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Two months

BrightDay

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Hello! Exactly two months ago I had the sleeve. It feels like it was ages ago, but it was only two months.... I have continued to lose weight, I believe that I am 16 kg down already, and feeling very well overall.

I still have some trouble eating proteins such as meat and fish. I went on a week long vacation abroad and managed to get almost all the required protein and fluids, despite the heat and days spent at the beach. Afterwards went away on a short weekend break and I vomited twice after eating sausages and salmon (on separate days). I think I may have eaten too much too fast, it felt like the food got stuck in my throat and would not go down. I am a bit worried that I needed to vomit to feel better recently, as this is something that I used to do sometimes before the sleeve when I had binge eaten.

I have joined a fitness program and will start this Sunday. I am excited but I am not sure if I am too out of shape for that. I paid for a two week trial, so I intend to go at least three times per week to see how it goes. 

My nutritionist recommended a meal plan with plenty of carbs, including mash potatoes, pasta, rice, but because I was so addicted to carbs, I am for now ignoring that and just having proteins with very little portions of vegetables. I am afraid to start having cravings. In fact, some days, if I wait too long between meals I get a sort of mild urge to eat something filling, but thankfully have not had yet those horrible cravings for processed food both sweet and savoury. 

I am wearing an old pair of jeans that had been in the closet for more than a year and it is a fantastic feeling that they fit again. For some reason, I feel more feminine being able to wear clothes that are not baggy and shapeless. I had a haircut and have shortish hair now, which I think looks nice : ) And best of all, my knees feel much better when I go up and down the stairs. I hope that things keep improving weight wise! 



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Great job so far!

However, this has got to be some of the worst NUT advice for a two month post-op bariatric surgery patient that I have ever heard of - "My nutritionist recommended a meal plan with plenty of carbs, including mash potatoes, pasta, rice."

The normal post-op diet (that I and many others have followed with great success) after a sleeve or a gastric bypass is detailed in this guide from one of the best hospitals in Boston:

https://www.tuftsmedicalcenter.org/-/media/Brochures/TuftsMC/Patient-Care-Services/Departments-and-Services/Weight-and-Wellness-Center/GBP-Diet-Manual12611.ashx?la=en&hash=29F5FC8CE082A84BBD66A46335C50C23B8042A29

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13 hours ago, Res Ipsa said:

Great job so far!

However, this has got to be some of the worst NUT advice for a two month post-op bariatric surgery patient that I have ever heard of - "My nutritionist recommended a meal plan with plenty of carbs, including mash potatoes, pasta, rice."

The normal post-op diet (that I and many others have followed with great success) after a sleeve or a gastric bypass is detailed in this guide from one of the best hospitals in Boston:

https://www.tuftsmedicalcenter.org/-/media/Brochures/TuftsMC/Patient-Care-Services/Departments-and-Services/Weight-and-Wellness-Center/GBP-Diet-Manual12611.ashx?la=en&hash=29F5FC8CE082A84BBD66A46335C50C23B8042A29

I heartily agree with Res Ipsa on this one. Good for you for focusing on proteins and understanding that carbs can trigger cravings. Proteins and little bits of veggies sounds perfect. 

Congrats on your successes so far. Enjoy your progress as you move along :) 

A fitness program is a great idea, at this stage just for building the habit. When you are lighter, exercising is much easier, so at this stage, remember that it's OK to take it easy. Just moving around like walking, bike riding, some weight lifting - those are all great. 

As for the vomiting, some of us do this more often than others. Sometimes I worry that I do this too much, but I'm pretty well convinced that I only do it when I really need to (when I've eaten something that doesn't agree with me or gets stuck for some reason - possibly texture, possibly not chewing enough?) but I make sure to ask myself some questions about the why and what for each time. I like to at least keep tabs on it and be mindful of the circumstances and my emotions surrounding it. If you see this as a trigger for an unhealthy behavior, it's probably a good idea to seek some professional ears to run it by and talk it through. 

Keep up your hard work!

 

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@tracyringo @Res Ipsa @Jen581791 Thank you so much for all the best wishes and advice. I will not go back to this nutritionist, because although very nice, does not seem to agree with a high protein low carb meal plan. Thank you Res for the link to Tuft Diet, I will take a look again. I also bought a book with recipes for sleeve patients which has some very good ideas.

I have been 3 days to an F45 studio nearby as part of a two week trial, and have liked the classes so far. I do the exercises at my level and sort of try to keep the pace. Feel already fitter, if that is possible after 3 days of work outs. I agree that once I am lighter it should be so much easier - I so look forward to that so much.

Many thanks again for your fantastic support, it means a lot.

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@BrightDay

Cannot urge you strongly enough to eschew the high-carbohydrate advice of this nutritionist. Above and beyond our own experience after bariatric surgery, there have now been major international studies showing that all-cause mortality - deaths - increase in groups as their percentage of food that is carbohydrates increases - published in the Lancet, a big-time journal, in 2017. A lot of what we learned as good nutrition advice years ago turns out to not be true. 

Hope you keep the exercise going. People who get any exercise after surgery end up with a bit more weight loss than those who do not. More importantly, exercise is a part of an healthy lifestyle. People who exercise may be less prone to depression, and less prone to dementia and other forms of intellectual decline. Plus they sleep better at night. 

Good luck!

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Sometimes dieticians look at things through the lens of what is a person most likely to stick with over the long haul.  Eating plans with balance are typically easier to stick with long-term than those that severely limit entire food groups.  I believe that's why so many give those sort of recommendations.  And, it's likely good advice for someone who's looking to lose 50 pounds or less and keep it off.  It is not going to work however for us.  Dieticians who specialize in Bariatrics rarely will give that type of advice for several reasons.  First, as you mentioned, the carb cravings and binges it triggers for many of us.  Second, we just don't have that much room in our sleeves/pouches and it needs to be reserved for proteins and good carbs (veggies, eventually fruit).  There is really not a lot of nutritional value in rice, pasta, mashed potato and the blood sugar spikes they can cause can be counter-productive. 

So, congrats on your good instincts and for starting to develop good eating and exercise habits.  Most of weight loss comes from what we eat (or don't eat) but maintenance and good health is dependent on some type of movement.  Great job!

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Dear @BurgundyBoy and @msmarymac thank you very much for the encouragement! I went to the exercise class today but it was such a struggle. Not only physically, but mentally. It is like my brain is trying to convince me to quit before I had even started. First, I wanted to cancel the class due to some superfluous excuse. Luckily, it was too late to cancel without paying a fee, so I ended up going. While I was there, I thought about stopping after just 1/3 because it was too hard. I forced myself to continue, but during the whole time I had this voice in my head telling me to stop and go home. I managed to do the whole 45 minutes, and at the end I was proud of finishing it and sweating a lot.

I wonder if I will succeed in making exercise a habit, so it won't be so difficult. Perhaps it is too late for me, after a lifetime of not really enjoying exercise and just doing it as an obligation. However, I will give it a go as I know, like you said, that I will have better odds of maintaining a healthy weight (once I get to it!) if I keep going. Apart from all the other benefits that BB mentions which are of course so important.

And about carbs, I take your points and completely agree. In fact, I think the nutritionist has a view, like @msmarymacmentioned, of the benefit of a balanced diet, including everything. But I am too scared of carbs so early on so will avoid them for now. Maybe later, after I am in full control of my body and impulses I will start incorporating them in moderation, though they have been my downfall before when I had been successfully dieting so perhaps I will avoid for good.....

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21 hours ago, BrightDay said:

And about carbs, I take your points and completely agree. In fact, I think the nutritionist has a view, like @msmarymacmentioned, of the benefit of a balanced diet, including everything. But I am too scared of carbs so early on so will avoid them for now. Maybe later, after I am in full control of my body and impulses I will start incorporating them in moderation, though they have been my downfall before when I had been successfully dieting so perhaps I will avoid for good.....

Most of us who have had trouble with carbs previously cannot do "a little bit" of carbs, at least not the highly refined and processed kind.  Best to just decide now that when you add in carbs you'll stick with those less likely to trigger you.  You don't really need pasta...spaghetti squash and spiralized zucchini are amazing substitutes.  I like sweet potatoes better than white potatoes anyway so have stuck with those if I desire such things. Easy for me to live without rice as well.  I have tried "riced cauliflower" as a substitute but I didn't care for it.  I like cauliflower but it's flavor is too distinctive to replace something as bland as rice for me.  I'd rather just have roasted cauliflower in all it's glory lol.   I think you'll find also that after your protein and veggies there just isn't room for much else.

After your introductory classes are done, if you are not loving this exercise class, don't continue it.  It is so important to find something you like doing.  For those of us that are not natural exercisers, if we "force" ourselves to go to classes we hate or even tolerate it becomes very easy to start making reasons (excuses) not to go.  Trust me on this ;)  At this stage, walking may be the very best thing for you, and building up your fitness will make those classes easier later after you've lost weight.  Try different things until you find something you can see yourself doing for the long haul. 

I am coming up on 5 years from my sleeve and I can honestly say it's the best thing I ever did for myself.  I wish you continued success on your journey to a new healthy you!

 

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2 minutes ago, msmarymac said:

After your introductory classes are done, if you are not loving this exercise class, don't continue it.  It is so important to find something you like doing.  For those of us that are not natural exercisers, if we "force" ourselves to go to classes we hate or even tolerate it becomes very easy to start making reasons (excuses) not to go.  Trust me on this ;)  At this stage, walking may be the very best thing for you, and building up your fitness will make those classes easier later after you've lost weight.  Try different things until you find something you can see yourself doing for the long haul. 

 

As usual, I totally agree with the comments here at TTF by @msmarymac:)

I have always hated going to the gym, running or other forms of "exercise."  I know that if I forced myself to exercise, I would stop doing it after a few weeks - that is just the way that I am.  So instead I get my daily exercise by lots of walking and by leading an active lifestyle.  

It really is important for long term health to keep your body moving as much as possible.

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@BrightDay

Yes there are days when exercise is hard. We, poor falliable mortal and imperfect people, struggle. All of us do... 

It's not too late to form a new habit. One reads that it takes about 3 weeks of consistent devotion to the habit to cement it .... Every time you find yourself enjoying the sweat, or being proud of finishing, or of walking with less pain in your knees... THINK about the exercise so you put into place the action needed for the habit with the reward(s). You want to anticipate engaging in the habit because you anticipate and find pleasure in the reward too. 

I have found friendship at the gym, lots of rewards, and still struggle. Be sure to find something that you enjoy, after giving exercise a chance to become a habit; undoubtedly we return to the things we like!

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