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How much protein is too much?
NickelChip replied to newbegining2024's topic in Revision Weight Loss Surgery Forums (NEW!)
There's a very high likelihood your weight stall has nothing to do with what you are eating, and it would definitely not have anything to do with too much protein. This is your body's natural reaction to severe calorie restriction. In a nutshell, when you are on liquids only, you rapidly lose mostly water weight as your body burns stored glycogen for fuel. Once the glycogen runs low, your body turns to burning fat, which is what you want it to do. This takes a few weeks. However, when you start to introduce solid foods again, and especially carbs, your body is very keen to restore those glycogen stores. So it burns fat while also replenishing glycogen. Glycogen is bound to water, which means the water weight you lost in the pre-op diet and right after surgery are regained, which is fine. You need glycogen. It's what helps us get through short periods of lower food intake, like when you have a bad cold and lose your appetite for a week. Your body is still burning fat because you have a major daily calorie deficit. It will show up on the scales in a few weeks when everything else balances out. My advice is to just do what your doctors tell you, stop tinkering with your diet, and don't weigh yourself for a few weeks. Your doctors have advised hundreds if not thousands of patients just like you. They know what they're doing. -
I have read through so many posts on the topic of revision and see that people are mostly very happy to have gone through with it but a lot of them seem to be due to regain, hernias or bad GERD so my query is a bit different. My surgeon has mentioned a number of times to me about doing a revision from sleeve to bypass as following my surgery a year ago I had bad reflux. When I was released from hospital in November I was prescribed two pantomed (PPI) a day and since then GERD has become less frequent, for the last three months I am now on just one a day and I don't consider that the GERD impacts me, maybe once a week I might have a bit of gas, but the surgeon was still suggesting bypass and at my last appointment (in May) even mentioned that it would help me lose more weight, even though I was then just 5kg/11lb from the target he gave me and still only 10 months post-op. Given all the complications I had after my sleeve surgery in July last year I am very hesitant to have any further operations as I don't know if it was the medical teams fault and/or my body. If it is something that the surgeon says is needed I am torn between asking for a referral to another hospital or risking his team again in the belief that they would be extremely careful with me after everything that went wrong the year ago. So far, in just under 12 months, I have lost 47kg/103lb and am only 7kg/15lb away from my goal weight (3kg from the surgeon's target) and therefore I was wondering, from those who have gone through the revision process, if you think it is worth it? For me the only benefit I see is that I would be able to stop taking the daily pantomed, so not sure that is worth risking another surgery for. I have not had a single dumping episode and for the last few months have been able to tolerate all foods without issue so am a bit fearful that the bypass may lead to a backwards step on those fronts. If my GERD is not impacting me is there any other long-term benefit to the revision when I am still (slowly) losing weight? I don't want to go more than a few kg below my goal weight as it is not a good look on me. If there is no drastic weight loss, given so much has been achieved already, is there hair loss with the revision? Any insights would be appreciated as I have my one year check-up in a couple of weeks and I want to be prepared for when the topic is raised
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On your plate. The fruit and veggies section is more protein. Need balance. I think i would go back to basics for a week.. 1 cup breakfast lunch dinner. Replace one meal with a protein shake. Reboot your mind and follow the post op plan for a guide.
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Surgery Cancelled - Super bummed
summerseeker replied to Jaye Apples's topic in PRE-Operation Weight Loss Surgery Q&A
That's so cruel and everyone is so scared that it could happen to them. I think I might have had a melt down. I feel for you because we want this surgery so badly and 3 weeks on a liquid diet is brutal. Biggest hugs sent your way. -
Week 5 Post op Sw: 155kg /341lbs Stats to date: - 13,8kg / -30.42lbs
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Well my surgeons front office staff is consistent in giving me the wrong information at least. The nurse doing my paperwork said that my preop diet was two days liquid diet. I said last time I did a week of the LSD she said no it’s just two days but she would double check. Well when she didn’t call I called the office and they said yep two days but it sounded like they just checked the paper she gave me and hadn’t asked him. So thankfully I made an appt with the NP and she said that it should be two weeks of the LSD plus two days of liquids so I have to start in two days. Yet another shining example of why I don’t trust anything that they say. Who knows what would’ve happened when he found out on surgery day that I hadn’t done the diet at all. I would’ve been so devastated if they postponed me Thanks to @SleeveToBypass2023 though I did find out that they have a patient portal so I can skip the front office and message the Nurses and Doctor instead. Of course the front office wasn’t sure how to get me logged into it 🤣 they told me to call the help number on the site. The FAQ’s say that the office has to send me an invite first though with a code so I’ve got to ask the surgeon about that on Monday too. Shocking, right? Anyways, I have to wrap my mind around starting the pre op two weeks sooner than they said (a week sooner than I expected her to say). I am definitely doing to be wasting some food since I just bought groceries expecting to have another week. I am making a grocery order to pickup up Monday after I see the surgeon. I have the two shakes for breakfast and lunch. It’s honestly not too bad. I have to do two shakes but I do get a low carb dinner and a snack at least. Not complaining after seeing others having to all all liquid. I am going to get pretty board with it after two weeks though I’m sure. I wish I liked more of a variety of shakes. I like the cafe late or proffee a lot but of course that’s caffeine. Which it doesn’t technically say no caffeine but it seems like they told me that last time. Adding that to my list of questions too. The questions that the nutritionists should have answered but I was told no LSD so she didn’t go over it. 🤦♀️
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February 2024 Surgery Buddies?
NickelChip replied to NickelChip's topic in PRE-Operation Weight Loss Surgery Q&A
@gracesmommy2 I'm so sorry about the insurance issues. What a nightmare! Praying it is resolved soon. As for the goal weight, I used the weight loss calculator on the Pound of Cure website and took the lowest weight in the range, which also happened to get me to a "normal" BMI. So, it's pretty arbitrary but it sounded good. I based it on the weight I had reached before starting my pre-op diet, which was after dropping about 12 lbs from my highest point. My own doctor didn't discuss goals or percentages with me, although I don't know if that's standard practice for him or not. My experience has been odd. First, I was with a different weight management center for years, first managing through diet and meds and then switching to the surgical route, but it closed very suddenly. I had my December surgery canceled 3 weeks prior to my date and had to rebook for February with a surgeon at a sister hospital. So I came in very last minute and only met the surgeon and nutritionist at the new place twice so they could sign off on me as quickly as possible. And right after I had my surgery, my surgeon had a nasty ski injury and was out for several weeks, so I did one follow up with his colleague and one with him via video. I'm glad I was able to get the surgery in a timely fashion and they did a good job, but I sometimes wonder how my experience differs from if I had started off in their program. A nice NSV today. I had a dress I wore on my birthday back in March that fit me but with no room to spare. This was a victory in March because I had purchased it for a trip out of town the year before for my birthday but the dress didn't come close to fitting me back then. Well, today I needed something nice to wear to my daughter's dance competition only it was cold and rainy so my summery stuff wasn't going to work. I remembered the birthday dress, which is long sleeved and has a sweater. I put it on and it was so roomy! I'm actually glad I got a second wearing out of it because I'm hopeful it will be much too big when the fall rolls around and I need cool weather clothing again. In fact, my summery dresses that were skin tight two summers ago are already very loose, too. It's the little things that keep you going when the scale decides to stall, right? -
August Surgery buddies
Onemealplan replied to Averdra's topic in PRE-Operation Weight Loss Surgery Q&A
Hey there, I know exactly how you feel! But before I forget, happy birthday mine was a few weeks ago and pretty much did the same thing with the cake lol. I can only eat about 2 to 3 ounces. And I’m not gonna force my stomach to eat more. I used to love MyFitnessPal, but my nutritionist has recommended an app called ate. So I’ve been using that for now. -
Plateaued - Already (7 weeks)???
Arabesque replied to Cj975's topic in Gastric Bypass Surgery Forums
Stalls are perfectly normal & are an important part of your weight loss as the others have said. The first one usually begins around week 3but can be before or after this time like yours. They generally last 1-3 weeks & again they can last longer or even only for fewer days. The numbers are based on averages & so just give you an idea what might happen when. Yes they are frustrating but it’s best to let them ride out. The stall will break when your body is ready to move forward again. Don’t stress it out by making more changes other than those required by your plan so stick to it. Reduce how often you’re on the scales & try taking body measurements. Many notice that while the scale doesn’t move, their clothing fits differently. Also, if you would like more precise information about portion sizes, macros, etc, ask for them from your dietician. It’s about feeling comfortable & confident about what you’re doing, For example did they say when you should be up to a cup of food? I was told 6 months for a cup but that was what I was told for me. -
Well you motivated me to see what was available for cheaper in my area in order to hopefully give you some suggestions and I found out that my own community center has lots of classes for cheap. They have a yoga class that looks promising. It’s Stretch and Flow Yoga. I have no clue what that means and I’m pretty sure it’s not beginner but I will just start in the back and do what I can I guess. 🤷🏼♀️ They also have a class that does some strength training and moderate cardio that I think I need to wait a little longer in the cardio and I know I need to wait two more weeks to be cleared for weights. I will be able to do them both time wise eventually, though, which would be 4 days a week. I’m seriously excited. I really hope that you find something that makes you excited too because exercise really does make you feel better once you get into the grove. Now I just have to figure out what people are wearing to Yoga nowadays. She says as she plans to go check out Amazon right after this. 😂
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November 2023 buddies
ChunkCat replied to brandycsiz's topic in PRE-Operation Weight Loss Surgery Q&A
So today I hit a milestone I didn't expect so soon---I've officially lost 50% towards my goal weight!!! 😭 I've lost 76 lbs since my highest weight (320) and 63 lbs since surgery (307). I'm stunned honestly. I've had some stalls and my weight loss has been slower than some others but my doctors kept telling me to stay the course, that my weight loss was right on track. Well, now it seems I've caught up and am ahead of the game! It feels so unreal... Here's a pic of me pre-op and two from today! -
Struggling to slow down
catwoman7 replied to Sami2209's topic in POST-Operation Weight Loss Surgery Q&A
your surgeon is nuts - you just had major surgery! Of course you're going to get easily fatigued! I had to take naps in the afternoon for the first couple of weeks - and it was probably two months before I felt back to normal (although it got a little better every day...) -
December Surgery Buddies!
MLC3409 replied to AshleeHarvey's topic in PRE-Operation Weight Loss Surgery Q&A
So far it has been ok I guess. The surgery was “text book” according to the Dr. I had no pain after and I started back to the gym for treadmill and low weight machines on week 3. I followed the plan. The last two weeks since I started soft foods has been hard. I’m 5 weeks out today. I am down 28 pounds since surgery. HW - 412 SW - 362 CW - 334 I have hit a stall. No loss in a week. I have had a couple of “slips” but nothing I can’t come back from. I unfortunately am not as restricted as I thought I would be. I was able to eat a whole filet of fish sandwich with no problem. Why I ate it is because I am still an emotional eater unfortunately. The good thing is I could only eat the one and now the huge chunk of food I use to. hopefully as the weather gets better I can be out more but I need to work on my “out of the house” food plans. I got my little cooler I just have to work on the best stuff to put in it. I can’t wait to go back to fishing !! here is my picture about one year a part. A total of 75 pounds difference -
May 2024 Surgery Buddies 😁
Pat Hall replied to Bypass2Freedom's topic in PRE-Operation Weight Loss Surgery Q&A
I'm only losing a pound a week now myself...docs say not to worry about it, these things go in cycles...and to up my physical activity. (grumble). Don't get discouraged. You are the heart of the May Surgeries board. Keep the posts coming. -
Oh wow! I'm on full liquid for a week pre-op - I'm on day two today! So far I haven't wanted to claw anyone's eyes out (lol!) Like I said, I messed up on my first shake of the day yesterday and had one that had an insane 20g of sugar and 50g of carbs in an 8 oz serving! Since then I moved back to my 30g protein shakes that have 1g of sugar each; I had three yesterday and have had two today. I'm surprised that taking 100mg of colace morning and night hasn't had me running for the bathroom yet, so there's that! I had about a cup of sugar free jell-o yesterday throughout the day and have had about a half cup of it so far today. So far my plan is to shower with the Hibiclens Sunday morning, then when I get to the hotel that night. I'll wake up early Monday morning - no fluids after midnight at all - to shower again with the Hibiclens and head over to the hospital. Sunday is my normal sheet change day anyway, so that's good. I expect to be in the hospital for 2-3 days, hopefully getting released on Wednesday the 7th to ride home with my driver. I'll have my fella change the sheets for me at home again before I get settled in. Good thinking on packing light - I know I'll want warm comfy socks (I hate hospital 'socks' though they may make me wear them for traction, idk), the meds I am still allowed to take, and a robe that zippers all the way up the front. I don't plan to take a lot - I'll bring a set of earbuds in case I want to watch something on my phone to pass the time but other than doing the sip-sip-sip of liquids and restarting my Bariatric vitamin I imagine I'll rest as much as I can while still getting up as much as they prompt me to for walking around to work the surgery gas out. I figured I'd just toss a few changes of underclothes, socks, the robe, some comfy clothes to wear home, and meds in a backpack. Oh - And of course my phone charger. Can't go anywhere without THAT! You must REALLY be feeling it about now with your surgery tomorrow morning! Wishing you the very best!
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@wendy4energyrenewal Thanks for the welcome. I'm one week out now and the nausea with protein shakes seems to have lessened (I'm just already tired of them). I did figure out that mixing the shakes with water and ice made it a little more tolerable ... the thickness of the pre-made shakes is not sitting well. Wow, 2 weeks on pure liquid didn't sound like much but after a week, I'm really starting to feel deprived. I'll make it, but I'm already planning some pureed meals!!
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Super B Complex woes
swimbikerun replied to batofVenus's topic in Protein, Vitamins, and Supplements
Yes but I got allergic reactions to it, with photos, so that's how I got out of the super B complex. I have to take a different kind for B12, maybe B1 after a visit next week. -
If this experience taught me anything it was that the human body adapts - i was panicking my first week out of surgery i knew i wasn’t drinking enough broth and water and tea included. But my dietician just said you’ll see your body adapts as long as you keep sipping when you can - you do the best you can listen to your body. The internal swelling is no joke - you can feel perfectly fine on the outside but imagine the healing going on inside. You’ll actually be able to feel it go down a little each day and the restriction won’t be so harsh. I hit none of my hydration or protein goals the first few weeks 🤣 and i felt sooo bad about it but in the end it really isn’t the end of the world as long as you try to the best of your ability
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How to pick the right plastic surgeon!
catwoman7 replied to AmberFL's topic in Plastic & Reconstructive Surgery
I wanted the best surgeon I could find that wasn't too far from where I live (within two or three hours). Although I would have been open to traveling if I couldn't find anyone in the region. I don't think he had the best bedside manner of those I did my consults with, but he specialized in plastic surgery for massive weight loss patients and had been doing this particular type of surgery for years...and years. He had excellent reviews. Of course, it's great if you really connect with the person, too - but you'll only be seeing this person a handful of times - if that - but you'll be living with the results of your surgery for the rest of your life. You might want to schedule a couple more consults before deciding. I found realself.com to be somewhat helpful when I was coming up with my list of potential surgeons. you're in California - Dr. Katzen is nationally known and specializes in massive weight loss patients, I believe. EDITED to add - looks like he does all kinds of plastic surgery, he doesn't specialize in massive weight loss patients. However, he's very well known in the bariatric community. -
This liquid diet is...not easy!
NickelChip replied to Raevor85's topic in PRE-Operation Weight Loss Surgery Q&A
Three weeks from today I should be checked into the hotel with my mom and trying to get a good night's sleep before surgery! Crossing my fingers there are no further delays. The hospital is only an hour away, which would normally not be a big deal, but rush hour traffic is bad and I'm not sure how early I'll need to be there in the morning, so we decided to go the night before. My mom wanted to be able to stay and visit into the evening but doesn't like night driving, so she felt better about being in a hotel the night I'm in the hospital. Luckily, there's a Courtyard Marriott about 5 minutes from the hospital. Sadly, no hot tub -
Yet another holiday post 😅 My bariatric nurse has given me the go-ahead to try a small amount of alcohol whilst I am on holiday next week - I will be 4 months post-op on the 14th when I fly out! She has suggested trying a white wine as they tend to be dry and therefore low in sugar. Any other recommendations - such as type of alcohol, and how to go about trying it again etc ❤️
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Just really need some encouragement if anyone will
NickelChip replied to Dchonlee's topic in POST-Operation Weight Loss Surgery Q&A
I think the best encouragement I can offer is to help manage your expectations. WLS is a treatment with results measured in months and years, not days. For perspective, my day of surgery weight was only 6 lbs higher than yours. I am 4 months post op as of tomorrow and I hit 189 lbs...yesterday. That's 17 weeks to lose 34 pounds. And I promptly bounced up to 190 this morning. Barely eating anything has very little bearing on how much weight you will lose in the beginning. Your body is going through some stuff. Like, a lot of stuff. We don't even know the half of all the systems that are recalibrating in the first weeks and months. Calories in and calories out is just not a useful equation to describe what is happening to you right now. The weight on the scale is a single data point, but it doesn't even tell you what type of weight you have lost. Fat? Water? Muscle? No idea! And the smart scales aren't actually very smart because they give you averages, not actual measurements. I only lost 2.8 lbs the entire month of May, but I went down a dress size and a bra size during that time. Then I lost 10lbs in 2 weeks. Why? Who knows! So, for long term sanity, I suggest focusing on the things you can control and not worrying about what you can't. Focus on meeting protein and fluid targets. Add in a sustainable exercise routine (for me, that is just walking consistently every week). Do some reading and watch videos about good bariatric nutrition (I recommend The Pound of Cure videos on YouTube to start with). Collect and try new recipes as you move through the food stages. Take your measurements and a monthly progress photo. You may see the changes better in photos than you do by looking at yourself in a mirror. Basically, you are only 2 weeks into a 52-week-plus journey. You'll get there, but it will take time. And you will drive yourself crazy if you're like the kid in the backseat asking yourself "Are we there yet?" from the minute you pull out of the driveway. -
Chewable Vitamins vs Swallowing
FifiLux replied to MasonMoonGirl's topic in Gastric Bypass Surgery Forums
I was expected to start the vitamins from day 1 post op. They were disgusting chewable ones and I couldn't keep them down (due to complications from my surgery) so I had to wait a month, then started different capsule ones which were fine but two weeks later had to stop when I had to go back into hospital and was put on a feeding tube. Have been back on the capsule ones since finally discharged from hospital. -
I had this same question. I talked to the dietician and forgot to ask her about that too. I am contemplating the Sadi which is low carb. She told me to get 45 from starch and 45 from fruits and veggies then says 1/4 to 1/2 cup of each per meal but didn’t specify net or total carbs. I’m thinking my requirement is total carbs though because if 1/2 cup of pineapple has 15g which is a higher carb fruit so even that three times a day is only 45 total grams of carbs. If it was net carbs it would mean I should be able to have more than 1/2 cup I would think. I think where it really matters is on processed stuff. Hopefully I remember to ask the surgeon on Monday.
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I mean, at this point I give up trying to figure it out...
NeonRaven8919 replied to SleeveToBypass2023's topic in POST-Operation Weight Loss Surgery Q&A
Yes! I've been having the same discussion with my doctor. I "haven't met my weight loss goal" for the last two weeks because I'm still at 116kg. But, my body composition shows it's because going to the gym has been working and I'm gaining muscle. They just want smaller numbers on the scale and smaller numbers on the BMI. @SleeveToBypass2023 I'm really sorry you've had all this stress. Just sending sympathies.
