Jump to content
×
Are you looking for the BariatricPal Store? Go now!

Phentermine after VSG your thoughts



Recommended Posts

On 2/12/2018 at 12:17 PM, Sleeveforme2017 said:

It’s been a year and a few weeks since my surgery. Can’t seem to get this last 10-20lbs off for nothing. Considering taking phentermine. Has anyone taken this after surgery? Is it safe? Your thoughts please. Thanks

I took phentermine a while back and it leads to a psychotic break. It's a dirty comedown from the recommended dose and personally for myself made me crave more food and put on pounds while taking it. I might be unique, I might not be, but I have a history of past upper abuse in my 20's and all I found any diet pills did for me was give me energy to eat and workout more. Counterproductive. They are a temporary fix at best and I don't recommend them as an overall tool but you need to decide yousrself. Talk with your pharmacist and doctor and ask for more medically qualified advice.

Share this post


Link to post
Share on other sites

I think you should do whatever you want to do as long as it's under doctor supervision. Your body, your health.

I'm 4 years out, and what newer post ops don't seem to understand is that the benefits of the surgery wanes after time. I am hungry again. I can eat 12 oz of food on one sitting, and can eat again literally 10 minutes later. Snacking and grazing start to creep back in, and our bodies fight to get back to fat as our metabolisms start normalizing again. Statistically, around year 3 and 4 is when regain starts to happen for those reasons.

After gaining around 10 pounds, I am considering phentermine just to get me back on track and give me a "jump start" of sorts. After that, I'll take it from there again.

I look at weight loss drugs as just another tool we can use in this never ending fight against obesity, and find it ironic that people who have chosen to change their internal anatomy to lose weight look down on weight loss drugs.

The further out we get, the harder it is to tow the line because frankly the surgery is less effective. Even after changing our eating and exercise habits, sometimes we still need a little extra help to win the battle. Nothing wrong with that.

You do you.

Share this post


Link to post
Share on other sites

I think you should do whatever you want to do as long as it's under doctor supervision. Your body, your health.
I'm 4 years out, and what newer post ops don't seem to understand is that the benefits of the surgery wanes after time. I am hungry again. I can eat 12 oz of food on one sitting, and can eat again literally 10 minutes later. Snacking and grazing start to creep back in, and our bodies fight to get back to fat as our metabolisms start normalizing again. Statistically, around year 3 and 4 is when regain starts to happen for those reasons.
After gaining around 10 pounds, I am considering phentermine just to get me back on track and give me a "jump start" of sorts. After that, I'll take it from there again.
I look at weight loss drugs as just another tool we can use in this never ending fight against obesity, and find it ironic that people who have chosen to change their internal anatomy to lose weight look down on weight loss drugs.
The further out we get, the harder it is to tow the line because frankly the surgery is less effective. Even after changing our eating and exercise habits, sometimes we still need a little extra help to win the battle. Nothing wrong with that.
You do you.




Good info. Thanks


Share this post


Link to post
Share on other sites

I think you should do whatever you want to do as long as it's under doctor supervision. Your body, your health.
I'm 4 years out, and what newer post ops don't seem to understand is that the benefits of the surgery wanes after time. I am hungry again. I can eat 12 oz of food on one sitting, and can eat again literally 10 minutes later. Snacking and grazing start to creep back in, and our bodies fight to get back to fat as our metabolisms start normalizing again. Statistically, around year 3 and 4 is when regain starts to happen for those reasons.
After gaining around 10 pounds, I am considering phentermine just to get me back on track and give me a "jump start" of sorts. After that, I'll take it from there again.
I look at weight loss drugs as just another tool we can use in this never ending fight against obesity, and find it ironic that people who have chosen to change their internal anatomy to lose weight look down on weight loss drugs.
The further out we get, the harder it is to tow the line because frankly the surgery is less effective. Even after changing our eating and exercise habits, sometimes we still need a little extra help to win the battle. Nothing wrong with that.
You do you.





I am four and a half years out and my surgery is just as effective as t was six month out. If I chose to eat the wrong things or snack, that’s on me, but I’m still limited to about 4-5oz (2-4oz dense Protein, 6oz Greek yogurt) and can’t eat for a couple hours after. While I’m sorry it isn’t the same for you, you can’t use such sweeping generalizations. My body also doesn’t “fight to get back to fat.” I can be quite lenient with what I eat over the holidays, etc, and gain about 5lbs but it would actually be quite hard for me to gain much and it’s fairly easy to lose again.


Share this post


Link to post
Share on other sites


Good info. Thanks


No one is looking down on weightloss drugs. Most of us has taken it before. We just don't agree it's the answer when we already have a tool that simply increasing dense Protein can easily make a difference. Yes I'm new post op 8 ish months. And I have a long path ahead that yes may include regain. But whether I'm 7 months or 8 years. I understood this surgery before I did it so we all know what we need to do if we suffer from regain. No one is judging. She asked for opinions and we politely gave it to her.

Sent from my Vivo 5R using Tapatalk

Share this post


Link to post
Share on other sites

I dont understand how you stay under 50 carbs a day but dont track macros.

Protein x4 + Carbohydrates x4 + Fat x9 = total calories

Im not saying become a nutrition freak by any means, but learning about macros is basically nutrition 101, and imo is more important than everything else in nutrition combined (although having a balanced diet and micro nutrients are important too, I think the macros is far more important)

I can be sure im eating under 50 carbs if I wanted without tracking . What I ate for month 2-6 was spinnach 1 ounce cheese and lean meat x2 and egg white 2 ounces 1 ounce cheese and 1 ounce spinnach. Snacks string cheese.

I enjoyed repetition. And this was clearly under 50 carbs. I didn't input anything. Just all I made sure is it was 4 ounce most of the time. Sometimes I didn't. But it was very effective for me. I can say my loss was drastic. And I will go back to that at some point. I was so full.

You could do 3 ounce meat 1 ounce veg or maybe 2 ounce meat 1 ounce veg one ounce dairy. I know some people don't have dairy when losing but it makes me feel like I'm eating something rich it tastes really good.

Edit. + Sorry your not the original poster. I disagree with you. My team don't have their paitence track anything. My surgeon has a high success rate. Everyone is different.

Sent from my Vivo 5R using Tapatalk

Share this post


Link to post
Share on other sites

12 hours ago, dreamingsmall said:

I can be sure im eating under 50 carbs if I wanted without tracking . What I ate for month 2-6 was spinnach 1 ounce cheese and lean meat x2 and egg white 2 ounces 1 ounce cheese and 1 ounce spinnach. Snacks string cheese.

I enjoyed repetition. And this was clearly under 50 carbs. I didn't input anything. Just all I made sure is it was 4 ounce most of the time. Sometimes I didn't. But it was very effective for me. I can say my loss was drastic. And I will go back to that at some point. I was so full.

You could do 3 ounce meat 1 ounce veg or maybe 2 ounce meat 1 ounce veg one ounce dairy. I know some people don't have dairy when losing but it makes me feel like I'm eating something rich it tastes really good.

Edit. + Sorry your not the original poster. I disagree with you. My team don't have their paitence track anything. My surgeon has a high success rate. Everyone is different.

Sent from my Vivo 5R using Tapatalk

But you know (or have a good idea) the macros for those foods and understand them. I'm not saying you need to weigh your food (I sure don't, my approach is actually extremely similar to yours). But I have a rough idea of how many carbs Protein and fat are in the foods I eat, and a rough amount of how many I'm getting in a day.

Like if you're dieting you should have an idea of what you're consuming. It sounds to me like you're going with an estimate or crude guess, which is perfectly fine. But without knowing or understanding macros at all you could be consuming way more calories or carbs or less protein than you ideally want.

Share this post


Link to post
Share on other sites

On 2/13/2018 at 1:17 AM, Sleeveforme2017 said:

It’s been a year and a few weeks since my surgery. Can’t seem to get this last 10-20lbs off for nothing. Considering taking phentermine. Has anyone taken this after surgery? Is it safe? Your thoughts please. Thanks

Hi Junior Guru, it's probably too late to answer this question, but there is some good, published, peer reviewed medical journals on the use of phentermine as an adjunct to weight loss after bariatric surgery. Short term it shows good results. I guess the question is are you actually hungry or it is that there are so many triggers in our world that automatically lead us to the "feel good" drug of food? I'm saying that because I just saw an advert for chocolate and automatically thought "I feel like chocolate". Phentermine stops hunger definitely, but I've seen many patients that can still binge eat or drink on it out of habit.

Share this post


Link to post
Share on other sites

I did phenterminr in my youth, pre sleeve, and totally not worth it . Here’s a better suggestion:A friend who had the sleeve got close to goal after a year , but had to work with a nutritionist and fitness coach to get to goal . Turns out she was eating too little ! Her body hung on to everything and she was working out 3 hours a day and eating 1000 calories . She got to goal by eating more of the right Protein and carbs and bringing in a lot more weight work and less cardio . I am going to work with her guy when I get close as well. It is a real balancing act as think ur nutrition and exercise have to be finally tuned .. good luck

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • Prdgrdma

      So I guess after gastric bypass surgery, I cant eat flock chips because they are fried???  They sell them on here so I thought I could have them. So high in protein and no carbs.  They don't bother me at all.  Help. 
      · 1 reply
      1. NickelChip

        It's possible for a very high fat meal to cause dumping in some (30% or so) gastric bypass patients, although it's more likely to be triggered by high sugar, or by the high fat/high sugar combo (think ice cream, donuts). Dietitians will tell you to never do anything that isn't 100% healthy ever again. Realistically, you should aim for a good balance of protein, carbs, and fat each day. Should you eat fried foods every day? No. Is it possible they will make you sick? Maybe. Is it okay to eat some to see what happens and have them for a treat every now and again? Yes.

    • NovelTee

      I'm not at all hungry on this liquid pre-op diet, but I miss the sensation of chewing. It's been about two weeks––surgery is in two days––and I can't imagine how I'll feel a couple of weeks post-op. Tonight, I randomly stumbled upon a mukbang channel on YouTube, and it was strangely soothing... is it just me, or is this a thing? 
      · 1 reply
      1. NickelChip

        I actually watched cooking shows during my pre-op, like Great British Baking Show. It was a little bizarre, but didn't make me hungry. I think it was also soothing in a way.

    • Clueless_girl

      How do you figure out what your ideal weight should be? I've had a figure in my head for years, but after 3 mths of recovery I'm already almost there. So maybe my goal should be lower?
      · 2 replies
      1. NickelChip

        Well, there is actually a formula for "Ideal Body Weight" and you can use a calculator to figure it out for you. This one also does an adjusted weight for a person who starts out overweight or obese. https://www.mdcalc.com/calc/68/ideal-body-weight-adjusted-body-weight

        I would use that as a starting point, and then just see how you feel as you lose. How you look and feel is more important than a number.

      2. Clueless_girl

        I did find different calculators but I couldn't find any that accounted for body frame. But you're right, it is just a number. It was just disheartening to see that although I lost 60% of my excess weight, it's still not in the "normal/healthy" range..

    • Aunty Mamo

      Tomorrow marks two weeks since surgery day and while I'm feeling remarkably well and going about just about every normal activity, I did wind up with a surface abscess on on of my incision sights and was put on an antibiotic that made me so impacted that it took me more than two hours to eliminate yesterday and scared the hell out of me. Now there's Miralax in all my beverages that aren't Smooth Move tea. I cannot experience that again. I shouldn't have to take Ativan to go to the lady's. I really looking forward to my body getting with the program again. 
      I'm in day three of the "puree" stage of eating and despite the strange textures, all of the savory flavors seem decadent. 
      I timed this surgery so that I'd be recovering during my spring break. That was a good plan. Today is a state holiday and the final day of break. I feel really strong to return to school tomorrow. 
      · 0 replies
      1. This update has no replies.
    • BeanitoDiego

      Now that I'm in maintenance mode, I'm getting a into a routine for my meals. Every day, I start out with 8-16 ounces of water, and then a proffee, which I have come to look forward to even the night before. My proffees are simply a black coffee with a protein powder added. There are three products that I cycle through: Premier Vanilla, Orgain Vanilla, and Dymatize Vanilla.
      For second breakfast on workdays, I will have a low-fat yogurt with two tablespoons of PBFit and two teaspoons of no sugar added dried cherries. I will have ingested 35-45 grams of protein at this point between the two breakfasts, with 250-285 calories, and about 20 carbs.
      For second breakfast on non-workdays, I will prepare two servings of plain, instant oatmeal with a tablespoon of an olive oil-based spread. This means I will have had 34 grams of protein, 365 calories, and 38 carbs. Non-workdays are when I am being very active with training sessions, so I allow myself more carbohydrate fuel.
      Snacks on any day are always mixed nuts, even when I am travelling. I will have 0.2 cups of a blend that I make myself. It consists of dry roasted peanuts, cashews, pumpkin seeds, sunflower seeds, pistachios, and Brazil nuts. This is 5 grams of protein, 163 calories, and 7 carbs.
      Breakfast and snacks have been the easiest to nail down. Lunch and dinner have more variables, and I prepare enough for leftovers. I concentrate on protein first, and then add vegetables. Typically tempeh, tofu, or Field Roast products with roasted or sautéed vegetables. Today, I will be eating leftovers from last night. Two ounces of tempeh with four ounces of roasted vegetables that consist of red and yellow sweet peppers, sweet potatoes, small purple potatoes, zucchini, and carrots. I will add a tablespoon of olive oil-based spread, break up 3 walnuts to sprinkle of top, and garnish with two tablespoons of grated Parmesan cheese. This particular meal will be 19 grams of protein, 377 calories, and 28 grams of carbs. Bear in mind that I do eat more carbs when I am not working, and I focus on ingesting healthy carbs instead of breads/crackers/chips/crisps.
      It's a helluva journey and I'm thankful to be on it!
       
      · 0 replies
      1. This update has no replies.
  • Recent Topics

  • Hot Products

  • Sign Up For
    Our Newsletter

    Follow us for the latest news
    and special product offers!
  • Together, we have lost...
      lbs

    PatchAid Vitamin Patches

    ×