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BMI - Does your doctor stick to this?



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I am 6'3" tall and very wide in the chest and shoulders - well, and middle too, but not for long. Currently 308 lbs.

If I stuck to the standard BMI chart then I would need to weigh under 200 pounds to break the magic 25 barrier. The best shape of my life I was 19 and 235 lbs and that was when I was in the Army - I was very lean and fairly ripped.

When my doctor spoke to me about the BMI chart he immediately told me to not pay attention to them based upon my physical make up. He also told me that when Arnold Schwarzenegger won Mr. Universe his BMI was like 60. Even though he was in the best shape of his life - I know, extrememe example.

Anyway, I wanted to know what your doctors said about the charts, since I know some stick to them religiously.

-BSG

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Before banding when I spoke to the surgeon and nurse (a pre-banding appt) they both asked what my goal was. I immediately said...'According to the BMI chart...' and they both instantly stopped me. They both said to use the chart as a guidline only, if I chose to get to the magical '25' so be it, but not to let a chart choose my goal. I gave it some thought....

After reading up on the BMI chart it is pretty obvious, in my opinion of course, that it is meant to be used as a guidline. It ~only~ takes into account height and weight. A little unrealistic I think. We are not all built the same, we all have different muscle mass and bone structure.

I am 6' tall and was 306 at surgery. After I had lost about 50lbs by family Dr asked how much I planned on losing and I told him that I didn't know but would know it when I got there. He actually said that he was surprised I didn't give him the BMI #'s because so many use it as gospel...and he hates it !!! In order to hit the '25' I need to weigh about 175, I've never in my memory weighed 175!!!

I've lost 100lbs now and have maintained that for over a year, and I feel healthy !!! Would I like to lose more?...probably. I am a size 16 comfortably (started in a 28), I feel good, I don't hurt when I walk or work all day, I look good. I am ~never~ going to be skinny, nor do I want to be. I did this to be healthy and I have reached my goal, anything else is a bonus !!! :cool2:

Patricia

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Hi:

I am 5'7" and started at 324. I'm down to 176. I discussed the bmi targets with my surgeon. My bmi is healthy at 159. I know that if I lose 20 more pounds people will think that I'm ill because my face will be so gaunt. My doctor said it will be okay to set my goal at 170 because I am healthy. My goal is to get down to 169 this year and then have 169 to 174 to play with.

Best wishes to you.

I love my band.

Sue

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My doctor only used the BMI chart to determine how much weight he wanted me to lose prior to surgery. Since surgery he hasn't spoken about BMI, charts, goal weight etc. He asked me my goal and said once we got to my goal we would decide together how much farther I needed to go. As long as your healthy and losing at a safe pace, don't worry too much about charts.

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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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