Can I eat this?

[jess9395 5,448]

Darn. I tried to reply and it bit the bullet. I think that a given must be lifetime maintenance of the loss. That seems NOT to be the norm. I'm not saying it (surgery) Cannot possibly extend one's years....just that other parameters need also be met. Thanks for the research.

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I think keeping most of the loss IS the norm. Loss is typically 65% of excess weight and people maintain loss of 50% of excess weight (see studies above).

That's HUGE. And far better results than any other weight loss plan. As science advances we may improve that.

[jess9395 5,448]

I seriously do not think that the surgery extends our lives.

Berry...that is true but 2 docs told me that I shouldn't think the surgery will necessarily increase my life. It may make it more pleasant, more livable, less prone to disease but not necessarily add time to it.

Two docs said it.

Science says otherwise.

Believe whom you chose.

[summerset 5,261]

8 hours ago, Berry78 said:

And, from what we see here on the board, it seems pretty accurate. Those that lose 100% of their excess are the exception, not the rule.

It's interesting that the surgeon's goals are usually not getting the patient down to a normal weight but out of the obese range. Patients are usually the ones who aren't satisfied when the BMI stops going down at 28.7 or 27.6 etc.

Surgeons seem to have more modest goals than their patients.

[summerset 5,261]

6 hours ago, jess9395 said:

I experienced what I term a "rebound" rather than a regain to my new set point. Lost 142 and keeping off 130-135 of it easily.

I think a lot of these maintenance/regain issues are about this new set point. Could also explain why some people can eat a fairly high amount of calories and maintain while others have to subsist on a rather miserable amount of calories to maintain even though their BMI and other stats like gender, age, height and activity level might be more or less similar..

Edited August 12, 2017 by summerset

[summerset 5,261]

Even if the surgery doesn't extend the lifespan of people, it seems like it increases disease free years.

A patient might be getting 80 years old with or without the surgery but without the surgery the last 10 or even 15 or 20 years might be rather miserable due to diabetes and its complications, heart disease, side effects of meds and mobility issues while with the surgery only the last 5 years might be spent in disease misery.

And even if the surgery is not able to prevent diseases like Arthrose (I think in English its arthritis) - in comparison it's still easier to haul around a body that is 100 lbs lighter.

[jess9395 5,448]

I think a lot of these maintenance/regain issues are about this new set point. Could also explain why some people can eat a fairly high amount of calories and maintain while others have to subsist on a rather miserable amount of calories to maintain even though their BMI and other stats like gender, age, height and activity level might be more or less similar..

Yes! If I wanted to stay in the 120's I would have to eat 1000-1200 per day! If I'm happy with 135-140 I can eat more than 2000! Crazy!

[summerset 5,261]

Yep, that's exactly what I mean.

[Ldyvenus 317]

7 hours ago, summerset said:

in comparison it's still easier to haul around a body that is 100 lbs lighter.

That's what I'm talking about! 🤗

[Sullie06 1,013]

My surgeon said that he see's on average a 10 pound "bounce back" or regain from goal weight on most people. That's not to say that some people won't gain back more weight than that but he always set's his "goal" weight for us at 10 pounds lighter than he actually wants us to sit at long-term. Also my NUT bases her goals for us based on the percentage of excess fat she expects us to lose while the surgeon has less modest goals and is more focused on where he wants our BMI to hit.

I think in these cases there will always be exceptions on both ends (those with no regain/very little regain and those with complete/excess regain) so only we can really set our journey and what we want out of surgery long-term. Start making smart choices early on and find a diet that works for you. Not everyone has the same triggers, so all we can do is advise based on personal experience

[jess9395 5,448]

My surgeon said that he see's on average a 10 pound "bounce back" or regain from goal weight on most people. That's not to say that some people won't gain back more weight than that but he always set's his "goal" weight for us at 10 pounds lighter than he actually wants us to sit at long-term. Also my NUT bases her goals for us based on the percentage of excess fat she expects us to lose while the surgeon has less modest goals and is more focused on where he wants our BMI to hit.
I think in these cases there will always be exceptions on both ends (those with no regain/very little regain and those with complete/excess regain) so only we can really set our journey and what we want out of surgery long-term. Start making smart choices early on and find a diet that works for you. Not everyone has the same triggers, so all we can do is advise based on personal experience

Yes and my guess is this rebound is an organic part of the process. We will learn more as the science advances