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Showing results for 'three-week stall'.
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March 2024 Surgery Buddies!
JennyBeez replied to Pines's topic in PRE-Operation Weight Loss Surgery Q&A
March buddies, how're you all hanging in there? Is everyone nicely healed up? Are you coming across any difficult hurdles? Finding a love of new healthy foods? How's your hair lol? Me, I keep hurting myself, lol. First I tried recumbent biking too early -- even though it was on the most minimal setting, my care team scolded me good for that. But even as recently as last week, I bent/twisted sideways while sitting at my desk trying to reach my purse, but it was snagged on something and something about being in that position too long (or tugging a resistant object) aggravated something internally. The same area that took the longest to feel 'normal' and not tight after surgery. I feel like a dope. My hair has just started thinning in the last week or so. It was only a few strands from all over at first -- not concentrated anywhere -- so I got a new haircut hoping that the thinness would look purposeful. Two days after I found a little patch right at the front where my buzzcut ends and the bob-length hair begins. C'est la vie. I'm finding I'm craving sashimi on the regular. It was one of my first meals 'out' after surgery, so maybe there's something psychosomatic going on -- but when I eat it, it just feels like such a clean protein and is moist so I know it'll go down easily. It's my new comfort food, I guess. (Ironically, before WLS I could really only stand salmon or butterfish sashimi, everything else had to be in a roll, preferably with spicy mayo or unagi sauce -- and I hated tuna -- but now yellow tail and tuna seem to be my go-to.) I'm dealing with the cravings much better than I would've pre-OP, but I swear every three or four days something in my brain is trying to convince me that I should ignore my pre-packed lunch and go pick up some ice-cold fish instead. -
Must meet one of the following three criteria: 1. Must have a minimum body mass index (BMI) of > 30 with a diagnosis of Diabetes Mellitus. 2. Must have a BMI of > 35-39 and must have at least one of the following conditions: a. Degenerative joint disease of major weight bearing joint(s). The member must be a candidate for joint replacement surgery if weight loss is achieved. b. Other rare chronic conditions (for example, pseudo tumor cerebri) in which there is medical evidence that bariatric surgery is medically necessary and that the benefits of bariatric surgery outweigh the risk of surgical mortality. 3. Must have a minimum BMI of > 40 Here is their wording. I’m obviously number 3 I’m just worried it’s a case by case basis and they won’t approve me.
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Hello, I’m just starting the process I have an appointment next week to start stage one of Molina Washington state requirements. I’m nervous because my BMI is over 40 which is on the list for being approved but I don’t have any comorbidities. Does any have any experience being approved with just a bmi over 40?
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When did you start indulge or give yourself a "cheat meal"
FifiLux replied to AmberFL's topic in Gastric Sleeve Surgery Forums
Once I was through all the phases and it was ok to eat 'normally' I started to allow myself a 1/4 of a protein based pizza once a week as Friday's is my pizza night if I am not out out so I have gone from having an entire pizza and garlic bread to 1/4 (at most) of a pizza. I try to be good most of the time and even my little bits of 'boldness' are minor by my pre-op standards, in that I know I probably eat too many nuts at times but they are yummy and I am probably having a couple of squares of dark chocolate (good for the heart ) a bit too often but they stop me feeling like I am being restricted. If I felt I was living too restrictively food wise I think I would just go back to bad habits again. I do try to avoid potatoes (a love of my life), pasta and bread when at home but if out for a meal I may have a small amount, or take a few fries from a friends plate (with their permission ) I didn't go through all of this to be miserable for the rest of my life so just have to know my own limits and make the best choices for myself. -
Another observation on feeling full
Arabesque replied to Bypass2Freedom's topic in POST-Operation Weight Loss Surgery Q&A
Yes, because of the nerves that are cut during the surgery, messages about being full or having had enough, either don’t get through in the same way or are distorted. It takes about 8 weeks for hi to fully heal & therefore the messages to start getting through accurately. Also, liquids & purées go through your tummy more quickly & before you might feel full. Add in the small potions & sipping & eating slowly & you won’t feel full. It’s why it’s so important to stick to the portion size recommendations we are given. Once you start to eat a little more in regards to portion size and solid foods & you are more healed, you’ll start to feel when you’ve had enough and start to feel your restriction. PS - It takes at least 20 minutes for the full signal to get from your tummy to your head so by the time you register you are full, it’s easy to have eaten more than you actually need. Some of us take even longer to register we are full. Aim, not to feel full but to recognise when you’ve had enough. I still often ask myself do I need the next bite or just want it. Congrats on your surgery. -
Maintenance Calories after Surgery?
Arabesque replied to vsgcriminal's topic in POST-Operation Weight Loss Surgery Q&A
As the weeks & months pass we slowly but surely increase our intake so I wouldn’t think the low calories we consume is truely sustained as it’s continuously increasing. And it affects our metabolism in the way you’re thinking either. The recognised benefits of weight loss surgery include resetting your body’s set point, digestive hormones & metabolism. Of course the resetting is different for everyone but there is improvement fir everyone & I so love & appreciate how it did that for me. I spent years & years eating one meal a day or skipping lunch & only eating two meals a day. That is sustained low calorie in my thinking ( years not months) & yes it did wreck my metabolism. I could barely lose anything even following those 500 calorie a day diets (talking a couple of kilograms over 6 or more weeks). Similarity to @ms.sss, in the first weeks after surgery I was eating around 200 then 300 calories. By 6 months, at my goal I was barely consuming 900. My weight finally stabilised at 18 months when I was consuming around 1300. Now at 5 years post surgery, I eat about 1600 calories yet am still the same weight I was when I stabilised. And unlike @ms.sss, I’m not what anyone would describe as active. Just do a series of exercises using residence bands & stretches at varying times through out the day. I wouldn’t burn 30 calories. BMR calculators do give you an idea of what your caloric needs might be but as @ms.sss said the results are based on averages much like BMI & the calculators that suggest how much weight you may lose after surgery are. The averages only take into account some basic factors & don’t consuder your individual needs, medical & weight loss history, genetics, activity levels, muscle density, etc., etc. Actually, have you considered doing a dexa scan just to see where you are in regards to muscle & fat density now & repeating it in the future to see your progress? Weight loss can continue for 18 months to 2 years after surgery so don’t give up yet and you won’t actually know what your caloric needs are until your weight has stabilises for some time - months or a year. PS - My surgeon & dietician also didn’t advise to count calories. I just did it randomly out of my own interest & curiosity. Quality of the food I was consuming was more important. -
May 2024 Surgery Buddies 😁
Talegi replied to Bypass2Freedom's topic in PRE-Operation Weight Loss Surgery Q&A
Hello Everyone! I'm a little late to the party, and remiss I didn't find this thread when I went looking over a month ago. I had RNY on May 31st, and went back with a blockage less than a week later. After two more nights in the hospital, I seem to be doing well again. I haven't read all the posts in this thread, but plan to asap. Thank you for being here! -
Maintenance Calories after Surgery?
ms.sss replied to vsgcriminal's topic in POST-Operation Weight Loss Surgery Q&A
as for whether subsisting on a very low calorie diet for a prolonged period of time affects your BMR (metabolism) in the future, there are arguments for AND against. one particular study that i found intriguing was the "Biggest Loser Study"..that found that contestants that participated in the study ALL ended up with lower BMR's than before weight loss...EXCEPT for the one contestant who ended up getting WLS. that one person's BMR did not lower like the rest after his wls, in fact, in went back up. obv, the sample size was very small, and the subjects were only observed for 6 years, but still. something to ponder. you can read the study here if you are interested: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4989512/ or, if you want an easier NYT-read of the same study, here is a link to a more reader-friendly version: https://www.nytimes.com/2016/05/02/health/biggest-loser-weight-loss.html now for a personal anecdote: i was 300 calories A WEEK for the first two weeks, then 300-400 calories a DAY for a couple months, then 500-600 the next couple months, then 700-800 until i reached goal at at 7 months. i'm 5'2" and at 7 months i was 127 lbs. fast forward almost 6 years post op and i am consuming 2200+ cals a day and i'm just under 120 lbs. however i also do quite a bit of dedicated exercise (1.5 to 2.5 hours daily), plus other active stuff i just do for fun in daily life. BUT...when i wasn't exercising as much as i am now, i was maintaining at about 1800 calories a day...so at least for me, i don't think my BMR/metabolism was negatively affected after a sustained low cal diet...if anything, i think it got better...though i probably have all the exercise to thank. -
Maintenance Calories after Surgery?
ms.sss replied to vsgcriminal's topic in POST-Operation Weight Loss Surgery Q&A
according to this internet calculator: https://www.calculator.net/bmr-calculator.html ** at your current height and weight, if you did nothing but stand still and breathe, you would burn 1,478 calories a day (i assumed you are are a 30 yr old female to fill in the blanks). so THEORTICALLY if all you did was merely EXIST, and you ate less than 1,478 calories a day you would be in a deficit and lose weight (how much weight exactly would depend on your activity level, your genetics, your health and metabolism speed). with that said, i'm with @catwoman7 in that i agree that 2100 cal a day for someone with your current weight and height may be more than maintenance level cals (i.e, you will GAIN weight), unless you are exercising at least 4-5 times a week. see screenshot from the above calculator's results below. ** p.s. as always, pls don't think that this calculator is the be all end all of truth, its just a guide based on AVERAGES. roughly 99% of people with your similar height and weight will fall above or below this number produced by this calculator. -
February 2024 Surgery Buddies?
LisaCaryl replied to NickelChip's topic in PRE-Operation Weight Loss Surgery Q&A
I have to get into my closet. I did a quick cleaning out of shirts a few weeks ago, but I need to get serious. I have things in there that I never wore and never will... silly to hang on to. Then the ones that are too big also. Size-wise, I'm about the same as you. I was wearing a 22-24, or 2X. I'm more like an 18 now and would love to be a size 12, but I will happily settle for a size 14. I have always liked loose-fitting clothes. With the exception of a period from late teens through mid-twenties. I've been a jeans and loose T-shirt girl. I don't foresee that changing, but you never know! I have a shelf of clothing in my closet that I started collecting before surgery. Much of it was either free or on sale. I need to get in there and start trying it on. Like you, I think I have enough to get through the summer. As soon as my knee is feeling better, I'm going to make getting into that closet a priority! -
June 4th - my life changed FOREVER
JennyBeez replied to Dchonlee's topic in Gastric Sleeve Surgery Forums
Welcome! I'm still a baby here myself (almost 12 weeks post-OP). I remember my first sip of creamy chicken broth on day 4, it felt like life and optimism was returning to me! If you need to, slow down even further. I remember my care team said 1 teaspoon every 5 minutes (when I was first reintroducing non-protein shake liquids), and sometimes that worked for me and sometimes it didn't. Most broths I could get down in shorter time, but creamier soups it would take quite a bit longer. You get used to either reheating your soup or sipping it cold, lol. XD -
Another observation on feeling full
JennyBeez replied to Bypass2Freedom's topic in POST-Operation Weight Loss Surgery Q&A
I am almost 12 weeks post-OP and have only once felt 'hungry' -- and have yet to feel full. No matter how slow and mindfully I eat, I have to rely on portion sizes to tell me when to stop. My care team says I'm lucky for now, but that it won't last -- sometime in the first year it'll come back. Note: I can certainly feel other things though. I can tell within a five minute window if something is going to give me trouble from the dryness / etc. There's a feeling low in my chest that feels dry and clogged. Certain foods also sit heavier in my stomach -- starchier/heavier vegetables like cauliflower, sweet potato, etc. But they still don't make me feel full, more like hyper-attentive lol. -
When did you start indulge or give yourself a "cheat meal"
JennyBeez replied to AmberFL's topic in Gastric Sleeve Surgery Forums
100% with you! I've discovered I'm just as happy with a handful of lentil or quinoa chips than anything I thought I'd miss -- probably more happy, just because there's no guilt eating them. I'm early on in my Post-OP (12 weeks this coming Wednesday) but I feel like every week I find a new recipe or premade item that just amazes me. Like, "I can eat this tasty thing? Really?" -
When did you start indulge or give yourself a "cheat meal"
JennyBeez replied to AmberFL's topic in Gastric Sleeve Surgery Forums
I feel like as long as it doesn't bother you (in terms of digestion, or mentally/emotionally), it's fine. I love what @NickelChip said about it being a "planned indulgence". Back when I was in my twenties, one of my nutritionists said that it was good to have one moderately high calorie meal a week (ie a couple slices of pizza) because it would keep your body from going into 'starvation mode' in which it thinks it needs to save and store any calories it can. It made sense at the time, but I was also at the healthiest weight I had ever been and she worked for a local gym, so take that all with a grain or two of salt. For me, I know I can't have a planned indulgence, at least not without being pretty darned strict about said indulgence. For example, I 'indulged' today in a piece of soft-dried sweet potato -- but because I know it's basically just a little strip of 'healthy; sugar and carbs, my dinner tonight will be lower carb to make up the balance. My personal issues are less of a willpower - slippery slope but more of a mental anguish thing. In the past, whenever I've felt like I've done something 'wrong' diet-wise, I usually would end up either in a depressive spiral in which I blame myself, harangue myself and then end up eating my feelings -- or I'd end up punishing myself (either with more unhealthy food or by not eating at all for a few days -- neither of which were healthy reactions). ((I've been on both sides of the eating disorder spectrum, lol)) I feel like I'm probably in a good enough headspace these days that I could avoid all of that (from not feeling like I've done something wrong to begin with) but I'm just not confident enough to want to put myself in that position. -
Maintenance Calories after Surgery?
NickelChip replied to vsgcriminal's topic in POST-Operation Weight Loss Surgery Q&A
One of my favorite resources is Dr. Weiner's videos (as well as his book The Pound of Cure and his weekly podcast). He talks about the type of food we eat being more important than the number of calories we eat. Here is one video that I watch probably once a month just to get it into my head. But he has hundreds of videos, so I encourage you to check out all of the playlists on his channel. Having said that, there's a good chance you're in a stall as opposed to being done. Your BMI is low enough now that you're approaching "normal weight" and weight loss at that point gets really slow and difficult. But it doesn't mean you can't do it! -
Maintenance Calories after Surgery?
summerseeker replied to vsgcriminal's topic in POST-Operation Weight Loss Surgery Q&A
I did very little exercise and lost on 1200 calories a day. I am maintaining on an average of 1500 a day. I still have a relaxed regime, I walk a few miles a week and work in a very busy charity shop once a week. I am retired so you can see work and exercise didn't help me. I still have a fierce restriction so the calories are ok for me. I once had a stall of 3 months and then dropped 7 pounds overnight. I began to think that I had finished my journey. Everyone is so different and its heart breaking if you compare yourself to others. -
Maintenance Calories after Surgery?
vsgcriminal posted a topic in POST-Operation Weight Loss Surgery Q&A
Hello! I had the sleeve gastrectomy 9.5 months ago. I've been working on exercising and eating right, but I've been in a bit of a stall these past 5 weeks. I went down from 290 to 170 pounds, but I've been stuck at 170 for 5 weeks. I've been eating 1200-1500 calories a day and still not losing weight. I've done some research, and apparently, your body adjusts to low calories after a while of eating at that rate. At the beginning of my post-op phase, there were some complications on my end. I didn't eat ANYTHING for two months straight, not even protein shakes, and I was only hitting about 20oz of water daily (which landed me in the ER, but I'm fine now lol). I've looked online, and it says for my height, age, and weight, a good maintenance level would be 2100 calories. I'm eating well under that in a deficit and heavy weight lifting, so I don't know why my body won't drop anything. I'm worried that my body adjusted to the 0-calorie few months I had, then the 500-1000 calories three months after that. I've only started hitting my 1200-1500 calories in March when I joined the gym. I know the stall is not due to "muscle gain" because I'm not eating in a surplus, and I'm only eating 65-80 grams of protein in hopes of simply maintaining while I drop fat. I also read online that apparently people who go through rapid weight loss have even lower calorie maintenance than the average person, and that makes sense, but surely it cannot be under 1200, right? The majority of bodies need 1500 to operate. I'm so confused! When I ask my surgeon about calories, he says not to worry about them and eat healthy, which I'm doing. It's just frustrating because I want to work on building muscle, but I want to lose some more fat before that. I guess my question is, does anyone know anything about calories after surgery, and/or how many calories are you eating after surgery to help lose weight? -
When did you start indulge or give yourself a "cheat meal"
NickelChip replied to AmberFL's topic in Gastric Sleeve Surgery Forums
I guess I've been doing this all along, at least once I was allowed regular foods. I'll have a small serving of ice cream if I go to an ice cream place. I had a couple bites of cheesecake a while back. I'll have a square of dark chocolate a few times a week. I generally order chicken or fish, and not fried, with veggies at a restaurant, but I'll eat the sauces and not worry about it. I'll eat a couple fries off someone else's plate. That'a all I want is one or two. My program is fairly simple, 60-80g protein and 64 oz water are the only rules I was given, (no specific calorie or carb rules) with an added recommendation of aim for 3 meals a day, about 40% protein per meal, and avoid snacking. Obviously, there is the list of good choices and not so good choices that we all know, like avoid oils and fried foods, and eat nutrient dense foods, etc. But I stopped keeping a written food journal every day because it isn't required of me, and for me, I don't want to live like I'm on a perpetual diet. Somewhere I heard the advice to follow a 90/10 rule. If 90% of what you eat is healthy, don't worry so much about the other 10%. That resonates with me. Also, I like the concept of a "planned indulgence" instead of a cheat meal. Cheating implies doing something wrong. Planning to indulge in something is deliberate and you're in control of it. For me, that fits my life. -
Where to start (in the UK)?
FifiLux replied to simonbRTRCPL's topic in General Weight Loss Surgery Discussions
Yes, I was one of the few 0.01% unlucky ones who suffered post-op complications. 4 months spent in hospital and even though I am 11 months post-op it really only feels like a few months as I didn't start to feel well until Feb/March so about 9 months post-op. I couldn't fly home to see family until December (6 months post op) and work couldn't pay me most of my annual bonus as I was out sick for 6 months, instead of my expected two weeks! -
When did you start indulge or give yourself a "cheat meal"
AmberFL posted a topic in Gastric Sleeve Surgery Forums
So what I eat is ALWAYS on my mind. I meal prep every single week and have my weeks very calculated already pre-tracked and I stay within my calories. I workout 6days a week. But I am about 5 months post op and this weekend, hubs and I took the kids to Dave's Hot chicken, I ate the kale slaw and half a tender 4-5 fries. I felt so guilty! But at the same time it felt so good to eat with my family and it not be chicken and veggies while going out. I ate very small amount because I did not want to eat to restriction, but I was able to hang out with my family and not worry about food. Then that night we got Ice cream and I had 4 bites of hubbies delicious Cold Stone Chocolate Ice cream, those 4 bites I was satisfied and didn't feel like crap. I still woke up drank my protein coffee, did my work out and continued my normal diet. In a way, I am happy that it didn't turn into a binge like it would normally when I would previously diet, then again I feel like I halted my progress. Thanks for reading -
That is crazy. I just had to pay about €80 for the year to join the once a week class. If you haven't checked them out yet on YouTube you should look at Meredith Shirk of Svelte Training in case there are some exercises they have that you might like. They do lots, free to view, and a lot of them can be modified depending on aches and pains like knees, back etc. some are seated or on the bed - https://www.youtube.com/@MeredithShirkandSvelteTraining
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When did your weightloss stop ?
AmberFL replied to Star1234's topic in Gastric Bypass Surgery Forums
SO I am pretty early in my journey. I am about 5months post op and have about 11lbs to get to "goal" I may be okay where I am at. I did increase my calories by 100 to see if that would help things. I do weight lift and workout so I am starting to look on the side of "too thin" We will see what this week looks like I weigh in on Wednesday. Its the first week I increased them. I may go back down, but I have been consistently losing 3-6lbs a week so I was worried that I was withering away LOL -
This usually means you lost some fat and gained some muscle mass. Which is a good thing! yay muscles! over the last several months (due to my increased exercise regime i assume) my 7 day running weight average has increased by about 3 lbs, but my pants are falling off me again like those fun early weeks immediately after WLS (and my pants are already pretty small to begin with omg). but i also think this is a good thing though:...yay shopping for new pants! lol do you take your body measurements regularly? sometimes looking over historical body measurements over time paint a better picture than the number on the scale....
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Where to start (in the UK)?
Bypass2Freedom replied to simonbRTRCPL's topic in General Weight Loss Surgery Discussions
Heya! I am also in the UK and I had a gastric bypass almost 4 weeks ago, privately with Simon Monkhouse. I'd advise making booking a consultation with Simon (it is free!) and just getting some advice there! https://www.simonmonkhouse.com/ I honestly cannot recommend him enough -
June 2024 Surgery Buddies
Clark Griswold replied to Bec K's topic in PRE-Operation Weight Loss Surgery Q&A
Here in the UK, the 2 week pre-op diet consists of half your plate veg/salad, a quarter protein and a quarter carbs, and to keep everything around the 800-900kcal per day mark. I've struggled on it tbh, but keep telling myself it's the last diet i'll ever go on. All the best for surgery today, you'll be awesome!