aNYCdb

It depends on how fast you are walking. Typically because you are locked into a steady pace on a treadmill you will walk further because when you walk outside we tend to slow down at times to look at things around us.

You are almost there.

Of course everyone is different, but we are all human so the variation does have it's limit. I've been on this board a while (and done additional research) and have never even seen a suggestion that you should be waiting 9 weeks to start exercising, perhaps you had other factors with your particular surgery that necessitated that, but that is pretty atypical. Also just because you drink plenty of water a day doesn't mean that you don't get dehydrated. Most of us (especially those of us on the larger side of things can easily sweat out 32-64 oz of liquid during an hour of exercise, which is why it is important to be constantly hydrating during your workout. Beyond that when you stop your workout you may also experience a temporary blood pressure drop that can similarly cause lightheartedness. These are far more likely explanations than the idea that an obese person is running out of fuel. All that said I apologize to the OP for hijacking her question.

I could not disagree with these sentiments more. Most people with gastric sleeve are going to be expected to be doing light exercise as soon as they leave the hospital, will be cleared for moderate cardio at 2-3 weeks out and generally be cleared for a full weight training regiment at 6 weeks or so. The only reason for any limitation at all is the increased risk of a hernia developing in the first 6 weeks of surgery. Lightheadedness is a function of dehydration not lack of available calories. Thankfully being obese we all have an abundant reserve of "fuel" to power our exercise routine, so at this stage you don't really have to worry about a caloric deficit from exercise (just make sure you are getting sufficient protein and more importantly liquid in your diet).

Now off to buy a cake to celebrate. Kidding.

I don't think you messed anything up with a 20 calorie jolly rancher. Sounds like you are doing what you are supposed to be doing. As for the pain there are many possible causes for those symptoms (most are digestive tract related), but the most probable in light of your surgery are probably some sort of food intolerance, and/or major constipation. If you feel constipated try taking a laxative and see if that relieves things.

Happy Monday. Stepped on the Scale this morning and came in at 196 which puts me under 200 with a BMI of under 30 (merely overweight) for the fist time in years.

Yeah pretty much I would eat what I wanted one week then be on my diet the next and about a week before my weigh in (either doctor visit or nutritional class) I would figure out where I was and what I had to do to land where I needed for the weigh-in. I may or may not have brought along some rolls of pennies for my weigh-ins if I though I was going to be under.

I had the same issue, my BMI was 40 when I started and 35.5 at the 4 month mark (2 months out from surgery). I wound up alternating weeks between diet and not to try to maintain (which is much harder than just losing weight). The problem in threading that needle is that while you can't lose weight if you gain it will also be a problem.

I haven't been to the VA in 12 years, it's just not worth the aggravation.

For the most part these tests are all going to be to make sure your risks from anesthesia and surgery are mitigated and/or to document co-morbidities to make sure your insurance approves.

It depends on what you have to do. My cardiologist visit was basically just an EKG a quick high and the suggestion that if my cholesterol doesn't decrease after surgery I might want to come back to consider medication in... no joke... 10 years. Some folks have to do a stress test, but that's not so bad from what I understand. The biggest pain would be if you snore and they make you do a sleep study I would think. Honestly most of the testing was a little bit fun for me, since I had never done them before. I had to see the pulmonologist and they put me into this box to test my breathing and I was like "can I do that again, I think I can get a high score."

Honestly the recovery is a lot easier than a C-section (or so I have been led to believe) so based on what you've said I don't think you really have to worry much on that end.

I don't believe you can update your profile from the app. But from your tablet you should be able to go to baritaricpal.com click on the dropdown next to your username at the top right of the screen. Choose "My Surgery" and under those various sections you should be able to update your info (weights are under "my progress"). I'm not sure if this will work, but this should be a direct link: https://www.bariatricpal.com/patients/portal/

Honestly, I never even thought about the "D" word (which I'm assuming is Death and not Diet). These procedures are so routine now that that isn't even a real risk. I think for VSG it's like 1 in 2500, and like 1 in 400 for any kind of serious complication. That said my general rule post surgery is get your ass out of the Hospital as soon as you can, you will feel much better and you eliminate the risk of hospital infection (which is a much bigger risk IMO) So where are you in the process so far?

Well for me the biggest complaints were the hoops you have to jump through before the surgery, which of course vary by insurance company. After 7 months of tests and classes the procedure itself was pretty minor. That said unfortunately how you react to the procedure and your tolerance for some level of pain/discomfort afterwards seems to make all the difference. For me I was off of the pain meds by day 4 and feeling at 95% (back to work) by day 5. Other folks find that themselves with lingering pain which for them leads to a tiredness and weak feeling that can slow down their recovery (after pain takes a lot of energy out of you). On top of that things like the preop liquid diet are a chore and not generally a pleasant experience and after surgery the folks that are afflicted with "Head Hunger" tend to have a more difficult time with food limitations immediately post op.

Is there a particular surgery you are considering?

It's a side effect from the extreme ketosis you are going through after surgery. It will get better, after a while once you are able to get to a diet that isn't so exclusively protein based. My wife commented that she missed the "sweet breath" that you get on a less extreme ketotic diet like Atkins. The tradeoff with RNY though is that's about when you start having to worry about smells from the "other end of the pipe" so to speak.

15-20 pounds sounds crazy, especially starting from 273. Most people lose 4 pounds of weight from the flushing of the digestive track (don't get too excited you will have to pay it back when you get back to solid food after surgery) plus about 1/2 a pound a day. I think I lost 10 pounds on the liquid diet some people will lose more, some less, but 15-20 while not impossible certainly isn't the norm.

They are pretty fun. I really don't quite get the problem here it sounds like they are doing a circuit where they do 2-4 laps around the gym, then 10-20 reps of each exercise and repeat the circuit. Assuming this is a 45 minute class that will include plenty of time for rests and doesn't sound as intensive as people are making this sound.

I would have considered punishment more of a rope climb, but I suppose everyone is different. I'm kind of two minds about this 1) I don't think that particular routine was meant as a punishment, so much as something the student could do on their own with limited supervision (it's hard to organize a basketball game with 1-2 students). I would also confirm that this isn't the activity that would be going on at this time of the year anyway (I remember when I was a kid these type of things were what we did before it was warm enough to go outside to run on the track). On the other-hand 2) since when do schools get to override parents when it comes to what they don't want their kids doing?

Often these issues are related to vitamin malabsorption after RNY. My father is 10 years out on his bypass and still suffers these low blood pressure episodes caused by a mix of changing Vitamin D & Iron Deficiencies. I don't know what your labs tested for or whether they were fasting tests or not, but that's usually the place to start (assuming you can rule out dehydration, which would be the most common cause). All that said see what the cardiologist says and don't try to self salt-medicate.

Different kind of "air," I would take a chewable gas-x and see if that alleviates things for you. Walking around only helps with the post surgical trapped air, not air in the system. At the beginning I also found that forced belching helped a bit with that gas pain.

Definitely make sure that this all gets documented and put into whatever order are written. Perhaps this will also warrant the medical necessity of a private room?

I don't have any particular experience here, but my understanding from other folks who have had issues is that no one who has had gallbladder issues has ever described the experience as a "dull pain." It's been described more as a "please kill me, anything to make this stop" kind of pain when you have an attack. Does this pain correspond to any particular type of activity (after eating/drinking?), time of day? Does it come and go?