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From what I know if you look at your BMI range, it is the top figure weight, say in my case, 78 kg. You now take your current weight, which when I started surgery was say 128 kg. Sorry I work in Metric but it works the same in imperial. 128-78 equals 50 kg. That 50 kg is my XS weight, so if mini gastric bypass has a predicted loss of 70 to 85% of the XS weight then it is 70% of 50 kg to 85% of 50 kg. I.e 35 to 59.5 kg is what I am expected to lose with the procedure. When it comes right down to it from what I understand. If like me, you have been obese all your life. Then you will have thicker, heavier bones to support that weight, more skin to wraparound it and a larger heart to pump blood around your body, so that means no matter what the general BMI limit is it is not totally relevant and there has been some suggestions by bariatric surgeons that to aim for a BMI of 30. BMI is intrinsically a flawed concept as it does not take into account, body muscle mass. You will know the example of the brick **** house musclebound New Zealand rugby player with no fat, looking like a crazy obese person on paper because they have a BMI of 45. I am 52 this year, so I think I would be happy with something above the BMI range. Otherwise my skin will waft in the breeze! 🤣
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Modified Duodenal Switch
ChunkCat replied to Lara in Arkansas's topic in Duodenal Switch Surgery Forum
I have yet to see a nutritionist or dietician that truly understands the optimal diet for a SADI or DS patient. Most of the time we just get a modified version of what they give Bypass and Sleeve patients. But as you say, you aren't absorbing as much as they are, therefore to give you their requirements would leave you malnourished. 15 grams of fat is absurd by all medical standards. Most medical studies show we need 60 grams of fat for proper hormone function and even if you ate 60 grams of fat, with an altered digestive tract, you aren't absorbing that much, so you need to eat a little more than that. Even the ASMBS recommends 60 grams of fat by 1 year out!! Your dietician is not following best practices. Most SADI/DS patients I know follow the vets that have been living with this surgery for 10+ years and maintaining their weight loss. We figure they know more about optimal diet than a surgeon who has never lived with this surgery, or a dietician that has never even researched best diet for bariatric patients of various surgeries. Most patients I know are eating 100-120 grams of protein, less than 50 grams of carbs, and over 60 grams of fat, usually around 100 grams of fat for SADI and 150 grams for DS. You can increase your carbs once you have reached your goal weight, they tend to slow/stop weight loss, so in active weight loss it is important to keep them low so you stay in ketosis. A calorie range makes dieticians feel better, but it makes no sense for a SADI or DS patient because we malabsorb so much fat we can't even begin to properly calculate our calories. You could eat 1200 calories, but that wouldn't be what your body is absorbing. I'm sorry this is so complicated. In the end you have to decide what you feel best at. I don't feel good following guidelines like your dietician gave you and when I go over 50 grams of carbs I stop losing weight. So...yeah. I'm going to follow what allows my brain and hormones to function, what makes my skin, hair, and eyes feel best, what gives me the most energy, and what allows me to lose weight steadily. I'm the one that has to live in this body. It is sad these surgeries are so uncommon there are no good studies about optimal nutrition for them. But there is no way I'd go below ASMBS guidelines, they are the closest thing bariatric surgeons have to a standardizing body. Your dietician should be able to give you ASMBS guidelines for your surgery. -
From what I know if you look at your BMI range, it is the top figure weight, say in my case, 78 kg. You now take your current weight, which when I started surgery was say 128 kg. Sorry I work in Metric but it works the same in imperial. 128-78 equals 50 kg. That 50 kg is my XS weight, so if mini gastric bypass has a predicted loss of 70 to 85% of the XS weight then it is 70% of 50 kg to 85% of 50 kg. I.e 35 to 59.5 kg is what I am expected to lose with the procedure. When it comes right down to it from what I understand. If like me, you have been obese all your life. Then you will have thicker, heavier bones to support that weight, more skin to wraparound it and a larger heart to pump blood around your body, so that means no matter what the general BMI limit is it is not totally relevant and there has been some suggestions by bariatric surgeons that to aim for a BMI of 30. BMI is intrinsically a flawed concept as it does not take into account, body muscle mass. You will know the example of the brick **** house musclebound New Zealand rugby player with no fat, looking like a crazy obese person on paper because they have a BMI of 45. I am 52 this year, so I think I would be happy with something above the BMI range. Otherwise my skin will waft in the breeze! 🤣
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How to pick the right plastic surgeon!
AmberFL replied to AmberFL's topic in Plastic & Reconstructive Surgery
oh no hunny LOL! We went through everything I could do. Back lift, arm lift, breast augmentation with lift, lower body lift (taking 15inches in the front and 10inch off the back), inner light lift. Its about 70k. Which I would LOVE to do but no way. If I can get a tummy tuck arms and boobs I would be so happy everything else is fine enough for me that I am not self conscious about. or that with the weight lifting has been getting tighter. -
Not losing weight
SleeveToBypass2023 replied to Saira97's topic in POST-Operation Weight Loss Surgery Q&A
My first (of MANY stalls) was at 2 1/2 weeks. Every time I have a stall, I gain 3-4 pounds. Then I gain and lose the same 2-3 pounds throughout the stall. Once it finally breaks, I lose like 5 pounds in 1shot, then go back to losing my normal 2-4 pounds a week until another stall hits. That's why paying close attention to Non Scale Victories (NSVs) is so so important. -
Belly fat problems after surgery
BlueParis replied to Megan Black's topic in General Weight Loss Surgery Discussions
I think the OP means into the 60kg range (basically under 150lbs!) not in their 60's age wise!!! But I agree the weight loss is phenomenal and inspiring! well done @Megan Black -
I Want To See Before & After Pics! (Cont'd)
maintenanceman replied to LilMissDiva Irene's topic in Weight Loss Surgery Success Stories
March is my 2 year surgiversary. Maintained at goal weight since December 2022. -
Monday Check-In
MrsFitz replied to Bypass2Freedom's topic in General Weight Loss Surgery Discussions
Well done @Bypass2Freedom @JennyBeez and @NickelChipon your successes so far. I am watching all your journeys with interest 🙃 I’m SO looking forward to getting back to the gym. I find it a massive boost to my mental wellbeing as well as my fitness. Great tip re checking blood pressure, I never even thought of that. I hope your hormones settle down for you Jenny, they can be impossible to deal with at time! Embrace all your wins - weight loss, different foods, exercises, swimsuits 🏆 -
Gastric sleeve after menopause
Sherry57 replied to Sherry57's topic in Gastric Sleeve Surgery Forums
What percentage of weight loss did you achieve? -
Random question- who was the 1st to notice?
catwoman7 replied to Clueless_girl's topic in Duodenal Switch Surgery Forum
it was probably 3 or 4 months for me, but I started out at over 300 lbs. It was probably more like five months before a LOT of people started noticing. But then at that weight, I just looked huge no matter what - people wouldn't necessarily notice a 40 or 50 lb difference (plus I also wore baggy clothes at that weight, so that probably factored in, too) -
Doing many different duets including several VLC & deliberately skipping meals had done a number on my metabolism. Started doing this at 15 so did this for 40 years. The last VLC diet I did (<500 calories) I barely lost a thing - a couple of kilos over 6 or more weeks. The surgery works because it changes your hormones & boosts your metabolism. It also resets your weight set point. This is the weight your body is happiest at & will keep returning to or makes it harder to lose the weight in the first place. I went from really not being able to lose anything to losing all my weight & more. I weigh The other difference was if I did lose weight on a diet in the past as soon as I stopped I invariably went back to eating the exact same way as I did before & regained my weight. Which kept my set point high. I’ve been able to maintain because I took the time while losing to change my relationship with food & changed how & what I ate. I took advantage of the benefits of the surgery. I look at flood differently. I adopted a way of eating (not a diet - to many negative connotations to that word) that works for me because it’s sustainable, complements my lifestyle, ensures I’m making nutrient rich food choices & I don’t feel like I’m missing out on anything. You may find these links informative. Dr Matthew Weiner (Pound of Cure) has excellent resources es as does Dr John Pilcher. https://courses.poundofcureweightloss.com/courses/weight-loss-hormones/
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November 2023 buddies
ChunkCat replied to brandycsiz's topic in PRE-Operation Weight Loss Surgery Q&A
You look amazing @ZeeGee!! And you look STRONG! @brandycsiz You are not the only one. LOL I went on vacation for 4 days for my birthday and managed to gain 6 lbs! Logically I know that I didn't gain 6 lbs of fat, it is mostly water, but it still panicked me and made me feel like my progress was stunted for the month... Part of it is my fault though. I was eating out for every meal so that means more sodium and more carbs. I wasn't hydrating well. I didn't hit my protein goals. And the bed was awful so I wasn't sleeping well. Life happens! I took yesterday to feel depressed about it and panicked over breaking my surgery. LOL Then this morning I got up, made a protein shake, and had lots of protein for lunch (baked chicken thighs and green beans). I made a tall glass of sour watermelon flavored water and am plotting dinner. Carbs are under control. I slept in today to help offset my sleep debt. And tomorrow when the weather clears up I'll be back walking... The issue is not that we get off track sometimes. The issue is that in getting off track we lose hope, start to get down on ourselves, and want to eat a whole cake. 😂 But if you know better, you can do better. So gently but firmly course correct in the ways that you can each day. Make steady improvements back towards your goal. And see these acts as self care rather than harsh discipline. In this, as is with most things in life, our journey is much more important than our destination. Journey well my friends. We can do this!! 😍 -
August Surgery buddies
ShoppGirl replied to Averdra's topic in PRE-Operation Weight Loss Surgery Q&A
That’s awesome that you got some cleaning done. I said I was going to clean my bathrooms and kitchen yesterday but hubby was home and kept me distracted. I probably should do that today. The energy is kinda crazy for me because I wake up so wide eyed and ready to go but then I get tuckered out just as easily. I guess it’s probably the exercise giving us the endorphins but the low calories still limits it a bit. Either way, I’ll take it if I’m at least getting the exercise in and still dropping weight. Sorry to hear about the bathroom issues. I really think once we get to where we can regularly get In a bit of fiber In our diets that will balance out. I know that we are not alone though because they even have a tracker for bowel movements in the Baritastic app. I laughed at first but now I’m actually using it. -
So for me, I've had stalls last anywhere from 2 weeks to 6 weeks. I tend to gain 2-4 pounds during a stall and then drop like 5-6 pounds when it breaks. Once I see I'm in a stall, I stay off the scale. Normally I weigh myself 2-3 times per week. When I'm in a stall, I do it once per week, just to see when it breaks. I stick with my diet, I change up my workout to "confuse" my body (if you do the same thing at the same time al the time, your body gets use to it and the exercises become less effective), and I focus on NSVs (Non Scale Victories) such as how I look, how my clothes fit, how my rings fit, if I've dropped inches, if I can fit into seats/booths better, etc...
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Well that alone is a HUGE NSV!! whoop whoop!! 2lbs down yasss!!! killing it! How many calories are you eating? I had my surgery 1/24 I eat around 1000-1100 but I work out like crazy. I'm a bit coo coo LOL I started with walking on my lunches for 20min, worked up to 30min, now I still walk on my lunches for 30 min, go to the gym or work out at home, 30min weight lifting, and i take my pup for a run for 20-30min. Movement really helps! Just giving you a run down of what I eat and you can take it or leave it lol but I wake up make my protein coffee- Decaf cold brew with 2tbls of collagen and a café late premier protein shake (i know I know no caffeine allowed but I haven't had adverse effects) I make these crustless quiches for my bfast: eggs whites, spinach, 1 slice of ham (deli meat kind) top with thin sargento sharp cheddar cheese on top of it. I make like little mini loaves for the week, Lunches are always a protein and a veggie. One week I did Just Bare chicken bites and carrots lol- own little take on a Wing place- This week I am doing a bento box with grapes, strawberries, celery, cucumber, cracker or quinoa chips, turkey roll up with a laughing cow cheese and nuts. snacks are a Greek yogurt. I weight and measure everything. Input everything into my netdiary tracking app and stick to it for the week. I am not perfect at all, Ill come home and grab a popsicle or fruit and might go over my calories for the day, but hey this is a lifestyle change and this is life long. Its hard to remember that when we all have so much weight to lose and we want that immediate satisfaction, but we got this!
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You can do this Carrielee!! I started out with many of the things on your list. Now most of them are gone. I'm almost 6 months post op a Duodenal Switch. I've lost half my weight, from 320 to 240!! I feel incredible. It is so, so, SO worth it!
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Severe back pain 6-12 months out (60-100 lbs lost)
ms.sss replied to Jonathan Carlson's topic in POST-Operation Weight Loss Surgery Q&A
yep i had back (and hip) pains for a few months after dropping the first 30lbs or so. like others above i asked my dic and did some of my own research and its seems the answer is as the above posters mentioned. - water and mineral bone loss (reduction of bone density) during weight loss (especially at a rapid rate) may cause spinal misalignments due to the weaker structure, hence pain. - muscle tone loss: your remaining muscles are working harder to make up for the loss, hence pain. - your centre of gravity is changing: your back was used to carrying the weight of your belly and it's reduction in size is affecting your posture, hence pain. its a bit of a changeover period, but with some effort you can decrease the discomfort: exercise, stretching, sit/stand up straight, good nutrition, good sleeping position, body alignments (chiro) and what no one wants to really hear: slower weight loss rate. by losing weight slower, you allow your body time to adjust as you lose weight instead of playing catchup which causes relatively more pain. those weight loss pains eventually went away (i can't remember exactly when..maybe around 6-7-8 months post op?), but i do have morning back pain now if i sleep on my stomach (which has always been my preferred sleeping position), but that's another story. im 5+ yrs out -
Ache or pain months AFTER surgery and...
NickelChip replied to BlondePatriotInCDA's topic in POST-Operation Weight Loss Surgery Q&A
I'm curious if you've ever gone in for a DEXA scan to determine your body composition. I ask because I know that if you've been obese for a long time, your body architecture has changed to support that weight, and that isn't something that just goes away as you lose fat. BMI, which is problematic at best, can be skewed by formerly obese people weighing more because of extra bone and organ mass that a never obese person of similar height and build would not have. If you have a DEXA scan, you can get a much more reliable idea of how much body fat, bone mass, etc., you have and may feel a lot better about your progress. I would also take a step back and ask yourself why that number you've set is important to you. If you "only" lost 25 more lbs, you would have lost half your body weight. That's kinda crazy! You would be half the person you were before (in a good way, of course). Or if you "only" lost 10 more pounds, would it really be so bad? Would 40 lbs really make a massive difference in how you look and feel compared to where you are now? Are you putting so much pressure on yourself to reach an arbitrary number that you don't fully appreciate just how amazing your progress is? You're down 110 pounds! That's like having an entire Olympic gymnast you are no longer dragging around on your back every day. Regarding your energy levels, are you getting enough fruit and veg? If you're still really low carb and really low calorie, as I seem to remember your dietician was having you do, that might account for the lack of energy. It could be your body is needing more fuel than you're giving it and is lacking the phytonutrients that don't come in a multivitamin. -
Periods...Hormones...All the lovely things 🤔
NickelChip replied to Bypass2Freedom's topic in The Gals' Room
It's great that your body is starting to regulate! But also... periods, boo! I started using the Mirena IUD after my youngest was born, so going on 13 years of no periods (although not everyone has that luck with it). However, the last couple months, I have had noticeable spotting that lasted several days, and also the tenderness in my breasts that I always had with my period. So definitely there's something changing for me, too, with weight loss, even though it's being masked a bit more because of the birth control. I was starting to wonder, since I'm 50 now, if maybe I was done (hard to know if you've hit menopause with Mirena) but this seems to have answered that question, anyway. -
Off to a slow start after surgery. Anyone else?
Arabesque replied to NickelChip's topic in Gastric Bypass Surgery Forums
I know it’s hard, it’s almost inbuilt, but try to avoid comparing yourself to others. Our weight loss experiences can be so different & comparing only leads to frustration, annoyance & sometimes depression. There will always be those who lose faster or those who lose more slowly than others. There isn’t a time frame in which you must lose your weight. You’ll get there in your time. Weight loss is erratic. Better to watch the general trend not the daily fluctuations. If the general trend is downwards you’re golden. Yay! As I always say: celebrate every pound you lose. P.S, @BlondePatriotInCDA - Ten pounds a month is still averaging about 2lbs a week which is generally accepted as a good rate of weight loss. And you’ve lost 80lbs! Worth being happy about. -
February 2024 Surgery Buddies?
BlueParis replied to NickelChip's topic in PRE-Operation Weight Loss Surgery Q&A
I'm still stalled. It's been 12 days. I just want to cry the whole time and stuff my face with food. I feel like this is it. That the scales will never budge. I'm having such a hard time coping. I just feel like staying in bed and crying. I'm exhausted and the weight still isn't moving at all. I don't know what do to. I feel like giving up. I'm really really struggling. -
Maintenance Calories after Surgery?
SleeveToBypass2023 replied to vsgcriminal's topic in POST-Operation Weight Loss Surgery Q&A
For me, I live on 1100 - 1200 calories on non work out days and 1300-1400 on workout days. On my weight training day, I tend to go up to 1500 calories. I work out 5 days per week. I also have 2 rest days. My protein, fluid intake, carbs, healthy fats, and calories are all higher on workout days, but I still can't get anywhere NEAR 2100 per day. 1500 is really pushing it, but I only do heavy weight training once per week, so it's ok. For quite a while, my calories on non workout days were 800-900 or so and workout days were 1100-1300, depending on what workouts I was doing that day. As time has gone on, my calorie and food intake has increased, but I still stick to the rule that I eat until I'm not hungry anymore, not until I'm stuffed. It's normal for our stomachs to hold a little more and our calories to increase as time goes by. What's important is to be selective with where those calories and carbs come from, not to overeat, and to be mindful of moving your body and getting in enough fluids. -
Let's Collect Some Data!
AnneMarie1970 replied to ms.sss's topic in General Weight Loss Surgery Discussions
1. Basics: GENDER, AGE, HEIGHT F, 52 at time of surgery, 5'3" 2. Total Weight lost in the 6 months BEFORE surgery (if any) 12.2 lbs 3. Weight on DAY OF SURGERY. 254.6 4. Weight at 1 MONTH POST surgery 235.7 5. Weight at 3 MONTHs POST surgery 216.7 6. Weight at 6 MONTHs POST surgery 192.5 7. Weight at 1 YEAR POST surgery TBD -
Kind of feel like a broken record from what everyone says but....STALLS HAPPEN! Also, its okay to have imperfect days, were human, give yourself grace. I freaked out when I had mine so I totally get it! but your doing amazing!! Just from your profile pics I can see the changes in your face, you have lost 88lbs! to put that in perspective, that is my 7yr old and 2yr weight combined! you lost two little people lol Now your wearing a 1x?! damn killing it!! Keep doing what your doing it will come off, and focus on those NSV's they make all the difference!
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February 2024 Surgery Buddies?
NickelChip replied to NickelChip's topic in PRE-Operation Weight Loss Surgery Q&A
@RonHall908 Isn't the slow weight loss the worst? I had my second mini stall this past week. At least it was 4 days instead of 7 like I had at the three-week mark. I truly did think, based on how quickly I lost weight in the pre-op diet phase, that it would be super quick after surgery. I lost 15.4 lbs in 2 weeks compared to 16.8 pounds in 8 weeks post-op. What the heck?! It's demoralizing at times. I still have 3 weeks until my next appointment with the dietician and 5 weeks until I see the doctor again. I'm really hoping I'm on track. They say the first 3 months is the fastest weight loss, and if that's true for me...it really sucks. The one thing I can handle large quantities of is water, or even something very liquid like a smoothie. 16oz in under 30 minutes is no problem. And I can eat a full 1 cup serving of bean and veg soup. Any kind of meat fills me up fast, though, although tuna salad is probably the one I can eat the most of.
