Help? Should I get another fill? Food Plan? Need some advice

[rosstheboss 21]

Hi, Hope someone can offer some help.

I was banded May 1st 300/lbs. Have been overweight my whole life and yo/yo diet for last 45 years.

I have lost 50/lbs which seems slow. My weight has been virtually the same for last 2 months. I started a workout diet program in Sept, nutritionist once a week, daily log. started working out 3x a week now upto 5x weekly. burn off 400 to 500 calories at the gym so 2000+ Cal a week. My nutritionist has me on 1500 to 1600 cal a day. She has been increasing this every few weeks started around 1000 cal. Weight loss has been slow and she says we are working on fixing my slow metabolism. I have told her in the past that I loose weight when really cut the carbs. She agreed now to reduce carbs to 40% 50% Protien 10 Fats. Seem to be loosing but slowly. Was on the Lapband Journiy web site, went to the Nutrition site and they seem to be pushing very low carb, Adkins type.

As for my fills, my last fill was in mid Sept. Due to Insurance I had about 4 fills between May and Sept. A bit faster than is recommended. Untill a week ago I was having PB Daily. I still have some discomfort when I initally start to eat. It seems that in the Evening I can eat anyting but in durring the day it can be hard. Hunger is not usually an issue except at night. Also the nutritionist has me eating 3 meals and 3 Snacks a day. Like post workout protien shake etc. she knew about weight loss surgery and she said she is up on it. I was thining of scheduling an apt with my origional WLS nutrionist. But hate to pay when I am already paying for the Gym, Nutrionist and trainer.

Any thougts? In the eveing I can eat alot. OH! one more thing! I FEEL GREAT! And cannot remember being this fit. No back problems.

[Cocoabean 430]

You are doing great! You are averaging 5 lbs per month. Way to go!!

Being tighter in the morning than the evening is common. If you are having pain/PB every day, I don't think you need a fill. If you are going to pay for a nutritionist, can you go to the one at your surgeon's office instead?

The one you are working with may be fantastic, but might just be saying she knows about WLS so as not to lose a client.

Do you have a true need for the Protein shake? Could you not swap that out for a solid Protein in the evening or after your workout? Solid foods will sustain you longer than a shake. My surgeon does not want me consming any liquids with calories, as they just go right through the band and don't give you the feeling of fullness.

[crzytchr 3]

You are doing great! You are averaging 5 lbs per month. Way to go!!

Being tighter in the morning than the evening is common. If you are having pain/PB every day, I don't think you need a fill. If you are going to pay for a nutritionist, can you go to the one at your surgeon's office instead?

The one you are working with may be fantastic, but might just be saying she knows about WLS so as not to lose a client.

Do you have a true need for the Protein shake? Could you not swap that out for a solid Protein in the evening or after your workout? Solid foods will sustain you longer than a shake. My surgeon does not want me consming any liquids with calories, as they just go right through the band and don't give you the feeling of fullness.

Ditto. I would nix the shake. The only liquid Protein I get is when I drink skim milk. I think your calorie count is probably good for you, you may even need a little more since you are male and active. It doesn't sound like you need a fill. You say you are tight in the am (I am as well), so what are you able to eat?

[rosstheboss 21]

Thanks for your comments, the nutritionist at the gym is included in the Team Weight loss program I am doint. I am keeping a daliy diary of food and she revews and comments on it plus is teaching us about nutrition. She actually called my surgeon and finally got someone to talk with but I don't think she has actually talked with her yet.

The Protien shakes are to help up my protien and keep the calories down. I usually have one in the Morning before my work out. One after before lunch. Actually I dont do well with eating Breakfast, just not too comfortable.

I may look to talk with the Dr. Nutrionist or the one I went to pre-op and post-op as she kind of specilized in this too. What is confusing is on the My lapban journey the are talking really low carb. So I have been trying to keep the carbs to a min and proteen up. Just got back from the gym and 60 min work out. Made up tuna with sugar free diced pickels and tomatos. I do much better with thoes Slider Foods so maybe I dont need a fill.

Thanks

Ross

[Cocoabean 430]

Hi Ross,

If the nutritionist is able to speak to someone at the surgeon's office, that would be great.

Sometimes with weight loss plateaus you just cannot explain them. They go on and on even though you are doing things exactly right. I admire your efforts. Going to the gym and working with a nutritionist! I'd be at goal if I worked that hard.

My bet would be that one of these days the efforts are going to pay off and you will have a big loss when you least expect it.

You might consider checking in with your primary care doctor just to have some blood work done and make sure everything is working up to factory specifications.