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Sticking to diet 100% but barley down
nicole525 posted a topic in POST-Operation Weight Loss Surgery Q&A
I just realized I was supposed to post this in pre-surgery weight loss. Is there a way for me to move the post? Sorry for the mistake? Hello everyone, I need to lose 50 pounds before I go for my sleeve surgery so I am at a better BMI to make it safer. They set me up with a nutritionist for medical weight loss. Pretty much, I am to have 3 protein shakes a day and 2 small snacks in between like low fat cheese, and egg, low fat yogurt, etc... I have been sticking to this diet completely with no cheats. The first week I did great and lost 10 pounds. I am toward the end of my second week and the scale is showing I am only down point 8... I don't see how this is even possible. I have failed on so many diets on the past. I failed using phentermine and so many weight loss drugs. I am so worried that there is something about me that just can't lose weight. Ugh I am so disappointed and worried. Has anyone experienced this or have advice for me? -
Absolutely! The more weight I lost, the healthier I ate, and the more activity I participate in the more energy I have.
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Recommendation or concerns about surgeons/Centers in the Los Angeles/Torrance Area
RickM replied to Hopethisworks!'s topic in Weight Loss Surgeons & Hospitals
Most practices have support group/information seminars - online these days but some may be going back to in person soon - where you can get some idea of how the practice works, their biases and philosophies, which are useful in helping to make a decision. Looking at their websites is OK< but that's a bit like choosing a car dealership based upon their website - they are heavily marketing oriented; they are designed to bring you in the door rather than provide much useful information. Many list all of the WLS procedures, including some of the obsolete ones that haven't been done in years, while in reality they only offer one or two of them. It helps to be familiar with the different current procedures that are offered in the industry (the ASMBS website has good coverage of all of the commonly approved procedures, as well as some of the newer, more investigative procedures.) Have some idea which one or ones may be most appropriate for your needs, and then go to the seminars or do some surgeon consults and see what their opinion is. They will want a lot of information before a doctor consult, as will any doctor, so that they can better see who you are and what your issues are. UCLA is good by reputation, though I haven't had any dealings with them. I have had some dealings with Cedars Sinai bariatrics and would be comfortable with them, though I never went through the whole program with them. Most programs offer the VSG and the RNY; some now offer the SIPS/SADI/Loop DS which is gaining acceptance (though doesn't seem to quite be there yet,) and a few rare ones offer the BPD/DS, which is more complex than the others (hence fewer practices offer it) but generally works better than the others, particularly for those in the higher BMI range or with more severe metabolic problems. For the VSG or BPD/DS, I would go to Dr. Ara Keshishian, who is in the Glendale/Pasadena area working through USC. Patients travel from all over the country to see him for the DS or complex revisions. When I had my VSG ten years ago, I went up to SF to have it done as no one in the LA area at the time had much experience with them yet (and Dr. K was still working out of the Central Valley at the time.) As a start, I would try to attend, online or in person, as many of the informational seminars as I could, and get a feel for the personality of the practice. Good luck, -
Hello, we have similar stats and I'm also just at 5 weeks out. I met with my dietician yesterday and he said my weight loss is surpassing the averages. I've lost 22lbs since surgery. He also mentioned that around 4-6 weeks most patients see a slow down in the loss as their body adjusts. It should pick back up soon. I have noticed within the last week my loss has slowed down too but I'm trying not to worry yet I'm just waiting for it to turn back around. My surgeon's office said that at this point 2lbs per week is what they are looking for. Sounds like you're perfectly on track!
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I violate thermodynamics and it's crap
Soon2bFit21 replied to (Deleted through replacement's topic in Rants & Raves
I know it’s not fun weighing and measuring, but at this point if you’re not having progress, I’d say it’s a definite must. Once you develop the habit, it becomes second nature and isn’t a task to chore. Since we eat so few calories to begin with, it’s SO easy to go over if things are not tracked right. The cream in a sugar free coffee or a few bites of this or that can add up to hundreds of cals in a day. I’m completely sedentary too unless I am doing my daily walk or working out. It is possible to lose weight like this. In terms of hormones, I’m worried that your doctor(s) may be overlooking something. The thyroid is a slippery slope and just because one doctors says it’s fine, does not mean it is. You mentioned going on synthroid before, so it does make me think that someone has considered your levels to be an issue at one point. Personally I gained weight on synthroid and terrible side effects. It often doesn’t work for many. If something isn’t right, keep pushing for answers and don’t give up. It took me years and many thousands of my $ to figure out what the cause of my issues were. VSG was an amazing tool to help me on my journey, but if you have something going on that is not detected, it will vastly slow your results. -
Excess weight puts a huge amount stress on joints and also changes your body mechanics and how you move. Most people are much less flexible at a higher weight and also have gait issues that put much more stress/uneven wear on the body. I’m down 50lbs and already feel so much better joint wise.
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12 weeks post-op and hospitalized.
Qamilian1 replied to Qamilian1's topic in Gastric Sleeve Surgery Forums
Thank you everyone for your comments. I really don't understand how I became dehydrated when I was drinking 74 oz of water a day or a more. Except for the fact that I was drinking water. Not Gatorade not electrolyte waters just regular plain water. I don't like all of the sweeteners and the tastes that they add to the Gatorades and the waters. I just like clean water. But that was flushing everything out of my system especially with the diuretic. So I guess that's the key there. I'm feeling really really tired super rundown. I figured out how to get nearly a thousand milligrams of potassium in my morning shake which takes me about 3 hours to drink. So that starts the day off right. But all these macros and nutrients gosh I didn't think it was going to be that difficult. For whatever reason my stomach just clamps down if I'm going to eat regular food before noon. That's new since after surgery. So the shakes work great. So I'm just going to find ways to keep adding what I need to that shake. As far as the rest of the day I eat salad and protein and I try to get a piece of fruit in. I also like that milk has a lot of potassium and protein. So I'll squeeze in a cup of milk as a snack. But other than that I've been doing great, my weight's been consistently going down. Of course I put on 6 lb overnight in the hospital with all the fluid bags they had running through the IV and it's coming off now at about a pound and a half a day. If anybody has any suggestions on how to get your nutrients in more simply please offer them up I'm open to anything you got. -
I truly feel your pain; it's been 2 1/2 weeks for me (post op since April 28) and it's happening a few pounds shy of "onederland" which is torturing me further. I have been exercising my butt off, too. It did coincide with my soft food phase which I am still doing. My common sense tells me that my digestive system must be trying to readjust. I also notice that my bms are much less frequent which tells me I probably need to do better with H2O intake and fiber. Are any of my observations something you can relate to? I wonder if I will ever get back to the rapid pace of my 1st month weight loss.
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I haven't had surgery yet, but about 6 months ago I got a treadmill and I went from being sedentary throughout the whole pandemic to using the treadmill every day for more than an hour every day, usually at an incline. I got bursitis in one hip, which is just an overuse injury. It could be what @Arabesque said, but if you went from not walking too much to doing 7-9 miles every day in a short period of time, it could be just overuse. Also, like @Arabesque said, it could be your shoes. When you lose weight, your feet can shrink and that can make your shoes too loose. I hope you can find a solution! There are good videos on how to stretch hip muscles, you can try that too.
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VSG revision to Bypass 5/27/21
Chelsea11012 posted a topic in Revision Weight Loss Surgery Forums (NEW!)
I had a VSG in 2015 and had gained almost all of the weight back. On May 27th I had a revision to a gastric bypass. I'm about 3 weeks out and this stitch pain is no joke! I can barely bend or walk at times. Aside from that and unlike my VSG, I feel great. So much so that I feel as though this will not work for me. Nothing is making me sick, I feel like I can eat without issues. I lost 21 pounds the first 2 weeks, now this week I've gained. I'm starting to feel like this will fail like the last time. -
Any April 2021 surgeries?!
Stellagettinghergrooveback21 replied to KidaandRoux's topic in Gastric Sleeve Surgery Forums
I have not lost any weight in a month ! So frustrated my surgery was April 9! Any one else dealing with a long stall like this ? -
While I always suffered from occasional charlie horses (calf) in the night, since my surgery and/or dramatic weight loss, I've periodically gotten the most Gawdawful cramps in the tops of my feet extending up into lower shins, again only at night. Actually tougher to deal with than charlie horses. With the latter, at least massaging the muscle typically would cause the spasms/constricting to abate. Not with these. Gotta gingerly try to walk it off over a period of 15 minutes or so. #notfun
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My insulin and A1c levels have always been normal but metformin was suggested to me because I take medications that increase weight and there's evidence it helps in those cases. Also, it can help if you have PCOS or other conditions and it can just help with weight loss for other people, although the effect is moderate. So does topamax, but the side effects can be... a bit much. I take it every day to prevent migraines. Again, it's pretty cheap, since it's available generic. I'm sorry your wife has struggled so much.
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almost no one loses 6-8 lbs a week. I think a lot of people's expectations are skewed by TV shows like "My 600 lb Life", but you have to remember that those people started out MUCH heavier than the average WLS patient. If you lost 25 lbs in five weeks, you are perfectly normal. I lost 16 lbs the first MONTH, and I started at 373 lbs. If you haven't lost anything in the past week, then you are in a stall. If you continue to follow your program, the stall will eventually break and you'll be on your way again. You will likely experience more stalls along your journey - most of us do. When you hit them, just stick to your program and stay off the scale for a few days if you need to - and know that it will eventually break. They usually last 1-3 weeks. it's really pointless to compare yourself to others because rate of weight loss depends on so many factors - age, gender, activity level, metabolic rate, starting BMI, whether or not you lost weight before surgery, genetics, etc etc etc. If you're committed to your program, you WILL lose weight, whether fast or slow. I was a slow loser from day 1, and I ended up losing 100% of my excess weight.
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You've lost 25lb in about about five weeks? Looks pretty good to me. It's hard not to do, but comparing ourselves to others can really set us up for disappointment. Personal circumstances are always different eg the surgery they had, the post op diet they are on, how much weight they lost pre-op, what their incidental activity level is, what exercise they are doing, medication etc etc. When you say the scale is not moving? When did you last lose weight? You may be on a stall, which is quite common for most of us, the stalls can last up to a couple of weeks for some, and longer for others. As long as you stick to your post op guidelines the scales will reflect your efforts before too long.
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So i try to eat slow but it’s so hard. Also sometimes I eat late lastnight at 7:30pm I had alittle bit of chilli and couldn’t lay down for 2 hours. I try to eat all through out the day. Because I don’t want to lose to much weight. first picture 270lbs December 24th 2020 second picture 192lbs June 12th 2021
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How do you maintain your weight loss?
Arabesque replied to IcanMakeit's topic in General Weight Loss Surgery Discussions
We’re the same height & about the same weight. I struggled to find my maintenance point too & lost about another 12kgs. I’m only 2yrs out but it took me a year of increasing my calories to find the right balance & stop losing. As I couldn’t really increase my portion size for my meals (I physically couldn’t eat any more) I added snacks - what felt & still seems like lots of snacks. I was eating 5-6 nutritionally beneficial snacks a day. Now I eat 3-5 a day just depending. I’m pretty consistent in what I eat. My lowest weight was 48.2kg but for the last 6 months I usually sit at about 49kg (swing 48.5-49.5). I have dropped a bit lately (been 47.9 a couple of times) because I haven’t been overly hungry or interested in eating. I’m sure this will pass. If not I’ll have to work harder at getting in my 1200 calories which seems to be my golden number. Are you still tracking & weighing your food? Do you have a caloric goal or average number you consume in each day? I do random checks to ensure I haven’t misread caloric or nutritional information or am misjudging portion size - it’s easy to under or over estimate. I suggest going back to your dietician & revising your daily food intake for a few weeks with them. There may be something you’re missing & they should be able to recommend or advise on a plan forward. My medical team were concerned at first especially when I was still losing but they’re ok now cause I’m stable. I’m pretty small boned so I don’t mind being on the lower end of the BMI scale. (For years I was told I was big boned but it was just fat - lol!) Congratulations on losing your regain. Good luck. -
Yes, it's possible. While it is much more common to lose only about half of your excess weight, and struggle with regain...there ARE people who swap one version of disordered eating for another and ultimately struggle with full blown anorexia and bulemia. Inpatient eating disorder treatment centers are reporting increasing numbers of post bariatric surgery patients. It is not that bariatric surgery causes an eating disorder...the eating disorder is usually pre-existing. But it can cause the eating disorder to take a different form...almost like cross over addiction (which is also a significant problem for many post bariatric surgery patients.) People do die after bariatric surgery due to eating disorder related malnutrition. It happens. That said! Bariatric surgery is overwhelmingly coorelated to increased lifespans. Fatal eating disorders are rare. In short....worth paying attention to, but few deal with it...and overall, Bariatric surgery has far more benefits than risks.
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https://www.hopkinsmedicine.org/news/publications/psychiatry_newsletter/hopkins_brainwise___winter_2015/bariatric_surgery_and_eating_disorders http://c-hit.org/2014/10/15/years-after-weight-loss-surgery-patients-seek-treatment-for-eating-disorders/ https://abcnews.go.com/Health/w_DietAndFitness/bariatric-surgery-eating-disorders-lap-band-made-bulimic/story?id=13802938
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How do you maintain your weight loss?
Creekimp13 replied to IcanMakeit's topic in General Weight Loss Surgery Discussions
A lot of it is keeping track and making adjustments. First, figure out how many calories a person of your weight, gender and activity level burns in a day. A nutritionist can help you. (there are a lot of Basal metabolic rate calculators online that might help, too) Then, try to eat that many calories, and see what happens to your weight. If you lose, go up....if you gain, go down. If you adjust by 200 or so calories each adjustment....eventually you'll find the sweet spot. For me, it's about 1400-1600 calories and 10,000 steps a day....and the occasional trip to the bariatric therapist if I find myself self sabotaging and falling back into bad habits due to emotional triggers. Don't get addicted to starving yourself....it's just another version of an eating disorder. Eat a healthy, nutritious, balanced diet. Best wishes! -
Kristieshannon is absolutely right - there are a lot more people who never make it to their goal than there are who lose too much. A LOT. Besides, although there are rare exceptions to this, you can always start eating more if you feel you're losing too much weight. So suffice it to say, it's rarely a problem.
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How do you maintain your weight loss?
catwoman7 replied to IcanMakeit's topic in General Weight Loss Surgery Discussions
yep. That's pretty much what it comes down to. I'm in my 60s. I battled with my weight for decades. I can't even tell you how many times I lost weight - and sometimes a lot of it - and then kind of slacked off on paying close attention - and then it would gradually drift back up. I'd regain every pound I'd worked so hard to lose. Not happening this time...but to make sure it doesn't, you really have to keep on top of it and spring into action when your weight goes about your "oh crap" level... -
How do you maintain your weight loss?
IcanMakeit replied to IcanMakeit's topic in General Weight Loss Surgery Discussions
So the truth is you just have to stay vigilant and expect to go back to weight loss phase periodically when the regain reaches an unacceptable level. There’s no perfect equilibrium. My past mistake was waiting too long to go back to weight loss phase. I guess I knew that. I just want a different reality. 😉 -
Walking 7-9 miles is great. The joint pain could be from your changing weight distribution - your centre of gravity changes as you lose weight. (I found myself slouching as I lost weight.) Could also be additional strain on joints that have already been stressed from carrying your weight over the years. Walking, though less hard on the joints then say running, still causes jarring to joints. It’s like getting sore muscles when you first start exercising or start a new exercise program. Were you very active in the years before your surgery? Were you fitted for your walking shoes? Old shoes, non supportive or badly fitting shoes can cause joint & muscle pain. Of course I don’t know your history so these are just suggestions. Congrats on your surgery. Enjoy your vacation.
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I think I know what you mean. I've told a select few people about the surgery, and while the people I have told have been supportive, it does still feel kind of lonely in the journey. Mainly because none of the people in that circle of friends and family have struggled through the weight issues I have. Most of them have managed their weight without much issue. Even my husband has a normal relationship with food. So in that sense I don't feel I have any actual people I can relate to in my life. That being said, I have been seeing a bariatric therapist and that has helped cause I feel like I can talk to her about the things my family or friends wouldn't necessarily understand.
