my thoughts...
so today during my usual gym workout I got to thinking...as my gym buddy had left me... The "experts" say that we stop losing weight (our honeymoon period stops) around 1 yr to 18 months post RNY...but why is that? Is it because at that time we are able to eat more normal sized portions so our caloric intake has increased to a "normal diet?' or does it have to do with our body getting used to the amount of calories that we are taking in? Because say if someone takes in 800 to 1000 calories per day...that is not barely enough to cover the amount of calories needed for our bodies to function (as my resting metabolic rate is 1675...at my current weight) ..so my question is what is the reason for weight loss/honeymoon period to stop at 1 to 1 1/2 years out? If you continue to work your tool and watch your caloric intake shouldn't you be able to continue to lose weight until at goal? Thanks everyone for your help!!
Several reasons:
1) You won't continue to eat 800-1000 calories at 18-24 months out. Your pouch WILL stretch. It's normal to do so. You'll need more food to be able to feel satiated.
2) The malabsorption resolves itself between 12-18 months. More villi grow in to help absorb more calories.
ETA: It's not to say you can't continue to lose -- it's just not as easy to do.
1) You won't continue to eat 800-1000 calories at 18-24 months out. Your pouch WILL stretch. It's normal to do so. You'll need more food to be able to feel satiated.
2) The malabsorption resolves itself between 12-18 months. More villi grow in to help absorb more calories.
ETA: It's not to say you can't continue to lose -- it's just not as easy to do.
I absolutly Agree Andrea. The further out you get the more Normally you will eat. The important thing to learn while you're on your way is HOW to actually eat normally.
Just when the Catipillar thought the world was over
....She became a Butterfly
300+ /260/ 140 Current BMI 22.4 /No Longer a #, just were my body is Happy
Highest Weight/ at surgery/ current /Goal
Yes -- for several reasons. (andrea's fond of bullet points today)
1) Certain nutrients are absorbed in certain sections of the intestines. Just for giggles, let's say vitamin A cause it's alphabetical. Vitamin A has a pre-cursor called beta-carotene that is ONLY absorbed in the duodenum, which is completely bypassed in RNY and DS folk -- so any supplements in the form of beta-carotene are completely wasted. Vitamin A in the form of retinyl esthers (palmitate and acetate) are absorbed a bit furter in the jejunum, which is partially bypassed in RNY and is still bypassed in DSers. The degree of bypassing means that there is still quite a bit of malabsorption of vitamin A -- so we need to really bombard the villi with vitamin A to get the malabsorption covered.
Now, it's not an exact science -- there is some absorption of micronutrients in other parts of the intestines -- but not as much. We have a fairly good idea where things are absorbed in the majority of peoples.. but there are the few people that confound and confuse -- cause evolution and mutations occur.
2) Regardless of these villi regrowing for calories, the ability to cover for micronutrients will forever be damaged because the body is too busy trying to just compensate with the caloric deficit. The body prioritizes -- calories are necessary to keep the heart beating and the brain functioning -- so we need those first. Yeah, nutrients are important -- but we need calories first and so we're going to build up the villi for that purpose and not for the other.
That's why labs and supplements are critical for the rest of your lives postop.
1) Certain nutrients are absorbed in certain sections of the intestines. Just for giggles, let's say vitamin A cause it's alphabetical. Vitamin A has a pre-cursor called beta-carotene that is ONLY absorbed in the duodenum, which is completely bypassed in RNY and DS folk -- so any supplements in the form of beta-carotene are completely wasted. Vitamin A in the form of retinyl esthers (palmitate and acetate) are absorbed a bit furter in the jejunum, which is partially bypassed in RNY and is still bypassed in DSers. The degree of bypassing means that there is still quite a bit of malabsorption of vitamin A -- so we need to really bombard the villi with vitamin A to get the malabsorption covered.
Now, it's not an exact science -- there is some absorption of micronutrients in other parts of the intestines -- but not as much. We have a fairly good idea where things are absorbed in the majority of peoples.. but there are the few people that confound and confuse -- cause evolution and mutations occur.
2) Regardless of these villi regrowing for calories, the ability to cover for micronutrients will forever be damaged because the body is too busy trying to just compensate with the caloric deficit. The body prioritizes -- calories are necessary to keep the heart beating and the brain functioning -- so we need those first. Yeah, nutrients are important -- but we need calories first and so we're going to build up the villi for that purpose and not for the other.
That's why labs and supplements are critical for the rest of your lives postop.
I am 18 mos out from the sleeve and am maintaining my weight loss.
I have developed a different lifestyle and relationship with food and eating so for me it is NOT about willpower but about making different choices.
There can be regain with ANY WLS proceduure unless we continue to "implement" the changes we learned during "the honeymoon" phase.
I am mindful of my carbs but do not deprive myself of anything per se.
I have developed a different lifestyle and relationship with food and eating so for me it is NOT about willpower but about making different choices.
There can be regain with ANY WLS proceduure unless we continue to "implement" the changes we learned during "the honeymoon" phase.
I am mindful of my carbs but do not deprive myself of anything per se.
Whatever you do is it truthful, necessary and kind?
There is still restriction -- my pouch is nowhere near the size of my old stomach. But I don't have the malabsorption that I did when I first had my surgery.
Additionally, there are people that continue to experience dumping syndrome or actually develop it later in their path. So willpower has an additional component when you have that to deter you.
However, in the first 12-18 months, there are many lifestyle changes that do take place -- many of which I don't even think about anymore. It's second nature for me to pick up this item over that in the grocery store.. for me to eat protein first rather than carbs.. for me to park further away in a parking lot and walk in rather than park in the closest spot possible. These changes are so ingrained after so long that it would be odd to do anything different -- and so I wouldn't say I "diet" anymore -- I just live how I live.
Additionally, there are people that continue to experience dumping syndrome or actually develop it later in their path. So willpower has an additional component when you have that to deter you.
However, in the first 12-18 months, there are many lifestyle changes that do take place -- many of which I don't even think about anymore. It's second nature for me to pick up this item over that in the grocery store.. for me to eat protein first rather than carbs.. for me to park further away in a parking lot and walk in rather than park in the closest spot possible. These changes are so ingrained after so long that it would be odd to do anything different -- and so I wouldn't say I "diet" anymore -- I just live how I live.
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