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On your current weight loss journey, what was the easiest change for you or was much easier than you thought ? so far for me it has been not consuming a lot of sugary stuff. I used to crave it all the time and thought I always would, but since I reduced it down and mostly cut it out I do not have constant cravings anymore. Occasionally I get a little twinge but something small and sweet but not sugary will often satisfy. what about you?
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NON Drinker Drinking Question. (Alcohol)
ms.sss replied to Veritas34's topic in Post-op Diets and Questions
+1 i had like 4-5 partial drinks during entire weight loss phase. Now, i am what one would call a regular drinker (some may even, dare i say, call me an alcoholic). I was a drinker before surgery as well. (Though before surgery I would drink lots in a short amount of time, every few weeks, now i drink less at a time, but more often). My increased drinking frequency had a lot to do with Covid lockdowns starting in 2020 though. From a weight-loss perspective, what little i did drink during weight loss phase did not seem to affect ME in getting to goal. Nor does the amounts i drink now seem to affect my ability to maintain my current weight (note though that i simultaneously keep an eye on my total calories - alcohol or otherwise- , so there’s also that) I get tipsy quite fast post-wls (and on small amounts), but I also sober up in record speed. As others said above, if you really want to, try it out and observe how you react, and then decide if want to again. Or, don’t. Up to you…you know yourself best. Sincerely, An alcohol-drinking-DRINKER (from Canada). (i also smoke, drive above the speed limit, and am late paying my taxes this year…) -
Type 2 db, apnea, high cholesterol - BMI 28 - is surgery an option?
ShoppGirl replied to dandwms's topic in General Weight Loss Surgery Discussions
Great suggestion. Dr Weiner just made an instagram post about the GLP-1 the other day for weight loss. It’s hard to get insurance to cover it though if your not diabetic but since you are this may be a really good option for you, OP. Also his book, a pound of cure was really informative. -
NON Drinker Drinking Question. (Alcohol)
SpartanMaker replied to Veritas34's topic in Post-op Diets and Questions
It's not uncommon that bariatric programs warn people not to drink alcohol post-op. Some, like your team seem to take a "never again" approach, while some say avoid it for a specific length of time, such as the first year. As I understand it, here are the biggest concerns those programs have: The biggest concern by far is that there is an increased risk of developing Alcohol Use Disorder. As @Starwarsandcupcakes mentioned, some research suggest that susceptible patients transfer disordered eating onto alcohol. Some studies have even found that the incidence is as high as 20% of bariatric surgery patients. The second concern is that alcohol affects our altered biology differently. Honestly this is worse for gastric bypass patients, but sleeve patients still have have issues with getting drunk much faster, on much less alcohol. Further, it can take a lot longer to metabolize the alcohol you do consume, meaning you'll stay drunk longer. Bottom line, it's really easy to overdo things and end up completely drunk on a lot less booze than before. There is also the concern that this is wasted calories that provide no nutritional benefit and can slow your weight loss. Obviously for those in maintenance, this doesn't really matter, but for those still losing, it might be a concern for some. -
Type 2 db, apnea, high cholesterol - BMI 28 - is surgery an option?
ShoppGirl replied to dandwms's topic in General Weight Loss Surgery Discussions
If I were you I would consider trying the nutritionist and bariatric therapist first. Those two things are often a huge part of why the surgery is successful and they very well could just be enough to get you there without surgery. I understand that you have tried everything and can’t lose and I get it that you need to do something. I was lower BMI as well (35). But, I had the sleeve a year and a half ago and I still didn’t get to my dream weight. This surgery is a great option for many people but it is still major surgery. Post surgery you cannot take NSAIDS for pain and you may struggle with constipation plus have to take vitamins all for the rest of your life. These are all things that you can live with and of course if you still can’t lose the weight they may be things you have to live with but I wish someone had told me to give it one last try with the nutritionist and therapy before I committed to all this. I may still be exactly where I am by now but at least I wouldn’t have to wonder if I could’ve done it on my own. Having said that, ask your doctors of course because you do have medical issues that I did not have and maybe losing the weight asap is really important and the surgery is definitely a faster way to lose it. Also, IF your insurance will cover you can kill two birds with one stone if you get the process started while trying to lose. For many insurance companies you have to do 6 months of physician managed weight loss attempt anyways so you can do all that while you see if the nutritionist can help and maybe even talk to a bariatric therapist to see if you have any disordered eating behaviors that they can help you with. In terms of getting the surgery if that’s what you choose you may have to wait until you get to a BMI of 30 to qualify, BUT. If you haven’t been measured in a while your height may be shorter than you think because we shrink as we age and your BMI will be higher than you think. (BMI goes up almost an entire point just because of one inch). Also, I would still call around because I believe anything under 35 you will have to be self pay so maybe with your medical issues they would consider doing it just under 30. I’m pretty sure it’s up to the doctor. -
decided to hop on the scale a little earlier than usual today. I normally only weigh myself once a month. Sure enough... I have officially lost 100lb in just 6 months post op. So exciting. and this was done basically with almost zero exercising. I work full time and i get home and i go straight to sleep lol. I do need to go shopping for clothes. So yesterday the new Black Adam movie came out. So i was getting dressed to go see it and realized nothing fit. My nicer clothing was too big, I literally wore my work uniform to go to the movies because thats all that fit haha. So i am off today so i am heading to the mall. To the stores that i normally can never go buy anything in because they sell clothes for smaller people. Lets keep this weight loss train going!!! Want to get under 200lb and i am almost there lol. OHHHHHHH and so the movie theater. Its reserved seating and they are very nice comfortable seats that power recline and such. SO before surgery i would normally buy two seats because 1 would be soooo tight that it was not enjoyable. Yesterday i fit in the seat with so much room to spare. Looks like i am going to sign up again for the AMC A list lol
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NON Drinker Drinking Question. (Alcohol)
I♡BypassedMyPhatAss♡ replied to Veritas34's topic in Post-op Diets and Questions
I don't think I understand. If you've been a non-drinker all of these years and decided to get weight loss surgery and have had much success so far... why suddenly do you feel the need to drink? Even one drink? Drinking completely stops the process of burning stored fat for... (I believe... 48 hours???). The liver can't convert the stored fat to energy (fat burning) while it's busy trying to process the alcohol. So I agree with everything @Starwarsandcupcakes said. Obviously I'm not a drinker and don't advocate drinking. I see no purpose in it. It's a poison and hinders weight loss and has no benefits. I think the bigger question here is if you have never been a drinker, why do you want to start now? -
We usually suggest people follow the plan they were given but in your case that won’t work because no one on your team is on the same page. I’d probably follow what the surgeon says to begin (especially through liquid, purée & soft food stages). Your surgeon would be more focussed on supporting your healing & recovery after the surgery. Once through the recovery stages, your dietician is probably best to support your ongoing weight loss & giving you nutritional advice. But that’s my thoughts. I’d also certainly let them know how confusing it & how easy it can be for a patient to do the wrong thing & do themselves harm.
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Lost 110 pounds but now at 1500 calories a day
Arabesque replied to bluebellblue's topic in Gastric Bypass Surgery Forums
The truth of the matter is not everyone reaches the goal weight they have chosen. And not everyone maintains that weight if they do attain it. Remember the average weight loss at three years post surgery (bypass or sleeve) is about 65% of the weight you had to lose to put you in a healthy weight range. Genetics, your body’s set point, lifestyle choices & preferences, age, gender, health & medications, etc. & yes a little complacency. But there’s nothing wrong with any of this. Any weight loss is a win. You may find a conversation with your surgeon, doctor & dietician helpful. -
September surgery buddies!!
Garfield1987 replied to Slwhurst's topic in PRE-Operation Weight Loss Surgery Q&A
I hit my 1 month today. I’m down 8.7 lbs since surgery, almost 27 from sept 5 when I started my preop diet. I started at 220 and I’m at 193.3. Last week I hit the stall and it was starting to be discouraging and then boom more drop. I was cleared to work out so I have been back in my peloton. I want to go biking outside while the weather is still nice but I’m still afraid of getting hurt. My incisions have healed and I started using a scar remover to try to lighten the scar. My family has noticed my weight loss as have my coworkers. My clothes are starting to actually fit me, instead of being so tight. I also took my kid to an amusement park and was able to walk the whole day- 15,000 steps and while I was exhausted, my knees didn’t swell up and my feet didn’t give out as they would have 27 lbs ago. I’m having challenges in learning what satisfied feels like. I’ve been basically either hungry or just stuffed. The only thing I’ve been asked not to eat is a salad so I have been prioritizing eating the protein in my plate. My partner made my favorite- rice and lentils with chicken- and I couldn’t even get a bite of the lentils in- the chicken was the priority and it kept me full for hours. My biggest struggle right now is eating slowly. I eat on the go- I’m working consistently and eat at my desk (im a lawyer) so it is hard to find the time to eat a meal for 30 minutes 3 times a day. I think once I get to do this, then maybr I’ll learn the difference and learning when I am satisfied. I’m still struggling with Water intake- it’s hard to take small sips and get through 64 ounces bc I’m busy. And big gulps are just a no no. Getting there though. Today my therapist asked if I had made the right decision. I told her yes. I believe the surgery saved my life and quality of life. I was down a spiral and would have easily found myself heavier, more depressed and with pain everywhere. My chest pains are gone; my joint pain is gone, and while I am exhausted (more due to long days and I think less due to surgery), I know that my quality of life is improving. All in all, not bad for a month ;) -
September surgery buddies!!
JustAMomATX replied to Slwhurst's topic in PRE-Operation Weight Loss Surgery Q&A
I’m finally feeling “normal”?? I started a stall at 3 weeks and this week (my 5th week) it FINALLY broke. Thanks to helpful advice here especially the post from @SpartanMaker describing the why’s of stalls. It was water retention...and how do I know this? Because it started at 3 weeks and also this week the volume of pee vs consumption just went to a whole new level! I should have realized something was way off with that because I was drinking the recommended amounts but not peeing nearly as much as I would prior to surgery. I also upped my protein just because 40g wasn’t cutting it so I’m really really trying for 60 now. Also, started a MiraLax every couple of days and Benefiber daily program....big help there also. All of these things have made a huge difference and I feel so much better. I, too, am making an effort to get walks in every day. I’m working on weights twice a week but I need to get with my team on that. I was told no more than lifting 5 lb weights but that seems insanely ridiculous. Also, not sure when I can resume any ab work (not that I’m begging to do planks and sit-ups....) I hear you all on the fluid intake when we can only hold so much AND there are hours around meals when we can’t drink...it’s really hard. The mathematics that it takes to keep all the timing, portions, tracking and vitamin regimens is something else! 😂😂 We all need a pat on the back for determination and perseverance - good job everyone! -
Type 2 db, apnea, high cholesterol - BMI 28 - is surgery an option?
dandwms posted a topic in General Weight Loss Surgery Discussions
I was recently diagnosed with type 2 diabetes and recently have been having sleep apnea issues. I've had above-normal cholesterol for a few years. My BMI is 28, I am 56 years old. I've tried many many times to lose weight. Are there any weight loss surgery options for me since I do not have a BMI over 30? Thanks in advance for the advice. -
September surgery buddies!!
Slwhurst replied to Slwhurst's topic in PRE-Operation Weight Loss Surgery Q&A
Girl I am 5’4 and started at 238. I feel that is an extremely high weight for my height. But apparently it might not be. How tall and where did you start and where are you now? I am at 208 currently. -
September surgery buddies!!
nymisc replied to Slwhurst's topic in PRE-Operation Weight Loss Surgery Q&A
You are a pretty low weight so your journey may be a bit slower. In some ways the slower journey is better because you may not have as much skin. -
I can relate to this on so many levels. I went to the ER with a blinding headache once and was told once that I was not going to be given the drugs I was looking for. Fortunately the neurologist I saw at the time was on call came down and saved the nurse from my temper. I could only see out of one eye and she wanted to send me out the door with a Tylenol. The neurologist snorted at that and loaded me up with with the rescue protocol for my pain. My surgeon who did my gastric bypass insists the issues I've run into are all anxiety. I had to push for testing because I know something was wrong...yeah, I have a staple line ulcer and a slightly twisted ulcer. She wouldn't answer my questions. Atleast my GI doctor did. By far though was when I was pregnant. This damn near killed both me and my daughter. Because I could stop vomiting, I was losing a lot of weight quickly. Yet the chief of the residents clinic insisted that I didn't need nutritional support. At one point I started having pain and my skin took on a yellow tone...that was gallstones. The surgeon was furious that I was essentially being starved, called the residents clinic and made it known how unacceptable it was. I was admitted and 5 days later had a feeding tube in my chest. I went into labor early and labor/delivery insisted I didn't need to be seen because I wasn't in pain. Thankfully a medical assistant wasn't having any of it and pushed for an exam. Yes, I was in labor and they had to rush me because my fluid levels were low and my daughter was very breached. The OB/GYN said had I not gotten in as soon as I did, my daughter would have died and I might have too from further complications.
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September surgery buddies!!
SpartanMaker replied to Slwhurst's topic in PRE-Operation Weight Loss Surgery Q&A
20 pounds seems excessive, especially considering where you started. I lost 16 pounds the first month and was quite thrilled with that! I'm also a guy and starting from a lot heavier weight than you. I think the only people losing 20+ pounds in a month are a lot heavier. -
Lost 110 pounds but now at 1500 calories a day
SpartanMaker replied to bluebellblue's topic in Gastric Bypass Surgery Forums
Can you please provide references for this? Everything I've seen or read in the scientific literature suggests that RMR testing by direct calorimetry is considered the gold standard for determining calories burned. Indirect calorimetry may be slightly less accurate, but is still far and away better than anything else available to us. Where things get "fuzzy", is that we are not always at rest, so just knowing your RMR is not enough. This is where activity level estimates or heart-rate based calorie estimators like fitbits try to make up the difference. These will obviously be less accurate, but are certainly better than a wild guess or deciding based on something much less accurate like height and weight charts. -
Just had mine. I was interviewed for about half an hour about why I wanted the surgery, eating and weight background, etc. Then, I was given questionnaires and tested on anxiety, depression, eating behaviors, etc. I was given results at the end.
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Lost 110 pounds but now at 1500 calories a day
RickM replied to bluebellblue's topic in Gastric Bypass Surgery Forums
Adding to the good points that have been made here, metabolic rates are somewhat individual, beyond genetics but personal history and even your gut flora that helps digestion and absorption. The BMR tests are interesting as a reference, but they mostly tell you what the algorithm thinks your metabolism should be, but not what it actually is. Also, this is a somewhat tough time for a bypass post op, as the caloric malabsorption of the bypass dissipates after a year or two - you tend to lose that extra help in losing weight and become a more "normal" person in that regard. Some may never notice the effect if they lost quickly and early, but it can also bite you in maintenance if one gets used to being stable at say, 1700 calories, but then that stability point drops to maybe 1600 or 1500. So, stay flexible and try to keep the calories down as much as you can until you get to the weight you desire (or to where it just won't go down anymore) and adjust to maintenance Good luck.... -
I appreciate all of the info! Its nice to see a full circle of how someone started and and got to goal and maintains. Its all very helpful and no post is too long. The idea of the surgery plus the keto fat burning is why I'm so pro low carb in my head. I have done keto many times though (less than 40 carbs) and never lost any weight. I even used those ketone strips to make sure and they confirmed I was good, but even after doing the diet for 6 months, never lost more than 5 pounds. I never get the keto flu either, so I'm ok there but if it doesn't work for me, and you can maintain on higher amounts, I wonder if I can eat carbs and still be ok. I think I just have to try things out and see how it goes.
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I found the standards I was given were quite strict and still reasonable. These are used Provence wide here and I found little deviation to different plans offered by other hospitals here in Ontario. My hospital is involved with The University of Toronto medical school as several hospitals are all involved together. A large group or team gives me confidence in their work and structure they offered me. I was also given the option to vary my plan slightly but I personally recommend being a bit more strict with yourself and allow your body to transition and heal. Time and your body mechanics will tell you when to progress. It is a long journey we are all in. I spent 30 years being fat and unhealthy and I will not loose the weight in fast succession. It will take lots of effort and time to make real permanent changes. I wish you all the best on your weight loss journey to better health. From Canada Cheers!
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I just hit 50.5 pounds lost total, 36.4 since my bypass. I feel like my weight loss is slow but oh well. Nausea is finally waning and zero dumping! My taste buds have changed dramatically and I crave savory foods over sweet. My labs are great and my A1C is 5.1. It’s never been that low! Feeling pretty good!
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Scared to go through with surgery
KimA-GA replied to Softtacocrumbs's topic in PRE-Operation Weight Loss Surgery Q&A
Very validating! You may consider telling the state medical board about your experience.. it sounds like this doctor causes harm and could cause death due to his fat phobic approach to medicine. it certainly could have done you great harm to be untreated when some simple, medically standard tests could have gotten you treatment sooner. especially refusing to consider anything other than weight when you had symptoms that were screaming something is wrong (body temp etc) if you share your experience with the authorities it is possible he won’t be able to harm others (or other complaints will be taken more seriously in the future about him) -
Scared to go through with surgery
Softtacocrumbs replied to Softtacocrumbs's topic in PRE-Operation Weight Loss Surgery Q&A
I thought he wasn't in the beginning... I'm still looking around for a new PCP, when I recently found someone I was seeking recommendations from who used to go to him too. She kept having pain and he told her to lose weight and she ended.going to the ER for having a ruptured ovarian cyst. At this point it feels quite validating. Plus, it took my nutritionist fighting for me with him to get a recommendation to see an endocrinologist. Normal PCPs can do a TSH blood test to see, but he didn't even do that, so I think I'll trust the other comments and my gut for now. Plus, I'm feeling much better on the meds and the weight is just sliding off! And, also one of the reasons I was hesitant as well was because I have super brittle hair and nails and I was afraid of the hair loss part of the recovery. I know it's a little shallow but I thought about trying to get vsg long and hard. I'm just so happy now that my body temp isn't at 92F anymore. Like I don't always feel so cold anymore. It's so freeing. Sent from my M2007J3SY using BariatricPal mobile app -
Scared to go through with surgery
Softtacocrumbs replied to Softtacocrumbs's topic in PRE-Operation Weight Loss Surgery Q&A
So, when I was first talking to my nutritionist I had already been logging all my food into MyFitnessPal for around a year. And I've always had a problem with low body temp, brittle hair and nails, exhaustion, and high body weight set point. She tested for the standard TSH, T3, T4, Vitamin D, retook the standard ha1c, LH, FSH, cortisol, and something else I don't remember. It was quite a few vials. My intake was typically around 1200 kcal-1600 kcal. And I workout a lot. I typically spend 2 hours weight training on odd days and cardio on even days. And I had a symptom for when I eat I get super cold and my hands feel freezing. Hope that helps you also know what to ask an endocrinologist. That's at least what was afflicting me. For me I ended up having pretty high TSH (upper range teetering on over) and incredibly low T3 and T4. Sent from my M2007J3SY using BariatricPal mobile app
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