summerset

This. You're exactly right IMO. I'd be very unhappy if my nutritionist would be pushing a low carb and high in animal protein diet at all cost. Others wouldn't even think about limiting animal protein, let alone cutting it out completely. This again. I personally love the endorphin rush of relatively short and hard sessions (like Freeletics) and I enjoy long bike rides. I also do yoga and go running. (Dammit, now that I'm writing this I notice that I feel quite low at the moment - I had laparoscopic adhesiolysis three weeks ago and the only exercise I enjoy I can do at the moment is cycling and I have to be careful about going up hills. The wounds still hurt a bit when engaging the abdominal wall).

This. Worth a full quote.

Completely normal reaction of the body. I would be concerned if my body didn't scream for more nutrients and calories after a hard exercise session or a 3 h bike ride.

Depends on what you're looking for. I use the app that comes with the iphone to remind myself of supplements. CRON-O-Meter is nice for food and nutrient tracking. If you're looking for something to build habits, Habitica is quite fun.

Yep, that's exactly what I mean.

This. WLS takes the edge of the hunger and prevents getting these seconds and thirds simply because you're not feeling full. Being satisfied and/or full with one slice of bread and a bit of fruit or salad is something I experience as liberating. Before WLS it was three slices and fruit or salad on top.

Even if the surgery doesn't extend the lifespan of people, it seems like it increases disease free years. A patient might be getting 80 years old with or without the surgery but without the surgery the last 10 or even 15 or 20 years might be rather miserable due to diabetes and its complications, heart disease, side effects of meds and mobility issues while with the surgery only the last 5 years might be spent in disease misery. And even if the surgery is not able to prevent diseases like Arthrose (I think in English its arthritis) - in comparison it's still easier to haul around a body that is 100 lbs lighter.

I think a lot of these maintenance/regain issues are about this new set point. Could also explain why some people can eat a fairly high amount of calories and maintain while others have to subsist on a rather miserable amount of calories to maintain even though their BMI and other stats like gender, age, height and activity level might be more or less similar..

It's interesting that the surgeon's goals are usually not getting the patient down to a normal weight but out of the obese range. Patients are usually the ones who aren't satisfied when the BMI stops going down at 28.7 or 27.6 etc. Surgeons seem to have more modest goals than their patients.

My husband is like this. He thinks he needs to eat low carb but his HbA1c doesn't seem to be impressed.

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Too many hangry people in this thread already. Amazing how a question about a little lollipop can lead to such drama.

I remember a time when it seemed to be marketed as the magic bullet (or at least some patients believed it to be). The DS seems to be performed rarely in Germany these days though. Thanks to everyone answering my question.

You should have been here a few months ago.

I would wait with spicy things as it can irritate the stomach. Wait four weeks at least.

There is no reason to do so as long as these foods don't make you feel queasy in some way. I'm glad I found a little crowd on BP who's not into the low carb and lots of lean animal protein thing.

Just out of curiosity: do people start gaining back weight once they introduce too much carbohydrates or is it more of a digestion matter that carbs should be limited?

Indeed. Seriously. I don't like the term "clean food" because what's "clean" and what not seems to depend on the diet one is following.

I hate this talk about "clean food". When other people telling me they're "eating clean now" I sometimes can't resist asking them: "U-huh, did you throw your food onto the dirty kitchen floor before your ate it, or what?"

Have you still the possibility to test your blood sugar levels after meals? Might be the easiest way to find out if foods like grains still raise your blood sugar into undesirable numbers. As for insulin levels: I don't believe there is the possibility of home testing. (unfortunately, I'm curious myself about this)

Hummmmm, it's hard to tell... My experience is that I stopped smoking after being banded and haven't started again since. As far as compulsive behavior goes: I spend more money on stuff but nothing I couldn't afford so I don't see this as a big deal. Alcohol I drink once in a while. I feel that I'm more anxious about things. More nervous and restless in general. I guess that is my ADHD kicking in harder.

I think it's normal to have these thoughts. May I ask why you want a sleeve instead of a bypass?

I think they're talking about the increase in insulin secretion in healthy subjects not about blood sugar elevation in diabetes patients. That's a difference.

I didn't gain any weight during the few weeks I had to take opioids. I don't know about long term effects though.

I can tell you what we were told: It depends on the size of the pill. If it's teeny-tiny you can swallow it. Otherwise you should crush them for the first four weeks. After that just swallow them whole. I don't know if my treatment team was overly cautious or not. I only had to take the PPI which meant opening the capsules and swallowing tasteless little pellets so I didn't really mind it. Caution: not every pill should be crushed! Ask a pharmacist if you're unsure!