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Had an appt with my Dietician and I am so peeved!
AmberFL posted a topic in Gastric Sleeve Surgery Forums
Had an appt with my Dietician and I am so irritated, like so bothered! I told her that I weight train 6x a week on top of cardio 6x a week. Went over how much I ate and what type of foods and she told me I am eating too much protein, and I need to stop drinking my proffee in the morning only have decaf coffee. She said I need to eat under 100g of protein even though I am weight training. I could not respond, I am not trying to be thin my goal is to get fit and shapely which is why I weight train. My multivitamins I have to adjust which I knew I needed to. I feel so discouraged by what she said, she told me that the 1000 cal is "ok". I asked what that meant, she said I am on the higher scale of what I should eat at 5months post op, I told her but I workout for an hour plus a day? If I ate less I would pass out from exhaustion. My post surgeon team completely left me to figure this all out on my own. I was supposed to have a 6 week and 3 month group appt which she asked why I didn't attend....I told her because your team never called me to set them up and I didn't know that was even a thing. So I have been on my own since week 2. I thought I was kicking ass and taking names, now I am so bummed. Just venting -
I never really had the emotional ups and downs, mostly because at the time I had PCOS, and the influx of estrogen from both my surgeries actually normalized my hormones for a few months each time lol What I DID have, however, is the emotional issues that came with changing my relationship with food. I had NO IDEA that would be a thing lol Changing what you eat, how you eat, when and why you eat, how often you eat is like breaking up with a toxic partner. You've been together for a REALLY long time, and even though you KNOW it's a terrible, unhealthy relationship, it's really all you know and you're so dependent on it you don't think you can function without it. And now you have to figure out how to. You have to completely retrain your brain, learn the difference between true hunger and head hunger (there is an actual, real difference), and you have to learn to read the nutrition labels, track your calories and Protein and carbs, work out, don't cheat (and don't make excuse after excuse and justification after justification for why you went back to the toxic relationship even after you knew it was bad for you, yet still gave in), measure food, track fluids, take HONEST accountability for your actions (which isn't something most of us had been particularly good at) and make adjustments as needed to stay as compliant as possible for the long haul. Contrary to what so many think, there's actually a LOT of work that has to happen after the surgery. The surgery itself is just a tool. It's not a miracle cure. It won't fix all the issues if you don't put in the actual work. Just eating smaller amounts without making any of the necessary changes isn't enough, and that's a hard lesson many learn later on. All of this is such a mind eff, and takes a toll on a person. It's a lot of changes, and a lot of work, thrown at a person all at once. And no matter how ready you think you are, it can still cause so much emotional turmoil, and understandably so. What I, and so many, don't realize is that we all have ED (eating disorders) in order to get to being obese and morbidly obese (or in some cases, super morbidly obese). It's not just anorexia or bulimia. I genuinely didn't know that. We have to retrain our brains to get out of that, and sometimes that requires help, and we have to be ok with getting that help. And because we have to do that, we then get incredibly frustrated and defeated feeling when the weight comes off slower than we thought it would, or we hit stalls (or in my case, stall after stall after stall - which is COMPLETELY normal, by the way, and should be expected). I said all of this to say there's SO many different reasons we can have emotions all over the place. Influx of hormones all at once, changes in relationship with food, changes in routines and increase in the things we don't particularly like doing (or not doing anymore), learning we have to do a lot of work to get and maintain the results we want after the surgery, learning PATIENCE with the rate of weight loss and trusting the process (easier said than done, believe me, I know), realizing that body dysmorphia is REAL and we can and do struggle with seeing ourselves as anything other than our formerly obese selves (I'm 182 pounds and I still see 421 pounds sometimes when I look in the mirror), and of course, hair loss (also COMPLETELY normal, and will eventually stop). You won't go bald, there's nothing to prevent it or stop it, you need to increase your Protein, Biotin doesn't slow it down, and it's a COMPLETELY normal part of the process that many of us don't know about until it happens and then we freak out. So give yourself some grace and just know this is normal. You're doing great, and we're all here for you, just like everyone was here for me
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5 days since sleeve… feeling constantly starving
Arabesque replied to HLthELivin24's topic in Gastric Sleeve Surgery Forums
While loss of hunger is a benefit of the surgery, there are some who continue to feel hunger. Distinguishing whether you are experiencing real hunger or head hunger is most important to distinguish which you are experiencing. Craving a specific food, flavour or texture (like your desire to chew) is head hunger. If you used food to comfort or sooth yourself in the past during times of stress, anxiety, emotional upsets, hormonal variations, etc. you are likely experiencing head hunger simply because of the (conscious or sub conscious) physical & mental stress of the surgery. Having hunger pangs/pains is head hunger most of the time. You’re still producing the same amount of stomach acid as you did before surgery in your much smaller tummy which will cause the hunger pangs/pains. It’s why we’re usually prescribed a PPI to reduce the amount of acid for a period of time after surgery until it settles. A rumbling tummy also is not a sign of hunger in most cases - just your digestive system working. Many nerves are cut during surgery so signals and messages from your tummy to signal things like real hunger either aren’t getting through or are being distorted. Most of us discover our signals for real hunger are very different from the signals we used to recognise as hunger. I feel restless, like something is wrong & logically there is a real & legitimate reason for being hungry. All this takes time to recognise & understand & is part of the head work we all talk about you needing to do a long the way. Doesn’t help with your hunger though of course while you’re sorting through all this. In the meantime, look for a distraction. Try reading, contacting friends or family, crafting, go for a short walk, play a game, check social media, meditate, etc. Sipping a warm drink can be helpful too. All the best & congrats on your surgery. -
So im 5 weeks post op and….
SleeveToBypass2023 replied to Dchonlee's topic in POST-Operation Weight Loss Surgery Q&A
Honestly, that's why it's not good to weigh yourself every day. Things like how much you ate and drank, how much salt you had, if you pooped or not can all affect your weight. As hard as it is, weighing yourself once (or if you must, twice) per week, in the morning after you go to the bathroom, before you eat or drink is the best way to see what you true weight is. Weight also fluctuates by a couple of pounds naturally, so if you weigh yourself daily, you'll get discouraged and frustrated and start to think, 5 weeks out, that you've plateaued. Be mindful of slider foods. That's stuff that you can eat more of because it goes down super easy and takes longer to make you feel full. Potatoes are known for this. As I said before, the first 6 months is when you lose the most the fastest. Eating things that slow down that process during that time is counter-productive. This is where you really want to stick to the diet as closely as possible to get the most out of the weight loss. Also move your body. Add in working out, walking, swimming, anything that increases movement over and above what you normally do. Not only does that help, but when you drop weight fast, you can lose muscle. So you want to start working on that. -
To be honest, early on I had lots of problems with nausea and vomiting eating normal solid foods when it was allowed for me. I stayed on liquids and soft foods maybe longer than most. But it was easier for me. I figured my tummy just needed more time to heal and really had no reason to force it just because I could have it. So, I prioritized getting my protein and liquids in first in the form of shakes, milk, yogurt, soups etc. I've said it here before, that you are better off staying hydrated if eating solid foods is keeping you from that, timewise. (30-minute rule) I simply preferred that to feeling nauseous and figured I had the rest of my life to eat solid foods. Becoming dehydrated can cause stalls and constipation. I also have trouble drinking plain water but found if I add Crystal Light I tend to drink more in a day., I also take a stool softener twice a day since WLS, recommended by my surgeon. Of course, like everyone else here said, periodic stalls are normal. Long term you have to question what you are doing. Now at almost a year post op, I can pretty much eat and drink as needed. I just came off a stall and since I'm nearing goal weight, those last few pounds are coming off slower. I don't weigh myself as often so as not to get discouraged. But I'm pretty damn happy with where I am. Try to get those liquids in... it's important. GL
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I’m sorry I can’t offer any help but I remember someone mentioning something similar a while ago.. Hopefully they’re still about here & may offer some suggestions. You’ve probably read this article, but in case you haven’t, there may be some interesting points you could rule out &/or raise with your cardiac specialist or bariatric surgeon. If you don’t track anymore, I liked the idea at the end of the article to track your food to see if anything more specifically that you’re eating sets off the heart issues. https://my.clevelandclinic.org/health/diseases/22416-heart-palpitations-after-eating I hope they can come up with some answers soon.
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Blimey @ShoppGirlyou have had a lot to deal with this week! Gallbladder- I had mine out last year but I wasn’t told anything to avoid foods, drinks or anything but was warned that gall stones can come back in the bile duct. After a bit of a rocky start (lots and lots of fluid leakage as my gallbladder was horribly inflamed which resulted in a much longer surgery blah blah blah) I’ve been fine ever since. Fingers crossed all will go well with that aspect of the week for you. Please take your pain meds and give yourself whatever respite you can. You’ve had 2 major operations this week and you are really going to be feeling it 😮 Would a heat pad give you any additional relief? Injecting yourself - I inject one lot of meds weekly and another fortnightly and, believe it or not, I think it’s easier to self-inject than have someone else do it for you. I just grab a fat roll at the top of my thighs, hold the pen against my skin and press the button. I’ve to count to 10 before releasing. A quick wipe down with a sterile wipe and I’m good to go. Yes, it very occasionally hurts, like if I haven’t grabbed enough for the injection, plus you have to rotate your injection site as you can end up pretty sore with it if not (never had that problem, thankfully 🤞) You can also inject in your stomach if that’s a better choice for you. I was told that I have to have B12 injections every 3 months - I’m going to look like a dart board!!
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February 2024 Surgery Buddies?
LisaCaryl replied to NickelChip's topic in PRE-Operation Weight Loss Surgery Q&A
Ugh, that doesn't sound very good. I haven't had anything affect me for over an hour or so. I've eaten too fast and too much and both are so uncomfortable. I mostly get the heavy uncomfortable feeling in my chest. If I eat too much I will burp up food and sometimes have to spit it into a napkin cuz there's no room to swallow it back down. Isn't it crazy how eating has gone from something we loved to do to a chore that is often dreaded? At least for me, it is. -
Oh at 6 days out I was still on liquids OP! Didn't get to puree until 2 weeks after my sleeve. Honestly - get as close as you can to your protein goal and don't worry too much about that. At this stage what matters most is not getting dehydrated, so focus on your fluids! Hair loss will happen because that's what our bodies do when we cut calories. Not sure what, if anything, stops that. It's not nice but it does stop eventually.
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March 2024 Surgery Buddies!
Emeraude replied to Pines's topic in PRE-Operation Weight Loss Surgery Q&A
Hi all, thought I would give an update and would love to hear how others March Buddies are doing! I’m 3weeks post op (3/18) & have a bit more energy now that I’m taking vitamins! Still progressing very slow with food. I’m on puréed foods and able to get about 2T when I do eat something. But, mainly takes me most the day to get my 2 protein shakes in & started drinking protein water as well. I’m 5’ 8” & “big boned” so my nutritionist upped my protein target to 80g. I’m Averaging 350-420 calories/day, not due to nutritionist just because I’m not able to take in much. What are the rest of you averaging? Is this normal for 3 weeks? Also, Hoping to get into a better walking routine. Confession: have not been doing a lot of walking, except when I’m shopping! I am parking farther away to get more steps in so making little adjustments. And, my scale says 22lbs lost since day of surgery! Hope you are all doing well on your journey. -
What do you wish you had done BEFORE your gastric bypass surgery to get ready?
SleeveToBypass2023 replied to DianeF's topic in Gastric Bypass Surgery Forums
Don't overthink it. We tend to want to over-prepare, pack too much, stock up way too much, read every single thing we see online and then obsess about any negative thing we see. You're ready. You've finished all the hurdles, you've been approved, you have the date. There's not a lot you can do 2 months before your surgery. Maybe start looking at different food tracking apps to see which feels the most user friendly to you. Look through youtube to find some good GENTLE workouts for the first 6 weeks post op and save them to a private playlist for yourself. Make sure you have some loose clothing for after surgery. I bought one of those big, cure jugs that is 64fl oz so it would be easy to measure how much water and fluids I was taking in (admittedly, at first I was barely getting in 3-4oz at a time, but I quickly worked my way up and was glad I had that because it was cute and convenient). Make sure you have plenty of Miralax on hand and possibly, if things are really plugged up, a laxative/stool softener combo. And I made sure when I was drinking broth, it was bone broth because it has more protein. That's really it. -
Something feels off
summerseeker replied to MLC3409's topic in POST-Operation Weight Loss Surgery Q&A
Congratulations on your surgery and great progress. You are over the worst. The liquid and puree foods go through your new tummy really quickly. Are you remembering the no drink rules? Your tummies nerve endings have been severed and your full signals are missing. I would sneeze when full. So as they say on here just because you can eat it does not mean you should. When your new tummy stitch line has healed and you begin on real foods your restriction will kick in and oh boy will you know about it. Its like a long lost friend coming back but now it has rules of its own. Over eat at your peril, it feels awful for hours. This is what we mean when we say bariatric surgery is not an easy option. -
a couple weeks ago i remember your post about your struggle to stop losing...are you still losing while this hunger appeared? perhaps its your body's response to the weight losses...? if thats the case, then perhaps listen to your bod and eat more? i can imagine that eating more is in itself a struggle...it took me 3-4 months to get over the mental block to actually stop diet mode (and like 2 years to get over the mental block of eating bread/rice/pasta lol) if im not mistaken you just recently reached goal? (congrats again btw), my suggestion would be to give yourself a bit more time (ie several months) to find your happy spot, it usually takes a while before you get to the autopilot of maintenance...great suggestions above...experiment with (small amounts) of (preferably nutritious) foods and amounts and see what help with the hunger. keep an eye on the scale in tandem to determine any causal relationships with certain foods. but yeah, i know, "easier said...". good luck, and it CAN be done! ❤️
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Contemplating Surgery
ShoppGirl replied to Vita-Mind Your Business's topic in General Weight Loss Surgery Discussions
My husband is thin as a rail and can only put on a few pounds back In the day by eating fry daddy for dinner and a dozen doughnuts every day. Even then he didn’t gain that much. The best way I could explain it to him how hard it is to not eat when I am hungry was to explain the opposite. I came home with five Big Macs and after he just ate I told him to eat them. I said as much as your body is telling you NOT to eat them Big Macs and it would be almost impossible for you to eat I believe that it’s just as hard for me to ignore my body when it’s screaming out for food. He isn’t superior or less lazy or a harder worker or anything else that skinny people like to think. He is just blessed with good genes. He did nothing to earn or deserve them anymore than we did anything to earn or deserve our bad ones. In retrospect maybe five was a bit of overkill but I really wanted to make a statement. But just like some of us are blessed to be naturally pretty or cute and others are less fortunate in the looks department or some of us have a higher risk for certain. Illnesses, some people are lucky enough to be thin. We may have a tiny percentage or control by dressing a certain way or make up for looks or good preventative medical care for illnesses but ultimately it just is what it is. Now there are others that work at it everyday who are a different story but my husband and it sounds like your neighbor are just blessed. i think i finally got through to him about that. -
Hiya Everyone!! I am 6 months Post revision from VSG to GB, and doing great, but my birthday is friday and I am wondering from others..How do you celebrate when you don't like to go to restaurants anymore because it is a waste of money and you are off sugar? I realized this morning while getting ready to go to work, that my entire life all celebrations of any kind has revolved around food. Not that this is truly a revelation of any kind, but damn...it feels like without eating the celebrations don't happen. And that's not a great feeling! Like, if we don't go to eat for my birthday, then my family isn't creative (or supportive) enough to think of an alternative way to celebrate. What have you guys done? How do others handle this? I am truly at a loss... Thank you in advance and lets all be kind to one another... MUAH!! Sending hugs!!
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Slow Loser - Anyone else?
SarahByNumbers replied to SarahByNumbers's topic in Gastric Sleeve Surgery Forums
Small update, in case this is beneficial to anyone else going through the same stall & hunger issues in the future! I met with my Physician's Assistant (we don't see the surgeon post-op in my program - the PA does all the medical legwork) on July 8th since I was stuck in the high 240s for quite a while (roughly 112kg). The PA discussed what I was doing, agreed that I was doing almost everything right, minus somewhat larger portions at meals due to experiencing more hunger. We discussed GLP-1s (Ozempic, Wegovy, Zepbound, etc.), phentermine, topiramate + phentermine, Contrave, and other medication options. Since my insurance would not cover GLP-1s (I do not have diabetes) and they'd all be crazy expensive out-of-pocket, we decided to give the phentermine a try. Note that this is not a good medication to add if you have any history of heart issues - I'm not a doctor, so anything I say is personal anecdote and you should always consult a physician for any changes in your own medications, etc. Phentermine is a stimulant and an anorectic, which means it reduces appetite and can increase energy. It will NOT cause you to burn more calories without increasing activity, so reducing the amount eaten is critical (and increasing activity helps, too). The PA had me do an EKG in-office that day, and since it came out normal, I was prescribed half of a 37.5mg tablet for the first 4 days, to increase to a whole tablet daily if I still had residual hunger and was tolerating the 1/2 tab well. I did end up going up to the full tablet, as I had no side effects (except for some anxiety the one day I had a cup of coffee in the morning...don't combine stimulants!!). The result has been that I've dropped 5lbs in the last 2 weeks, and almost a week of that was spent at an outdoor music festival where the food options were far less than stellar (think "carnival foods" - I tried to stick mostly to all-meat options as much as possible, but I did help my spouse with some cheese curds and funnel cake...). I do have Narcolepsy and ADHD, and the addition of a stimulant has been a bit helpful for those conditions, as well. Another plus was that it cost me roughly $7 USD to fill at my pharmacy with insurance, so it was far more affordable for me than the GLP-1s would have been. My hunger has been curbed quite a bit, and this has helped me feel satisfied eating far smaller portions than I was eating previously. I have a check-in with my PA towards the end of August, and I'm pleased with my progress so far! I had an annual physical with my General Practitioner last week, and my A1C says I'm no longer pre-diabetic 😁 -
January 2024 surgery buddies
AmberFL replied to Pink fridge's topic in Gastric Sleeve Surgery Forums
same! I am on soft foods as well, and I found that if I eat the soft chicken or turkey. I eat 1oz I feel so satisfied for a long time too. So I think incorporating those protein rich foods will help us. -
Cold feet b4 Surgery time sensitive.
Joe Brown replied to Joe Brown's topic in Gastric Sleeve Surgery Forums
An the other hand i want to be 200 pounds and ive had a hard time maintaining that I snore heavily and buy a lot of food out and on general want to stop being crazy about running after food im seriously confused surgery in three days feel like cancelling -
Have you spoken to your surgeon about struggling to eat real (solid) food? This is uncommon at 5 months & you should be able to eat a wide range of meats, vegetables, fruits & some complex carbs. Push them for an answer. Stalls happen & can happen several times. While we say they last 1-3 weeks some do experience longer stalls. As for your weight loss slowing to 1-2lbs a week, this is perfectly normal. Everyone’s weight loss slows as they progress. Wait until you’re almost at your goal weight (or your body’s new set point - these may not be the same), then you’ll be counting ounces a week. Out of curiosity what’s your calorie intake like?
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Head Hunger (cravings) vs REAL hunger
Spinoza replied to Bypass2Freedom's topic in PRE-Operation Weight Loss Surgery Q&A
Oh I was just full on starving on day one of my pre op diet! hope you're doing OK. It settled around day 4 or 5 when I got into ketosis and after that I could relax a little. After your surgery is when you really see the difference I think. I was a lucky person whose hunger didn't return for many months but when it did I knew the difference. I agree with the others - if you can use the time you get to retrain your body to expect wholesome nutritious foods then you should do really well. I wish you the best of luck. It's a hell of a ride. -
August Surgery buddies
ShoppGirl replied to Averdra's topic in PRE-Operation Weight Loss Surgery Q&A
@LadyJGrey Awesome plan to start the walking and the food logging now. They have a few apps to help with that if you aren’t aware. I like Baritastic. It’s free and pretty user friendly. Good luck with the quitting smoking. Everyone is differnt but my trick was to NOT throw out my cigarettes. I actually carried a full pack around everywhere I went with a lighter taped to the top to remind me that I didn’t want to smoke them. The worst thing to me when your craving something is to think of the craving getting worse And becoming unbearable (and knowing we have to go to the store to buy some still make that even more scary) but we give in too soon to avoid the fear of it possibly getting to that absolute worse. We are stronger than we think. I told myself that I could always wait a little while longer because they were right there if it got so bad that I couldn’t take it . Surprisingly feeling like I had them right there whenever I wanted gave me the choice which was such a sense of control that it made me realize that I was so much stronger than I gave myself credit for. Everyone is differnt but it worked for me. I’m rooting for you. -
I'm 5 yrs out from byoass/11 yrs out from sleeve and at goal. I've been adminning a small WLS board since I inherited it in 2015 - we have a close group of mostly ladies (a couple of gents) and most of our people are fairly far out from surgery but we do have a few newbies. We do 2 Weightloss Challenges a yr and they're pretty fun, We have 3 prizes and they're decent prizes. 6 wks long, % of lbs lost, weekly weigh ins, rules - the whole sha-bang. Lots of support. The last challenge, I was going thru some stuff and I let life get in the way and while it went off without a hitch, as my co-admins are amazing, it wasn't the same as usual. I promised everybody the summer challenge would be GREAT! I started working on it (yes, I have help from my co admins) and I have daily education, Fun Food Facts, I do something where I ask everyone to say something supportive to someone they don't know well, and I try to do small weekly challenges. It hard doing everything online. I do a hydration challenge, a moving challenge (try to park a little further, put in a few more steps in ur day), no fast food for 7 days , no snacking for 7 days, do (however many) crunches (however many) wall push ups, etc. You get the idea. The challenges are getting stale. Thinking about doing a "take ur pic in an outfit on day 1 and on last day and see how it looks" challenge. If you were in an online challenge, what would you appreciate doing? What would be fun? What kind of information would u like to see or know? What kind of support would you like to see or get? If you'd like to get involved, you r more than welcome to join us! It starts July 24 and goes 6 week. I will be posting info on it on the website in the coming weeks but u can certainly do a search on challenges and bring up a TON of them! We're on Facebook : https://www.facebook.com/groups/SupportWLS (or look for Recipe For A New Life). We'd love to have you, however you DO need to be 6 weeks out from surgery (for fairness, as you lose a TON of weight early on, not quite fair). But you can certainly come over and support the challengers!
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Lets talk about food!
ShoppGirl replied to AmberFL's topic in POST-Operation Weight Loss Surgery Q&A
My thing is that this time I will FEEL like I can get anything down and never feel full because they are not touching my already sleeved and HEALED stomach and my hunger has already returned. BUT I need to follow the same protocol to protect my healing intestines. I think I will feel just as hungry as I do now and be able to stomach eating like normal but i must be good and follow the staged return to eating protocol anyways. i am sure it’s not going to be easy but of course I don’t want to hurt myself. It should be okay if I can have three shakes because I am doing two a day now on the LSD and it’s enough to sustain me so I am thinking maybe he will say I can do three shakes to keep me full plus eat those little tiny meals to go through the stages. I know it’s a little more calorie wise but I just don’t see me making it on two tablespoons of food when I still have my hunger and my stomach is not full. I really need to talk to him more about this before I leave the hospital because the normal by the book diet just isn’t going to work for me. But it definitely Sounds like maybe to play it safe I should just wait until i am closer to the next stage to have any yogurt. -
Suggestion Wanted Disney World Trip in April
newbegining2024 replied to newbegining2024's topic in Revision Weight Loss Surgery Forums (NEW!)
You are right! I shouldn’t stop this negativity I’m giving myself. I’ve been trying so hard to eat what’s my nutrition handbook for the past 5 months. I guess that’s why I’m craving so much other food. I also suspect because I’m in a stall, my body is sending out signal to creat my head hunger. This is my 2nd stall post op and it’s getting harder to break. Changing habit is not easy and my previous life style is not healthy. I loooove food and I believe I am a good cook… I was scared that I will go back to how I eat previously. The root problem is that I need to change my habit and my food choice, and it’s hard. I failed at my first sleeve surgery, and got the bypass now, which it still make me feel horrible. The thoughts of failing again got the best of me. I should be happy I loss 43lbs, and 2 size down on my dress size! -
I had a really bad week last week nutritionally. I gained back about half the weight I lost in the last two weeks. I just didn't stick to the milk diet I'm supposed to be on. My surgery date is 7th of October and the bariatric doctor gave a diet he thought would be easy to follow so I can quickly lose weight before surgery. So protein shakes and chicken or beef broth and this is what I'm supposed to have for 12 weeks. Last week, I was sick, I was on my period and a little depressed so I went for comfort food. Starting to panic about trying to hit the weight target the doctor set for me, I thought I would try going to the gym. I've not been to a gym in years and I have memories of PE class and school bullies screaming back to me. But I went in. The staff member was great about showing me around, all the bulky gym buff types that I thought would be bullies because of every high school movie I ever saw didn't even look at me. I think I just assumed that being a fat person I would laughed at judged, but I was no different than anyone else. I was just there to work out just like they were. I was pleasantly surprised by the experience. Some of the equipment is intimidating and I have no idea what it does, but starting slowly, I think going in at least twice a week for now is a good starting point.