battle isn't it?! I also tolerate carbs very well and it's the thorn in my side too. I have made an agreement with myself that I can have a carby snack every day - usually in the evening when the children have gone to bed. I'll have a salted caramel nut bar or a small bowl of baked crisps (chips). You've lost over 10lbs a month on average... that's pretty good going. Maybe you're already at the weight you're meant to be? Are you still tracking protein and calories?
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You know what’s happening. You said it yourself - eating more junk food & old habits sneaking back. It’s the battle we all face & always will to some extent. The surgery only changes our body not our brain sadly. All because you can tolerate those foods doesn’t mean you should eat them. But you have to make the decision as to whether you’ll eat them, how often you’ll eat them & how much of them you’ll eat. Finding a balance of our eating & weight & being able to live the life we want is something we have to discover for ourselves. It’s why many accept being a little heavier than they originally wanted as it’s less restrictive, more sustainable & allows them more flexibility to enjoy their life with family & friends. And that’s okay. Unfortunately, yes, exercising will increase your appetite as your body seeks to replace the calories you’ve burnt being active. If you’re more active you can eat more calories but less than you burn if you want to keep losing. Also exercising only contributes to around 10% of the weight you want to lose. So if you want to lose 20lbs, exercise will contribute to the loss of about 2 of those pounds. Of course, lots of other benefits to being active. I think you know what you need to do if you want to lose more weight. Start by making one change today. Then in a week or so make another. It’s easier to manage & accept going one step at a time. All the best.
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That great to read. We are all here to support eachother. Continue on your journey to being a healthy you. The weight loss is a bonus!!
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I think the things you read may be referring to type 1 diabetes? For type 1, your body produces little to no insulin instead of too much. Because there's no insulin there to signal your body to take up the sugar, your body instead starts to breaks down muscle and fat for energy, which would lead to sudden, unexplained weight loss. While type 1 is a remote possibility, it's a lot more likely your doctor is concerned about type 2. Type 1 used to be called juvenile onset diabetes because that's normally when it's discovered. It can also start in adults, but not very often. Type 2 used to be called adult onset, because that was historically when it would be seen. Now with obesity at epidemic proportions, even children sometimes get type 2.
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Hummmm. I gotta do more research. I swear I just read that it causes weight LOSS which didn’t make sense at all since so many people have WLS because of diabetes and he was ordering the test for ME.
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I wanted to make an exercise suggestion - c25k
SpartanMaker replied to Tufflaw's topic in POST-Operation Weight Loss Surgery Q&A
Glad you both found something that's working for you! The data is pretty clear that WLS patients that partake in at least 200 minutes a week of moderate to strenuous physical activity are significantly more likely to maintain their weight loss. Not everyone will be able to tolerate running for one reason or another due to impact on joints, but there are lots of other activities that will work as well. -
Oh how nice it would be if diabetes made you lose weight! People with diabetes don't respond correctly to insulin. The main job of insulin is to signal your cells to take up the sugar in your blood to use as fuel. Because that process isn't working like it should, people with diabetes have excess sugar in their blood. That excess blood sugar has to go somewhere. Where it goes is that your body converts it into fat and stores it. There's a reason why type 2 diabetes is strongly correlated with obesity. Being overweight can lead to insulin resistance on a cellular level, which can lead to more weight gain, which makes your body unable to as efficiently process the insulin, which can lead to more weight gain, and so on. Now just like any other potential hormonal imbalance, being diabetic does not make you gain weight. It just means that all other things being equal, it's more likely. To gain weight, you still have to eat more than you burn, regardless of any hormone issues.
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Low BMI obesity gastric sleeve option
Spinoza replied to William Weston's topic in Gastric Sleeve Surgery Forums
I had a BMI of 31 at 44 years of age - also BMIs from 23 - 35 in the years around 44. I also lost lots of weight 'successfully' but was completely unable to maintain it *ever*. I just put it all back on and more besides, until my BMI finally went over 40 and I knew I couldn't live that life any more. I wish I had been able to have my surgery when I was younger (and yes, if possible when I wasn't as obese) because it would have been a lower risk procedure for me. Absolutely nothing wrong with doing your research and meeting a surgeon to see what information they can give you. There are risks, but there are also risks if you stay overweight (or get more overweight) over the next few years. You need to get as much information as possible so you can work out what's right for you. Best of luck. -
(Bump bc I don't wanna make a new thread) I mentally prepared myself for my 3 week stall, but bc I had to stop taking birth control to avoid blood clots, my period also came at the exact same time week 3 started. Not only did i stall, but I have a ton of water weight, so I 'gained' a bit. Luckily I know what's going on& i know that's gonna go away & so I don't feel too bad about it, but MAN your first stall is really a bummer. I just gotta keep going
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Okay I have been gaining weight post sleeve so I asked my family dr about my hormones. He ordered some thyroid labs but says he also wants me to come get my blood sugar checked two hours after a big meal. He also said that my psyc meds can cause diabetes and I should be doing this test every 4-6 months as long as I’m on them. i thought he was suggesting this as a possibility for why I’m gaining weight but when I got home and googled it I see that weight loss is actually a symptom so I am confused. I drink about a gallon a day so I guess I may check the excessive thirst box and of course I pee a lot with all that water. Also, did tell him that I always feel hungry but I’m gaining not losing. Am I misunderstanding. I know nothing about diabetes.
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HELP! I am 7 months post op and feeling stuck and defeated. Starting weight was 227 and I am now at 155 but I haven't lost any weight this past month. So far I've tolerated everything surprisingly well but some old habits are sneaking back. I've been snacking a lot more, mostly on popcorn, chips, sweets, etc. I've been eating more carbs ever since I noticed I can tolerate them well. I exercise (weights and cardio) about 3 times a week. Since I started exercising, I've noticed I have been eating more now. Has this happened to any of you? What has helped you refocus and get back on track?
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Revision completed
redhead_che replied to Tracyringo's topic in Revision Weight Loss Surgery Forums (NEW!)
Weight loss is slower than sleeve but I’m still ahead of the curve according to my surgeon’s office. -80 in 5.5 months with 75 to lose still. I’m in Saint Louis but both of my surgeries were in Kansas City where I lived when I started the sleeve journey. I was so comfortable with that office I went back for the revision instead of seeking a STL provider. I do follow with the Mercy system support group though! I know they have a Springfield location of that group too. 🥳 -
Thanks, I have asked him multiple times and he asks about it at every follow up since it happened. So, I agree weird. Although, I hadn't lost much weight when it started. I think about 20-25 lbs by the time I got blood work. The blood work was unrelated to WLS blood work also. It's all weird, but I will read this and point it out next time I see him. Thank you!
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Low BMI obesity gastric sleeve option
SpartanMaker replied to William Weston's topic in Gastric Sleeve Surgery Forums
Hmm, I look at it completely the other way around. How I wish I'd done this when I was 44, or even better 34, instead of waiting to my late 50's. I think of all the opportunities to enjoy life I passed up on because I was too fat. How many opportunities to do things as a family did I pass up on because I was to heavy to do them. How many times did I stay home instead of go out because of my weight. I also think of the fact that I lived decades in pain that probably could have been avoided had I been healthier when I was younger. How many of the 15 plus surgeries that I've had could have been avoided? How many of the conditions like diabetes, coronary artery disease and congestive heart failure could I have avoided entirely had I done this decades ago? I think of the fact that I now see the same patterns of disordered eating showing up in my grown children and have to wonder if I'd addressed this obesity disease when I was younger, could I have modeled healthy living for them and perhaps have broken the cycle? I have to wonder if now it's too late for them to see me making health changes and make their own changes as a result. So yes, how I wish I'd done this while I was "awfully young". -
Low BMI obesity gastric sleeve option
Jeanniebug replied to William Weston's topic in Gastric Sleeve Surgery Forums
I, too, was a low-BMI patient. But, my BMI was just high enough that with my comorbidities, my insurance would cover the surgery. Like me, you are one step away from metabolic syndrome: diabetes, high cholesterol and high blood pressure. I have diabetes and high cholesterol. Only 5% of people who lose weight using "just diet and exercise" will have kept that weight off over a 5 year period. With bariatric surgery, the number jumps to 90%. I would set up the consultation with the surgeon and make your wife come with you to the appointment. The surgeon will explain to her the science of obesity and how it's not as simple as she thinks. -
high liver enzymes level do seem to be common the first few months after surgery, though...I see postings on that a lot. Mine were as well - then about a year out, they were back to normal. My PCP was freaked out about it, but I did read online that it wasn't that uncommon, and it was due to the rapid weight loss (which is hard on livers). Interesting your surgeon said that, though. EDITED to add: unless he meant it wasn't anything related to the surgery per se, but just rapid weight loss in general? (as in...even if your rapid weight loss wasn't due to surgery?). Not sure. here's an article about temporary spikes in liver enzymes after weight loss: https://www.mdedge.com/endocrinology/article/53013/obesity/liver-enzyme-spike-after-weight-loss-deemed-transient
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Celebrating 100 Pre-Op!
ShoppGirl replied to KimA-GA's topic in General Weight Loss Surgery Discussions
Yea I’m sure they are going to be very proud of you at your clinic. And the weight you have lost will make your surgery that much safer. That’s a huge reward. Happy birthday to your son. Lots to celebrate. -
Low BMI obesity gastric sleeve option
ShoppGirl replied to William Weston's topic in Gastric Sleeve Surgery Forums
The surgery is a tool, just like using a washing machine or a calculator. It makes it easier, yes but you still have to put in the work. And the tool fades when your hunger comes back so keeping the weight off is just as hard as any maintenance plan I have ever been on with one exception IF you took the time to make real changes to your diet and habits you know what to do to keep it off this time. Having said that, this is a major surgery with real changes to you body. Many of us have chronic constipation to deal with, most of us have to take vitamins forever and I believe all of us are told to avoid NSAIDS forever (which kinda sucks when you get a headache or throw your back out and drs won’t give you pain meds for these things). These are not major things, no but evidence that this does change your body forever. The nutritionist and the bariatric therapists are two huge components to the surgery that make it successful. If you have not tried those two things you may want to consider trying those first before committing to major surgery. I had a low-ish BMI and I had the sleeve (35). I wish I had tried those things first so that I would know I absolutely had to take this extreme option. I may very well be exactly where I am but at least I would know I truly did try everything first. But ask your doctor because you have real medical issues that I did not have and maybe losing it fast is imperative. The surgery will definitely help you to lose it faster that diet alone. Best of luck in whatever you choose. And just keep talking to your wife. My husband is also someone who has always been fit and doesn’t totally get it either. He is at least supportive but he is first to admit he doesn’t understand. I once told him when he was thirsty to try not to drink anything for hours and he will have some clue what it’s like to try to ignore hunger. Not the best analogy I know but it was the best I could think of. I also recommend taking her with you to your doctor visits if/when you do decide to have surgery or while you are trying to decide. They can help explain things to her. -
Low BMI obesity gastric sleeve option
SpartanMaker replied to William Weston's topic in Gastric Sleeve Surgery Forums
I hate that "it's taking the easy way out" line. There's nothing easy about this. Plus, why in the world would that even matter? It's like some people think if we use a tool like surgery, we didn't pay our "penance" for being fat. "Nope, sorry, you're not worthy of being healthy, because you cheated your way to health. Do it the right way or not at all" Really? I sympathize with the position you're in as my wife was and still is very anti weight-loss surgery. Her line was always why would you permanently alter your anatomy when it's possible to do this without making so drastic a change? My response is I never had a problem losing weight, what I always struggled with was maintaining. After way too many yo-yo diets, I needed to do something else. Dieting alone was not working for me. I needed a better tool. That's what it is, by the way, a tool. The analogy I like to use is that WLS is like a shovel. I know that sounds odd, but bear with me... I've dug quite a number of holes on my property to plant trees. Most of those trees will be here longer than I will, but It's still worth it to plant them. I suppose technically I could have tried to dig those holes with my hands but wow, that would have been a challenge and I'm not sure I would have been able to finish the job. With a shovel, it became doable. The shovel still was a lot of work, but it made an almost impossible job, possible. No one thinks using a shovel is "cheating", we just think of it as a better tool. At the end of the day, the risk of early death for me was extremely high with cardiac issues, diabetes, liver and kidney problems, etc. I began to feel that I was living on borrowed time. WLS for me was life-changing and life saving. It immediately reversed my diabetes and high-blood pressure. I used the tool because I had reached the point where all I saw in front of me was an early death. For what it's worth, it would also seem that the medical community takes your side here based on the available medical evidence: https://www.bariatricpal.com/topic/442260-after-30-years-new-guidelines-for-weight-loss-surgery/ Best of luck whatever you decide. -
Weirdest None-Scale-Victory - I'll go first
Tony B - NJ replied to chiquitatummy's topic in General Weight Loss Surgery Discussions
I stopped using mine about 3 months after surgery and have not touched it since. After losing significant weight, you may not need it at all. I obviously would check with your doctor, but it is not uncommon. -
Low BMI obesity gastric sleeve option
William Weston posted a topic in Gastric Sleeve Surgery Forums
Hello. I am 44y old male and I am seriously considering SG. I am 5’7 and around 195 lb. I know this is not too obese -I am in fact BMI 31- and normally bariatric surgery should not be an option. Yet, after extensive literature reading I believe it is a good option. I have high blood pressure , high cholesterol and early non alcoholic fatty liver disease. Moreover , I have been always struggling with weight issues since I was a teenager, alternating times of physical activity and good diet habits -and a relative healthy weight as a result - with bad periods of overeating and sedentary behavior. All in all, the aggregated tendency is adding up weight on the long run. My wife is highly critical of this decision, blaming me for taking the “easy way” instead of modifying my eating / physical habits. I’ve tried to explain her several times the apparent inconsistency of deeply wanting to get rid of my weight problem with the fact that it is nevertheless not easy at all. She’s naturally skinny and cannot grasp how fat/obese people relate with food. I’d love to hear from those on a similar situation. I believe it is the right step to do, but I want to hear open, sincere opinion -so not just for reaffirming my choice but rather to have well grounded , unbiased, facts for a well informed decision. -
Greetings, Going to celebrate out loud today! I have lost 100 lbs from my July 2021 highest recorded weight and all in PRE op!!! 85.8 Lbs in 2022! Damn, this has been hard. A lot of emotional and behavioral change went into this effort. A lot of re-education about nutrition and choices. A lot of forgiving myself for getting to this weight. A lot of healing. A lot of journaling. A lot of reminding myself that I am worth taking care of. It also has been easier than I thought. Once I gained the confidence that I could, I did. Yes, I have had doctor support and taking Ryselbus helped, but mostly this is me making true and long lasting change. I am comforted by the fact that if for some reason I could not have the sleeve surgery on November 3rd, 2022, I would still loose weight and feel better and my LIFE would be better. Everyone has this in them. Its a tough road, but we can all achieve better in our lives.
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I wanted to make an exercise suggestion - c25k
The Greater Fool replied to Tufflaw's topic in POST-Operation Weight Loss Surgery Q&A
Congratulations! Much like you, I was not one who enjoyed running. I decided to do a program amazingly similar to C25K just to challenge myself, I had no intention of continuing. As it turned out I enjoyed running. I used the time and repetitive motions to meditate and focus on what the day was going to be about. From a weight loss perspective my weight just kept consistently dropping until I passed a completely unexpected normal BMI. Good luck, Tek -
It could just be up because of your weight loss & the stress of weight loss on your liver but it’s probably best to monitor it for a while. There are tests to ensure it’s not related to cirrhosis, fatty liver, gallstones, hepatitis, bile duct blockages. Will be interesting to see what your doctor says. My bilirubin levels were high & still are three plus years on. My surgeon asked if there was Gilbert’s in my family as a sign of that is high bilirubin levels. I discovered I did have an aunt with Gilbert’s & I also had a lot of the symptoms of Gilbert’s too (explained a lot actually) so my surgeon believes I likely have it too.
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I wanted to make an exercise suggestion - c25k
Tufflaw posted a topic in POST-Operation Weight Loss Surgery Q&A
Hi, I wanted to make a suggestion for those looking for a good way to exercise post-surgery. For those thinking of starting a jogging regimen but hate the thought of actually running, I strongly recommend a program called c25k, which is short for Couch to 5K. The idea is that by following this program, you go from sitting on your couch doing nothing to running a full 5K (3.1 miles) in 9 weeks. I've always hated running but doing something like a 5K was always on my bucket list, so I decided to give it a try. I've tried the c25k program in the past (years ago) with some decent results, but never stuck with it. So now that I've lost some decent weight post-surgery I wanted to try to kickstart my metabolism again and get some good exercise so I decided to try the program again. And it was a success! I followed the program, ran three times a week using my c25k app, and made it to the end. After I finished I ran three 5Ks a week for a few weeks until I ran in an organized 5K event where I placed 18th out of 63, and 2nd place for my gender/age group! Now, for someone who always hated running, I can't believe I'm doing this, but a few weeks ago I started the b210k program (Bridge to 10K), which is a six week program that gets you from running a 5K to running a 10K (6.2 miles). Today was day 1 of week 3, and I ran 3 intervals of 1.8 miles each with .1 mile walking in between, for a total running of 5.4 miles. If you've ever thought of trying to start jogging but didn't have a plan or thought it was impossible, give this a shot, you won't regret it. It starts off really easy and gradually builds up. There are a ton of free and paid apps you can use. I personally use Rundouble which has a free version, and you can pay to unlock additional programs. I've also heard very good things about an app called Nike Running Club, which is also free. I've also tried Zombies Run 5K which is pretty neat. Best of luck to whoever gives this a shot, hope you'll post your progress here! Bonus pictures of me and my daughter after the 5K (she ran the kids fun run and took 2nd place):
