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Lean body mass- do you lose some after surgery?



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I had the Bod Pod body composition test done at my surgeon's office to get a baseline for the "before" surgery stats. I am 336 lbs, and my lean body mass is 180 lbs. To be at 22% body fat with that much lean mass, puts me at 230 lbs. as a goal weight, possibly 240 lbs. I'm female,5'8" and and have a solid structure, but 180 lbs of bone and muscle? Do you lose muscle during the rapid weight loss after surgery?

The guy who ran the test on me said I was the most dense woman he had ever seen.

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I swear I lost all the muscle I had after the surgery. I've rebuilt it mostly at seven months.

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My dr didn't have that test, but that is very interesting. I have been warned you will lose muscle mass thus the reason for keeping up with Protein and resistance training not just cardio (my NUT said probably 50/50 weights vs cardio). I have unfortunately not progressed in the exercise area. :D


I wonder if they will redo the test once you get closer? That would be interesting to see if your goal was adjusted. I am 5'10" and at my initial consultation, my surgeon said she would like to see me under 200 pounds but I would have to work hard to get there. <_<​

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I don't think it would be wise to deliberately try to lose muscle mass just to match a number on the scale. Don't forget that your organs are also made of muscle and you do not want to damage them.

Make sure you get enough Protein so you lose fat, rather than muscle.

What does your surgeon and NUT advise?

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I don't plan on losing muscle mass, I'm just surprised how high my goal weight is. It's kind of a relief to think that I only have 105 lbs to lose as opposed to the 160 lbs that I originally thought I needed to lose. I haven't met with my surgeon or nut. since I had the test done on Friday, but I have an appointment with my nut. on Tuesday. I'm sure it will be ok. I'm not married to a number on the scale- more whether or not I can keep up with my kids and how I feel in my body. :)

Thanks for your input!

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You are pretty much assured that you will lose some muscle mass as you go through this. While we work to minimize that loss by virtue of our Protein intake and the recommended resistance exercise, that only goes so far. Consider that our legs are being stimulated/exercised by all the excess weight that we are carrying around, and they are going to atrophy some as we lose that weight - a couple hours a week doing some resistance training at the gym isn't going to compensate for that extra 100+ lb (or whatever) that we are carrying around all day, every day.

I, too, set my goal based upon body composition (mid teens BF%, to be on the lean side of "normal" for guys), making adjustments to the scale weight goal as I lost and got closer to "normal". With a moderate amount of weight training along the way, I wound up losing about 10 lb of lean mass out of the 100ish total that I lost.

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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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      Officially here for a long time, not just a good time💪
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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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