6 Month post op visit.. couldnt get any better

Squishy_in_the_middl
e

on 11/9/18 5:19 am

I just had my 6 month post op appointment (a little over due but hey, it happens)

My high cholesterol is on its way down, my hypothyroid syndrome is improving, my high blood pressure is non existent, my sleep apnea is getting better, my sugar levels are normal- I am no longer pre- diabetic. My weight is sustaining at 217.

I really need to increase my calories as the dietician said that sustaining a 700-1000 calorie diet puts my body into starvation mode and thus wants to hold on to that stored fat/ sugar and causes the losing of weight to stall.

I also need to increase my activity levels. Walking the dogs isn't enough anymore as my body has become accustomed to that exercise. So all in all, I think I did pretty well.

*hugs to all*

Orientation- May 2017, Pre nutrition class- Aug 2017, Blood work- Aug 2017. RPN meeting- Sept 2017. Dietician and Psychiatrist Dec 2017. Internist- Dec 2017. Meet the Surgeon Feb 20th 2018. VSG surgery march 17, 2018 with Dr. Gmora

Ginnny
on 11/9/18 6:06 am - Ontario, Canada
RNY on 04/11/16

I respectfully disagree with your dietician. Stalls happen. I think at 6 months out 700 - 800 calories is plenty as long as you are eating the right things. Protein first. Are you getting all your water in?

Starvation mode is hogwash, but you have to do what you believe is best for you.

Over 100 lbs lost! and 13 lbs below goal weight!

Tuktu
on 11/9/18 6:51 am
RNY on 03/07/17

That's wonderful news! You are doing so great! Congrats

MichelleS61
on 11/9/18 7:43 am - Lindsay, Canada
RNY on 02/26/18

Congrats sounds like you're doing well, lots of different opinions on what meal plan 6 + months out should look like, but go with what they're recommending for you and you feel comfortable doing.

I'm happy to say I'm no longer an "insulin dependent" diabetic now, saw my Endo yesterday and she said to stop the basal insulin at night, but that I now should be testing more so I can better track lows. It's gets easier and harder all at the same time.

I figure the main reason we do this is for improved health, exercise is harder to add, as not always easy to find the time, but if you can find something you like to do, maybe zumba or yoga, might make it easier to add more. Of course I'm sure the dogs might enjoy some longer more energetic walks too, especially as the snow flies.

Keep up the good work.

57 - 6'0" - HW:288 SW:260 CW:185

TWH: Referral Aug. '16, Orientation - Nov. 30 '16, Surgeon Oct. 6 '17, Start Optifast Feb. 5'18 - Surgery Feb. 26'18

Opti -25; M1 -23; M2 -17; M3 -7; M4 -5; M5 -5; M6 -6; M7 -0; M8 -2; M9 -0; M10 -2; M11-0; M12-4;

crqvingchange
on 11/9/18 9:17 am

It seems that the Centres all have different advice. Guelph said to me that 650-850 calories during the losing phase. I'm not a tall woman so I was closer to 650 calories. You are in the honeymoon period. Lose as much as you can now because it does become more difficult.

You've done a great job so far, I say pedal to the metal until you reach goal.

CENTURY CLUB MEMBER at 6 months post-op.

Referral to Guelph Feb/13, Sleep study and all bloodwork and ultrasound May/13, orientation July/13. Nurse, NUT,SW Sept/13, 2nd NUT, nurse and SW, 3rd round and cleared for surgery Dec/13. Pre-op Apr 7/14, Surgeon May 2/14, Opti Jul 3/14, surgery Jul 17/14.

SweetRide1
on 11/9/18 4:15 pm
RNY on 01/16/18

Great work Squishy!

Referral - May 31/17; Orientation - June 15/17; First Appt Nurse - June 26/17; Bloodwork and ECG - June 27/17; Sleep Study - July 5/17; Dietician Appt - July 10/17; Counsellor Appt - July 10/17; Abdominal Ultrasound - July 10/17: Endoscopy/Colonoscopy - July 25/17; Second Dietician Appt - September 14/17; Internist Appt - October 2/17; Meet the Surgeon - November 21/17; Pre Surgery Nutrition Class - January 12/18; Surgery - January 16/18

catwoman7
on 11/10/18 6:49 am
RNY on 06/03/15

there's a lot of disagreement over the whole concept of "starvation mode". Many people on here stick to 600-800 calories the whole time they're in weight loss mode.

I was always a bit higher than average on calories during weight loss mode, but I didn't get up to over 1000 until I was about a year out. But you can always experiment and see...

RNY 06/03/15 by Michael Garren (Madison, WI)

HW: 373 SW: 316 GW: 150 LW: 138 CW: 163

H.A.L.A B.
on 11/10/18 7:42 am

I am over 50, and I have been on so many diets in my life that I honestly can't count.

But starvation mode does not apply to me. Even now, over 10 years post op.

If starvation mode was real, last year I wouldn't lose weight when I couldn't eat much. My body started consuming my muscles, when my body fat % got very low. I had problem eating last year, the type of food and quantity were affected. After I fixed what was wrong with me, and started eating, I gained weight very quickly.

I lose when I eat little, or don't absorb (i.e - food poisoning, or norovirus). Even as far as I am from WLS - over10 years post op RNY, I can lose weight on low calorie diet as long as I am consistent. Like now. When I gained, I gained too much. I got little bit crazy since I suddenly could eat foods I couldn't for a long time before that. So now - I am slowly losing, not only by changing what I eat, but also how much.

Try higher calories, but be careful you don't sabotage yourself during honeymoon time.

Good luck.

Hala. RNY 5/14/2008; Happy At Goal =HAG

"I can eat or do anything I want to - as long as I am willing to deal with the consequences"

"Failure is not falling down, It is not getting up once you fell... So pick yourself up, dust yourself off, and start all over again...."

SweetRide1
on 11/11/18 5:06 am
RNY on 01/16/18

I think everyone is different and lose differently.

I have consistently lost since surgery in January (RNY). Granted for the first little while I was eating no more than 800 calories per day. Now I eat between 1,000 - 1200 calories per day however have been known to go to about 1400 per day. I still lose.

I'm also very active and watch my carbs very carefully and follow the rules.

I went to a support group meeting at the Hospital several months ago where the Head Dietician told us that they were encouraging us to eat more calories earlier as studies showed that increased calories earlier in the process helped to stave off the bounce back regain, i.e., going below goal and then gaining back.

This new thought process gets you to goal, eating a bit more "normally" (whatever that is) sooner, and maintaining better. That's the thought behind the higher calorie counts sooner in the process.

Anyway, just thought I'd throw that out there. :)

Referral - May 31/17; Orientation - June 15/17; First Appt Nurse - June 26/17; Bloodwork and ECG - June 27/17; Sleep Study - July 5/17; Dietician Appt - July 10/17; Counsellor Appt - July 10/17; Abdominal Ultrasound - July 10/17: Endoscopy/Colonoscopy - July 25/17; Second Dietician Appt - September 14/17; Internist Appt - October 2/17; Meet the Surgeon - November 21/17; Pre Surgery Nutrition Class - January 12/18; Surgery - January 16/18

ltmlip
on 11/12/18 10:24 am

Congrats! Always great to have good feed back at your check in time. I have my 6 month in a couple days, mines a little late as well lol. I have tried increasing but I stall. I find I have to stay between 600-650 to lose. I'm 49 and 5'2 so maybe that has something to do with it. Also I think my metabolism is messed up from all the gaining and losing my whole life. Not sure if this is accurate but the bottom line is we all have to do what works for us. I am prepared for them to tell me basically the same thing to which I will smile and nod in agreement. I will keep doing what I know works for me. Good luck and keep us posted if you discover your sweet spot ;)

Referral: March 2017, Orientation: June 2017, Nurse, Social Worker, Nutritionist, Pharmacist: Dec 2017, Physiotherapist and f/u with Nurse: Feb 2018, Meet Dr. Lindsay: Feb 2018, Pre-Op Feb 26, 2018, Start Optifast (4 weeks): Feb 27, 2018, SURGERY: MARCH 27/18 at St. Joseph's in Toronto with Dr. Lindsay. Height 5'2," 49 Years old, Hw: 365, Pre-Op Weight (start of Opti 355), SW 334 CW 175. Weight Loss: Pre-op -19, M1 -23, M2 -18, M3-18, M4-14, M5-14 M6-10, M7-14 M8-8, M9-14 M10-5, M11-10 M12-0, M13 -3, M14 -6, M15 -7

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