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Does your pre-op diet weight loss "count"?
NickelChip replied to NickelChip's topic in General Weight Loss Surgery Discussions
I have a tendency in every aspect of my life to set unrealistically high expectations, so I'm trying to manage that, which is why it matters somewhat to me. For me, it provides peace of mind to see numbers (totally get that not everyone feels that way). For background, I was watching John Pilcher's "Real Weight Goals" video, and he says at the 3 month milestone (which is approaching for me), you've generally lost half the weight you're going to lose. He says "not the weight when you first met us, but the weight just before surgery." I got caught up on that phrasing and couldn't figure out if he meant literally the day of surgery or the day you start the pre-op prep, which is a pretty big difference for me. So I was hoping for a more definitive answer on how doctors calculate this type of thing. -
like others have said, skin itself does not weigh alot. the stories you have heard about people losing 20-30-40 lbs after plastics, are either (A) folks who lost HUNDREDS of pounds, or (B) folks who had subcutanous fat under their skin, which was removed during plastics.). Most people fall under group B. plastics is more about visual aesthetics (or comfort/life quality) vs actual weight loss on the scale. My surgeon told me the "material" he removed from me weighed a grand total of 400g (less than 1 lb)....not at all significant on the scale, but VERY significant in the mirror. getting a dexa scan is a good idea if you want to know what your physiological make up is. you could use the results of this scan to discuss with your surgeon what they anticipate your end result would be. unfortunately there is no way to know for sure what your results will be until you actually go thru it. good luck! ❤️
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From watching my 600lb life, it seems the fat does not weight as much as you think it does.
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I feel so defeated.... it feels like every time I try to improve my health I make things worse. A small bit of back story first.... I had my WLS back in 2000, and was never told a lot of what they tell people now. I was simply told to take calcium, stool softeners and a multivitamin.... not what kind or what it should include etc. I was then told years later I was anemic, but after 2 years with that (PCP) doctor she never addressed it even though I inquired. Due to an extremely large hernia and pain I was having, I went to the bariatric doctor and he said to fix the hernia I would need to lose weight. I was losing weight again (after many years) and was feeling tired all the time. I asked my team about the low iron/anemia and asked if should I address it. I was advised to take 18 mg of iron daily so I bought the multivitamin with it included.... I bought a year's worth.... several days in, I became painfully constipated. Nothing worked but suppositories. I also increased my water intake and fiber both in food and with Benefiber. I was finally able to go without extreme pain after 2 days. One day of not using the suppositories and I am right back to not able to go again. I don't know if this is something that my body just needs to adjust to or if I messed myself up with all the years of taking stool softeners (that I don't even know if I was getting benefit of because I took soft gels)... I did message my team to ask advice, but with so many here going through similar stuff I thought I'd rant here also! I hate to think I wasted over $100 on the multivitamins that I can't take now. I'm a retired teacher with limited funds.....lol....
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Hello! My name is Christine. I am 23 years post-op and due to how long ago I had my surgery and all they have learned since.... there is so much I need to learn. I have to keep telling my doctors "I wasn't told that..." I am now in the process of losing weight to repair hernias from my initial full cut surgery. I had a Gastric Bypass/Roux en y, back in 2000 (before so much was known and so many products were available). I thought I was ready with the proper mindset to have the surgery and be successful. I lost 95 lbs., but hit a plateau and became very discouraged. Over the years I put the weight back on plus some. I am now retired and realizing I need to get this weight off, not only to fix the hernias but to improve my quality of life in my "Golden Years".
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Does your pre-op diet weight loss "count"?
NickelChip replied to NickelChip's topic in General Weight Loss Surgery Discussions
Oh my gosh, this is exactly what I was looking for! Somehow I never came across an actual calculator, just paragraphs of text that say things like, "Let's say Jane weighs 290 lbs and her ideal weight is 110 lbs..." and then you're left to try to extrapolate what that means if you are nothing like Jane. -
I would be most concerned with whether you're hitting your protein over the course of the day. You may need to focus extra on protein if you're lifting. I wouldn't go for extra calories, but more of your macro split coming from protein. You're most likely to build muscle when you start weight lifting. I noticed that a lot of the recommended protein foods, especially during the early diet stages are actually pretty low in protein compared to calories and ended up focusing a lot more on protein drinks and lean meats rather than "normal" type eating that was suggested where I was filling up on mixed macro foods like beans or dairy.
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HI all! So I have been in a slight plateau, not losing a whole lot anymore. Staying pretty stagnant which is fine I knew this day would come. So I am taking advantage of this and starting to weight lift, light weights more reps with upper body since I don't want to bulk up but trim down, then heavier on my booty and legs to pump them up. Now I am STARVING! I don't think what I am eating is going to cut it anymore, not on days where I am lifting/ cardio. I have been doing pretty well staying 1000cal or under on days I just do cardio, which is nothing strenuous just 40-60min walk. anyone else have this issue? I am thinking that my protein/ decaf cold brew drink in the morning is not enough, might need to add something or start eating more? Any input?
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Does your pre-op diet weight loss "count"?
Splenda replied to NickelChip's topic in General Weight Loss Surgery Discussions
When you look at calculators for post-surgery weight loss (I used this one -- https://mexicobariatriccenter.com/bariatric-surgery-weight-loss-timeline-calculator/), they are giving you a median view of what you can reasonably expect. Of course there are outliers (I'm one -- I am about 25 pounds lighter than what the calculator says I should be), but it is designed to give you reasonable expectations. I also struggle with what number to use for how much I have lost. From my absolute highest recorded weight: 285 pounds From right before my pre-surgery diet began: 270 pounds From the morning of my surgery: 240 pounds -
Weight Gain Right After Surgery?
LessOfAmy replied to LessOfAmy's topic in POST-Operation Weight Loss Surgery Q&A
Yes, NickelChip, that is definitely something we should be told to expect going into surgery. The whole point of WLS is to lose weight, so to gain weight after surgery was alarming. I've lost 8 of the 11 so far. Trying to be patient! -
Weight Gain Right After Surgery?
NickelChip replied to LessOfAmy's topic in POST-Operation Weight Loss Surgery Q&A
So. Much. Fluid. Seriously, my hands were so puffy that all my wrinkles disappeared (spoiler: they came back). I was also in for 2 nights and that IV was going non-stop. It took a little over a week for me to return to my day of surgery weight. Totally normal. They really should warn you, though. -
Does your pre-op diet weight loss "count"?
NickelChip replied to NickelChip's topic in General Weight Loss Surgery Discussions
Thanks, all! I certainly count every ounce of the weight I've lost for my own purposes, but I guess I always assumed medicine was a science-y, formula kind of a thing. But every source seems to say something different! -
So after my revelation yesterday, I had my weekly therapy session. I have been going to therapy for almost a year now, mainly to help with my PTSD, and now moreso to address some of my trauma when it comes to my weight, and how that effects my emotional eating. I brought up my thoughts to my therapist, and she agreed that it is self-perception, not how my loved ones are seeing me. I'll be the first to admit, that I don't particularly like being emotional in front of other people, and in the entire year I have been attending therapy, I have only cried in front of my therapist 2-3 times. I found it quite hard to hold back the tears during this session (though that didn't stop me) - I realised that I have only really scratched the surface of the trauma I have from past relationships, and how that has completely tattered my self-image. More than anything, I realise that now more than ever, I need to address this as I approach the beginning of my weight loss journey. It is becoming more and more apparent, as everyone says, that surgery really is just a tool. It will give me that initial kick to lose weight so that I see the physical benefits: I will be in less pain, more able to get up and move about, more energy. I will *hopefully* feel more positive in myself and more confident. But the rest of the work, well, surgery can't do that for me. I am responsible for changing my behaviour & attitude, and I think for me at least that starts with being kinder to myself. I can't remember a time where I have been kind to my body, in how I treat it, and how I think about it. I realise that if I want to be successful on this journey, I need to work on me as a whole, body and mind, or else success isn't something I'll be able to achieve. Old habits would creep in, and my expectations would be too high. I am now attempting to drop the mindset of: "when I am skinny everyone will love me, and they will all treat me better and I will be an amazing person" - because truly, that has been my internal narrative, and I didn't see it as a negative until the other day. I need to rework it into: "I am me now, and I will be the same person on the inside even when I have lost weight. Those who I care about already love me and treat me with respect and care, and anyone who doesn't, isn't deserving of knowing me. Regardless of if I am 20 stone, or 11 stone. I am worthy of love". So, time to put my words into action 🤞🌸
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Does your pre-op diet weight loss "count"?
catwoman7 replied to NickelChip's topic in General Weight Loss Surgery Discussions
that's totally up to you. Some people count their highest weight, others count the day they start their liquid diet, and still others count the day they had surgery. It makes no difference. -
you could always get a Dexascan to see how much fat, muscle, etc you have. Not the kind you get at the doctor's office - those only check for mineral (bone) density. You need the kind they have at some sports places (some university sports labs have them) or at commercial places like DexaFit. Those scans will also tell you how much fat, muscle, etc you have. I got one when I weighed 146 lbs because I wanted to see how much more weight I could lose. The technician said nope - I was done losing. I had 21% fat at that point, which is pretty lean for a woman (unfortunately, I'm not that lean anymore!). but I found it pretty helpful. I think it was around $100.
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I didn't have mine weighed after it was removed, but a lot of people claim theirs only weighed 4 or 5 lbs. I guess if you have a lot of liposuction you could lose more than that. I don't think my weight went down much. I looked about a zillion percent better, though!
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Weight Gain Right After Surgery?
Arabesque replied to LessOfAmy's topic in POST-Operation Weight Loss Surgery Q&A
I honestly didn’t notice it after my sleeve surgery but I was in hospital for a couple of days so it was day 4 before I think I weighed myself so had likely already peed most if not all of it out. I was out the next day after my gall removal & there was a good 2+kgs (5 odd lbs) on the scales (at my current weight so a lot comparatively). Yikes. I swear all I did was pee for the next few days. 😁 -
Does your pre-op diet weight loss "count"?
Arabesque replied to NickelChip's topic in General Weight Loss Surgery Discussions
As all above 100%. Your medical team may track what you’ve lost since surgery but how you look at it is your choice. To me, it doesn’t matter that some weight was lost before surgery & some after. You’ve still lost all that weight & that’s amazing. Congratulations. -
I had a DS on 4/19, spent 2 nights in the hospital, and then had to travel 4 hours to get home yesterday. I was disappointed when I finally stepped on the scale to find I had gained 11 pounds!!! Is this normal? Is this because of the IV fluids?
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how do you know ....
kristieshannon replied to heatherdbby's topic in Plastic & Reconstructive Surgery
Skin doesn’t actually weigh that much. My surgeon did not weigh the skin removed. I had a abdominoplasty, arm lift, and breast lift with implants. You’ll actually probably weigh a bit more in the few days post op due to all the fluid they give you. One week post op I was about 4 lbs below my pre-op weight, but also wasn’t eating much in that post op period. -
Georgia ESG (Where did you go?)
learn2cook replied to GaPeachCobbler's topic in Gastric Sleeve Surgery Forums
I don’t have ESG. I’m in Boston and only some places offer it because insurance doesn’t cover it. The average cost is 11k. The average weight loss after a year is 10-20% (Johns Hopkins quote). You might want to do more hard core research before shelling out that kind of money for low results especially after your recent problems with the balloon. P.S. there’s different forums on here based on specific procedures if that helps. -
Same here. So I have been lifting for 20 years but my diet was always awful leading to my obesity. I had my surgery on 11/6, and started lifting as soon as it didn’t hurt. I was much weaker than before but it did seam to bottom out and I’m getting stronger. I do progressive overload and eat about 160-180 g of protein per day. I want to pack on muscle but I don’t know how/if that’s possible like before. I like weightlifting so I’m going to keep doing that and see what happens. Usually 4 days of weights and 2 days of jogging (doing couch 2 5k program).
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OK so I have no experience with this because I have no interest at all in skin removal. WLS was, for me, all about the health benefits and way less about the aesthetic benefits but I totally get people who want both (and OMG see the photos on the before and after threads for detail and inspiration)! From what I have gleaned in my 2.5 years here people's weight loss is in the single pounds category after skin removal surgery. Unless you started off in the 60s or 70s of BMI? The point isn't the added pounds of loss but more the making their bodies feel more comfortable to them. I am also a huge believer in the concept of a new 'set weight' after surgery. Our bodies just seem to decide where to settle. Pushing beyond that is tricky. I would have been happy 15 or 20lbs above where I am at the minute. I didn't particularly push myself to get beyond that. But it feels like my set weight was decided by my body. I know that sounds strange. You talk about feeling happy at your current weight plus or minus the weight you might be after removal of skin and whether losing a few pounds more might cause sag that you would have to address at a later point. Honestly I don't really understand that but I guess others will be along soon who might. It might be worth discussing in detail with your surgeon what your desired end point is. Congratulations on your loss, it's amazing.
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How do you know how much excess skin you have? Like in lbs. I watch these shows and its like we cut off 25 lbs of skin. How do I get an idea of how much weight my excess skin is so I can decide if I am truly happy here or if I want to lose a little more? I am at the point of plateau. I have been at 157-162 for 10 months now. I would like to end up at the 145 ish range. I just have no idea how to know if I have 15 ish lbs of skin. and I dont want to cut the skin, not be in the 140s, lose another 10 ish lbs and possibly have to go back and have more skin cut off/ have more sag that I am trying to avoid.
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Does your pre-op diet weight loss "count"?
Lily2024 replied to NickelChip's topic in General Weight Loss Surgery Discussions
My program is counting from the preop appt weight, 3 weeks before surgery, I had already lost 25 lbs at that point.
