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The calculator in the link spits out an ideal body weight that sits at BMI 21. I'm at a bit more than 90% EWL according to this calculator at BMI 23 (which is an absolutely normal weight). I guess the second round of plastics will remove a bit more weight but not two BMI points. I'm like errr... no. Pretty triggering, this "ideal weight" stuff? Patients are driving themselves crazy anyway and EWL is another potential thing to obsess about. Bonus points if not reaching a normal BMI is used as a reference but this ideal-weight-thing.
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So a 'normal' BMI (24.9) would be 159 pounds for me. I was 392 pounds which means I had 233 pounds of excess weight. My lowest weight was 175, but my maintenance weight was 178-182 pounds (though due to anti-convulsant medication for my Trigeminal Neuralgia I gained 18 pounds and got up to 196, but am now weaning myself off of the med that made me gain weight and hopefully the other one I'm on won't do the same thing as I've gotten myself down to 186-191 and am struggling to lose back to my maintenance weight, but I'm also two and half years out so maybe that's the couple pounds they say you gain back... IDK). So today I'm 187 which means I've lost 205 pounds of the 233 excess weight as of right now which I think is roughly 88% of excess weight loss (if I can lose that extra 10 pounds again then it'd be about 92%). My BMI right now is 29 so I'm 'overweight' rather than a normal weight, but I'm just glad that I'm not in the obese category. I cried when my weight went up to 196 because it was 1. too close to 200 hundred and 2. I was briefly obese again and I couldn't get off the med without the approval of my neurologist because I needed a different med regimen due to the flare and he was the only one who could change the meds. So yeah. 88-92% depending on how you count it. I was in the 92% weight loss for 10 months before I was put on the med that made me gain weight and I'm in thee 88% right now.
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My goal weight put me at a BMI of about 23. I’m at about 19.6 now but was a little less. I’m an outlier & initially lost about 137% of the weight I had to lose. I maintained that for about a year. At the end of last year, my HRT dose was increased & I had to increase my protein intake (absorption issue) & I put on a good 2 kgs in the same month. I’ve lost a little of that but have maintained that new weight for about 6 months now making my loss about 132%. I look at BMI as a guide only. I chose my goal weight based on a weight I was always able to get down to in the past - I used to bounce between 60 & 75kg until menopause. Too many factors can influence what is the ideal weight for you. Age, skeletal frame, gender, level of activity & muscle mass, health considerations, etc. Plus, & most importantly, you have to be happy & able to enjoy your life. If the dietary restrictions or exercise regime you have to follow to maintain a lower weight are too restrictive & limit how you want to live your life it won’t be sustainable.
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It still hurts to eat and drink
SkinnyMingo1408 replied to Only Me's topic in POST-Operation Weight Loss Surgery Q&A
I weigh myself every morning(bad I know) in my panties after I pee before I shower. Every now and then I'm brain dead tired and weigh in my nightgown and it's almost a pound (sheesh I know right?!) And it wakes me right up and I catch my mistake and re-weigh. I do have weight up days though, they are few and far between but they happen. I take them on the chin and just keep on trucking. I know it will get better. -
You're doing amazing. That's really good weight loss for such a short time! We all lose at different rates. I started out pretty fast for me and lost most of my weight the first year, but after about 6 months is slowed down considerably, but I still lost all the weight I wanted to lose (over 200 pounds) by my 2 year surgiversary this past July. Sent from my Pixel 5a using BariatricPal mobile app
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Fatty Liver almost Cirrhosis
catwoman7 replied to Flowerpetal1978's topic in General Weight Loss Surgery Discussions
I did gain about 20 lbs in year 3 post-op, but a 10-20 lb rebound weight gain after hitting your lowest weight is very common. And to be honest, I think I look better at this higher weight, even though part of me would like to get back down there again! To maintain it, I track everything I eat and try to get some exercise most days of the week. -
It still hurts to eat and drink
ShoppGirl replied to Only Me's topic in POST-Operation Weight Loss Surgery Q&A
I weigh myself in the morning after I Pee and I’m in my nightgown. That seems to produce fairly consistent weight with an overall downward trend. Some days it is still up though and I just ignore those little fluctuations unless it lasts Several days which it never has. -
I understand, but the problem is that for most obese people, the number these simplistic calculators spit out is way too low. None of them take into consideration that obese people have things like enlarged hearts, denser bones, more blood volume, extra skin, etc. in addition to the fat. While some of those things will eventually change over time, it's not nearly as quick as the fat loss, especially for bariatric surgery patients. I've seen way too many people shoot for weights that are unrealistic and frankly would be unhealthy for them. That's why I said pick a higher number and reassess there.
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I loved it at the time, but looking at pictures of me at my lowest weight now (which was right smack in the middle of a normal BMI for my height), I looked pretty drawn. I look better now at this higher weight. The PA in my clinic said people who've lost massive amounts of weight look thinner that never-been-obese people who are the same weight because your bones and muscles are heavier. You needed a lot of bone and muscle to hold up all that weight. Granted, you do lose bone and muscle as you lose fat, but not all of it. And then there's excess skin - but that doesn't weigh very much. Maybe five lbs or so.
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There are multiple ideal body weight formulas, but the results are within +-5 pounds of each other.
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I think the “ideal weight” that they use is different depending on who you ask also. Which means it not 100% accurate when you plug it into the formula but I’m sure it’s close.
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I don’t disagree. It’s just helpful to have some reference point for goal setting. And for better or worse, most data on weight loss surgery outcomes is based on ideal body weight and BMI.
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To put it simply, Ideal Bodyweight is a crock. These are all based on one of 3 things: BMI, population studies like the NHANES survey, or body fat %. None of these can tell you what YOUR ideal bodyweight should be, only what an average range of weights might be. Why? Let's look at these individually: BMI: Frankly the fact that this psuedo-science is so widely used is downright scary. This is all based on a formula created almost 200 years ago by a mathematician (not a physician), trying to determine what an "average" man would look like. It does not take into consideration muscle mass, frame size, or any thing other than height and weight. As an example of just how messed up this is, consider that some professional bodybuilders fit into the morbidly obese category even though they may only have 5-8% body fat. Population Studies: Studies that look at large populations have the same flaws in that they only look at averages. They are good for understanding population groups, but are not instructive to know what YOU should weigh. Body fat: In general, these formulas are going to be better than the above (as an example, see Gallagher et al., "Healthy percentage body fat ranges: an approach for developing guidelines based on body mass index." American Journal of Clinical Nutrition, 72 (3): 694.), because they are at least based on your stats (% Body Fat), but they have 2 fatal flaws: First, they rely on BIA (Bioelectrical impedance analysis), but BIA is not that accurate overall. Second, Lean mass is also is lost as someone loses weight, but if the estimate is based on body fat alone, it will be wrong. My point is the best way to know what your ideal weight should be is based on how you feel and look once you get there. If you need a goal to shoot for, aim high when looking at ideal weight charts. If you're not happy once you get to that weight, you can always adjust downward.
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Well i never got to ideal according to that calculator. For me ideal is 141 and I only got to 169. I think I would’ve looked fine at that weight though if I could’ve gotten to it. For some reason I don’t have any excess skin or anything. I think the excess skin is part of what makes people look sorta drawn In the face but I’m not certain. Maybe because I was lower BMI to start?? I was also tiny my entire life so I’m used to seeing myself small. Like 120’s until after the bipolar Symptoms started. It’s like a switch flipped inside me and I just started gaining and never stopped. I would lose weight through diet of course but always gained it back.
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Well I think part of it depends on how active you are. I am not very. Since surgery I walk everyday but that’s about it. I just can’t be on a full blown diet forever so I had to accept that I may be a little bigger than MY ideal for myself but I am still feeling much better at this weight. I go out more and feel better in clothes and stuff so if I am able to maintain this I say I guess I will be happy….enough. Lol
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How did you feel you looked at ideal body weight? Much of what I read indicates that ideal body weight for a formerly obese person is too small… results in you looking sick. True or false for you?
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I set my first goal at 180 because my team warned me that people with bipolar disorder statistically don’t always lose as much as others. I was hoping to get to 160, though. I did get down to 169 and over four months went by without budging a pound so I realized my body was just happy there. I gained back ten pounds fairly quickly and now I am staying right around 179.
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How did your weight loss stop? Did you choose to go into maintenance mode, or did your body just decide you were done?
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Okay so using that number for ideal body weight I lost 74% of my excess weight.
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Yea I just don’t know where they get the ideal body weight?? Is it based on a certain BMI? I don’t think it’s necessarily consistent from one source to the other which would throw off the calculation a bit.
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100%. But I've gained 15-20 lbs in the last three years or so - but I think it's still much higher than the average (average for bypass being 70%)
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EWL = Excess Weight Loss: the difference between staring weight and ideal body weight. If your starting weight is 300, and your ideal body weight is 150, you have 150 pounds of excess weight. If you lose 75 pounds, you have lost 50% of your excess weight (% EWL). Ideal body weight calculator - https://www.mdcalc.com/calc/68/ideal-body-weight-adjusted-body-weight
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I was lower BMI to start and I had sleeve. I went fro 235 down to 169 but gained back to 179. Struggling to stay there. I am not sure exactly what % EWL is? If it factors based upon an ideal weight I never did understand what that weight is. Is it based on a certain BMI or what? I think I lost 28% of my overall body weight if that’s what you are looking for?
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It still hurts to eat and drink
Jesse Liberty replied to Only Me's topic in POST-Operation Weight Loss Surgery Q&A
You lost 16# in one week?? That's amazing. Losing weight is non-linear, you should expect some ups and downs. -
I don’t think so. I just make sure to figure the calories in for the day. Having said that I did not reach my second goal which would’ve ideally been a little smaller so maybe my occasional treat is a factor? But my team is happy with where I am and if I can maintain this weight and not feel deprived all the time that is what I was hoping for with the surgery. I guess only time will tell. Like I said though I will reassess often and make changes if necessary.
