Confused and stuck...

Dalton L.
on 1/14/09 10:45 am - Clayton, NC
So here's my update.  Lost 175 lbs since February 2008.  145 since April 2008.  Done pretty well but have basically been stuck at 285 for nearly 2 months.  All the other crap is gone and except for the weight, the health is great.  Called the Dr.s office and got the usual BS, the weightloss will slow at around 8 months, probably in a plateau, just stay the course.  Not what I want to hear. 

I have been eating right, kicking ass with the exercise and watching my intake like a hawk.  Averaging around 1400-1500 gross intake cals a day.  Good protein intake at 120+ grams a day.  Keeping fat and carbs to 30-40g and 150g or less respectively.  Finally went to see a nutritionist.  Got my BMR tested and it came back an astounding 2610 cals a day. 

SOOOO, here's my dillemma.  I was told, I have to eat  more, no less than 1800 cals a  day and do  not let net cals fall below 1000-1300 depending on exercise.  Currently I a burning 600-1200 cals a days on exercise.  As BMR falls, I'll have to kick  up the exercise more or eat less.  The other stuff was no surprise.  Vary the exercise regimen and kick up the water.  Oh, and eat more veggies (hate em). 

After months of watching what I eat, I have to eat more.  So just frack with my mind why dont ya.  She also said that I am likely losing much of the malnutrition benefit the surgery provided and am entering the  really tough phase of the weight loss program.  Most folks reach there goal by the time  this happens but because I started at such a high weight (462), I am losing the benefit at at a weight where most folks would be starting there journey.  I know I'll be carrying around an extra 20 or so lbs of skin.  If I am to get to my goal, I need to lose another 70-80 lbs.  Man this is gonna be tough.  Its too early to think revision.  Really looking forward to my 1 yr checkup.  Interested in seeing what the WL doc says.  For now, will stay the course and try to follow most off what the nutritionist said.  Will try to increase my cals some.  Can probably get the extra 300 cals with a milk based  protein shake.  We'll see. 

What do you guys think of all this??  Is this a line of bull or does it sound right?

Dalton
cabin111
on 1/14/09 2:17 pm
I personally think it sounds about right.  The one thing I would add, like you said, vary the exercise.  I would hold onto the weight, even with exercise...Yet, when I would do hard physical work...I would drop the weight.  Go figure.  Also I don't like vegetables...Boring.  But I eat them because I know they are the right thing to do (for the weightloss, nutrients, and that full feeling).  Whoever said this is the easy way out???  It's tons of work.  Brian 
sjbob
on 1/14/09 3:04 pm - Willingboro, NJ
Let's see: you started out a 462 and are down to 285 within a years.  Guess what?  That's fantastic!!!  You are starting to get into the maintaining phase of post-op.  You probably have another 4-6 months in the post-op "magic window" where you will lose most of your weight.  The most rapid weight loss usually occurs within the first 6 mos post op and then starts slowing down.

Talk to your doc.  Is your goal weight plausible based on surgery, diet, and moderate exercise?  There are men *****gularly post here who have lost more than their docs would have expected because they became exercise junkies.  Look at what some of the thinner men actually say they are doing as post-ops.  Can you follow in their footsteps?  And, was their initial weight as large as yours?  You may be able to lose additional after the 18 month window, but at that point you would be losing it like anyone else.  Your pouch will continue to serve you since you simply cannot overeat at meals.
Blazade
on 1/15/09 2:40 am - Onalaska, WI
A couple tidbits from a vet.  V8 Juice is a great way to get in veggies.  Eat often - keep your metabolism going at top speed.  I eat 7 meals a day.  You may need to up your fat intake a little, our body needs the fat to work efficiently.  I did that by drinking whole rather than low fat milk.  Stay the course, those who follow the rules are successfull.

Robert

Dalton L.
on 1/15/09 11:56 am - Clayton, NC
Thanks guys!  I appreciate all the great advice.  I'm refocusing and am gonna win this battle. 

Dalton
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