Rob_VSG

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About Rob_VSG

  • Rank
    Member
  • Birthday 11/11/1960

Profile Information

  • Gender
    Male
  • Location
    Dallas, TX
  • Age
    57

Information

  • Surgeon
    Dr. McCarty
  • Hospital
    Pine Creek Medical Center
  • Height (ft-in)
    5-10
  • Start Weight
    332
  • Current Weight
    262
  • Goal Weight
    230
  • Body Mass Index (BMI)
    38
  • Surgery Date
    3/8/2018
  • Surgery Type
    Vertical Sleeve

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  1. Not too bad numbers. That is almost exactly what I was seeing my first 2 weeks post op. About 114 in the morning and 85-95 in the evening. But before the operation I never tracked BG so I didn't have anything to compare it to.
  2. Best I can recall, my A1C, fasting blood glucose and I think they also checked fasting plasma glucose. Were in the high range.. Not sure they measured FPG. But A1C and FBG moved to the normal range in 6 weeks. I also have been monitoring ketones and have been in continuous ketosis since March 10. I think it is safe to say that my insulin sensitivity is improving. Ok, just found my most recent test. Looks like they measured "mean glucose" and "hemoglobin A1C" and those two markers moved into the normal range from where they were "high" pre-op.
  3. I don't have enough pharmacological background to have a clue. But for a data point, my surgery was March 8th and going in I had pre-type2 markers in my blood tests and was not on any medications besides for high blood pressure. At my 6 week follow up, ALL the pre-type2 markers were gone from that blood test. For a while my morning FBG was around 120-125, but it has drifted down now to 94-105. Additionally, my evening 4hrs post meal gluc is almost always in 80's, sometimes in the 70's after exercising. Chances are in the first week post op, your body will go into ketosis also, so if your meter can measure it, might want to get some ketone strips. Also, welcome to the losers bench!
  4. Rob_VSG

    Summer heat

    Yes! You and I in a very similar situation. I walked for 27 minutes today in 80 degree weather and didn't hardly sweat. Yay! A welcome non-scale victory.
  5. Rob_VSG

    3 months out!

    That is good progress and it should help keep you motivated. Congratulations.
  6. Rob_VSG

    4 Weeks Out

    I'm not sure I really lost my appetite, but it definitely became very fickle. One minute I feel hungry, but I drink some water and the next minute I feel full, then 20 minutes later I think I'm hungry again. It's been crazy. I also find sometimes I can ignore the hunger and it just goes away, but other times feel he need to really eat something. The signals seem to keep changing over time. At one point I did 3 24hr fasts just to experiment, eat a good meal, wait 24hrs, eat again etc. I didn't seem to get any more hungry doing that than eating 3 small meals a day. That is the best way I can explain it.
  7. Rob_VSG

    100 lbs down !!

    Yes! 100 pounds is a HUGE mile stone! You keep on keeping on. Your goal is clearly in the cross hairs! Congratulations.
  8. UPDATE: I just received the results from blood test they drew at the 6 week follow up. My pre-diabetic markers are gone! Normal insulin, glucose, and Hb1ac. I guess I can file that under non-scale victory. Rob
  9. Rob_VSG

    Ketosis

    I'm just a little over 6 weeks out from surgery. I had done my own research prior to surgery and decided I wanted to monitor ketones and try to stay in ketosis. It was obvious that the nutrition instructions for post-op would put me into ketosis so I started tracking ketones right away and found I was in ketosis around day 3 after surgery. I have stayed in ketosis the entire time since I am still in the "focus on protein" stage and that makes it really easy to stay in it. The nutritionist didn't seem concerned with my strategy. There seem to be two major schools of thought about the human metabolism and weight loss. The traditional school of thought is a simple "calories in, calories out" model that treats human body as an efficient machine, promotes a "balanced" diet and exercise. Doctors have told me my entire obese life to just eat less and exercise more. That has never worked for me. The other school of thought, where I am headed now, says the metabolism of the human body is primarily regulated by hormones such as insulin and leptin and those hormones are the big players in whether the body tries to store or burn fat. Of course I am probably poorly sumarizing here as I'm an engineer and not a doctor or scientist. The pre-op blood work showed markers that indicate pre type 2 diabetes which seems to be related to insulin resistance. Carbs tend to trigger a higher insulin response than protein or fat, so that led me to staying in ketosis as a means to try and improve insulin sensitivity. My life experience is the more I eat carbs, the more carbs I want so I want to try to stay away from bread, rice, crackers, pasta etc. Concentrated carbs are my heroin. I still like vegetables, but in week 7 don't have much space for them. My daily carb intake is usually below 50g. It has hit 60g or 65g a couple times but didn't take me out of ketosis. The human body can be fueled by ketones (made from fat) or glucose (which is quickly made from carbs), I spent most of my life fueled by carbohydrates, decided to give the other fuel a try. So the theory I am working from is, stay in ketosis, try to stick to foods with lower glycemic index values, improve insulin sensitivity, and that should encourage more fat burning and reduce the chance of spiking insulin which would signal the body to store energy.
  10. Yeah, they did a blood draw at the 6 week follow up here. They did the RMR by having me breath normally through a device (indirect calorimeter?) for like 8 minutes and it's hooked to a computer that gives them the RMR number.
  11. I found it a challenge to get enough water in the first week. On day 7 post op, I decided to go to a place that offers hydration IV's and they mixed me up a cocktail with all sorts of vitamins and a liter of saline. I felt much better after that. That might not be for everyone, but it's worth considering. Did your doctor prescribe you something strong for the nausea?
  12. Greetings, Went to my 6 week follow up appointment with the surgeon on Wednesday April 18th. Officially I am 51.6 lbs down from pre-op, and they checked my RMR (resting metabolic rate) and it went UP from pre-op measurement! Typically I have been only getting in about 500-700 calories a day and 30-40g of protein and conventional wisdom says that on reduced caloric in-take my metabolism should slow down but, it went up? I don't get a whole lot of exercise besides walking 1 or 2 miles a day, 5 days a week and have remained in ketosis since March 10th. Kind of wondering if producing lots of keytones (from burning fat) for energy consumption is a factor in keeping an elevated metabolic rate during low calorie consumption. Totally thrilled with results so far.
  13. Things I did religiously for 24hrs post op. Drink water, take pain meds, and take anti-nausea meds! Hang in there!
  14. Rob_VSG

    8 months today....Sigh

    I think your numbers are great. I suspect the 10 lbs/month number is likely an average. If I divide 98 lbs by 8 months it looks like you have a average 12.25 lbs/month! So by that math, you are above average for your 8 months of weight loss. Keep up the good work!
  15. Rob_VSG

    Week 4 update

    I cooked salmon and chicken thighs. So I buy 6 thighs, put them in a zip lock bag of marinade and keep them in the fridge, then when it is time to eat, I put one in the air fryer. The marinade has olive oil and other things in it so it cooks nicely in about 15 minutes. Seems to save money having a sleeve. I bought 6 organic free range skinless boneless thighs from Kroger for 7 dollars and that was 6 meals. I also like to use a digital scale in the kitchen to make sure I'm getting at least 3 to 4 oz of protein. Seems 3.5oz is about right for me at the moment.