6 weeks is this where I should be?

I am on the same kind of diet right now. Don't worry your doing fine and don't fire your Dr.
I'm 47 years old, 5'5" Started 119 days ago at 314 lbs.
I have High Blood Pressure and Sleep Apnea. My legs go numb sometimes. Fun stuff.
I took 1 Blood Pressure Pill and a Fluid Pill in the mornings and 1 BP Pill in the evenings.
Me and my Dr. decided that a Gastric Bypass might be my only option right now. So this diet is prep.

My meals for the last 119 days have all been at or below 1200 calories, mostly around 900 calories.
Medically supervised as yours.
I do have a few cheat days in there also. I love Pizza that's never going to change.
My Macros on any given day are about like this: Protein 116g - Carbs 40g - Fat 38g - Cholesterol 240mg - Sodium 1965mg - Potassium 1850mg
My Vitamins I max out because I am directed to take a Multi Vitamin and an additional 1000mcg of B12 for energy.

The results after 119 days are like this.
My Blood Pressure now stays in the normal range with only 1 pill in the morning and I only take half a fluid pill now.
My weight is down to 259 lbs. That's a 54.8lb loss. And my sleep apnea is all so much better too.
I feel good and have plenty of energy, I can now jog for 2 miles and my legs don't hurt.

My Dr. now believes I don't need the Gastric Bypass and I can lose the rest of my weight on my own.
I believe that too.

So no. Don't fire your Doctor. Stay the course as directed and keep in close contact with your team. This isn't going to be the final diet your on the rest of your life. This is just your beginning. Will you have to watch what you eat the rest of your life? Absolutely.

And to answer your original question. Yes, I believe you can up that fat a bit.

heatherandimran wrote: »

usmcmp wrote: »

If your doctor directed you to follow a very low calorie diet you need to ask them for advice. If my doctor told me to eat 650 calories I'd be finding a new doctor.

This is a mandated program that you have to try before you would qualify for a surgical intervention. I'm trying to make the best of it and gain valuable insight from the knowledge members in this forum. My goal is to make this program work by modifying it. And in the end not have a surgical intervention. But thank you anyway.

So if you plan on not having surgery, why are you following the pre-surgery diet?

600 calories a day!!! Holy cow!!! I'd be biting peoples heads off....and probably eating them as well.

I can't believe you've already been doing this for so long! Absolutely amazing! I honestly don't know how yo

Again, sorry, that wasn't helpful at all.

I am only concerned that that amount of calorie intake is too low.

I guess your doctor knows what he is doing and congratulations on doing so well for so long.

Can you discuss with your doctor your concerns that you feel your calorie intake is too low and not sustainable and the possibility of upping your calorie intake slightly so you have more energy but still able to continue to lose weight safely and more able to stick with it?

You've proved that you're serious and able to stick to a diet and lost weight on your own. If you're able to continue and lose it all on your own I'd go back to the doctor armed with this site's recommendations and discuss the option of not having the surgery and upping your calories to the site's recommendations so you can lose it more sensibly maintaining a healthier eating plan (I'd up protein and carbs rather than just fats) in a way that will give you enough energy for exercise too. Isn't there are risk of gall bladder problems if you lose it too rapidly? Also, you're not learning how to eat to maintain loss with what you are doing but of course I don't want to cross medical advice if they consider this the only way to help you. Good luck with everything x

heatherandimran wrote: »

arditarose wrote: »

Holy low calorie and that fat...ouch.

OP, is there a medical reason you need to get weight off quickly? Regardless...this is not good.

It's a medically supervised program before you would have a surgical procedure for weight loss. I'm trying to modify it since I have to do it and eliminate anything else later.

It sounds like you're following a pre-bariatric diet like this: http://www.dbh.nhs.uk/Library/Patient_Information_Leaflets/WPR32630 Bariatric Leaflet Pre-op.pdf

As noted in the above, the low fat intake is designed to decrease the size of the liver immediately prior to surgery, for two weeks only and should not be followed by anyone else. If this is what your doctor has recommended for losing a lot of weight, as others have already stated, you should be finding a new doctor.

emeliasmith wrote: »

Go up to at minimum 1200 calories so your body will not use your muscles as fuel only your fat and add in the olive and coconut oils. Being on that low calorie of a diet can actually trash your metabolism and eventually you will go into starvation mode and stop losing. Doctor's are not actually taught healthy nutrition anymore so I would say do your homework on your own. Most important I would say eat CLEAN. No artificial anything, if it has over 5 ingredients put it back. Eat a (natural!) rainbow of colors, natural or better yet organic/grass fed meats. What many people don't know is that while some "food" is low calorie it is not healthy and the chemicals they are adding in to make it taste "good" are killing brain cells (excitotoxins like aspartame in diet soda) and making you crave more food (MSG!). Eat real food. From plants and animals not factories. If you already do, then yay you!

If you are able, exercise! If you really want to net under 1000 calories a day burn them with activity and don't starve. Without eating enough basic nutrients you will be in worse health than when you were overweight. No matter how thin you are, if your organs shut down you won't be enjoying it for long.

Ignore all of this...

jesseyboo wrote: »

Low fat AND low cal??? Who told you to do that

I don't know her doctor's name, but it's a fairly common pre-surgery protocol because of the diet you have to follow post-lap band surgery. (I do billing for a comprehensive weight loss clinic and I know this because the insurance companies monitor patient compliance pre-and post-op.)