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From what I know if you look at your BMI range, it is the top figure weight, say in my case, 78 kg. You now take your current weight, which when I started surgery was say 128 kg. Sorry I work in Metric but it works the same in imperial. 128-78 equals 50 kg. That 50 kg is my XS weight, so if mini gastric bypass has a predicted loss of 70 to 85% of the XS weight then it is 70% of 50 kg to 85% of 50 kg. I.e 35 to 59.5 kg is what I am expected to lose with the procedure. When it comes right down to it from what I understand. If like me, you have been obese all your life. Then you will have thicker, heavier bones to support that weight, more skin to wraparound it and a larger heart to pump blood around your body, so that means no matter what the general BMI limit is it is not totally relevant and there has been some suggestions by bariatric surgeons that to aim for a BMI of 30. BMI is intrinsically a flawed concept as it does not take into account, body muscle mass. You will know the example of the brick **** house musclebound New Zealand rugby player with no fat, looking like a crazy obese person on paper because they have a BMI of 45. I am 52 this year, so I think I would be happy with something above the BMI range. Otherwise my skin will waft in the breeze! 🤣
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Would I be right in thinking your nutritionalist is recommending a keto like diet? They are big on no root vegetables & no corn, peas because of their naturally high sugar content. (Potatoes are often a no because they are considered a starch.) I regularly ate carrot & sugar snap peas. I threw frozen corn & peas into soups, mince dishes, some slow cooked dishes, omelettes, etc, I usually just microwave my vegetables with a splash of water & a dab of butter but also will stir fry & occasionally roast (especially cauliflower with a little hummus & zataar to serve). I love vegetables & enjoy them best simply with salt & pepper but don’t be afraid to try herbs & spices. The only vegetables I don’t eat is potato, sweet potato & pumpkin (they tend to sit heavily) except a very small piece (bite or two) with a roast dinner. My thoughts were & are vegetables are vegetables (except potato). They are highly nutritious (all those vitamins, minerals & fibre) so a valuable addition to our food choices. And the little we eat, especially in the first months will have minimal impact on your calorie intake & weight loss. I mean 1/4 cup peas is 30 calories if you can eat that much. Plus the ‘sweet’ vegetables are naturally sweet so they don’t count towards your sugar intake. Certainly didn’t affect my weight loss or maintenance. I say eat your vegetables, just watch portion size & what you serve or add to them. Like no honey glazed carrots, sour cream or cheese sauces at least for a while.
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From what I know if you look at your BMI range, it is the top figure weight, say in my case, 78 kg. You now take your current weight, which when I started surgery was say 128 kg. Sorry I work in Metric but it works the same in imperial. 128-78 equals 50 kg. That 50 kg is my XS weight, so if mini gastric bypass has a predicted loss of 70 to 85% of the XS weight then it is 70% of 50 kg to 85% of 50 kg. I.e 35 to 59.5 kg is what I am expected to lose with the procedure. When it comes right down to it from what I understand. If like me, you have been obese all your life. Then you will have thicker, heavier bones to support that weight, more skin to wraparound it and a larger heart to pump blood around your body, so that means no matter what the general BMI limit is it is not totally relevant and there has been some suggestions by bariatric surgeons that to aim for a BMI of 30. BMI is intrinsically a flawed concept as it does not take into account, body muscle mass. You will know the example of the brick **** house musclebound New Zealand rugby player with no fat, looking like a crazy obese person on paper because they have a BMI of 45. I am 52 this year, so I think I would be happy with something above the BMI range. Otherwise my skin will waft in the breeze! 🤣
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February 2024 Surgery Buddies?
BlueParis replied to NickelChip's topic in PRE-Operation Weight Loss Surgery Q&A
Morning all ( well it's the morning here)! I weight in (officially) every Friday (In truth I have issues avoiding jumping on the scales every day) I'm 5 weeks post-op today. Opération day weight 91.1kg ( 200.5 lbs - 14 stone 4 and a half) • Current weight 80.9kg ( 178 lbs - 12 stone 10 and a half) • Weight Lost 10.2kg or 11.19% of starting weight ( 22.5 lbs 1 stone 8 and a half ) • Starting BMI 32.65 • Current BMI 29.1 So my stall has well and truly broken and I think I'm on the right path! -
i lost 10 lbs in the month after reaching goal. and then another 5 or so lbs in thr 2-3 months following. the fear of losing too much weight is a common concern to those who reach goal (or are nearing it) it doesn't last long. slowly up your calories if you can...if u cant now, trust me, you will have no problem later. if you continue to lose weight over months (not weeks as its way too soon for concern) and you dip below 18.5 BMI and your doc/team is concerned , then that will be your cue to be concerned. otherwise use this time to figure out what YOUR maintenance calories are (not what is recommended to you as we are all different and require different calorie intakes) and enjoy and bask in your success! congrats!
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I kept losing for almost another year after I reached my goal. It began at a similar rate of loss as I was experiencing but gradually got less & less until it stopped. Over that time I increased my calorie intake (added more & more snacks) & my portions got a little larger. I was eating about 1300 calories when I initially stopped losing but eat about 1500/1600 to maintain at about the same weight now. Like @Spinoza, I’m a believer in our changed set point. This is the weight my body is happy at & this is the weight it wants me to be thanks to the surgery. Could I eat my set point up? Yes, if I wanted. I mean that’s what we did before - ate our set point higher. Our original set point wasn’t an obese weight. Don’t forget you may initially stop at a lower weight than you expected but it may give you wriggle room if you experience the bounce back regain around years 2 or 3. Give your body time to resettle. Lots of things change when your weight starts to stabilise. Just give it time. Slowly increase those calories. Get in touch with your dietician for ideas of what you can add or how you could adjust your current eating plan. Good luck.
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Interesting question. Some say it’s the weight you need to lose to put you at a healthy BMI. Some say it’s the weight they personally want to lose to put them in their happy weight zone - a weight that worked for them in the past or they think will work for them in the future. Personally, I think of it simply as the weight you want to lose to get to your goal regardless of how you worked it out or chose it. Not as a sort of standardised amount of weight defined by someone else (surgeon, dietician, etc.) or statistical data. This (weight loss) is all about you & your experiences & no one else’s. As you know not every one reaches their goal & statistically average weight loss with sleeve or bypass is about 65% of the weight you are to lose (based on BMI defined excess weight). And then there are those who find they’re happier at a weight that is more or less than the goal they initially chose. They all lost excess weight & are healthier for it.
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Question. How do they determine “excess weight.” Is it calculated from a certain BMI?? I tried to get an answer to this three hears ago when I was awaiting the sleeve and I still haven’t figured it out.
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You can take my advice with a grain of salt since I've never been in the position of losing too much weight and am only 4 weeks post-op, but I think at this point your best bet is to ignore calories and just listen to your body. Eat if you're hungry, don't eat if you're not, and focus on nutritious food. Your body will stop losing weight when it feels like it. I agree with @Spinoza that I think the surgery gives you a new set point. It's best to just see what that is and only worry about it if it's so low that it's unhealthy. More than likely, it'll bounce back up on its own if it's too low for you to maintain. But better you bounce up to where your goal was initially than put the brakes on now and then bounce up 10 lbs higher than you wanted in a year.
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Differences in size never cease to amaze me. I am almost exactly the same weight as you but 3 inches taller and I am a US size 8-10. No idea how that happens. OP I am a firm believer in the concept of a new set weight after bariatric surgery. I would have been happy 15 or 20 pounds heavier than where I settled. That was my goal actually. After I got into that ballpark I didn't try to lose any more, but it just happened. And then, eating very much the same stuff, my loss then stopped. And I've maintained thereabouts for a year or more with very little effort. If you can keep eating healthy and nutritious foods then could you just see where that gets you to? There are lots of healthy people with a BMI of 25+ and lots with a BMI of 19-. You'll find yourself somewhere in the middle eventually I suspect.
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3 Days Post Op - Just Documenting My Journey
doubleJointed replied to doubleJointed's topic in Gastric Sleeve Surgery Forums
Thanks for the reference. I ended up having a capsulorrhaphy procedure on my right shoulder about two months after my VSG surgery. They also repaired the labrum, rotator cuff, and she spent over 45 minutes just cleaning up the bursitis. She put in 4 anchors during the procedure just to try and stabilize the shoulder. I used Alison Cabrera @ UTSW, and would highly recommend her. I ended up on daily hydrocodone just to get me to that surgery, however, I was still able to maintain my daily steps. Shoulder surgery is no joke! And this was all done to try to get me another 10 years so I can get reverse shoulder replacement 😐 My range of motion is limited now, but that was to be expected. I'm doing my best to protect my left shoulder so I can avoid surgery as long as possible. I've finally gotten used to sleeping flat on my back. For VSG follow up, I ended up about 80lbs lost. Right now I'm sitting about 75lbs down (gained 5lbs back) as I am noticing I can eat a little more (but still really restricted). I have a little anxiety about that as I am just over 10 months post VSG surgery. The last thing I want to do is undo all of the work. I'm still staying positive and using the Streaks app (iOS) to help with motivation (70K steps a week, plus 360 minutes of workout per week (includes walking)). I need to get back into putting all of my food into the fitness pal app. After the VSG surgery and the shoulder surgery, I ended up in a depression. Talking with a therapist who had experience with bariatric surgery helped. I don't think it was a depression just because of the VSG. I'm sure the chronic pain followed by a shoulder surgery (sling for 6 weeks post-op; and PT for 5 months) contributed significantly. As I mentioned previously, make sure your are taking care of your mental health. @Humikrig Good luck on your surgery! -
Introducing myself -SIPS revision from sleeve in 2019
ShoppGirl replied to SunnyG's topic in Revision Weight Loss Surgery Forums (NEW!)
Hello sunnyg. I just learned today that sips is the same thing as SADI which I am looking at converting to from sleeve pretty soon I hope. I was hoping for a bypass and he told me to research this procedure as well. I am glad because it seems like a better fit. I hope you are doing well in your weight loss these first couple of months -
I don’t have a date yet but I think I have pretty well settled on the SADI surgery for my revision. I meet with him the end of next month to ask my final questions and then I guess it’s a waiting game. I am hesitant to post on the regular pre op boards and say I’m pending revision because I gained it all back. I feel like I may discourage someone from trying.
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Struggling to stop losing
BlondePatriotInCDA replied to LindsayT's topic in Gastric Bypass Surgery Forums
Its just like doing a keto diet for life, you each week up your carbs until you fall out of ketosis than back off by 5-10 grams then maintain that carb load for life. You do the same for calories, increase by 100 for two weeks, still losing..tack on another 100 each few weeks until weight loss stops, now you've found your maintenance calorie load. -
Doubts about plastic surgery
sillykitty replied to Summermoose's topic in Plastic & Reconstructive Surgery
I believe we should get the the bodies we want, and that doesn't necessarily stop at weight loss surgery. It's wonderful your husband thinks you're perfect, but he's not living in your body. And, yeah, you may want more procedures, but why not? If you can get a body you're comfortable in through plastics, why is that a bad thing? I've had two sets of plastic surgery (but not an arm lift). Recovery sucks in the short term. But what's a few week vs. being happy with your arms forever? Additionally, there is a study that shows that those who get plastics after WLS are more apt to keep the weight off. Anecdotally, the group of women I am in touch with on here who have had plastics, and all 5+ years out, and all have had no significant weight gain, outside the normal bounce. -
They are way more delicious than they should be. LOL Thank you for the compliment!! I've lost the same amount as you, 75.5 lbs !! Though I adjust the weight through the side thing on the right and it only does whole numbers... I can't believe you've lost that much so soon! You are hoofin' it to your goal!
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Sleeve Veteran researching revision to SADI
ShoppGirl replied to ShoppGirl's topic in WLS Veteran's Forum
That’s very true. Even as we spoke today she was researching it a bit. Perhaps it peaked her interest and she will search it a bit more. My surgeon is not at a weight loss center but he does have a NP and I am expected to do follow up appointments with her. Post sleeve I stopped going as soon as they said I could get my labs at my pcp but that’s just because I was so ashamed about my regain. I know that the malnourishment is a lot bigger of a deal with this procedure though so I will be more diligent this time around if I choose to go with the SADI. -
Sleeve Veteran researching revision to SADI
NickelChip replied to ShoppGirl's topic in WLS Veteran's Forum
I'm not sure a PCP would have too detailed an understanding of complications from any bariatric surgery, even a more common one. At least I wouldn't rely on that. Although I have a feeling if she has a patient who gets a certain procedure, she might be more likely to read up on it. Is your surgeon attached to a weight loss center of some kind? Mine is, and I'm expected to go for a follow up at the center yearly, basically forever, so I'll always be in close contact for questions. Honestly, I think you need to choose your surgery based on which one will work best for you, which could very well be the SADI. A long term complication is going to be rare, but also you'll know to bring it up if something happens. You don't have to rely on your doctor to think of it, and any doctor will know how to find out more of needed, even if they don't really know much about it now. -
I am new here and I’ve been devouring the forums. I am one week post ESG. I am down 16 lbs. I notice a lot of you have cute pictures on your signature showing your weight loss journey. Where do you get those?
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So...it's happening!
Bypass2Freedom replied to Bypass2Freedom's topic in PRE-Operation Weight Loss Surgery Q&A
@ShoppGirl Thank you for your reply I have therapy every week, but was going to start looking for more weight-related therapists in my area as I am extremely worried about coping with the emotional eating. I am sorry to hear about the struggles you have had, and I hope it all works out for you. Pureed food sounds like the worst stage! I, like you, feel that pureeing 'normal' foods probably is gross haha! Hospital bag is actually one of the things I do need to think about! I shall add those to my list, thank you -
Doubts about plastic surgery
ms.sss replied to Summermoose's topic in Plastic & Reconstructive Surgery
i had an arm lift (and breast lift, and tummy tuck...all in one shot in Dec 2019). i always disliked my upper arms. when i was thin (and thought i was fat) i was self conscious of what i thought was the size of them and rarely wore sleeveless tops. then when i actually got fat i NEVER wore them. if i had to go to an event the warranted (an arm-baring) dress, i always wore a shawl. fast forward to the weight loss and i was left with some saggy jiggly upper arms. while they looked okay when my arms were at my sides, i really did not like the look of them flapping in the wind when i raised them, lol. and i raise them alot, ha...i'm one of those raise-your-arms-in-the-air-and-wave-them-like-you-just-don't-care kinda gals, lolololzzz. so i had them done about a year post op (6-ish months after i reached goal). LOVE EM. while i did wear sleeveless again after the weight loss, i feel a lot less self-conscious about them after the arm lift. and really, it makes all the difference :).. now i do have very prominent scars on my arms (i scar very badly, and knew this going in), but for some reason the scars dont bother me as much as the flapping did. Go figure. recovery is no joke though, i'll be honest. had i not done too much too soon, i would probably have been good to go by 6 weeks...but i didn't, so my recovery was more like 3+ months. that was over 5 years ago now, and i've been wearing tank tops and other sleeveless tops all year round since, hahaha. it really all boils down to what YOU are comfortable with...i was told by countless of people that i didn't need to/shouldn't get it done. but i got it anyway, because the only person who can say i need it is ME. if you have the means and the desire, the option is yours. Good luck! ❤️ some pics: 1st link: 6 months BEFORE the arm lift 2nd link: Day before VS 3 weeks after arm lift 3rd link: 6 months AFTER the arm lift -
So...it's happening!
ShoppGirl replied to Bypass2Freedom's topic in PRE-Operation Weight Loss Surgery Q&A
I didn’t really deal with a ton of hormonal changes as far as I can recall but yes I have heard that many women do. I am an emotional eater too and not to scare you but I have gained my weight back and I’m contemplating a conversion. If you have access to a therapist to get to the bottom of the emotionally eating. I STRONGLY suggest it. There aren’t any in my area so I am working with my regular therapist but I don’t know how well it is working. One of my questions for the surgeon is if he can make some calls for me and find someone who will try to fit me into their schedule. As far as tool or equipment I had sleeve and didn’t need much. I bought those little cups that your dressing comes in at restaurants for the very beginning just to measure things out and store in fridge but you can use anything that is the right size. Some people do use a blender in the purée stage. Personally puréed food that isn’t normally purées kinda grossed me out so I didn’t use that. I did buy a few flavors of shakes and keep others ready in my online cart for my husband to pick up if I needed him to. I did buy a scale but honestly don’t recall using it much. One thing that someone told me that you didn’t ask about was what to pack for hospital. I found pajama pants, a sleep mask and a extra long phone charger to be helpful items that weren’t on the list. The pants come in handy when you get up to walk since the gowns are open on the back. -
Strongly struggling
catwoman7 replied to Mrs. Ross's topic in POST-Operation Weight Loss Surgery Q&A
just to add one more thing to the mix - eggs can be an issue for a lot of people early out (although it's almost always temporary). A lot of us just can't tolerate them for the first few weeks or months (they went down fine for me - but I know that's not the case with a lot of people) personally, I'd just follow your clinic's guidelines. You're still healing, and also, this is your big opportunity to lose a crap ton of weight really quickly. I know it's hard - I often had to put myself to bed early because the cravings were overwhelming (this was mostly after my sense of hunger came back, though), but I soldiered through it. Most of all, I wanted to my normal-sized more than anything else in the world, so I just dealt with it. But yea - I know it's hard.. -
Doubts about plastic surgery
Bypass2Freedom replied to Summermoose's topic in Plastic & Reconstructive Surgery
I genuinely think that you sometimes just have to be selfish and do what you need to do for yourself. This is still your weight loss journey, and you know what is right for you. Sounds like you do have support around you (even with the reservations), and you are a strong person! As it seems like you already have, just make sure you are informed with your decision, look at the pros and cons - maybe write out a physical list so you can visualise it? Either way, I really wish you the best of luck ❤️ -
February 2024 Surgery Buddies?
RonHall908 replied to NickelChip's topic in PRE-Operation Weight Loss Surgery Q&A
That's a great view. I walk one to two miles every other day. Part of the reason for the gastric bypass is I have a torn meniscus ligament in my knee. It's going to require a full knee replacement. The surgeon won't consider doing the surgery until I'm at 40 BMI. That's the reason why I can only do 1 to 2 miles, anymore than that is just unbearably painful. Tha days I don't walk, I get on the rowing machine I have at home. I try to exercise at least 6 days a week. It's not high intensity or anything as of yet. Great to see your stall has passed. My weight loss is very slow. But, it is moving.
