AnneGG’s Posts

AnneGG
on 10/27/11 11:50 pm
Topic: RE: Hormones Linked to Weight Gain After Dieting

Hormones Linked to Weight Gain After Dieting

SUMMARY: Putting on pounds after significant weight loss is the bane of most dieters, but a hormone may be the culprit in slowing metabolism and weight gain, not lack of willpower.
Interesting read with regard to the why of regain.

"What the caterpillar calls the end of the world, the master calls the butterfly." Richard Bach

"Support fosters your growth. If you are getting enough of the right support, you will experience a major transformation in yourself. You will discover a sense of empowerment and peace you have never before experienced. You will come to believe you can overcome your challenges and find some joy in this world." Katie Jay

AnneGG
on 10/25/11 11:27 pm
Topic: RE: Why am I falling back into my old habits again?!
The following was posted by Katie Jay on her NAWLS site, and I am going to copy it in its entirety just because it is so useful.

Why am I falling back into my old habits again?! Dr. David Schroeder, New Zealand

I wanted to share some recent research that may
be helpful. It has been a privilege to be with
you on your journey, and as a continuing
commitment on my part, I keep trying to learn
more that can help you maintain your success or
help you further if you get stuck.

There has been many areas of research into
obesity over the last few years, more than ever
before. Some are looking at the fat cells and how
they play an active role in causing obesity.

Insulin resistance is another topic that people
are trying to get to grips with, as it leads
often toobesity before diabetes. Still others
are looking at the role of various gut hormones
in reversingobesity. However, as you are probably
aware by now, one of my main areas of interest
is the brain, and how this causes overeating.

When you came to see me, I explained about the
pleasure centre, and how this seemed to be
overly active in those struggling with their
weight, so that they were really fighting an
addiction to carbohydrates.

The ability of surgery to reverse this is
variable, and we are only just starting to
understand that surgery does, through still
undiscovered means, decrease the need to eat,
andwhy this can reverse in some patients around
the one year mark, so that cravings return.

Research has discovered that there is another
important area in the brain that is meant to
balance the urge and place it in the larger
context of life. It says: “If I do this now,
there will be consequences later!"

This area is in the prefrontal cortex, and we'll
call it the Control centre. It's job is really
to control impulses and delay gratification. It
matures in women at age 23 and men at 25.

By now you will have realised the importance
of this part of the brain - its the angel on
your right shoulder that says “You don!t need
that" (the Control centre) but it usually loses
out to the devil on your left shoulder that
says “But it looks sooo yummy!" (the pleasure
centre).

The interesting research that has come out in
the last few years relates to brain scanning
that has shown that this part of the brain is
very variable in its response to food, in
particular, chocolate.

Compared to "normal" people, the Control centre
is underactive in smokers and those with a high
BMI. It is also rapidly inhibited by alcohol-
which is why restaurants bring you the drinks
first, so you will order much more food than
you intended.

This means that bigger people actually do have
a problem with control (as many of you told me)
but it is neurophysiological, not a character
flaw.

We also know that it takes effort to maintain
the control, and if anything else gets in the
way of this effort i.e. other stresses, there
may not be enough ego strength left over to stop
eating.

The importance of realising that this part
of the brain may not be functioning normally
is that we have assumed that it is behaving
properly. We thought that if we did the surgery
and told you what to do, why of course you'd
do it!

The reality is that we can't rely on this to be
the case. For some people, the old inability
to turn down what is in front of them, calling
to them, becomes just as real again.

We don't know what reverts, but we do know that
there are strategies that can help fight it.

Nearly all these strategies are done best in
partnership with others, since we just said
that you can't rely on your own brain.

They also take time: set your alarm for 10
minutes earlier in the morning, and revise
yesterday and plan for today in the light of
what you are learning or want to try out.

Finally - these strategies don!t have to just
be about weight - they can be about anything in
your life that you want to change.

Strategies to stay on track:

1. Become aware of the risks and long term negative consequences of your behaviour. Learn from those that have gone before you - lost weight, and then regained it. Listen to their stories and what they think went wrong for them. Warn those around you to let you know if they see you going down the same track.

2. Tell people about your goals. We become what we say we are. If we tell people we have had surgery to lose weight, we will act like people losing weight and we will lose weight. If we hide the surgery and try to act like people not losing weight - guess what - we won!t lose weight!

3. Don!t look too far into the future. Live one day at a time. Create short term goals that are achievable, and revise as they are approaching achievement, to finally reach your long term goal.

4. Constantly remind yourself what you have already achieved, and look back at how far you have come. Take strength from this.

5. Develop practical solutions to tempting situations before they arise. Plan what you will eat at a party and then stick to it. Know that alcohol will lessen your resolve, therefore stick to no or low alcohol options. Pick your children up from the door at their friends parties. Identify the dangers and seek help to find solutions.

6. Replace old bad habits with good new ones. See the arrival home at the end of the day as the signal to reward yourself with a fun activity or relax with a book, rather than heading for the fridge. Automatically choose low alcohol options at restaurants. Plan with extra non-food treats if PMT triggers cravings.

7. Deliberately marry up temptations with bad images- chocolate reminds you of a traumatic event. Wine reminds you of embarrassing experiences. You can even create computer images that mix your favourite temptation with something you hate - this has been shown to help people resist temptation (we could have a competition on this one, but keep it in good taste!)

8. Avoid temptation rather than trying to fight it. If you can!t resist the candy at the supermarket checkout, buy your groceries online or send your partner to do the shopping. Shop at 10 a.m. when you are not hungry. Join the extended family for the Sunday gathering after they have eaten. Don!t have coffee with the jealous friend who will try and make you eat (“You!ve done so well, you can afford to have a little treat! Did they really say that you can!t eat this?").

9. Improve your working memory. Go online and do memory exercises. Train yourself to notice things around you. Learn new things - a language, a dance, a musical instrument. Try new hobbies. See if you enjoy using your hands to make things.

10. Realise that other things that sap your mental energy will lessen your resolve. Learn to cope with stress in safe useful ways. Meditation is useful here. Plan energy restoration breaks into your day (especially you mothers!).

We need accountability to keep on track. Rope in friends and family, as well. Use “other control" until you can develop new paths in your brain that are “self control."

Try it out and let me know how you get on.

Create your life.

David Schroeder

"What the caterpillar calls the end of the world, the master calls the butterfly." Richard Bach

"Support fosters your growth. If you are getting enough of the right support, you will experience a major transformation in yourself. You will discover a sense of empowerment and peace you have never before experienced. You will come to believe you can overcome your challenges and find some joy in this world." Katie Jay

AnneGG
on 10/20/11 10:54 pm
Topic: RE: Worried I'll drop too much weight,
I think you will find the weight that works best for you, and hold there.

That is what has happened for me- I have been maintaining at goal for the past 6 months, and it has been pretty easy. I can't eat much though, even though I run 5 miles pretty much every day. But then I'm 60 and my metabolism is low.

Great work losing so much on your own- you're ahead of the game!

"What the caterpillar calls the end of the world, the master calls the butterfly." Richard Bach

"Support fosters your growth. If you are getting enough of the right support, you will experience a major transformation in yourself. You will discover a sense of empowerment and peace you have never before experienced. You will come to believe you can overcome your challenges and find some joy in this world." Katie Jay

AnneGG
on 10/20/11 10:48 pm
Topic: RE: Sometimes strangers say the nicest things
What a wonderful experience!!!

"What the caterpillar calls the end of the world, the master calls the butterfly." Richard Bach

"Support fosters your growth. If you are getting enough of the right support, you will experience a major transformation in yourself. You will discover a sense of empowerment and peace you have never before experienced. You will come to believe you can overcome your challenges and find some joy in this world." Katie Jay

AnneGG
on 10/18/11 9:46 am
Topic: RE: Frustrated
I also plan what I am going to eat the next day the night before, and if it's not on my plan, I don't eat it.

Serving in the kitchen as Kelly says is also a good idea. We always do that simply because our table is so small, and we do a fair amount of entertaining. I do very little of the cooking now, though I love to cook. It's just too tempting for me, like being in a bar for an alcoholic. I also don't keep refined carbs in the house.

Congrats on the drinking, by the way!

Managing ourselves sure isn't easy, is it? I know I'm a food addict.

"What the caterpillar calls the end of the world, the master calls the butterfly." Richard Bach

"Support fosters your growth. If you are getting enough of the right support, you will experience a major transformation in yourself. You will discover a sense of empowerment and peace you have never before experienced. You will come to believe you can overcome your challenges and find some joy in this world." Katie Jay

AnneGG
on 10/17/11 9:44 am
Topic: RE: why don't i see it??
It takes a long time for old habits to change, and that includes the habit of how we see ourselves. Don't forget that there have been a lot of years of seeing one way. That way of seeing isn't going to change overnight- it will take practice!

I like seeing videos of myself better than photos- it gets very real then.

"What the caterpillar calls the end of the world, the master calls the butterfly." Richard Bach

"Support fosters your growth. If you are getting enough of the right support, you will experience a major transformation in yourself. You will discover a sense of empowerment and peace you have never before experienced. You will come to believe you can overcome your challenges and find some joy in this world." Katie Jay

AnneGG
on 10/17/11 12:11 am
Topic: RE: Why does it bother me so much?
This has been a very good thread on the realities of WLS and the hard work it takes to manage successfully, and that it doesn't do it for you. WLS is good for getting the weight off in the first place, but then it's diet and exercise plain and simple, plus getting in the supplements. For the rest of one's life. At the cost of drastically rearranging one's innards.

OH has been great for me about teaching me the realities. When I was first post-op and miserable with constant nausea, I read the RNY forum from beginning to end. Very very useful.

Am I grateful for my surgery- oh, yes, I am- at this point. I'm interested to see what my future brings, and I hope I have the same point of view a few years from now.

"What the caterpillar calls the end of the world, the master calls the butterfly." Richard Bach

"Support fosters your growth. If you are getting enough of the right support, you will experience a major transformation in yourself. You will discover a sense of empowerment and peace you have never before experienced. You will come to believe you can overcome your challenges and find some joy in this world." Katie Jay

AnneGG
on 10/11/11 10:04 am, edited 10/11/11 10:05 am
Topic: RE: Head hunger is out of CONTROL!
Do whatever you can to distract yourself, try to change the channel in your head, keep yourself active and busy, and exercise a lot. Only stuff I can find that works for me when the HH hits...

The good thing about surgery is that there is no choice but to go forward. No relapsing allowed!

"What the caterpillar calls the end of the world, the master calls the butterfly." Richard Bach

"Support fosters your growth. If you are getting enough of the right support, you will experience a major transformation in yourself. You will discover a sense of empowerment and peace you have never before experienced. You will come to believe you can overcome your challenges and find some joy in this world." Katie Jay

AnneGG
on 10/11/11 7:46 am
Topic: RE: Only my pre-op & FREAKING OUT!!! HELLP!
Of course you are scared- this is major surgery and a major life change, and many of us have failed at that in the past. I was scared silly, but knew I needed the support of surgery. My BMI was 39, 35 at the time of surgery.

I had regrets right afterwards, too, which I am told are also common.

Now- I would do it again in a heartbeat! I am in better health than I have ever been, I can run 5 miles a day at age 60, and I am at goal in a size 2-4 (I am lucky to be small boned).

For me, the best part of surgery is that it gave me no choice but to keep moving forward.

I had to just walk myself through my fear- I am so glad I did. But only you can know if you are ready for this.

"What the caterpillar calls the end of the world, the master calls the butterfly." Richard Bach

"Support fosters your growth. If you are getting enough of the right support, you will experience a major transformation in yourself. You will discover a sense of empowerment and peace you have never before experienced. You will come to believe you can overcome your challenges and find some joy in this world." Katie Jay

AnneGG
on 10/11/11 7:34 am, edited 10/10/11 7:36 pm
Topic: RE: When will I feel hungry again?
Hunger is different for each individual. I had to force myself to get my fluids and protein in for the first 4 months because of chronic nausea. The nausea left and my hunger came back.

Do whatever you can to force the fluids and protein- it is so important! You might want to up the frequency with which you are eating, or up the frequency of your protein shakes. Shakes are the easiest way to get protein in.

Persevere!

"What the caterpillar calls the end of the world, the master calls the butterfly." Richard Bach

"Support fosters your growth. If you are getting enough of the right support, you will experience a major transformation in yourself. You will discover a sense of empowerment and peace you have never before experienced. You will come to believe you can overcome your challenges and find some joy in this world." Katie Jay

AnneGG
on 10/9/11 11:13 pm
Topic: RE: Searching for motivational stories to help with slight regret.
Hang tough! Regrets are common after surgery in the beginning- I sure had them- but things will get easier as you start having NSV moments and as you find you can do new things.

Now I wouldn't trade anything for my new freedom and ease with living my life. You'll get there, too!!!

"What the caterpillar calls the end of the world, the master calls the butterfly." Richard Bach

"Support fosters your growth. If you are getting enough of the right support, you will experience a major transformation in yourself. You will discover a sense of empowerment and peace you have never before experienced. You will come to believe you can overcome your challenges and find some joy in this world." Katie Jay

AnneGG
on 10/9/11 11:04 pm
Topic: RE: 2.5 Weeks Post Op and No Control- Roux en Y
Please please be gentle with your new surgery and give it a chance to heal!!!

You are in control of your actions- you are choosing not to be. Are you going to be a vote for success or failure for yourself?

"What the caterpillar calls the end of the world, the master calls the butterfly." Richard Bach

"Support fosters your growth. If you are getting enough of the right support, you will experience a major transformation in yourself. You will discover a sense of empowerment and peace you have never before experienced. You will come to believe you can overcome your challenges and find some joy in this world." Katie Jay

AnneGG
on 10/9/11 10:59 pm
Topic: RE: 7.5 years and not immune!!
Thank you for giving me hope and inspiration!!!

"What the caterpillar calls the end of the world, the master calls the butterfly." Richard Bach

"Support fosters your growth. If you are getting enough of the right support, you will experience a major transformation in yourself. You will discover a sense of empowerment and peace you have never before experienced. You will come to believe you can overcome your challenges and find some joy in this world." Katie Jay

AnneGG
on 10/9/11 4:30 am
Topic: RE: Its hard finding the motivation to diet before the surgery.
The important thing is to get your head clear and committed- the rest will follow. Also set someone or something up to hold yourself accountable- I have a weight graph and exercise log I share with my husband.

WLS is great for getting the weight off; then we have to maintain which is almost all head work.

It helped me a lot to get my good habits going pre-surgery- it made it easier post-op.

"What the caterpillar calls the end of the world, the master calls the butterfly." Richard Bach

"Support fosters your growth. If you are getting enough of the right support, you will experience a major transformation in yourself. You will discover a sense of empowerment and peace you have never before experienced. You will come to believe you can overcome your challenges and find some joy in this world." Katie Jay

AnneGG
on 10/9/11 4:24 am
Topic: RE: Its hard finding the motivation to diet before the surgery.
Thank you for being such an inspiration!

"What the caterpillar calls the end of the world, the master calls the butterfly." Richard Bach

"Support fosters your growth. If you are getting enough of the right support, you will experience a major transformation in yourself. You will discover a sense of empowerment and peace you have never before experienced. You will come to believe you can overcome your challenges and find some joy in this world." Katie Jay

AnneGG
on 10/6/11 11:28 pm
Topic: RE: Goal! Making myself accountible!
Way to go!!! Your plan sounds excellent!

Thanks for being an inspiration for being successful further out...

"What the caterpillar calls the end of the world, the master calls the butterfly." Richard Bach

"Support fosters your growth. If you are getting enough of the right support, you will experience a major transformation in yourself. You will discover a sense of empowerment and peace you have never before experienced. You will come to believe you can overcome your challenges and find some joy in this world." Katie Jay

AnneGG
on 10/6/11 11:25 pm
Topic: RE: HELP! Weight Gain
I echo the sentiments to stay off the scale! Just keep slogging- the weight will come off!

"What the caterpillar calls the end of the world, the master calls the butterfly." Richard Bach

"Support fosters your growth. If you are getting enough of the right support, you will experience a major transformation in yourself. You will discover a sense of empowerment and peace you have never before experienced. You will come to believe you can overcome your challenges and find some joy in this world." Katie Jay

AnneGG
on 10/6/11 11:19 pm
Topic: RE: Leg Pain at night?!?
Sounds like sciatica- a pinched sciatic nerve- which wouldn't be WLS related. Or maybe muscle cramps. Does the pain happen during the day also?

"What the caterpillar calls the end of the world, the master calls the butterfly." Richard Bach

"Support fosters your growth. If you are getting enough of the right support, you will experience a major transformation in yourself. You will discover a sense of empowerment and peace you have never before experienced. You will come to believe you can overcome your challenges and find some joy in this world." Katie Jay

AnneGG
on 10/6/11 10:15 pm
Topic: RE: Rollercoaster day- Just need to get it out.
I always think of the job I was down to the last two for years ago that I didn't get, and like you I was so devastated.

Six months later they laid everyone off and shut the unit down.

"What the caterpillar calls the end of the world, the master calls the butterfly." Richard Bach

"Support fosters your growth. If you are getting enough of the right support, you will experience a major transformation in yourself. You will discover a sense of empowerment and peace you have never before experienced. You will come to believe you can overcome your challenges and find some joy in this world." Katie Jay

AnneGG
on 10/6/11 10:10 pm
Topic: RE: OT:when it rains it pours!!
You do have troubles- sorry to hear!

Swinging lizards for you- may things look up soon!

"What the caterpillar calls the end of the world, the master calls the butterfly." Richard Bach

"Support fosters your growth. If you are getting enough of the right support, you will experience a major transformation in yourself. You will discover a sense of empowerment and peace you have never before experienced. You will come to believe you can overcome your challenges and find some joy in this world." Katie Jay

AnneGG
on 10/5/11 11:30 pm
Topic: RE: Nik's armchair sermon o' the day: The Chorus
Great post, Nik. Focusing on my own journey and staying in the present... Keeps me calmer.

"What the caterpillar calls the end of the world, the master calls the butterfly." Richard Bach

"Support fosters your growth. If you are getting enough of the right support, you will experience a major transformation in yourself. You will discover a sense of empowerment and peace you have never before experienced. You will come to believe you can overcome your challenges and find some joy in this world." Katie Jay

AnneGG
on 10/5/11 8:48 pm
Topic: RE: Almost 11 months out!! How am I doing? w/ PICS
You look simply fabulous!!!

"What the caterpillar calls the end of the world, the master calls the butterfly." Richard Bach

"Support fosters your growth. If you are getting enough of the right support, you will experience a major transformation in yourself. You will discover a sense of empowerment and peace you have never before experienced. You will come to believe you can overcome your challenges and find some joy in this world." Katie Jay

AnneGG
on 10/5/11 6:11 am
Topic: RE: Why the RNY?
I think it needs to be a personal choice based on lots of research and what you think will work the best for you.

That said, I am grateful for my RNY and the help it has given me with both my health and my weight.

DS and the sleeve weren't insurance options for me, and I'm glad I didn't get the band because of the complication rate.

100 lbs plus 30 lbs pre-op- gone. GERD, sleep apnea, and high cholesterol- gone.

I have a new lease on life at age 60.

"What the caterpillar calls the end of the world, the master calls the butterfly." Richard Bach

"Support fosters your growth. If you are getting enough of the right support, you will experience a major transformation in yourself. You will discover a sense of empowerment and peace you have never before experienced. You will come to believe you can overcome your challenges and find some joy in this world." Katie Jay

AnneGG
on 10/5/11 6:04 am
Topic: RE: 15 months out
My goodness! I didn't realize I was so far out- I had surgery 2 weeks before you. I've been thinking I'm just a little over a year out!

Good for us! What a lot of worth-it work!

Accept the compliments- you have earned them!

"What the caterpillar calls the end of the world, the master calls the butterfly." Richard Bach

"Support fosters your growth. If you are getting enough of the right support, you will experience a major transformation in yourself. You will discover a sense of empowerment and peace you have never before experienced. You will come to believe you can overcome your challenges and find some joy in this world." Katie Jay

AnneGG
on 10/5/11 5:57 am
Topic: RE: Advice from those whose BMI was around 40 at surgery
No regrets whatsoever, and my BMI was 35 after pre-op weight loss of 30 pounds. I also had comorbidities that are now completely gone- sleep apnea, GERD, high cholesterol.

I am so grateful for the assistance of surgery in getting the weight off- 100 lbs- it's now up to me to maintain the loss.

I would do surgery again in a heartbeat. I am still in the honeymoon phase, and am working hard to avoid long term complications and regain.

"What the caterpillar calls the end of the world, the master calls the butterfly." Richard Bach

"Support fosters your growth. If you are getting enough of the right support, you will experience a major transformation in yourself. You will discover a sense of empowerment and peace you have never before experienced. You will come to believe you can overcome your challenges and find some joy in this world." Katie Jay

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