Dr. Aceves Gastric Sleeve Surgery Information

[TStew 25]

Thanks so much for all of this information!! Much appreciated!

I'm wondering.... Shouldn't we be concerned with chemicals in artificial sweetners such as Aspartame? I try to stay away from everything sugar free unless it has Stevia or Xylitol or something. Unfortunately, I've brought sugar back into my diet in the past few years but after learning about the dangers of chemical sweetners.... I know sugar is horrible for you but when the popular alternative is a neuro toxin I figured I'd take my chances with sugar. Now I need to figure out a way to eliminate it from my diet all together.

[Secret Surgery 34 4]

Thanks for the information. Really helpful.

[Wildorchids 7]

So I'm confused am I pre- op if my date is Dec 7? Should I be on a liquid diet I have 11 days left!

[Mary Gordon 3]

mmm, Dr. Aceves didn't give you any indications?

[Lynn Byard 0]

SHOPPING LIST:

Just as a suggestion you might want to do a bit of grocery shopping before you have surgery so that when you come home you will not need to go to the store, you will be able to rest and relax. Some ideas are:

broth, chicken, Beef, Vegetable, or they have new products out (new to me) that are Chinese Soup broths in a carton that you simply heat. It would give you a bit of variety.

Popsicles that are Water based, sugar free, and a variety of flavors.

Ramen Noodles. While the noodles are not acceptable during the clear phase of the post op diet there is a packet of dry broth mix that many seem to like, it has a bit more kick than regular broth, I am told.

Propel Water, you can purchase this as bottled water or you can purchase individual packets of this product and put it in water and mix. The reason this product is good is because many are used to a high carbohydrate diet and when your body is used to many carbs, especially white carbs such as flour, Pasta, rice, potatoes, sugar; your pancreas tends to put out a bit too much insulin because of the carb load. When you remove carbs from your diet it can potentially be a drastic change and your pancreas is still putting out a bit too much insulin during the post op diet. This can cause low blood sugar, your stomach might feel nauseated, you might begin to perspire, feel like you are trembling. This does not happen to everyone but it does seem to happen more to older folks or those used to very high white carb diets. Propel water has a very small amount of sugar in it. Just enough to bring your blood sugar up but not enough to cause large blood sugar spikes.

Power Aid Zero, it is a new product that is low carb but it has some electrolytes that are beneficial during the post op stage.

Water, you need to get about 64oz of fluids in daily. Your broth and Popsicles count toward your 64oz of fluids daily. The key is to sip, sip, sip all day long. The first few days you may find that you cannot get your full 64oz of fluids in, try as hard as you can. You do not want to become dehydrated. If you enjoy tap water that is fine, if you don't then perhaps try bottled water and see if that goes down.

Crystal Lite, sugar free Hawaiian Punch, pretty much any sugar free water flavorings are fine during the post op diet.

Protein products, during days 1-5 you'll need a clear Protein product such as Isopure clear bottled protein liquid or powders?utm_source=BariatricPal&utm_medium=Affiliate&utm_campaign=CommentLink" target="_ad" data-id="1" >unjury. You can find Isopure at General Nutrition Stores or a variety of Health food stores. Unjury must be ordered on line in advance of your surgery, www.unjury.com. They have an unflavored product that is nice because when you are done with clears it is versatile and you can add it to Jello, cooking, smoothies, etc. Please note, this is a whey protein product. All whey protein products have one issue in common and that is that they don't heat easily. If you add any whey protein product to a hot liquid it will clump. The key is to add it to a cold liquid and heat slowly, then it will not turn into lumps.

A good source of protein products after the clear liquid phase (you can use these with water instead of milk starting day #5, and with milk starting day #11) can be purchased reasonably at:

www.netrition.com

Some excellent products are:

Matrix 5.0 by Syntrax http://www25.netrition.com/syntrax_matrix_page.html

The more popular flavors are chocolate and Cookies & Cream.

You can spice up the chocolate with Da Vinci Sugar Free Syrups:

http://www25.netrition.com/cgi/prices.cgi?manu_id=121

Another very popular protein product if you like Chocolate and Peanut Butter is Whey Gourmet, Choco/Peanut butter:

http://www25.netrition.com/pvl_whey_gourmet.html

I suggest the above because you'll need to consume about 60-80gms of protein after surgery. During the post op diet this can be difficult to do. Adding protein supplements can make this much easier.

You'll want to track your protein intake in the beginning and a few free, on line sites you can do that are:

www.thedailyplate.com

www.sparkpeople.com

www.fitday.com

Just see which format you prefer of the above. The Daily Plate has a weight graph, daily you put your weight in and it is satisfying to see the numbers go down!

Another really good product is IDS New Whey 42. It packs 42 grams of protein into 3.5 ounces of Fluid and is sugar free. It has added to my success tenfold. You can get 84 grams of protein with two tubes per day.

Lynn

[ybnormal 21]

Lynn (above) is the one from my signature. She's lost ALOT of weight and was never sick from it. She knows her stuff and I'm SO fortunate to have her going to Mexico with me (WOOT!), coming back to my house and helping me after my surgery. She has ordered literally CASES of this stuff for me so that I have at least an 8 week supply after surgery. I tasted the Acai berry tonight and I gotta admit, it's a little (ok ALOT) sweet and a tad (TONS!) tart. I got it down but it was iffy. I know now why she told me "you WILL consider it medicine and take it twice a day".

In all seriousness though this stuff gets kinda thick and looks like saliva *gags, recovers, gags again* if you shake it. DON'T shake it, maybe stir it lol

I'm looking forward to tasting the other flavors but this is good stuff and you can have it at the Clear liquids stage.

Renee`

[1tracy 1]

Thank you so much Vegas! What a kind gesture. I am hoping to be sleeved soon, I saved it and will for surely use it. Just know you really did so many a HUGE favor.

Thanks a bunch!

[kwikwits 20]

Vegas thanks for all the detailed information! Very helpful...and much appreciated!

I am finishing Day 2 of my pre-op diet (so far so good but I already have a serious case of the runs!). I bought a sample (one vile) of New Whey 42g Liquid Protein in Grape -- 3.8 oz for post op. I haven't tasted it yet since I someone posted their son tasted it and suggested to their Mom that dog poop may have just as much Protein and taste better! I also got one bottle of "Carnivor" 50 grams of Beef protein isolate 4oz in Orange Blast...maybe it is best to just hold my nose and take a swig?

[MexicaliVSG 2]

Please take a look at my You-Tube account to teach you HOW to make the chicken Soup that you had in Mexicali at the Almater Hospital--Look up BusinessOfHope or I left my stomach in mexicali.

I had my surgery with Dr. Aceves on May 2nd and lost 27 lbs in Month ONE and am on my way to losing 10 more in month two. The most important things that I did was do the GNC Isopure shake 50 grams of Protein and then one GNC Zero Carb drink 40 grams of Protein. I made the Almater chicken soup twice and drank the broth. That is 90 grams of PROTEIN per day--you can't believe how great my nails look right now. I had no idea my body needed this much protein--but obviously it did.

This was a NO BRAINER month for me that was so darn easy. With the morning shake, I would divide it into two 12-oz mason jars, drink one asap--then drink the second later in the day. To help me get my Water in, I juice ONE lemon and ONE lime each day--add the juice to 36 oz of Water, a little crystal light, and one package of stevia with ice.

By keeping my mason jars lined up in the fridge--I get my protein and all of my fluids. I am now into month two and have been testing one food at a time. IF one does not work for me, I back up to what WORKED for me in month ONE....why rush things? So I am on my way to 10 lbs off in month two. One things that goes down easily is watermelon, but every time I eat watermelon I do gain a pound. A few days later--two pounds off. It does bloat you and then clean the pipes.

I love doctor Aceves and the great follow up program that is available to me. I have gotten through the honeymoon phase of the surgery and I did deal with some back pain over the past 45 days--but I believe that was because I broke my back years ago and this is weak area of my body that registered the pain. I coughed up some phlem and pulled a few ribs out--that HURT alot--but I have a good body worker and everything got put back into place. I rested and all was good.

Lots of great ideas on this forum.

SHOPPING LIST:

Just as a suggestion you might want to do a bit of grocery shopping before you have surgery so that when you come home you will not need to go to the store, you will be able to rest and relax. Some ideas are:

Broth, Chicken, Beef, Vegetable, or they have new products out (new to me) that are Chinese soup broths in a carton that you simply heat. It would give you a bit of variety.

Popsicles that are water based, sugar free, and a variety of flavors.

Ramen Noodles. While the noodles are not acceptable during the clear phase of the post op diet there is a packet of dry broth mix that many seem to like, it has a bit more kick than regular broth, I am told.

Propel water, you can purchase this as bottled water or you can purchase individual packets of this product and put it in water and mix. The reason this product is good is because many are used to a high carbohydrate diet and when your body is used to many carbs, especially white carbs such as flour, Pasta, rice, potatoes, sugar; your pancreas tends to put out a bit too much insulin because of the carb load. When you remove carbs from your diet it can potentially be a drastic change and your pancreas is still putting out a bit too much insulin during the post op diet. This can cause low blood sugar, your stomach might feel nauseated, you might begin to perspire, feel like you are trembling. This does not happen to everyone but it does seem to happen more to older folks or those used to very high white carb diets. Propel water has a very small amount of sugar in it. Just enough to bring your blood sugar up but not enough to cause large blood sugar spikes.

Power Aid Zero, it is a new product that is low carb but it has some electrolytes that are beneficial during the post op stage.

Water, you need to get about 64oz of fluids in daily. Your broth and Popsicles count toward your 64oz of fluids daily. The key is to sip, sip, sip all day long. The first few days you may find that you cannot get your full 64oz of fluids in, try as hard as you can. You do not want to become dehydrated. If you enjoy tap water that is fine, if you don't then perhaps try bottled water and see if that goes down.

Crystal Lite, sugar free Hawaiian Punch, pretty much any sugar free water flavorings are fine during the post op diet.

Protein products, during days 1-5 you'll need a clear protein product such as Isopure clear bottled protein liquid or unjury. You can find Isopure at General Nutrition Stores or a variety of Health food stores. Unjury must be ordered on line in advance of your surgery, www.unjury.com. They have an unflavored product that is nice because when you are done with clears it is versatile and you can add it to Jello, cooking, smoothies, etc. Please note, this is a whey protein product. All whey protein products have one issue in common and that is that they don't heat easily. If you add any whey protein product to a hot liquid it will clump. The key is to add it to a cold liquid and heat slowly, then it will not turn into lumps.

A good source of protein products after the clear liquid phase (you can use these with water instead of milk starting day #5, and with milk starting day #11) can be purchased reasonably at:

www.netrition.com

Some excellent products are:

Matrix 5.0 by Syntrax http://www25.netrition.com/syntrax_matrix_page.html

The more popular flavors are chocolate and Cookies & Cream.

You can spice up the chocolate with Da Vinci Sugar Free Syrups:

http://www25.netrition.com/cgi/prices.cgi?manu_id=121

Another very popular protein product if you like Chocolate and Peanut Butter is Whey Gourmet, Choco/Peanut butter:

http://www25.netrition.com/pvl_whey_gourmet.html

I suggest the above because you'll need to consume about 60-80gms of protein after surgery. During the post op diet this can be difficult to do. Adding protein supplements can make this much easier.

You'll want to track your protein intake in the beginning and a few free, on line sites you can do that are:

www.thedailyplate.com

www.sparkpeople.com

www.fitday.com

Just see which format you prefer of the above. The Daily Plate has a weight graph, daily you put your weight in and it is satisfying to see the numbers go down!

[VSG4aHealthierMe 6]

Thanks so much for all of this information!! Much appreciated!

I'm wondering.... Shouldn't we be concerned with chemicals in artificial sweetners such as Aspartame? I try to stay away from everything sugar free unless it has Stevia or Xylitol or something. Unfortunately, I've brought sugar back into my diet in the past few years but after learning about the dangers of chemical sweetners.... I know sugar is horrible for you but when the popular alternative is a neuro toxin I figured I'd take my chances with sugar. Now I need to figure out a way to eliminate it from my diet all together.

I have been wondering about this as well... did you ever get an answer??

[NewLife2011 13]

We may be making a trip for another matter; however, I'm not positive - I'll let you know though if it's around 12/4 and definitely we'll meet!

I could meet up with you guys also - that's around my 3 month mark too...

[Suzannesh 376]

I have been asked so many times on this board about what Protein drinks are good and some sample meals that I used during the first month and things I did after the 1^st month. These are very valid questions and I know when I first started out I had all the same questions. Again this is long so please print this out if you would like.

Protein Drinks.

My all-time favorite is:

Premier Protein Drink. It comes in 11 oz. drink boxes already mixed. There are 30 grams of Protein in each box, 160 calories per box, 1 gram of sugar and 5 grams of carbs. The flavor I buy is Chocolate—that is all I can find at costco. I get mine at costco and I understand that you can get them at Sam’s Club too. You can order these on line at Costco and Sam’s club. They are also available at this Web Site. http://www.premiernutrition.com/product.html

I pay about $25.00 for a carton of 18 drink boxes at Costco in the city where I live. I drink one of these every morning for my Breakfast and nothing else and it has been almost 3 years since my “sleeve surgery.”

The next Protein Drink that I have tried is called:

Matrix 2.0 Mint Cookies made by Syntrax. You can check this out on this Web Site.

http://www26.netrition.com/syntrax_matrix_page.html

The cost for 2.16 lbs. is $22.99 plus postage. Item # 39-0963

My next Protein Drink that I have tried and like is:

nectar, variety pack, you get 13 single servings in a variety pack.< /span>

The cost is $22.95. This is the Web Site and they are made by Syntrax also.

http://www6.netrition.com/syntrax_nectar_page.html

There is one other Protein Drink that I found on Obesity Help.com that was rated really high by 188 people. I have never had it, but you might want to check it out. The name of the protein drink is: Carb Solution High Protein Power—it comes in more than one flavor. They also have cans of it already mixed. The Protein Powers cost $12.99. It has 110 calories, 1 gram of sugar, 4 carbs, and 20 grams of protein. This is the Web Site for Carb Solution at Wal-Mart.

http://www.buycheapr.com/us/result.jsp?q=Carb+Solution&qs=ti&ga=us7&ts=go

On www.ObesityHelp.com they have a lot of different information about Protein Drinks and they list so many different brands and people have rated the ones they really like check this site out. It has a lot of information about almost all the protein drinks that we find out there.

http://www.obesityhelp.com/forums/nutrition/a,prodsearch/searchtype,1/criteria,11/

I hate Isopure. It does NOT taste good to me—I know that some people like it. I call it Isopuke, and it reminds me of pond scum. I have been told if you buy it at a GNC and don’t like it and still have your receipt they will refund your money if it hasn’t been more than 30 days since you purchased it from them. I guess they will do that with protein powers too—ask before you buy what their policy is about returning something if you don’t like it. So if you want to try it remember this. There always seems to be a GNC in most Malls.

This 1^st month after weight loss surgery is going to be the hardest one to do. You just get tired of what they want you to do. It is for a reason—the doctors know what they are doing. You need to let your new stomach heal from a major surgery, so that is why you have to do these things the 1^st month.

You should try to keep your calories at 800 per day and no more than 20 carbs a day if you want to lose weight. The 1^st month you really don’t eat a lot. So in the following months keep track of everything you are putting in your mouth.

You can track what you eat on this site. I found it to be very helpful to write down EVERYTHING I was putting into my body. If I didn’t write it down I was going over 800 calories per day and would not know I was. It does take time to keep track of it—you are worth the effort, but once you get the hang of it you will know what 800 calories really are. When you exercise this site helps you figure out the number of calories you have burned and that allows you to eat more than 800 calories. It is an easy site to use and it if FREE. http://www.livestrong.com/

The 1^st 10 days for me had to be clear liquids—you had to be able to see through them.

1. broth. I used and love “Better Than Bouillon.” It comes in a jar and it is like a paste. I like it because it tastes great and you can make single servings. It is located with bouillon cubes and Soups in the grocery store. I had chicken and beef. I also made some home chicken Soup and strained everything out of it and just had the chicken broth. I would try to have ¼ of a cup of it for part of my meal, but sometimes it was just too much for me. Remember you have a new smaller stomach and it is swollen and can only hold about as much as the size of your thumb.
   
2. Jello-- sugar free. I might have 2 tablespoons of Jello. That was something I had fixed and ready when I got home from the hospital.
   
3. I tried to drink 64 oz. of Water and sometimes I could get it in and sometimes I couldn’t. Do the best you can, and just sip it all day long. I would add Crystal Light to the water—it made Water taste a whole lot better.
   
4. Apple juice, white grape juice, sugar free sports drinks, Decaf hot tea, also decaf ice tea.
   
5. Veggie broth or the broth from French Onion Soup.< /span>
   
6. Sugar Free Popsicles if my stomach was upset this really seemed to help.
   

The 2^nd 10 days.

This was much easier to do. If I didn’t mention it, it was difficult for me to swallow my medication so I would crush the medication up and mix it with about 1 tablespoon of applesauce and some Equal and mix my meds in the applesauce and take my medication that way. You will have creamy foods the next 10 days

1. I loved so many of the creamy Soups. I used regular Campbell’s creamy soups that they had. I was only having about ¼ cup or maybe a few tablespoons of soup.
   
2. Jello was still good for me.
   
3. Sugar Free pudding, maybe 2 tablespoons full.
   
4. Yogurt a few tablespoons of it.
   
5. Frozen yogurt.
   
6. Applesauce a couple tablespoons.
   
7. A little cream cheese.
   
8. Sugar Free Fudge Cycles.
   
9. Premier Protein chocolate Drink mixed in blender with about 4 ice cubes and 1 cap full of Miralax. When you have a lot of protein you get constipated and Miralax works for that. It is tasteless and blends really great in the blender with the protein drink. I use the Miralx daily and it is NOT habit forming.
   
10. Soft boiled eggs or soft scrambled eggs—eggs didn’t work that well for me.
    
11. Low fat chocolate milk.
    
12. Cottage cheese.< /span>
    
13. Sugar Free Popsicles
    
14. Creamy Peanut Butter.
    

The 3^rd 10 days and final part of the first month. Yeah the 1^st month is almost over.

I could eat mushy food. This was more of a challenge than I thought it would be.

1. Mashed sweet potato or mashed yams with a small amount of butter on it.
   
2. Mashed up chicken noodle soup.
   
3. Mashed up homemade veggie soup.
   
4. Eggs that were soft boiled or soft scrambled.
   
5. Applesauce.
   
6. Cottage cheese.
   
7. Premier Protein Drink with miralax blended in the blender with 4 ice cubes.
   
8. Mashed up steamed carrots
   
9. Mashed up and blended a little tuna with a small amount of mayo.< /span>
   
10. Blended chicken breast with no skin on it.
    
11. Ham blended with a small amount of mayo.
    
12. Water with Crystal Light
    
13. Jello with fat free cool whip.
    
14. Yogurt and frozen yogurt.
    
15. Sugar free pudding.< /span>
    
16. Protein Bars chewed up really well—I could never eat a whole one—just a few bites.
    
17. Mashed potatoes and cream cheese mixed in with them.
    
18. Mashed black Beans they have a lot of protein in them. I would have about 1/4 the a cup and that is about 9 grams of protein
    
19. Sugar Free Popsicles
    
20. Hard Boiled eggs made into egg salad.
    

If I went out to eat I found that a cup of soup was about the best thing I found that I could eat. I also felt like I was on display sometimes because family and friends would watch me eat. It used to bother me, but not anymore. I watched them eat and I thought to myself. “Oh my gosh they inhale their food and they hardly chew it.” I was always the last one to finish eating. That is OK too. At first I actually mourned the loss of food. Later on I was thrilled that I had the restriction of a sleeve because I was losing weight.

I found that chicken and fish were easier to chew and I liked them a lot more than red meat.

I said that chicken was one of the main sources of protein for me. I found Kirkland (Costco brand) grilled Chicken breast strips. It is already cooked and I would put one bag (1 pound) in the freezer and use the other (1 pound bag later.) It is really handy to have around and a quick meal to fix if the chicken is already cooked. We also ate more fish. I would buy Halibut or Sole—a mild fish. I would marinate it in OJ or crushed strawberries or blueberries all day. I would also marinate it in law calories Italian Salad Dressing all day. I would cook it in a pan with Pam spray and put garlic or rosemary in the pan when I was cooking it. I don’t eat a lot of red meat and I used to be a real red meat lover. For me it took too much chewing and it just didn’t taste as good as it used to. I will now have a small hamburger and only eat 1/3 to ½ because it just is too much food for me. Ham was something that worked well for me too. I found I could get a large think slice of from the grocery story deli and I would have it for a protein—I would slice off about 2 oz. of the ham. I also enjoy a Taco salad and I make mine with chicken instead of beef. I love Shrimp and lobster too, so those are my treats that I reward myself with.

A typical meal I ate starting the 2^nd month after WLS.

Breakfast: Premier Protein Drink with Miralax and 4 ice cubes in the blender.

Lunch: 2 oz. of chicken or ham with a small amount of cheese melted over it. I would have a bean salad—it has 4 different Beans in it.

Snack: I would have about 10 dry roasted almonds and maybe 10 dried cherries

Dinner: 2 oz. of Chicken or Fish, steamed veggies of some kind.

Sometimes my husband and I would split a small baked potato

I put a teaspoon of butter and sour cream on it.

Snack: Some type of fresh fruit or a Protein Bar.

Carbs and what to eat and what NOT to eat

About the 3^rd month after WLS I would add a little bread in my diet—I could only eat about ½ a slice of bread or ½ of a hamburger bun and they are the “thin” Buns that they have out now. They also make a thin bagel. You just have to look when you are shopping in your local grocery store for these things. Try to find Whole Grain carb products and if you can’t the do the whole wheat. Try to stay away from WHITE carbs. They are white refined carbs and that is how we got fat eating a lot of them.

Rice should be brown rice and only a small amount—NO white rice. Pasta comes is Spinach or Whole Wheat and you can have only small amounts of it.

banana – Medium size has 27 Grams of carbs—I stay away from the banana, and I love them, but I just don’t want to spend all my carbs for the day on a banana. I use a Mexican soft flour shell made of spinach or sun dried tomatoes for making a small sandwich too—you know they call them wraps.

Beverage: They do not want you to drink something when you eat—you need the room for the food so that you can get your protein in firsts. During the day I would have water or decaf tea for my liquid after I ate or all during the day. As I said the Crystal Light Individual packs and different flavors worked well in a bottle of water. It seems like it took me forever to eat and drink all the things I was supposed to be eating and drinking. I was always sipping on the protein drink and water.

supplements you should take.

It is important that you take a multi-Vitamin. I had a difficult time trying to swallowing large pills. Look for an Adult chewable Multi-Vitamin. I also have the Chocolate Chewable Calcium that I buy at Costco. As time goes on it will get easier to swallow larger pills. Do NOT take the multi-vitamin on an empty stomach, it may make you sick.

My Primary Care doctor was very helpful and after I had been home 2 weeks from WLS, she had me come into for an office visit. She ran a full blood panel and made sure all my levels were ok. I knew my potassium was low when I left Dr. Aceves in Mexicali—they ran my blood test before I left and gave me a very detailed report about my surgery to give to my doctor here in the US. Dr. Aceves told me to have it watched when I got home. I now take a potassium tablet prescribed by my doctor and work on eating food high in potassium.

Starting the 3^rd month

I started to eat more salads about here. I had a favorite and still eat it. It is Fresh Spinach, with slices of almonds, feta cheese, dried cherries, or fresh strawberries, a tablespoon of bacon and Paul Newman’s Light Raspberry & Walnut dressing on it. I sometimes add some of my Kirkland (Costco)

Grilled Chicken breast strips to it and then it is an entire meal in one bowl.

Chef’s Salad is a great one meal in a bowl thing to have and I just use any kind of dressing I want on it. This salad has lettuce, tomatoes, olives, sliced hard boiled eggs, turkey or chicken, and some ham sliced on it with some cheese. REMEMBER make this in a much smaller bowl than the normal Chef’s salad comes in. Sometimes I will add a small amount of Whole Grain dinner roll or some bread with it.

Stir Fry is a great way to get meat and veggies all in one meal too. I have a pan that works great on the BBQ grill and I do a stir fry on the BBQ in the summer time.

Have a sense of adventure and take some of your old recipes and see if you can convert them into a healthier recipe. Use veggies that you have never tried. Try some “rubs” on you meat located in the spice section or the grocery store and try to marinate some of your meats all day before cooking them—it really changes the taste of them.

Desert

I don’t want you to feel deprived. I learned that sometime just a bite or two of a desert really satisfied my need for it. Instead of the WHOLE piece of cake or pie, just a sliver of it worked for me to satisfy my need for it. When you want a cookie have just one small cookie and not the entire bag OK. Sugar free pudding with a small amount of Fat Free Cool Whip is good too. Use Splendia to make a desert that you like. So everything in moderation works.

Exercise

I was never a fan of exercise until I started to walk and I found out how much I benefited from it. Now I try to exercise 5 days a week. Find some form of exercise that works for you and do it. Start slow and then add more until you are comfortable with it.

I am sure I have missed a few things, and I will write those down as I think of them and make a Vol. 2 if I needed too.

These are just my suggestions, spice them up and make your food interesting and don’t get in a rut. This is not a diet, you will learn to adapt it and find things that work for you and that you like eating. This is a LIFESTYLE change. Make it work for you. You have the tool of restriction now use your new tool to your advantage. The fat doesn’t just melt off of you. It does require work and effort on your part.

Stalls—No weight loss for a period of days.

Be prepared you may have periods where you lose NO weight. We call those “Stalls.” You will panic and think for sure that you are the “one person this is NOT going to work on.” I know I was sure that was me. NOT true at all. Our bodies just do this. Mine lasted for 9 days—no weight loss at all. Just keep doing what you are doing and the weight will start coming off again I promise you. I can tell you not to panic but most of you will anyway—that is pretty normal too.

Hugs,

Suzanne

Sleeved 10/21/2008

Lost 105 pounds.

[revtoby 2]

How do I reach dr.acevez

[SouthernSleever 228]

http://www.mexicolapband.com/contactus.php

[revtoby 2]

$8,000 wow....