OutsideMatchInside

Long term, 2 years plus, the weight loss between RNY and the Sleeve are about the same. The first year, you lose more with RNY, but it balances out in year 2. The surgery you choose is completely person choice, you can be successful or fail with either. As a young active person, my Dr suggested the sleeve, and I lost almost 200 pounds with it. How much weight you lose really depends on you and your choices not the surgery. Good luck on choosing. There are literally hundreds of threads on this topic, try using the search feature and you will find plenty of discussions on it.

http://jn.nutrition.org/content/136/4/1126.full It is because of the melanin in our skin. I spend all summer in the sun and I walk in the sun every day in the winter no matter what and I still had low vitamin D.

@Mama V I absolutely hate Torrid. I was so gleeful that I would never have to shop there again. I hate their high prices and low quality (their shoes are complete trash you can see the glue on them). However they do have a really unique brand style and there is no regular size store equivalent, not where you can get all the same things in one place. CR just sell cheap, poorly made hoe clothes, like Fashion Nova and all the online stores, they have no identity. F21 same thing, and they are slowly raising prices and keeping the same trash quality. I like Asos, I shopped there as plus and I get things from there, but they don't have a strong brand identity either, they sell main stream trendy fashion but in a very middle of the road kind of way. Old navy just sells boring american "classics" in terrible colors, cuts, fabrics and styles. The only purpose of old navy is it is cheap, almost everything in there feels and wears terrible. The only place I can seriously think of that has dresses in variety (from hoe to quirky) and a great selection of graphic tees is really the Macy's Junior section. You can get Disney and Star wars, other sci-fi and pop culture tees and they come decently in vintage tee washes too. The great and terrible thing about regular sizes is you can shop everywhere, but now you also have to shop everywhere. I have to shop so many stores and brands to build my wardrobe now. It is a lot of fun but the choices can be overwhelming, Then when you add in vanity sizing, and size variations, it can be very daunting. This Fall is my first effort at building a semi-perm wardrobe (my size is going to change when I have plastics next year), and I first looked in the stores at what is available. Then I really thought about what looks I wanted and needed. I like preppy and crisp for day looks, classic dress looks (Jackie O) for Sundays/Brunch, and as whorish as possible without looking like an actual street walker for evenings. I wanted to grab some pieces that even if I can't wear them in a year or 2 they have resale value or I can give them to people. So I looked at what brands still sell on eBay. I also wanted a wardrobe upgrade (buying cashmere instead of wool sweaters). Then I made a list of things I needed and in what quantity. Then I thought about the color range so shoes, bags and other things would co-ordinate. It took a little time but it has helped a lot.

Are you on a liver shrinking diet?

Well, this is why most plans do have restrictions, to avoid this. The best thing to do is to try one new thing. Wait a few hours and see how it settles.

@lgravois Unless you have a stricture, your sleeve is not too small. If you have a stricture that could be dilated. If you had a stricture, you would not not able to consume the amount of food that you can currently. You are barely 1 one year out. Your capacity is likely to increase over the next year. Example at 1 year I could eat 4 ChickFila nuggets comfortably, now I can easily eat 8, and uncomfortably eat 12. I wouldn't modify your sleeve at all. Also yes, you lost a lot of weight in one year but you had a lot to lose. I lost the bulk of my weight the first year and the rest slowly. If you want to stop your weight loss, you can just increase your calories. Stopping your weight loss with the sleeve is really easy, you are completely in control

I have iced coffee and coffee. I use stevia an half and half. I mean you know what the problem is. Decide if iced coffee is worth being obese for. I don't think it is. You want sugar or you just want a "treat", it is better to figure out WHY you want this, that is the only way you are going to get past it.

It is just personal choice really. At 1000 calories you should lose no matter what. The trick is to find a way of eating that you can stick to without feeling like you are deprived.

Vitamin E oil (as suggested by Surgeon), Bio Oil and ScarAway. The best thing is time. I have to look for my scars to see them now.

@Mama V Macy's Juniors Dept is going to have a lot of the graphic tees, dresses and other styles similar to Torrid. They have more the characters and other stuff like Torrid. Also JC Penney Juniors.

That is really cute, you should frame it!

Those meat measurements make absolutely no sense. 1 ounce of meat is not 1/4 cup cooked or otherwise.

@dreamingsmall https://keto-calculator.ankerl.com/

The only thing that seems abnormal is the mouth wash and the 4 days of using the antibacterial soap. I used used it the night before and day of surgery. I had a PPI, anti-nausea, oxy, tylenol w/codine, I would rather have a cautious Dr than one that wasn't. Overall is pretty normal but everyone doesn't get all those. Like I filled all my scripts, but I didn't use them all. I was never really nausous so I never used that, and I stopped taking pain meds when I got home so I could drive. I stil have those pain meds on the shelf. The PPI don't skip it.

Insurance might require a 6 month program but I have never read in any insurance policy that you are required to lose weight. Dr Offices set that requirement. if someone has a super high BMI over 60 and it is unsafe to do surgery until they lose weight, okay. However there is no reason to drag it out and require a lower BMI person to lose weight. If people could lose weight on their own they wouldn't need surgery. Obese patients are still discriminated against to get services, in ways that would not apply to other medical treatments. This to me is complete BS. My weight can fluctuate by 5 pounds just based on where I am on my menstrual cycle. I also bloat/hold water in the summer. I barely lost anything on my pre-op diet because it was 105 degrees every day of my diet and I was bloated the whole time.

This is not true AT ALL

Well really doing keto is not super high fat. You set your protein goals based on your lean mass. Then you set your other goals around that. When I was trying to lose harder, my calories and fat grams and calories were lower. These are my current macro goals, It is still a deficit daily but not as high. This is what my macros used to be around 6 months post op, then I increased my protein based on my DEXA scans... Honestly I rarely hit my goal for fat, I always hit my goal for protein and I always keep my carbs under 25. This is how I have eaten pretty much the whole time. The way you eat doesn't matter. What does matter is finding a way to eat that you can stick to easily while remaining on a calories deficit. I thought you were getting a revision. You keep making the same posts over and over about regain but none of the advice anyone gives you seems to be sticking.

@SammieKay This is your 2nd thread in a month asking this question. Everyone that has the procedure that I have read their posts have been self pay, the few people that said insurance covered it confused it with VSG. There are only a few surgeons performing the surgery and none are in Alabama. Also Alabama is a state that does not consider bariatric coverage a necessity and plans, marketplace plans, are not required to provide any weight loss or bariatric coverage in the state of Alabama.

In Europe Net Carbs are the standard, but they are usually subtracting fiber. @Dabearo The bigger concern than the net carbs or sugar alcohol is how your body reacts to it. I can't handle sugar alcohol. It gives me terrible painful gas and makes me feel overall weird. Net carbs or not, those candies don't really seem worth it. Why not drink water with some flavored water drops instead.

2 years I can eat 4 to 6 ounces of protein at once. My eating is pretty "normal". If you saw me eating at a restaurant you would not think I was a weight loss patient.

@SammieKay Pretty sure none, it is experimental surgery done by a handful of doctors in the US. They just started covering the sleeve, it will be years before this is added to the list if ever. Call the Mayo Clinic and ask them.

Your macros look great! I probably wouldn't waste calories on nuts and have some meat, but that is personal perference. Just keep it up the weight will come off. This is for life, it isn't a diet or a short term solution. Good luck!

If your stomach hurts every 2 hours, that is probably acid and you need to be on a PPI for at least the first 6 months until your body learns that your stomach is smaller. You said you are eating 1000 calories a day and 60-80 grams of protein. Protein is 4 calories a gram, that is 320 calories for 80 grams of protein. What else are you eating? What are your other macros? Fat? Carbs?

I'm going to ask the obvious question.. Why in the hell are you eating all of that at 8 weeks post-op? I was on soft baked fish and protein shakes at that point. I dumped once in the first 6 months and it was my fault for eating something I shouldn't. You might be hypoglycemic. Overall you need to adjust your eating habits

My hosptial was about 45 minutes away. I wore the same dress there and home. Make sure you have a pillow for your stomach for the car ride home.