OutsideMatchInside

If you have been morbidly obese for a while most of those calculator will be off. It is better to be actually tested in a lab. The reason being is we have a different body makeup than people who have not been morbidly obese. When you are heavy your body has to build muscle to carry all that weight. So unless you have other things going on, your RMR is going to be higher than normal. We spent all this time and money on surgery, investing in some body composition testing is a drop in the bucket. I consider it the same maintenance as getting my blood work done. It also allows me to accurate set my calories instead of guessing.

@BigUtahManI think this is the first post I have read with a nutritionist that was actually useful with accurate information. Yeah with a BMR that high it is basically impossible for you to eat enough calories with a sleeve to support extensive exercise. How did the Dr office test your RMR? So few seem to test when it should be something they are are required to do.

Try the Stur water drops they are made with stevia. Also there are just some other drips called water drops that are made with stevia. Look at a heath food store. I'm not against water additives just find a quality one. Nothing in the grocery store is good. Try health food or supplement store or online

If you never really gained weight in your books you can probably keep them. My breasts are the same size for the most part just my band shrunk. I never gained weight in breasts they were always large, but they never got proportionately larger as I gained weight. I went from a 50dd to a 36G.

I agree with @BigViffer Everything you are doing looks okay. When in doubt cut out all processed foods and see what happens. That diet Snapple, no girl no. The veggie patty unless you are a vegetarian there is no benefit for you, eat a normal protein. Overall your food is really good though. I'd give up the cheddar chips though too. I like H20 protein water too. As a rule I try to limit my processed items to one a day max. They will slow your weight loss either will sodium or fake sweeteners. Also thank you so much for asking an educated question with documentation. That was really refreshing compared to most post around here.

If someone had surgery on Medicaid, and all they had was food stamps, I can see how they wouldn't be able to afford vitamins. Still they should be able to get a script for vitamins and get them free. I have never used food stamps but do proteins shakes count as food? The pre-made?

That nutrition will slow your recovery. Get some protein shakes, they have them at Walmart, Get something with less than 5 grams of sugar. Premier is the best you are going to find at walmart. Get vitamins, any vitamin that is not a gummy. You can't get vitamins as a script from your Dr? Where did you have surgery? Have you been to any follow up visits? Why can't you have protein shakes? Stop eating mashed potatoes, they have zero nutiritonal value. Apple sauce is just sugar. The cottage cheese is a good choice.

Well stalling is normal. but 1200 calories would probably be better.

The hospital staff will take care of you. You won't be alone. My friend was here for my surgery but after you check in and they get you prepped, even if you have someone with you, you are alone anyway. When I woke up it was nice she was there, but she needed to get something to eat and I had other stuff to deal with after waking up, so she wasn't really necessary. You really just need someone to drop you off and pick you up. The staff takes care of you otherwise. Good luck

Thanks for coming back. I'm sure your mom would want you to take care of yourself. You can't let grief and depression endanger your health. Low vitamin D will take away your will to live and do anything. Make sure you take your supplements and you will feel better in 2 to 3 weeks. You might get some appetite also. You have to eat though, you can't lose weight if you aren't eating.

I like Fat Doctor UK better. Better Doctors, they seem to actually care and having feeling and emotions. The patients are more realistic. The people on 600 lb life are like aliens. Just because of their lifestyle and choices. They are always surrounded by so many enablers, if seems like Bizarro world. Plus I low key hate Dr Now. I watch a lot of documentaries and BBC specials on food, fast food and sugar when I need motivation to stay on track.

People gave all these thoughtful responses. OP never came back. *sigh*

RNY is just kind of outdated. It is like how they used to wire jaws shut. They have been doing more sleeves in Europe and the rest if the world for years, The US is way behind. The majority of Drs pushing them still are doing it because it is the surgery they have the most experience with or for the money. That isn't to say that some people don't medically need RNY over sleeves because there are certainly people that can benefit from RNY over the sleeve, like GERD patients. Eventually there will be another development and the sleeve will be outdated.

All fluids, protein drinks, tea, broth, all of it. if you can get the water in on top of those, great, but if not they count too.

Just wear something to support your stomach, like a compression top, you just don't want to pull on your stitches, and binder will work too. just be careful though, little dogs like to climb all over you and they won't understand that you are in pain/sensitive. Well at least mine does.

It has almost the same sugar as 16 ounces of Coca Cola and a lot of other things (starbucks 59, coke 52). Unhealthy sugar filled foods and drinks are pushed on people every day. This drink is just an easy target. Almost everyone I know that has tried said they would never have another one. All those Frappucinos are full of sugar, especially all the creme based ones like this one. Everyone knows, everyone ignores it. I don't get why everyone is freaking out now.

It is a learning process, everyone learns what they can tolerate by trial and error and it changes over time. Just wait till 3 months and try again. I eat low carb fried fish once a week or 2 times a month. So I am not judging you on frying at all. I fry stuff all the time.

This is incorrect. The shape of the sleeve it totally different from RNY. The Sleeve is the first step for DS not RNY. RNY has a pouch at the top of the stomach and the Sleeve and the DS both share the banana shape. One reason I chose the Sleeve over RY was because I know if I didn't have success with the sleeve I could revise to the DS. If you fail with RNY you have no where to go unless you are going to go out the country and have more of your intestines bypassed which is risky. Also important differences beyond shape is the sleeve leaves the pyloric sphincter in place and the stomach still functions normally, just smaller. In addition a properly formed sleeves removes almost all of the stretchy part of the stomach, RNY does not, it uses part of the stretchy part to make the pouch, thus people with RNY can get a lot of stretch in their pouch. The only way a sleeve is grossly stretched out is medical malpractice. Back to OP. If GERD was anywhere on the table, I think RNY is the only option. GERD with the sleeve is pretty terrible, if you are already prone, then don't risk it. I never had GERD in my life before having the sleeve which is why I felt it was a safe choice for me.

If you change the way you think about stalls you can end up liking them the most. I like my stalls the best because I get the most physical changes during my stalls and my body improves. Scale loss is kind of useless compared to the inch loss in stalls and my fat rearranging itself. During a stall I might lose a dress size, when I am dropping weight, I hardly ever get smaller, I just weigh less.

If you are starting in plus sizes, like the high end of plus sizes, you might not drop more than 2 sizes. If you are on the low end of plus sizes, like a 20 starting, you could be a 12 in 2 months. People react differently to surgery there is really no way to tell. good luck with the dress!

@BigViffer Yeah, I track all my food in Metric. I wish we would just the rest of the scientific world. Also I notice that even on the packaging the grams in parenthesis are off from ounces/tablespoons, with the grams/ml being more accurate. It doesn't seem like much at one time, but over a month or a year, it adds up. @2-Liter I am really glad you like Keto. I think the key to doing it long term, is liking it. Really enjoying and understanding how it works. It makes it easy to make the right choices in various situations and you don't feel deprived. I also had a lot of bad habits that got me to almost 400 pounds. I am going the opposite now and trying to cement them as habits for life. Like weighing and tracking my food. The further out I get the more lax I want to get with it, but any time I slack off, even for half a day I suffer for it, so it just isn't worth it. If I hadn't been really serious about it in the beginning when it was fresh and I was really dedicated I am sure I would have quit by now. Also being serious about it in the beginning helped me learn that it really works and see the benefits so that also makes it easier to continue. I don't know if you use IG, but this guy https://www.instagram.com/vsg_kingtut_77 started large, he is still a big dude, but he built and fine as $%^&. If I was a big guy starting out, he would be motivation. Anyway, good luck and keep up the good work!

It is so nice to see someone really committing to the life post-op instead of eating trash and posting about it to get the thumbs up. Ditto what Big Viffer said. I mainly just come here as a reminder of what not to do. If you are actually doing the right thing around here you basically get zero support. The scale is your friend. I have been weighing all my food for almost 2 years, I still can't eye ball it accurately. Volume is always going to be inferior to weight. I wish more people here would weigh their food. They claim they are eating X, but they aren't tracking and they aren't weight so they have no idea. I even weigh my prepackaged food because the weights vary on those. This blog post sums it up pretty well why weighing is superior. http://christyshawfitness.com/2017/02/why-i-prefer-a-scale-to-measuring-cups/

Report your Dr. Report them to the state and your insurance company, after you get all your pre-op test done Find a new one. Honestly just wait and find a new one once you get back after the surgery. Look for a young Dr that is not American. I found a new Dr, young, not American by birth. Far less prejudiced about WLS and other things in general.

You kind of have to pace yourself for introducing new foods. You are going from bland foods with barely any protein, fat or sugar, to regularish foods. You have to kinda chill at least until 3 months, then you can get more adventurous

Man I have never dumped from fat. I think I would die, lol. Fat is my life. Although the more stories I read, the more I think it is excessive calories hitting the intestines too fast, than the content of the food. I don't dump but I can make myself sick if I eat something that hits my intestines too fast. @ShilohD How far out are you?