You lost me. Who is "everyone" ????? I have LOST weight, using NUMEROUS methods, over the past 60 years...Probably 5000 pounds, at least...
It's MAINTAINING the loss that's been the itchy part
RNY 4-22-02... HAG=Honest And Genuine
LW: 6lb,10 oz SW:340lb GW:170lb CW:160
I learn something new, EVERY day, from SOME body
Gina, without the context of "everyone" I don't know how to respond to your question. Let's try this on for size and see how it flies; for some folks WLS is definitely the best way to lose weight, and I've said this multiple times on this forum. However, there is also an alternative that has also proven to be effective and that is the Medically Managed Program that I outlined earlier. I know that you or the many others on this forum have never heard this because it isn't in the best interests of the surgeons to talk about it with their patients. Don't tell me I'm making false assumptions because I hear these same conversations in our clinic and they go like this "There's no money to be made in a Medically Managed Program so we "encourage" WLS because of the money we can make from it." The result is that a great many people who desperately need to lose weight will never pursue it because they've been told that the only effective way is through WLS and they don't want to submit themselves to that. They've tried all of the for-profit weight loss plans and have failed miserably so there is no reason to try. In short they've given up, and everyone of us pays the price for that lost hope. When that happens, when WL Surgeons quote a 97% failure rate among other methodologies for effectively losing and keeping weight off, they are doing many people trapped in morbid obesity a tremendous disservice, and frankly they are acting unethically when their bank account determines the best path for treatment.
Three months ago I was asked by the management of our clinic if I would be interested in allowing them to use my story in their marketing plans and I jumped on board almost before they could finish asking me. I learned yesterday that the clinic is now booking a record number of patients (their initial screenings are now booked 8 weeks out) and the vast majority of those folks are seeking the Medically Managed Program instead of surgery. I've had the opportunity to talk with some of these folks and they are all saying the same thing, my story has given them a hope they never had, and for me, that's why I wanted to be part of that program. I am very quick to tell them that they are going to have to work diligently to lose the weight and work diligently to keep it off once they have achieved their ideal weight range. It's a week by week, day by day, hour by hour, and minute by minute process and you will have to continue every day for the rest of your life, as will I.
I'm now at 100 pounds lost, with about 120 more to go, but just a few short months ago I really wasn't sure if I could lose this weight or not, but because of all of the direction I have allowed the experts to give me, I KNOW that I will lose it, and whether it takes another 1,2, or 3 years is of no consequence to me because it took me nearly 30 years to put all of this weight on, so 4 or 5 years years is nothing to me. Last July I couldn't walk around the local WalMart, or any other store for that matter, without the aid of a shopping cart, and on Sunday, June 30, I walked nearly 8 miles watching my favorite golfers compete in the US Senior Open at Notre Dame. When I started this program two years ago I couldn't walk 50 yards without having to stop and catch my breath, and this morning I completed a 1.6 mile walk in just over 33 minutes, and I'll be participating in my second 5K this coming Saturday. You may not like what I have to say, and it may well fly in the face of everything you've been told about non-surgical weight loss, and I'm okay with that. I have nothing but respect for those who have chosen that route and successfully made life changes, but I also feel strongly that my results demand your respect as well, though I don't need it to reach my goals. The whole point of what I'm saying is that there is an alternative to WLS and for those who are willing to put in the time and work necessary, the rewards are a brand new life, one that some, including myself, never thought possible, and they won't have to spend thousands of dollars out-of-pocket to reach those goals.
I hope everyone had as great a day as I had today. God bless.
First of all...congratulations on your successful weight loss.
What you seem to not hear is that many of us DID participate in a medically managed weight loss program and we lost considerable weight. What you are also not hearing is that we gained every bit of that weight back and more.
Your posts do come across as being judgmental of our choice to proceed with surgery after many failed attempts with medically supervised diet. When someone reminds you that losing weight is the easy part, but keeping it of is the real struggle, you get defensive and start telling people that you have all the answers. that your program is the only program that works, and that you will never have a failure because of this. How did you think people on a weight loss surgery forum would react to that kind of condescension? We have all failed many times with conventional dieting.
I question why you are here. This site is made up primarily of people who have already had WLS. Your approach to us in saying that there is another alternative is a moot point. Your passion for what you are doing about your weight would be better served on a site that promotes that kind of program. You could be the poster boy for them too and inspire a whole group of people to follow your lead.
Again... congrats on your weight loss...you seem to really want that credit from someone.
Also is very clueless as to what the various WLS programs ARE -- seems to think that it's just cutting and stitching (which we know happens but isn't the gold standard) but I had and continue to have everything outlined under the "very special Medically Manged" program as part of my WLS program -- including but not limited to the super special highly educated "RD not nutritionist", "excercise physiologist not trainer." The weight loss is great and it seems like the required changes and adherence have been fully internalized which is amazing and to be commended but the disdain, dismissiveness and outright rudeness to everyone that isn't doing the EXACT same thing is sad.
HW: 306 SW: 282 CW:144.8 GW: 145 (reached 2/6/19), next goal - 132.9
He also thinks we're totally clueless about what his program entails. Apparently, all we've ever tried is Medically Managed with shakes and pre-packaged meals, as opposed to his medically managed (no caps) behavior-modification program. When nobody on this whole thread has mentioned shakes!
As much as I would like to believe that your type of a Medically Supervised Methods of losing weight is a great alternative to WLS, I am afraid that one day you would look back on your life and see that it is not.
I used to be like you. I think some of us that are trying to tell you that - you are not hearing us. I used to against WLS. I looked into that when I was in my 30's, and decided it was a barbaric procedure, and that I can lose weight and maintain it on my own. And that worked for a while.
But then my body revolted and I gained all the weight back and then some.
In the years when I was constantly on one or another "healthy diet", I caused enough damage to my system that at the end - no diet or pills, or anything really worked. And I am stubborn, very dedicated person. When I was dedicated to an eating plan, and exercise, I followed that almost to a point of obsession.
I think we, and medical community, still we have not idea why some people get so heavy, obese, while others have no problem maintaining normal, or close to normal weight.
There is still no answer to that. No real answer IMO.
We know there are hormonal imbalances that can lead to weight gain. It is not calories in - calories out. There is more to that.
Getting WLS changed my body hormonal response to food. This is the first time in my life that I have to work to maintain weight. Both losing and gaining. The WLS changed that for me. As it did for so many others.
I wish I had WLS when I was in my late 30's. But probably I would get the band, as it was the most popular type of WLS.
Unfortunately I got WLS as a last resort to lose weight and improve my system. I have back issues, and any extra pounds caused additional severe pain to my body.
I am glad you are doing the medically supervised diet. And you are losing weight.
One on my only concern for you would be the nutritional advice you are getting. Unfortunately the nutritional advice, as thought in USA, are IMO not designed to really help a person to deal with hormonal imbalances. To be over 200 lbs overweight, it is rather safe to assume you have hormonal imbalances.
A person with properly balanced hormones - they eat when hungry, and stop when they have enough. For me before my WLS - my eating was almost never "enough". Now, post op WLS - I get, understand that. I have many meals that I eat and when I reach "I have enough" I stop, even if there is just "2 bites" left. And that applies to regular meals, or snacks, or even desserts. I can have 1-2 chocolate candies and not have the third.
I wish you best, but remember, a lot of us who gave in and had WLS - we were like you at one time. Maybe not 100 or 200 lbs overweight when starting some " medically supervised program", but # of lbs is not as important as the process itself.
Getting back to "nutritional advice" - why do I think that? One of my major concern is the diet and medication recommended for people with diabetes. Full of carbs, whole grain, etc. When that really doesn't stabilize person BS, just make them more dependent on medication and then insuIin. The newest studies are showing that that diet can be really wrong, and cause more issues. But it is still thought and recommended.
There are a few people that I know who have diabetes, and they showed me their diet, and I watch them getting worse over time.
I hope your nut is better than that. But only time would tell.
Hala. RNY 5/14/2008; Happy At Goal =HAG
"I can eat or do anything I want to - as long as I am willing to deal with the consequences"
"Failure is not falling down, It is not getting up once you fell... So pick yourself up, dust yourself off, and start all over again...."
For the last three of you that have posted allow me this, I AM NOT ON A DIET!!!! and that is something you clearly do not understand. I am eating to USDA guidelines and I can eat anything I want so long as I stay in those guidelines. I went to DQ a couple of evenings ago and had a Peanut Buster Parfait but I don't do it every day and I don't do it every week, maybe once ever 6 weeks. I eat M&M's and Goldfish crackers. To be sure I eat my share of salads, veggies, fruit, and meat as well. I eat 3 square meals per day and snack in between. I have NEVER taken a meal replacement shake or diet pill of any kind, and THAT is the foundation of the Medically Managed Program to which I refer. Those that utilize meal replacement anythings may be medically managed, but they are not Medically Managed, and THAT is the whole crux of my posts. Any idiot with a functioning brain should know that if you go from drinking one or two meal replacement shakes to eating three meals a day exactly what the result will be before they begin. In two years I have never taken a meal replacement shake or supplement, and I never will have to, and because of that my long term success is guaranteed. Once I reach my ideal weight range I will have to continue to be diligent in my eating and exercise and that will continue for the rest of my life.
My dad went through a similar program that all of you have been on at an area hospital. He started on two meal replacement shakes per day and then eventually dropped to just one shake. He had an exercise program that was cookie cutter because he started. He did his exercises with no supervision other than his weekly check-in at the hospital. He paid good money to buy his shakes and supplements at the hospital, and after losing nearly 50 pounds in a handful of months, he gained it all back, and more, when he started eating three meals per day again. Does any of that sound familiar to you?
You all claim that I'm not hearing you, and you couldn't be more wrong. The very fact that you put "exercise physiologist" and "medically managed" in quotation marks tells me that you don't know what you don't know (no condescension intended). Exercise Physiologists, by definition, make up less than 10% of those who are considered fitness trainers in the industry, the other 90% got their certificates through an online course they paid $100 to complete. Medically Managed is a specific type of weight loss program that does NOT include meal replacement shakes or supplements as part of the program and has very strict guidelines as to what IS included in this program. Of the 100 or so weight loss clinics in our state, only two of them have a Medically Managed program and we are one of them. We have an onsite gym manned by our Exercise Physiologist who tracks the progress of her 375 clients on a daily basis, and not one of us is doing the same exercises or the same program as another. Just last week I became the first patient in the clinic's 25 year history to be put on a HIIT program (I'm not looking for applause). You all are condemning me to failure because you failed at a program designed to insure your failure, but I'm telling you I will succeed because I'm in a program designed to insure my success, as long as I do my due diligence. You all aren't hearing me, no condescension intended.