We see them all the time. Hell, maybe we'll write one someday...

OMG, I've regained! What do I do???????

You know what I like to do?

I like to go back in that person's post history and read about their diet habits in the beginning when they were losing....get a feel for what kind of dieter they were.

And I almost always find that the re-gainers....were super strict, super disciplined, never-touch-a-carb, low calorie extremists.

And it kills me...because the advice to these folks is always the same.....get back on your super strict diet! up your protein! don't touch a carb!

And I'm sitting here shaking my head.

Why do people return to what doesn't work? Over and over and over. Isn't the definition of insanity doing the same thing over and over and expecting a different result?

Don't mean to just pick on our Ketovangelists....there are plenty of Passive Pollys out there who ate junk constantly, never kept track....and wonder why their weight went back up after the honeymoon.

My point is.....if a particular strategy ends in failure.....why in the world would you return to it? Why encourage someone to return to what didn't work longterm?

if the goal is longterm maintenance....why send them back to another stop-gap measure that fails them in the long run?

Ketovangelists....try something different if extremely low cal and carbs doesn't work long term for you! If you eventually lose your mind and fall off the wagon, maybe the wagon you're on doesn't fit. Try something more moderate so you can stay in control long term.

Passive Pollys....try something different! If a total lack of structure is resulting in your surgery being useless.....add some freaking framework to your diet. Work on healthy limits without going completely overboard. Be accountable.

More and more, I believe an addiction to EXTREMISM is what keeps people fat. So many of these folks are either "I must be in COMPLETE CONTROL"...or "I am helpless against my eating"....there's never any middle ground.

Stop with the extremism.

Knock that shite off.

It's hurting you.

I think I will use the message feature[mention=252425]bigviffer[/mention]@summerset

VSG2017 HW 249 SW 238 CW 167

You could start a thread in the technical assistance board. Maybe Alex will create a section for this kind of stuff?
I think the idea is quite interesting.

I will find out, participation is key

VSG2017 HW 249 SW 238 CW 167

3 minutes ago, MIZ60 said:

Creek referred to herself as an ape in a previous thread....you missed it. But go ahead and chime in there....if you haven't had surgery is regain really a concern for you? Or did you just see a chance to jump on the bandwagon and trash talk someone?

Yeah Im sorry I missed the Ape comment, I bet it was fascinating. You know what, youre absolutely right, regain will never ever be a concern for me, you are so so smart. And YES I just saw a chance to jump in and trash talk you, youre right again. Congrats, as soon as I figure out how to ignore users on this site, youll be my first one.

I referred to human beings as members of the taxonomic family Hominidae...The Great Apes. Because...well...THEY FACTUALLY ARE:) https://en.wikipedia.org/wiki/Hominidae

I was talking about my own diet and why I've chosen it. The rest of the great apes eat a very small amount of animal protein, they get the vast majority of their protein from plant based sources and the vast majority of their natural diet is fruit and vegetation. We're kinda of built to run on carbs.

If you look at the populations of the world who enjoy the most longevity, Japanese diet and Mediterranean diet...are correlated with the longest lifespans, the lowest instance of heart disease and cancer....and are very similar to the diets of other great apes. Lots of plant protein and plant fats, lots of fiber, lots of fruit, fermentation.

Carnivorous mammals don't live very long. For instance...a tiger will live about 15 years and an ape will live about 40.

Here's a great ape and a tiger. The ape is....me... in Africa, in 1995. The tiger is, well...a Bengal tiger:) This was years ago when I was a young stupid researcher:) Now, I'm an old stupid researcher. LOL

1 hour ago, KCgirl061 said:

Yeah Im sorry I missed the Ape comment, I bet it was fascinating. You know what, youre absolutely right, regain will never ever be a concern for me, you are so so smart. And YES I just saw a chance to jump in and trash talk you, youre right again. Congrats, as soon as I figure out how to ignore users on this site, youll be my first one.

It is right there on your profile area---easy peasy. I just looked at your profile and see that you are a nurse too. I am actually a nurse practitioner. Creek made some derogatory remarks about nurses and nurse practitioners on a previous thread....check it out.

Oh and it is you, your or you're---in case you don't understand basic grammar and punctuation.

Edited July 24, 20188 yr by MIZ60

20 minutes ago, MIZ60 said:

Oh and it is you, your or you're---in case you don't understand basic grammer and punctuation.

Did you mean "grammar" by any chance?

Could you please post a link to any post in which I made derogatory remarks about nurses?

Given that it doesn't exist, I'm quite curious!

44 minutes ago, Creekimp13 said:

I referred to human beings as members of the taxonomic family Hominidae...The Great Apes. Because...well...THEY FACTUALLY ARE:) https://en.wikipedia.org/wiki/Hominidae

I was talking about my own diet and why I've chosen it. The rest of the great apes eat a very small amount of animal Protein, they get the vast majority of their protein from plant based sources and the vast majority of their natural diet is fruit and vegetation. We're kinda of built to run on carbs.

If you look at the populations of the world who enjoy the most longevity, Japanese diet and Mediterranean diet...are correlated with the longest lifespans, the lowest instance of heart disease and cancer....and are very similar to the diets of other great apes. Lots of plant protein and plant fats, lots of Fiber, lots of fruit, fermentation.

Carnivorous mammals don't live very long. For instance...a tiger will live about 15 years and an ape will live about 40.

Here's a great ape and a tiger. The ape is....me... in Africa, in 1995. The tiger is, well...a Bengal tiger:) This was years ago when I was a young stupid researcher:) Now, I'm an old stupid researcher. LOL

See this is why I always look for your posts, they are well researched and very informative. Im always grateful you've stuck around, Creek!

17 minutes ago, Creekimp13 said:

Could you please post a link to any post in which I made derogatory remarks about nurses?

Given that it doesn't exist, I'm quite curious!

They should become a doctor, first. As a nurse, you are not typically in a position to comment on patient's weight.

Like any other health condition....Doctors should present factual information about the health risks of obesity and offer treatment advice, lifestyle advice, and referrals

19 minutes ago, Creekimp13 said:

Could you please post a link to any post in which I made derogatory remarks about nurses?

On ‎7‎/‎9‎/‎2018 at 3:25 PM, Creekimp13 said:

f, specifically as a nurse practitioner (which requires a Master's degree), you are overseeing routine patient care under the supervision of a physician who you know will make the referral based on your recommendation and the patient's stats....this is a different sort of situation. Nurse Practitioners generally work in tandem with a supervising primary care physician. Ultimately, though, most insurance companies will require dietitian and bariatric surgery referrals to come from a physician. Your insurance will also almost universally want your referral to come from a medical doctor.

Not sure about Michigan but the places I have practiced (Texas and Nevada) in for the past 28 years are NOT like this. I am credentialed and empaneled with insurance companies as a nurse practitioner and assigned to patients as their primary care manager. I worked for several years on a military installation and was the only pediatric person in our area so there was no one supervising me. There is a collaborating relationship between a NP and a doctor that is pretty vague. Many states do not even require that. The Texas Board of Medicine dropped the requirement years ago that a doctor had to register the NPS that had a collaborative relationship with them.

I provide whatever level of care the patient needs, including ordering tests, treatments and medications and referring patients to specialists or other facilities as needed. A few situations (usually the school system or preop physical for sedation) require a physician signature on paper work and guess what, I have a signature stamp in my drawer for that.

I have stabilized very ill children while waiting for an ambulance when none of the doctors was even in the building. Say I have a child sick with the flu who also happens to have lupus. I call the pediatric rheumatologist to discuss with them the management of the child in terms of medications and labs. The only time one of the MDs in the office gets involved is if I want to discuss it with them. I have never been told that a referral had to come from one of the doctors I work with by an insurance company or a specialists' office.

What you are describing may still exist in some backwoods places but NPs are consistently found to be as good and often better at primary care than physicians, in terms of patient satisfaction and outcomes.

Okay, stepping off my soapbox.

Given that it doesn't exist, I'm quite curious!

Of course you did not even deign to read the response I wrote because you already know more about my profession for the last 38 years than I do. Typical ignorance and arrogance. In your small mind the nurse just stands around waiting for the doctor to tell them what to do and has no more than rudimentary training.

Nope, that is not derogatory or disrespectful at all.....does not surprise me that you can not see it.

Edited July 24, 20188 yr by MIZ60

@Creekimp13 I’m not jumping on anyone here just responding to your original comment. My nutritionist has advised us to not do Keto after surgery. It’s not sustainable and the brain actually needs about 40-50 net carbs to even function properly mind you don’t take my word on this this is just one of the largest studies done by Johns Hopkins over a 30 year period. Also Ketosis is really bad for keeping your blood levels safe especially for former diabetics

11 minutes ago, newmebithebypass said:

@Creekimp13 I’m not jumping on anyone here just responding to your original comment. My nutritionist has advised us to not do Keto after surgery. It’s not sustainable and the brain actually needs about 40-50 net carbs to even function properly mind you don’t take my word on this this is just one of the largest studies done by Johns Hopkins over a 30 year period. Also Ketosis is really bad for keeping your blood levels safe especially for former diabetics

Please site the reference for this study. Also, what specific blood levels for former diabetics are made unsafe by ketosis.

19 minutes ago, MIZ60 said:

Nope, that is not derogatory or disrespectful at all

If you think saying....nurses must stay within the outlined scope of their practice is "derogatory and disrespectful" you have more issues than any comment here can address.

Which, actually, you've already proven.

Wishing you luck, MIZ....I have a feeling you're gonna need it. Be well.

Edited July 24, 20188 yr by Creekimp13

MIZ, I have to ask...as a nurse practitioner, do you advise all bariatric patients to drink vodka and taquila SIX WEEKS after surgery...or just the ones who like it? One or two drinks a day is great, right?