How much should i maybe average losing the 1st year?

I am 28 years old, fairly active. I am 5'7 and currently weigh 305 pounds. I am having the RNY on March 5th. My highest weight was 401 pounds in April 2011. I have lost 96 pounds so far through diet and exercise, watching calories, etc. What do people my age/height/weight expect to lose the first year with watching what i eat and exercise obviously.. not looking for a on the dot number but maybe an average? My surgeon is beyond pleased right now with all of my weight loss so far.. i have exceeded my weight number for surgery 318.6 and i still am starting my pre-op diet Feb 19th.

 

Thanks

My surgeon told me that the heavier the person, the quicker the weight loss. I started my journey at 357lbs and I am over 100lbs loss after 4-5 months. They say around 100 pounds within a year; then I have read 60% of your excess weight loss. But I think everything depends on your activity level and your food choices. The average loss in a week is 2lbs (according to my doc) although mine was more like 5lbs. Sounds like you are on a roll with exercise.....keep that going, once you get the okay to do it. Congrats on your surgery and good luck.

Dr Campbell wants you to have lost 70% of your excess weight at 12 months. She wants us at 25 BMI. For you that is 160 meaning you still have 145 lb of excess weight to lose. 70% of that is 101.5
So......... 101.5 lb in a year is your goal. The other 44.5 should come off in the 6 months to year after that.

TY Karen. I figured i was around this number 150ish left to lose or so. 70% makes sense.

Those are statistics that are skewed by a number of factors, the first being early data in which patients were not properly educated, did not receive psychological evaluations or nutritional education. I will be willing to bet those numbers are much different if you looked at the last 5 years or 2 years those numbers would be much different. 

At the end of the day it is all what you make of it. If you sit around and eat ice cream all day because it feels good on your tummy, well then you can expect to gain. But if you eat right and take advantage of the weight loss to become more active well then you can expect to lose it all and get to whatever weight you want to be at. The problem with all WLS procedures is that you CAN find a way to cheat the surgery. If you do that and you don't stay on top of things you will not be successful. This is a posting I wrote a while back that several people thanked me for writing. Maybe you will find it useful too:

http://www.obesityhelp.com/member/keithleslie/blog/2013/01/0 4/wls-is-a-tool---not-the-solution---its-all-up-to-you-/

As poor as the search function is here on OH, I found this under "realistic expectations".

"I wish I knew who posted this originally.

REALISTIC EXPECTATIONS!
While you will lose weight in the first few months after bariatic surgery, you reach your maximum weight loss in 12 to 18 months. Here is what you can expect to lose post op!

For patients weighing 200 to 250 lbs.
10 lbs. in first 10 days
15 to 25 lbs. in 6 weeks
25 to 35 lbs. in 3 months
35 to 45 lbs. in 6 months
60 lbs. or more in 1 year
70 lbs. or more in 18 months

For patients weighing 250 to 300 lbs.
10 to 12 lbs. in first 10 days
15 to 25 lbs. in 6 weeks
25 to 35 lbs. in 3 months
45 to 60 lbs. in 6 months
80 lbs. or more in 1 year
90 lbs. or more in 18 month

For patients weighing 300 to 400 lbs.
10 to 30 lbs. in first 10 days
25 to 45 lbs. in 6 weeks
35 to 55 lbs. in 3 months
50 to 80 lbs. in 6 months
100 lbs. or more in 1 year
120 lbs. or more in 18 months

For patients weighing 400 to 500 lbs.
10 to 30 lbs. in first 10 days
25 to 45 lbs. in 6 weeks
35 to 60 lbs. in 3 months
50 to 90 lbs. in 6 months
120 lbs. or more in 1 year
150 lbs. or more in 18 months"

Here http://www.obesityhelp.com/morbidobesity/information/planner+results.php    is a useful calculator.

HTH

Marilyn aka mmm

Thank you for posting this! Now I have an idea of what to expect!

Glad to help.  :)

mmm

 

Dear Doctor, I’ve had bariatric surgery. Will I ever get to normal weight?
Answer provided by Lloyd Stegemann, MD, FASMBS

To view a PDF version of this article, click here.

This is a great question and one that, ideally, should be answered beforesomeone has bariatric surgery. I say “before” because I believe it is critically important that patients have a very realistic expectation of how much weight they are likely to lose after bariatric surgery. This can prevent them from being disappointed or feeling like they “failed” if they don’t get back to a “normal” weight. Most patients, in fact, will not get back to a normal weight (body mass index 20-25) after bariatric surgery. We’ll talk more about this in a bit.

What is excess weight?
We need to start this discussion by defining excess weight, which is how much “extra” weight someone is carrying. Excess weight can be calculated by taking your actual weight and subtracting your ideal weight (www.calculator.net/ideal-weight-calculator). If you weigh 250 pounds and your ideal weight is 150 pounds, then your excess weight would be 100 pounds.

The below breakdown shows you the expected weight-loss with each of the different surgical procedures.

Adjustable Gastric Band – 50% of excess weight

Sleeve Gastrectomy – 60% of excess weight

Roux-en-y Gastric Bypass – 70% of excess weight

Duodenal Switch – 80% of excess weight

If you are thinking about having a gastric band (or you have one) and your excess weight is 100 pounds, then it is realistic to expect that you will lose around 50 pounds after the operation. Make sense? It’s important to keep in mind that the numbers listed in the chart are averages, meaning that some patients will do much better in terms of expected weight-loss and some won’t reach the amount of expected weight-loss. Not reaching the expected weight-loss does not make you a failure! Many factors can impact someone’s overall weight-loss including age, medical conditions, physical condition and willingness to work on the dietary, exercise and behavioral changes that are necessary after surgery.

Health Improvements
The best news is that you don’t have to get back to a “normal weight” to achieve incredible health benefits after bariatric surgery. The average bariatric surgery patient sees a dramatic reduction in the number of medications they need to take to control their obesity-related medical problems and a significant improvement in their quality of life even if their final body mass index is still in the “overweight” or “obese” range. In fact, I find in my own practice that if a patient tries to force their weight down to what would be considered “normal,” many times they don’t feel very good and often times don’t look very healthy (that Skeletor look!). I always encourage patients to focus on getting back to a “better” weight for them, not necessarily what society considers a “normal” weight.

In summary, some bariatric surgery patients will achieve a “normal” weight but most will not. If you don’t reach a “normal” weight, well, that just makes you normal!

Lloyd Stegemann, MD, FASMBS

http://www.obesityaction.org/educational-resources/resource- articles-2/weight-loss-surgery/dear-doctor-ive-had-bariatric -surgery-will-i-ever-get-to-normal-weight

Love that article TYYYYYYYY realistic and not dissapointed!! Exactly what i am looking for.