her1981

The fat acceptance movement is a lot like the feminism movement in that a lot of people have utter misconceptions about what the movement is actually about and why it exists. Much like the crazy people who call themselves feminists while attacking men, saying we should just kill off all the men, saying the men are inferior, etc are not ACTUALLY feminists, people who truly believe that being fat is healthy and that all doctors are just being hateful and discriminatory are not actually fat activists.
The point of the fat acceptance movement is the same point as the broader body positivity movement: it doesn't matter if you weigh 800 pounds and literally can't move off your bed, it doesn't matter if you have made yourself unhealthy with poor choices or if you are making no move whatsoever to lose weight. Every person deserves to be treated like a human being, with dignity and respect, end of story. Fat acceptance is all about treating fat people like they are humans instead of the often appalling way we are often treated, ways that are still socially acceptable and that need to change, NOW. The point is, no one has a right to judge you or treat you poorly because of your body because it's your body, not theirs, and no one gets a say unless you want them to. These misguided people who stubbornly tell themselves that fat acceptance is about pretending to be healthy and thinking fat is better are just that, misguided. I can't really blame them, in some ways. Being treated like less of a person because of how you look is just absolutely wrong and ridiculous, and doesn't serve to actually help people.
No true body positivist would ever ignore medical advise just because they are hurt and offended by the truth, just like no actual feminist would say that men are inferior. There are idiot radicals in every movement, but what's important to take away from it is the core message.

Success after weight loss surgery is no accident. It is the result of a lot of hard work and careful planning on your part. While of course it depends on a skillful surgeon, your post-op success depends most heavily on you.
You can begin to set yourself up for satisfying weight loss and preventing regain long before your surgery date. Here are some ideas for building that solid foundation that will make your weight loss surgery journey smoother and more satisfying.


Choose the right surgeon.
If weight loss surgery is the tool, your bariatric surgeon is the one who makes the tool and gives it to you. You want a tool that is made precisely, ready to do the job, and built to last. Your surgeon needs to make the right cuts and place the band properly or make a tight, solid sleeve or pouch. So, look for a surgeon who is experienced and has a good track record of successful patients and low complication rates – don’t be afraid to ask!
There’s more to choosing a surgeon than technical skills. Also, consider what else the surgeon will do for you. The right surgeon for you is willing to discuss your options and the procedure with you in a way that you can understand. You’re setting yourself up for extra challenges if you’re afraid to talk to your surgeon or your surgeon is unavailable.
Get the scoop on the diet.
Your diet is central to every part of the weight loss surgery journey. You may be told to lose some weight before surgery as a test to make sure you’ll follow the rules post-op. Then there’s the pre-op liquid diet to shrink your liver for a safer surgery. Next, for faster healing and fewer side effects, you need to follow the post-op progression from liquids to pureed foods to solid foods. Finally, there’s the nutrient-dense, low-calorie diet to help you hit goal weight and stay there.
At best, you will have a surgeon or a nutritionist who gives you plenty of information. Since that’s not always the case, you may need to take steps to figure out the diet for yourself. You can look online, and may need to shell out the money for a few appointments with a nutritionist. Not knowing the right foods to eat can set you up for surgery complications and disappointing weight loss.
Take responsibility.
It’s nice to depend on a stellar surgeon and complete healthcare team to walk you through surgery and beyond step by step. Ideally, your trusted surgeon would explain your options to you and recommend the best surgery for you, whether it’s the sleeve, band, bypass, or another choice. You’d go back for follow-up appointments and ongoing nutritional and psychological counseling.
That doesn’t always happen in the real world, but that’s no excuse to give up. You can take responsibility for finding out the information you need to know about what to expect, how to prepare, and what comes next. Be persistent and do your research in all kinds of places, and you’re more likely to succeed.
Face the facts.
Weight loss surgery isn’t all fun and games. You don’t leave the operating room skinny. Weight loss isn’t steady. It may take you longer to get to goal weight than you hoped. Recognize the real possibilities to avoid being disappointed and possibly even giving up.
These are some other possibilities to consider, so you can be prepared if they happen to you.
You may still love sugar, salt, fat, and/or starch.
You may still be hungry.
Others may not notice your weight loss, or may not be impressed.
Others may be jealous of your weight loss or say you didn’t earn it.
You may have loose skin when you are finished losing weight.
Weight loss surgery doesn’t solve psychological problems.

Be Open-Minded
If you want to lose weight and get healthy, you’ve got to change your diet. Whatever eating habits got you to this point are not going to get you to goal weight!
That may mean you need to be open-minded. Maybe you hated vegetables, or can’t stand the thought of downing protein shakes for 2 weeks on the pre-op liquid diet and up to 4 weeks on the post-op liquid and mushies diets.
It’s time to re-evaluate. Can you sneak some veggies into your diet? Can you retrain your brain to love them? Can you force down those protein shakes for a few weeks in exchange for a lifetime’s worth of better health?
Learn to see the good.
There will be disappointments - guaranteed. The scale may not cooperate, or you may make a poor eating choice, or you might skip your morning workout because you didn’t make sleep a priority the night before. Focus on the negative, and you just may talk yourself out of continuing the hard work and good progress.
Instead, learn to appreciate yourself and see the positive sides of things. Maybe you didn’t lose weight this week, but did you eat right? Maybe you downed a piece of pepperoni pizza without thinking about it, but did you pass up the breadsticks and soda that you would have had before surgery? Maybe you didn’t work out this morning, but did you make it to the gym more this month than you did last month?
See yourself as a strong, powerful person, and you will act like one. You can build on the positive behaviors you see in yourself so they eventually overshadow the mistakes.
You have control over your own destiny. Success with weight loss surgery depends on planning and hard work. The more you are involved and the more responsibility you take throughout the process, the better you can do.

Imagine this. You and your doctor agree that you need to lose weight. You tell your doctor you’ve been thinking about weight loss surgery. Your doctor lets you know his or her thoughts about WLS, and they’re very negative.
You may not need to imagine it because it may have happened – or be happening – to you. What should your next step be when your own doctor is not supportive of WLS?


Doctor’s Orders: Lose the Weight
Almost all Weight Loss Surgery patients and nearly everyone who’s considering getting WLS had a similar experience to the following. You go for a routine visit to your primary care physician, endocrinologist, or regular doctor, and you get the news you’ve come to expect: you’ve gained a little weight since the last appointment and you’re developing obesity-related problems. Bottom line, your doctor says, is that you need to lose weight.
It’s no secret that you need to lose weight. You’ve probably tried a thousand different diets. They may have worked, but only for a time. Then any weight that left came right back, with a few extra pounds. You recently started thinking about weight loss surgery, and you bring up that idea to your doctor.
“Weight Loss Surgery Is the Wrong Choice”
Some doctors are against weight loss surgery. They have the same reasons as anyone else who may be against weight loss surgery. They say it’s the easy way out, or you can lose weight on your own, or you might have complications. It’s great for them to express their concerns to you since that’s their job. But it’s not okay to deny you the opportunity to lose weight just because they don’t like the idea of WLS and may not have ever done any research into it.
The Ideal
Doctors are supposed to be compassionate, understanding, and competent. If that sounds like a tall order, it is. But it’s not unrealistic. You need to feel comfortable discussing your health and health decisions with your doctor without your doctor making you feel like a failure for not losing weight already and for considering Weight Loss Surgery.
You Come First
Your doctor should put you first. Putting you first means taking into consideration your future health, your dieting and weight history, and your own beliefs about whether weight loss surgery is right for you. Your doctor should put you ahead of any personal beliefs or biases about weight loss surgery, or lack of knowledge about it.
Seeking a “Second Opinion”
You’re always entitled to a second opinion when it comes to your health and healthcare decisions. You may not need an official “second opinion” on whether you should get WLS if you’ve already decided you’re going for it. What you do need is an opinion from a doctor who will support you.
You can consider switching your primary care doctor if it’s important to you that your PCP be supportive of your WLS journey and during it. You may even want to find a doctor with some understanding of WLS and how to help you prepare for and recover from it. That’s not always possible, for insurance and logistical reasons. It may not be desirable if you like your PCP otherwise and don’t want to jump ship.
A Supportive Bariatric Surgeon
Whether or not your family doctor approves of Weight Loss Surgery, your surgeon absolutely needs to be on your side. While you can expect bariatric surgeons to be supportive of you getting WLS, that’s not the only thing to consider. Consider whether the surgeon makes you feel confident you’ll get the support you need and that you will succeed.
Whether because of their poor bedside manners or lack of attention to detail, some surgeons will keep you in doubt about your decision. Those are not the right surgeons for you! You may need to have initial consults with one, two, three, or even more surgeons before settling on the one that’s going to boost you up.
A Personal Decision
Ultimately, weight loss surgery is your decision. You can decide to get it, or not to get it. It should be a decision based on what you think will help you lose weight, how much risk you’re willing to take by going “under the knife” (although it’s laparoscopic these days!), and how you think it stacks up against your other options.
It should NOT be a decision based on what your doctor thinks or how uncomfortable you feel talking to your doctor or surgeon about it. It’s up to you.

If metabolic syndrome is the cause of your weight gain, a diet that is low to moderate in calories coupled with an exercise plan may not be enough to lose the weight. And if you continue to eat the wrong foods, exercise and diet may not help at all.


In the late 1970s the government mandated we get the fat out of our food. The food industry responded by putting in more sugar. And that, we see by historical data, correlates to the time when America’s obesity epidemic began. Read my article, “Cause and Cure of Obesity in America.”
In the New York Times best seller Fat Chance: Beating the Odds against Sugar, Processed Food, Obesity and Disease, author Dr. Robert H. Lustig, a renown expert on obesity, points out that “a calorie is not a calorie.”
Not all calories are equal. Whether the calorie comes from fructose, glucose, protein or fat is important to its metabolic effect and how much fat that calorie accounts for.
Fructose and glucose — just two of the many names that sugar goes by — and even protein are said to be the culprits behind insulin resistance and metabolic syndrome. Insulin resistance and metabolic syndrome are two primary causes of obesity in both adults and children.
If you are struggling with the problem of an overgrown waistline, aka “belly fat,” this may be an indicator of these health conditions. Read my article, “Belly Fat is a Danger for All People.”
If metabolic syndrome is the cause of your weight gain, a diet that is low to moderate in calories coupled with an exercise plan may not be enough to lose the weight. And if you continue to eat the wrong foods, exercise and diet may not help at all.
What are the Wrong Foods?
Sugar goes by a variety of names, about 52 in all, including glucose, maltose, sucrose, and fructose. The result has been an altering of our biochemistry that has driven our eating out of control, according to Dr. Lustig. Dr. Lustig further states that so-called healthy sugars such as agave, coconut and palm sugars are all “crap.” Checkout this HealthCentral sugar infographic named Sugar is to Blame:
http://www.healthcentral.com/obesity/c/380545/179644/sugar-blame-infographic/
Dr. Andrew Weil, a well-known guru for holistic health and integrative medicine, agrees on this point. Dr. Weil warns that sugar is toxic, and coupled with modern industrial food, has disastrous effects on the hormones that control hunger, satiety, and weight.
Both Dr. Lustig and Dr. Ron Rosedale, author of The Rosedale Diet, advise that branch chain amino acids (BCAAs) and protein contribute to insulin resistance and obesity. I’ve been eating a high-protein diet and taking BCAAs because I thought I was doing my body good.
Whey protein, which I and the majority of bariatric patients have been conditioned to consume, is one of the worst foods for releasing insulin in the body according to Dr. Andreas Eenfeldt, a Swedish medical doctor and specialist in family medicine.
Dr. Eenfeldt, commonly known on the web as the “Diet Doctor,” interviews Dr. Lustig on the "Causes of Obesity" in the video below (or watch it on
). The Bottom Line
If you think metabolic syndrome may be the cause of your weight gain, then eating a traditional “healthy diet” combined with exercise may result in failure to lose weight. Talk to your nutritionist.
Further, you may wish to explore three diets for metabolic syndrome from Cleveland Clinic, Dr. Robert H. Lustig, and Dr. Andrew Weil in my article, “Metabolic Syndrome and Weight Loss.”
Living larger than ever,
My Bariatric Life

Thanks Alex for motivating me to stop obsessing over the scale and shift that focus more on the diet plan. I was one of the ones that felt like I wasn't losing fast enough, but that had a lot to do with my nutritionist telling me that as well. In 6 weeks I lost a total of 31 pounds at the time I saw her last week and she advised me that by 6 weeks I should have already lost between 45-48 lbs. Talk about a real downer...You're excited about any weight loss only for your nutritionist to say, "Sorry, you're losing weight too slow." Maybe I'm not the only one here who has a nutritionist who has criticized their weight loss. But after speaking to all of you I'm not concerned anymore. I'll lose at my own pace and remembering that this is not a competition.

The weight loss surgery journey is easier for some than for others. That’s true not only mentally, but physically as well. Some patients are confident as they get the surgery, follow their prescribed diets, and lose weight until they approach their goal weights.
But most have doubts at some point. Those doubts can be strong especially in the first few weeks after surgery.


I see this lack of confidence time and time again in the forums. Weeks or a month after surgery, gastric sleeve, gastric bypass, lap-band, and other Weight Loss Surgery (WLS) patients start to wonder whether Weight Loss Surgery was the right choice. Most often, they are disappointing in the number of pounds they have lost, and they wonder, “Am I going to be the Weight Loss Surgery patient who fails?”
I can say this with confidence: If you follow the Weight Loss Surgery diet, you’ll lose weight.
“I’m Not Losing Weight Fast Enough!”
That’s a common post on BariatricPal. The poster is usually a week or a few weeks post-op, and worries their weight loss isn’t fast enough. They think their “slow” rate of weight loss means Weight Loss Surgery didn’t “work” for them. They think they will never be able to lose significant amounts of weight, since WLS was a last-ditch effort to lose weight and get healthy after years of dieting didn’t work.
But in most cases, these fears just aren’t true. Don’t misunderstand me. I’m not saying these fears are unreasonable. I understand them perfectly. I, and probably every Weight Loss Surgery patient, wondered whether it would work for me. And the answer for me, and for everyone who followed their Weight Loss Surgery diet, was “YES!”
The Perfect Storm for Frustration
So why the panic? I like to think of the first few weeks or even months after weight loss surgery as a perfect storm for generating doubts. It’s a time when the following are true.
You realize you have made a decision that led to a change to your body that is irreversible (in the case of sleeve gastrectomy) or meant to be permanent (in the case of the gastric bypass), or
You realize a lifetime commitment to changing your eating habits and lifestyle is a pretty big deal.
You have not eaten solid foods for weeks, or even more if you had a liquid diet for long before surgery, and it’s getting you down.
You are struggling in your daily life as you try to make time for exercise or you find your family members continue to eat junk food in front of you.

All that is enough to get anyone down before you even start thinking about the reason you got the surgery in the first place – to lose weight! If you doubt you’re losing weight “fast enough”, you might start wondering if you made the wrong decision when you got Weight Loss Surgery – and that’s a depressing thought.
Crunching the Numbers
Almost without fail, the BariatricPal member who posts about disappointing early weight loss is losing weight quite quickly. The only person who is disappointed in this number, typically, is the member him or herself. I’ve seen members post with concerns about losing “only” 20 pounds in the first month, or “only” 10 pounds in the first week. Guess what. That’s great!
Think about it. A general round number for great first-year weight loss after Weight Loss Surgery is 100 pounds. That’s an average of 2 pounds a week, or 8 pounds a month. If you lost 20 lbs in your first month, you’re doing fantastic! To hit 100 pounds in your first year, you won’t even lose a pound every three days! So don’t worry if the scale doesn’t plummet every single day. If you’re eating right, you’ll lose weight.
Try to keep yourself motivated by keeping it all in perspective. Another motivating thought is to consider how long it took you to gain the extra weight. 5 years? 10 years? Your whole life? And now you have a chance to lose it within 1 or 2 or 5 years? That’s a pretty good bargain, right?
Recovery Now for Weight Loss Later
Now, I know you’ve prepared for Weight Loss Surgery for a long time, and you’re eager to lose weight. But really, you’re not quite ready to focus on weight loss if you’re still recovering from surgery. It’s far more important to heal properly. That’ll help you lose weight faster later and avoid complications that’ll set you back, not to mention cause possibly serious health problems.
So, no matter how frustrated you are, stay positive, and focus on following your surgeon and nutritionist’s instructions to the letter. Continue to eat a liquid diet and then pureed foods without cheating and sneaking in solid foods. Use this time to establish a pattern for your long-term success. Learn to measure your food, and to set aside time for food prep and for exercise.
Weight loss surgery is a lifetime adventure, and that realization can really hit hard in the early days and weeks post-op. You can get through this tough period by focusing on one day at a time and not worrying about your rate of weight loss. Measure your success not by the scale number, but by how well you stick to your plan.

Thank you. I know you have said that before, the mental part of feeling like this isn't going to work and feeling hungry and low on calories starts to really mess with you.