Phentermine after VSG your thoughts

[Hannah83 214]

On 2/12/2018 at 12:17 PM, Sleeveforme2017 said:

It’s been a year and a few weeks since my surgery. Can’t seem to get this last 10-20lbs off for nothing. Considering taking phentermine. Has anyone taken this after surgery? Is it safe? Your thoughts please. Thanks

I took phentermine a while back and it leads to a psychotic break. It's a dirty comedown from the recommended dose and personally for myself made me crave more food and put on pounds while taking it. I might be unique, I might not be, but I have a history of past upper abuse in my 20's and all I found any diet pills did for me was give me energy to eat and workout more. Counterproductive. They are a temporary fix at best and I don't recommend them as an overall tool but you need to decide yousrself. Talk with your pharmacist and doctor and ask for more medically qualified advice.

[BarbbeingBarb 4]

I think you should do whatever you want to do as long as it's under doctor supervision. Your body, your health.

I'm 4 years out, and what newer post ops don't seem to understand is that the benefits of the surgery wanes after time. I am hungry again. I can eat 12 oz of food on one sitting, and can eat again literally 10 minutes later. Snacking and grazing start to creep back in, and our bodies fight to get back to fat as our metabolisms start normalizing again. Statistically, around year 3 and 4 is when regain starts to happen for those reasons.

After gaining around 10 pounds, I am considering phentermine just to get me back on track and give me a "jump start" of sorts. After that, I'll take it from there again.

I look at weight loss drugs as just another tool we can use in this never ending fight against obesity, and find it ironic that people who have chosen to change their internal anatomy to lose weight look down on weight loss drugs.

The further out we get, the harder it is to tow the line because frankly the surgery is less effective. Even after changing our eating and exercise habits, sometimes we still need a little extra help to win the battle. Nothing wrong with that.

You do you.

[Sleeveforme2017 144]

I think you should do whatever you want to do as long as it's under doctor supervision. Your body, your health.
I'm 4 years out, and what newer post ops don't seem to understand is that the benefits of the surgery wanes after time. I am hungry again. I can eat 12 oz of food on one sitting, and can eat again literally 10 minutes later. Snacking and grazing start to creep back in, and our bodies fight to get back to fat as our metabolisms start normalizing again. Statistically, around year 3 and 4 is when regain starts to happen for those reasons.
After gaining around 10 pounds, I am considering phentermine just to get me back on track and give me a "jump start" of sorts. After that, I'll take it from there again.
I look at weight loss drugs as just another tool we can use in this never ending fight against obesity, and find it ironic that people who have chosen to change their internal anatomy to lose weight look down on weight loss drugs.
The further out we get, the harder it is to tow the line because frankly the surgery is less effective. Even after changing our eating and exercise habits, sometimes we still need a little extra help to win the battle. Nothing wrong with that.
You do you.

Good info. Thanks

[jess9395 5,449]

I think you should do whatever you want to do as long as it's under doctor supervision. Your body, your health.
I'm 4 years out, and what newer post ops don't seem to understand is that the benefits of the surgery wanes after time. I am hungry again. I can eat 12 oz of food on one sitting, and can eat again literally 10 minutes later. Snacking and grazing start to creep back in, and our bodies fight to get back to fat as our metabolisms start normalizing again. Statistically, around year 3 and 4 is when regain starts to happen for those reasons.
After gaining around 10 pounds, I am considering phentermine just to get me back on track and give me a "jump start" of sorts. After that, I'll take it from there again.
I look at weight loss drugs as just another tool we can use in this never ending fight against obesity, and find it ironic that people who have chosen to change their internal anatomy to lose weight look down on weight loss drugs.
The further out we get, the harder it is to tow the line because frankly the surgery is less effective. Even after changing our eating and exercise habits, sometimes we still need a little extra help to win the battle. Nothing wrong with that.
You do you.

I am four and a half years out and my surgery is just as effective as t was six month out. If I chose to eat the wrong things or snack, that’s on me, but I’m still limited to about 4-5oz (2-4oz dense Protein, 6oz Greek yogurt) and can’t eat for a couple hours after. While I’m sorry it isn’t the same for you, you can’t use such sweeping generalizations. My body also doesn’t “fight to get back to fat.” I can be quite lenient with what I eat over the holidays, etc, and gain about 5lbs but it would actually be quite hard for me to gain much and it’s fairly easy to lose again.

[dreamingsmall 1,125]

Good info. Thanks

No one is looking down on weightloss drugs. Most of us has taken it before. We just don't agree it's the answer when we already have a tool that simply increasing dense Protein can easily make a difference. Yes I'm new post op 8 ish months. And I have a long path ahead that yes may include regain. But whether I'm 7 months or 8 years. I understood this surgery before I did it so we all know what we need to do if we suffer from regain. No one is judging. She asked for opinions and we politely gave it to her.

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[dreamingsmall 1,125]

I dont understand how you stay under 50 carbs a day but dont track macros.

Protein x4 + Carbohydrates x4 + Fat x9 = total calories

Im not saying become a nutrition freak by any means, but learning about macros is basically nutrition 101, and imo is more important than everything else in nutrition combined (although having a balanced diet and micro nutrients are important too, I think the macros is far more important)

I can be sure im eating under 50 carbs if I wanted without tracking . What I ate for month 2-6 was spinnach 1 ounce cheese and lean meat x2 and egg white 2 ounces 1 ounce cheese and 1 ounce spinnach. Snacks string cheese.

I enjoyed repetition. And this was clearly under 50 carbs. I didn't input anything. Just all I made sure is it was 4 ounce most of the time. Sometimes I didn't. But it was very effective for me. I can say my loss was drastic. And I will go back to that at some point. I was so full.

You could do 3 ounce meat 1 ounce veg or maybe 2 ounce meat 1 ounce veg one ounce dairy. I know some people don't have dairy when losing but it makes me feel like I'm eating something rich it tastes really good.

Edit. + Sorry your not the original poster. I disagree with you. My team don't have their paitence track anything. My surgeon has a high success rate. Everyone is different.

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[Mhy12784 423]

12 hours ago, dreamingsmall said:

I can be sure im eating under 50 carbs if I wanted without tracking . What I ate for month 2-6 was spinnach 1 ounce cheese and lean meat x2 and egg white 2 ounces 1 ounce cheese and 1 ounce spinnach. Snacks string cheese.

I enjoyed repetition. And this was clearly under 50 carbs. I didn't input anything. Just all I made sure is it was 4 ounce most of the time. Sometimes I didn't. But it was very effective for me. I can say my loss was drastic. And I will go back to that at some point. I was so full.

You could do 3 ounce meat 1 ounce veg or maybe 2 ounce meat 1 ounce veg one ounce dairy. I know some people don't have dairy when losing but it makes me feel like I'm eating something rich it tastes really good.

Edit. + Sorry your not the original poster. I disagree with you. My team don't have their paitence track anything. My surgeon has a high success rate. Everyone is different.

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But you know (or have a good idea) the macros for those foods and understand them. I'm not saying you need to weigh your food (I sure don't, my approach is actually extremely similar to yours). But I have a rough idea of how many carbs Protein and fat are in the foods I eat, and a rough amount of how many I'm getting in a day.

Like if you're dieting you should have an idea of what you're consuming. It sounds to me like you're going with an estimate or crude guess, which is perfectly fine. But without knowing or understanding macros at all you could be consuming way more calories or carbs or less protein than you ideally want.

[OllyC 1]

On 2/13/2018 at 1:17 AM, Sleeveforme2017 said:

It’s been a year and a few weeks since my surgery. Can’t seem to get this last 10-20lbs off for nothing. Considering taking phentermine. Has anyone taken this after surgery? Is it safe? Your thoughts please. Thanks

Hi Junior Guru, it's probably too late to answer this question, but there is some good, published, peer reviewed medical journals on the use of phentermine as an adjunct to weight loss after bariatric surgery. Short term it shows good results. I guess the question is are you actually hungry or it is that there are so many triggers in our world that automatically lead us to the "feel good" drug of food? I'm saying that because I just saw an advert for chocolate and automatically thought "I feel like chocolate". Phentermine stops hunger definitely, but I've seen many patients that can still binge eat or drink on it out of habit.

[Lolo 2020 236]

I did phenterminr in my youth, pre sleeve, and totally not worth it . Here’s a better suggestion:A friend who had the sleeve got close to goal after a year , but had to work with a nutritionist and fitness coach to get to goal . Turns out she was eating too little ! Her body hung on to everything and she was working out 3 hours a day and eating 1000 calories . She got to goal by eating more of the right Protein and carbs and bringing in a lot more weight work and less cardio . I am going to work with her guy when I get close as well. It is a real balancing act as think ur nutrition and exercise have to be finally tuned .. good luck