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- Before surgery Compare procedures, plan ahead, and get honest pre-op answers.
- Post-op Recovery, food stages, symptoms, and support.
- Long-term Regain, labs, habits, and life after the honeymoon.
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Everything posted by Melissannde
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Does ANYONE experience this???
Kimaly was right. The band is not supposed to control your portions for you. The way the band works is to diminish your hunger so that you can make better choices. Until you get enough Fluid in the band, it is a struggle to eat the small portions and not get hungry in between. My surgeon recommends 3oz of Protein and 1/2 cup of low carb veggies for a meal, with healthy Snacks in between if needed. If you don't have a scale, 3oz is about the size of a deck of cards or the palm of your hand (minus the fingers). 1/2 cup of veggies is about the size of tennis ball. My nurses say a bandster should be eating about a cup of food per meal. I too could eat large amts at the beginning. I remember one day I ate 3 bratwursts wrapped in tortillas. Some other bandsters I told about that were horrified. I know where they were coming from now that I finally have enough fluid in my band. The changing tightness of your band (where one day you feel full on very little and the next day you could eat everything in the house) is also very normal. I know someone who says "the band is a fickle b*tch". You just have to work with it as best you can. Days when you are loose, drink more fluids to help curb the appetite. Cold drinks will help tighten the band. When you are too tight, the converse is true, warm drinks will help loosen it. I too did not get to a really good fill level until the second year of banding. I still lost weight because I followed the lean & green plan. Or as another bandster puts it.. Protein, Produce & Fiber. Reduce the white carbs if you can.. they tend to make you hungrier. Replace with whole grain if you must have bread. You're doing the right thing to continue to get fills.. hang in there, it gets better.
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New and nervous in Jacksonville
Skin issues depend on whether or not you EVER smoked, amount of weight gained/lost, how long you were obese and genetics. Exercising and drinking lots and lots of Water can help some too. Even with lose skin, I'm still so much happier at 212 than I was at 385. It's totally worth it. And they make lots of really good shapewear these days, even for guys. I know at the beginning of my journey I thought spanx? nah.. no way. Now I like them. Linda, I'm confused on your statement about coffee.. does your doc make you give it up? I drink tea frequently now, but still have a couple of cups of coffee a day. I try to keep it to 2, but not so rigid that I won't have a 3rd if I really want one.
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Vitamins, Calcium, and B12?
B-12 should be sublingual (the kind that dissolves under the tongue) or liquid for best absorption. calcium citrate you can take the pills or do chewable, whichever works for you. I can't do the large pills, they hurt, even breaking them up and taking with applesauce (s/f of course) or yogurt.. did not work for me. I can take the Citracal Petites, but sometimes even those hurt.. even cut into small pieces. The calcium I prefer is Bariatric Advantage chewable lozenges. The chewy bites aren't bad either. None of them are going to taste absolutely wonderful.. but these aren't bad a'tall. :eek: Nothing magic about BA.. Celebrate, Bariatric fusion, Building Blocks and Opurity also have good vitamins/calcium for WLS clients. Write to each company and ask about samples. Many of them will send you some to try. Bariatric Advantage is EXCELLENT at standing behind their product. I wrote them to ask why over 1/2 my calcium lozenges were broken in my bottle and they sent me a free replacement. I eat Low fat cheese and get nonfat milk in my coffee and I still take extra calcium. I saw what my mom went through with hip fractures.. do NOT want to go there.
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Already Feeling Discouraged
I agree with several other previous posters, that 600 is probably too low. However, we all vary greatly on what we need for weight control. I would bump it up slowly, maybe by 100 or 200 calories a day for a week and see what that does. If you will keep track of your weight on a website (I like thedailyplate.com) you will probably eventually see that it looks like rickrack.. up and down, up and down.. but overall.. it will be downhill. I only lost 2lbs the first 3 weeks after my surgery. I wasn't able to eat much, on liquids & very soft foods. When I finally got to solids..I dropped 20lbs in 9 days. You don't mention exactly what you are eating. I see lots of people on this site mention that they are still eating white carbs (white bread, white potatoes, white rice, white Pasta, all colors of corn). These are not good for weight loss. If these are still in your food plan, try to wean yourself off of them. If you want to understand why these aren't good for us.. do a search for Glycemic Index/ Glycemic Load. You'll learn alot about how these foods affect us. Basically, you are at the beginning of the Weight Loss Journey. Don't Panic. Follow MOST of the guidelines given to you by your bariatric doctor/support staff MOST of the time and the weight should come off for you.
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altitude change in restriction? pls help
I've not traveled enough north/south since banding to experience all that much difference in altitude. I have gone East-West, from N.E. Tx to Tallahassee and don't remember having the issues you're referring to.. Sorry you're feeling slightly nauseous. There is a tummy bug going around here, hope it's just travel and not the bug. Might want to get some dramamine (if you can take it) or some crystalized ginger to suck on, just in case. Hope you feel better soon.
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Right Time to Exercise
I work out in the mornings. I try to eat about an hour before I work out. I also change what I eat on days I work out. On workout days I try to eat some kind of whole grain and protein for my breakfast. The carbs in the whole grain fuels my workout better than protein and veggie carbs. You may find that this does or doesn't work for you.. experiment and see what works for your particular body and lifestyle. Good luck. :eek:
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Does getting stuck= adequate restriction??
Are you eating white carbs? If so, you may want to get them out of your food plan, or cut way back. Veggie carbs aren't so much a problem. When you say you can "eat a lot".. define a lot. Does your doctor give guidelines as to how much? My doc says 3oz Protein, 1/2 cup veggies. My nurses say about a cup of food. Are you drinking with your meals? Teeny tiny sips are ok for some people, but if you're having issues getting hungry too soon, take your Water (or whatever) glass off the table and try not to drink at least 30 minutes after eating. Longer is better if you can do it. Drink right up to the first bite.. this keeps you hydrated and helps food go down. If you continue to have pain with meat.. try a cup of hot tea (or coffee or water w/ lemon or crystal light) before you eat. The heat tends to loosen the band and should help with the discomfort. Best of luck to you.
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Question on Being Full
It takes more than one day for carbs to clear my body. I lost control last week and ate a 1/2 box of saltines.. whoops. Well, the next day I didn't eat any less than usual, but I felt hungrier sooner between meals. Two days after my saltines binge, I was back to normal. I went back and reread your original post.. this is your 4th fill with about 6.75 cc's in a llcc band.. right? Did you have the issue of getting hungry 2.5 hours after eating before this latest fill? What I'm leaning toward thinking is that perhaps you have so much fill that you can't eat enough to keep you satisfied for a sufficient period of time. I also see you're describing your meals as "chicken leg" and "spoonfuls of veggies". Is this how your doctor recommends you portion out your food? I know there are many ways to approach post WLS eating and they are mainly all valid, I'm just curious. My doctor has us eat 3oz of Protein and 1/2 cup of low carb veggies (without high calorie sauces). If we don't have a scale, to measure the protein as a deck of cards or the palm of our hands. Veggies .. about the size of a tennis ball. When I get hungry between meals I first check to see if I've drank my Water. I try to get 32oz in between Breakfast and lunch, and another 32oz between lunch & supper. This is just water. I don't count other beverages towards my 64oz goal. I find that drinking water does help keep hunger at bay. Then after water, I'll let myself have a small snack if still hungry. Something like a small apple and a cheese stick or a snack size of cottage cheese, or a bit of beef Jerky. I try to keep Snacks high protein and under 100 to 150 calories. Speaking of water & drinking.. you're not drinking with your meals are you? My doctor has us not drink for 30 min before or after nor with our meals. I followed this advice for a long long time, but finally moved to drinking as I wanted right up to putting the first bite in my mouth. I try very hard not to drink during my meal (only sips if I need them..) and do not drink for an hour after eating. I'm sorry if I'm telling you stuff you already know and are following. Just can't tell from the information provided. :eek: You very well might need more fill, you might need an unfill.. or you may just need to let this current fill settle in. Call your doctor's office and ask their opinion. Go to your support group and ask for help there. I apologize for not getting back to this thread sooner. It's been a busy week. Hope you're doing better.
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hair loss
do a search for telogen effluvium. That's the term for hair loss associated with stress.. which WLS is stress to our bodies. I posted earlier today on this subject .. I think in the post-op section. Since you're a bit on the young side for menopause, that's not likely the cause.. but those of us who are nearing that, it can also cause hair loss. If it continues, go to your PCP and have blood work done.. there's lots of Vitamin and mineral deficiencies that can also affect hair loss. best of luck.
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Advice request on first fill.
See what your doctor says, but I'd be inclined from what you've told us to ask for a little unfill, but not much. somewhere between .2cc's and .5cc's I'm amazed at the 1/2 cup amount. My nurses say about 1 cup is standard for bandsters. My doc goes by weight and volume: 3oz Protein and 1/2 cup veggies.
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Oh Bandster Hell... ;p
Hi Bay, Is there a typo in your stats above ? ^^^ Amazing if you lost 100lbs in 2weeks.. :eek: I just wanted to share with you that I started about where you were in March of 09. I was 383 day of surgery. Lost maybe 2 or 3 lbs during the recovery stage. But once I got on solid food.. look out! I dropped really fast. March 28, 09 I was 381. April 6 I was 359. Over 20lbs in 9 days.. It was so fast the nurses were reluctant to give me very much of a fill and were questioning me to make sure I was eating.. LOL. I wasn't even doing much exercise at the time other than walking my dog. I think it takes a while for our bodies to realize that it's ok, there will be food again and start letting some fat stores go. Also it looks like you had to do a pre-op diet? My doctor did not require one. I've made a very unofficial, unscientific observation over the past couple of years that those who are put on a preop diet, don't drop weight as fast after the surgery. Those who aren't required to lose before surgery.. lose faster afterwards. I've had a nurse who works in bariatrics confirm that this has been her observations too. Keep on keeping on.. follow the band guidelines as close as you can (perfection not required. ::grin::thumbup:, go to support group either in person or online and it SHOULD work for you.
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Can feel every bite???
I think you may be a tad too tight. At least I had a very similar experience when I had too much fill. Everything I tried to eat gave me pain. A very tiny unfill of .2cc fixed it for me. The amount of fill that you have doesn't really matter all that much. I know someone with the same band as me.. she's tight with 2cc's. I'm at a good level with 5.5. You could try drinking something hot (tea, coffee, Water with lemon, hot crystal light) right before eating. This will loosen the band just a little bit and might make it easier to eat. When I was too tight, I even sipped on hot tea during my meal. The key word is sip.. tiny ones. Not big drinks. The danger with being too tight is that you can fall into the habit of eating what's called "slider foods". These things are OK on a very short term basis, but over time, tend to be higher in calorie and less satisfying to fend off hunger, so we eat more of them.. with a result of reduced weight loss.. or even regain. I don't purposely change the amount I eat. I measure out my 3 or 4oz of Protein and 1/2 cup of veggies. I try to eat that and if I get too full before it's gone, then it gets put away for later. If I can finish that amount, then I'm done for at least 20 minutes. IF I am still feeling hungry after 20 minutes I'll let myself have more veggies. However, I eat my veggies fairly plain.. w/o butter or cheese. Usually only some lemon juice and/or salt on mine. Most of the time, the 20 minutes gives my stomach and brain time to communicate and they figure out I really have had enough. Hungry in 2 hours? I make sure I've drank 16 to 32 oz of water (not Powerade zero, crystal light, tea, etc... water). If I haven't, I get on that. Still hungry after water.. then I can have a small high protein snack. Apple and cheese stick is a favorite go-to. Also the small snack size cottage cheese. yup yup. I had the same experience. I hung out on yahoo bandster boards from fall of 08, reading and practicing bandster behavior until banding in March of 09. There's things that you just don't get till you're one of the club. :mad2: You're welcome. I hope it was of some use. Call your docs office and talk to one of the support staff.. see if they want you to come in for a teeny unfill or have some other suggestions to help you over this rough spot. Good luck!!
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My hair....
The Latest on Nutrition and hair Loss in the Bariatric Patient by Jacqueline Jacques, ND Nutrition and Hair Loss A common fear and complaint of bariatric surgery patients is postoperative hair loss. While for most of us as people, our hair is important as part of our self-image and body image, it is not very important to our bodies. For this reason, nutrition can have a great impact on hair health because when forced to make a choice, the body will shift nutritional stores to vital organs like the brain and heart and away from hair. Hair loss has many causes. The most common type of hair loss after weight loss surgery is a diffuse loss known medically as telogen effluvium, which can have both nutritional and non-nutritional causes. Whether you are aware of it or not, for most of your life you are always in the process of both growing and losing hair. Human hair follicles have two states: anagen, a growth phase, and telogen, a dormant or resting stage. All hairs begin their life in the anagen phase, grow for some period of time, and then shift into the telogen phase,which lasts for approximately 100 to 120 days. Following this, the hair will fall out. Typically, about 90 percent of hairs are anagen and 10 percent are telogen at any give time—meaning that we are usually losing a lot less hair than we are growing, so the hair loss is not noticeable. But sometimes this can change. Specific types of stress can result in a shift of a much greater percentage of hairs into the telogen phase. The stressors known to result in this shift, or telogen effluvium, include the following: high fever, severe infection, major surgery, acute physical trauma, chronic debilitating illness (such as cancer or end-stage liver disease), hormonal disruption (such as pregnancy, childbirth, or discontinuation of estrogen therapy), acute weight loss, crash dieting, anorexia, low Protein intake, Iron or zinc deficiency, heavy metal toxicity, and some medications (such as beta-blockers, anticoagulants, retinoids, and immunizations). Nutritional issues aside, bariatric surgery patients already have two major risks of major surgery and rapid weight loss. These alone are likely to account for much of the hair loss seen after surgery. In the absence of a nutritional issue, hair loss will continue until all hairs that have shifted into telogen phase have fallen out. There is no way of switching them back to the anagen phase. Hair loss will rarely last for more than six months in the absence of a dietary cause. Because hair follicles are not damaged in telogen effluvium, hair should then regrow. For this reason, most doctors can assure their weight loss surgery patients that with time and patience, and keeping up good nutritional intake, their hair will grow back. Discrete nutritional deficiencies are known to cause and contribute to telogen effluvium. One should be more suspicious of a nutritional contribution to post-bariatric surgery hair loss if any of the following occurred: 1. Hair loss continued more than one year after surgery 2. Hair loss started more than six months after surgery 3. Patient has had difficulty eating and/or has not complied with supplementation 4. Patient has demonstrated low values of ferritin, zinc, or protein 5. Patient has had more rapid than expected weight loss 6. Other symptoms of deficiency are present. Iron Iron is the single nutrient most highly correlated with hair loss. The correlation between non-anemic iron deficiency and hair loss was first described in the early 1960s, although little to no follow-up research was conducted until this decade. While new research is conflicted as to the significance of ferritin as a diagnostic tool in hair loss, it has still been found that a significant number of people with telogen effluvium respond to iron therapy. Optimal iron levels for hair health have not been established, although there is some good evidence that a ferritin level below 40mg/L is highly associated with hair loss in women.1 It is worth noting that this is well above the level that is considered to be anemic, so doctors would not be expected to see this as a deficiency. Zinc Zinc deficiency has been tied to hair loss in both animal studies and human cases. There is data linking zinc deficiency in humans to both telogen effluvium and immune-mediated hair loss. Zinc deficiency is a well-recognized problem after biliopancreatic diversion/duodenal switch, and there is some indication that it may occur with other procedures such as gastric bypass and adjustable gastric banding. In 1996, a group of researchers chose to study high-dose zinc supplementation as a therapeutic agent for related hair loss2 in patients who had undergone vertical banded gastroplasty. The study administered 200mg of zinc sulfate (45mg elemental zinc) three times daily to postoperative patients with hair loss. This was in addition to the Multivitamin and iron supplements that patients were already taking. No labs for zinc or other nutrients were conducted. Researchers found that in patients taking the zinc, 100 percent had cessation of hair loss after six months. They then stopped the zinc. In five patients, hair loss resumed after zinc was stopped, and was arrested again with renewed supplementation. It is important to note that in telogen effluvium of non-nutritional origin, hair loss would be expected to stop normally within six months. Since the researchers conducted no laboratory studies and there was no control group, the only patients of interest here are those who began to lose hair again after stopping zinc. Thus, we cannot definitively say that zinc would prevent hair loss after weight loss surgery, and further study would definitely be needed to make this connection. A further note: The tolerable upper intake level (UL) for zinc is set at 40mg in adults. This study utilized a daily dose of more than three times that level. Not only can these levels cause gastrointestinal distress, but chronic toxicity (mostly associated with copper depletion) can start at levels of 60mg/day. Information related to this study has made its way to many a support group and chat room—even to doctor’s offices—with the message that “high-dose zinc will prevent hair loss after weight loss surgery.” Patients should be advised that high-dose zinc therapy is unproven and should only be done under supervision due to the associated risks of toxicity. A lab test to check for zinc deficiency would be best before giving a high dose such as this. Protein Low protein intake is associated with hair loss. Protein malnutrition has been reported with duodenal switch, and in gastric bypass to a much lesser degree. Little is known about incidence, as only around eight percent of surgeons track labs such as total protein, albumen, or prealbumen.3 Limited studies suggest that patients with the most rapid or greatest amounts of weight loss are at greatest risk.4 With surgical reduction of the stomach, hydrochloric acid,5 pepsinogen, and normal churning are all significantly reduced or eliminated. Furthermore, pancreatic enzymes that would also aid in protein digestion are redirected to a lower part of the small intestine. It is thus likely that maldigestion rather than malabsorption is responsible for many cases. Some studies have also implicated low protein intake.6 Research also indicates that low levels of the amino acid l-lysine can contribute to hair loss and that repletion of lysine stores may both improve iron status and hair regrowth. In a study of anemic patients with hair loss who were supplemented with 1.5 to 2g of l-lysine in addition to their iron therapy, ferritin levels increased more substantially over iron therapy alone.1 Biotin Many individuals believe that supplementing with, or topically applying, the nutrient biotin will either help to prevent hair loss or will improve hair regrowth. To date, there is no science that would support either of these presumptions. While biotin deficiency can cause dermatitis, hair loss is only known to occur in experimentally induced states in animal models or in extreme cases of prolonged diets composed exclusively of egg whites.7 Other Other nutrients associated with hair health include Vitamin A, inositol, folate, B6, and essential fatty acids. Hair loss can also be caused by systemic diseases, including thyroid disease and polycystic ovarian syndrome (PCOS), and is influenced by genetics. Conclusions Hair loss can be distressing to bariatric surgery patients, and many will try nutrition themselves to see if they can prevent it. Unfortunately, there is little evidence that early hair loss is preventable because it is most likely caused by surgery and rapid weight loss. Later hair loss, however, can be indicative of a nutritional problem, especially iron deficiency, and may be a clinically useful sign. Educating patients about the potential for hair loss and possible underlying causes can help them to make informed choices and avoid wasting money on gimmicks that may have little real value. References 1. Rushton DH. Clin Exp Dermatol. 2002;27(5):396–404. 2. Neve H, Bhatti W, Soulsby C, et al. Reversal of hair loss following vertical gastroplasty when treated with zinc sulphate. Obes Surg. 199;6(1):63–65. 3. Updegraff TA, Neufeld NJ. Protein, iron, and folate status of patients prior to and following surgery for morbid obesity. J Am Diet Assoc. 1981;78(2):135–140. 4. Segal A, Kinoshita Kussunoki D, Larino MA. Postsurgical refusal to eat: anorexia nervosa, bulimia nervosa or a new eating disorder? A case series. Obes Surg. 2004;14(3):353–360. 5. Behrns KE, Smith CD, Sarr MG. Prospective evaluation of gastric acid secretion and cobalamin absorption following gastric bypass for clinically severe obesity.Dig Dis Sci. 1994;39(2):315–20. 6. Moize V, Geliebter A, Gluck ME, et al. Obese patients have inadequate protein intake related to protein intolerance up to 1 year following Roux-en-Y gastric bypass. Obes Surg. 2003;13(1):23–28. 7. Mock DM. Biotin. In: Shils M, Olson JA, Shike M, Ross AC, eds. Nutrition in Health and Disease. 9th ed. Baltimore: Williams & Wilkins; 1999:459–466.
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My hair....
Are you also taking a GOOD multi-Vitamin? Children's chewables may not be enough IF you are having hair loss. Look at this list of vitamin deficiencies and what they effect. Bariatric fusion | Nutritional Deficiency and Its Symptoms I went to my PCP and had him run bloodwork to check for all of these deficiencies, plus thyroid plus vit D levels (D was just 2 be sure as long as they were taking blood). Nothing came up as off scale.. so he sent me to a Dermatologist. I was put on Rogaine. Derm said mine was mainly post menopausal. In a bit I'll post a real long article about Telogen Effluvium.. which is what is USUALLY going on with post WLS hair loss.
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Body changes with exercise vs no exercise
BTW.. being pear shaped isn't such a bad thing. It helps protect our hips from fractures from falls as we get older. It's much healthier for our hearts to be pear shaped than apple shaped. I too am pear shaped and very happy that my dh likes pears. :frown: Working on being hourglass.. but I think the sand will always be more on the bottom than the top. ::grin::
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Severe Leg Pains
I've had knee pain for quite a while. I seriously doubt it has anything to do with fills.. but everyone is different! Mine is from various causes.. being overweight for so long and from stressing them too much from vigorous exercise. I take my Vitamin T (Tylenol) every morning [bad joke]. It's just recently become more manageable since I've started a few things... Please ASK YOUR DOCTOR before trying these.. Added extra D3 to my vitamin regimen. I take Glucosamine/Chondrotin with MSM three times a day. I just started this week taking a small amt (1 or 2 tablespoons) of dried tart cherries at night (At night because Cherries have melatonin which helps with sleep). There's research that shows that cherries have an ingredient that works very similar to pain relievers. This article explains it better than I can. Tart Cherries - What are Tart Cherries and Tart Cherry juice? There's also cherry extract which comes in capsules and has less sugar. I will try it when I run out of my dried cherries. The dried ones I found have only 100 calories in 1/4 a cup.. so I'm getting only 25 to 50 calories per night in my small dose. Not all that significant (for me.. YMMV). You may also benefit from strengthening the muscles that support the knee. I go to the gym and do leg extensions on a machine and that has helped too. You don't have to go to the gym. You can do them at home with a beanbag or a bag of rice on your ankle. Sit in a chair and put a weight on your ankle and raise and lower your foot. Do a set number of repeats (8 or more if you can manage it). Rest a bit, do another set. As you get stronger, increase the weight. Get a referral to physical therapy and they can teach you more exercises to help you. Hope some of these ideas will work for you.
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Still in the honeymoon phase
It's normal to be hungry. The band doesn't completely take away hunger, it's just supposed to diminish it to where you have more control over what you eat. :mad2: When I have stuck episodes, I definitely have warning. There's discomfort in my chest area.. at times it's been bad enough that if I didn't know I had a band, I'd think I was having a heart attack. Let me emphasize that this level of pain is only OCCASIONALLY that bad. Usually it's just really uncomfy. It's not exactly vomiting either. It's more like baby spit up. There's usually no nausea and there's almost no bile taste to the food that comes back up. Once you get rid of the item that's stuck, you're back to feeling normal again about 99% of the time. I have had episodes where I did want to go find some phenergan, but that's not a usual occurrence. Try not to worry about real food. Welcome it. In fact, my weight loss didn't really take off until I was on solid food again. Take tiny bites (pencil eraser size) and chew chew chew. Eat slowly. Don't wait until you are overly hungry to have a meal (this will help avoid "first bite syndrome" which often leads to getting stuck and having to refund what you just ate). Everyone has slightly different experiences. You'll probably get differing responses. Next question? :frown:
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The worst timing!
You might consider contacting Obesity Law. They don't charge unless they get results. I think the attorney you want to talk to is Walter Lindstrom. Best of luck to you.
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what's eating you episode tonight?
I found some clips on hulu.com I've never seen the show either.
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Food sticking in throat
The size of bites I was told to take is the size of a pencil eraser or a small pea. I don't always use that small of a bite, but I do when I'm having issues. I've also heard it suggested to use child or toddler size utensils, or even a cocktail fork to help keep the bites small in size. I've never done that, just put small amounts on my spoon/fork, but it might not hurt to try. Hope you feel better soon.
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Upper GI question
I had a radiologist once who had me drink milk for contrast instead of barium. worked quite well. if you suspect you might have diarrhea from the barium, take some immodium with you and take a dose after the exam is over.
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i must have lost my mind!
U go girl! They're offering a free bootcamp at my gym.. I keep thinking about it... I've done bootcamp b4 and came out of it with some knee injury..so before I do it again, I'll have to talk to the instructors. Make sure your trainer knows about any joint issues you might have. Otherwise.. GO FOR IT!! You will LOVE LOVE LOVE the results.
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Pain assoc with too much food..remedy?
I found papaya at Walmart in the vitamin aisle. Good luck.
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do you weigh or measure your food?
And then there's my doc who advises a combo of weight & measure. 3oz of Protein and 1/2 cup of veggies. I use a digital scale to weigh my meat at home and at the beginning a measuring cup for veg. I now know that my big serving spoon can hold about 1/2 cup.. I know what 1/2 cup looks like in my various bowls.. so I don't always measure veg at home now. I don't carry my scale or cups with me when we eat out. On those occasions I visual my meat the size of a deck of cards or the palm of my hand. Veg about the size of a tennis ball. Very common to hit plateau's .. or we perceive them as plateaus, but when we look back, we really were losing, just not as fast as we thought we should be. Change up your exercise. Do something different or increase intensity or start doing intervals. Hire a trainer once a week. Look at what you're eating calorie wise. Can you shave off a 100 or so for a week.. does that bust the plateau? If not, try adding that 100 back plus another 100. Give that a few days and see what that does. I felt like I was stuck back in May.. so to encourage myself I started taking my measurements. I recorded them monthly and it was helpful to see that although the scale movement had slowed way down.. the inches were coming off. Sometimes I think when they put the band in us, they remove the patience gland. ::grin:: I've been losing around a lb a week, but I want it to be faster like in the beginning of my journey. It's a long long journey. Today I was able to comfortably wear a pair of jeans that a month ago was painfully tight. So, I know things are changing.. and they will for you too. Hang in there. Keep the faith.
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Sex Drive
It very well could be hormonal. Fat makes a type of estrogen and as you lose weight, your estrogen levels will be unsteady until your ovaries start taking back over. And really, although you're probably feeling pretty good by now, it often takes a minimum of 6 weeks to really get over surgery and there can be slight reactions to surgery for much longer. Give it some more time, make a date for you & hubby one weekend. If you can swing it, rent a hotel room, etc. I'll bet you'll be back at normal or even better before too much longer. If it doesn't get better .. consult your Gyn. They may be able to offer some suggestions.