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Does your pre-op diet weight loss "count"?
Shanna NYC replied to NickelChip's topic in General Weight Loss Surgery Discussions
I think a lot of us fall into numbers - we are bound to at least at some point. Unfortunately I don't ever think there is a doctor/scientific answer to really calculate it. It's almost the same as why we all have so many different programs - not only our bodies are different, but every doctor has a different take in their "expert opinion". I just had my 1 year post-op visit on Monday, and my surgeon definitely counts my weight loss total from the date I had my consult visit January 2023. I have always kept 2 running totals from before my pre-op diet to the day of surgery weight. Personally I feel like all pounds count and it's an accomplishment to see those numbers go down both before and after the surgery. -
I am 10 years out from a gastric sleeve surgery. I lost 70 pounds and gained it all back plus some. I have suffered from chronic dehydration, despite drinking a gallon or more every day. I feel that it’s due to my stomach not absorbing enough water. Has anyone had issues with this?? I am also anemic and my doctor is playing around with multiple vitamin and supplement dose increases. I just started Zepbound to try to get the weight off again, and that makes the dehydration so much worse. I am just desperate for answers. My weight loss surgeon moved, and I am not established with any other practice. Thank you!!
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we started out at about the same weight on the day of surgery. I just checked, and I'd lost 63 lbs at the fie month mark, but then, I had RNY - weight loss is usually a bit faster with that than it is with VSG (although you usually end up at the same place in the end). Two lbs a week isn't unusual once you get out that far. Honestly, I still drink a protein shake every day because I'm supposed to average 100 grams of protein a day (we discovered early on that I malabsorb it - so the usual 60-80 grams/day wasn't doing it for me). I could probably get that high from food alone, but I don't like to obsess all day about whether or not I'm going to meet my protein goal. I know I WILL meet it if I have a protein shake for my mid-morning snack. I know some dietitians and surgeons don't like people to stay on protein shakes for long, but I know a few people who hate eating breakfast whose dietitians told them to just have a protein shake for breakfast, then (so they're OK with it in some situations) - but opinions seem to vary among dietitians.
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if i'm not mistaken, you are already at 30 BMI? Out of curiosity, who is enforcing a qualification weight for plastics? is this because you are looking to get it covered by insurance? (because if you are self pay, you can get plastics at any weight you want...) Though truth be told, when i was at 30 BMI (around 3.5 months p.o.), i could still totally see places where i could stand to lose some more fat. I don't think i was being overly critical either, i think it was just the truth. Am attaching a link to a collage i often share on here which is my progress in pictures the first 3 years (i'm 5.5 yrs now). I was at 30.4 BMI in the last picture on the first/top row. The very last pic at the bottom i was BMI 21.2. This morning i clocked in on BMI 21.6. one day i'll make an updated collage with more recent pics, but i'm pretty lazy, lol.
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The Dreaded Calorie Talk
Arabesque replied to Bypass2Freedom's topic in POST-Operation Weight Loss Surgery Q&A
I only got to about 600 calories at 6 months. Took me another year to get to 1300. Yes some programs, encourage people to consume around 1000 calories at about the 3 month mark. But you can only eat what you can physically eat. I even had that conversation with my surgeon at the 8 month mark when I had pushed up to about 900. He understood my position and was happy I was working at increasing my calories even though it was a slow process. I eat about 1500 calories now which according to those BMR calculators is about what I would need to consume for my age, height, activity level & to maintain my weight. It’s plenty of food. I don’t feel hungry. Some will say you need to get your calories up or your body will go into starvation mode & you’ll stop losing. Didn’t affect me like that. Didn’t slow my losing more than what is expected to happen. Didn’t stop me reaching my goal or exceeding it. But we are all different so your experience and needs may be totally different. If they do say increase your calories, don’t tie yourself up in knots about it. Just slowly increase your intake as you’re able. It naturally increases as you progress anyway. Those recommendations are based on averages too. Remember the recommended calorie intake for a woman is 2000 calories. I’d be as large as I was if I ate that much. lol! -
8 months post, 3 months of stall and poor circulation
SleeveToBypass2023 replied to Anomalia's topic in POST-Operation Weight Loss Surgery Q&A
Ok I'm the QUEEN of stalls lol So here's what I can say. Take from it what you will. Cold hands and feet: I have that, and for me, it's due to weight loss AND low iron. I'm anemic, so I take a bariatric vitamin w/ iron and an additional iron supplement w/ vit c and it keeps my iron levels at the lowest part of normal. When it dips down, my hands and feet are like literal ice cubes. Breaking a long stall: So I tend to gain 3-5 pounds when a stall hits and then lose the same 1-3 pounds over and over until it breaks (and I lose like 6 or 7 pounds all at once). My stalls can last anywhere from several weeks to 3 months. It SUX. When I have a stall, I change up my work out routine to confuse my body. If you do the same things in the same order every day, your body gets used to it and gets complacent and the work out becomes less affective. So I add new things, take things out, add or take away reps, etc. I pay extra close attention to what I eat and when. On work out days, my fluids, protein, calories, and carbs MUST be higher because if not, my body thinks it's starving and holds on to everything. I prioritize fluids, protein, and low carb above all else, but I still make sure that I'm at a calorie deficit while getting in enough to prevent my body from thinking its starving. I also only weigh myself once per week and pay special attention to NSVs, because even when the scale isn't doing what you want, your body still is. Fat gets redistributed, you slim down, that's when you see you drop sizes in clothes, rings, etc... When I work out, I keep my calories at around 1300 - 1400 depending on what work outs I do. I drink an electrolyte drink (Propel or gatorade zero) and an additional 64oz of fluids at LEAST. I keep my protein at 80-90g, my carbs at 40-50g, and healthy fats at 40-50g. When I'm not working out, I keep my calories at around 1000 - 1150, my fluids at around 64oz, my protein between 60-70g, my carbs between 20-30g, and my healthy fats between 20-30g. We need less when we aren't working out. We need more when we are. Just keep at a deficit while still providing more when working out. And make sure you change up the work outs. Right now, your body is really confused. You have to be patient with it, but at the same time, show it who's boss and shake things up to get it going again. You still have time to get where you want to be. Make sure you're not grazing through the day, be mindful what you're eating, when, and how often. Go back to your bariatric diet basics if you need to. You got this. -
I am in the same boat...I used to be a die-hard gym rat, however the last 20 years I haven't hardly gone. I can't stand going to the gym anymore, they are all packed with tons of people. I have found myself walking more around the house, up and down the stairs, gone on a few walks around the neighborhood. Just find more activity without going to the gym. I still need to go back as well. I have lost a lot of muscle along with the weight. I do still have arthritis in the knees, but the pain has lessened a lot and they recover faster. On a positive note, I am now able to get my knees replaced, but not ready to do it yet, the longer I can wait the better. I still want to do some hiking, and maybe go back to the gym, one of the 24 hour places so I can go when it isn't full of people.
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THANK YOU! So much for your kind response. This is indeed work and I intend to stick to the plan...it's been easy up until last week when I was able to start in on pureed foods. I took that as a challenge to see what I can thoroughly chew before swallowing. And I've paid the price by doing so...Easter was really hard. I'm trying my best to get my proteins in, but more than that too. Didn't really realize sodium plays a negative roll as well. I decided on surgery before gaining more weight. I was almost not qualified due to not weighing enough but my doctors worked with me. I have had a real bad relationship with food for so long. And with the pre-op diet going so well and the first 2 weeks of liquids i thought for sure I'd be golden by the time I hit pureed foods. But now I feel as if I've just set myself back. I have to really digest this new lifestyle change. Thanks for responding it really means a lot.
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It takes more calories to run your body at a higher weight & fewer to run your body at a lower weight. So yes being able to lose at a similar calorie intake at a higher weight but then being unable to lose still eating the same at a lower weight is to be expected. It’s like reaching maintenance. Remember too,1800 calories is 1800 calories regardless if it comes from a burger & fries or three nutrient dense healthy meals. The quality of the food matters for the health benefits & ensuring your body functions most effectively. I’d hammer your surgeon & dietician for help & answers. Maybe GLP 1 meds may be of help or a revision. If my maths is correct, you’ve lost 8 stone in total? That’s great! Don’t forget to celebrate that.
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My Plastic Surgery Journey
KarenLR75 replied to kukuiokalani's topic in Plastic & Reconstructive Surgery
oh my gosh...I was on the edge of my sofa reading your story! Your reply as to whether it was the plane trip or your surgeon just cracked me up! I had to quote it! One thing I wasn't clear on and this is where I'm also afraid of getting surgery done 'out of the US/out of country) is if there is some sort of issue/medical emergency like you had, will my insurance refuse for me to be treated so I will be forced to make an unplanned trip out of the country to figure things out? Or did your insurance pay for your wound care/full extraction? Did you have to pay to get the 're-implant'/'new implant' done here in the U.S.? I'm still marveling at what an incredible job you did losing weight and what a tough cookie you are! You look tiny but FIERCE! Amazing!!! -
So for me, I've had stalls last anywhere from 2 weeks to 6 weeks. I tend to gain 2-4 pounds during a stall and then drop like 5-6 pounds when it breaks. Once I see I'm in a stall, I stay off the scale. Normally I weigh myself 2-3 times per week. When I'm in a stall, I do it once per week, just to see when it breaks. I stick with my diet, I change up my workout to "confuse" my body (if you do the same thing at the same time al the time, your body gets use to it and the exercises become less effective), and I focus on NSVs (Non Scale Victories) such as how I look, how my clothes fit, how my rings fit, if I've dropped inches, if I can fit into seats/booths better, etc...
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February 2024 Surgery Buddies?
LisaCaryl replied to NickelChip's topic in PRE-Operation Weight Loss Surgery Q&A
Please don't ever be sorry for a post's length. I don't think there is a person here who minds posts of any length! That's crazy about your insurance. I, too, hope it is resolved quickly for you. I can't imagine the new insurance company won't honor something you already had approved and were moving forward with. If they do, can you go back to the old company and appeal to them about the situation? I didn't even know that some insurance companies won't cover weight loss surgery. That's absurd! Please keep us posted, and PLEASE don't let this get to you so much that you overeat or smoke. This too shall pass, and you will be fine on the other end. -
Sleeve to bypass question
SleeveToBypass2023 replied to ShoppGirl's topic in Gastric Bypass Surgery Forums
As you know, I had the sleeve to bypass revision. They do make your pouch a little smaller, but it will stretch out a little as time goes on. I noticed I have more of a hard stop with the bypass versus the sleeve, and I definitely have to make sure I chew thoroughly and eat slowly way more with the bypass. You can lose weight with a revision, but not nearly as much and not nearly as fast as with the original surgery. You also have to take accountability for what you eat and how much. If you're eating slider foods and stuff not compliant with your diet, if you're grazing all through the day, if you're not watching your salt, sugar, protein, carb, and fluid intake.....no surgery is going to fix the problem. -
i used MyFitnessPal (the paid version). I've read of others who really like the Baristatic App aswell. i am a big proponent of tracking and I credit the practice as having a huge positive influence to my weight loss and subsequent maintenance. i have tracked my food basically everyday since since my pre-op diet, and i have almost six years worth of MFP data to prove it! more (anecdotal) proof: i have weighed below my goal weight this entire time since reaching it at 7 months post op. FOR ME, at first, i found that it held me accountable as i could see everything i ate, and then it turned into more of a data gathering exercise that i could use and examine to determine what changes i needed to make, if any. (note i also weighed myself everyday, and still do...) plus i actually really enjoyed/enjoy doing it! ha! ...am not as militant about it now, as i eyeball and guesstimate more, but i still do track..old habits are hard to break! its not for everyone though, and i get it, it takes a particular kind of person to keep doing it while keeping the angst at bay, let alone enjoy it. but anyway, try it out...you may find u are that kind of person, or, at the very least help you manage ur food intake! good luck! ❤️
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For apps, I didn't like myfitnesspal (free version) myself, but I use Cronometer to track food/nutrition and Medisafe as a reminder for my supplements. Both are pretty basic but that works for me. (Plus they're free with no ads and no fluff) I've only newly started on this journey, but I've been there in the past with non-WLS weight regain. You can do this -- you've done it before and you can definitely do it again. It's like any other habit addiction (smoking, biting nails, whatever) -- routine and muscle memory make it easy to get into bad habits, but are just as important when getting back into gear for the good ones. Rooting for you!
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I'm so glad that I found this thread. I've been reading about the SADI-S as my surgery date approaches and wondering why I hadn't been told about this as being a possible option. Years ago when I started exploring WLS my doctor suggested the sleeve for me, and now that I've finally gotten in and far along in a program I've realized that my surgeon has been very 'it's up to me' in regards to which surgery I should get. I assumed (incorrectly, I now see) that I needed the gastric bypass rather than the sleeve because I wanted to 'lose a LOT of weight' but now that I'm reading more ... Maybe that isn't the way to go? I have family history of GERD, PCOS, and a lot of inflammatory muscular conditions/degeneration. Losing the ability to take NSAIDs is a big deal to me, and the family history of GERD has made me nervous from the start. Am I maybe acting too rashly? Isn't a Gastric Bypass still possible if you aren't happy with your results from the sleeve?
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February 2024 Surgery Buddies?
RonHall908 replied to NickelChip's topic in PRE-Operation Weight Loss Surgery Q&A
Since I lost so much weight from last July until now. The old feelings when I was a teenager and constantly wanting to be on the move have came around again. Great beach pictures. Also, it's great you had the courage to walk down the cliff. That looked a little sketchy. Looked well worth it. If only my legs looked as good. Being a month from 50 years old, my legs are beat up. Although, a lot smaller than they used to be. Once I have my knee replacement and get the recovery process over with, I can post some sweet pics of my legs haha. Looks like you are doing great, keep up the good work. -
Yeah, not buying it. The medical community looks for what it wants to see. I married a statistician. They constantly remind me "Correlation does not equal causation!!" The medical community wants to believe that more physical activity will miraculously solve obesity issues because it puts the cause and the remedy right back in our laps, instead of admitting that this is a disease that is very complex and no one smoking gun is the cause or the cure. We need holistic approaches. I was a very active child. So were my siblings. My brother is a normal weight, my sister is often underweight, and I ended up over 300 lbs. My parents are normal weight though they both have siblings with weight issues. I gained a ton of weight while I was still active. Puberty hit and it was like someone switched on a helium tank and I just ballooned up. I've had more doctors than I care to count tell me that if I just got more physical activity and stopped eating McDonalds all would be well, ignoring the fact that I hate McDonalds and until my autoimmune disease got severe I was quite physically active. I know a lot of thin people who are couch potatoes. I know a lot of fat people who are active. These "studies" do nothing but continue to give doctors more ammunition in the shame game that is current obesity management. My partner is Chinese, was raised on traditional Cantonese food (which is very healthy in general), in a family where everyone is effortlessly thin except their grandmother who was diabetic... Several years ago my partner was diagnosed with diabetes. They've had weight issues all their life, despite being very active for most of it. Is it genetics? Perhaps. Is it current lifestyle? It probably contributed to it. Was it due to a childhood diet based on rice? Not likely, that diet also incorporated a ton of healthy protein options and a healthy variety of vegetables, including plenty of greens. A lack of exercise was certainly not the cause of it and increasing exercise is not going to be the cure for it either...
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hiya! do you have a team or doc to reach out to for guidance...you will find that calorie and macro advice will run the gamut on here, as our docs all have different recommendations! with that said, your intake will really depend you your own physiological makeup as well as if you are looking to lose more weight or maintain... at one year post, i was in maintenance, and was averaging about 1500-1600 calories with about 75g protein. i was also 5'2" and 110 lbs-ish at the time, doing about 1-2 hrs of cardio AND strength training 4-5 times a week today i am 5.5 years out and average about 2000-2200 (recently increased from 1800 because i am on an exercise kick at the moment: 1 hour of exercise 6 days a week) and weigh 118-ish on average. so the recommendation on your cals (and macros) will depend on how tall you are, how much you currently weigh, how much activity you currently participate in, and whether you are looking to lose weight or maintain.
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26 Months since Bypass and my appetitie is out of control
learn2cook replied to Possum220's topic in Gastric Bypass Surgery Forums
Hi Possum220! I feel like you are very honest and courageous to ask for help because it’s the true first step. Yes, I have been seriously depressed before and yes I am mortified by regain. My last serious depression was way before WLS but I know that the longer it goes without help, the longer it stays. I’m going to suggest you start your healing journey there because it’s life threatening. Please continue to advocate for yourself and your health in that regard! As regards regain, I have had some success with “Glucose Goddess.” Look her up, she’s on all social media platforms. She is a scientist and mathematician who got into a serious accident and needed to heal herself. She cites all the medical papers that she has researched, peer reviewed, and published. You can by her book, but I’m just watching YouTube to get the basics right now. Eating veg, then protein, then carb has seriously slowed my hunger AND stopped the near daily dumping I was experiencing. I was never diabetic but I think the severe dumping syndrome of WLS was making me the equivalent. I swear getting my blood sugar under control has been a game changer. Many studies report lessening depression and less anxiety. It has helped me with asthma because it reduces inflammation. I have lost four pounds this week, and all I did was change the order of foods I eat. So, depression is like asthma, you need to treat it first. But the Glucose Goddess has practical applications that help with those problems and helps with weight loss too. (By the way, it has helped even though I’m on a new medication that has even more steroids too.) I’m wishing you the best! Keep up with therapy and finding a med that works:) You are not alone. Let us know how you’re doing and what you found that helps. -
Needing some encouragement
catwoman7 replied to K Ramirez's topic in General Weight Loss Surgery Discussions
People who lose 30 lbs the first month, unless they're the size of the folks on "My 600 lb Life", are outliers. Yes, you'll find a few, but most of us "normal" WLS patients lose somewhere in the 15-25 lb range the first month. On top of that, your surgery day weight is a little lower than a lot ours was. I think you're doing fine. I lost 16 lbs the first month, and I weighed 100 lbs more than you do. -
Does your pre-op diet weight loss "count"?
NickelChip replied to NickelChip's topic in General Weight Loss Surgery Discussions
Oh my gosh, this is exactly what I was looking for! Somehow I never came across an actual calculator, just paragraphs of text that say things like, "Let's say Jane weighs 290 lbs and her ideal weight is 110 lbs..." and then you're left to try to extrapolate what that means if you are nothing like Jane. -
You will get loads of sympathy here OP - for a woman (usually more than a man I think?) our hair is often tied into our identity more generally, for better or worse. Massive weight loss causes our non-essential body functions like hair growth to stall completely. Body thinks - no calories - what can I ditch? I know - hair! Once we get through the biggest rate of loss and our body is regrouping then the stalled follicles get pushed out by new growth. I lost masses of hair in I think 3 distinct phases, about 3 months apart. It's truly properly shocking, that first hair fall. (And for me the second and third - I hope you don't get those too!) Please please be reassured that most of it grows back for most of us. It just takes a while and it's so worth it.
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Calories and weight loss at 6 months Post OP
Spinoza replied to wendywitch7's topic in Gastric Sleeve Surgery Forums
I'm the same height as you but not the same starting weight. I lost less than half what you have in the first 6 months - around 60lbs - not including my looooonnnnng pre-op diet. I continued to lose consistently for around 2 years, although the second year was a total of 11lbs (I think) so when I got close to my new set weight I was losing a pound a month, that's major fun but still a loss, LOL. From memory I would have been eating around 800 calories a day at 6 months so 900-1000 sounds completely spot on. Sounds like you're doing absolutely amazingly. -
What was your “Moment” ?
MrsFitz replied to GrannyMaggie's topic in General Weight Loss Surgery Discussions
It was a mix of everything for me - holiday last year where I could barely move due to ridiculous pains in my knees that wouldn’t stop. I thought it was a Rheumatoid Arthritis flare initially but nope, just Osteoarthritis because I’m fat. I was so miserable. The holiday was ruined and hubby was really worried. Had physio and steroid injections when we got back home but nothing worked. I was 55 but felt 85. It felt like I had nothing to look forward to, life seemed very small as I didn’t leave the house. Pain is constant, nothing touches it, sleep is continually disturbed and I just felt unhappy generally. I wasn’t depressed but it was a very fine line I was walking, and I knew it wouldn’t take much to tip me over into depression. I’ve always been able to see the positives in pretty much any situation but I couldn’t this time. Hubby has his own mobility problems due to nerve damage in his lower back from an op that went wrong, and all that kept going through my head was how were we going to manage with everything? I was the one who had kept everything ticking over but I couldn’t do it anymore. I hated my body, never let hubby see me naked, couldn’t play with my granddaughter, clothes were chosen just because they fit not because I actually liked them etc etc. I spoke to a female GP about HRT as I had just started it but had to change how I took it because of my weight. I was having a major panic because HRT was the only thing stopping me from acting like a crazed homicidal manic! My GP was fantastic, I actually felt listened to for the first time. It was then that I asked about what I could so about my weight as I’d had enough and nothing was working. Every time I dieted, I put it all back plus more. I’d had Orlistat that didn’t work and had looked at the jabs but couldn’t afford £250 a month. My GP didn’t hesitate and talked me through my options, saying she would support me. She referred me that week and, after a bit of hoop-jumping, I’m now on the WLS pathway. I already feel better about things and I’m excited for the future 😊
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