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Calorie/nutrition question



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First off, let me just say that this post is in no way meant to talk down about gastric sleeve or to promote unhealthy eating habits.

I'm scheduled to do my sleeve in September, but I've started having some second thoughts; maybe it's just pre-surgery jitters.

I've seen several people say they eat between 700-1200 calories after surgery (sometimes less depending on where they are in their journey) while exercising, and that made me curious. If I chose not to get sleeved and ate a nutrient dense diet which was only about 1200 calories, then burned 300 calories most days per week (net calories equaling about 900) would this have the same affect as getting sleeved?

I'm asking because I have always heard that such a diet is unhealthy because your body isn't getting enough calories, but from everything I've read and been told the sleeve is healthy.

I guess I'm a little confused in the difference between getting the sleeve and doing a restriction diet like the one I mentioned (other than the fact that the sleeve is not a diet, I know that).

Thanks in advance everyone :)

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The main difference is that with a sleeve, it is actually possible to maintain such a diet long-term, not fall off the wagon, go crazy, and gain everything back. If everyone could do that without surgery, then the surgery wouldn't exist because no one would need it. It's not as if the vast majority of morbidly obese people are wandering around the earth with no idea how to lose weight, or no desire to do so. For the most part, people do want to lose weight and are aware of what to do. They try to do it, and they fail. That's why only 5% of obese people can sustain any sort of significant weight loss without surgery (and I'm not talking about losing all their excess weight, either -- just enough to make a difference). The success rate with weight loss surgery is orders of magnitude better -- with the sleeve, the average patient will lose between 60 and 70 percent of their excess weight.

For me, I had to come to grips with the fact that despite my being educated and motivated, I was not a special snowflake who would be one of those 5% who could sustain even a small amount of weight loss on my own. I needed surgery. It was the best decision I ever made.

And the idea that you need a minimum of 1200 calories or whatever to be healthy is a myth. If you have significant fat stores to fuel your body (and we all do, or we wouldn't be here) and are taking your Vitamins, and getting in sufficient Protein, you don't need extra calories. It's important to have labs drawn regularly to make sure your Vitamin and protein intakes are sufficient, but most people find that their labs are fine and they are doing great. I have never felt or been so healthy or energetic as I have on a low carb, low calorie diet.

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What @@Bufflehead said. I just want to add that with the sleeve, in addition to making your stomach smaller, the procedure results in a change in the hunger hormones and helps your body cope with fewer calories. It communicates to your body that you can be satisfied on fewer calories. For me that is one of the biggest benefits.

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What @@Bufflehead said. I just want to add that with the sleeve, in addition to making your stomach smaller, the procedure results in a change in the hunger hormones and helps your body cope with fewer calories. It communicates to your body that you can be satisfied on fewer calories. For me that is one of the biggest benefits.

YES. This makes the huge difference!

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    • 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.
      · 0 replies
      1. This update has no replies.
    • 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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    • KimBaxleyWilson

      Three months and four days ago... I was in Costa Rica having a life changing surgery! Yesterday we had a followup visit with Dr. Esmeral via video chat and this morning my middle number changed.  I'm down 47lbs and two pants sizes. I can wear a Large tshirt for the first time in like... 14 years! Woot!! Everything is going great. I have zero regrets. I went down to the riverwalk with a friend and walked 2 miles on Monday without even getting fatigued. And no more snoring or chugging pickle juice for crazy leg cramps! I need to go to the gym more... I'm making new shirts next week so that will motivate me. LOL But I'm also just not as TIRED all the time! I have a LONG way to go...but seeing the progress on the scales and in the mirror is a huge motivator!! Thank you all for cheering me on and supporting me!!
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