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- Before surgery Compare procedures, plan ahead, and get honest pre-op answers.
- Post-op Recovery, food stages, symptoms, and support.
- Long-term Regain, labs, habits, and life after the honeymoon.
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Everything posted by Jachut
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I can't figure out how to eat right!
The thing I find unique to this problem is the way you guys eat, cutting everything up, swapping your fork to your right hand and eating it all cut up. Nobody does that in the rest of the world and I really think its problematic with fast eating, I've watched a friend do it and its FAST. She gets teased so much here for having "bad table manners", lol. Cutting a piece of food off, using your fork in your left hand, eating a bite, then having to cut another piece off really does help to slow you down.
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Are they insensitive or am I over-sensitive?
I must have been extremely lucky becuase that wouldnt have bothered me in the least. I was so positive and full of new enthusiasm for what I had done and I had such good restriction and no appetite after surgery that people could have eaten anything in front of me and I woudlnt have cared. DH wasnt so lucky though, he really strugged through the post op diet. Out of courtesy, I didnt keep any foods he might be able to get down - like chocolate or ice cream, in the house and i certainly wouldnt have eaten stuff like that in front of him. I agree, very insensitive.
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Can't Stick With It
Healthy food can be the cheapest option of all but you have to teach yourself how to shop, cook and store it. Eating pulses and lentils (beans, chick peas - I think you call those garbanzo Beans - lentils) augmented with a little meat, canned fish rather than fresh, making and freezing vegetable Soups and cooking and freezing in batches - it takes effort but you absolutely cannot say you cant afford to eat well. It will always be cheaper in the long run to buy some pita breads and MAKE a basic pizza than to order them in, however the initial outlay is that you have to ahve things like cheese, tomato paste etc in the house. You can freeze grated cheese, you dont have to let it go bad in the fridge becuase you cant eat it at once, likewise you can freeze things like salami and ham too. Things like oatmeal, well it doesnt GET any cheaper than that. Not processed 1 minute single serve packs, but the real stuff, the unprocessed rolled oats. Fresh fruit IS cheaper than chips and Cookies. It definitely can be done, but you cant have the convenience of packaged foods, that's the pay off. As for the exercise, well I sympathise. I work and study too. I get home some nights, I'm so darn tired, but I MAKE myself go and run, first thing. Before I sit down and relax. I put it first. I have SO much work to do at the moment, but half an hour to fit in a run, that isnt going to make or break anything. And feeling healthy and in control of my eating and exercise makes me way more productive anyway. I also run becuase it costs nothing and its the quickest most efficient option. It would take me an hour and a half to go and do a spin class, I can get similar exercise in 40 minutes by lacing up my shoes and heading out the front door - and yes, rain, hail or shine I go anyway. its harsh but its the bald truth. You have to find the time and the inclination to make these efforts or you have to choose to live with your weight.
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Exercise frequency
Sometimes new shoes can take a while to adjust too, particularly a different shoe to your last one. If you're in a lot of pain though, dont discount that whether you're measured or not, sometimes you can make an expensive and annoying mistake and simply buy the wrong shoes for your foot. I've done this before and I got my money back. Stretching always helps but its a very hard area to stretch! Massage, particularly stuff like rolling a golf ball round on the area, may hurt a LOT but really loosens things up and gets the good blood flow in there. Ice it after exercise if you need to. Also, dont ignore your hips, buttocks and back muscles. Tight hip muscles can cause all sorts of foot and knee problems. Stretching out your hip and buttock area is good practice that you should be dedicated too. I've been a VERY lucky runner, I have the most trouble free knees. Knee problems can sideline runners for months so when I started having very mild ITB issues (outside of knee) I was worried. But focussing on core strength and stretching religiously helped me enormously. It doesnt sound like anything too serious, more annoying?
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Exercise frequency
Muscle using fat causing pain? Um, I hope to goodness this didnt come from a medical source! A muscle doesnt "use fat" in that sense, your body breaks fat down and distributes the energy via your bloodstream, so the idea of getting pain in a certain region due to the muscle using fat is rubbish. Firstly, you're doing a LOT of ambulatory exercise on your feet. You might have a niggling injury that you need to rest - you could try something like spinning or swimming etc for a while, just not quite so much repetitive motion of running and walking. Your body does need rest and particularly when you're overweight, running is HARD on the body, it might be better to space it out with other cross training activities if you're having problems. Also, how's your shoes? Are they old or worn? Have you had your feet properly assessed and do you KNOW for sure you have a shoe that suits your foot's anatomy and needs? You may be rolling in, or rolling out, a motion that needs correcting or it can cause pain. You may even need an orthotic. I'd see a physio or podiatrist about this. I've had tremendous results from acupuncture from these kinds of inuries and chronic problems. It gets sore after your run becuase you cool down. Once you warm up, you can run through some pretty significant pains and injuries and not even realise it.
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Slimquick, NutriSystem and other "boosts" with LBS
To get the last bit of my weight off, I did Lite n Easy, which is a home delivered system here in Australia. It worked so well for me - it always did, but the cost of it and the eventual monotony of having what you eat decided for you would always see me going off it again at about six weeks and gaining weight. This time, I didnt regain. However, its a massive waste of money for a banded person! I threw out a good half of the dinner every single night and saving and reheating really didnt appeal to me night after night after night. And I do eat bread, but there was too much of it in the breakfasts and lunches for me.
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how much daily protein is needed
In Australia, its not a focus, they just prescribe an ordinary balanced diet. I occasionally tote it up, just out of interest and its usually in the 60 to 70 gram area, which seems to be fine for me, I lost weight, I have a good fast metabolism now, I have the energy I need and my hair didnt fall out or anything. I run 45 minutes a day and i focus more on getting in good carbs for energy - my Protein intake seems to be similar to many but I eat a lot more calories (1500 to 1800 a day) so its a smaller proportion of my overall intake than many people's diets. I dont ever do shakes, I eat my protein and dont seem to have any trouble getting enough in.
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Anyone Jump On The Trampoline?
This is an old thread now, but I'm reporting in to say we did get a new mat and springs for our trampoline and I did jump on it. its a great cardiovascular workout. but unfortunately, I made myself rather sick - motion sickness would you believe! I felt REALLY ill for about an hour. Since being banded, I get seasick, car sick, I cant go on rides, swings make me feel ill (always did) and now I cant jump on the trampoline either. But as I just reported in another thread, I am VERY impressed by what running has done for my pelvic floor! Pre weight loss, i coudlnt jump on a trampoline without bladder issues, the only time I suffered them. Now its no problem.
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Exercise frequency
I'm quite amazed by how running has changed my body! I dont do much in the way of strength training, I do a few pushups and dips and planks a few times a week and that's it. I dont have the time, and I like a good hard circuit training session but in the time I have, I have to choose between running of strength training and my body tells me that its running that does the most for my weight. I know all the theory on strenght training, I just dont find I need to go past running to get the body I want. My core is very strong, I can do very hard stomach tricks, like holding a plank (you know, where you get in pushup position only on your elbows) for a good 5 minutes. I have also noticed that i can do things like sneeze 15 times and not wet myself, lol, AND i can jump on a trampoline and not make a puddle. I'm 42 and have had 3 big babies, so this is a really good sign that my core and pelvic floor are in good shape, and again, running is what I do and I was *not* in that kind of shape pre weight loss, so you do the math.
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Starbucks Frappuccinos
Well, see I'd look at that and think, no trans fat, no salt to speak of, low saturated fat, dairy based, so high in Protein and calcium, there's worse things you could have. Personally, I dont care about carbs, and dont do low carb, so I wouldnt even pay attention to that. IF its a meal replacement, no real problem on the calories either. I dont really care for drinks like that, I like black coffee and plain cappucino's and lattes that are just espresso and steamed milk. Someting like that is often breakfast for me. If its a snack, even then, as long as the calories fit into a reasonable total, if its what you want to ingest, then why not? But I find that with high calorie liquids, I have something, think that's got to be lunch, and then I'm looking for food anyway because they dont satisfy for long.
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Exercise frequency
It depends what I do. Early on, I lost weight steadily, but I would attribute it more to being banded and eating less, because in reality I was running 3kms every second day which is hardly an amount of exercise that will cause weight to fall from your body like magic! So I saw weight loss right away, I'm sure it helped, but how long before I looked at my body and saw a fit, toned body? At least a year, and a good 2 before I really had changed, and looked really fit. The reason being, you just dont see your muscles till you lose all the fat! You'll never see a sixpack stomach with a body fat percentage of 25 and above. You'll probably first see it on your arms, and many apple shaped women have GREAT legs. Not me, sadly, lol, although my legs are nice and toned now, I am pear shaped and always will be. Oh well, I have great arms and shoulders! Nowadays - I've been running 3 and a half years, I do have a good, muscular tone and visible stomach muscles - not a sixpack but visible tone to it. For me, daily long, steady runs of 8kms or so work well. I can trim down and get rid of a pound or two quite quickly with intense interval training, but it never stays away as I dont tend to keep up the really intense stuff.
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What excerise is the best?
A month? To be honest, no, not really. It took about 4 months. I mean, i'd certainly lost weight after a month but I had been banded, after all. After four months, I could run further and run continously, and after six months, I'd really gotten the bug and was hugely enjoying it, settign ever more ambitious goals (further runs, faster times). The first couple of months are hard going, but its so worth perservering. Find a cardio you like better than others and stick with it, for me there's something immensely satisfying about running. I was pretty lucky with my skin, but I do have a small amount of looseness that will never go away without surgery. I can get by without a tummy tuck, but I'll never have the really great body I imagined without some help. But that's more luck than anything, truly no exercise will prevent loose skin, if your'e going to get it, you're going to get it.
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so what good is the band if....
Look, I think people panic over this but the fact is the band DOES do some of the work for you or it wouldnt work for anyone at all. If any of us could do all of this ourselves, we wouldnt be here. The band doesnt work as well for some people as it does for others and many people need more help than the band can give. But it does give help and only you can know whether that is enough for you. For me it works this way - I have to choose good foods, but my portion control is done by the band. I dont have to choose to stop eating, I feel exactly like I did before only I'm full much sooner. That's automatic, its my conscious choice. I could overeat by eating chocolate, ice cream, milk shakes but i dont. I never really ate that way anyway, I overate solid foods in high volume, so that choice is not a huge stretch for me. So that's the first two steps - food choices (done by me, good 75% of the time), portion control (done by the band, obeyed by me). The next step - exercise - that's down to you. To me, I cant believe anyone would be sick enough of themselves to turn to weight loss surgery and then not be able to pull their finger out of their ass and get on with the exercise part of the equation. Its a given. With ANY surgery. If you dont want to subsist on 500 calories a day and be malnourished then you have to burn up some of what you eat by exercising. Just do it, it really isnt that hard. Hard is having cheesecake in the fridge for 2 days and not touching it, hard isnt going out on a glorious, cool evening at dusk for a run to clear your head and loosen up your joints! There are other surgeries that restrict your intake and portion control even better and more reliably than the band does, but NOTHING will negate your responsibility to make good food choices and ignore those pesky voices that tell to eat when you're not even hungry. You can outeat any surgery if you wait for it to do the work for you.
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Heat and workouts
Lol, I dont call 90 degrees, hot, it gets much hotter here in Melbourne. I've got a floor fan that I get out in summer, so if its over about 35 (95 Fahrenheit) I will run on the treadmill instead and have the fan blowing on me. We're lucky becuase it rarely gets cold enough to stop you running outdoors in winter, certainly doesnt snow or anything here and there's been a freaking drought for 12 years, so hardly any chance of it raining either. But summer is regularly over 100 degrees. I have learned to deal with it, its hot, you drink a lot but you still go out for your run. I go either early in the morning or later at night than I would on a milder day. I only go on the treadmill becuase I *DO* have aircon, it would be cooler to run outside than in if I didnt. Try going for a walk or going to a class at an airconditioned gym or something instead perhaps? Working indoors on a hot day with bo aircon is about as hot as it gets.
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Whenever I eat I start off really tight, then loosen all the way after several bites
Completely normal, and it does appear to go away after about a year. I had that, and DH did too but neither of us have that problem anymore.
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how much cardio
About 45 minutes five or six days a week. I do only minimal strength training, I just dont find that at moderate levels I get much from it. My body likes cardio, when I strength train I have a harder time controlling my appetite, and weight. I have muscle tone and strength that's quite good anyway, so I focus on running. I love it. I find for me, when I'm busy 25-30 minutes is maintenance level, I can get away with that little, but to lose I needed that 45 to an hour and I still prefer to do that now. 30 minutes maintains my base fitness, but my speed and ability to run longer distances drops. Which is only a worry if you care about that, lol.
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Buying clothes is a full time job!!
I certainly didnt invest in expensive clothing, but it was really hard. I was perhaps luckier in that I had a more modest amount to lose, going from an Australian 20 to a 12. I always bought jeans that fit, but jeans are fairly cheap, and I was able to make tops last a bit longer. I've got lots of clothes that now I would perhaps buy the next size down but I can wear them OK. I'm VERY lucky in that I dont work at the moment, so I didnt have to worry about a work wardrobe, and my feet didnt change sizes. What I'm lamenting now is needing new bra's. Everytime I try something on to buy, I notice that my bra is at least a cup size too big. I was struck too by how much cheaper smaller clothes are. Here in Australia a 20 (your 16-18) is definitely plus size territory, out of regular stores and you're paying an arm and a leg. Once I got down to a 16 and under, I could buy clothes so much cheaper it didnt hurt as much.
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LapBand VS Sleeve??
I have personal feelings on this - I totally believe its the American approach to banded life and the American culture surrounding what is healthy and what is not, which is SO different to the Australian viewpoint, that is at the root of the high levels of band problem and failure. I think that the way its approached there, leads to levels of restriction that our approach here just doesnt require and hence the problems. I too know many banded people, some have had problems such as slippage and revision, and not surprisingly some of those people have been rather disordered eaters/dieters who've tried to rely on very tight restriction. But I know plenty of people who've had bands in the 3 to 8 year range, lost all their weight, kept it off, never had a problem. I'd choose it 1000 times over here, rather than removing half of an organ. However, if I were moving to the US for the rest of my life, I'd be sleeved in a heartbeat. Totally situational, totally personal. The arguments with this start, I believe, because people who are sleeved are trying valiantly to encourage people to make an informed decision. They're not rubbishing the band, but the ADVERTISING of the band. It is pushed as an easy, trouble free surgery and its just not. Bands work best for people who are not too ill, who can control their food intake, their exercise habits etc and will work with a tool that's 90% about user choices. It is not advertised that way and many many people are misled into believing its easy weight loss. Its just the way it comes across is very anti band and is equally as misleading in suggesting the band's totally useless and obsolete. Stats dont change my opinion either, nor do peer mediated reviews or any of it. Its all just flavour of the month stuff, here today, disproved or debunked tomorrow. I couldnt choose a sleeve when I got banded, there wasnt the option, it wasnt done then. So what's the point worrying about THAT? If I ever have to have my band removed, then I've got more options to consider. Its the same as the whole low carb/high carb debate. People push all these studies "proving" that high protein's better, and that high carb was all a conspiracy. Idiots. Werent there a million "peer mediated" studies PROVING the low fat, high carb lifestyle was best back in the 80's. Of course there were. Just as there were supporting a high protein approach back in the 60's and 70's. Its been dubunked once, replaced with another lifestyle and its back again. Are people honestly stupid enough to swallow it all hook line and sinker again? Do they really think something newer and better wont be on the scene in a few years? That's what I think of studies and stats and scientific proof. I make my own choice based on my gut feel (pardon the pun) and I try to do things in a moderate way, not swinging towards any extreme, rather sitting on the fence or taking the middle path. That's why I ahve no particular feeling about having an "obsolete" surgery (hey, I'm thin, who the f-ck cares anyway?) or thinking that the sleeve will be absolutely problem free.
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What fills YOU?
for me, my meals need to include carbs. I cant get that full for hours feeling on Protein foods, if I eat enough of them to have that effect, I get an upset stomach and then some hours later, some really offensive gas problems, lol. If I had a Protein shake for Breakfast, a Protein Bar for morning tea and tuna for lunch, you wouldnt want to stand downwind of me. I do much better, feel better and lose weight better on foods like oatmeal, wholegrain cereals, wholegrain bread, rice and Pasta and fruit and vegetables as an equal part of my diet to the protein foods. I go heavier on the fruit and veg than I do on bread products but for me, all those carb foods have the "bulk" because of the Water and air they contain to really fill my stomach on much fewer calories than protein foods.
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I think I had a gallbladder attack!
Ugh, I suspect I'm having rumblings from my gall bladder too. My whole weight loss journey (banded) has been so utterly trouble free and smooth, so four years down the track, I'm not suprised *something* would happen. I've had this pain a couple of times since about a year out - it starts as a hint and steadily intensifies, its right in the centre of my ribs, so the first few times I thought it was my stomach - it always happened after I ate ice cream so I thought the cold caused me spasms or cramps or something - it will get steadily more painful, feels like a kind of squeezing, gripping pain, and it radiates - up my throat, into the roof of my mouth and the other night it was my neck and ears! Nothing you do relieves it - you know how most abdominal pain, like period pain or wind pain, you can curl up and around it and that helps, well I cant do anything for this. It often strikes me during the night. For me, its never gotten more than about a 6 on the pain scale, certainly not frightening or call the ambulance stuff but mightily uncomfortable. Then it suddenly just goes away. I've been maybe 7 months without a hint of it then suddenly int he last few weeks, its happened twice and felt like its about to happen about 3 or 4 more times. It makes me nervous becuase I'm anxious one day I'll have a really BAD episode somewhere embarrassing like at work. And I dont want another stomach surgery - lol, I'm SO vain I know but more scars - take another 2 years to heal up like my band scars did and there goes my bikini stomach, lol. By the time I'm 44 or 45 I think I'm officially too old for a bikini.
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What do you eat in a typical day?
I eat a little bit more these days as I'm maintaining and my restriction has waned a bit over about a year without fills. Typically, for breakfast I'd eat a bowl of muesli (standard 1/2 cup size serving) with maybe a little bit of sliced banana on it and some skim milk or one of those gourmet greek yogurts with the pureed fruit. Mid morning I usually try to eat a piece of fruit (not really hungry but try to eat a piece of fresh fruit a day). lunch is things like a salad (about a Cereal bowl full of leafy vegies, and things like carrot, tomato, mushrooms, cucumuber, and a Protein like tuna or egg), maybe cheese and crackers (4 or 5 crackers and small slices of cheese), sometimes a sandwich on wholegrain bread and very occasionally, an Aussie classic junk item - the sausage roll or meat pie (very occasionally!). Mid afternoon I'll usually sneak some sort of crap in, a cookie or two with a cuppa after work. dinner is nearly always healthy, we dont eat much junk for dinner in our house - could be anything, roast chicken, steamed veg, home made bolognaise, chilli, dahl, curries, stews, Soups, last night we had the most delicious lamb cutlets, with salad. I eat about a cup total for dinner. Oh, a couple of nights a week I'll have a glass of wine. Most days it totals up to somewhere between 1500 and 1800 calories. when i was losing, I never had the extras and it usually totalled 1200 to 1500. 1500 would have been a big day.
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Can you feel your port?
Mine's visible. I can certainly feel it easily. this pic doesnt really show it clearly, you can sort of see the "unevenenss" in the tone of my stomach to the upper left but in real life you can actually see a slight lump. If I put my arms above my head then it pops out and you can even see the tubing.
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Protein, Calories and Carbs.
Staying under 30 g carbs for me is less mystifying (and I'm a carb eater!) than suriving on 600 to 800 calories. How on EARTH does your metabolism not slow to the pace of a slug's?
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Any wine drinkers out there?
I'd have a glass maybe four nights a week. I find to not affect my weight (and more importantly to not affect my food choices) I have to keep it to a reasonable glass (not a fishbowl!) and not drink every single night. But moderate wine consumption has significant health benefits. There's no need to cut it out entirely. I actually like to eat my dinner and THEN sip a glass of wine over the evening.
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Sweets
I have no patience with subsituting for what you really crave. If I want a mars bar, no 25 calorie hot chocolate is going to suffice, I want the mars bar. I find really thinking about whether its a passing thought or if you truly want it, with the view that if you truly want it you can have it works for me. Knowing that I can have what I want if I really want it makes it easier to avoid the impulse pig out which you regret 3 minutes later. Whereas if I really wanted whatever it was, I have it, enjoy it, and move on. You have to eat daily for the rest of your life. That's a vast quantity of food. How on earth can ONE choice if its made with consideration derail your entire diet? This is a lifestyle and there's room for sensible treats.