I met with the psychologist for the first time on Friday. The very first thing he asked me was “what is your comfortable goal weight.” My current weight is 223, BMI of 38. A perfect BMI is 20 with a weight of 120 lbs (which was my weight before I had kids). I told him my comfortable goal weight is 140 lbs. He said that is too low and I should set my goal to a reasonable weight of 155 lbs. It kinda bugged me afterwards because he is a therapist, not a surgeon or dietitian. When I met with the surgeon on Monday, he didn’t mention a goal weight, but I figured HE would decide on my goal weight when I have the pre-surgery visit (no surgery date yet). Who decided on your goal weight?

5 minutes ago, MiniGastricBypassDude said:

(not necessarily root cause, mind you).

I think this is what the kids call a trigger

1 minute ago, Pollito said:

I think this is what the kids call a trigger

As I say when Americans give me dirty looks for smoking --- it's okay, I'm European!

2 minutes ago, MiniGastricBypassDude said:

As I say when Americans give me dirty looks for smoking --- it's okay, I'm European!

Oh smoking doesn't cause cancer in Europe or Asia, that's settled science.

20 minutes ago, Pollito said:

I think this is what the kids call a trigger

Wait, what?

I say trigger! Lol and I’m def not a kid (at least not in chronological age..I’m 50 my friend)

Oh, and FYI, smoking doesn’t cause cancer in Canada as well.

1 hour ago, lizonaplane said:

and it doesn't stop you from eating "slider foods", things like chips, Cookies, etc that you can easily eat a lot of without feeling full.

So this is great information, and why I'm here. I was under the impression a slider food was a food that didn't stay in the stomach very long and so doesn't give you the benefit of pouch restriction, like a milkshake or...I don't know, soup. Also, while I'm here, what is "excess weight".and how is it calculated? Is it weight above healthy BMI?

1 hour ago, Pollito said:

So this is great information, and why I'm here. I was under the impression a slider food was a food that didn't stay in the stomach very long and so doesn't give you the benefit of pouch restriction, like a milkshake or...I don't know, Soup. Also, while I'm here, what is "excess weight".and how is it calculated? Is it weight above healthy BMI?

Yes, milkshakes and soup (and other liquids) slide right through the pouch, but most of us define "slider foods" as highly processed foods, mostly carbs and sweets that almost dissolve in the mouth so by the time they get to your stomach they just don't fill you up like protein and vegetables do. I know I can be full from a dinner of protein but if I want to, I can still eat cake, cookies, pretzels, etc. I try really hard to eat only a very small amount of these and not frequently.

"Excess weight" is defined as your highest weight minus your "ideal body weight" (ideal body weight is often quite low in the "healthy" BMI range, but some doctors will change "ideal body weight" to be a BMI of 25. So, most people say that with sleeve you can expect to lose 55-65% of your excess body weight whereas with bypass, it's likely 65-70% (estimates vary and these are only averages). So, if you weigh 150kg, and your ideal body weight is 75kg, then you could expect to lose about 65% of that 125 kg (the excess weight above ideal body weight): (150-75)x.65 or about 81.25kg, but again, this is only an average. You may lose more or less than that.

@lizonaplane thank you!

2 hours ago, lizonaplane said:

So, if you weigh 150kg, and your ideal body weight is 75kg, then you could expect to lose about 65% of that 125 kg (the excess weight above ideal body weight): (150-75)x.65 or about 81.25kg, but again, this is only an average. You may lose more or less than that.

To be clear, the excess weight would be (150-75) = 75 kg and 65% of that would be (.65x75) = 48.75 kg.

(81.25 kg is 180 lbs)

36 minutes ago, MiniGastricBypassDude said:

To be clear, the excess weight would be (150-75) = 75 kg and 65% of that would be (.65x75) = 48.75 kg.

(81.25 kg is 180 lbs)

Sorry... I was having mathing issues this morning!