ObesityHelp.com: Making the Journey Together
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Goals

Lose 20 pounds before surgery.

Category: Health   
7 People
 in progress, 
1 Person
 achieved this

lower my HBA1C below 6

Category: Health   
1 Person
 in progress, 
2 People
 achieved this
Latest Surgery Support Comments

  • Comment by PinkFlamingoes on 9/23/08 7:45 pm
    Scott , May your surgery be complication free & your recovery speedy quick . This is the beginning of a new active adventure . I'm sending good vibes your way . Kathy
  • Comment by becky on 9/22/08 5:17 pm
    I Said a Prayer of Healing for you -- body, mind and soul -- That God would bring you comfort to restore and make you whole. I prayed you'd be surrounded by His awesome love and healing, Dispelling all anxiety or pain you might be feeling. Finally, I prayed you'd be uplifted by His grace, and feel yourself enfolded in the peace of His embrace. Wishing you all the best on your journey for a healthy happy new you. Skinny Wishes ~
Click here for the surgery support page

Hi, First, the important stuff I am married (24 years), 3 daughters (1 in college and 2 in HS).

I started gaining weight shortly after getting married.  I retired from the military in 2001 and the weight really took off.  I was diagnosed, in this order, with sleep apnea, hypertension, arthritis of most of my joints from the waist down, diabetes, NASH, and cirrhosis from NASH.

After my diagnosis with DM I lost weight and got down to 250 pounds.  I developed stress fractures in both my lower legs, had to stop walking, and gained it all back and more.

After setting down and seriously reflecting on the path my body was taking, I talked to my doctor about WLS.  So far all of the specialist (and I have seen a lot) have agreed that WLS is a good idea for me.

So, here I am.  I survived the "pathway" and have surgery scheduled for September 25, 2008.
scott54's Blog



9 weeks
on November 26, 2008 9:40 am
I haven't done this for awhile.  I am 9 weeks post op.  This morning I weighed 239.

HW:  August 2008 - 318
Weight at operation:  295
Today:  239

So, since August I've lost 79 pounds.  Since the day of my operation I've lost 56 pounds.

Wow, I would have never believed it possible.

Scott
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One month post op
on October 22, 2008 9:23 am
Here I am one month post op.  I weighed myself, naked, after taking my shower and it was 258.  So, one month post op I have lost 37 pounds and since August I have lost 60 pounds.  I saw the surgeon and NUT yesterday.  I can start lifting light weights and eating regular food.  The NUT calculated my protein for the day prior and it was 66 (I actually thought it was lower).
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Rules
on October 17, 2008 7:47 am
I borrowed this from another OH user, Madcow - thanks Madcow.  It seems like good advice and this way I don't have to look hard to find it.

1. - Eat only small meals (6-8 ounces/2/3 to 1 cup) I have 3-4 small meals a day plus a snack and try to space them 3-4 hrs apart.

2. - Cut food into small, dime-size bits. Eat one bite at a time, chew thoroughly and swallow carefully. RIGHT!

3. - Stop eating when you feel full. Feeling full is a different kind of feeling for each of us now. So I just stop eating when I have had the proper portions. This can be tough sometimes, specially when you are waiting for a fill. Work with the band.

4. - Do not drink while eating. This is vital. Occasionally with dry foods, I have a sip of water to help.

5. - Do not drink fluids for 45 - 60 minutes after eating. This is to allow your meal to digest and pass through the band.

6. - Eat only quality, nutritious foods. Remember, protein first.

Good luck in this fast paced world! Also, just because they are easier to pass, many bandsters stay to soft, mushy foods. You need to eat well chewed solid foods because they stay longer in the stoma and give you that full feeling for a longer time.

5. - Avoid white, starchy foods and fibrous foods with stalks. After you get a piece of celery or carrot stuck once, you'll never want to do it again.

8. - Drink plenty of fluids during the day. 8 8oz glasses of non-caloric liquids (preferable water) a day. Some are lucky and can still drink carbonated liquids but I feel that that leads to too much of a chance to distend the stoma, so I don't.

9. - Drink only non-caloric liquids. Fruit juices are good for The first 6 weeks after surgery while you heal but after that, water them down cause of the sugar content.

10. - Exercise at least 30 minutes a day unless restricted by medical conditions. Easiest is to start walking for ten minutes three times a day and work your way up to longer walks.

11. - Call your surgeon or nurse practitioner with questions, concerns, vomiting or when unable to keep down liquids. And hope they are compassionate bandsters also.

One other thing is an article I read and posted on another Support group about portion control.

***

How to Combat Portion Distortion

1. Know what equals a serving size. Learn standard serving
sizes, and what they look like. For example:
1/2 cup of rice looks like a cupcake wrapper
1 cup of pasta, cereal, is 2 servings, and looks like a medium-sized fist
3 ounces of fish, chicken, or meat looks like a deck of cards, or a computer mouse
1 medium-sized fruit looks like a tennis ball
1/2 cup of cooked vegetables looks like a scoop of ice cream
1 ounce of cheese looks like a pair of dice
2 tablespoons reduced fat salad dressing looks like a 1 ping pong
ball (if regular; do 1 tablespoon or 1/2 ping pong ball)
1 teaspoon oil or butter looks like the tip of a thumb.

2. Servings can be larger, depending on your calorie needs. For example, someone on a 2,000 calorie diet may follow a budget of 600 calories/meal, which would translate to:
6 ounces of fish (2 decks of cards)
1 1/2 cups of pasta (1 medium fist and 1 cupcake wrapper)
1 cup of cooked vegetables (2 ice cream scoops)

3. Watch out for value meals at fast food restaurants. We are often encouraged to buy larger-sized portions because they provide a better value for our money. But while these oversized portions may be good for our wallets, they are not necessarily good for our waistlines or our health.

4. At restaurants, take half home. Most restaurants provide take-away containers if you want to turn tonight's dinner into tomorrow's lunch. You can even ask for this before you take your first bite.

The Bottom Line: Remember, when it comes to our weight, how much
we eat is just as important as what we eat. Learn the proper portions for your calorie needs, so that you can judge for yourself if you're consuming too much.

Lisa Drayer, M.A., R.D. is the Director of Nutrition Services for DietWatch.com. Lisa has provided nutrition counseling to clients, written material for books and health Websites, and appeared in several national magazines and on television as an expert in the nutrition field.

****
Breaking a Plateau.
(Being stuck at one weight for more than two weeks) Got this from a bandster posting.

#1 - Do this for 10 days to break a plateau

#2 - Drink 2 quarts of water a day

#3 - You must have 45 grams of protein supplement and all your vitamins/minerals supplements each day (some suggest at least 60 - 80 grams).

#4 - You may consume up to 3 oz of the following high protein
foods, 5x a day
beef
pork
chicken
turkey
lamb
fish
eggs
low fat cheese
cottage cheese
plain yogurt or artificially sweetened (?)
peanut butter
beans/legumes

You may also have:
sugar free popsicles
tea or coffee
sugar free jello
broths/bullion (sp?)
crystal light drinks

#5 - If it's not on the list, you can't have it for 10 days!!!!

#6 - Keep a food diary and try to get up to 30+ min of exercise 4-5 times a week.
***********

*******

10 Important Rules

Here are ten rules for eating, drinking, and exercise. How willing you are to follow a new way of eating is key to having success with this tool.

1. Eat only 3-4 small meals a day. 6-8oz each.
2. Eat slowly and chew thoroughly.
3. Stop eating as soon as you feel full or finished the portions.
4. Do not drink while you are eating or for 45-60 minutes after eating.
5. Do not eat between meals.
6. Eat only good quality foods.
7. Avoid fibrous foods.
8. Drink 6-8 glasses of non-caloric fluids a day.
9. Take liquid vitamins twice a day.
10. Exercise at least 30 minutes a day.

********

Before getting a fill, ask yourself these questions.

Are you getting enough protein?
Are you avoiding liquid calories?
Are you making healthy food choices?
Are you eating proper food portions?
Are you avoiding soft foods?
Are you drinking 6-8 glasses of water a day between meals?
Are you avoiding drinking during and for at least 45 minutes after meals?
Are you avoiding junk foods?
Are you eating protein first, then veggies?
Are you eating only when you are hungry?
Are you sitting down to eat? No distractions.
Are you committed to weight loss?
Are you honest to yourself about how much you are eating?

Avoid all liquid calories.
-Soups
-Alcohol
-All fruit juices
-All soft drinks. No carbonation.

Proper portion sizes.
-Meat and fish - 3 oz is the size of a deck of cards.
-Vegetables - 1/2 cup is the size of your fist.
-No rice, potatoes, pasta and fried foods.

Now that you are following the above guidelines, you may need a fill
if:
-You are making healthy food choices in appropriate portion sizes but
getting hungry within 2-3 hrs after eating.
-Your weight loss has stopped for 3 wks even though you are controlling portions and getting in enough protein and avoiding liquid calories.
-You are not drinking with meals.
-You are hungry between meals even after a proper band snack.
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Slowdown
on October 15, 2008 7:11 pm
I hit the 3 week stall early and didn't lose weight for about five days.  Today, 3 weeks post op, I weighed 262.  So I am still losing but it is slowing down a little.

I feel good about going from 318 (highest) to 295 (day of WLS) to a weight of 262.  That's 56 pounds from highest weight in 2.5 months and 33 pounds in 3 weeks.  Great progress that I am excited about!!!!
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2 Weeks post op
on October 8, 2008 11:36 am
I get to start "mushy" food today, that's nice.  I weighed 267 this morning, so still heading in the right direction.

I feel pretty good.  My back hasn't been hurting as much - maybe the gallbladder removal did me some good.
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My Story

In March 2006 I was diagnosed with diabetes mellitus type 2. I already had arthritis in various joints and sleep apnea. At the same time I was diagnosed with hypertension and lab results showed high cholesterol. My doctor immediately started me on the lowest dose of Metformin. I was also prescribed Zocor and Lisinopril. I was already taking medication for my back and knee pain. I began working out and walking 2 or miles a day. I had to stop because I developed stress fractures (man, do they hurt). About this time I got a promotion and began a 4.5 hour commute (on a good day). I had lost from 290 pounds down to 248. I gained all the weight back and more. About a year later I began having trouble urinating and was ultimately, after a series of painful and humiliating tests, given a partial TURP for an enlarged prostate. I also began taking medication for the enlarged prostate. About that same time my liver function tests started showing abnormal levels. Eventually (after ultrasounds, CT scans, and a liver biopsy) I was diagnosed with cirrhosis from NASH. I was taken off Metformin (which was working beautifully) due to the cirrhosis. I was put on Glypizide. My blood sugar numbers went from almost normal to an average of 250 – and that was fasting. My doctor was beginning to talk about insulin. I really was tired of medication, pain, and the overall decline of my health. I was weighed at an appointment and I had gained to 318 pounds. I had to start an addition medication for hypertension, Metoprolol, I realized that I needed to do something but what? My doctor, bless her heart, asked me if I had ever considered WLS. I had not and frankly the idea of having major organs re-routed was not something I cared for. I agreed to go to a class on WLS. I attended the class where a surgeon gave us information (there was a group of about 20 people in the class) about various types of WLS. I thought about it and decided to start the pathway (a series of required classes) to learn more. I also went online and found a website, Obesity Help, and began to read forums about WLS. After attending a few classes I felt better about the idea but was still reluctant – up to the day I had surgery I considered canceling and giving it “one more try.” I had laparoscopic gastric bypass (Rouen-Y or RNY) on September 23, 2008. I weighed 295 pounds on the day of surgery. In the month since I have gone from 295 pounds to 258 pounds today. I have not had to take medication to control my diabetes since surgery – my blood sugars have been normal! Now I have to tell you not everyone has that result. I expect to be taken off hypertension medications. I don’t have the pain in my joints that was bothering me. I feel better all the way around. Do I really believe my diabetes is cured – no I don’t, if I go back to my old bad habits I am sure my blood sugars will get out of control again.  WLS is tool and tools are only as good as the method to use them.  WLS is not easy and is not for everyone.

 


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