summerset

lol --- Sigh, I'm making fun of this right now myself but it's actually not really funny. I managed to trigger gastritis once with a tuna steak almost-mono-meal and once with seitan medallions, both prepared in the pan with coconut oil, so when looking at the some of the before/after pictures in this thread I'm all too often like ?.

I'd say WLS itself is enough for the time being, especially during the first months. Why are people looking for the dieting overkill?

More like: eat foods that have the potential to trigger gastritis. Makes you eat less food for days in a row.

Would be a good way to limit food in general for me. ?

Frustr8 and Orchids&Dragons: seriously, this would give me a stomach ache. Protein/Fat stuff only is nothing my stomach is able to tolerate in meal size.

I get a stomach ache just looking at this. ?

Depends. I was told that there would be an 80% chance that I wouldn't need reflux meds anymore. I wasn't one of the 80%. Only recently though when I quit all dairy I was able to wean myself off the PPI. I'm without them since a few days and I hope that the last remaining symptoms I sometimes have at night will either go away completely (the proton pumps need some adjustment time after all) or that at least I won't have esophagitis in the next EGD. Regarding the MGB vs. RNY - usually an RNY is the surgery to go for. However, I was revised into an MGB Dr. Rutledge performs with the option to revise to RNY later if necessary (there was a specific reason for this decision so no discussions on how much sense that might make or not). I also had a hernia that was closed. Rutledge has some information regarding MGB and reflux on youtube if you're interested. In sum the surgery is no guarantee that you can stop taking reflux medication. There might also be a hernia and some food sensitivities contributing to the reflux problem.

Side rant: What's really triggering the big b***h in me is how desirable weight loss is in our society, even if you're already at a normal weight. I recently had some flashbacks to the time of "the big weight loss" (thankfully nobody at my new work place knew me then so they assume I always looked like I look now) when I lost some weight because I felt really crappy for some time. People a bit more closer to me (e. g. co-workers in the department) knew about the situation, so when they commented at all they always said something like: "You've lost weight, you really do feel awful, don't you?" I had no problems dealing with this, however, when it came across as a compliment I always had that itch to hurl a "I feel like crap and you're complimenting me on my weight loss?! STFU, you ???!!" at them. So I guess my beef tofu here is that people never seem to even think about that someone might be losing weight because of feeling bad or being sick and that a compliment is so damn royally out of place... Oh, and I leant that "you look pale" seems to be just another way of saying "you've lost weight". Weirdest thing.

People have memory better than an elephant's one when it comes to how heavy you were before, ROTFL.

I might add that these are only my impressions of course. I can't look into other people's heads of course. Maybe some of my colleagues actually have these thoughts that their fat fellows are somehow "lesser". Or maybe patients feel like the fat nurses/doctors are not as competent? On the other hand I sometimes have the impression that patients are feeling a bit less uncomfortable when the assistant and/or doctor is a bit overweight him-/herself, especially when the patient is being half-nekkid .

Nah, you're not. Me neither. I always hated it.

The risk regarding the above mentioned issues seems to be higher dependent on how often you have to take the PPI, e. g. taking two pills a day seems to be associated with higher risk. Take care!

Another article but they're still citing the same study. No idea how flawed or not flawed that study is though. Yes, of course. I wonder how long it takes to get back to some baseline risk level.

The information on PPI doesn't seem to be really clear at the moment. There seems to be evidence that the longterm use of PPI is problematic when it comes to renal failure and to osteoporosis as well. The recommendations are starting to go against the long term use of PPI and back to H2-blockers. I personally am glad that I seem to be finally able to not needing them. Haven't taken them since a few days and it feels ok so far. However, it took a long weaning period and I'm still not convinced that I won't be needing them in the future. Gotta wait for the next EGD in autumn to know for sure I guess. Talk to your surgeon and/or PCP if they see a way to wean the PPI. How much are you taking of them right now?

What I could feel after surgery for a little while was that the food was sitting in a really small, very specific part directly under the xiphoid process. After a few weeks this feeling returned to the feeling of the food being distributed in the upper part of the abdomen so the feeling of "full" changed back to where it was sitting before. That was a very interesting experience and one of the few things I can still remember about how it felt to be "post-MGB" early out.

Haven't had a problem with this as well that early out, but I'm an MGB, so...

I don't know if protein shakes are generally discouraged in the long run by dietitians dealing with bariatric patients. I guess that's a matter of philosophy as much as a matter of the experiences they have made.

Because "liquid calories".

This. And all too often these "compliments" do seem to cross a line. "Weight" is a very emotional topic in our society.

Interestingly enough I feel invisible now. I blend into a group of people without sticking out like a sore thumb if I want to.

I think the really frustrating thing is (at least for me it was) that "being attracted to someone" and "being nice to someone" are two entirely different things and while I absolutely understand that someone isn't physically/sexually attracted to very overweight people I have no clue why being fat seems to affect how people in general react to you. I thought I looked awful when I was heavier and I don't think of very overweight people as "attractive" (sue me). However, that doesn't prevent me from being nice to heavier people. Being nice or polite or showing decent behavior or whatever one might call it is just a matter of common courtesy for me and not of weight. I have quite a few overweight colleagues in different departments of the hospital and I don't think of them as "lesser" or something like that and I don't know why anyone could even have the idea that their work or their ideas or whatever could somehow be less worth or less good than that of slimmer colleagues just because they're fat and I also don't have the impression that other thin colleagues might be having these thoughts. However, maybe it's different in other professions. In the medical field there are boatloads of overweight/fat people working as it seems to me.

Sometimes I have the impression that food logging is simply "the thing to do" when you want to be in the team of the "successful losers". It seems to be something that "you just do if you want to lose and maintain weight successfully". You know like exercising at the gym, not taking the elevator, having breakfast... all the stuff that floats around. There is no need to feel guilty about logging though IMO. Most feel guilty if they don't log. I know I did, lol. If you want to do it and you like it, simply do it. If you don't do anything with it anyway you might as well save your time. However, I log my exercise religiously even though the only thing I ever seem to do with it is looking at the routes I ran/biked/walked with the dog, especially when it comes to the routes I tracked during vacations (I usually take pictures of new routes as well and load them up on komoot so other people on komoot can plan some nice e. g. bike rides). So in a way I can see where you're coming from. I guess you've found what you're looking for. Many people on this site are logging their food. If they're in the majority or not is something you can't ever tell though. I hate these "shoulds" and "shouldn'ts". I should food log, I should exercise, I should clean my flat, I shouldn't eat this or that... They produce a certain kind of pressure, an uncomfortable kind of tension in me that I absolutely abhor.

Did the weight loss take up speed again?

May I ask why you want to be more dedicate to it? Is it because you feel somehow obliged to do so? Asking because I felt for a long time that I should keep a food log even though it didn't do me any good.

I stopped a few weeks after surgery when I noticed I would meet the required protein goals. Tried it sometimes again because I was curious how I'm doing nutrient wise but I was frustrated on day 1 already. The most frustrating thing was finding certain foods in databases (I'm a micronutrient obsessed eater) and having either to bring my lunch to work (which means not really logging my usual food) or doing guesswork at the cafeteria (not accurate enough). On top of this the calorie count displayed on the apps always makes me feel some kind of weird pressure (maybe it simply reminds me of the old dieting days). So I said "f**k food logs, I'm at a normal weight and have no trouble maintaining it so why am I even caring about how many calories I'm shoving down my throat?!" You'll just have to wait and see. Some people continue keeping food journals because they're helping them, others ditch them because food logging does more harm than good to them.