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floridaweightloss
on 11/11/25 2:31 pm
Topic: RE: Panniculectomy???

As a bariatric and general surgeon, I often see patients who've achieved incredible results with medical weight loss, especially using GLP-1 medications like Mounjaro® (Tirzepatide) and Semaglutide. These treatments help patients lose significant weight safely by controlling hunger, improving insulin response, and boosting metabolism.

However, after major weight loss, many patients are left with excess skin around the lower abdomen -- known as a pannus. This can cause rashes, irritation, and discomfort, making daily life difficult. In such cases, a panniculectomy -- the surgical removal of that excess tissue -- is not just cosmetic but often medically necessary.

Once a patient's weight has stabilized or plateaued on Tirzepatide, we can safely perform a panniculectomy to restore comfort, mobility, and confidence. It's often the final step in a weight-loss journey -- completing the transformation started with modern medical therapy.

Debbie P.
on 11/9/25 1:21 pm - Kettering, OH
Topic: RE: Question about carbs and protein (19 1/2 years out from surgery)

Thank you! That's very helpful. I am under 50 pretty much daily and protein is around 120-150. There's the occasional day where I just am full and my protein dips to the 80's. I do a low carb protein shake on those days.

I do appreciate the input. You kind of confirmed that I'm doing what I thought was right ... even though I don't love it. haha

Debbie ~



AA
on 11/9/25 1:14 pm, edited 11/9/25 5:15 am - New York, NY
Topic: RE: Question about carbs and protein (19 1/2 years out from surgery)

Definitely 50 and under. Unfortunately, it is something you need to do to lose/maintain.

And keep eating protein. I eat it couple of hours.

 

Duodenal Switch/Lap -- Drs. Alfons Pomp & Michel Gagner - New York City

4/4/05: 265 lbs/BMI: 45.6

4/11/05: 256 lbs/BMI: 43.9 (date of surgery)

7/27/08: Gallbladder Removed

 

Debbie P.
on 11/9/25 12:48 pm - Kettering, OH
Topic: RE: Question about carbs and protein (19 1/2 years out from surgery)

I eat some simple, but mostly complex. And I'm not counting calories when I'm doing low carb.

I'm allergic to almost all nuts -- so that takes away a big protein component that I cannot do.

I do a lot of chicken, meats, cheeses, eggs.

I just wasn't sure if we should stay below 50 carbs like a Keto (or lower than 20 carbs for super keto -- which is about impossible for me to do) or if you just concentrate on getting in protein and don't worry about carbs?



AA
on 11/9/25 12:36 pm, edited 11/9/25 4:38 am - New York, NY
Topic: RE: Question about carbs and protein (19 1/2 years out from surgery)

What type of carbs are you eating? Complex or simple?

I eat a lot of nuts but not breads,

I am not sure about calorie restriction. It is not something we usually do. We eat a ton of protein, a decent amount of fats, fewer carbs, and liquids. I eat constantly but it is nuts, cheese, chicken, tuna fish, meats, cold cuts, etc.

 

Duodenal Switch/Lap -- Drs. Alfons Pomp & Michel Gagner - New York City

4/4/05: 265 lbs/BMI: 45.6

4/11/05: 256 lbs/BMI: 43.9 (date of surgery)

7/27/08: Gallbladder Removed

 

Debbie P.
on 10/19/25 8:29 am - Kettering, OH
Topic: Question about carbs and protein (19 1/2 years out from surgery)

I want to do a "reset" so to speak. I have gained with (was up to 205 pounds) and have restricted calories to get back to about 189. But I feel I am starving!!

Sooooooooooo -- I want to get back to lower carbs and higher fat/protein. There's soooo much info online, so I wanted to come here with fellow DS'ers to get your thoughts.

I am not one to do less than 20 carbs a day. Not sustainable to me. 50 is pushing it. lol What would you all suggest? I want to lose another 30-40 pounds and calorie restriction has been incredibly slow (15 pounds lost has taken me 3 months and has now slowed to a crawl or even gains -- when I'm BELOW 1400 calories). I'm hungry constantly.

What would you wise people suggest?

Thank you so much!!

Debbie ~



CookieQueen
on 10/17/25 4:46 am - Austin, TX
Topic: RE: Saying Hello Again, After Many Years

So here you are, and here I am after 18 years. WE ARE STILL ALIVE - YIPPY SKIPPEE. Good to hear from you.


CookieQueen

CookieQueen
on 10/17/25 4:44 am - Austin, TX
Topic: RE: August 11th 2008 until now. What has come over me?

If you really want to do the protein drink routine, I would suggest Premier Protein with 30 grams of protein. I love the milk chocolate. When I really don't feel like chewing; this is what I do so my weight will not drop from skipping a meal. I like the taste and it helps me maintain. I can prop myself up in bed, watch game shows on television and fall asleep - I love that.

On another note, I think I will try your idea of eating just protein; Meat that is, for a month. I love eating bison, veal (very high in protein), elk and also venison. All of these come in a ground meat package so it is easy enough to just make a beef patty, or brown up a pound and add a few sauteed veggies, and call it dinner. Heck I can even shovel spoonfuls into a tortilla shell and have tacos. So thanks for the idea. The primary reason I want to try this, is from time to time, I have a bit of swelling in my right leg calf. I sit with my legs crossed and wearing socks will also trigger a bit of swelling. I have been checked several times to make sure there is no blot clot; and all IS OKAY. I also bought an ELLIPSE and really need to use it several times a day while seated at my computer. I just want to be rid of whatever causes this inflammation.

Anyway, go back to your basics and let all of us know, how you are doing. Trying the protein drink thing for 30 days should give you an idea about a RESET. Good luck and take care.


CookieQueen

CookieQueen
on 10/5/25 6:38 am - Austin, TX
Topic: Are you from Central Texas

Years ago there was an active group in the Central Texas area. Who is still around?


CookieQueen

CookieQueen
on 10/5/25 6:31 am - Austin, TX
Topic: STILL ALIVE - AFTER 18 YEARS

So here I am after 18 years after surgery. To get this out right up-front, I weigh 98.6 lbs. That's not my temperature; it's my weight. I would very much like to get back to 120 lbs. I look better and feel better at that weight.

Since I last posted many years ago; I married a second time, my children are both married and I have 4 grandchildren. It is my job to spoil those grandchildren and I take it seriously. haha

After I lost my second husband who had COVID, and a heart issue. My weight suddenly dropped from 120ish to 100 lbs. My energy level was below ground level. I lost my interest in eating. I would rather sleep than chew and if I sleep thru dinner time, my weight will drop by 1-2 lbs.

It feels very strange to force myself to eat, but I am trying. I cook very well and enjoy it. As an alternative, I drink lots of Premiere Protein drinks. My hope is that I can regain muscle mass and weight. We shall see.

Taking supplements is a pain; but I have found a variety of supplements that are sub-lingual. It is much easier than swallowing and the after taste which I detest. My primary doctor after 20 years retired and I just sobbed. However, my new doctor is much younger and I informed her that she has to continue working until she is eligible for Social Security. She is a real gem and will consult with me as long as I have questions. What a blessing that is.

So, in summary, I am trying to GAIN weight, stay healthy and be happy. I enjoy working in my newly planted Rose Garden and trying to grow a few trees: Meyer Lemon, Key Lime, and Avocado. I live alone, so I subscribed to the Alexa Alert service, so 911 is just a voice request. I have great neighbors who help with small things, like changing a light bulb or the Smoke Alarm battery.

I will be back to post more often. Take care, Y'ALL.


CookieQueen

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