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Quesiton about long term weight



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So I am in the preop stages of insurance approval etc. I have been doing research and have a strange question and can't really figure out the answer. Sorry if this is a stupid question. So from what I have read a few months after surgery you will be on solid food and eating a maintenance diet (re. calories, Protein etc) for the rest of your life. This will be around 800-1000 calories. So how can people still be 200 lbs. etc years later? If the average person burns a lot more than 1200 calories then that wouldn't eventually a year or 2 after surgery a person would be underweight? Do you increase your calories after a year?

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4 minutes ago, 2Bsmaller18 said:

So I am in the preop stages of insurance approval etc. I have been doing research and have a strange question and can't really figure out the answer. Sorry if this is a stupid question. So from what I have read a few months after surgery you will be on solid food and eating a maintenance diet (re. calories, Protein etc) for the rest of your life. This will be around 800-1000 calories. So how can people still be 200 lbs. etc years later? If the average person burns a lot more than 1200 calories then that wouldn't eventually a year or 2 after surgery a person would be underweight? Do you increase your calories after a year?

This is such a great question!

You will want to determine your BMR. https://dailyburn.com/life/health/how-to-calculate-bmr/ Talk to your NUT about this.

Once you determine what your BMR is you will want to consume the minimum calories your body burns daily in order to maintain your current weight.

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1 minute ago, 2Bsmaller18 said:

Thanks!!

One thing that I imagine could be challenging during maintenance phase is to balance eating enough calories, but eating healthy food. I'd assume that you will eat more frequently, especially for folks whose restriction is still good years later.

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Prior to surgery I had to have a BMR test... it turned out that my BMR was barely 1500kcal. (I should preface this with my NUT used the calculator and told me my cal should be around 1572) So when I thought I was supposed to lose weight, it was slowly creeping on. I was unintentionally over eating daily.


I suppose post surgery it has gone down (my scale says its 1332), but I'm hoping once my weight loss stabilizes I'll be given another test to ensure my final Maintenance calories are appropriately lined for me.

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yes, your appetite will be non-existent during the initial rapid weight loss phase.

then, as you get to your goal weight, you will notice that you will experience normal hunger sensations again and can comfortably eat more food. this worries a lot of people because they think they are "stretching their pouch" (not a thing) and are on the road to regain. but that is not the case. rather, your body is saying "okay, i'm at the weight i should be at now, lets eat some more food so i don't waste away to nothing!"

in short, as long as you eat healthy whole foods a good 90% of the time, you can let your new appetite be your guide. if your body is hungry, feed it healthy food until you are satisfied. no need to count calories or portion sizes. if you have no appetite/hunger, don't eat! it's pretty simple.

the danger is if you go back to sugary/processed food. don't do that. fast food, junk food, processed food, alcohol, sweets... all of that should be part of your past. those foods distort your body's natural hunger signals (insulin rollercoaster, food reward balance) and you can very well gain weight in the long-term by doing so.

Edited by JohnnyCakes

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(psssst @JohnnyCakes) Good to see you 'round these parts! Congrats on continued goal maintenance!

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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.
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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.
      · 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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