DeeBrownBaker

I will almost make 6 months post op, and I have a great many things to be thankful for. We all strive to hit numbers on the scale, but it is all the little accomplishments that really make a difference in how we feel and the way we move. I've compiled a list of all the things I have noticed since surgery that have changed for me.
 
1. My blood pressure has dropped 20 points (*note that I have never had high blood pressure)
2. I have dropped 2 shoe sizes
3. I started out doing 15 minutes of cardio and can now do 2 hours non-stop of medium to intense cardio
4. Foot pain is GONE
5. Knee pain is GONE
6. Back pain/sciatica is very rare
7. Migraines have subsided and only come about when I get a massage or have a lot of neck tension
8. I don't need an extension for the airplane
9. I am now considered a regular at the gym
10. I am able to look in the mirror more and for longer periods of time
11. I rarely need to take a nap in the middle of the day
12. I can work a 8 hour shift with no problem...used to work only 4 hours because my back and feet would be killing me
13. pants size went from 28/30 to 20
14. I am seeking out new active things to do instead of avoiding them
15. I don't have any bathroom problems: (this one is quite embarrassing), but I used to have a lot of issues...even wiping my ass where I would be in tears because I couldn't reach! I don't have any of these problems anymore
16. Sex is way better! Being on top is an option now and an enjoyment :0)
17. I get a compliment every day
18. My towels fit completely around me now
19. I am more social
20. I watch less tv
21. I need my husband's help less with everything
22. I am 14 pounds away from being the same weight as my husband!!!
23. I enjoy working out
24. I am comfortable with what and how I eat...I don't obsess anymore
25. I am now trying to motivate others
26. I am so busy living my life that it is hard to get on the computer and post blogs...I'm trying though

To the weight loss surgery patient slider foods are the bane of good intentions and ignorance often causing dumping syndrome, weight loss plateaus, and eventually weight gain. Slider foods, to weight loss surgery patients, are soft simple processed carbohydrates of little or no nutritional value that slide right through the surgical stomach pouch without providing nutrition or satiation. The most innocent of slider foods are saltine crackers, often eaten with warm tea or other beverages, to soothe the stomach in illness or while recovering from surgery.
 
Understanding Slider Foods
The most commonly consumed slider foods include pretzels, crackers (saltines, graham, Ritz, etc.) filled cracker snacks such as Ritz Bits, popcorn, cheese snacks (Cheetos) or cheese crackers, tortilla chips with salsa, potato chips, sugar-free cookies, cakes, and candy. You will notice these slider foods are often salty and cause dry mouth so they must be ingested with liquid to be palatable. This is how they become slider foods. They are also, most often, void of nutritional value.
 
For weight loss surgery patients the process of digestion is different than those who have not undergone gastric surgery. When slider foods are consumed they go into the stomach pouch and exit directly into the jejunum where the simple carbohydrate slurry is quickly absorbed and stored by the body. There is little thermic effect in the digestion of simple carbohydrates like there is in the digestion of protein so little metabolic energy is expended. In most cases patients in the phase of weight loss who eat slider foods will experience a weight loss plateau and possibly the setback of weight gain. And sadly, they will begin to believe their surgical stomach pouch is not functioning properly because they never feel fullness or restriction like they experience when eating protein.
 
The very nature of the surgical gastric pouch is to cause feelings of tightness or restriction when one has eaten enough food. However, when soft simple carbohydrates are eaten this tightness or restriction does not result and one can continue to eat, unmeasured, copious amounts of non-nutritional food without ever feeling uncomfortable.
 
Many patients turn to slider foods for this very reason. They do not like the discomfort that results when the pouch is full from eating a measured portion of lean animal or dairy protein without liquids. Yet it is this very restriction that is the desired result of the surgery. The discomfort is intended to signal the cessation of eating. Remembering the "Protein First" rule is crucial to weight management with bariatric surgery.
 
Gastric bypass, gastric banding (lap-band) and gastric sleeve patients are instructed to follow a high protein diet to facilitate healing and promote weight loss. Bariatric centers advise what is commonly known among weight loss surgery patients as the "Four Rules" the most important of which is "Protein First." That means of all nutrients (protein, veggies, complex carbohydrates, then fat and alcohol) the patient is required to eat protein first.
Protein is not always the most comfortable food choice for weight loss surgery patients who feel restriction after eating a very small amount of food. However, for the surgical tool to work correctly a diet rich in protein and low in simple carbohydrate slider foods must be observed. The high protein diet must be followed even after healthy body weight has been achieved in order to maintain a healthy weight and avoid weight regain.

I planned this surgery for a year. I dreamed about it for a lot longer than that. So, when my surgery finally got approved and scheduled, I immediately hid it from almost everyone close to me. No one at my office knows I was sleeved. Only my husband, best friend, 2nd Mom (my mom's best friend.... She stands in for my Mom), and one brother (of five siblings). Everyone else knows the "vague truth" story.... A procedure done to remove some of the fat in my liver and "roto-rooting" to discourage more fat build-up in my otherwise compromised liver. Still.... Sort of the truth. So, what's the big deal? Why am I hesitant to just say, "yeah, I got sleeved to lose weight?" Why is there shame around that? Is it because John Q Public who has always been height-weight proportionate is quick to judge it? It's the easy way out, right? More admiration and respect goes to those who lose weight on their own and keep it off. Right? Somehow, this is cheating?
 
It's cheating to sacrifice 80% of a vital organ for the REST of my LIFE? It's the easy way out to never get to enjoy a big Thanksgiving meal with my family EVER again? I'm taking a short cut by undergoing general anesthesia and getting punctured - not once - but five times in the gut? It's just a vacation for me knowing my hair is going to fall out and I can only hope it grows back?
 
Right. Still, I feel the social stigma of the shame that goes with. Today, I've been reflecting on this. And this is the peace I'm making with it.
 
Society says they admire a person who loses weight "on their own." This includes people using appetite suppressants. An appetite suppressant is just a tool to prop them up, but THEY are the ones doing the HARD work. THEY are having to change their eating habits and choices. They couldn't do it without the appetite suppressant. It is a needed tool to accomplish their ultimate goal - lose weight.
 
The sleeve IS AN APPETITE SUPPRESSANT. The difference is, IT actually WORKS, and works for the long-term FAR FAR FAR better than any prescription drug that is swallowed. And, I'm not adding chemicals to my body. I'm not forgetting to take it, or changing my mind about taking it, or dealing with unpleasant side effects. I have an appetite suppressant THAT REALLY WORKS! And, after the weight comes off, I won't rebound like most people do who "do it themselves" (according to John Q Public).
 
So, I am thinking that we Sleevers have a responsibility to TEACH others. We have every right to hold our heads up with pride for being COURAGEOUS ENOUGH to make this lifelong commitment to change a lifelong brainwashing about healthy-eating and healthy-living. I refuse to accept any snide remarks from anyone. I will communicate pity to them for their ignorance and lack of evolving. And, I'll certainly offer to enlighten them on how one should think about their health going into the 21st Century.
 
Sleeving isn't just giving me my life back. It is SAVING my life. I'm not ashamed of myself. I'm PROUD of me! I found a RELIABLE tool to use to lose weight. The most reliable tool available.
 
This is the hardest work I've ever loved!

I am 6 weeks out, trying more and more foods and not really having difficulty with digestion. I have had a poor appetite and my taste buds have been off, everything has tasted bland and not near as good as I seem to remember or believe. I had only lost 19 lbs and was feeling rather disappointed in myself and the process. Then I realized I have been eating, not like a healthy life style but as if I were recuperating from a surgery and just making do
waiting for everything to return to normal. I had not been getting in my protein. My water intake was not adequate, my carb ingestion way too high.
I had to stop and think duh.......this is not waiting to get back to normal, this is my new normal and this is for life! What the hell did I do this for if I was not going to develop the healthy habits I had planned on.
Light bulb moment. For a smart woman I sometimes take awhile to get it.
 
So yesterday and thus far today, made my water requirements, protein is up, carbs down and exercised too!!!!!!! look out baby I am back in the game and I intend to be a winner!!!!!!!!!!!!!!!!!!!!