Question for the veteran RNYer's

wufpackerfan
on 9/16/11 2:09 pm, edited 9/16/11 2:11 am - Garner, NC
I've lost 95 lbs. It's fantastic. I'm thrilled. It's been a little over 6 months since my surgery. I'm happy with my progress. I need to lose about 30-35 more lbs to reach my ultimate goal for myself.

Over the last 2 months, I've noticed that the scales haven't moved much...say 3-4 lbs at the most. Seems like I've been hovering around the same weight neighborhood for a while now. Looking so forward to reaching the 100 lbs loss milestone in about 5 more lbs. I was wondering if this is typical? Will it take a while for the rest of the 30 lbs to come off?

I know I won't be a year out from surgery until March 2012. So I was wondering if I can expect the weight to come off very slowly between now and then?

I really would like to reach my goal weight...I'm happy with the amount of weight I've lost thus far but if I'm being honest...I really want to reach my goal weight. I need about 35 more lbs off then. I know I shouldn't be too hard on myself but I just am concerned about this huge STALL I seem to be in. I didn't know if this is normal or what? So I wanted to ask any Veteran RNYer's for their advice/opinions/suggestions. Will I continue to lose the weight between now and March?

Any advice on what I can do to make sure I keep losing weight now that I'm 6 months out from surgery? Thanks for all of your help...I know I'll reach my goal but some days it seems farther from my reach than other days. Guess today is one of those doubtful days so I wanted to ask for some advice/help from those who've been there and dealt with that. Thanks for all of your support!

-Donna

        
 
  
"Nothing tastes as GOOD and being HEALTHY FEELS!" 

RNY (3/11)   Age: 45  Height: 5'5"  &  NO plastic surgical procedures                                                      Starting weight: 270  Lowest weight: 132  Goal weight: 135  Current weight: 138.8 

 

Pitoune
on 9/16/11 2:23 pm - Montréal, Canada
Give your body a chance, you honestly can't expect to lose all your weight in 6-7 months.  Sometimes it takes even a few weeks of stalls for your body to adjust to all the weight loss. You probably know the drill, shake things up... increase water, protein, exercise and the stall will let up.  Good luck!
*~*Pitoune*~*
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wufpackerfan
on 9/16/11 2:32 pm - Garner, NC
Thanks for the advice.  You're right, I suppose I expect too much too soon.  I know it takes time.  Some days I suppose I just doubt I'll reach my goal.  I shouldn't think that way and things would be better.  Stalls are apart of the process.  I know.  I'll shake things up as you mentioned.  I think if I could just reach my 100 lbs lost milestone--I'd feel better.  Seems like those last pesky pounds are the hardest.  I appreciate the advice.  Thanks for your support!  Good Luck to you too!

        
 
  
"Nothing tastes as GOOD and being HEALTHY FEELS!" 

RNY (3/11)   Age: 45  Height: 5'5"  &  NO plastic surgical procedures                                                      Starting weight: 270  Lowest weight: 132  Goal weight: 135  Current weight: 138.8 

 

sjbob
on 9/16/11 2:34 pm - Willingboro, NJ
 I guess I qualify as a veteran since I had my origiinal RNY on 11-14-2000 and my revision RNY on 01-21-2005 ( due to a staple line disruption ).  You lose weight rapidly in the early stages of being post-op partly because of the vast difference in calories taken in versus calories needed to maintain your pre-op weight.  However, my surgeon explained that your stomach is about the size of your thumb immediately following surgery and will grow to its new permanent size ( if you don't abuse it or your eating ) in about 6 months.  Once 6 months have passed you will generally lose but at a slower rate.  Most people remain in their "honeymoon stage" for about 18 months post op.

You can get a really good description of how stalls work by looking on the Men's Forum for a post dated 08-25-11 concerning stall observations.  In particular, look at the post from Cabin111.  He reposted a response from a man who knew a lot about these things and did a lot of research and posted his info on the Men's Forum for several years.  You may want to copy and paste that info.
PLEASE do not post on the Men's Forum.  It's the only forum on OH just for men and we need the support of other men.  I almost hesitate to give out this info, but I usually ask someone to post it about once a year.

By the way, my computer skills stink and I still can't copy and paste even though I've had PCs for over 10 years.  If I really need it done, I have my wife do it.

I'm back working the Beck Diet Solution--link to my Latest Posts for more info-- and Dr Beck claims that you are really not in a stall unless it has lasted for 6 weeks.  I don't think most of could wait that long for a resolution.
volky64
on 9/17/11 3:40 am
was dr. raper from university of pennsylvania the one who did your surgery??  he's an associate of the surgeon who will be doing mine :)
sjbob
on 9/17/11 9:08 am - Willingboro, NJ
 Dr Raper was at U of Penn and he did my revision RNY,  My original surgeon wouldn't do it because he didn't take my ins.  The only problems I had with the treatment at U of Penn were my fault.  First of all, I'm manic-depressive and sometimes I perceive things differently than how they really are.  What I mean about it in this situation is that the surgery went fine and everything was fine until I went for my follow-up.  I had no problem with the surgeon, but I though that the nurse or nutrionist berated me for not losing enough weight.  I didn't go for any more follow-ups which was not too smart.  I had a high of 420 at the time of that RNY and weighed around 380 when I went for follow-up.  That was a weight loss of 40 lbs.  I didn't realize until a few months later that I was at least clinically depressed when I had the revision.  My shrink wouldn't let me change my anti-depressant until 10 mos post-op.

The only other problem I had is that the support group is in Philly.  I know that makes sense since that's where the surgeon is located.  I believe you either get a discount iin the parking garage or it's free.  I just didn't like driving into Philly then.  And, that's strange because I used to work in Center City but I didn't drive ther much for work.

I so recommend Dr Raper's team.  They were thorough regarding instructions and info on post-op diet.  Bob
5100kiki
on 9/16/11 2:46 pm
Don't get discouraged.  The 1st 6 months the weight comes off quickly - because we weigh a lot and eat very little and the heavier we are the more calories it takes to maintain all that extra weight and so we are burning up a lot of extra calories very quickly.    Weight continues to drop off for the first year - it just comes off a little slower after we become lighter. 

Advice - exercise - and sometimes eating more protein will spike your metabolism into losing weight.   It may sound crazy - but - sometimes we stall and don't lose because we don't eat enough protein/calories.  Try increasing your protein intake by adding an extra scoop of protein into a protein shake for a couple of weeks. Your body is adjusting and losing inches.  Hang in there and relax...more weight will vanish!  Keep in mind too that at 1 year out the clothes I wore last summer - are too big this summer.  And I haven't lost a lot of weight between last year and this year but I've lost at least 2 sizes...
          
poet_kelly
on 9/16/11 3:00 pm - OH
Weight loss often slows down after six months or so.But 95 lbs in six months is extremely rapid weight loss.  I would expect weight loss to continue for at least another six months, but it is different for each person.

It might help to adjust your calories and/or protein.  How many calories do you get in a typical day?  How much protein?  It seems like many people find they need to increase calories around the six month mark.

View more of my photos at ObesityHelp.com          Kelly

Please note: I AM NOT A DOCTOR.  If you want medical advice, talk to your doctor.  Whatever I post, there is probably some surgeon or other health care provider somewhere that disagrees with me.  If you want to know what your surgeon thinks, then ask him or her.    Check out my blog.

 

(deactivated member)
on 9/16/11 3:13 pm - Santa Cruz, CA
Here is a very good post from DxE as previously mentioned.

"Post Date: 8/14/10 9:40 pm
Disregard if you have seen this before. But for you new people who hit a stall for several weeks and feel frustrated that the scale is not moving the copy and paste below may help you...Brian
Below is a copy and paste from DX...very knowledgeable man. It might help. He had said after WLS it is like decending stairs...

Still staying on-track calorie-wise? And the scale shows you stopping? Or Even Gaining?!?!? ----------------------------Re-Post Unsolicited advice/info… -------------------------------------- Pull back from your ‘daily’ charting, and look at a weekly or even monthly. There are up and down spikes each day, But if you ‘graph’ the highest to the lowest, I’d bet there is still A downward slope over the course of the month. There’s an 8 to 10lb. volume of "wiggle room" due to water alone. And it comes into play a lot. This has to do with our bodies using glycogen for short term energy storage. Glycogen is not very soluble, But it is stored in our muscles for quick energy – One pound of glycogen requires 4 lbs of water to keep it soluble, And the average glycogen storage capacity is about 2 lbs. So, when you are not getting in enough food, (Like when you drop down to your calorie intake) Your body turns first to stored glycogen, Which is easy to break down for energy. And when you use up 2 lbs of glycogen, You also lose 8 lbs of water that was used to store it Voila -- the "easy" 10 lbs that most people lose in the first week of any diet. As you stay in caloric deficit, however, Your body starts to ‘realize’ that this is not a short term problem. You start mobilizing fat from your adipose tissue And burning fat for energy. But your body also ‘realizes’---- (by way of your liver releasing hormones signaling low Cal intake) ---That fat can't be used for short bursts of energy – Like, to outrun a saber-tooth tiger. So, it starts converting some of the fat into glycogen, And rebuilding the glycogen stores. And as it puts back the 2 lbs of glycogen into the muscle, 8 lbs of water has to be stored with it to keep it soluble. So, even though you might still be LOSING energy content to your body, (Thus showing negative Calorie load overall) Your weight will not go down or you might even GAIN for a while As you retain water to dissolve the glycogen that is being reformed and stored. Yes? The whole ‘weight-loss’ process is not a straight "Slide" down the scale. More like "Stair-Steps," (Down then forward, then down, then forward, etc... As your body cycles fat out of "deep storage" and through the Liver Into the muscles as Glycogen. The muscles and Liver can hold about a 3 weeks supply. This is why many people find that their "Stall" or "Plateau" Breaks when adding a bit of exercise And upping their water intake, or in the case of an "extreme exerciser," The total Calorie or Protein Intake, To signal the liver to let go of more Glycogen. Fear not, many people who are now enjoying life at a normal BMI Once had a few weeks or so of thinking- "...my weight loss has been awfully slow, has it stopped..."? Hope this helps some. You are doing Great! Keep it Up! Best Wishes-Mike Wazowski Dx

sweetpotato1959
on 9/16/11 6:23 pm
 Don't be too hard on yourself, you have done fantastic..
       .I continued my weight loss until I was post op wls,14 months   (I had a different surgery,many yrs ago,17, that included an rny...)
      It is common for  most people to loose the bulk of their loss in the first 6 months.
       That said...look at the amount  and kind of fluids you are taking in.Make sure they are calorie free, unless they are also very high protein...read,think .. protein suppliments.  I would boost my protein to at least 90, but go with the goal your  surgeon gave you.and lots of water.
      look at the carbs you are consuming, make sure you vary them... over a 4 day period have at least one  very low day and one that is  a few grams higher than the  medium ones...this  stops your  body from locking in  on a certain number...  after a week -10 days you should see changes. If not stop and re-evaluate and shake it again!
          Make sure you get your calcium, magnesium D3 and B complex in.... Need to keep building that Bone! ...Your two greatest risks are loss of bone density and anemia's.  Taking these regularly will help to minimize these two problems.
Denise
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