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    Crabadams72
    Silver Spring, MD
    Member Since: 11/16/10
    [Latest Posts]

    Hello Lightweights!

    It has been a long time since I have posted here. I am usually lurking or posting on the VSG forum.

    I am 2 pounds away from my personal goal of 145. My doctor does not believe in giving patients goal weights. Last month I saw the doctor and she declared me to be at her "goal" when I was 157.

    I am 5'5,39 and small framed. I want to lose a bit more in case of "bounceback" (which seems to be a bit different with vsg-vs-rny) do I go 5 or ten pounds under? I really don't want to go too far down because I want to keep some curves--have to keep hubby happy.
    VSG 6/10/2011  Dr. Ann Lidor BMore MD 5'5 HW-243 SW-233 GW-145 CW-128
            
    http://www.youtube.com/user/72Crabadams   Me rambling about my journey : )

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    Price S.
    Mills River, NC
    Member Since: 05/26/04
    [Latest Posts]

    At 4'11" and 62, I would have been happy anywhere in "normal" or 124.  But my body decided 111-115 was better and went to there.  I have pretty much stayed there with no specific changes in how I am eating except I know I am more relaxed about it than before.  I'm RNY so maybe some VSG can tell you what they wanted for bounceback.  Congrats on your success. 
        LW-Apple-Gold-Small.jpg image by PlicketyCat        

    LW-Apple-Gold-Small.jpg image by PlicketyCat
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    Lee ~
    CA
    Member Since: 11/09/09
    [Latest Posts]

     My surgeon says that with Sleeve compliance there should be no more than 5 pound bounce back.  He thinks that even that is a high estimate.  He believes that eating protein first, 3x a day with no snacking should keep us at goal for life.  He definitely thinks that any gain with VSG is from choices of what I eat.  That's a good challenge to live with my sleeve as it was intended.

    I'm seeing him this month for my two year follow up.  It should be a fun conversation.

    Another surgeon in the group said making it with no gain in months 18-24 is a good indicator for long term success.  yay!
    HW: 249 in 2009  SW: 229    LW-Apple-Gold-Small.jpg image by PlicketyCat
    Body by Sauceda - 12/9/2011 LBL,Thigh Lift, Breast Lift/Reduction, Arm Lift, Butt Aug, Stomach Muscle Tightening - 12/12 - Facelift/NeckLift/Eyelids
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    loverofcats
    Member Since: 07/06/10
    [Latest Posts]

    That is what I have been told, although, I don't agree with the no snacking part. I think planned snacks are okay due to the increased gastric emptying that occurs with the sleeve. Ask him about that. It is a real thing and I was told not to go more than 4-5 hours (or was it 3-4 hours?) without eating a planned meal.

    Congratulations on your two year anniversary!!! You have accomplished an incredible amount in the past two years. I hope that you feel proud of yourself. Watching you along this journey has been inspirational to me.

    Gail
         "          
     LW-Apple-Gold-Small.jpg image by PlicketyCat
        
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    Lee ~
    CA
    Member Since: 11/09/09
    [Latest Posts]

    Hi Gail, I've discussed the snacking with the two surgeons that were with me during my surgery, Dr. Baggs and Dr. Fisher.  Kaiser is holding firm to the no snacking law that they have imposed on all WLS patients.  When I discussed at my 1 year post op appointment, I told Dr. Baggs that I was having a string cheese at 4pm because when I got home at 5-6 I was working out and having dinner at 7-8.  He told me that a string cheese at year one would likely become more at years 2-3-4 etc.  He said to knock it off and eat my dinner at 4pm if I had to instead of having the snack.

    As you well know, I have not done well with no snacks.  I generally have a planned snack once a day, but I can really see how it takes a lot of discipline to not allow it to grow to more recreational eating.  I really really really want to maintain what I've tried hard to achieve over the last two years, so while I might snack, I try very hard to listen to the guidance of my surgeons as they have a lot more experience with long term success that I pretend to have.

    All of my food knowledge and expertise in dieting sent me into my WLS consult at 249.8 and ended me up on the OR table.  I never want to look back with regret that I didn't try harder to avoid the dreaded bounce back.
    HW: 249 in 2009  SW: 229    LW-Apple-Gold-Small.jpg image by PlicketyCat
    Body by Sauceda - 12/9/2011 LBL,Thigh Lift, Breast Lift/Reduction, Arm Lift, Butt Aug, Stomach Muscle Tightening - 12/12 - Facelift/NeckLift/Eyelids
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    loverofcats
    Member Since: 07/06/10
    [Latest Posts]

    Well, I generally agree with no unplanned snacking, but if I eat lunch at 12-1PM and go exercise after work, I need some fuel. At Fremont, the dietitians recognize that it is difficult to get all our protein in at one meal, especially in the early months. They said that if I have something left from a meal, I can use that food as a planned snack and their menus reflect that. The key is PLANNED, to prevent grazing. I don't mindlessly eat like I used to. I think the 3 meals/day is to prevent the mindless eating/grazing/snacking.

    If I ate dinner at 4 pm, worked out, and didn't eat again until the morning, it would be very, very hard on my metabolism and my body.

    I totally agree with the the surgeon's recommendations, but I really don't think that it is very practical for someone who exercises a great deal, including weight training.

    When I started this journey, I told myself that I would follow medical advice and for the most part, I have been true to the advice. I have days and moments, when I'm not, but I am certainly not perfect. I follow medical advice, for the same reasons that you do, we don't want the weight regain nor do we ever want to regret not doing everything possible to maintain our weight loss.

    I track my food and stay within a specific caloric range, although, that can vary on some days.

    There are differences between the different programs. Also, there is increased gastric emptying for many sleeve patients. Ask your surgeon about that. Also, reactive hypoglycemia has been seen in sleeve pts. Another reason to always eat protein with your meals and not to go hours without eating. I think I was told not longer than 4-5 hours. I have to check on that one, RH is very real and has been documented in 3 cases by the Bariatric Internist in Fremont. She also heard about it, at a recent conference that she had attended.

    Hope to see you soon!!

    Congratulations on reaching your 2 year mark successfully!

    Gail
         "          
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    Crabadams72
    Silver Spring, MD
    Member Since: 11/16/10
    [Latest Posts]

    Thanks Lee!

    I am losing at a good rate so I might now be where my body wants to stop-or even close to it. I just don't want to mess up during the easiest time to lose post op.

    Price-you are so tiny! Is it hard finding clothes? I am in some 4's and 6's (can get in a 2 dress depending on the cut). I'm liking the losing stage a lot!
    VSG 6/10/2011  Dr. Ann Lidor BMore MD 5'5 HW-243 SW-233 GW-145 CW-128
            
    http://www.youtube.com/user/72Crabadams   Me rambling about my journey : )

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    loverofcats
    Member Since: 07/06/10
    [Latest Posts]

    I agree with Lee. I am almost 18 months out from the VSG and have been maintaining within a two pound window since mid-April.

    I'm tiny like Price and have some problems finding pants that fit. I can wear some Girl's size 14 and I know Price has had a similar experience with finding clothes to fit. Tops aren't really a problem, since I am broad shouldered.

    I think "bounceback" is more metabolic with the RNY surgery than with the VSG, since we don't have the malabsorption component.

    Big Congratulations on your success!!

    gail
         "          
     LW-Apple-Gold-Small.jpg image by PlicketyCat
        
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    Price S.
    Mills River, NC
    Member Since: 05/26/04
    [Latest Posts]

    thanks but actually, I am large boned, sounds funny at 4'11".  I have a few 4s but mostly 6s and some 8s.  Small or petite small tops and dresses. 
        LW-Apple-Gold-Small.jpg image by PlicketyCat        

    LW-Apple-Gold-Small.jpg image by PlicketyCat
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    Crabadams72
    Silver Spring, MD
    Member Since: 11/16/10
    [Latest Posts]

    Wow thanks ladies!

    I am vigilant about the rules, so I plan on sticking to the rules and getting the vitamins, protein and water in. To lose and be able to maintain the weight loss is my main focus
    VSG 6/10/2011  Dr. Ann Lidor BMore MD 5'5 HW-243 SW-233 GW-145 CW-128
            
    http://www.youtube.com/user/72Crabadams   Me rambling about my journey : )

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    MacMadame
    Northern, CA
    Member Since: 02/10/08
    [Latest Posts]

    I'm 3.5 years out and I did bounce over the past last year around 10 pounds after not having any bounce back for 2 years. But I am always higher in the winter so it's really more like a 5 pound bounce back in the summer and 10 pounds in the winter. According to a bunch of friends I met 2 weeks ago who hadn't seen me since I got to my lowest, I look much better now, not so gaunt. Not sure I agree with them, but it did give me pause.

    Also, our bodies are designed to eat every 3-4 hours. If you are up for 16 hours a day, as most people are, that's 4 times of eating, not 3. Plus some people do better with maintaining their blood sugars if they eat every 2-3 hours and that means eating 5-6 times a day. 

    I agree with Gail that as long as it's planned, it really doesn't matter. Everyone has to come up with a plan that works for them. If your plan is to eat 1200 calories in 4 meals of 300 calories each how is that worse than eating 1200 calories in 6 meals of 200 calories each or 3 meals of 400 calories each. It's still 1200 calories!

    I also don't agree that 1 string cheese at 1 year out becomes 2 and then 3 as you get farther out. Or rather, that can happen even if you stick to 3 meals. But it doesn't have to. In fact, I used to eat 3 string cheeses for my afternoon snack but these days I've cut back to 2 sticks. And I feel fine and I'm no more hungry than I was before. I was eating more before because I was burning more calories but now that I'm burning less, I eat less food.

    HW - 225 SW - 191 GW - 132 CW - 127
    Visit my blog at Fatty Fights Back      Become a Fan on Facebook!
    Starting BMI 40-ish or less? Join the LightWeights

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    dasie
    TX
    Member Since: 03/12/09
    [Latest Posts]

    This subject has caused others to pounce on me on the other board to the point I had to actually use the block button.  I was so saddened by ones response one night I thought my daughter was going to jerk the mouse out of my hand and do it herself.  I tend to get my feelings hurt waaaaay too easily.  I hate that, but I do.  This issue causes a lot of emotion in people, so I am always hesitant to give my opinion after being chastised for sharing my thoughts and what worked for me. Yes, I have encouraged people to go as low as they want, with their doctor's blessing, and not let anyone talk them out of it.   So this is my disclaimer...THIS IS MY OPINION...I am only saying what works for me.

    I hit my goal and immediately bounced up.  At one point it was 8 pounds.  I take full responsibility because I got there pretty much effortlessly.  My goal was 128 I hit it, and I promptly got back up to 136.  First I stayed between 130-133.  Then it was 133-135. Then it was 134-136.  And that was when I said enough.  Today I weighed 132.  I would like to live in the 128 to 132 range.

    I am 5'9" and 128 is the bottom of the chart for me.  I am small framed and wear a size 7.5 shoe, some 7's and wear a size 4/6.  Even at this weight and height, I still wear a 4/6.....no 0/2, and that is not my goal nor has it ever been my goal.

    I feel the best at this weight, and in 2004 I weighed 148 after dieting and exercising.  I told myself 16+ pounds less after ungoing surgery was not unreasonable.  My labs are good and my surgeon is fine with me at this weight.  I had my two year appointment in January, and I actually gained 1.5 pounds, so he knows this is a maintenance weight for my body.  As long as I omit pasta, bread, rice, potatoes, crackers, most sugary foods, I have no difficulty maintaining this weight.    I jumped up towards 137 over the Holidays when allowed myself to eat like I did pre-op.  That stopped the day I saw 137-138 on the scale for the first time since while in the losing stage..

    So  in sum....I made certain my surgeon was okay with my goal, my labs were good and picked a weight that I knew I could maintain.  I get flack because I am tall, but you can look at my photos, and I look normal...not overly thin.  We all carry our weight differently, so it all depends.




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    Crabadams72
    Silver Spring, MD
    Member Since: 11/16/10
    [Latest Posts]

    Dasie you look amazing!

    I decided to go down another 8-10 pounds. I'll see how I look and feel at that point.

    Thank you everyone for your input.
    VSG 6/10/2011  Dr. Ann Lidor BMore MD 5'5 HW-243 SW-233 GW-145 CW-128
            
    http://www.youtube.com/user/72Crabadams   Me rambling about my journey : )

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