- HEALTH TRACKER
I screamed too but more like WHHHHHEEEEEE!
And today I was 120 so I guess maybe their scale wasn't so off after all.
I hope I can start to weight train soon. My chest is getting scrawy again.
Are they making you do liquids? If so and you want to "cheat", just eat high protein, low carb. Because that's what clears out the slime in the liver, not being on liquds.
And don't get me started on the whole mandatory pre-op diet thing...
I was in Vegas without a scale but I went zip lining and they weigh you there. So in clothes including running shoes after eating breakfast and a snack, I was .....
I think their scale must be off because I was expecting 125 or 126.
And, yes, zip lining was AWESOME.
A LOT of the programs say #2. What I have found is that hunger is HIGHLY individual. So a protein shake may hold you or it may not. Only you can decide, not your surgeon and not us. I find that one for breakfast and a protein hot chocolate at night really holds me. But that's me.
For #3, again I think that depends. Our stomachs start to empty sooner than they used to. So eat too slowly and the next thing you know, you will be eating more. But eat too fast and your brain doesn't register the fullness.
For #5, snacking (grazing) is different than planned snacks. Planned snacks are basically meals. You can eat 3 meals a day or you can eat 6 or something in between but as long as they are planned, I think you should be fine.
For #7, I think it depends on how far out you are. For the first 6-12 months for everyone and all the time for people who maintain on 1000-1200 calories a day, you need to keep your calories under 800 to lose. But as you get farther out from your surgery and you aren't a tiny gal who doesn't work out, it begins to feel like depravation and it's hard to keep up. I think once you are more than a year or two out from surgery and are used to eating 1500 calories a day or more, that dropping down by 500 calories a day works better. Heck, you may want to drop down by 250-300 at first. Because that's doable.
You've just had major surgery and you're eating about 400 calories (I'm guessing). Maybe a bit more if you are 3 weeks out. You are bound to have a certain lack of energy under those cir****tances!
Everyone recovers at different rates so it's hard to say what's normal but I found that for the first 3 months I would have bouts of energy followed by bouts of extreme tiredness. I would go ride a bike and feel GREAT. And come home and take a big nap! I took a LOT of naps. I also got very tired in the afternoons, especially at work.
The main thing you want to see is gradual improvements. Even if you have a bad day, do you feel that overall your energy now is more than it was when you first came home from the hospital.
Also, make sure you are getting a lot of protein. You need the protein to heal and for energy. No matter what your program says, you want to get at least 70 g (some of them just don't emphasize the protein like they should) and more is better, especially if you have low energy.
The other thing is to make sure you aren't having episodes of low blood sugar or low blood pressure. For the former, make sure you don't go for long periods of time without eating anything. The for the later, don't get up quickly from sitting or laying down and, if you are on blood pressure meds, check if the dosage needs to be adjusted now that you've lost weight.
My program says you only have to wait 0-15 min before and everything I've read corroborates that. Liquid runs right through you pretty much so now that I'm farther out and not swollen, it doesn't back up and I am empty by the time i put down my drink and go get my meal.
I wait 30-60 min. after. I'm supposed to wait 45-60 min. after but sometimes I get impatient. Sometimes I don't wait at all if I'm super thirsty and I am behind in my drinking. But I try to limit those times.
I get hungrier sooner if I start drinking too soon after a meal. I can eat more if I drink during a meal except sometimes, if I drink after I fill up on hard protein, there's not room and the water backs up and it hurts. Or the water makes everything expand and that hurts too.
I have a sleeve so I guess it's not just an RnY thing.
Well the scale measure our mass -- how much gravity pulls against us. So in that sense, it does not lie. But it doesn't measure how fit I am or even how good I look. I have been all sorts of weights in the past 4 years and knowing my weight would not tell you how i looked. In fact, I wrote a blog post about complete with pictures:
When you look at the pictures you can see that I've been 125 and pudgy and 125 and ripped. So I can't get too excited about the actual number. I get excited about how my clothes fit and how I look in the mirror and I use the number to support my other data points.
Diet & Exercise fails 90-100% of the time. WLS works about 70% of the time. Really that says it all.
As to the reasons why this is true, we're still trying to figure that out, but the main reason is that surgery repairs what is wrong with our bodies including giving us hunger control. It's impossible to keep the weight off if you are starving all the time and our bodies fight us to gain the weight back. With WLS our body's setpoint changes and our bodies stop fighting us to be fat.
I think forcing ourselves to eat more than our tummies comfortably hold is always a bad idea. It's setting ourselves up for trouble latter when we can eat more. It's certainly not part of mindful eating to force more food in than fits comfortably either and I think mindful eating should be the ultimate goal.
I also have seen in my 5 years on the forums that programs that push more than 800 calories in the losing phase are not as successful on average. Especially for some of us lightweights. Many of us are SHORT. And we will end up maintaining on a small amount of calories. Maybe only 1000-1200. So doing 1000 at 3 months out? Bad idea IMO.
Now maybe later, especially if you are working out intensely and need more protein. More protein is going to bump your calories up IME. I think I was doing 900 a day when I was doing 90 g of protein and then 1200 a day when I was doing 120 g of protein. But I was also working out 6-8 hours a week at that point. And also at a normal BMI.
Some surgeons think it it's a gimmick but they are the surgeons with "magic hands". For the mere mortals, I think it helps.
I've had my RMR and BMR tested in many ways, some more accurate than others.
I've had the breathing test and it was pretty accurate but there are things that can throw them off so do you research first.
When I had my body fat tested via the dunk tank, they gave me a BMR and it seemed right based on how I was losing.
I've used various online calculators and found them all over the map.
I have a BodyMedia FIT and I find that pretty accurate for most things. (It doesn't do swimming and it can be low on things like biking.)
My scale uses bio-impedience to do body fat and also gives a BMR and the body fat is somewhat accurate but off by as much as 8% so I assume the BMR is off too. But it's in the ballpark.
Generally, I go with reality though. If I eat X and I lose Y then I back-calculate my BMR from that.
ALL WLS gives you hunger control. Bypass, sleeve and DS all do that. Lapband even does for some.
If you look at the data, long term results with sleeve and RnY are about the same so I suspect they give similar hunger control.
However, VSG removes the part of the stomach that produces most of our ghrelin, which is the hormone that make people feel hunger. In some studies, they've found that long term RnYers have ghrelin levels that are the same post-op as before but with VSG ghrelin levels are almost always reduced. OTOH, with a lapband, ghrelin levels *increase*.
Of course ghrelin isn't the only thing that makes you hungry or lapbanders wouldn't have hunger control and some of them do (the ones who find their sweet spot). But I knew pre-op that most of my hunger was driven by ghrelin so I was very sold on having it removed. I'm 4.5 years out now and I have below average hunger levels. I still have to make myself eat sometimes because if I ate to my hunger, I would be too thin.
Since I didn't have RnY, I have no idea if that would also be true of RnY but I know a lot of my RnY friends talk about the hunger coming back "the same as before". Honestly, I don't really believe that. I think their hunger must be reduced from before or they'd gain all their weight back. But the studies show their ghrelin levels are the same so maybe they do have the same amount of hunger and it's other things that are keeping their weight off.
OTOH, Dr Roslin just wrote this article for OH that talks about this and he seems to think all long-term weight loss success is hunger control and he says sleeve and bypass end up performing about the same so I suspect the hunger is about the same in the long run.
Here's Dr. Roslin's article where he talks about all 4 surgeries and about how hunger control is what makes WLS work:
I assume you want RnY for the dumping? If so, ask yourself this: what will you do if you get a bypass and don't have dumping as so many don't? You'll have to use self-control anyway, right? Plus you won't be able to take NSAIDs. I don't know about you, but that would kind of tick me off!
I think people really under-estimate the power of hunger and how much it influences our decisions. It's really hard to make good decisions about what to put in our mouths if we're hungry. With WLS -- any WLS -- you get significant hunger control. Suddenly it's a lot easier to make good decisions. It's just so different than it was pre-op IME.
Carbs and sugar don't have nearly the hold on me that they used to now that I"m not starving all the time. I don't need dumping to force myself to make good decisions because food doesn't have the same hold on me any more.
I agree with LadyTazz that it's unlikely that insurance in the US will pay for bypass surgery with a BMI under 35. However, I don't agree that it's not done in the US as a self-pay with a BMI under 35. It's done *all the time* and many surgeons in the US will do it if you are willing to pay for it. Many. Mine does and so do most of the top surgeons. They are just QUIET about it.
That is probably because most countries have a protocol to do it if your BMI is 30-40 and you have co-morbidities while in the US, the protocol is 35-40. But a BMI of 30 is OBESE. That's a lot of weight and studies show that it's unlikely to come off and stay off with diet and exercise. (In case you can't tell, I think the US standards are lame and agree with the rest of the world that it should be 30 and not 35.) So it seems like the surgeons will do it but they are quiet about it since that's not the official standard.
And, yes, the standard was lowered for the lapband so that insurance might pay for that with a BMI between 30-35. However, just because the FDA gave approval for lapband use in that BMI range doesn't mean insurance companies have changed their policies.There are definitely some people who frequent this Board who had WLS with a BMI lower than 35. Hopefully they'll see this message and chime in.
I'm confused about what you gained when. In the hospital, you are hooked to an IV and if you are in there for about 24 hour, you can easily gain about 10 pounds of fluid from the IV. In there longer and you can gain more.
But it sounds like you are home? Or something ....
Here's what I did the entire first year:
I was freaking out all day even after I figured out all my friends were okay. It just felt so personal. Is that how it felt when they crashed a plane into the Pentagon, Major Mom.