Had my consult 01/14/25

[Alisa_S 19]

Had my consult at Banner University Medical center in Tucson. The team seems really nice and eager for you to succeed. My first appt with the dietician is Jan 29th and is supposed to be about 90 minutes.

Lots of tests I need to have completed asap; sleep study, cardiology clearance, endoscopy, barium swallow, psych eval, chest X-ray, and a ton of labs. Gotta complete the 6 month supervised diet and lose 10% of my weight throughout the 6 months. They want to see a little each month and not a lot at real quick. I weighed 344 yesterday and they want me at 310 before surgery.

I shared this in a Facebook forum and the 1st comment was, "Really, how do they figure you can lose that much in 6 mos? Wow. Good luck with that!" (Nothing like a little encouragement right off the bat! 😬 )

I replied that it's only 34 lbs & I need to lose 6 lbs a month. She said if she could lose 6 lbs a month she wouldn't need surgical help! I looked at her profile & it turns out she's a failed ESG from September because 'she likes food too much'. BUT now it's in my head that maybe I can't lose the 34 lbs in time.

I'm definitely ready to get this going! I have studied this for so many years! I'm super excited to have finally taken this step & have saved money for the last several months to cover my deductible & most of my Out of Pocket max.

The fat girl in me decided I needed a food funeral, so I had my last ever buffet yesterday. I hope this 6 months goes by quickly! I'm ready to feel better & move better. My knees & back need a break LOL!

If y'all have any tips for losing the 34 lbs in 6 months, please share them. I know low carb/sugar free & keto..... but I've obviously never been successful with them or I wouldn't be this big.

[FifiLux 488]

I know it is hard but try not to let her (and anyone else with a negative attitude) get to you.

You have taken a big step and congratulations on starting the journey to a new you.

Did the medical team say they wouldn't operate if you didn't reach the 34lb loss? I am sure they don't stop everything if you are just a few pounds short so don't stress if you can help it. You say it is a supervised plan so I presume they are used to helping patients follow it and adapt it to an individuals needs so that should be a help for you. You are so motivated (studying, saving etc) that you will do your best and any loss pre-surgery is a win.

I had sleeve surgery and in the months before I tried my best to eat smaller portions so I switched to an appetiser sized bowl and plate for most of my meals. I knew I would be using them after the surgery so figured may as well ease myself into it. I also tried to start eating slower - I am still not great at that but better than before.

food wise don't go so extreme that you then self sabotage at some point out of desperation for a food you love. We all have different reasons for getting to the size we do that needs surgical intervention, for me it was partly not knowing when to stop eating, too much carbs and alcohol and not exercising at all. I didn't have to go on a diet pre-op or do the liver reduction thing a lot of patients have to do but in the weeks before my surgery I went on holiday and ate everything I wanted so actually went up in weight so then when I returned I just cut down on things but still allowed myself an occasional treat, so instead of pastries for Breakfast I had Greek or skyr yogurts, shop bought sandwiches etc for lunch were swapped for homemade veg Soup, for dinners instead of pizza's, burgers and Pasta dishes I tried to have more chicken & veg based meals, cutting back on a lot of carbs. I swapped out rice and pasta for cauliflower rice or lentil pasta. These small changes helped me get back on track before my surgery but as I didn't have to follow a pre-surgery diet plan it was more for me, so as to get into good habits.

I am sure there will be plenty of advice and support here for you 💪

Edited Wednesday at 07:58 PM by FifiLux

[summerseeker 2,229]

A few of us have only told our most supportive friends and family before we had the surgery. I personally didn't need any of the negativity that comes from worried others, people who think they know about the surgery or the one person that I know who failed with a sleeve. I find that people will post things on Facebook that they might not say to your face. If they did, you would get a chance to ask why they felt you may be the same as them.

It is a brutal test to see if you can loose this big amount of weight pre surgery but plenty people have managed it. I had a 3 week liver shrink diet. I cursed that surgeon every day of it. AND I was paying for the privilege. I very badly wanted the surgery, my life depended on it. Thats what got me through.

You will have to find the disipline from somewhere and start as soon as you can. Start moving more, walking was my go to. Started small and ended up finding the world.

Find a tracker you can use every day. Set yourself a reasonable calorie limit. Log everything you eat and drink. Good or bad. I still do it, I use Fat Secret. There are lots of other free sites. Eat fresh food, home cooked. You know the calories then. Plan your food and buy it in. That way you will never be tempted to get a take out

Its a test but you can get there. Keep on this site, keep talking to us.

[Alisa_S 19]

I appreciate your input I have to loose the 34 lbs prior to surgery due to my fatty liver. I feel very confident that I can lose the 34 lbs. I just thought is was crappy that the first person to comment was someone trying to rain on my parade.

As for a tracker, I am using Baritastic app. The weight loss clinic gave me a code to put in that pulls up their program and their staff can check on my stats right on the app and recommend changes, etc. thru it also. Plus I can log all my food & Water, activity, & Vitamins.

I am definitely starting an exercise regimen now. Walking and some light weights. Also trying to train myself to drink water... I've never been one to drink much, so this part is tough LOL

[NickelChip 1,298]

My advice is to make changes to your diet and exercise in the next few months that you feel you can maintain for the rest of your life, as opposed to trying a fad diet (Keto, paleo, etc.) that is likely to be too extreme. Focus on basics like reducing your simple carbs and sugars, increasing your lean Protein and veggies. Start measuring your portions to make sure you are not eating more than you think. Start getting your 64oz or more of Water every day and cut out any sugar-sweetened drinks that you might drink (and also alcohol) because it's just empty calories.

Walking and light weights are really great, but remember that about 80% of your weight loss comes from your diet, and only 20% from exercise, so don't feel like you have to go crazy with joining a gym and working out, especially if you're starting from sedentary. Regular walking every day does amazing things.

At this stage, small changes can make a big difference. One thing I did right away was go through my cupboards and get rid of temptations. I stopped buying crackers, pretzels, Cookies, and sweets. I would still have a treat when I was out, but I would try not to bring it home. Since I work from home, not having things in the cupboards to tempt me was a huge help.

I was not required to lose weight before my surgery, but by making these little changes, plus the strict 2-week liquid diet, I ended up going from 251 lbs to 225 lbs in about 6 months. You can do it!

[SpartanMaker 835]

Congrats on taking the first step!

As @FifiLux pointed out, the keys are really going to be reducing portion sizes and making good food choices. These will be really important after surgery, so getting started on them sooner rather than later is the right approach. By the way, fad diets like Low Carb and Keto may work for some people, but as you said, they don't work for you so there's no point going there.

It's also really critical you don't try to make drastic changes all at once. What you need to focus on is one sustainable positive change at a time until it becomes the new norm for you. People almost inevitably fail when they make wholesale changes to their diet and activity level simultaneously. Also, If after implementing a particular change it still feels like a challenge to you, then keep at it until that one is just part of what you do. Once you get to that point, only then is it time to try to make another change.

My suggestion is to pick no more than 2-3 things per month you want to change about your diet and activity level and start with the ones you think will be easiest first.

Changing subjects a bit, let's do some math here. To lose 6 pounds a month, you'd need to reduce your energy balance by -750 calories a day. This can be made up of lower intake, greater activity, or most likely both. At your current weight, walking ~3 miles an hour would burn ~200 calories per mile. Thus a 30 minute walk would burn ~300 calories and an hour walk would burn ~600.

Add in smaller portions of the same things you're eating now and 6 pounds a month will be easily attainable.

Keep us updated as you progress and the smart folks here will be glad to help.

[Alisa_S 19]

All great advice and much appreciated! Thank you all. @SpartanMaker thanks for the number crunching! I am definitely trying to cut portion size. We got rid of all the sugary stuff in the house and things like my tortillas. I've started walking (I have been completely sedentary for years- I work a very stressful, 40 hour week desk job from home.) I can't walk for 30 minutes straight. My low back and knees are trash. I carry most of my weight in my belly. I joke to my husband that I need a rolling cart to set my belly on so my back won't hurt so much.

I walk as long as I can & fast enough to get my heart rate up and be breathless to the point that I cannot carry on a conversation. I'm looking for a treadmill so I can walk inside. I tend to turn my ankle & fall if I'm not super careful while walking on the gravel road. Thinking about pulling up some of those old Sweating to the Oldies videos by Richard Simmons LOL That might be a good way to do some cardio.

I've failed at losing weight for so long. Today I'm feeling kind of emotional just thinking about what I'm facing. I said in an earlier post that Keto & low carb didn't work for me.... fact is, they do work... as long as I stick to them. The minute I stop, I regain the weight I lost. sigh. Seems like I gain weight if I breathe in the aroma of baked goods.