M2G

Butter...GREAT article. Wow. Thanks for posting. Even though we don't have a "pouch" and the mechanics are slightly different, I think there are some great takeaways from this really informative article. Thanks for sharing. I don't know that I need to fluid load to keep hunger at bay (though it's worth trying) but when I wait about a hour (and setting the timer on the phone keeps me accountable, otherwise it's easy to "forget" when you last took a bite, etc.) I notice that the food I eat definitely lasts longer in my sleeve and keeps me full and keeps hunger at bay. YES! This IS important and I too had gotten a bit lazy. I still never eat and drink together, (I tackled that problem from day one) but I had gotten sloppy about timing. Did I finish my meal at 12:30. And it's 12:45...okay to drink? Hard to remember with every meal. So I find that keeping myself accountable on this really helps a ton! It's just one of the rules that is easy to not pay close attention to, but it makes a huge difference IMO. Lynda, thanks for sharing this. I will admit at first, seeing all the numbers and charts and jargon were an instant turn-off for me. However, this article is well worth the time it takes to read it. And it DOES address the hunger issue that has been cropping up in this thread. It also does have 2 cases of being resleeved due to "fundus regeneration" so again going back to a physical complication with their sleeve. (The article does a good job explaining this also.)

Well, I had "lack of hunger" for a good two years post-op. Now that I'm getting closer to 3 years, it has (sadly) returned. But like BTB said it is NO where near the level it was pre-surg. and it is definitely manageable. When I eat carbs/sweets/crap, the hunger rears it's ugly head. When I eat on plan, notsomuch. The 5:2 also really cuts my hunger down tremendously. Interesting ...that eating triggers more eating. While fasting...seems to promote less eating. Oh and I have recently extended my time window for drinking. I had gotten a little lazy about drinking too soon after eating. Like my window had been narrowed down to 15-25 minutes and in the last month or so, I will set the timer on my phone and NOT drink any Water until I'm at least 45 minutes past my last meal. Sometimes I go longer but my new minimum is 45 minutes. It makes a huge difference in physical hunger to me.

:lol:

In your OP I thought you were saying the article talked about hunger but I was confused. The hunger coming back came from a diff. source than the article...

Exactly what I have seen/heard before also. There was someone here who was left with basically a large sleeve (can't remember exact details but like 60% or something of their orig. stomach) and she was looking to be re-sleeved. I know of another blogger who described having a "malformation" of her sleeve and was looking to be re-sleeved but as far as I know she hasn't gone through with it.

LV- JUST re-read your OP. Sorry...the hunger thing was from the bariatric surgeon's office...sorry!

"Over 5 years of follow-up, 77.9% of patients developed Vitamin D deficiency, 41.2% had Iron deficiency, 39.7% had zinc deficiency, 39.7% had a vitamin B12 deficiency, 25% had a folic acid deficiency, and 10.3% developed anemia. These deficiencies occurred "despite routine supplementation, in a higher rate than we had expected," the researchers wrote." That is a little disturbing. I'm wondering how consistent supplementation was? And if they were deficient before surgery or it developed strictly after? Bah, not loving the article I must say. But, LV, I didn't read anything about hunger level. Did I miss something?

Yes, that is how my brain unscrambled their damn medical code. LOL! I just like to "gloss" over things that include mathmatical equations, or something that would require me to look up a conversion chart. So I just read it as BMI of 35....

That is how I would translate that. Pretty crappy way of saying it though. They should just stick with excess weight, IMO.

K, I'll bite. I believe what they are saying is that almost 35% (of the group who were virgin sleevers) and 50% of the band-revised-to sleeve group were still with a higher BMI after 5 years. Basically that they never reached a goal weight that would put them out of the range of "risk" factors associated with having a higher BMI. They were still considered medically obese.

Is re-sleeving really an option? I know you can do a RNY after the sleeve (and of course you can to the DS after the sleeve) but I was under the general impression that re-sleeving is super-tricky. The place where you have been cut, stapled, and some of us oversewn, that would be considered a weak spot in the stomach. So what do they do, take the remaining 15% of your stomach and cut another 5%? Or would it have to be more like 10% and then you are left with 5% of stomach? I just don't think this seems feasible.

Shoot. If you lived closer I would buy you a jar. If you know someone who has one just ask them to pick you up a jar. I swear the same size jar at the grocery store is about $17!! I just went and checked mine at it's a 26oz jar. It lasts a long time because I'm really the only one in the family who likes it.

Ooooh, try costco. They sell the MaraNatha Almond Butter brand for something like $7-ish? It's a big jar too. I never buy it at the grocery store...only at Costco.

Okay made it through spin. Reg. instructor was missing tho and it was a sub. She was good but I missed the reg. one. Had a moment or two of dizzy, shakiness, but that happens on a normal day too. YAY survival! Oooh, popcorn on a fast day is just EVIL, pure EVIL I tell ya!

I know, I've actually had to set an alarm because now that BOTH of my girls are in middle school it starts earlier and I *like* my quiet am time, so I've been setting the alarm to get up at 5 before they get up at 6. I'm a little worried about spin today...just because it's been about 3 weeks since I did it. I'm sure it won't be fun. The spin instructor tho, love her dearly. She is always changing things up each week, so that is good. But it's 1 full hour and we do NOT coast. Ever.

That is good since you are a night snacker, right? I'm a morning person so I naturally am ready for bed by 9...lol 8:30 would be even better. Though I'm often up until 10 but usually not because I want to be.

Well maybe the only ones posting about it lol. I've had 2 cups of coffee with FF cream and egg beaters with a smidge of cheese and turkey sausage. So I'm sitting at 166 right now. Buuuut, I'm heading to an hour of intense spin class in a little bit. I didn't want to go on an empty tummy. It will be interesting to see how fasting and intense exercise go (I haven't been doing intense exercise for the last couple of weeks because I tweaked my back and wanted it to fully heal.) So far on fast days previously I've only done treadmill running/walking (oh and a bit of outdoor running also) so today will be a good test. How's your day shaping up so far LV?

Yay the cast is OFF, the evil cast is gone! Happy dance!! Well, at least now you KNOW what you weigh instead of guessing...lol. Glad it's gone... Fasting today, I got in just over 1550 cals yesterday and weighed the same today...but I tired of being stuck on the scale. Boo. Hopefully today will make a difference!

I don't know my TDEE, but I did my BMR when I was about 16 months post-op (paid a sports medicine guru to stand on his big fancy scale...it spit out a big ole sheet of paper with a lot of info on it, most of it confusing...) BUT the bottom line was that my BMR at the time was 1,450. I've tried eating more than that and I always gain. Always. I have never bothered to figure out my TDEE, because it seems confusing to me also. I never "count" or try to "eat back" my calories burned through exercise. I just fished out the paper...it was called an InBody 720 (I think that might have been the name of the actual piece of equipment.) Anyway, my NUT agrees that my BMR is on the low side. So I think she has been ok with the lower calories. My actual number was 1,459 kcals. Anyway, I've always gained when I creep over 1,400 and I only seem to lose when I go below >800. Gah!

Thanks ladies...I know this too shall pass. But thanks for letting me whine about it here. Yes and the -9lbs are GONE nothing to be sad about!!

The not weighing for 30 days...I couldn't do it! Oh I've done it before when I was hiding from my scale but not when I'm trying to lose, lol. Yesterday was a feed day (Georgia, I eat fairly clean on feed days, but the reduced hunger/reduced snacking makes it hard to eat more...) and after dinner I was just over 1,070 cals. So I had some greek yogurt with PB2 in it and then drizzled a bit of choc. sauce over the top. Ended the day just shy of 1,200. Normally I do not eat anything after dinner, but this was like a nice dessert. I just couldn't stomach the thought of more meat.

Now, 5 weeks of 5:2 done and still down -9lbs. Wishing it was more but have been stalled for the last 2 weeks. Grrrr!

Welcome! Best of luck on your surgery... I'm in Centennial, maybe we should do a "gathering" of some of us that are close by... Well, my surgeon was Dr. Snyder at Rose. I've been going to support groups over there for almost 3 years now. There are some Metz patients coming because I think Metz now has privledges at Rose and is the backup for Snyder. I think we also get a few other surgeon's patients at our support groups. We have a couple of long timers there, a few who are about a year out, one who is close to 2 years and of course myself being almost 3. It's a mixed bag though and there are a lot of newbies with a lot of newbie type questions/concerns. It's all good though and I go because I love the NUT who runs them, she is awesome and I love her attitude, etc. So that is what keeps me coming back. The one at Rose is open to anyone. You can PM me for details if nec.

Thank you so much Georgia! Haha, thank you so much for sharing that FYE! Okay have to catch up on what's going on around here. Had some family in town for a few days so I was out of the loop. I went and had a visit with my favorite NUT today and I've been keeping her in the loop on the whole 5:2 thing. Educating her, really, as she had not heard of it. She had given me the green light to try it and I started on Tues July 17th. Exactly 5 weeks ago today. I'm down -9lbs. The past two weeks, I have fasted 2x per week, with zero results (or at least not any that I can SEE on the scale, lol.) So my biggest losses thus far have been in the first 3 weeks of this. But I am NOT one to give up and I refuse to give up. So I'm going to continue with this and hopefully this is just a plateau, and my body is trying to figure out what the he)) I'm doing and if I don't give up then maybe it will give me some more loss. I'm only 20lbs away from goal...sooooo close yet sooooo far! But at least I have a whole new perspective and a lot of hope doing the 5:2. My NUT noticed on Feed Days when I've really only hit about 950 - 1,000 calories and she is ok with that but also said if the plateau continues maybe try to bump those days up to 1,200. The low cal days are because I'm NOT very hungry even on feed days. But I think adding in one more Protein dense meal would probably be wise on those days when I'm falling short. Thanks ladies! And happy birthday to you Aug. ladies, hope you are having wonderful bdays!

I was finally able to add mine, but it wouldn't come up using a first name. I had to type his last name first...