FluffyChix

Write down the question, then ask each one by mouth (read it to them). Have your mom take notes. Keep the notes. Also, all my docs give me visit summaries printed with my follow-up actions and instructions. So maybe ask for that from your docs. Now days most practices are on Epic or MyChart so you can go in and access your information and get printed summary reports. I ALWAYS take someone with me to my appointments cuz of chemo brain. Also you can ask if you can record them so it will help you remember. You can explain your spectrum challenge and communications. Most docs just want to know how to help us as quickly as possible.

Dunno.

Hey sweetie. I REALLY didn't mean to "point fingers." I was just making an observation based on that day of food when you said you only ate to hunger. And sometimes we're not even aware we're doing something--which I was I highlighted those events--not to be food policey or Ana PoPo. You know? I only mentioned the Ana thing, cuz I recognize this behavior in some of my meals where I'm trying not to eat food cuz I don't want to let my hunger go cray. So I sub in things that fill me without being caloric or food based. Like my Herbox Soup, Green Tea, Earl Grey Tea, tea with psyllium husks, cashew milk with a few drops of chocolate stevia, That sort of thing. I definitely think you may be in a vicious cycle of sleep deprivation, exhaustion and hunger. The bad thing about eat so late at night then staying up later and messing up circadian rhythms is that it raises your cortisol which raises leptin and grehlin and downregulates the satiety hormones. So you really are hungrier! Then your brain clues in that if it raises only a little ruckus, you'll give in and eat snacky/high reward food giving it big calories and also big hits of dopamine and seratonin...so it gets fat and high. And the longer you do it, the harder it imprints the behavior in your brain and body. ((hugs)) No preaching. Swearsies. I've been being bad about snacking at night too. And am trying so hard to break up with it. I still eat mostly low cal foods and no sugar sweets, but I still am getting a cephalic insulin response from it--even if sugar free. My first step to quitting should be cold turkey, but instead, I have to use reason to determine if I'm legit hungry and if I am, my choices are now either decaff coffee, Herbox soup, egg (hard boiled), or cucumber/radish/Greek Yogurt mixed with WF Dressing, or a turkey rollup, sf jello cup, sf popsicle. That's it. That's all I get. And if that doesn't do me, then I'm not truly hungry. Loved yesterday's meals!!! Textbook perfect you rockstar!!!

Everyone looks so fab!!! @Sheribear68 You are absolutely shrinking in front of us! Congrats on 10s!!!

^^^Exactly! And the changes happen almost immediately--in the abscense of actual weight loss. These gut hormones (ghrelin, leptin, glucagon, cck, insulin, ppy among others) rebalance and that allows the hypothalmus to defend a lower weight.

Does a happy medium exist for you? The reason I ask, is that when you indulge, many of your meals still represent very wise healthy choices. Then you fall to the otherside with seriously craptastic extravagant calorie dense sweets. So in this menu, here's what I see...you say you are "only eating when hungry" and yet, I see some signs of anorexic style behaviors. Instead of legit eating something with dense nutrition and more high cal, you choose instead to indulge in relative innocuous "tummy filling stuff" that takes a person's edge off their hunger. Examples: 10am - peppermint herbal tea (you sometimes do broth here). Either of those will delay my day of eating with satiety. 2pm - where is your full fat vinaigrette dressing a few seeds or nuts? where is an ounce of avocado and a couple of olives? None of those are volume centric but they will add fantastic amounts of calories with little effort. 4pm - 1 cup almond milk...again, so few calories and a full tum afterward and relative few nutrients in almond milk (per my RD, it's like drinking water basically). So if you're gonna do that, why not add some PB2 and a little protein powder to it, or a squeeze of hershey's syrup (the sf syrup is pretty awesome), but do something to up the cals in it or switch to another type of meal with dense cals 5pm - see comment on 2pm meal 11:30pm - where are the calories in this? 1/2 cup full fat milk? Why not ditch the almond milk and go for full on full fat milk to up the cals? Add nut butters, or eat a handful of almonds and a 1/2 a banana with it. Blend in 2oz of avocado for a creamy smoothie. The other thing I see is that you are a late night eater. I really caution you to break that behavior now while you still have your surgical advantage. Cuz think of the **** show on your hands when you start the regain phase and you are still eating a big proportion of your meals late at night right before bed. That's just so hard on our systems. The rule of 3 hours before bed is a real one that has to do with circadian rhythms which highly regulates our metabolisms and cortisol. Just thoughts here. Not trying to slam or criticize hon! I know people see things in my meals that I don't see cuz I'm just too close to the issue. Right? So feel free to ignore my remarks!!! ((hugs))

It's highly unusual to have GERD with RNY. Not impossible, but it usually signals a different problem. But it is possible to have gastritis with RNY. That's likely what you have and that's gonna take a while to resolve. You need to talk to your doc. You're about the time to have a stricture show up. ((hugs)) and hang in there.

Until a few days ago, it's 103 here...fall...schmall. I might wear white shorts tonight and give the finger to Labor Day. ha!

Ok, so you know the drill... What are you eating and drinking...how can we possibly give you info without knowing the deets, girlfriend. Stalls suck though, I will say that. Are you weighing, measuring and logging every bite? If you are not, you know the drill. Are you drinking any calories? If you are, you know the drill. Are you on any medicines, what age, and menopause status are you. Do you have any medical probs? (ie PCOS, thyroid) Are you sure no weight loss NOR loss of inches this past month? Cuz sometimes the scale lies and the inches move. That isnt't a stall.

How tall are you. More info please about the first surgery. Why do you think that eating cereal and milk is a recipe for anything other than regain (and then some) and hellah GERD? I had RNY and before and after surgery, if I ate a meal like that I have hellah GERD. Just asking cuz there are no magic surgeries. And typically revision surgery doesn't imbue the type of weight loss you see in virgin surgeries--especially if there are emotional food eating behaviors that have contributed to the regain. Regardless of which surgery you choose, the main question should really be--where can I find the best RD and best bariatric counselor to work with on my eating program? Welcome! And I wish you all the best.

Interesting Study on Mice and Humans! Relative to IF and EAE eating and protection against neuronal diseases such as MS. https://www.sciencedirect.com/science/article/pii/S1550413118303139?fbclid=IwAR15_4zB8d4QWr8bFauUmK67ae7XKAdHSTcpNcOVZa5aS8GUAdAouDFAESI

Yeah! It's like, most of us are big time bad ass losers. Right? We can lose. But keeping it off...well that's a whole other story...

Congrats on your evolution!

Yes. I was 287 when I started my journey. I mimicked what it would be like post surgery to lose down to 256lbs on the first day of my surgical 6mo. program. It was very hard. But do-able. But when I started the program, the doc made me go back to eating 1500cals cuz she didn't want me to mess up my metabolism and lose my post-surgical advantage. But non-surgical peeps, don't get the advantage of the metabolic reset, nor do they have a cessation of the grhelin and other appetite hormones that we get. We also seem to have a better metabolic protection from slow-down than normies...

OMG! ((hugs)) Feel better soon!

I'd like to introduce you to my leetle frien's! I've been making these tasty crunchy protein packed crackers for 20 years and over time I forget about 'em. Then I remember them. And I fall in love all over again. This is about as processed as it gets--today I'm choosing to believe in "better living through chemistry". But that's a moving target with me... The crackers are nothing more or less than 2% Deli Deluxe Cheese (either Kraft or your store brand, but it really needs to be 2% so it puffs more) cooked on parchment paper (not waxed paper) in the microwave in 15-25 second intervals. Open the door between each interval and check them for doneness. They are done with they start to brown and hold their puffed shape. They will crisp more as they cool. Nuke the whole thing for a crunchy bread-size cracker. Fold into 4 pieces for saltine size crackers. Or fold into 16 tiny squares for cheeze it sized crackers. I fill them with PB2 (Vitacost brand) reconstituted peanut butter. I just had 2 sandwiches of the tiny crackers with a teaspoon of the low fat peanut butter and I'm satisfied. Mr. F. is gonna be 2 more hours and I am starving! Lemme know what you think! These are awesome with egg salad, tuna/chicken/salmon salad or with meats or even hummus. For the entire cracker (19g raw): For 1 saltine sized cracker (4.75g raw): For 2 cheezitz size crackers (2.375g) For 1 cheezitz size cracker:

Just a thought, but unless you are a super athlete, at 5'2" you don't need 97g of protein. I'd bring fats up and protein down and if needed, then add more carbs (complex, low gi). That might reduce your volume while it increases calories? Just thinking out loud.

You can freeze premier protein drinks to make ice cream. The World According to Eggface has recipes. I just didn't do "Scooby Snacks". I didn't want to reinforce the habit that was highly responsible for getting me to the Obesity Ball in the first place. To me that's the definition of insanity. So I never "planned" for snacks. But still--I'm human. Snacks DO happen. So when they did I tried to make them protein only, less than 100cals, > or = 10g protein...and rather than call it snacking or grazing, I tried to keep them as mini meals. Six mini meals a day on a schedule and no snacking in between. My mini meals were like @AZhiker's minimeals: Hard Boiled Egg Deviled Egg Turkey Frigo Light Cheese Rollup or a Boar's Head Lacy Swiss and Turkey rollup String cheese Greek yogurt with PB2 powder in it and Walden Farm Syrup Cottage Cheese with a tbsp of applesauce (or now, berries) Protein Drink Tuna Pouches Tuna Salad (made with cottage cheese and hard boiled egg and Greek yogurt and Dijon and dill relish)--also good with canned chicken and salmon. Egg Salad (made the same way as the tuna salad without the dill relish). I tried really hard not to feed the sweet tooth or the inner carb monster with sweet treats or crunchy snacks. But I would use Kraft 2% Deli Deluxe slices and would make cheese crackers to eat the tuna salad and egg salad. Later on down the road when you can have raw veggies, radish and cucumbers are great "crackers".

Blue agave syrup is THE WORST. LOL. It's a liver bomb, and more dense high fructose content than either honey or karo syrup. But you know...it's "natural" so it must be healthy. ?

Thanks hon! Yes, it did help!! I might screw my courage up to try a filet or even half of one! I do miss the occasional fried fish or shrimp or small piece of fried chicken or a chicken wing...etc. Once a year would probably do it for me. It's thankfully not one of my triggers (yeah, I'm talking to you pasta!) hahaha Glad you don't get ill feeling from it! It totes sucks about the carbs and 10g/meal limit on it. But yeah, I get it. For me it depends on where I get those 10g from. From a salad or veg? I'm probably ok. 10g from carrot cake would send me to the morgue. You know? Or make me wish I could go there. Remind me...do you have your gallbladder? TY!!!

People lose their regain without more surgery! It IS definitely possible!!! You can do this!!! Especially since re-surgeries don't always have as much success from a weight regain as the original virgin surgery. And weight loss they say is slower for re-surgeries. Don't know if any of that is true or not, but I've seen MANY MANY MANY vets successful lose the regain by going back to their old low carb forever diet they followed right out of surgery and getting active again and planning, weighing/measuring/reporting-logging every bite that goes in their mouth. It's quite inspiring. I wish you well and will be cheering for you. Maybe it's even possible with weight loss, the GERD will calm down.

Yikes! Yeah, it's a powerful object lesson, isn't it? Ouchy!!

YES!!!! Sooooo much this!!! ^^^^^ (Also look at "all things cauliflower" and 99% of them are packed with processed crap and high glycemic starches, flours etc that make them higher glycemic than table sugar or regular flour/white bread! LOL! Delicious? Yes. Healthy? Healthy my Aunt Fanny! Talk about downright deception and cognitive dissonance! Right? ?

I know, right? So weird. My doc did too. I'm on 40mg/day. Good luck hon! Sorry it's giving you a tough time cutting back!!