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jillrn

LAP-BAND Patients
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Posts posted by jillrn


  1. Today my little 2 year old and I went shopping-- mostly groceries but I needed to get clothes for her, ds and myself. SO we were at wally world and I dared to try on 16's! They fit! I about screamed right in the dressing room! IT has been a while since I fit into 16's and I kept thinking-- ya know what is next??? 14's Wasnt marilyn monroe a 14 or something!? Well it has motivated me to get moving again I am really gonna try to get to the gym 3 time this week! Jil


  2. Nat- how is ds today? I hope better my ds ate a bunch of Vitamins when he was about 2 puked his guts out- thankfully that was all.

    Bev- hope you and Eric are having fun. Enjoy your weekend!

    kaydot- Good luck with peds. I liked peds, I always thought in nursing school I would do peds or OB. It turned out I did critical care, ER and that kinda stuff. Now I am a house supervisor, I really like it. I have some great bosses and a great hospital. What area are you looking at going into??

    Bk- That dvd does sound like fun-- I love to dance except I have 2 left feet. my dd thinks I am so fun when we dance together

    My NSV- I was sitting at my desk the other day and I crossed my legs! Normally and it felt good, when I realized I was doing it I was like oh my goodness! =) I am still pretty tight. We are going out for mothers day tonight I think I am going to get a salad. I really want one and I have not tried it yet. I hope I dont pb in front of everyone. Actually maybe I can just have some of dh--I dont know going out is such a pain!

    Well i will update more later! Jill


  3. :clap2: :clap2: :clap2: :rofl: :first: :wow2: :wow2: :cheer2: :cheer2: :banana :banana :banana :woot: :success1: :):( :Banane52: :Banane41: :Banane30: :Banane31: :Banane08: :bananalama: :) :Banane51: :bananajump: :not_ripe:

    Bev-- WTG!!!!!!


  4. Sassy- just saw your pic- WTG girl you look great!

    Nat- sounds like your back on it! Dont you hate being around all the yummy food at work that you know is bad! It seems like there is always something bad sitting around to eat. Fortunetely I can not eat much before about 5pm .

    Bev- Doing awesome like usual Have you plateaued yet at all??? I mean like no weight loss for a few weeks?? You may hit one soon! Size 12- I meet ya there in probably a year or so! =( you will be in a 6 by then! =)

    Kirsten- so glad your fill is working well for you! I bet that feels great to be such a danity eater! =)


  5. Hi all- Someone motivate me! AHHHH I cant get off my butt and go workout! I dont know why!!!!!!!!!!!!! I love working out and I am very active, I dont feel too tired or anything, I just Do NOT want to leave my house for any reason other that if I absolutely have too. I have never been this way. I just dont understand what my problem is. I have worked out like 2 X since my daughters accident March 27th! That is pathetic- I was working out nearly every day! Just dont know how to get back in the groove of things!

    Sweethot good to see you again. I am slow loser too so dont feel bad. I just keep thinking at least I am not gaining like I would be if I didnt have my band. How many cc's do you have again??? It sounds like you may need a little more fill. Jill


  6. I am trying to update my signiture but it says it is longer than 10 lines! I have tried shortening it, it does not work. I see people with much longer sig's than mine. I cant get it to update my new weights or anything, although the ticker updates. I am not sure I like the new forum--seems like too many issues! Jill


  7. Hey girls just checkin in! Wow everyone is doing so well!!! I am so proud of you!

    What kind of summer exercises are you all going to do?? I have had a really hard time going back to the gym, I am really not wanting to leave my house. I just want to stay home with my kids. I think I am still suffering from a little anxiety from my daughters accident.

    So my plan is to start bike riding with my family. We have childrens seats on the back of our bikes. My ds is 5 and we will get him his own bike in June. So after June I will be able to take him and my dd by myself. For now dh will have to come which makes it hard to actually do it, bc he works so much.

    I am also planning on yard work and gardening. I am not sure if this is really exercise though- at least the kind that really helps. BUT it will keep me active and not eating AND my yard will look great!

    Congrats all of you finishing school and getting your finals done! I know that is a good feeling!

    My scale is slow but steady dropping! YEAH ! I wanted to lose 12 lbs in April and I only lost 6, but I am not complaining at least I am losing! I am soooo resistant to losing weight! I could never have got this far without my band. I lost all 6 lbs since my last fill I believe. It is so great to see the scale dropping everyday even if it is only a few ounces! I used to lose 2-3 lbs then bounce up a pound etc. but now it is leveling off and last few weeks I am just slowly creeping downward! I do need to bump up the exercise though!

    Well it was nice to catch up with all of you!


  8. Well I am not getting dehydrated I am still able to get Water down, slowly. Actually I think it is getting better. I was able to get some chicken vegetable Soup down for breakfast/lunch today. I am just going very very slow. 1/2 over an hour or so. I am very well versed in the symptoms of dehydration. (I am a nurse) I have no reflux or anything like that. Just sliming if I was eating solids except later in the evening.

    I know it is not a race, but I am only losing like 2-3 lbs a month, when I should be able to do that in a week or 2. I am very insulin resistant, so it makes it very hard to lose. I am just going to stick with the Protein Shakes and it solids for dinner for another week since it seems to be improving if it is not better in a week I am going to go get a slight unfill! Thanks alot everyone


  9. I feel this way ALL the time b/c I know so many people that have had RYN and I am not anti RYN as some are, but I too couldnt swallow the mal absorption feature. But something that helps me is that ALOT of RYN people regain the weight and cant do anything about it other than diet. BUT if we start to regain in 5 years or so--we can get a fill. So yeah its gonna take longer but we have a better change of keeping it off-- assumin we dont have to be unbanded for some reason!


  10. I had been at 2cc in my 4cc band. I had restriction but wasnt really losing and felt I could eat too much so I went back for a fill. He found 1.8 cc in my band and filled me up to 2.2. I did the liquids then the mushies, I had trouble with mushies so I went back to liquids for another day and a half. Now I can do some mushies in the evening, (applesause, yogurt) but cottage cheese is a bit too much. I really cant to anything all day till about 6-7pm except Water and thin Protein Shakes. I attempted to eat some broiled fish tonight and I am sliming after 2 bites. But at the 2cc or 1.8 I guess I was restricted I would eat it would get "stuck" slightly but if I waited 15 minutes it would go down and I could eat-- too much! It has been a little over a week since the fill and I am not sure if I should get a slight unfill or what. I am over my time- I only 7 days to get it adjusted then I have to pay $75. again! I forgot! I may just stick this out for a month or so and try and speed up my slow loss. It will probably loosen up dont ya think???????


  11. Well first of all dont count your weight as very accurate around your period! Your bound to put on 5 or so pounds just from Water from hormones. It will come back down.

    Now about the eating-- I say dont be too hard on yourself. If you are doing well all week and on Sat splurge--so what!?! Remember you got to live with this band. Life goes on and if it your mental way of handling it indulge a little. IF you dont you may end up quitting all together later. I know many body builders do what you are doing just to keep the metabolism going. They eat 3 days low cal, one day high cal, then 3 low, 1 high etc. It can trick your metabolism into high gear or at least keep it from slowing down. Maybe pick one weekend day that your not going to pay attention so much to calories and the other 6 days a week NO CHEATING!

    Now about exercise. Gotta do it girl! Get moving at least 5 days a week at least 30 minutes! Good luck

    PS I am a very slow loser too and I thing you are doing great thats about 3lbs a week! Jill


  12. One thing I noticed is I always get stuck the first few bites, especially in the morning and early afternoon. So if I eat 2 bites then wait 15 minutes or so I can eat more. I would start chewing really well again. Then I can eat about 1/2 cup and then I am done. In the morning I am very very tight and I can only do liquids, or yorgurt very slowly. I would try taking 2 bites chewed well then get up and do something for 15 minutes (exercise) then go back and try again slowly see if you cant eat more. I bet it will work for ya! Good luck! Jill


  13. Donna -- I say go for it girl! You just never know it may take you a while to get pg anyway. (I hope not though) But what I would advise for you is keep up with healthy foods, keep trying to lose until you are pg, but most of all take lots of folic acid and get those B vit levels up up and up! Pg will wear on your body and those Vitamins need to be up BEFORE pg or you could risk possible neural tube defects such as spinal bifida. I would seriously work on getting those levels up and I dont know if you are taking injectable vitamins but that may be the only way to get them up. Especially the b-12. I am taking the injectable B12 and it still isnt really getting mine to stay up so you need to cont. I cant wait to see the baby pics and hope to join you in preggo land next year!


  14. I know a few people on it, and the weight loss has really been great for them. The thing they told me is that you only eat small amounts of food with it, otherwise you get very nauseated. The trick is small small portions. Sounds perfect for bandsters! Jill


  15. I agree let him do it when he wants to and reward him when he does. Also seek medical help just in case. (as you already are)

    My dd did this too with the poop thing although she potty trained herself at 16 months!!!!!!!!! (for pee) It was about 3-4 months later for poop, and what did it was I told her she could blow out a candle everytime she pooped in the potty~ go figure. He'll get it but "shameing" him into by letting others including kids in really a bad idea!!!!


  16. That is all you can do is keep plugging away. Liquids may help you but obviously wont keep you satisfied long so make sure you are not consuming too much liquid calories. Some people are just slow losers although I think you have done VERY well with 22 lbs in 4 weeks. I have only lost 30 in 12 weeks. I am happy though it is the most weight I have ever lost. I am extremely slow loser, I dont think it would have happened with out my band!


  17. I just got a fill on Monday up to 2.2 cc and WHOA momma- I have restriction! I was thinking I was gonna need an unfill but now 5 days later I am doing better. Its hard b/c I get that golf ball after a bite or 2 but I am still hungry- stomach growling and all. If I stop eating the golf ball passes and I am still hungry. So I usually wait 15 min then I can eat a little more, and I eat until I am not hungry but I am certainly not full. The only problem is I am hungry sooner than 3-4 hours. I am ususally hungry in 2 hours. I wish I could get it to last longer. I was like that pre band too. Once my endocrinologist told me that people with diabetes and pre diabetes empty food out of the stomach sooner than the average person. (unless they get a condition called gastroparesis which occurs as a late complication of diabetes)

    I wonder if it is contributing to why I am hungry so soon after eating.


  18. Published by Jampolis (2004). A 51 year old patient complained of a 15 lb weight gain over the last year despite beginning a strenuous triathlon and marathon training program (2 hours per day, 5-6 days per week). A 3 day diet analysis estimated a daily intake of only 1000-1200 Calories. An indirect calorimetry revealed a resting metabolic rate of 950 Calories (28% below predicted for age, height, weight, and gender). After medications and medical conditions such as hypothyroidism and diabetes where ruled out, the final diagnosis was over-training and undereating. The following treatment was recommended:

    • Increase daily dietary intake by approximately 100 Calories per week to a goal of 1500 calories
    • 32% protein; 35% carbohydrates; 33% fat
    • Consume 5-6 small meals per day
    • Small amounts of Protein with each meal or snack
    • Choose high Fiber starches
    • Select mono- and poly- unsaturated fats
    • Restrict consumption of starch with evening meals unless focused around training
    • Take daily multi-Vitamin and mineral supplement
    • Perform whole body isometric resistance training 2 times per week

    After 6 weeks the patient's resting metabolism increased 35% to 1282 Calories per day (only 2% below predicted). The patient also decreases percent fat from 37% to 34%, a loss of 5 lbs of body fat.

    Jampolis MB (2004) Weight Gain - Marathon Runner / Triathlete. Medicine & Science in Sports & Exercise, 36(5) S148

    the adrenal glands secrete the hormone cortisol as a reaction to stress, and excess cortisol leads to weight gain, especially in the abdomen area, along with sleep disturbances, mood swings, irritability, loss of memory and poor digestion.

    Elevated cortisol also aggravates sugar distribution, which contributes to development of high insulin levels and ultimately diabetes. When the adrenal glands pass the point of stress they go into exhaustion, which creates physically damaging conditions like Chronic Fatigue Syndrome, arthritis, hormonal problems, inflammation and heart attack, just to mention a few.

    Estrogen dominance is another fairly common factor that contributes to inability to lose weight; we eat meats, eggs and dairy products that have been treated with synthetic hormones. Estrogens create Water retention and fat deposits; in time of pregnancy, estrogens are vital in protecting the fetus, but elevated estrogens otherwise create havoc for our endocrine and digestive systems.

    Weight Control

    Most athletes are concerned about their body weight. Many sports place heavy emphasis on maintaining specific body weights for competition. It is important to understand that weight control is influenced by more than just calories in verses calories out. When setting a healthy target weight, one needs to consider many factors, including; height, activity level, diet, sex, genetics, and daily energy needs. There is no specific “ideal weight” that can be assigned to one individual. The goal weight should be realistic and healthy for the athlete.

    Factors that influence calorie-burning rate

    Basal Metabolic Rate (BMR):
    Level of energy needed to keep involuntary body processes: pumping heart, breathing, generating body heat, perspiring. The higher this rate, the more likely one is to lose or maintain a healthy body weight.

    Age:
    BMR declines with age. Changes in hormones and body composition slow down the BMR. In fact, the BMR declines 2% per decade after age 20. NOTE: physical activity can help keep BMR high.

    Genetics:
    Genetics also influence differences in BMR. Some individuals genetically inherit higher metabolisms then others.

    Body Composition:
    Muscular, lean bodies have higher BMR’s than soft, rounded bodies with fat tissue. Ounce for ounce, muscle burns more energy than body fat. Therefore, the greater proportion muscle to fat, the more calories needed to maintain weight.

    Height:
    A tall, thin body has more surface area than a short body. Therefore, the taller individual will have a higher BMR in order to maintain normal body temperatures.

    Gender
    : Males typically have less fat and 10-20% more muscle than women, and therefore typically have higher BMR’s than women.

    Temperature:
    Extreme hot or cold temperatures also raise the BMR. The body has increased energy needs for regulation of body temperature.

    Physical Activity:
    Depending on length and intensity of workout, physical activity can increase BMR for several hours afterward.

    Caloric Intake:
    Severe caloric restrictions can slow down the rate in which the body burns energy from food. The body’s metabolism slows down to accommodate for lower caloric intake. This is the reason why one can actually gain body fat on a diet of 1200 calories per day. NOTE: When cutting back calories, never go below 1200 calories for women or below 1600 calories for men.

    Digestion:
    Digestion and absorption of nutrients uses approximately 10% of daily energy expenditures.

    Figuring Your Energy Needs

    1.
    Figure your basic energy needs (BMR)
    . Multiply your healthy weight (in pounds) by 10 for women and by 11 for men.

    Weight x ___(either 10 or 11) = _______calories for basic needs.

    2.
    Figure your energy needs for physical activity
    . Check the activity that matches your lifestyle for most days of the week:

    ____
    Sedentary
    : mainly sitting, driving a car, lying down, sleeping, standing, reading, typing, or other low-intensity activities

    ____
    Light Activity
    : (for no more than 2 hours daily): light exercise such as light housework, grocery shopping, walking leisurely

    ____
    Moderate Activity
    : moderate exercise such as brisk walking (and very little sitting), heavy housework, gardening, dancing

    ____
    Very Active
    : active physical sports, or in a labor intensive job such as construction work or ditch digging

    Multiply your basic needs by the percent that matches your activity level: sedentary: 20%, light activity: 30%, moderate activity: 40%, and very active: 50%.

    ______ calories for basic needs x _____% for activity level = _______ calories for physical activity

    3.
    Figure energy for digestion and absorbing nutrients
    . Add your calories for basic needs and calories for physical activity, then multiply the total by 10%.

    (______calories for basic needs + ______calories for physical activity) x 10% = ________
    calories for your total energy needs

    Example: A football player is figuring his energy needs. He currently weighs 350 lbs, however determined that 325 is his “healthy weight”. He calculates his estimated daily energy need to reach this weight:

    Basic energy needs: 325 lbs x 11 = 3575 calories

    Energy for physical activity: 3575 calories x .50 = 1788 calories

    Energy for digestion and absorption: (3575 + 1788) x .10 = 316 calories


    Total energy needs:
    3575 + 1788 + 316 =
    5679 calories


    4.
    Figure appropriate carbohydrate, Protein, and fat ratio.
    Remember for athletes; 60% of calories should come from carbohydrates, 20-25% from fat and 15-18% from protein.

    Example: Using the football player example from #3, we will breakdown the 5679 calories by:

    CARBOHYDRATES: 5679 calories x 60% = 3407 calories
    ¸
    4 calories per gm =
    852 gm Carbohydrates per day

    PROTEIN: 5679 x 15-18% = 852-1022 calories
    ¸
    4 calories per gm =
    213 – 256 gm Protein per day

    FAT: 5679 x 20-25% = 1136-1419 calories
    ¸
    9 calories per gm =
    126 – 158 gm Fat per day

    SOURCE: Duyff, Roberta, MS, RD, FADA, CFCS. ADA Complete food and Nutrition Guide 2<SUP>nd</SUP> Edition.

    Last August there was an article in the NY Times called
    Fat Factors
    that illuminated past and current research investigating the possible correlation between microorganisms and obesity. I was so thrilled, that I immediately e-mailed it to my doctor friends who love to reduce weight loss to simplistic math: calories in - calories out.

    Fat Factors
    tells the story of a research patient, Janet, who agreed to 3 months of hospitalization (in exchange for free gastric bypass surgery at the end) to allow her weight to be closely monitored and regulated. The researchers calculated the precise amount of calories Janet needed to maintain her weight, and prepared each of her meals. In two weeks, Janet gained 12 pounds.

    A next logical train of thought might be that Janet is genetically pre-disposed for obesity, that her fat is in her genes. The first obesity gene was discovered in 1994, and about 50 more, with regulatory effects ranging from fat metabolism to knowing how much to eat, have been identified since. And the genetics theory encounters practical challenges of its own, such as identical twins with similar eating habits and extremely dissimilar weights.

    Enter “infectobesity,” a term coined by a physician at the Pennington Biomedical Research Center in Louisiana who studies the relationship between excess weight and a common virus. Other microbiologists at Washington University in St. Louis are studying the trillions of gut microbes to see if any of them may play a role in making bodies fat, and more researchers at Virgina Commonwealth University, having “successfully” created obesity in chickens, rats and marmosets by infecting them with microbes. Now they are retrospectively surveying humans to evaluate correlation between body weight and antibodies that indicate past microbial infection.

    Our inner community of gut microflora plays a wide variety of metabolic roles in the human body. And to quote the article’s author, Robin Marantz Henig, about one in particular, “It helps extract calories from the food we eat and helps store those calories in fat cells for later use – which gives [it], in effect, a role in determining whether our diets will make us fat or thin.”

    Fat Factors
    is a long article with wonderful stories about researchers and research subjects alike. The short of it is that evidence is accumulating to support some sort of relationship between microbes and obesity, at least in some cases, and that, sadly, the clinical application of this knowledge is still many years away.

    Most of all, it’s a wonderful reflection on the traps of over-simplified thinking (such as our cultural view of fat = lazy or the standard math of calories in – calories out) and a reminder that we are never alone, that wellness is a team effort – you and your microbes, working symbiotically to create a body of health.

    Here are just a few research articles (not written by me) that show they are many factors involved the body is sooo complex and metabolism, cardometabolic sydrome, hormones, body flora etc all play a big roll in weight loss. If it was as simple as cal in vs cal out I would have been thin LONG ago!

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