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6 weeks, doc dissapointed in weight loss
beaverkelsi replied to lolli's topic in Gastric Sleeve Surgery Forums
I contacted my nutritionist because I've stalled for about 3 weeks. I also started keeping track of food intake through an app. I've noticed I'm not getting enough protein and eating higher carbs. So I will be visiting with him to figure the best course of action. I'm 7 months out. My highest weight when I began was 365lbs....surgery weight was 324lbs and my current weight is 232lbs. So I'm loosing weight and doing well but I have a goal and I don't want to derail myself. I've worked to hard to get here. I want advice to get me back on track. That's why we're here.. accountability and support navigating through all of this. Because let's be honest if we had it down we wouldn't need to be here to begin with. So we can be kind, supportive, and keep each other accountable all in one![emoji173][emoji173] Sent from my SM-G998U using BariatricPal mobile app -
Yeah it’s tough - like you say it’s no ones business. I have been on so many diets, it won’t be unusual that I’ll lose the weight - no one will be expecting me to keep it off. I am doing the same, calling it a routine op & healthy kick, not entirely untrue. How have you found it so far? Any advice x
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This sounds very strange. I know requirements are different in the US from Australia but I did think, based upon other forum member stories, that if you met the bmi &/or comorbidity requirements at the start of the approval process you were fine. Almost all of us have to undergo a pre surgical weight loss regime. If we became ineligible for surgery because we lost enough weight on this diet to drop us below the bmi minimum, a hell of a lot of us wouldn’t have had our surgery. I would certainly be asking further questions of your surgeon & your insurance company. If your bmi is 41 I wouldn’t have expected you would have needed any associated comorbidities to be eligible for surgery. Good luck.
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Hi everyone, I had my surgery on 5/18 and after working through some adjustments, I’m very happy to see the weight coming off. Not as fast as the first month, but glad it’s still moving in the right direction. HW 289 SW 260 CW 225 The gas experience is a lot to deal with…
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115 is doable of you really want to get there (i’m 5’2” and got there a couple months into maintenance). You may not want even want too when you get closer…who knows. For ease on the mind, it may be beneficial to set incremental goals so you can still celebrate progress without getting down on yourself? Or even non-weight goals, like fitting into a pair of pants, or running a specific distance, or getting off a certain med, etc. Also, keep in mind that your excess skin is also adding to the number on the scale. Your have a relatively high starting weight (and low-ish height) and you will likely have a fair bit of extra skin to account for. But dude, congrats on losing 135 lbs, that’s amazing!
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I am 3 + years post op and have maintained my 90lb weight loss since then. I could really stand to lose 10 more lbs but have never been able to get it off. My current diet consists of 70 grams of protein, 3 cups of veggies, 2 protein shakes and sometimes a vodka soda water. Up my protein? I don’t eat carbs…maybe 20grams tops per day.
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When does the clock start in regards to weigh in and you cannot gain any weight. During my consultation with my bariatric surgeon I weighed in at 218-219. Based on my height and weight and he said that if I dropped down to 212 I would not qualify just on BMI alone. He also advised me that if I didn't believe I had any co-morbidities that I should gain an extra 5-10 pounds for cushion (like I don't have enough LOL) So can anyone advise me on when the clock start. When the weigh in start being documented and I cannot gain anymore weight.
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Help! What needs to be accomplished in 6 month pre-op plan?
ColieCallwell replied to timmytommy's topic in PRE-Operation Weight Loss Surgery Q&A
Yep. You can contact your insurance company and they should be able to tell you the requirements for the surgery. My husband had RNY in December 2020, and he was recommended this surgeon by the insurance company. I'm using the same surgeon, but having the sleeve. For my insurance (BCBS) I have to: - Attend a WLS informational seminar before I could schedule an appointment with the surgeon. This was put on by the surgeon via Zoom. They scheduled this for me when I called to start the process. I think they do these once a month at her office. -Meet with the surgeon, (I ate a huge lunch before I went in hopes of ensuring my BMI was high enough to qualify, lol. It worked). -Attend a diet and nutrition class led by the surgeon, (this was 1 hour by Zoom). She explained the post op diets and what was allowed/not allowed after surgery. She mostly does not require the pre-op liquid diet...only for those with tight abdomens who need to shrink their liver so she can more easily access the stomach. -Attend 1x per month for 3 months meeting with a nutritionist where I show *some* weight loss at each meeting. I didn't ask what happens if I gain. My husband did this during 2020 and said it was all via Zoom - they just asked him what his weight was, and he told them he lost a pound or two. He didn't get on a scale, but he ultimately lost weight between his 1st appointment and surgery date. -Psychological evaluation, (my surgeon's office uses a service where you can schedule this via telehealth for anytime of day). -Lab work -Chest xray They scheduled me for all these appointments in my first meeting with the surgeon. So far, my pre-op appointment is scheduled for 9/29, so hopefully my surgery will be sometime in October. I can only know what my surgeon told me, which specifically was not to lose too much weight, (even 10 lbs) or I could disqualify myself for surgery. I'm just going to be as healthy as possible and if I lose too much weight and get disqualified, I'll self pay. I hope this is more informational than my last response. Good luck to you! Sent from my SM-N976V using BariatricPal mobile app -
I’m 7.5 years out. After losing 130 lbs I hovered at about 15 lbs over that up until about 3 months ago. Oddly, I’ve been gaining while consuming about the same calories and carbs as well as same level of exercise. Now up about 27 lbs from lowest level. Not sure what to do, but I suppose the obvious is lowering calories and carbs and at least maintaining exercise levels.
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Cool Sculpting? Anyone Heard of This?
Queen of Crop replied to kc892020's topic in Plastic & Reconstructive Surgery
I had it done and it was a complete waste of €1700. I saw absolutely no difference and I am very sorry I did it. It was a simple procedure that lasted perhaps 90 minutes. It amazes me that they could charge so much without results. So I would not go that route. I had a breast reduction and lift where they removed skin and made my saggy boobs look fantastic and was the best decision ever. I also had a tummy tuck which I was not so happy with, but the loose skin is gone. In it's place is a very ugly scar and I wasn't able to exercise for almost 3 months in which I gained some weight. So, hope that information is helpful. -
Doctors' philosophy on this vary from a few weeks to never again depending upon their experiences. The basic issues are: Healing - alcohol is somewhat corrosive to the stomach lining so one needs to give things a chance to heal first, Typically we see a few weeks to a few months sited for this. Alcohol tolerance - rapid stomach emptying means it tends to hit faster, and with less (i.e., a "cheap drunk") so care must be taken there, Transfer addiction - we can no longer satisfy whatever addictive tendencies we have with food, so it is easy to transfer that addiction to something else, like alcohol, drugs, shopping, gambling, etc. What was a casual habit of a glass of wine with dinner occasionally can easily turn into full blown alcoholism. Liver health - starting as morbidly obese, or worse, our livers are not usually in very good shape to begin with (hence the "liver shrinking" pre-op diets that are often prescribed) and the liver is further stressed from its role in metabolizing all that fat that we are rapidly losing. It doesn't need any more stress from ingesting a known liver toxin like alcohol (not a judgemental thing, just our physiology at work). My surgeon is also a biliopancreatic (livers and pancreas) transplant surgeon, so he is in the no alcohol as long as we are losing weight camp (and ideally forever) and indeed we sign a contract to that effect - he doesn't want any of his bariatric patients coming back onto his transplant table! Those are the issues in play, and some aspects bother different surgeons to different degrees, so they have different policies. Check with what your surgeon's policy is, and decide for yourself - we are all adults here.
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Help! What needs to be accomplished in 6 month pre-op plan?
DoodlesMom replied to timmytommy's topic in PRE-Operation Weight Loss Surgery Q&A
timmytommy, ColieCallwell, I'm surprised you wouldn't be approved if you lost too much weight durring the process. I thought insurance used your starting weight for approval. This just proves how everyone's path to surgery and requirements are different. timmytommy, what you'll need to accomplish during your six-month pre-op depends on what your insurance requires and what your doctor/ surgeon wants/needs to prove that you're physically and mentally ready for surgery. You may be required to do the following: Begin a medical weight loss program Lose weight Have psychological evaluation See a registered dietician (RD) See an exercise therapist or get on an exercise plan Attend a support group for bariatric patients Reduce soda/ alcohol Stop smoking/ using tobacco products Make dietary changes Increase protein Start a vitamin/ Supplement routine Sleep studies/ Maintain CPAP/BiPAP compliance Labs/ Tests: blood panel for CBC, thyroid function, B12, HgbA1--for prediabetes/diabetes, other vitamins EKG/ cardiac stress test EDG (esophagogastroduodenoscopy) Good luck! -
Nutritionist was NO help at all
Arabesque replied to HealthyLifeStyle's topic in General Weight Loss Surgery Discussions
I swear some nutritionalists just read from the one help sheet like first level tech support 😉. They can’t answer your question if it isn’t on their formulaic answer sheet. No help for individual needs. I was lactose sensitive until my surgery (the parasite causing it was removed with most of my tummy - whoo hoo). I still drink lactose free milk - it’s very similar to ordinary milk in texture & flavour & has extra long use by dates which I appreciate. Try some lactose free yoghurt & cheese - there are a few brands about you could try. Watch increasing your calories by increasing your fat & oil consumption too much or watch the types you add to your diet. You don’t want to increase your cholesterol. Try increasing your fruit & vegetable consumption & add good whole/multi grain carbs. Add some nuts. I think as I’ve told you before, I struggled to stop losing too. Others have too. I ate three meals a day plus 5-6 snacks. I swear I was eating all day long but I tried to ensure the snacks were nutritionally sound. It took a year for my weight to stabilise. I still snack about 4 times a day as I walk a fine line of gain or lose. I wasn’t too concerned while I was still losing because of that potential bounce back gain. Also my portion sizes are larger than what they were at 12 months so that helps keep my calories up too so that will likely happen for you too. Give yourself & your body time to settle. Your new set point may be lower than what you expected. And don’t worry if you think you look too thin or gaunt - this changes too once you stabilise. At 18 months, people would say I looked terrible & should stop losing (my uncle told my mother I looked like death). Now those people tell me how great I look. I hope you can find a more supportive & helpful nutritionalist or dietician. -
Nutritionist was NO help at all
Sosewsue61 replied to HealthyLifeStyle's topic in General Weight Loss Surgery Discussions
Cook with fat- coconut oil, avocado oil. Try adding fatter meat choices, starchy vegetables like parsnips, winter squash, potatoes, etc. Can you tolerate nuts - cashews will help with constipation and are high in fat. Full fat mayo. I agree that your NUT is not listening. I also agree to get her advice in an email, just email her and ask for clarification because she told you so much and you can't recall all of her recommendations regarding the dairy since you are lactose intolerant and need to know how to end the weight loss phase Then reiterate this to the office manger. Also do not be too concerned about going below goal because there can be a 10-15 pound bounce especially in year three. -
I was banded in 2003. I went in for an adjustment in 2016 but unfortunately my esophagus had become dilated and it had to be removed. If it wasn't for that the plan was to give me a fill. There was no reason the Dr. believed that I couldn't continue to lose weight. My highest weight was 311 I lost 150 and decided to settle at 160-175. When I went in for a fill I was at 190.
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I’m not quite 6 weeks out and have lost a little over 20 since surgery day (about 27 total), so I still think you’re right on track! I’ve found this the easiest weight loss in my lifetime of dieting. I know it will slow way down soon, but I’m happy to have my new tool!
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1) Hair loss: my hair stated growing back around 6-7 months (which was co-incidentally at around the end of my weight loss phase...not sure if this was related). I'm 2.5+ years out now, and its all back and the pretty much the same length as all my regular-shoulder length hair. I also like to think it's actually thicker, fuller than pre-op, but that may just be wishful thinking. I did not take/do anything out of the ordinary to address it (other than chop it all off to a pixie cut around 3 months post-op 2) Vitamin Continuation: I stopped taking my vitamins around the 1 year mark. I've had 3 labs done since then and they have all come back satisfactorily (p.s. I'm was sleeved) 3) Vitamin Regimen: When I was taking them, I was doing: Wake up: Pre-natal multi + calcium + Vit D Mid afternoon: calcium + Vit D Late evening: calcium + Vit D I was on B12 just for the 1st month post op, but was taken off it because apparently I overproduce it already. 4) Meal Spacing of same size: In the first year, I didn't really have regular "meals" I just ate snack-sized "meals" a few times a day...probably 3-4 hours in between at minimum...and not really at any set time. Now I can eat alot more at one sitting (maybe 1 to 1.5 cups in volume in one sitting) and depending on what it is, this will keep me satisfied for 3-4 hours again....depending on what it is. Dense protein keeps me fuller longer vs salads. Good Luck! ❤️ p.s. im female, 49yrs, 5’2”, 115lbs
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How much more are you planning to lose??
ms.sss replied to blackcatsandbaddecisions's topic in Rants & Raves
It is annoying but, It does end eventually. Once everyone is used to your new normal it's just no big deal anymore. During weight loss phase and the months immediately afterwards, I got into the routine of saying thanks, or "that's a good point, I'll have to think about it" and then quickly pivoting the conversation about them. People generally love to talk about themselves...give them a nudge and they will quickly lose interest in your affairs. -
Insurance Through Postop
blackcatsandbaddecisions replied to blackcatsandbaddecisions's topic in Tell Your Weight Loss Surgery Story
8 months- checking in today at 192.8 lbs, for total weight lost of 146.2 lbs. I have 27.8 lbs left to go to get to goal. My weight loss is slowing down but it’s still going. I know that as I get closer to a regular body weight the weight loss is going to get slower and more difficult but I do miss the days of regular 3-5 lb drops every week. July 5 represented one year of concerted weight loss effort for me. On that day in 2020 I started a low carb low calorie diet that was supposed to last for two weeks- I needed to drop weight for my first in person weigh in at the Bariatric clinic and I was terrified I was going to be disqualified due to gaining weight during my 6 month program. I squeaked under the line, and when I got home I just decided to keep it up a little longer to help with weight loss prior to surgery. I ended up keeping it up a whole year! So I have two anniversaries in my head, July 5 and November 10, diet date and surgery date. I’ve been doing good on exercise, and I’m trying to focus better on making sure I keep my diet in check. I’ve gotten lackadaisical about tracking food and I need to work on that because I can’t rely on portion control forever. I also need to focus more on getting sleep- I know that impacts weight loss and I’m terrible about staying up late after the kids are asleep to read books. I remember some celebrity had a big awards show and said something like “I want to thank myself, for all the hard work I put in, for the sacrifices I made, etc” and everyone laughing. But you know what, I would like to thank myself. For starting a diet 12 months ago and sticking with it though the hard parts. For getting a surgery that terrified me but still jumping through all the hoops and getting it done. For drinking tomato soup for thanksgiving and giving up the candy and snack food that got me to 339 lbs. 😀 If anyone is reading this and has 150+ lbs to lose, it’s possible. It’s possible with a sleeve, or a bypass, or whatever surgery you get. Surgery doesn’t do the work for you, but it helps so much. Next month I will be in the 180s and getting closer to a normal BMI. I’m committing this month to tracking each day, exercising 3-5 times a week, and going to bed earlier. August here we come! -
My bmi is 31.6 Curious to know roughly how much weight other low start BMI’s have lost in the first couple of months after surgery
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Help! What needs to be accomplished in 6 month pre-op plan?
ColieCallwell replied to timmytommy's topic in PRE-Operation Weight Loss Surgery Q&A
I'm in the same boat as you. My BMI is 35.5 with a comorbidity (sleep apnea). I met with my surgeon last week. My insurance requires about 4 months of classes, etc. My surgeon told me not to lose any weight during that time or I could un-qualify myself. She told me not to go and lose 10 lbs on her during this time. I'm considering self pay just so I don't have to worry about it AND not lose weight for the next 4 months. I'm ready to get my life back. Of course since I'm not supposed to lose weight, I've lost 3 lbs. [emoji52] Sent from my SM-N976V using BariatricPal mobile app -
February 2021 bypassers?
MissSmartyPants replied to TreeTrunks's topic in Gastric Bypass Surgery Forums
Hey guys! Checking in to say that if you've slid back into bad habits its never too late to turn it around! To be honest I deviated from the eating plan early on, and never really worked out, but ever since I've become a more mindful eater and have prioritized working out I feel like this whole journey is possible again. I want to reach my goal weight by February of next year so I really want to utilize this period of easy/more rapid weightloss to reach that goal and be a candidate for plastics. Unfortunately, I started this process for completely vain and superficial reasons. While those reasons are still driving me to reach my goals I'm also motivated to see what my body can do. Things I'll be trying in the near future: Skateboarding Bike riding Swimming Surfing Muay Thai Boxing A handstand A cartwheel A split Powerlifting Long distance running I'll be checking in more frequently too! Ciao -
What was your tipping point?
Pilot my best self replied to 3tallwomen's topic in PRE-Operation Weight Loss Surgery Q&A
I have thought about all the milestones (negative) that I hit before finally turning to surgery. These were NOT tipping points for me: -needing seat belt extender on flight -struggling to tie my sneakers -Winded walking to my office or up the stairs -prediabetes diagnosis And so many years of dieting struggles The tipping point was -getting an A1C test of 6.9 and a Diabetes diagnosis. - getting prescribed diabetes, cholesterol, and blood pressure medications. -And Not being able to go on bike rides with my daughter I felt so hopeless until I finally followed my cardiologists suggestion to attend an informational session for bariatric surgery. After another 4 months of considering all the risks (real and perceived) with taking this step, I could not imagine any other way that I would be able to lose the amount of weight that I needed to get healthy again. Just over 3 months later and 54 lbs down, I am only sorry I was so resistant to the idea of surgery to help lose weight. I feel more than hopeful again. I have a long way still to go, but it feels doable now. And I already feel so much success to be able to move more comfortably and no longer need the medication prescribed just 8 months ago! And I am getting my bike tuned so I can go biking with my daughter on the nearby bike path that I have avoided riding for over 5 years!! -
Help! What needs to be accomplished in 6 month pre-op plan?
timmytommy posted a topic in PRE-Operation Weight Loss Surgery Q&A
I currently have a BMI of 36.5 with comorbidities. I have to follow the 6 month pre-op diet as part of the bariatric program. My question is: what if I lose too much weight during this phase and fall below 35 BMI? Will this exclude me from surgery? I know I can be successful at a 6 month diet, but past experience has proven that I will gain that weight back. Any feedback is welcome! -
Looking for a WLS veteran buddy in Northern California
Tierra T Tij posted a topic in WLS Veteran's Forum
Hi, I just wanted to find someone who has had gastric bypass and has had the weight off for a long time, and is doing well on their journey. I need some inspiration and help to keep me going. I need preferably a walking buddy and a person who had gastric bypass for a long time to go grocery shopping. If anyone is interested please let me know. I don't have much support but myself and the pandemic has made it hard for me to cope and I don't want to go back to being big again.
