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I had my surgery (bypass) back in 2019, I got down to 175 stone. I started sertraline 7 months ago now, and have gained nearly 20 lbs. Albeit my diet hasn't been the greatest, but I feel horrific and starting to hate the way my body looks again. Any tips for getting back on track? I snack/graze too much but don't feel strong enough to go back to old/good habits!! Any tips for diets to try/how to lose weight again

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Can you explain what you mean when you say you don't feel strong enough to go back to good habits? It sounds like you already know what you need to do, but are struggling to do those things for some reason?

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Start by making small changes. Drop one or two of those Snacks. Swap out a poor cooking style to a healthier method. Swap out a less nutritious food for a more nutritious one. Check your Protein intake & if it’s low, add more protein to your diet. Same with Water. Check your portion sizes too. And so on until you are back to eating much like you were when you were close to or at your goal weight. You don’t have to make all the changes at once. Make one change & then in two or so weeks, make another change. Small changes are much easier to cope with & manage.

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Just be slightly more strict with yourself and wean yourself off a bit on the snack foods. Like yourself, I had some gain back due to a med that I needed for a TN flare (gabapentin) and got all the way up to 197 pounds. I've since weaned myself off the med after being put on something different that doesn't cause weight gain and I've dropped 10 of the pounds I gained as I'm 187 today, but I don't know if it's even possible to lose the 5-10 more pounds I want as I've been struggling to lose any more despite adjusting and fixing my eating habits. My doctor told me today to not stress about it because some of it may be due to my MCAS and some of the issues it's been causing lately. So maybe a part a part of the weight gain you're experiencing is diet, some from the med, and the other part possibly stress? (stress can cause weight gain as well) If you're struggling with getting your diet back on track just slowly adjust it. Don't stress yourself out even more by denying yourself everything just cut it back slowly bit by bit and eventually you'll be eating better and hopefully the weight will come back off.

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I've started therapy to try to get a handle on some of my issues, before I have surgery. Perhaps counseling would help you, too?

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I think therapy and accountability is good for us all. I had surgery Dec of 2018 and dropped 139lbs. Covid did a number on both my eating and exersizing habits. I gained 30lbs in the past two years. No suprize on how it happened, lack of routine, sitting at home, watching to much Youtube, not exercising and too much snacking. But i know there are deeper issues at play here that were present when i was 272lbs, that didnt go away simply because i lost weight. I think some form of therapy would benefit me as well.

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8 minutes ago, CherylBE said:

I think therapy and accountability is good for us all. I had surgery Dec of 2018 and dropped 139lbs. Covid did a number on both my eating and exersizing habits. I gained 30lbs in the past two years. No suprize on how it happened, lack of routine, sitting at home, watching to much Youtube, not exercising and too much snacking. But i know there are deeper issues at play here that were present when i was 272lbs, that didnt go away simply because i lost weight. I think some form of therapy would benefit me as well.

Congratulations on your amazing weight loss!

Substance abuse (no matter the substance, alcohol, drugs, food, sex, whatever) is just a symptom of an inner problem. Our problem isn't food, it's our minds.

My therapist knows that we're working together because I have food issues. But, we have hardly talked about my eating, at all. We've talked about all the other garbage that needs to be worked on, in order to be able to change my relationship with my drug of choice - food.

It has been a very interesting experience, working with a therapist. And I know that the hardest work we will do, is yet to come. I started talking to him before my surgery, because I knew that I was really going to need his help after surgery. After my surgical sites heal, the real work will begin.

It's a grand adventure!

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I have added taco and Italian ground turkey, turkey bacon and patties with 93% ground beef. Chickpea noodles. So making smart food choices back into my diet. I'm post op 7 weeks and have lost 40#. In a stall now but plan on more exercise in January.

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On 10/5/2022 at 2:32 PM, chloee.e said:

I had my surgery (bypass) back in 2019, I got down to 175 stone. I started sertraline 7 months ago now, and have gained nearly 20 lbs. Albeit my diet hasn't been the greatest, but I feel horrific and starting to hate the way my body looks again. Any tips for getting back on track? I snack/graze too much but don't feel strong enough to go back to old/good habits!! Any tips for diets to try/how to lose weight again

I am 20 years out and have experience just about everything that comes with having weight loss surgery. I am also a pharmacist and have been like a community resource for the docs in my circle. It was a struggle to keep the weight off and to get back on track after regain. sw 296 lw: 126 regain weight 177 cw 145-150. But it is possible. I’ve put together a few lectures from time to time for some of health events.

Recently, I've received some messages with questions similar to yours…asking how I got rid of the unwanted weight I gained after surgery. Ive given lectures on this and I also talked about my struggles with how I wanted to have a fuller life without a negative body image. I’m finding many of us struggle with this after WLS.

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Considering making a video about all I know about WLS ,getting rid of unwanted weight; free to the community. I want to present irrelevant information; something people would want to hear. Would anybody be interested in this?

Answer "YES" if I should make the video

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    • 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.

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      · 1 reply
      1. NickelChip

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      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?
      · 3 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..

      3. NickelChip

        I think it's important to remember that the weight charts and BMI ranges were developed a very long time ago and only intended to be applied to people who have never been overweight or obese. Those numbers aren't for us. When you are larger, especially for a long time, your body develops extra bone to support the weight. Your organs get a little bigger to handle the extra mass. Your entire infrastructure increases so you can support and function with the extra weight. That doesn't all go away just because you burn off the excess fat. If you still had a pair of jeans from your skinniest point in life and then lost weight to get to the exact number on the scale you were when those jeans fit you, chances are they would be a little baggy now because you would actually be thinner than you were, even though the scale and the BMI chart disagree. When in doubt, listen to the jeans, not the scale!

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      · 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.
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      · 0 replies
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