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I’ve gained 15-20 due to chemo, steroids and forced menopause and have no idea how to start with the loss
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I'm embarrassed to admit that I have regained all 40 pounds that I lost. The weight gain started with the pandemic, add to that some very serious health issues with my child, and menopause, and numerous other excuses, here I am. I just don't know what to do at this point. Every single day, I wake up and say it will be a brand new day, but again, here I am. Help me please...
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Easiest Change?
heartofmercury replied to KimA-GA's topic in General Weight Loss Surgery Discussions
Same thing with the lack of sugar cravings. If I start getting a craving for chocolate I just have part of a Fairlife chocolate shake. The other part that's been easy for me is the lightened mental load of this weight-loss process. I used to agonize over calories and carbs eaten. I would track everything and make a point to workout several times per week. I would beat myself up over slip-ups and cheats. I was always thinking about my next meal. Now I'm less stressed and making better choices in general. The weight is steadily coming off and for the first time I don't have to fight my metabolism tooth and nail. -
NON Drinker Drinking Question. (Alcohol)
SpartanMaker replied to Veritas34's topic in Post-op Diets and Questions
This is a good point. Especially if you are someone that has non-alcohol related fatty liver disease (NAFLD), or especially the more severe form non-alcohol related steatohepatitis (NASH), regular drinking probably isn't in your best interest. A lot of obese people end up with NAFLD/NASH since obesity is the leading cause. Depending on the severity of your disease progression, you may have caused sufficient damage to your liver that frequent drinking on top of that could put you on a one way path to cirrosis, liver cancer, and/or liver failure. Now that said, one drink or even a few now and again isn't going to cause severe disease. Also, weight loss often can completely reverse NAFLD, so if you didn't actually damage your liver permanently, this may not be a factor. I totally get those that say alcohol is a poison and don't understand why anyone would purposely poison themselves. Objectively though, ALL of us are here because we purposely poisoned ourselves with food. I'm in no position to judge anyone that chooses to drink. (By the way, my main hobby pre-surgery was winemaking, so stopping drinking was an even bigger challenge for me. I had to give up not only nightly glass of wine, but my main hobby.) In the end, I think we're all grown-ups and everyone needs to decide for themselves what's right. Just know the risks and decide for yourself if the risks are worth it to you. -
recommendations for lipo and bariatric surgery
Sleeve_Me_Alone replied to Kelly Sweetheart's topic in Mexico & Self-Pay Weight Loss Surgery
I had VSG at HospitalBC and they also do plastic surgery, specializing in post-weight loss stuff. I'm not familiar with that side of their work, I just know that many patients return for plastics. I did have a wonderful experience there for my bariatric surgery though, -
Lost 110 pounds but now at 1500 calories a day
RickM replied to bluebellblue's topic in Gastric Bypass Surgery Forums
As you note, the scales and calculators are mostly a "best guess", as they are highly algorithmic. The more direct measures like the vox tests and the like are better, but still have some population algorithms in there that can go astray of one is far outside normal population standards, as WLS patients often are. Similar for body composition checks - the scales are OK if you know how to correct them, but the more direct measures such as bodpod, water displacement and even dexascan are trying to solve for more variables than they can measure, so they are comparing to norms. Getting into BMRs and the like, of course there is the judgement as to burn rates and exertion levels above resting, but then with our WLS of different flavors, that impacts the intake caloric level that we consuming and absorbing, and how the body adjusts to the insult of surgery over time, what the surgery that you had does to the absorption of different foods (fats absorbed differently from carbohydrates which are different from proteins, simple carbs different from complex carbs.) In short, you may get a number from some lab testing as to what calories are appropriate for you, but the ultimate test is whether your weight is stable at that point, or gaining or losing so that you need to make adjustments. -
Anyone for October 2020?
Yray replied to barbieater's topic in PRE-Operation Weight Loss Surgery Q&A
Hi everyone just checking in since all of us have or are near our 2 year anniversary date. Started at 220 I stopped loosing weight current weight fluctuates 146-140 My eating habits have been pretty much the same eating every 2-3 hrs and my drinking of fluids is about 40-50 oz some days more some days not even close but try to stay on track with that as I noticed when I don’t drink enough fluids I eat more junk. Started to develop dumping síndrome or what ever it might be but mid morning I have to rush to Amy bathroom afraid of an accident :( How’s everyone else???? -
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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