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

Weight loss before surgery



Recommended Posts

Hello everyone,

kind of an odd question, but did anyone start the weight loss diet and end up losing all/most of their weight before surgery? Y husband decided we would start the diet well before surgery and in 2 weeks I have dropped 13lbs.

Share this post


Link to post
Share on other sites

I dropped 15 lbs in the first three months of the medically managed weight loss program. I lost 10 lbs in the first month. In the fourth month, I had my lap band removed as the first step to revision to gastric bypass. I stalled at 15 lbs loss, then gained 2-3 lbs back. The first weeks of a diet are usually Water weight loss. So, the first few weeks can be encouraging.

Share this post


Link to post
Share on other sites

The key here on a surgery decision is how well can you maintain the loss that you attain?

It is not unusual to lose 10-15 lb fairly quickly when one starts a serious weight loss program (the so-called "easy ten") as your body tends to use up its quick energy reserves of glycogen (basically stored carbohydrate) which burns off fairly quickly. On average, we have 2 lb of glycogen kept in solution by about 8 lb of Water - the "easy 10". YMMV, but I suspect that guys tend to store a bit more as we are more muscular, and glycogen is stored in the muscle tissues. Once your body runs out of glycogen and it gets the idea that you are serious about this caloric deficit thing, it changes gears and starts to tap your stored fat to live on and to partially restore functional glycogen levels, but there may be a bit of a lag or stall before that happens (look up the three, or third, week stall)

It is very common for people to go through a pre-op weight loss program of some months, either for insurance purposes or as a "one last try..." and lose a lot of weight and think they have this nailed, and decide against the surgery. And then the weight comes back on, just as usually happens after major diet efforts (which is why most are here looking for WLS.)

I did the insurance diet in concert with my wife, who was #1 on the runway - much higher BMI and comorbidities - and lost about 50lb or a third of my excess in that time. Philosophically, it was less of a weight loss oriented diet as it was a weight control or maintenance diet - what habits do I need to develop for 5-10 years out to maintain health and weight, rather that maximizing short term loss.

As we were still trying to get my wife on the table (the DS she needed was still considered "investigational" by many insurers at the time) so I went into sustain mode - kept up tweaking the diet to keep it sustainable but made little progress on additional loss, but also maintained the loss that I had accomplished. Even after she finally had her WLS I maintained the loss and didn't feel overly inclined to go for the WLS (the VSG was not routinely performed or approved by insurance yet at that time, and I deemed the DS and RNY to be overkill for my needs.) Once the VSG was being approved by our insurance, several years later, it was apparent that I still needed that help to get the remaining weight off, though I was still maintaining that initial loss; had I regained what I had lost as is often the case, I would have gone for the DS instead, as that has much better regain resistance than the other procedures.

So, by all means, think, rethink and reconsider the process and be comfortable with it. But do take a long term look at it, not just what weight can you lost over the next 6-12 months.

Good luck on it!

Share this post


Link to post
Share on other sites

I am pretty sure it is the “easy ten”. I have tried to lose weight for many years with little to no long term success.

Share this post


Link to post
Share on other sites

Congrats on your weight loss. You might want to consider whether this is something you feel you'd rather do on your own now that you've proven you can be successful or whether you want to continue with the surgery. Either decision, of course, is fine.

Share this post


Link to post
Share on other sites

I lost 97 lbs prior to surgery (12 of that was pre-op liquid diet). I have lost that same 97 lbs three times in my life before this. Each time I lost weight like that I regained it and more. I too questioned whether I needed surgery or not as well. Then I thought back to previous attempts and decided to go forward with surgery. I am so glad I did. I have almost zero hunger compared to pre-surgery. Four ounces of food fills me up. I am now eating to live rather than living to eat. I am working hard on reprogramming my fat brain to a skinny brain. Every pound you lose prior to surgery is one less you have to lose post surgery in my opinion.

Share this post


Link to post
Share on other sites

I agree with the person who wondered if you could maintain it. I lost a ton of weight over my adult life - but until I had surgery, I eventually gained it back. Happened a gazillion times. If you can maintain your loss, then you may be fine without surgery.

Share this post


Link to post
Share on other sites

That's my worry too. My husband keeps saying "maybe by June, you won't need the surgery". I don't see me losing 80+ lbs by June, let alone keeping off.

Share this post


Link to post
Share on other sites

I went from 398 pounds in January 2019 down to 319 pounds at the end of June 2019. I was on a Saxenda prescription since February 2019 and I also attended a live-in weight loss boot camp where I finished 6 of the 10 weeks I had paid. I stopped the Saxenda injections when I started the boot camp and canceled my weight loss surgery at week 6 thinking I got this handled.

On week 7 there was a death in the family and I had to stop the boot camp and return home to deal with the mess. I am a stress eater, it's been a problem the majority of my life.

Old habits are hard to break so before I knew it I was putting the weight right back on. By October I had regain just about everything I lost, it simply amazes me how easily the weight comes back if you deviate from the process that helped you remove the weight.

Share this post


Link to post
Share on other sites

I’ve lost close to 70 lbs prior to surgery, which is scheduled for March 11. My primary reason for going forward with surgery is that I’ve successfully lost very large amounts of weight before (probably lost and gained 500 lbs in my life) but I’ve never been able to maintain it. My thinking is that the surgery will (hopefully) be the key tool for me to lock in the changes for the long-term.

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

  • Recent Topics

  • Most popular:

  • Recent Status Updates

    • Krestel

      Just saw this on Youtube about the Quarantine and weight loss:
       
      · 0 replies
      1. This update has no replies.
    • zombierayvinn

      I am almost 8 weeks post op and I am down to 157 from 202. I have been struggling with nausea but not vomiting. Anyone else having this happen?
      · 4 replies
      1. Bastian

        After having horrendous nausea I did some reading and it seems quite common. Especially if you have ruled out eating too fast/too big a mouthful. Also drinking too soon will make you feel sick. I now take 2 antiemetics to help with my nausea, hopefully yours is just that you need to slow down eating etc

      2. BayougirlMrsS

        agree with the above. start a log of what and when you eat/drink

      3. zombierayvinn

        Thank you. I get the nausea throughout the day and night its kind of weird.

      4. BayougirlMrsS

        do you set a timer? This is also a hard one or me. During the time between the band removal and sleeve i got back into the habit of drinking with meals..... water, coffee, wine, cocktails.

        I find myself forgetting. In the past months i only threw up twice... so thats good, but i have felt nausea a few times. So now i set a timer on my phone or if im home, i use Alexa.

    • WInston223322

      Been a hell of a good Journey and thanx to all 
      · 0 replies
      1. This update has no replies.
    • Steph1999x

      Post op day 2...so far so good!
      · 1 reply
      1. LisaDee1

        What state are you in????

    • Krestel

      Officially no longer over weight! Goal #1 reached! I'm now under 80kgs (176 lbs) at 179cm (5'10") and 10 months post-op and am over the moon. My weight at 79.9 kgs (176 lbs) gives me a BMI of 24.9 which means that I have a normal weight! OMG.
      I still want to lose about 16 lbs more though in order to get safely into the middle range to insure against that little regain that happens. The I have maintenence in front of me as well.
      BUT I have hit my first goal. Yeah me!!!
      · 1 reply
      1. biginjapan

        Fantastic! That's such a great goal to reach and one I hope to get to this year as well.

  • Trending Topics

  • Together, we have lost...
      lbs
    ×