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UK Mounjaro friends!
xKirstenx replied to xKirstenx's topic in GLP-1 & Other Weight Loss Medications (NEW!)
I think it's definitely worth considering. I was going for the sleeve but thought I'd try this first. Been on it 5 months now and lost 20kg. Being in a deficit has helped me eat healthy and I now understand how bad food is! I plan on still having surgery should I plateau at the end of the journey, but I'm seeing how far I can go. My BMI was actually too high for surgery and I've managed to drop down into a BMI so I can now have surgery if I need to. -
Pureed foods. Yuck!!
AShimmerRemains replied to Monica Justice's topic in Post-op Diets and Questions
Late to the party, but if anyone is still looking for puree options, some options from my program that werent blending meats include Pureed soups Refried beans Hummus Yogurt Applesauce Babyfood Oatmeal, cream of wheat, or grits made thin. For bonus points add in a scoop of protein powder Thin mashed potatoes. Add bone broth gravy for protein and moisture. Mashed sweet potato Fauxtato style cauliflower puree -
Isn’t there a carafe in the middle of the table to pour into? I didn’t have alcohol that early on, but I did go to a wine/food pairing event last month (3+years out) and it went ok as long as I only took one sip per kind of wine and ate the one bite of food paired with it. I would bring a shake in your bag in case you find out the hard way that you dump or have delayed blood sugar issues. Or, I would be tempted to say that you have strep throat or the flu, and skip the whole thing. I bailed out on a lot of stuff early on because of foamies and fear of dumping in public. It took about 9 months for me to figure out my new body. I also knew that the surgery was my one shot. (I kept singing Lin Miranda’s Not Going to Mess Up My One Shot.) I still take my health very seriously and don’t care about loosing face with friends/family. You’ve got some choices.
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Food Before and After Photos
Mspretty86 replied to GreenTealael's topic in General Weight Loss Surgery Discussions
@Lilia_90 damn you guys ate very well love this! It's great you can share food with your husband my poor restrictive pouch. It keeps me from wanting to eat out. I also miss those experiences. I eat four or five bites on for this damn restrictive pouch, but I'm grateful. My mouth is watering that good looks good! -
Food Before and After Photos
Lilia_90 replied to GreenTealael's topic in General Weight Loss Surgery Discussions
Hi there!! I have a vacation food photo build up. Here are some of the things I have eaten over the course of 8 days - of which all were shared with the hubby and my 2 kids - , the goal was to put on some of the weight I've lost in the past one and a half months, but came back to see that I lost even more weight, Boohoo. -
Food Before and After Photos
SpartanMaker replied to GreenTealael's topic in General Weight Loss Surgery Discussions
Well, I finally decided to join the fun here in this thread: I pretty typical breakfast for me: This is ~3/4 cups of 2% Greek Yogurt, some thawed frozen cherries and some protein boosted granola. I don't really log my food, so I'm just guessing as to nutrition, but I'd think this is ~250 cals and ~22 grams of protein. Why 2% Greek Yogurt? Because that's what my wife prefers, so that's what we buy. I don't have a strong preference, but personally would probably buy full fat if I were buying it just for me. Note that I often change out the fruit based on what we have and what's fresh in the store. -
To everyone who has responded....thanks, lets keep in touch and get a good start to our journey. I look at this surgery as a new volume in my book, not a new chapter. I'm not looking back and I will be able to not only lose weight to feel better, but I will be able to get the much needed hip replacement. I'm due to have surgery on the 12th of May, signed my consents today, got my pre-op class done and met with the surgeon and he was quite pleased with my weight loss and my A1c both have gone down. I'm just as eager to get rolling on this new journey. What is next is the clear liquid diet a few days before surgery as they found I do not need to be on a liver reduction diet. I have my supplements as instructed, I have protein water for after surgery. We have 4 days of clear liquids only, then we can go on a soft diet, we don't have a puree, which is a blessing, I can't imagine eating chicken in a puree form, can't have meet until day 11. I'm taking this seriously, and will follow all the rules. I think I am more excited than anything for the 12th of May to come. Ealbers, you are right on track, let's get on with the journey. CJPom, you are first on the list being May 7th, let us know how you are doing post surgery. Jena, we will do this as a team, let's keep each other motivated!!! Congratulations to everyone! Every week, find a win other than is on the scale. Don't check your weight every day, it will fluctuate as your body adjusts and changes. Find other wins to celebrate, but don't stop celebrating. This is not just weight loss, but it is a metabolic shift in our bodies. Movement is important so let's keep walking. WendyJane
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2 Years Post-Op: Can't Lose More Weight
SpartanMaker replied to BrandiBird's topic in Gastric Sleeve Surgery Forums
Research does support the idea that BMR will be lower in a formerly obese person vs. someone of the same body composition that was never obese, but the magnitude of the effect was only 3-5%. I'm not discounting the 300-400 calorie number entirely, I'm just saying that if it's accurate, only maybe 50-70 calories of that is coming from BMR. The rest is coming from something else like activity level. Keep in mind that the most common way to quantify total daily energy expenditure (TDEE), is with a 4 component model: Basal Metabolic Rate (BMR). This is sometimes listed as Resting Metabolic Rate (RMR), although that is slightly different. Either way, this is a way of quantifying how much energy your body burns just to keep you alive. Exercise Activity Thermogenesis (EAT). This is calories burned in intentional exercise, such as running, cycling, etc. Non-Exercise Activity Thermogenesis (NEAT). This is all the other activity you do aside from intentional exercise. You can think of this as things like cooking, cleaning, shopping, etc. Some people refer to this type of thing as "activities of daily living", although other things also fall into the NEAT bucket like fidgeting, how much you stand vs. sit, etc. Thermic Effect of Food (TEF). Note there is no such thing as a negative calorie food. That said, it does take some calories to digest the food we eat. On average, it's about 10% (so if you eat 1500 calories, it takes 150 calories to digest that). Note that protein tends to be a higher percentage, yet another reason to eat more protein. While it's potentially possible that formerly obese people are somehow more efficient at digestion (meaning some of the effect could come from here), this could only account for a very small difference since TEF is just a small percent of your overall calorie burn to start with. The reason I wanted to list all that is if BMR of formerly obese people is only downregulated 3-5%, then any potential 300-400 kcal/day difference would have to come from somewhere else like NEAT. Since NEAT is known to be lower in obese people as well, it's likely the bulk of the difference here is simply coming from less daily movement (perhaps habit?). This also means it's likely highly variable. The good news to me is this should also mean it's changeable as well. Food for thought. -
2 Years Post-Op: Can't Lose More Weight
SpartanMaker replied to BrandiBird's topic in Gastric Sleeve Surgery Forums
Getting back to the OP's question about what do do: If they really feel they are accurately logging and are also having a hard time eating less, then the option would be to take steps to increase metabolism. Yes, GLP-1 drugs can do this, but there are other options. First, would be adding muscle mass from strength training. Estimates are that each pound of muscle increases calories burned per day by roughly 6 calories, Each pound of fat contributes ~2 calories burned per day. This latter fact surprises some people, but fat is metabolically active tissue. It's just that muscle is more metabolically active. If someone were to gain ten pounds of muscle and lose ten pounds of fat, that would lead to an increase in BMR of roughly 40 calories. That doesn't sound like much, but it adds up over time. If you also add in EPOC (Excess Post-exercise Oxygen Consumption), from the strength training needed to add muscle mass, then I'd estimate this would over time lead to ~400-450 extra calories burned in a week. That would lead to a loss of ~6 pounds in a year even while eating the exact same amount of food. If this is not a sufficient amount, then one can always reduce calories a bit as well. Alternately (I know this will sound counter-intuitive), but the OP might well want to consider UPPING their calories a bit for a while. Our bodies were designed to upregulate our metabolisms slightly when calories are available and downregulate it when calories are scarce. This means our bodies can maintain weight at a wide range of calorie intake. If we're constantly in a calorie restrictive diet, our bodies do downregulate metabolism to keep us from what it perceives as starving to death. What I'd recommend instead is going up 200-300 calories per day for about a month. After this "diet reset", drop down again to 1200-1400 for no longer than 2 months before cycling back up again. You can keep this cycle going on indefinitely. One of 2 things will happen here. Most likely the OP won't gain anything during the increased calorie intake diet reset because their metabolism will increase to compensate. However, when they start back at the ~1300 calorie range, their metabolism may not drop immediately, meaning they'll lose a little bit in the following 2 months. If they do find that they gained during the diet reset, but fail to lose when back in the diet phase, then worst case it shouldn't be more than about 2 pounds (less than 1% of body weight). This isn't likely, but even if this does happen, it will at least tell us that 1300 won't work for weight loss for them and they'll need to go lower. I'd also be remiss if I didn't come back to exercise here. I mentioned that low levels of exercise (30 minutes of cardio), really are not going to do anything toward weight loss. It's obviously going to be different for everybody, but current research seems to suggest that the tipping point is about 400 calories per day. What I mean by that is if you can burn OVER 400 calories in exercise in a day, the body can't suppress your metabolism enough in other ways to keep you from going net-negative for the day. Said differently, you'd need to do something that burns more than 400 calories before it "counts" for weight loss and the only part that counts is the part above 400 calories. Unfortunately, 400 calories is A LOT for most people. The good news is the heavier you are the more you burn, but even at 215 pounds, you'd probably have to run over 3 miles to hit 400 calories. Keep in mind, this would just be to break even, so if you're actually trying to burn more calories this way, it will take even more. I'll use myself as an example here. I'm not trying to lose weight right now, but I have found that if I run over roughly 28 miles in a week, I tend to lose weight. If I run less miles, I maintain. Do the math, and for me that's right at about the 400 calories a day mark. In my use case of one, I'm pretty close to the statistical average as shown in the research. Best of luck whatever you decide. -
2 Years Post-Op: Can't Lose More Weight
SpartanMaker replied to BrandiBird's topic in Gastric Sleeve Surgery Forums
I guess I shouldn't respond late at night like I did above because I left out some common mistakes people make when logging calories: Mindless eating: either failing to log those little nibbles here and there (including when tasting food during prep), or trying to log it, but guessing after the fact as to how much they actually ate. Not understanding that raw vs cooked food can have vastly different calories. A classic example: The USDA says 100 grams of raw chicken has ~106 to 120 calories per 100 grams. The problem is that when cooked, 100 grams of this same chicken is ~165 calories. The primary reason is due to water lost during the cooking process. This is not an issue if you properly portion out how much of the chicken breast you ate, but if you are using the raw calories and weighing it when cooked, you'd actually be eating a lot more calories than you think. This is a big one: not counting liquid calories. for reasons I don't fully understand, a lot of people just either ignore or don't log liquid calories. That juice they drank for breakfast? Didn't log it. The milk in their coffee? Nope, not logged. That energy drink they had in the afternoon? Not logged either. I think you get the idea. If you haven't figured it out yet, I'm not a huge fan of logging calories since it's really hard to do correctly and even when done to the best of our ability, it's still often wrong. I think, as it may be in your case, it also can become a crutch. There is no cheating physics here. If you eat more calories than you burn in a day, you'll gain weight and if you eat less, you'll lose. As I hope you'll see from what I've posted, in all likelihood, you're eating more than you think. Let's just for the sake of argument say you're really great at logging and you really are just eating 1200-1400 kcal a day. The only other explanation would be an exceptionally low BMR. This would really suck if it's true, but if we assume it is true, then that would still mean you're eating too much. Either way, you have to eat less than you're eating now if you want to lose. -
2 Years Post-Op: Can't Lose More Weight
SpartanMaker replied to BrandiBird's topic in Gastric Sleeve Surgery Forums
So if I'm understanding your post correctly, you've been eating 1200-1400 kcal per day yet your weight has been stable at ~215 pounds. This either means: Your total daily energy expenditure (TDEE) is also around 1200-1400 calories per day, OR You're eating a lot more calories than you think. Let's explore each of these in more detail. Based on your height and weight, your TDEE should probably be 1800 to 2200 calories per day. Just your BMR or Basal Metabolic Rate (the number of calories your body burns per day just to keep you alive), should be ~1500-1800 calories per day. There are lots of reasons this could be lower, but for your TDEE to be 1300, you'd have to have a BMR in the neighborhood of ~900 calories per day or as much as HALF of what we'd expect. This would be exceptionally low considering your size. BMRs that low tend to only be seen in elderly frail women. To be clear, without having a metabolic test, we can't know for sure, but this does seem unlikely. A more logical reason for this discrepancy is that you're actually eating a lot more than you think. Calorie overestimation is extremely common (unlike extremely low BMRs), thus I lean toward this as an explanation. I have seen some suggestions stating that the magnitude of this may be as high as 40-50% underestimated. In other words, someone could think they're eating 1500 calories, but they are actually eating 2200+. So where do people go wrong? Misreading/misunderstanding nutrition labels. It's not uncommon for people to confuse a serving with a container of food. Sometimes, manufacturers will list a serving of something, but what you're actually eating may be 2 or more servings. Accepting as fact the calorie counts on nutrition labels. In the US, calorie counts on nutrition labels can be off by as much as 10% before manufacturers would be expected to adjust the calorie count. Keep in mind, though that manufacturers are self policing here and really don't have a lot on incentive to make sure these are correct. Many people simply guess at serving sizes, especially if it's a meal they made themselves. This can lead to wildly inaccurate calorie counts Also very common when they are making meals themselves is to just look up a calorie count for a similar food, but this also can be really inaccurate. Lots of people guess at amounts, thus you may think you're getting say 1 cup of a food, when it's actually 1.5 cups. Speaking of measuring by cups, this also is wildly inaccurate. To properly measure calories, you really need to weigh EVERYTHING you eat IN GRAMS. Any other method just isn't very accurate. I also wanted to touch briefly on your comment on exercise. While I think it's great that you're exercising, this really has nothing to do with weight loss. Lot;s of studies show that increasing energy expenditure through lower levels of exercise like you're getting typically leads to lowering your energy expenditure elsewhere throughout the day. This means you really have no increased calories burned and shouldn't think this means it's okay to eat more as a result. -
Food Before and After Photos
DaisyChainOz replied to GreenTealael's topic in General Weight Loss Surgery Discussions
It is always a challenge to know how many calories are really in restaurant food, but generally I think it's a fair bit more than the at home equivalent! 😆 There is an app now that guesstimates based on a picture or camera of the food, but I haven't tried it, no idea how accurate it would be, but may save you some time? :dunno: Considering your current underweight status, maybe focus on just trying to up the cals without worrying too much about tracking? Or does your Dietician/med team/ own Enquiring mind need to know the data? -
Food Before and After Photos
ms.sss replied to GreenTealael's topic in General Weight Loss Surgery Discussions
p.s. tracking my calories is proving to be extra challenging with the amount of eating out im doing. i need to take the ridiculous amount of time to input all my food at these restaurants, or stop eating so much at said restaurants. neither if which i am willing to do. arg. -
It's been a while since I've been active on here, but I'm really struggling. Any advice or encouragement would be a huge help. 😥 Almost right at my year mark post-op, I stopped losing weight. My doctor said that I should still be losing 1-2 pounds a week. Around this time I was eating 1400-1500 calories, so they recommended I scale back to 1200. I try to eat whole, unprocessed foods about 80% of the time, I still track what I eat, count my calories, prioritize protein, and exercise 4-5 times a week for 30 minutes (usually cardio, but I do resistance train, just not faithfully). I am eating 1200-1400 calories a day, and I'm struggling so bad. My weight sits somewhere between 211 - 219, depending on water retention, my cycle, travel, stress, etc, and it really hasn't changed since I saw my doctor last. I would love to try the GLP-1 class drugs to see if that could help, but my insurance doesn't cover it, so that's not an option. I'm really depressed over this, which I know doesn't help things. I feel like I've worked so hard, and I've just barely gotten halfway there. Now I'm terrified I'll start gaining weight again, and I've caught myself obsessing over my eating to the point it's feeling disordered and mentally unhealthy. Has anyone else had this struggle? If so, what helped you - either with losing more weight, or just coping with being at a plateau? 😭
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Food Before and After Photos
ms.sss replied to GreenTealael's topic in General Weight Loss Surgery Discussions
i haven't been logging my food regularly for quite a while now as i felt like i could manage on maintenance autopilot. anyway, looks like i need to tweek my diet as i've been unsuccessful in bringing my weight back up to an acceptable level for months now. its kinda challenging as i've been eating out 90% of our meals all these said months, and its hard to guess the calories content of restaurant meals. gotta try tho. so here we go! my first tracked meal in a reaaallly long time: cottage cheese, blueberries, black pepper and anchovies (dont judge me! lol) 193 calories (easy to log cuz i made it, ha!) -
Gastric Bypass with Mast Cell Activation Syndrome (MCAS)
SundayMorning posted a topic in PRE-Operation Weight Loss Surgery Q&A
I am currently in the process of fulfilling all of the requirements to have gastric bypass. I went to my GP for surgery clearance and he had some concerns. I have MCAS and I have issues almost on a daily basis with being nauseous and foods not agreeing with me due to my MCAS. He was wondering what it would be like for me post surgery. He is not opposed to the surgery. He says it is my decision and without MCAS he is all for it. He believes I will benefit from it. He just wants me to reach out to the community and see if anyone with MCAS has had the surgery before. Since the surgery can't be reversed it is best to make sure it will not hurt me before hand. So do any of you have MCAS (diagnosed prior to your surgery)? What was it like for you prior and post surgery? Has it helped or made it worse? -
2 months post op macros
NickelChip replied to Just a phase 98's topic in Post-op Diets and Questions
I just checked and at 2 months, I was down 20.6 lbs from the day of surgery. There's really not a hard and fast rule for how much you'll lose. Everyone is different and it depends on your starting point and how much you lost pre-op, too. I had some months when I lost a lot and other months where I hardly lost anything, but overall it moved steadily downward. My weight loss has stalled for the past month or so, now that I am more than a year out. The only guidelines I was given was 60g minimum of protein per day and 64oz water. I am now almost 14 months post-op and I've gone from 225 lbs on surgery day (251 was my highest, which was 6 months pre-op) to anywhere from 162-165lbs. My exercise consists of walking and that's it. I'd like to lose another 10 lbs but I'm also pretty fine with where I am as long as I don't gain (which is why I do hope to lose a bit more). I've gone from a size 22 to a size 12. I think I could still lose a bit more if I focused on cutting out some bad habits that have crept in with sweets/simple carbs, and if I increased my daily exercise to something a little more challenging than a walk. I don't count calories and I don't really track macros at this point, either. I just try to eat reasonable meals that focus on protein and veggies, and not snack too much or eat junk food too often. A typical day is either spinach frittata, Kodiak protein oatmeal, or a Greek yogurt for breakfast, plus a serving of mixed fruit (strawberries, cantaloupe, blueberries, grapes. Lunch is a good size spinach salad with 3oz chicken and some black beans. Dinner might be a bowl of homemade chicken, bean, and veggie soup, chili, or maybe some grilled meat and veggies. Sometimes I eat chickpea pasta with marinara and meatballs but other types of pasta and breads don't settle well. For snacks, I like string cheese and an apple, or some mixed nuts or roasted edamame. I have to be careful of overindulging in things like popcorn, candy, and cookies because they are too easy to eat without getting full (and sadly I don't get dumping from them). Red meat fills me up very quickly. The hardest thing for me now is dealing with the head hunger that makes me want to reach for food if I am bored or stressed. Getting the stuff out of the house completely is the only strategy that really works for me with that. My only real advice is don't drive yourself crazy. Just do your best each day and pay attention to your body. That's more important than counting calories. You're not on a diet! You need to figure out what you can sustain for the rest of your life, while paying attention now to the basics (protein and water, plus vitamins) to keep up your health. -
I take a medication that I've been taking for years and it's small enough that I was allowed to swallow that one whole at first. The medication the gave me for post-op care and nutrition were given to me in liquid form or I was to use the pill grinder that they sent me home with. The multivitamin they gave me was evil though. The only times I've thrown up post-op was those damn vitamins. They were huge liquid capsules that I was told I need to break open and swallow the fluid inside *shudders from the memories* until I was able to eat solid foods. After the first two times I threw up taking them, I called my surgical team and they told me it was ok to wait until I could swallow them. I tried again at 4 weeks and swallowed it whole and it was fine unless I swallow it on an empty stomach, which is tricky because all the pills at first felt like a meal in and of themselves. Once you have your surgery, your surgical team will be able to be more specific about what they recommend FOR YOU as everyone's mileage may vary. I was given three different recommendations in case, one wasn't available when I went to refill or what have you.
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2 months post op macros
SpartanMaker replied to Just a phase 98's topic in Post-op Diets and Questions
They probably didn't give you any calorie values because they don't want you worrying about that yet. As long as you're not eating more than the recommended amounts, you'll be fine. As to macros, the absolute minimum recommended protein amount would be 60 grams, but really, shooting for 100+ would be better. It can be hard for some folks to hit that higher value early on, so as long as you're getting a minimum of 60, you should be okay for now. Just try to work up to 100+ as time goes on. Eventually, ~1 gram per pound of bodyweight would be a better target for protein, but I'd be surprised if you're able to get there at 2 months post-op. I wouldn't worry too much about carbs and fats at this point other than to say you do need a bare minimum of fats to make sure you get your essential fatty acids. In short, eat the recommended portion sizes, aspirationally shoot for 100 grams of good quality protein per day, at least 30 grams of (good), fats per day, and the rest can be carbs. Your carbs should ideally be from whole food sources like veggies, grains and fruits. -
Your surgeon (or their team) should provide you with a list of the liquids you can consume during the pre surgery stage. If they haven’t yet, ask for a list so you can start to prepare. There are variations between surgeons as to what you can and can’t have at this stage. For example some are three meals of protein shakes a day & that’s all. Others are four shakes. Some are two shakes plus one meal of a lean protein & vegetables. Some are not shakes but milk. Mine was keto. So you can see we can’t really tell you what your surgeon may require for this diet or require specifically for you ( your current weight, pre existing health concerns, etc.) But as a help, start weaning yourself off caffeine, carbs and sugars now because when you start the pre surgical diet the withdrawals from those foods can be pretty tough (headaches, lethargy, irritability, poor concentration, etc.) It usually passes after five or so days but that first week wasn’t called hell week for nothing by my surgeon’s patients. All the best.
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Introduction/scared crapless
PickleRick89 replied to PickleRick89's topic in PRE-Operation Weight Loss Surgery Q&A
When I think about asking the surgical team, specifically the surgeon, it doesn't seem likely that he will budge. As far as the dietician goes, same issue. They tend to see a one-size fits all approach, and example of which is that I do indeed have fatty liver, but it was never mentioned by the surgeon at our most recent appointment nor do I recall the dietician mentioning it. To be frank I don't think they'd give a crap about my issues with the food either. I did ask the surgeon if I could just avoid the vegetables altogether and he said "no" very brusquely and continued on to another point without giving me a chance to respond. Hence why I'm here asking. I think my hope was someone would have an idea about what to replace it with, perhaps something their dietician recommended or something, so I could just perform the switch and leave it at that without involving the surgeon. The dietician was nice enough but they tend to see any deviation from their recommendation as a sign of failure rather than a request for help. -
Hi everybody! I'm new here, just joined up on my lunch break actually, and wanted to introduce myself to the forum. My name is Rick, and my surgery date is scheduled for May 5th. My doctor said I don't need to begin my LRD until the 20th, although I'm now beginning to question whether I should start it sooner (couldn't hurt, right?). The diet I was given seems to be very restrictive, but even more so to me due to IBS and severe visceral reactions to certain foods, mainly vegetables. I have never been able to stomach vegetables, as far back as I can recall I would vomit just from a vegetable being in my mouth. And this has continued as the years have passed (I'm 35). There are other foods that cause this as well, a lot actually, and this has me really concerned for the LRD. What I wanted to ask was what can I eat in place of the vegetables that are in the diet? The goal here, according to the surgeon, is to enter ketosis and shrink the liver before surgery. I want to be successful but I'm lost here. Any help would be appreciated, thanks! I will answer any questions or clarifications after work.
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Good points. I do think post-menopausal women are still almost 4 times more likely to suffer from osteopena or osteoporosis, but I'm not surprised at all to see the rate going up for men. We as a species are just more sedentary and this is one of many diseases that unfortunately are exacerbated by our inactivity. Us older folks were also lied to for a long time about the "dangers" of activities like running, being told it would "wear out our joints". It seems the reverse is now being shown, which shouldn't be surprising if we consider Seyle's "General Adaptation Syndrome" model that first proposed the idea that our bodies respond positively to eustress. We are now finding that "impact" sports actually improve joint health and even can reverse bone loss. Food for thought.
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Maintenance Preperation
SpartanMaker replied to Bypass2Freedom's topic in General Weight Loss Surgery Discussions
I want to challenge your ideas a bit here. This concept that there is some underlying mechanism at work that controls our weight and that we don't have any say in the matter is based on something called set-point theory. In short, the theory is that some as yet undetermined mechanism (likely in our brain), wants us to be a certain weight and thus actively regulates both calories in and calories burned to keep us around the same weight. Anecdotally, most people can attest to the fact that there seems to be a specific weight where they naturally settle when they aren't actively trying to gain or lose weight, so the theory makes intuitive sense. That said, there are some big problems with this theory: Why have we not been able to find the actual mechanism for this set-point if it really does exist? How are some people able to change their set-point? How do we explain that overweight and obesity are significantly more prevalent in some parts of the world vs. others? In those parts of the world where overweight and obesity are more prevalent, how do we account for the fact that these issues were much less prevalent until very recently? (For example, the rate of overweight and obesity in the USA has tripled since about 1980.) To explain this, more modern interpretations have suggested a more nuanced approach. We know that historically, food scarcity was the norm. It's logical to assume our bodies are well adapted to dealing with this as a result. Unlike set-point theory, we do have a solid understanding of the physical processes involved in regulating metabolism during scarcity. This means our bodies know how to handle a lack of food pretty well by down-regulating metabolism. (There are several ways it does that, but I'm going so skip discussing those specific mechanisms for now) What our bodies are less good at is up-regulating metabolism in an environment of where there is an extreme availability of highly palatable foods like we have today. We often think of our bodies like a car that's always running. This is somewhat problematic, but let's go with the analogy for now. Just like a car idling will burn some fuel, our bodies burn some calories just keeping us alive. If there's a shortage of food/petrol, (either because I can't afford it, or because there's a true shortage), I can curtail my movment/driving to conserve how much I use. Likewise, if food/fuel is cheap and readily available, I can move/drive a lot and even fill my fuel tank (fat stores), whenever I want. Unlike a car that has a limited fuel tank that can only hold a specific amount of fuel, humans have a theoretically unlimited ability to store excess fuel in the form of fat. TL;DR: It's not so much that our bodies decide what weight to be. It's more that we were never designed to deal with cheap, easy access to super tasty food. At the end of the day, what determines whether or not you have more fat stores than you might want is whether or not you eat more calories than you burn in a day. The entire point of this overly long post is that there's no mechanism working against you that's keeping you from reaching your goal. Our bodies were designed to store excess calories to keep from starving to death when food was scarce. We rarely experience scarcity anymore, but our bodies don't know that. They still will do everything they can to hold onto those stored calories "just in case". There are ways to get beyond this, but that will have to wait for another post. -
Maintenance Preperation
Lily2024 replied to Bypass2Freedom's topic in General Weight Loss Surgery Discussions
Ooh, I'm here too, and it's been very interesting. I've started drinking a protein decaf coffee again to add a cup of fairlife skim milk to my day. I know that some of us need to be very careful about carbs, I need more carbs to support my exercise which is basic strength, walking, and the 2x weekly run. I add an extra apple, gluten free pretzels, and popcorn (which is totally ok for me in my known portions). I also add a few days of cashews, easy to eat and high nutrient density. I would say if you aren't going to track calories (and why would you if that isn't your favorite) then it would be helpful to add a specific snack/food etc and have that extra every day for a few weeks and see where that gets you. If you continue to drop weight, increase it, if not, you have likely found your maintenance diet. The thing that has been most eye opening for me is the fact that I can occasionally go over and not see any consequences for one day of overdoing it. In the past that would have been hell to take off again, now it just seems to regulate like a normal person. I had surgery 1/24 and have been at my same weight since 11/24. I'm not fighting to stay here, I'm struggling with some head hunger vs real hunger, that was to be expected, but otherwise it's been such a different reality from presurgery.