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wwboy

Pre Op
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Posts posted by wwboy


  1. I recently moved to walla walla from tri-cities and have my surgery Dec 7th. Hi everyone!


    Congrats to you as well!!
    Keep us up to date with how it goes.
    There’s a Wednesday night group once a month that meets in the basement of St Mary’s, also a group at SonBridge.
    Let me know if you need any support along the way! Good luck.


  2. I developed this problem only after surgery. My PCP sent me to a uro for a workup who diagnosed me with a overactive bladder - but had no guesses how I developed that. I’m taking some medication that helps a bit but it’s still really really annoying. If I drink anywhere near my Water goal for the day, I’m peeing every 30 minutes and sometimes rushing to get to the toilet before leaking.
    Oh, and I have male anatomy.


  3. With the sometimes significant loss of tissue That accompanies bariatric surgery, it only makes logical sense that BMR would drop. There is simply less tissue metabolizing nutrients to stay alive.

    But is there a systemic/hormonal drop in BMR on top of that more mechanical one?
    Is that why caloric needs for Bariatric patients seems to be relatively lower than the general population?

    I am a large man even after weight loss, 6 foot one and 230 pounds. Yet my body fat percentage is 19% which is just barely within the normal range. I have very high muscle mass. So according to the inbody analyses I have had done at my local YMCA, my BMR alone based on muscle mass is close to 2600 calories a day. But then I am also super active on top of that, I exercise hard and regularly, and according to the standard model of 1 mile running equals 100 cal burned, it would seem that I would be burning another 500 to 1000 cal a day on top of BMR.
    But then when I see my dietitian she says my goal should be under 1500 cal of intake. Generally I am under 2000 for sure. And all my food is good quality non processed, Protein centric, etc.

    All of this, and my weight has stayed within 5 pounds for two years. It would seem if the math were as simple as it sounds, I should be losing a lot of weight still. But something seems to be happening metabolically.

    Does anyone have any knowledge about what percentage of standard BMR having had bariatric surgery reduces?


  4. I’m almost three years out and eat sushi somewhat regularly. Quantity will always be an issue, the rice can expand and make me feel full without having had much nutritional value - but it’s nice with sushi that you can bypass all or most of the rice depending on how you order. Also, there are typically good veggie options at Japanese joints which is nice. At the same time, You can also make it a slider food out of sushi if you buy a deep fried roll slathered in mayo sauce :)


  5. I’m in somewhat of a similar situation. I went from around 315 to 235 very rapidly. And then I’ve just stopped...hung there...and am still there. I would like to lose more, but my clinic is happy with where I’m at and is not urging me to try to lose more.

    That’s one question I have for you. What does your followup team say about where you’re at?

    As for food ideas: my dietician insists on me doing 6 meals a day @ 200-250cals... Mostly protein;
    I eat things like:
    2 eggs w/ salsa and some cheese
    Container of yogurt with tablespoon of granola for crunch
    Flax wrap with 2 slices of cheese
    2 Asada tacos with 3” tortillas and salsa
    Variety of salads w/ Protein on top: boiled egg, chicken, or tofu
    Lentils, bean Soup, Beans w/ brown rice - 1/2 to 3/4 cup worth
    Protein shake with espresso in it :)

    Also...like others have said...drinking calories is an easy way to bump things back up. Black coffee not coffee with milk or Syrup. Water not milk or juice or pop. etc :) These were hard ones for me to wean away from.

    Finally - don’t get down on yourself. Our bodies have a majestic way of defending weight. They are crafty suckers and adapt adapt adapt adapt to our every whim. You have had decades of hard work to wire your body to think it needs to store fat and ramp down metabolism. You aren’t going to change it overnight...and you might not change it ever. It’s part of being human. Give yourself some grace.

    Best!


    Sent from my iPad using Tapatalk


  6. I did not have a catheter although I did experience quite a bit of retention after surgery...so much so that they had to straight-Cath me several times because the volumes in my bladder were getting unsafe. It seemed that being able to pee on my own was a pre-requisite for getting out of the hospital so it seems like I might’ve ended up having to stay an extra night because of that.


    Sent from my iPad using Tapatalk


  7. I don’t think I’m at risk of diluting my electrolytes like that...seems like it’s way more common in long distance running and other endurance athletics. I was definitely mindful of it when I ran a marathon last spring.

    The national academy of science came up with a recommendation of 3.7 and 2.7 liters of Fluid daily for men and women - (food and Water combined). But that’s if a person is not very active. The recommendation goes up if there’s lots of exercise.

    I just wonder if that need changes at all for bariatric patients. Sort of like how calorie needs change for us post surgery.


  8. I am 2+ years post sleeve. How much is too much Water in a day? I find that if I’m not drinking ~3L/day or more, I get headaches and feel terrible. To do this and also not be drinking during/around meals, I am constantly drinking through out the day - and also constantly peeing. Sorry if TMI. Lately my PCP doctor made me feel like that is unusually high. The national academies recommendation is 3.7L for adult men per day.

    Just wondering if there is an upper limit for Bariatric patients. I hear 64oz thrown around here but that seems low to me as a long term goal, perhaps something to aim for closer to surgery day - I would be dehydrated on that little at this point....especially if I’m regularly exercising.

    How much water do you drink per day?


  9. I had surgery 2 years ago this week. I was a 41 BMI and was absolutely terrified. I identify with many of the questions you’ve expressed. It’s a scary decision.

    Today, I have no regrets. I’m happy I did it. I feel better than I have since I was in high school. I ran a marathon last spring.

    I’m not an evangelist for this surgery - it’s not the right thing for everyone. But I think it’s right for some of us. Best way to think of it imho is as a TOOL. To get to a healthy weight and better health overall, I had to make many permanent changes to my lifestyle and diet. WLS for me was a key tool to help make those changes permanent. I’m so grateful to have had this opportunity. And the only regrets I have are for not (perhaps) better taking advantage of the early honeymoon stage immediately following surgery.

    If you’ve yo yo dieted for years and are ready to settle into a permanent lifestyle of health, I think the surgery is a great piece of a good strategy.


    Sent from my iPhone using Tapatalk


  10. I had surgery almost one year ago to the day. Day of surgery I was down about 40 pounds from my all-time high and now 12 months later I'm down about 80 pounds.

    I have been recently dismayed that since about August I am essentially not losing any weight. I mean don't get me wrong I'm happy to maintain but I have been stuck at 230 literally since the middle of summer.

    It's crazy though, because I exercise a ton and eat junk, almost all vegetables and lean Protein. I eating over 100 g protein day at least. And my total calorie intake is 1800 a day on a bad day and 1400 or so on a good day. It made no sense to me that I could ride hundred miles on my bike in a week and still see no movement of the scale.< /p>

    Well this week I went to the YMCA and they did a " in body " Analysis on me. One of the most interesting things that came up is that my body fat percentage is 21%. In July my body fat percentage was 29%. One year ago percentage was 38%.

    I am 6 foot one and I am exactly the same weight as I was four months ago. But over that for months I have lost 8% body fat!!

    So apparently I am adding muscle or bone and I guess losing fat.

    I can't tell you how encouraging to me this feels. Everyone says to stay off the scale, and it is really hard for me to do that. But this recent revelation to me understand why. It's so easy to get fixated on or discouraged by data, and that is terrible it is bad data.

    Keep up the good fight y'all. I'm not giving up yet.

    Sent from my iPhone using Tapatalk


  11. BTW I have never had any trouble with weight gain while marathon training. I mean you do have to be conscious of the "rungries" as they call it, but I don't experience it any more marathon training than half marathon training.

    Sent from my iPhone using the BariatricPal App

    I feel like I struggle with hunger after long runs. Even for a couple days after doing 8+ miles, I am a little bit crazy about getting sugars and sweets. I bet it's the rungries hahah.

    My dietician has recommended I eat quick carbs before working out and yeah, if I'm doing anything greater than 5mi, I take some Beans or GU along the way. I also like 4-5oz of lite Gatorade for electrolytes especially on warm days.

    I am struggling through. Trying to get off another 20 pounds but have been stuck in maintenance for 4 months.

    Sent from my iPhone using Tapatalk


  12. Hey thanks for the updates, you are encouraging.

    My progress is about as follows:

    BW 315 (May 2015)

    SW ~275

    CW 230

    So I've lost about as much before surgery as after...it's been pretty much at a stand still since August. But I'm also exercising a lot (1-2hrs per day, training for triathlons, etc). My dietician says that this is probably what's stopping loss. Idk. I know my calories aren't anywhere near the 1100 I was eating back with the liquid diet. It's hard to not be discouraged. But on the bright side, I've maintained the same weight for like 4 months which is a real miracle in the grand scheme. Hoping to drop another 20 or so. But my clinic says that I am a success as is - that they don't care if I lose more.

    Sent from my iPhone using Tapatalk


  13. Cool! I'm training to hopefully run a marathon in may. Did a couple triathlons over the summer and had fun with it. Love this new ability at a lower weight. But I too am struggling with not gaining weight as I'm working out so much. Loss has essentially stopped since July. I have an appointment with my clinic this next week. Hoping to discuss this as a part of our conversation.

    What is bod pod?

    I'd like to get an RMR done as well but don't know where I'd find a place with the machine.

    Sent from my iPhone using Tapatalk


  14. Something else I was thinking about ... I do think I find a correlation between cravings for sugar/sweets and exercise. When I work out hard, the next day or two are filled with strong impulses to eat sweets. My main rule that works pretty well is limiting a very small amount of sweets to a certain day a week - then not at all other days. That way intake is minimal, but it'd not sworn off forever and a giant failure when I eat it. But when I'm exercising hard, it seems much more difficult.

    Sent from my iPhone using Tapatalk


  15. Hi surf,

    I am in a similar boat, sleeved in December, very physically active, eating low carb, probably not enough Water, for the most part, 3 meals a day, and I've seen very little loss since the beginning of august.

    I am trying not to get discouraged. But I feel similar to what you're saying. My nutritionist has encouraged me to record everything I eat - which I believe is helpful. I think I do all or nothing thinking sometimes with that - when I miss one meal it throws me off from recording altogether.

    I am to the place where I feel hunger quite regularly. Haven't yet been able to see clear patterns re my hunger and pull for grazing as they relate to my water and Protein and other diet.

    Sent from my iPhone using Tapatalk


  16. I had a lot of dizziness early on.

    Talked with my clinic, and they took me off my BP pill immediately, encouraged me to drink as much Water as I could possibly tolerate. At one point I had to go in and get a couple units of IV saline. Made me feel SO much better.

    Went away after a couple months.

    Turned out to be a combination of dehydration and low BP.

    Sent from my iPhone using Tapatalk


  17. Sorry, I know it's gross but I'm on day 3 of mostly liquids. My dr said I could cheat with a bit of tuna or chicken so I've been having that as well. Ive been getting plenty of Water so I'm not dehydrated. It just keeps coming. I just feel awful in general, I'm tired, I'm HOT (have no idea why but I'm pouring sweat) and just feeling gross.

    Is this how it will be post op? I feel like I'm going to pass out and I've had enough of the diarrhea.

    Everyone is different when it comes to tolerating the liquid diet Id guess. Age, gender, allergies, stomach flora, history, etc etc all have their contributions.

    I spent 4 weeks pre op on liquids and then the typical several weeks of liquids post op. My poo was not liquid except for a couple incidents - but I know I have a history of tolerating about everything very well with few GI upsets or issues. It was hard. But I'd suppose it'd be harder with diarrhea!

    Your trouble might have something to do with the brand of shakes your using - or maybe you're just sensitive and this is how it will be!? My clinic was always happy for me to reach out so I'd suggest as others to give them a call.

    Sent from my iPhone using Tapatalk

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