two month follow up today

[tigerbelle 328]

today was my 2 month follow up with my surgeon...it was supposed to be two weeks ago, but his office had to reschedule...therefore, I guess it's my 2 month + 2 week follow up here are a few things that surprised and/or intrigued me

--I was concerned that I had only lost 34 pounds, but he seemed pleased with that...he had never given me any kind of goal weight or expected weight loss, so I asked him about that--he told me that he doesn't set goals for his patients and that he just goes with a goal of obtaining a weight you feel comfortable and healthy at...that wasn't the answer I expected

--I expressed concern that I wasn't getting enough fluids in; i.e., the 64 oz minimum my NUT suggested...he said that he thought that was too high of a goal and that I would be fine getting in 48 oz...that will still be difficult for me

--as for Protein, I told him some days I had problems getting in the minimum 60 g my NUT recommended...again, he said that was too high of a goal and that I would be fine getting in 50 g...as for daily calorie intake, I told him I was averaging 800, and he thought that sounded on the high end for me at two months out--he was suggesting more like 500 to 600

--I haven't started losing any hair yet, but he said most of his patients think that their Hair loss is caused by Vitamin deficiency, and he thinks it is caused more by a lack of fat intake when dieting--not the "bad" fat but the "good" type of fat...he briefly explained the role these good fats played and how a lack of them could lead to hair loss...the whole reason he even brought this up is that I had told him that sometimes my snack is a couple of tablespoons of Peanut Butter, which has about 190 calories--he thought that peanut butter was a beneficial snack because it contained the necessary "good" type of fat

--he asked me what my hunger level was like and I told him I still sometimes experienced true hunger...I had already told him that I have been able to successfully exclude all starches (bread, Pasta, rice, potatoes, corn, crackers, Cereal, sweets, etc) from my diet...and he was genuinely puzzled at how I could be experiencing hunger and despite that still not eat the carbs and have been able to lose what he thinks is an impressive weight loss so far...he said I must be truly motivated, so that made me feel good

--finally, when I was telling him that the main thing I missed (maybe more than I missed carbs) was my Diet Coke, he actually said he saw no problem with my drinking carbonated beverages as long as they didn't cause me discomfort (they make some people burp)...I asked him about the carbonation damaging or expanding the sleeve, and he said there is no plausible evidence whatsoever that this is possible...he is one of the most well-respected and experienced bariatric surgeons in my area, so I feel like he knows what he's talking about...and that just surprised me based on everything I seem to read and hear

thanks for listening to my little report and some of my surprising findings

[Ahealthyme2013 39]

today was my 2 month follow up with my surgeon...it was supposed to be two weeks ago' date=' but his office had to reschedule...therefore, I guess it's my 2 month + 2 week follow up here are a few things that surprised and/or intrigued me

--I was concerned that I had only lost 34 pounds, but he seemed pleased with that...he had never given me any kind of goal weight or expected weight loss, so I asked him about that--he told me that he doesn't set goals for his patients and that he just goes with a goal of obtaining a weight you feel comfortable and healthy at...that wasn't the answer I expected

--I expressed concern that I wasn't getting enough fluids in; i.e., the 64 oz minimum my NUT suggested...he said that he thought that was too high of a goal and that I would be fine getting in 48 oz...that will still be difficult for me

--as for Protein, I told him some days I had problems getting in the minimum 60 g my NUT recommended...again, he said that was too high of a goal and that I would be fine getting in 50 g...as for daily calorie intake, I told him I was averaging 800, and he thought that sounded on the high end for me at two months out--he was suggesting more like 500 to 600

--I haven't started losing any hair yet, but he said most of his patients think that their Hair loss is caused by Vitamin deficiency, and he thinks it is caused more by a lack of fat intake when dieting--not the "bad" fat but the "good" type of fat...he briefly explained the role these good fats played and how a lack of them could lead to hair loss...the whole reason he even brought this up is that I had told him that sometimes my snack is a couple of tablespoons of Peanut Butter, which has about 190 calories--he thought that Peanut Butter was a beneficial snack because it contained the necessary "good" type of fat

--he asked me what my hunger level was like and I told him I still sometimes experienced true hunger...I had already told him that I have been able to successfully exclude all starches (bread, Pasta, rice, potatoes, corn, crackers, cereal, sweets, etc) from my diet...and he was genuinely puzzled at how I could be experiencing hunger and despite that still not eat the carbs and have been able to lose what he thinks is an impressive weight loss so far...he said I must be truly motivated, so that made me feel good

--finally, when I was telling him that the main thing I missed (maybe more than I missed carbs) was my Diet Coke, he actually said he saw no problem with my drinking carbonated beverages as long as they didn't cause me discomfort (they make some people burp)...I asked him about the carbonation damaging or expanding the sleeve, and he said there is no plausible evidence whatsoever that this is possible...he is one of the most well-respected and experienced bariatric surgeons in my area, so I feel like he knows what he's talking about...and that just surprised me based on everything I seem to read and hear

thanks for listening to my little report and some of my surprising findings[/quote']

Interesting stuff Tigerbelle. Sounds different from a lot of the things you normally hear on the boards. Where are you from?

[vegasneon 181]

Thanks for posting this. It sounds like some good information and I like his way of thinking. I will keep the healthy fats in mind more, I don't have any hair to spare.

[MIJourney 490]

I find it interesting when surgeons and NUTs are giving different info to pts. Are they not part of the same team? Seems like they'd coordinate a bit more on these things. Congrats on your loss!! I do miss carbonation in my life, happy you can have it. I can only have flat pop which is not appealing at all so have not had any. Sorry for the run on paragraph as my enter key is not working on this website only. What's up with that?

[tigerbelle 328]

I am from Baton Rouge, Louisiana, ahealthyme

mijourney, I am also surprised with the differing advice...here is the deal with my surgeon--he does surgery at three different hospitals...at the hospital I chose (Woman's Hospital in Baton Rouge), which is itself a bariatric center for excellence, any patient who has WLS there--regardless of the surgeon--follows the guidelines of the hospital's bariatric nutritionist...while I am sure my surgeon and his staff are aware of the dietary plan Woman's promotes and overall approve of it, they don't get into specifics

as for me and the Diet Coke, right now I have no intention of getting back into my "habit"...it's one of those things that I am not sure I could have in moderation; i.e., once I start drinking them, I think I would drink way too much to be healthy overall...I am trying to adopt a more healthy lifestyle in general, and I don't feel like drinking several Diet Cokes a day is really health-friendly

[Shellbell333 10]

I enjoyed the info. I'm like you and expect/ WANT to see more weight loss in 2 months........BUT, I really think it will stay off if it comes off slower. Some of your info surprised me like the Protein and fluids numbers thats good for him. All n all, you're doing great. Loss and not gain is alway good. Do you know how many calories you are getting? If you are eating less than 500cals still, your body may be holding on to the fat thinking you are starving it. One post I looked at today said they increased there cal intake just a little and dropped 5 pounds in 1 week. The body.....a strange thing. GOOD LUCK