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Again, not to be confrontational, but there's a lot of science indicating that carb restriction can lead to depression and lethargy. Additionally, although simple carbs can lead to insulin spikes/troughs, we're not talking about simple carbs here (I don't eat sugar and white flour anymore, pretty much at all, and my fructose intake is always in the form of whole fruit).

I think we have to remember that what applies to the general population isn't always going to be applicable to WLS patients, because our nutritional needs and intake are very different (even our metabolism is slightly different if we're digesting in a less acid-rich environment).

The bottom line is that a 6'1, 280 lb. man who's taking in 1000-1200 calories a day (which is, again, 50% more calories than my nutritionist recommends, but I'm using it as a "high Water mark" of my cheatiest of cheat days) is going to lose weight, given enough time.

I don't recommend skimping on any other essential nutrient, of course, but I think that extreme carb restriction is not going to net gains (losses) as impressive as claimed (in fact, I've yet to see a study that shows that carb-restricted patients do better than non carb-restricted patients post WLS). And what I do know is that it will make you feel miserable. Well, maybe not you, but it does for me. I can literally feel the difference within minutes of eating a few grapes (ooh, scary, complex carbs!)

And the real bottom line, of course, is that I'm going to listen to my nutritionist and doctor -- this is ultimately what we should all be doing, listening to our doctors. And she's telling me to eat more carbs and trim my Protein down slightly.

Edit: thinking about this, I really should have chosen a different thread title. I'm ultimately less concerned with stalls (which I KNOW will happen and are inevitable -- the body has a billion homeostatic mechanisms designed to prevent rapid weight loss; we're literally fighting a million years of evolution when we try to shed pounds rapidly) than I am with feeling crappy all the time. I'll happily accept a slightly slower weight loss if I feel good. My girlfriend is the example I should have been paying attention to; she happily munches on wheat crackers (in moderation) and fruit and vegetables and mashed potatoes and rice (all in moderation), and has been steadily losing weight for 8 months now. And her mood and energy level have been great and getting better every day. Basically she never watches her carbs, only her calories and exercise, and she's doing great.

So again, I'm sorry if I come off as confrontational, but it's really starting to dawn on me that everyone is in agreement -- my surgeon, my nutritionist, my girlfriend's experience, and my own body and instincts. The only reason I've been trying to limit carbs is because (again, sorry, but let's be honest...) "some people on the internet" told me to. I should learn my lesson!

Also, I think I'm going to start weighing myself every other week or once a month or so. I know I'll lose the weight, and if I stop anxiously hovering over the scale I won't stress out so much about the inevitable plateaus.

Edited by ouroborous

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Oh, one other thing. WRT to carbs, I've been eating 80g-100g all along. My stall right now has nothing to do with increased carb intake, since my carb intake has been pretty steady for the entire time since surgery, including some weeks when I lost 7-10 pounds in a single week. Basically, the idea that I'll speed up my weight loss by eating less carbs just makes no sense, when you look at the evidence.

This is just my experience... you all should listen to your doctors, not me, of course. But I think that the moral of the story is that I'm going to try to "lighten up" and not weigh myself as frequently, and eat more carbs (good, healthy, complex carbs) and eat them more frequently (rather than a single carb-heavy meal, eat little Snacks of Protein and carbs on a regular basis... which, incidentally is what my nutritionist told me to do last time... I should listen to the "experts" instead of making it up as I go along -- I'm not always the brightest bulb in the batch!)

Edited by ouroborous

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Hey I just wanted to throw another thing out. Vita D is a super common deficiency and my friend who had thyroid cancer has experienced SEVERE amounts of it. I hope you find an explanation, but until then....some summer reading Vitamin D Deficiency: Symptoms, Causes, and Health Risks

Best of luck,

Anna

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my nutritionist told me to do last time... I should listen to the "experts" instead of making it up as I go along -- I'm not always the brightest bulb in the batch!)

How long has your nutritionist been sleeved? I am sure I will not discredit any advice from people that have already been down the road the same road that I am on.

No doubt, you should listen to your nutritionist over a forum poster. Although, you should be open minded enough to not to argue with people that have different opinions, which you asked for, than your nutritionist.

Man, best of luck. I hope you start feeling better and start losing again soon. Hang in there.

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Well folks.. I went to my hypertention doctor today and i had to get on the scale .... It MOVED !!! :thumbup1: I have lost 1.9 lbs . I weigh 249.1... Yeah .finally it has moved and i am happy . i increased my calories with healthy choices... I did eat whole grain bread and crackers w/ tuna fish salad. I also think that I need to kinda cut back on the H2O , i drink constantly.. Its very confusing :) but like i said before , I will not give up!! 90 lbs to my goal and i can't wait.:thumbup:

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which, incidentally is what my nutritionist told me to do last time... I should listen to the "experts" instead of making it up as I go along -- I'm not always the brightest bulb in the batch!)

Its very hard not to try your own things when we have such a great thing as this forum to use and so many fellow sleevers to gain experience from, but it sounds like your nut was right esp regarding the Snacks.

Is it worth getting your bloods done early just to double check and allay any fears in a lack of something?

Hope it shifts soon for you!

Kathy

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hey friends or fellow sleevers, I took my husband to the Dr today and I just had to use the scale..I have lost 2 lbs since Monday. I am 247lbs now!!!...It has started moving again. I also heard that the B12 shots are excellent. so i made an appt. to get one. i ve heard that you get tons of energy and it helps with depression.

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Just a few thoughts for you, Oub...

You mentioned falling short on fluids sometimes. I've found that if I don't get in at least 60 ounces, I crash...no energy. And I stop losing. Be sure you keep your fluids up!

Re: nutritionist. I saw one for a while, shortly after surgery. She was adamant that my surgeon's recommendation of 600-800 calories was STARVATION and not healthy/balanced at all, She advised I go up to 1200-1400 and eat more carbs... (I was eating 30-60 gms per day.) She works for my Internist and has never had a VSG. I did not follow her advice, but stuck to my surgeon's advice and I've lost 110 lbs over 9 months. About 30 more to go. This is just to say that all nutritionists are not experts in WLS. When I eat carbs, I stop losing and/or gain weight. So... give things a try and see what happens...you will find out what works for you. You did not become obese in a week, so stop rushing yourself to lose it instantly! I weighed daily for 8 months, but now...about twice a month, ...less stressful.

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    • Doughgurl

      2 days until I fly out to San Diego to have my Bypass Surg. in Tiajuana Mexico. Not gonna lie, the nerves are starting to surface. I don't fear the surgery itself, or the fact that I'm traveling alone, but its the aftermath that I'm stressing about the most, after this 8 week wait. I'm excited to finally be here, but I am really dreading the post surgical chapter. I know its going to be tough, real tough and I think I'm just in my head to much now that the day i here. Wish me luck, Hopefully I'm one of the lucky ones, and everything goes smoothly. Cant wait to give an exciting update,. If there is anyone else have a June bypass or even a recent one, Id love to have someone to compare war stories with. Also, anyone near San Antonio Tx? See ya soon with the future me. 💜
      · 0 replies
      1. This update has no replies.
    • LeighaTR

      I am new here today... and only two weeks out from my sleeve surgery on the 23rd. I am amazed I have kept my calories down to 467 today so far... that leaves me almost 750 left for dinner and maybe a snack. This is going to be tough for two weeks... but I have to believe I can do it!
      · 0 replies
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    • Doughgurl

      Hey everyone. I'm new here so I thought I should introduce myself. I am 53y/o and am scheduled for Gastric Bypass on June 25th, 2025. I'm located in San Antonio, Texas. I will be having my surgery in Tiajuana Mexico. I've wanted this for years, but I always had insurance where bariatric procedures were excluded. Finally I am able to afford to pay out of pocket.  I can't wait to get started, and I hope I'm prepared for the initial period of "hell". I know what I have signed up for, but I'm sure the good to come will out way the temporary period of discomfort and feelings of regret. I'd love to find people to talk to who have been through the same procedure or experience before. So I look forward to meeting you all. Hope you have a great week!
      · 2 replies
      1. Selina333

        I'm so happy for you! You are about to change your life. I was so glad to get the sleeve done in Dec. I didn't have feelings of regret overall. And I'm down almost 60 lbs. I do feel a little sad at restaurants. I can barely eat half a kid's meal. I get adults meals often because kid ones don't have the same offerings at times. Then I feel obligated to eat on that until it's gone and that can be days. So the restaurant thing isn't great for me. All the rest is fine by me! I love feeling full with very little. I do wish I could drink when eating. And will sip at the end. Just a strong habit to stop. But I'm working on it! You will do fine! Just keep focused on your desire to be different. Not better or worse. But different. I am happy both ways but my low back doesn't like me that heavy. So I listened (also my feet!). LOL! Update us on your journey! I'm not far from you. I'm in Houston. Good luck and I hope it all goes smoothly! Would love to see pics of the town you go to for this. I've never been there. Neat you will be traveling for this! Enjoy the journey. Take it one day at a time. Sometimes a few hours at a time. Follow all recommendations as best you can. 💗

      2. Doughgurl

        Thank you so much for your well wishes. I am hoping that everything goes easy for me as well. We don't eat out much as it is, so it wont be too bad in that department. Thankfully. Also, I hear you regarding your back and feet!! I'd like to add knees to the list. Killing me as we speak! I'm only 5' so the weight has to go. Too short to carry all this weight. Menopause really did a doosey on me. (😶lol) My daughter also lives in Houston. with her Husband and my 5 grand-littles. I grew up in Beaumont, so I know Houston well, I will be sure to keep in touch and update you on my journey. I may need some advice in the future, or just motivation. Thank You so much for reaching out, I was hoping to connect with someone in the community. I really appreciate it. 💜

    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. LeighaTR

        I hope your surgery on Wednesday goes well. You will be able to do all sorts of new things as you find your new normal after surgery. I don't know this from experience yet, but I am seeing a lot of positive things from people who have had it done. Best of luck!

    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. summerseeker

        Life as a big person had limited my life to what I knew I could manage to do each day. That was eat. I hadn't anything else to look forward to. So my eating choices were the best I could dream up. I planned the cooking in managable lots in my head and filled my day with and around it.

        Now I have a whole new big, bigger, biggest, best days ever. I am out there with those skinny people doing stuff i could never have dreamt of. Food is now an after thought. It doesn't consume my day. I still enjoy the good home cooked food but I eat smaller portions. I leave food on my plate when I am full. I can no longer hear my mother's voice saying eat it all up, ther are starving children in Africa who would want that!

        I still cook for family feasts, I love cooking. I still do holidays but I have changed from the All inclusive drinking and eating everything everyday kind to Self catering accommodation. This gives me the choice of cooking or eating out as I choose. I rarely drink anymore as I usually travel alone now and I feel I need to keep aware of my surroundings.

        I don't know at what point my life expanded, was it when I lost 100 pounds? Was it when I left my walking stick at home ? Was it when I said yes to an outing instead of finding an excuse to stay home ? i look back at my last five years and wonder how loosing weight has made such a difference. Be ready to amaze yourself.

        BTW, the liquid diet sucks, one more day and you are over the worst. You can do it.

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