Everything posted by Dragonsmate
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FYI on hydration
I learned the hard way (I usually do) that hydration is seriously important post bariatric surgery! I am 5 months post-op and my job involves walking a lot in a big county hospital. I just recently changed my work shift from swing (day-evening) to deep nights and my workload increased significantly overnight. I did not take the time to stay hydrated and over the past month, I would go as much as 10 hours without even needing to urinate. This is not a good thing. Segue to this past weekend as I was just discharged from the hospital on Sunday following my first, and dear lord hopefully last, episode of kidney stones. I cannot even begin to describe the pain involved with this lovely endevor but suffice it to say, I now prioritize fluids over everything! Fortunately, I was able to pass the buggers without surgery but I am here to tell you, this was not my idea of a good time! We are told to prioritize Protein as far as macronutrients, and this is still very important, but recognize that because we make this alteration to our diet, fluids take even more priority...you would think as a medical professional I would have not been such a knucklehead and remembered this little tidbit of data It took 7 liters of saline before my urine started to lighten up so I know this problem did not happen overnight. For those of you struggling to get your fluids in very early post-op, that is normal and it will take time but continue to persevere. For those of us a bit farther out, I hope this information prevents you from dealing with this in the future!
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Soooo... Whad I miss?!
Welcome back lovie! So glad you had a wonderful time and you look absolutely smashing! Brava
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Labor day Challenge
I am in CW 210 GW 190 thanks for picking it up
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What's the one thing you had all wrong?
I really underestimated/misjudged the emotional/psycholgical toll it would take. You read about it, you talk with others, but it really doesn't (didn't) hit home until you go through the process...hell, I am still going through the process of figuring out my relationship with food and learning new coping skills for stress and unpleasant emotions. Only other surprise is how my "eyes are still bigger than my stomach" so weighing food serves 2 purposes, one, keeps me from "filling my plate" and two, easier to calculate calories and nutrients for recording in MFP....
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4th of July Challenge
weigh in finale: 211 SW: 225 GW: 213 Hell yeah!
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Fitbit or jawbone?
team fitbit here as well-love the sync with MFP and the iphone app.
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4th of July Challenge
My usual weigh in day is Sunday and I forgot to post my previous weeks' progress so I will post my CW from this morning 216 pounds. Thanks!
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Arm lift / brachioplasty
all this is great information because this is the FIRST procedure I am aiming for after I reach goal and maintain for a year. My arms have always been an embarrassment and I hate not being able to wear cute sleeveless dresses, camis or tank tops. Awesome pics-give a person a realistic view of what to expect. To the OP, good luck, you will do well, and as everyone has said, follow doctor's orders to have a great chance at a fantastic outcome!
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Who is a "good" candidate vs. a "bad" candidate for surgery?
With all due respect, the usual recommended protein intake for an adult with a "normal" activity level is roughly 0.8-1 gram/kg of body weight. In obese folks, you would use your ideal body weight to calculate the amount, erring on the side closer to 0.8 grams if you are very sedentary and closer to 1gram if you are active. Another source: https://www.endocrine.org/~/media/endosociety/Files/Publications/Clinical%20Practice%20Guidelines/FINAL-Standalone-Post-Bariatric-Surgery-Guideline-Color.pdf lists 60-120 grams of protein/day as the protein goal of post-surgery patients. I just want to comment that as you become more active, start adding resistance training to your regimen, and begin a regular exercise program, protein will be even more important. Please keep in mind, protein is the most thermogenic of the macronutrients and because we are limited in the quantity we can eat at one time, we need to focus on making sure those meals are nutrient dense. Fluid intake is paramount in order for the body to digest, utilize and most importantly, process waste by-products from protein metabolism (your kidneys will thank you )
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What dish or restaurant do you miss the most?
Honestly don't miss them. My attitude has done a 180 and even when I go out, I automatically scope out the menu for the healthy items and if the dish comes with starches, they go on my husband's plate Besides, I am addicted to MFP and I want to make as accurate an entry as possible so I stick to what I know.
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4th of July Challenge
this will be my first challenge to join so I am in! CW 225 GW 213 12 pounds in 5 weeks may be pushing it but I am starting C25K so hopefully, I will be able to boost my loss! thanks Bea!
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Surgeons in the Dallas, Plano, Frisco (Texas) areas that you love?
Interestingly, I did my surgery rotation with Dr. Provost many years ago and he was one of the first bariatric surgeons in Dallas doing lap RNYs. Amazing surgeon. I had mine done by Michael Lee out of UT Southwestern because of the financial agreement between UTSW and our hospital. He was flat out amazing and I have had no problems. Shoot me a text if you want his contact info.
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Food logs
Dragonslady67
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How Many Calories @ Day?
I average about 850-900 calories/day and I am 3 months out. Fortunately, my sleeve tolerates most things except pork-it really does not like pork. Other than that, I try and get 80+ grams of Protein daily and I shoot to keep the sugar content of my carbs below 50. I track my intake religiously on MFP and I have started tracking even non-calorie items and measuring everything (even my coffee creamer). I try and make adjustements to my calories about every 20 pounds because the lower your weight goes, your basal metabolic rate changes. Of course it changes with increased activity as well (depending on the calculations), but I keep an eye on it to make sure I am keeping my eye on the target, so to speak. Interestingly, there are studies that show most people underestimate the number of calories they consume by as much as 50%, so I buckled down this week as an experiment-I have not plateaud since I began the weight loss, but there have been weeks it was less than 1 pound. Since I have been more accurate in my calorie calculations, the weight is really coming off and the clothes are loser. If you are interested in calculating your basal metabolic rate, I suggest googling Mifflin - St Jeor equation, plugging your numbers in and see what it comes up with. A basic rule of thumb is to decrease that amount by at least 20%. For most of us on the higher weight end, the number may look outrageous at first, but it gives you a place to start. I think my last calculation showed if I consumed 1225 calories per day, my weight loss should be 2 pounds/week or more...I have yet to reach that number, but it gives me some idea on what to work with.
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I officially HATE protein shakes!
hate them myself. I didn't go through this surgery and lifestyle change to subsist on Protein drinks and even just thinking about it nauseates me...except for the Chike coffee shake. That shake is pretty freaking awesome (just know there are 2 shots of real espresso in each packet) but even that shake, I can only tolerate once a week at most...
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4 months post op, how much can you eat?
I am 3 months out and a typical day would be an egg and veggie sausage patty for breakfast (or 1/2 cup of kashi Cereal high Protein with 1/2 c 1% milk) For lunch it is usually 3 ounces of meat, either grilled chicken breast, fish, or steak (yep, my sleeve likes beef) along with either a 1/4 c of cooked veggies (asparagus, spinach, broccolini), or I will cut up the meat and toss it with romaine and grape tomatoes and Walden Farms no cal dressing. dinner is usually similar to lunch-meat either by itself or with 1/4 c cooked veggies. Sleeve not impressed with pork-it is about the only thing I can't tolerate-and I pretty much avoid Pasta, bread, white potatoes, or rice. I will occassionally have roasted sweet potato with my meal because it is chock full of good nutrition. Snacks are either a 5.3 ounce greek yogurt, baby bel wheel of cheese, beef jerkey, or 1/2 an apple with PB2 on it. All in all, I tolerate most things but I weigh and measure EVERYTHING. I have a scale that does grams and ounces and I will even measure my 1/2 and 1/2 for my morning coffee (not decaf). I log it into MFP every day and I average 850 calories/day. I will also indulge in a Chike coffee shake now and again but for the most part, I avoid Protein drinks and bars because they just flat out nauseate me. I have had steady weight loss every week, no stalls thus far. I have a feeling when I start weight training, I may stall as fluids shift, but I try and stay very honest about my intake and calorie deficit. I will adjust my BMR calorie requirement about every 20 pounds down knowing that as I lose more weight, my BMR changes as well.
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I need advice....please
miralax. it can be mixed in water/crystal light/tea etc and it is tasteless and colorless. It is over the counter and you can get the walmart/target brand cheaper and it works just as well. Start once a day, but it can be taken up to 3 times/day.
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First thing you're gonna do when you reach goal
I am getting a tattoo at each 50 pound mark-already have an appointment with my tattoo gal. Getting them in areas that should not be affected by any type of skin reduction surgery. Other than that, I am signing up with hubby for either ballroom and/or line dance classes. He agreed as a gift to me (he has 2 very large left feet)
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Hair Loss
I am taking Biotin, but I have noticed more hair loss primarily in the shower. My hair is very fine so I had it cut short a few weeks ago in anticipation, and had it layered to give it body. Keeping my fingers crossed that it is minimal but I will deal no matter what happens.
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Hardest thing for you?
not drinking for 30-60 minutes after meals...especially spicy meals
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Respect, Kindness and Empathy
I think it requires being mindful that posting words on a forum does not (usually) convey the non-verbal communication actions, and words can certainly be mis-interpreted which then leads down a path of mis-understanding and hurt feelings. So much communication these days is in the typed word instead of actual face-to-face interaction, and we lose the subtle non-verbal body language cues as well as tone, pitch and amplitude of the human voice. The age of social media is truly a double edged sword. I have been thinking lately about the art of communication, and I believe a reminder that there is another person behind the pixels on the screen and not just typed print. We need to be cognizant that our words have power. It is up to us whether it is the power to hurt or power to help. I think these forums are a godsend for many, myself included, and provide a wealth of information at every stage of our process, and I want that dialogue to continue. Namaste.
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Protein Bread?
I have a loaf in the freezer right now. I have had 1/2 slices of the whole wheat light SL brand bread as toast and did fine. The P28 wraps have an odd tactile texture (almost velvet-like) but they taste pretty good-I usually split one wrap into 4 sections. I may give it a try this weekend with some BP2 spread.
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Low Carb or not....
Looking over the past several weeks on MFP, I am ranging from 20-60 grams of carbs/day with my sugars usually less than 15-20. I am 2.5 months out, have lost 49 pounds and I am working out 4-5 days/week. I have had 1/2 slices of whole wheat light bread as toast on a few occassions but not as a rule by far. No crackers but I will have pork rinds a few times/week for the crunch crave. I weigh and measure all my food and log it religiously on MFP and it is now a habit. I sent my nutritionist an Exel spreadsheet of all my nutrients and calories since I was released to eat solid food because I was concerned about my weight loss slowing down, and she actually was pleased with my intake, telling me to continue my 2-3 pounds/week and consider increasing my Protein. Compared to what I was doing before I had my information seminar, my diet has done a 180 and I feel great. As my exercise intensity increases, I am bumping up my protein from 60 to 75-80 grams/day and that seems to be helping continue the weight loss. Knock on wood, but I haven't hit a plateau yet. I am in this for the long haul, and I know if there is something I tell myself "you can't have that ever again" it will be a real plan for setting myself up for failure.
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No carbonation ever again?
pretty much my NUT and surgeon say no carbonated beverages-I gave them up 4 months before surgery because I loved my diet dr pepper. I drink with a straw-I have some mild facial paralysis from a prior brain surgery and it keeps me from dribbling liquid out of that side of my mouth. I drank coffee my first week but stopped, not because of the coffee but because the milk and 1/2 and 1/2 made me nauseated-now I drink a cup or two a day...everything in moderation for me except carbonation...and alcohol-just don't want to go there yet
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CPAP
Love my CPAP and really am not in a hurry to get rid of it...by the by, this is the 3rd CPAP thread I have posted to this evening I figure my doc will suggest another sleep study and I will decline, wanting to lose a bit more weight, sleeping like a baby, and then we will have another follow up and repeat the dance LOL he is a wonderful doctor and told me I could continue to use it as long as I wished.