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Gastric Sleeve Patients
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Everything posted by Creekimp13

  1. Creekimp13

    Please Eat

    First off, let me say that you should always listen to your doctor and nutritionist...rather than crazy people on the internet, myself included. But here's my rant today. And for what it's worth....this is just MY feelings on this nonsense. I'm no expert. Ya'll need to eat. Not overeat. But also NOT UNDER-EAT. Eat healthy food you enjoy. I know how it happens. Your weight loss gets sluggish and stuck and you think OMG, this isn't working, I'm Failing at this! You start to panic. And what does a lifelong self-destructive dieter DO when they start to panic? They go exteme. They go...ok, my doctor said it was ok to eat this much.....so I'm gonna try to eat HALF of that to speed up my weight loss! I'm going to work harder than anyone! I'm going to eat less! I'm going to force this weight off of my body...because this is my last chance and I'm freaking out and I can't fail at this, so I NEED to do better and cut back! Only, here's the thing. You don't need to cut back. You need to stay the course, nourish your healing body, have good energy to boost your metabolism and lose weight sensibly. Why do people do VLCDs? (very low calorie diets....1000 or less calories a day)....they do them because they show results in a hurry. And there is nothing people like better than a lower number on the scale...regardless of how they're achieving it. Or how harmfully they are achieving it. When you eat less than 1000 calories a day, did you know you lose more muscle than fat...even if you are eating tons of protien grams? When you lose muscle, you slow your metabolism, endanger your organs that have muscle (heart anyone?), and decrease your bone density. None of this is a good idea. And when you're eating starvation level calories, your body tries like hell to keep you from dying....by, you guessed it, slowing your metabolism even further. And the carb thing...can we talk about that a minute? You DO want to avoid carbs that are metabolized to sugar really fast, like sugary foods and refined white flour items because they can cause your pancrease to over-react and send too much insulin and you'll end up with rebound hunger....but other carbs, particularly ones that have good fiber content to slow the sugar can also have good protien content...and they don't do the rebound hunger thing. They give you great available energy. Why do we lose so much weight so rapidly when we do keto? We don't really....but the first five pounds is so quick and shocking that it MUST work! (except you're not losing fat, you're losing the water that your liver stores extra glucose in.....and you've stripped your liver of its emergency reserve of energy. And yeah...you can make the sugar you need from other things through gluconeogenesis....but it takes amino acids that your body is typically harvesting from your muscles.) Don't do that thing where you lose the five pounds eating keto....then eat a few carbs and go OMG, look at the weight I've gained!....and go keto again and lose the same five pounds of water. It's an illusion. (Not saying keto people can't lose weight...they do lose weight fast...but they also have about five pounds in lost water from glucose storage, no emergency stores, and their bodies may be consuming their muscles) Food for thought (literally!) Guess what organ runs exclusively on sugar? Pure glucose. Your brain. Your brain burns over 300 calories of glucose every day. At just 2% of our body weight....our brains burn about 20% of the calories we use each day! The CPU needs fuel. Lots of people lose weight rapidly with Very Low Calorie Diets after bariatric surgery. They have these amazing results that other people notice and are in awe of. They lose to goal eating very little and feel very accomplished about their self discipline and their amazing fast results. And then guess what happens? At goal...they are still people who have never learned how to eat sustainably for life. All they know is starvation and self deprivation. And starvation doesn't work long term. Please learn to eat sustainable amounts of calories. Do it early so you don't fudge your metabolism into starvation level calorie requirements. One of the best ways to have a robust metabolism...is to do exercise every day. It doesn't have to be the gym or something you find tedious. Do things you enjoy....but keep moving. It's hard to build your robust metabolism.....when you're too tired to do anything but go to work and go to bed...because you're starving yourself. Please eat. Don't overeat. But eat. Learn to eat right, not starve. Starving is not the cure and in many cases sets the stage for significant regain. Do it right, even it it's slower than other people. Do it sustainably. Learn to coexist with food, not avoid it. (easier said than done) Don't get discouraged by small losses. Just keep losing to goal with small sensible tweeks. You don't have to suffer extremes to have success. Learning to control your diet moderately...is the best skill to have when facing a lifetime of sustaining a significant weight loss. This end my rant. Totally ok if you think I'm nuts/wrong/whatever. Take what you like and leave the rest. Peace and best wishes to everyone on this crazy road.
  2. Most of the veteran posts, lets face it.... are "Help, I've regained!" And the response I see over and over and over and over is... "Go back to basics...starve yourself at 1000 calories a day (or less)...start drinking protien shakes....do keto...blah blah blah" I don't mean to criticize heartfelt advice...and I know some of ya'll are genuinely trying to help. But why in the world would you tell someone to do the same thing over again....that didn't work the first time? It seems nuts to me. My two cents: see a bariatric therapist. Stop the self punishment. Stop the self sabotage. Stop the self harming extremes. Get down to the real reasons you're addicted to food, what you're medicating with it...and work on fixing those issues. If you do....making slow reasonable changes to your diet that have slow but steady results....will work. You don't have to starve. You don't have to do very low calorie diets that hurt your metabolism, your bone density, and your muscle mass. You don't have to be so freaking EXTREME. Breathe. Make reasonable changes you can live with for a lifetime. No crash diets. They don't work. You know this. How many years experience do you have KNOWING that this approach doesn't work? Stop running from the real issues.
  3. Creekimp13

    Why the same advice over and over?

    You're right, summerset....getting folks to think about weight loss and disordered eating in any other way than...extreme dieting...is like hitting your head against a wall until it's bloody. I'm not sure I care to do it anymore. The windmill wins. And Sillykitty made a great point...many people FEEL any suggestion of doing it any other way...is criticism of what they've been doing. It isn't, but I know it's experienced that way. There is a defensiveness that rivals politics and religion...when we talk about diets and weight loss. Everyone is very fixed on what they believe...including me, I suppose. I think this might be a major reason why we don't see more activity on the veteran's forum...there's a volitility that gets so negative. And ya know? I like ya'll. I don't want to feel negative about anyone or anything here. At some point, it's unhelpful to share your two cents, even when you try to do it carefully. And at some point, maybe it's best to realize that. Peace and best wishes to all.
  4. Creekimp13

    Please Eat

    This is why I took such care to start with....follow your doctor, not crazy people on the internet....and ended with....Totally ok if you think I'm nuts/wrong/whatever. Take what you like and leave the rest. And also why I posted in "rant". Sillykitty, you make an excellent point. And I think at the end of the day, maybe I've just outgrown this board and my commentary is doing more harm than good. People DO need to do their own process.
  5. Creekimp13

    one month post op

    The first month has the infamous 3 week stall averaged in....and it can ruin your average. Next month will be better. Don't panic. Stick to your program.
  6. Creekimp13

    one month post op

    Sounds extremely normal to me. Would help if we knew your weight stats.
  7. Creekimp13

    Why am I able to eat so much

    I ate a lot after surgery. The restriction was there and I could only do a little at a time, but I was non-stop HUNGRY, so I ate non-stop. At around week 3-4 weeks...when I was encouraged to eat 1200 calories a day, I started feeling more content and like I was on a sustainable diet. I still ate 6 times every day....and often still do. You will be able to eat more of mushy "slider" foods than foods with more substance. Eating is not the devil. Eating a sane number of calories during loss phase is not a bad thing. Feeling well enough and having the energy to do the exercise that boosts your metabolism...is a good thing. You don't need to be a starving zombie to lose weight. You definately need to keep track and make good food choices, but the extremely low calorie diets are both unwise and can set you up for rebound regain. Eat sensibly. Good choices. Stay within calorie limits. Boost your metabolism with 15 minutes of cardio every day. (doesn't have to be anything fancy, some very heavy folks reach cardio just by taking a walk) Stay active, stay nourished. You will lose weight.
  8. Creekimp13

    What Was Your Biggest Challenge

    1. Figuring out what to do with the pissed off/sad feelings when food wasn't an option to self soothe with. 2. Grieving no longer liking foods I've used as a comfort crutch for a lifetime. 3. Being suprised that this is a lifelong challenge, a lifelong calorie count, a lifelong need to be mindful, a lifelong fight. You don't "overcome" this. You learn more strategies to deal with disordered eating....every day....for the rest of your life. You learn more about how you ended up fat. You learn more about yourself. Most newbies think of weighloss surgery in terms of.... First hurdle....getting surgery Second hurdle..surviving post surgical diet Third hurdle..doing extreme things to get down to goal weight as soon as possible. (terrible idea) and at Goal....the fantasy ends. The typical Newbie thinks goal weight is the yellow brick road happy ending with a rainbow over it. Goal Weight is arriving at the destination you will never depart from. It is THE END, the reward, Bliss, Victory, blah blah blah... The problem with arriving at goal....is that you wake up the next day....and you're still you. LOL. Look past goal. Goal isn't the end. You don't get fixed just because you reach goal. Your brain and eating aren't less disordered. You have to work through all sorts of weird behavior and fix the parts of you that need attention...the parts that drove you to morbid obesity. That's the real challenge....living permanently with new eating habits, new physicality, and finding new outlets for toxic feelings that don't end up being self sabotaging. The work is never done. I won't say it doesn't eventually get easier. But it's never done. I will be working on this big life change....for the rest of my life. One of the bigger challenges many people face is thinking the surgery magically fixes you (it doesn't), thinking that the surgery does the work (it doesn't, but you do), and thinking that you're cured somehow at goal. You are just getting started.
  9. My doctor wanted 10% weight loss through medically supervised diet before he'd approve you. For me that was 27 pounds. My insurance wanted 5 months of medically supervised weight loss....so that's what I did, and lost 40 pounds by cutting back calories, learning about better nutrition, making better choices. After surgery, my doctor wanted us eating 1200 calories a day by the 3-4th week. We avoid refined carbs, but eat LOTS of whole carbs....potatoes, whole grains, etc. (no refined sugar or white flour products) We ate 1200 calories a day like that until goal....then gradually upped calories to maintenance. I maintain well at 1600 calories a day. I eat pretty much everything, but am careful with refined foods.
  10. Creekimp13


    What works for me, is this.......if I go up five pounds, I need to see the bariatric therapist. It's the deal I've made with myself, and it works. I very very seldom go up five pounds, but each time I do... I schedule an appointment, have a good talk about the triggers I'm dealing with....and get things straightened out before it gets worse. I cannot say enough positive things about using the bariatric therapist as another good tool. Best wishes to all.
  11. Creekimp13

    Suggestions needed

    My suggestion is always...go slow and sustainable. Tweek your diet with small changes that last and don't try to sprint. Quick weight loss schemes and super restriction can cause your metabolism to shut down and can lead to regain. Slow and steady wins the race.
  12. Creekimp13

    help need advice

    At 5'5" and 240...with good luck, your skin will snap back. At age 18 your chances are terrific (but not guaranteed.) I think about the tiny little 20 year olds I know with huge pregnancies whose skin reduces and looks terrific in months. I had my surgery done at 46, and was stunned at how well things reduced back into place. I have a few trouble areas, but I don't mind how I look naked at all. I was open to skin surgery, but don't feel I need it. At 18, I think you're gonna look amazing:) Best wishes.
  13. Creekimp13

    Gastric Bypass Surgery

    They'll give you a lists of things you'll need to do before they'll approve and schedule you. Each doctor is different, but most will want a history of weight loss effort, a medically supervised diet with visits to dietician and some weight loss, clearance from a bariatric therapist, medical tests...some want support group attendence, fitness classes, etc. Just very much depends on your surgeon's group policies. They will likely discuss benefits and drawbacks of each different surgery. They'll measure you and weigh you and give you a list of things to schedule.
  14. Creekimp13

    Body Dysmorphia is real

    Yes. Seeing the bariatric therapist helped. Best wishes.
  15. Creekimp13

    Methadone Maintenance and GSL

    Do you have a required psych evaluation? Many people do. I don't know what the requirements might be with someone 5 years into substance recovery....but I know that crossover addictions are a huge concern with bariatric surgery. If you have not talked about this issue with your doc, it would be a really good idea to broach the topic. Also to ask if your healing stomach will be able to handle methadone, or if your blood serum concentration would have to be carefully monitored to adjust dose....I suspect it would be. Best wishes.
  16. Creekimp13

    Methadone Maintenance and GSL

    Good questions for a bariatric surgeon. Have you had surgery yet, or are you researching it?
  17. Creekimp13

    Hungry hungry hungry

    Raisin bread is simple carbs. Not a great choice. I wish it were, I love it, but it's gone from my diet because it's essentially a donut...white bread with raisins in it...super processed white flour, dried fruit is concentrated sugar, and almost no fiber to slow the sugar bomb down. Sugar bombs cause insulin rebound that makes you even hungrier...and you're more likely to snack. Be careful of too much fruit in smoothies, too. Lots of sugar and calories. Not saying not to eat fruit, just be very mindful of your sugar items and balance them with FIBER...it'll help. Track every calorie. When we pay attention to every single thing we graze on...it adds up crazy fast.
  18. Just start where you are and keep increasing the goal a little at a time. Challenge yourself, but listen to your body. Good luck on reaching your 5K:) Might happen this year, might happen next year, but keep at it! At 60...pay attention to your aches and pains. Don't pop a knee and end up needing a surgery by being overly ambitious...nothing screws up your training like months of injury disability. Go slow, but keep gently pushing:)
  19. Creekimp13

    Help my imagination

    I've seen some folks in their 20's have remarkable skin reshaping (skin snaps back and doesn't sag). Nice young elastic skin helps a lot.
  20. Creekimp13


    It gets better, but I still miss being able to drink a whole glass of water at one time. Three years out, I can take a couple of glups, but that's it.
  21. Creekimp13

    Lie on food log

    I eat dark chocolate every single day. One square. About 55 calories worth. It has a gram of protien, a gram of fiber, and I enjoy it:) I can't mindlessly eat anything sugary or I will get into trouble with too many calories and will get nauseated past 200 refined sugar calories. But that little square of chocolate is a delight...and I have had no issues eating it daily with mindful intent....keeping it as part of my balanced daily diet.
  22. I'd get the snow crab legs. Crab is soft, delicious, not too much volume. High quality protien.
  23. Walking. Started walking 6 months before surgery. Worked up from about 5000 steps a day to 10,000+ steps a day...and got them the day of my surgery wandering the unit halls after my surgery:) Building up endurance walking...and continuing to walk every day....has been incredibly helpful. Strong metabolism, I can eat more calories, great energy and endurance. Exercise is one of the most effective and least prescibed antidepressants. Helps your bone density, boosts your metabolism, improves heart health. You can walk about anywhere. Invest in a Fitbit or other tracker and get active:)
  24. Creekimp13

    Hungry hungry hungry

    I was STARVING hungry until the 3-4th week post surgery when I started eating 1200 calories a day.
  25. I'm 49...at goal:) Going through perimenopause now.