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Losing too much weight before surgery
catwoman7 replied to Crystal-clear's topic in General Weight Loss Surgery Discussions
it depends on the insurance - but most of the time they seem to go by your original weight. And the others are right - I would think once they approve it, it's a done deal. -
Looking for information on GOLO release use after sleeve
Arabesque replied to lark60's topic in Gastric Sleeve Surgery Forums
I’ve never heard of it so did a quick read about it. It sounds like a way to sell their supplement (yeah, I can be a bit cynical) & those with certain medical conditions should not follow it. Sure people can lose weight on any diet but keeping it off is the problem as we know. (How many diets have you tried over the years?) Diets are designed to be short term & restrictive. Finding a sustainable way of eating that doesn’t restrict you living your life & provides your body (not your head) with what it needs is the way. It may include aspects of certain eating styles but the way of eating you find that works for you will be personal to you. It won’t be exactly the same as how & what I eat or someone else eats. Go back to the basics of your initial post maintenance eating as a start. Meet your protein & fluid goals. Eat lots of vegetables, some fruit, some low processed whole/multi grains & some good fats & oils. Avoid high processed, high fat, high sugar foods. Reestablish the good post surgery habits of smaller portions, eating slowly, measuring & tracking your food intake, etc. And then modify your eating as you need. Get in touch with your dietician for some guidance & support. Life just gets in the way sometimes (health, family, friends, jobs, etc.) & old habits sometimes regain their old power & override our good intentions. Many turn to food for comfort in times of stress. (So sorry about your mother’s diagnosis @mgt3boys.) Maybe visit a therapist to discuss ways of managing stress & anxiety without turning to food & ways to break those old habits. Because you’re newly post surgery, it’s best you follow the diet you’ve been given & the advice your dietician & surgeon give you @Merri Beth. Because our portions are so small after surgery what we eat is extremely important to ensure our body gets the nutrients it needs. And they have access to your medical records & blood work to ensure you are getting what you need. As you get closer to your goal, start exploring how & what you want to eat for the long term & what your body need to eat to benefits your health. -
What am I doing wrong?
Arabesque replied to heatherdbby's topic in POST-Operation Weight Loss Surgery Q&A
Our weight loss journeys will have similarities but lots of differences too. Yours just may lose at slower rate & that’s okay. I don’t think you’re being dramatic as your dietician suggested. This is a big emotional, mental physical (& financial) investment in your life so there’s nothing wrong or ‘dramatic’ about wanting to be sure you’re doing the right thing. Oh & don’t worry too much about not exercising & that affecting your weight loss. I didn’t do any & I lost all my weight & more. I just increased my normal day to day activity - used stairs not escalators/lifts, parked further away, did multiple trips up & down my stairs (why do one trip to bring up the groceries when I could do two or three). All I do now are some stretches to support my back & some resistance exercises with bands. As @catwoman7 said, exercising only accounts for 20% of your weight loss (though I read it was only 10% for most people). Of course there are many health benefits to exercising. Just find something you enjoy when you’re ready. -
Not hungry, at gain of 20lbs, HELP!!!!
Arabesque replied to RDC2019's topic in Gastric Bypass Surgery Forums
Stalls are extremely common @rparker3313. Everyone experiences at least one with the first usually occurring at about week 3 & they usually last 1-3 weeks. Some start earlier or later or last longer. But your snacking won’t be helping and, like with @RDC2019, therapy will likely be of help to you to so you can discover why you’re snacking when you’re not hungry. It’s sabotaging your weight loss. Snacks tend to be high calorie foods with poor nutrition & especially when you’re still so early out the nutritional value of what you’re eating is essential for your health & for your body to function effectively. Protein, protein, protein. Eat it first & then when your plan allows eat some vegetables & lastly, if you’re able a little fruit or low processed multi/whole grains in a meal. I remember being able to eat my protein & maybe a green bean or two or a cauliflower floret & that was all for a meal for about three months. -
Losing too much weight before surgery
Crystal-clear posted a topic in General Weight Loss Surgery Discussions
Hello all. I started the process for bariatric surgery in February 2022. I weighed 310 lbs at 5'6, BMI 50. I completed my 6 months of supervised weight loss in August. I received approval for my surgery in September from my insurance company. I am STILL waiting for my surgery to be scheduled. My pre op testing was just completed last week. After the testing they said to allow 2 weeks for it to be processed and then another 4 weeks for them to call with the surgery date. Then I will 2 weeks of pre op diet. So likely it is another 8 weeks until my surgery will happen. My problem is I have been on Ozempic since May and steadily losing. My current weight is 245 which puts me right at the BMI cut off of 40. In 8 weeks I will likely be around 230 which will definitly be below. I guess my question is... my insurance requires a BMI greater then 40 for bariatric surgery, If I show up for surgery with a BMI lower than that will they cancel my surgery? I hate stop all the progress I've made this past year. I'm in a good weight loss groove. But I really never expected it to take 5-6 months AFTER my 6 months of supervised weight loss and insurance approval to actually get in for the procedure. -
October 2022 surgery support
ashleydashley replied to KimA-GA's topic in Gastric Sleeve Surgery Forums
I got my surgery on October 6th about 3 weeks in. I had about a three week. Where I wasn't losing weight... I was having 600 to 800 calories a day because that's what my doctor suggested I should be sticking to with the gastric sleeve... I was very strict on amount of protein I was getting. I was getting 60 to 90 g of protein a day. Was also getting my water in everyday. I felt so defeated and overwhelmed like I was doing something wrong. So I even called my doctor's office and they said no. It's totally normal your brain. Your metabolism are trying to catch up with your new stomach... Hang in there. My only suggestion would be to double check with your doctor on what your calorie intake should be this soon after surgery... Let us know if you need any more suggestions. I hope that my story helped you in some way. Hang in there girl -
Hey everyone, here's my update: Surgery was 10/11. I was 259.8 (heaviest weight) right before I started my 1 week preop diet. Down to 248 right before surgery. Current weight is 219. I'm now on a regular diet since week 6 (currently week 7 since Tuesday). I can only tolerate about 3-5 bites before I'm too full. I eat 4-5 times a day to get my protein in and prevent myself from getting sick due to my stomach being "too empty". I'm averaging about 500-700 calories a day most days. I still struggle to slow down when eating, especially if I've waited too long to eat. Work in progress. I have started back the gym this week. I have made a goal of doing a 5k in the spring, and I have gotten a trainer to help me until I get situated and comfortable around the gym. I had the dreaded 3 week stall. It lasted 3 weeks. Broke this week. I think the gym helped. I still struggle to get my fluids in. However, I feel great. I have turned the corner and gained energy. My mood is better as well. I have decided to take a weekend trip somewhere (that part is not decided) as a reward for getting into Onderland when I get there. My reward for going to the gym 4x a week for the next 2 weeks is a new pair of shoes (I really need them because my shoes have gotten too big since the weightloss, its a bonus to use them as a reward though). My NSV: I can put on my shoes without wanting to be taken out by a sniper. My back pain and knee pain are gone (I hadn't had the pain long though, so it went away quickly versus someone who had longer chronic pain). I have energy and smile more!
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What am I doing wrong?
catwoman7 replied to heatherdbby's topic in POST-Operation Weight Loss Surgery Q&A
exercise only accounts for about 20% of weight loss - and I've known of several people who've lost a bunch of weight post-op without exercising at all- so it's likely not that. If you're getting 600-900 calories a day, that should be fine. It may just be your body's particular weight loss "pattern". As long as your general trend is downward, you should be good. -
Mine started at 2 weeks, too and it just broke a few days ago. About 3.5 weeks for me, too. I noticed that during that time, my ring started slipping off my finger. My favorite skirt started slipping down my hips. I'm definitely losing inches, even if the scale isn't moving. I also started working out - running on my elliptical - 30 minutes a day and I'm going a little over 4 miles. My abs are still sore, so no weight lifting for me, yet.
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Looking for information on GOLO release use after sleeve
lark60 posted a topic in Gastric Sleeve Surgery Forums
I haven’t been online in years and had my sleeve procedure in 2013. My weight has become a concern again. I am up to 181 and have been looking at the GOLO release supplement. Has anyone tried this post sleeve? -
I am 15 mos post op and I have definitely noticed my neck snapping back slowly as my weight loss has slowed. I take collagen and a hair-skin-nails supplement every day and I feel like that has helped, and I've also noticed it looks better the more hydrated I am. All of the above listed things will help with your hair, too--I had to basically get a buzz cut 4 months after my surgery because I lost 75% of my hair, but as it's grown back it's thicker than it was before my surgery. It's almost to my shoulders again in the back! Stick with your plan, eat your protein, make sure you're getting plenty of vitamins (especially zinc for your hair!). It will get better. This whole process is like going through puberty again sometimes with all the strange and confusing changes to our bodies but a lot of it is temporary!
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What am I doing wrong?
kcuster83 replied to heatherdbby's topic in POST-Operation Weight Loss Surgery Q&A
Don't fret. Everyone is different, you are starting with a lower BMI so naturally you are going to lose weight slower. Your calorie deficit is not as large as someone starting with a higher BMI, but as long as you have a calorie deficit you WILL lose weight. It just may not be at a speed that satisfies you. I also suggest giving the scale and break and taking some measurements and pictures for other comparisons. Do you track your food, log it? Sure you know exactly how many calories you are eating in a day? If not, start. Weight lifting is not the reason though, it is to gain muscle and tone, not to lose weight. Lastly, reach out to your team. Maybe try to get an apt with your Dietician? Go over your eating, calories, exercise, etc. You can do this! Good luck. -
Let me start by saying I know stalls are normal. I know it won't drop off over night. I know this is a process, and I must trust it. But I can't help thinking that I might be doing something wrong here?? I am 7-8 weeks post op, and since my three week stall 😞 I will lose half a pound, then stay that weight for a week or longer, then loose half a pound, then stay that weight. This has been happening for over a month, and it is so frustrating! I haven't seen anyone else have something similar to this happen. The only thing on my plan that I haven't completely 100% followed is working out consistently. I walk as much as I can, daily, but haven't gotten to really do weights or anything because I have no idea what I am doing in the gym (meeting with a free consultation to get a better grip on what they have and what is what at the gym tonight) Could not weight lifting really cause this though?
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I have hit a Plateau...
rparker3313 replied to Only Me's topic in POST-Operation Weight Loss Surgery Q&A
I'm at a stall too. A pretty frustrating one. It started 2 weeks after surgery and has lasted 3 weeks! I'm walking, lifting small weights, staying below 1200 calories, eating well......and I want this stall to be over! -
Not hungry, at gain of 20lbs, HELP!!!!
rparker3313 replied to RDC2019's topic in Gastric Bypass Surgery Forums
I think snacking is sabotaging my weight loss too. I'm not hungry and I am 5 weeks out from surgery. I stopped losing weight. I know people say there always a plateau or stall, but mine has been 3.5 weeks long! Still only tracking 900-1100 calories per day, and going on walks, but the scale isn't moving. -
first of all, pouch resets are discouraged by most dietitians. It just puts you back into "diet mentality". Just go back to basics - protein first, then non-starchy vegetables, and then, if you're still hungry, a small serving of fruit or complex carbs. And log everything you eat so you know how much and when you're eating. secondly, the vast majority of us have a rebound weight gain of 10-20 lbs after we hit our lowest weight. It's just your body settling in to a weight it's comfortable at. I used to "attend" Unjury's Zoom support groups occasionally, which often feature speakers. There was a really interesting dietitian on once who said at her clinic, they don't even consider it a regain unless the person has gained more than 15% of their lowest weight (so for you, that's 25.5 lbs). I regained about 20 lbs in year 3 (it usually occurs in year 2 or 3, after you hit your lowest weight). It really bothered me for a long time, but clearly this is where my body wants to be. I could always go lower by cutting my calories, but then, I've been sitting at this weight for quite awhile, so it evidently is not as important to me as I think it is, otherwise i'd be doing exactly that (cutting calories). I know it'd be a struggle trying to get down to my lowest weight again and staying there, because my body seems to be comfortable where it is. Do-able, but it would be a lot of work and then a challenge to stay there. I've kind of given up the ghost at this point. if after tracking you find you're taking in too many calories and are doing too much eating while you're not really hungry, then do what you need to to get back on track (the suggestions people had of going back to your clinic for support - therapy and/or dietitian is a good one). But if that's not really the case, if this is just the normal rebound that most of us experience, then know it's just that...normal - and also, expected.
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Everyone experiences at least one stall. They usually last 1-3 weeks. They’re just your body taking a break from all the stress you’ve been putting it under - changed diet, weight loss, increased activity, etc. (There’s a more scientific explanation but that’s what it boils down to in simple terms.) Just stick to your plan & you’ll start to lose again. How long long takes you to lose the rest of the weight you want to lose is very individual just like the rate at which you lost the weight you have so far. Thing to remember is that your weight loss will slow as you get closer to goal so it will take longer to lose the last 20 than it did to lose the first 20. You’ll be consuming larger portions & a wider variety of foods so getting closer to the calorie intake your body needs to function. This is meant to happen. Your body also gained a new set point as a result of the surgery. This is the weight your body is happiest at. It may be more or less than your goal. So you may not lose all your weight or you may lose more. If you want to push below your set point you will have to work harder to get there & harder to stay at that lower weight (lower calories, more activity) & that usually is not sustainable in the long term. Also your lowest weight is rarely the weight you are a couple of years later. Everyone gains some after - varying amounts. Your body settles, you modify your diet to be more sustainable & better compliment your lifestyle, & often just life in general. I lost more than my goal. 48.2kg at my lowest but have settled at 50.5kg 3.5yrs later but it’s a weight that’s right for me. Lots of people cried ‘too thin, too thin’ in the beginning. Now they don’t say anything at all. Just like we can have trouble seeing the reality of ourselves, so do family & friends. Don’t let your friend, as well meaning as she may be, sabotage you or make you doubt your intentions in anyway. You know what you’re doing. You have access to a dietician & to your surgeon & their team to guide & advise you & ensure you are healthy. All the best.
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During my pre-op research phase I really got into reading studies published online (pub med or other reliable sources), mainly looking for the expected weight loss trajectory if I went through with it. You can Google your specific procedure and find many such articles. https://pubmed.ncbi.nlm.nih.gov/33042006/ - Timing of Maximal Weight Reduction Following Bariatric Surgery (China), N = 409, compares various surgical outcomes by type of surgery, gender, starting BMI, and other factors https://pubmed.ncbi.nlm.nih.gov/34768441/ - Long-Term Weight Outcomes after Bariatric Surgery (Saudi Arabia), N = only 91, but check out figure 3. I like that they measure by excess weight lost, not total weight loss. Older studies only refer to total weight loss which is meaningless because everyone starts at a different weight. Here's a chapter from a 2020 textbook about weight regain after bariatric surgery: https://www.intechopen.com/chapters/74559 - Great summary of the medical literature, if you are curious about the stats for weight regain after RNY and also want to know what doctors will recommend for you (structured physical activity, tracking diet, re-operation, etc.). Spoiler alert: you are far from alone in this! For RNY, at 2 years, 17.1% regained > 15% of their 1-year post-op weight lost, but it's TWL not EWL. That study was large, N = 1426. Hope this helps. Currently, I am post-op and obsessing about whether my EWL % is on par with successful outcomes in the medical literature for my procedure (Endoscopic Sleeve Gastroplasty). But that's a whole 'nother Oprah.
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Thank you for your response! I had the RNY, stated at 265, went down to 170 and now at hover between 194 and 196. So actually a gain of 24/26lbs varies from day to day. Sent from my LM-T600 using BariatricPal mobile app
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I think my surgery failed
KimA-GA replied to Honeyme's topic in General Weight Loss Surgery Discussions
some people loose slower than others. a lot depends on your starting weight.. what do you use to track your food? do you weigh and measure ? -
Is it an option to call your surgeon / team and request a consultation? I know it has been 4 years for you, but my team said they would see me back for a free consult even years from now if ever needed. This is a good business strategy, so you go with the same team if you need a repeat procedure. After all, these weight loss surgeons pay a lot of money for advertising. I have often wondered what their cost-per-lead is, when I see their ads online and on TV...but I digress.
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Most surgeons and dietitians agree that "pouch resets" are just crash diets. They don't actually reset your pouch (and nothing will, its an organ, its doing what its supposed to and doesn't need to be "reset") or do anything for long term weight loss. What WILL help, is tracking what you eat and staying in a calorie deficit, hitting your protein goal, ensuring you are getting in plenty of water and staying hydrated, and moving your body regularly. Go back to the habits that helped you lose the weight to begin with. Additionally, some amount of regain is completely normal. Most WLS patients find that their lowest weight isn't their healthiest weight long term. If possible, maybe check in with your surgeon's office and get their insight as well.
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Welcome, RDC. What procedure(s) did you undergo? What was your starting weight, lowest weight, and thus, what percentage are you talking about when you say you gained back 20 pounds? If you lost 200 and regained 10%, it is a very different scenario from losing a total of 25 and regaining 20. Most people on this board are extremely knowledgeable and willing to help, but you have to give the basic information for their responses to be helpful.
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Never hungry, but either don't eat or reach back to old bad habits for snacking. Any advice? I think I'll do the 5 day pouch reset. Anyone else with similar situation? Please respond. Sent from my LM-T600 using BariatricPal mobile app
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Will a pouch reset help after 2yrs rny and gaining back 20lbs? Sent from my LM-T600 using BariatricPal mobile app
