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2 Years Post-Op (GB) Forum for gastric bypass patients that are two years post-op.

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Old 04-24-2009, 08:11 PM   #1 (permalink)
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Default Long term Plateau

I had my surgery Jan 2007 and to date I have lost 22st. Majority of that was in the first year. For the last year I have only lost 2st due to excess skin removal.
I feel so down about it. I called my surgeon and was referred to the dietitian. Spoke to her on the phone and the upshot was 'eat less and drink less milk'. I drink around 4 pints of 1% fat milk per day, it's the only way I can guarantee getting any protein in. My diet is pretty lousy. I cannot eat meat still unless it is reconstituted and that usually means it has fat etc in it and not very healthy. I can't tolerate salad, scrambled eggs, fish. All these things make me vomit. I can of course eat crisps, chocolate etc, thankfully cannot do any take away food. My day always starts with Oatibix and milk, or porridge. Lunch is usually a sandwich, ham, corned beef, cheese. Tea is quite often 2 boiled eggs with toast or cheese on toast or soup or sometimes a breaded chicken/fish burger with mixed vegetables. I have maybe 1 packet of crisps per day some days none. Small chocolate wafer bar most days, small banana, plum but not every day. I cannot abide protein drinks - I have tried loads but just cannot drink them.
I rely on hubby to do the cooking. I can eat minced beef if cooked really well and mulched down but he can't do that and I haven't mastered the slow cooker yet.

Any suggestions?
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Op Day (30/1/07) 293kgs (640lbs)
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Old 04-24-2009, 09:49 PM   #2 (permalink)
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I'm only a couple of months into this so I don't know as much as many people here but here's my $0.02.

I'd stay away from the crisps and the chocolate biscuits. I'd limit the ground beef and corned beef as both tend to be high in fat. Same can be said for the breaded chicken/fish burger - maybe try chicken breast and grilled salmon or tuna . Do you fry your food or use lower fat cooking options? Four pints of milk seems like alot (1000+ kcal), how much protein are you trying to get daily? Do you keep track of your calorie intake? Do you have an excercise programme?

I notice you are from Berkshire. We used to live in Bracknell and we still have a house there.
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Old 04-25-2009, 09:22 PM   #3 (permalink)
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Wow! Amazing.....you have lost half your body weight!!!! However, you do have the extra challenge of starting at an extreme morbid obesity weight. And though you are half your size, I'm sure it is still difficult to get in a good exercise regimen. Just cutting calories isn't enough, activity is important to. With such a limited food options, it's a constant trial and error to find things you can eat. It won't be as easy...the honeymoon period of the first 12-18months of "easy" weight loss is over. Most of us, whether 500lbs or 100lbs to lose, will achieve a steady weight after the first few years. Keep on doing what you can, find things that make you happy, stay with the program.
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Old 04-25-2009, 10:28 PM   #4 (permalink)
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Quote:
Originally Posted by galaxy135 View Post
I had my surgery Jan 2007 and to date I have lost 22st. Majority of that was in the first year. For the last year I have only lost 2st due to excess skin removal.
I feel so down about it. I called my surgeon and was referred to the dietitian. Spoke to her on the phone and the upshot was 'eat less and drink less milk'. I drink around 4 pints of 1% fat milk per day, it's the only way I can guarantee getting any protein in. My diet is pretty lousy. I cannot eat meat still unless it is reconstituted and that usually means it has fat etc in it and not very healthy. I can't tolerate salad, scrambled eggs, fish. All these things make me vomit. I can of course eat crisps, chocolate etc, thankfully cannot do any take away food. My day always starts with Oatibix and milk, or porridge. Lunch is usually a sandwich, ham, corned beef, cheese. Tea is quite often 2 boiled eggs with toast or cheese on toast or soup or sometimes a breaded chicken/fish burger with mixed vegetables. I have maybe 1 packet of crisps per day some days none. Small chocolate wafer bar most days, small banana, plum but not every day. I cannot abide protein drinks - I have tried loads but just cannot drink them.
I rely on hubby to do the cooking. I can eat minced beef if cooked really well and mulched down but he can't do that and I haven't mastered the slow cooker yet.

Any suggestions?
Lou, you've lost an incredible amount of weight already, and I congratulate you for that.

Your dietitian is definitely right about the milk...4 pints a day is WAY too much. Just the number of calories alone is very high. I understand that this is how you're getting your protein in, but you need to find a better way that works for you.

I'm sure you already know the crisps (those are potato chips, right?) and chocolate are terrible for you. If you still need to lose a lot of weight, you need to cut those out entirely.

Here's a few suggestions:

You said....My day always starts with Oatibix and milk, or porridge.

Google the term "slider food". Basically, a slider food are things that are soft, runny, mixed with liquid, etc...they slide through your pouch easier, and you don't get nearly as much satisfaction from eating them. Your current breakfast is bad in that respect. Some cereals (definitely not all) are good. I'm not familiar with Oatibix, as we have different brands here in the US. Look for a high protein cereal, with low sugar content. In the US we have 2 or 3 different varieties of Kashi cereal that are good in that respect. Instead of eating your cereal with milk, try eating it over yogurt instead. Because the yogurt is denser than milk, it's not so bad of a slider food. Fage Total 2% Greek yogurt is wonderful, and extremely high in protein. If you can't find fat free or low fat Greek yogurt, look for a normal yogurt with no fat and no added sugar. Is porridge the same thing as oatmeal? (Sorry, we have different terms for things.) If so, try using Irish steel-cut oatmeal instead of the regular kind. It has better nutritional stats, plus it tastes much better. I generally eat a 1/2 cup of Irish oatmeal and mix in a 1/4 cup or 1/2 cup of fat free cottage cheese (along with cinnamon and artificial sweetener). Also try some options for breakfast like boiled eggs, low fat turkey sausage, low sugar baked beans, low fat Canadian bacon, etc.

You said...Lunch is usually a sandwich, ham, corned beef, cheese.

Cut the bread out. Entirely...until you are to your goal weight or very close to it. Even after that, limit it to 1 or 2 small servings a day. Try wrapping your meat and cheese in a large lettuce leaf and roll it up. If you must have a bread substitute, look for Scandanavian Bran Crispbread, like this: GG Scandinavian Bran Crispbread These only have 12 calories each, no fat, low carbs, and a lot of fiber. They're incredibly filling because of the fiber content. Also, change up your meat choices. Most ham is very fatty. So is corned beef. Look for a lower fat turkey breast, chicken breast, lean roast beef, etc. There are some lower fat hams too, but be careful to read the label. Change the cheese to the low-fat variety.

You said....Tea is quite often 2 boiled eggs with toast or cheese on toast or soup or sometimes a breaded chicken/fish burger with mixed vegetables. I have maybe 1 packet of crisps per day some days none. Small chocolate wafer bar most days, small banana, plum but not every day. I cannot abide protein drinks - I have tried loads but just cannot drink them.

Boiled eggs are okay, as long as you don't have cholesterol problems. Cut the toast out though, as mentioned above. Also, change the cheese to the low-fat variety, as mentioned above. Chicken is good, but the breading is not. I don't know what a fish burger is...we probably call it something else. If it has breading on it though, it's not good for you. The crisps need to be eliminated as well as the chocolate.

You said....I rely on hubby to do the cooking. I can eat minced beef if cooked really well and mulched down but he can't do that and I haven't mastered the slow cooker yet.

Is minced beef the same thing we call ground beef, or hamburger meat? If so, what variety are you using? Some of it has an incredibly high amount of fat in it. I buy the type that is labeled as 90% or 93% lean.

I absolutely love my slow cooker, and use it often. It's really not hard, and there are very simple recipes to use. Go to the recipe board here, and sort the posts by the name of the person who posted them. Under my name, you'll find a lot of slow cooker (crockpot) recipes that I posted. I really like the way it cooks the meat up tender.

Lou, do you keep a food journal? If not, I'd highly recommend it. It can be as simple as keeping track of your calories, fat, protein etc on paper. Or, you can use a free online program like The Daily Plate.

I'd also recommend weighing/measuring all of your food. It's easy to underestimate the amount of food we're serving ourselves. Digital scales are relatively inexpensive (about $25 in the US).

Look at the link in my signature. It goes to a post named "What Did You Eat Today/Yesterday?" There are quite a few people who post there, with their daily intake. Most of us post whether we did good or bad...it's all about accountability. Even if you decide not to post there, I recommend taking a couple of hours and reading the whole post from beginning to end. It will probably give you some ideas of healthier things you could eat.
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Old 04-26-2009, 05:24 PM   #5 (permalink)
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Thanks everyone

Yes, minced beef is ground beef but can't remember the last time I had it. We do use the very lean variety. I use low fat cheese, wafer thin ham so thats very lean. Corned beef about once a week. I admit that bread is a problem, I am just so fussy about what I eat and of course limited as to what I can eat. I can't eat poultry/fish/meat unless it is reconstituted hence the breaded burgers. Although I can tolerate tuna if in a sandwich, I think the bread helps it go down. I love jacket potatoes but can longer eat the skin the best part to me. I can eat small amounts of Pasta usually with a tomato and herb sauce. I have a real issue getting protein in which is why I drink milk. Some days I only drink about half a litre. I drink loads of water. I have one small slice of pizza maybe once a week sometimes not for months.

The reason I have Oatibix ( and oat form of Weetabix) is that I have an intolerance to wheat based cereals. Yes Porridge is Oatmeal. I never add sugar, don't like them sweet, have thought off using yoghurt instead but don't like it dry (told you I'm fussy) Occasionally I swap cereal for low fat natural yoghurt and fruit salad. the Oatibix does fill me up though for several hours.

I have cut out the crisps and chocolate now and will be starting to go swimming. Now that the excess skin has b een removed from my stomach I can get a swimming costume on without flesh hanging out of the sides. even my mum is going to come and she is frightened of water. I am also walking a bit further than before but am suffering terribly with arthritis in knee and back at the moment. I am considering finding a gym where it is quiet.

I will certainly check out the recipes, thanks Sherry. I bought a book but all the recipes involve meat or food I just don't like. There is nothing more I would love than to sink my teeth into some kind of meat, steak preferably, I so miss that. I was a real meat eater and now and virtually a forced vegetarian which is killing me. I avoid fat as much as possible. All spreads are low fat. I had some fantastic meals in hospital, mainly vege but West Indian recipes. They actually encouraged me to drink milk to keep up my protein intake.

Fact is as well, I am really bored with food and wish I could get away with not having to eat at all.
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Op Day (30/1/07) 293kgs (640lbs)
NOW (25/4/09) 168kgs (372lbs)
BMI = 54


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Old 04-27-2009, 04:08 PM   #6 (permalink)
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My weight loss, like most, leveled off around 18 months. I have gained and lost a few pounds since this time. If I need to loose weight now I cut back on:

- Simple carbs (sugar)
- Complex carbs (starches)
- Fat

In that order. Truthfully, I have found that adjusting my fat intake has little bearing on my weight any more (huge amounts of fat will still make me sick). I can put on weight eating sugars pretty easily.

It is also very important to get in your protein. This is necessary for your health, but it is also a contributing factor to weight loss. It sounds like you've got issues finding a protein source that you can tolerate. This is what I would concentrate on (more protein, less room for the other stuff).

HTH
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