baconslave wrote: »

macchiatto wrote: »

What's the "long story long"? I have so many questions from your OP! Why the monitoring? Who are these people? Why so many more miles than your usual? What malabsorption issues?

@ki4eld had WLS.
Weight loss surgery can often cause malabsorption.
I'm guessing the monitoring is part of the post-op process.

Those who have had a gastric bypass are often medically prescribed very low calorie diets.

Nailed it.


Long story long:

I had gastric bypass last January. Part of the post-op and part of the agreement by the insurance company to fork out about 500k over 5 years is that I agree to diet monitoring, so it's not like I didn't know what I was getting myself into. I don't mind the monitoring as much as I mind having to do the carb cycles. I'm happy at 20-30g, so why fix what ain't broke? Why? Because they're still the boss of me for another 4 years, that's why. I'm doing ok. Even after the higher carbs, I'm still in ketosis, although it's light. I can go back to a somewhat normal carb load Monday.

"Lie." I'd love to, but that won't help me be honest with myself, as I have some lingering "lying to myself about food" issues that I can't encourage. Also, if I have any health issues, I can't rule out food issues if I didn't log accurately. After WLS, many problems are food-related, so I can't really afford to lie about it. Lastly, if the insurance company finds out, they can decide not to cover any further follow-up care ever again.

"Why so many more miles?" To prove to myself I could do it. I've been hitting a 22k steps a day wall for over a month. Last Monday, time, circumstances, health, and work allowed for me to push through the wall. So I made it to 35k. It was also the day before my one-year WLS anniversary. One year earlier, I weighed 286lbs and couldn't walk 100 yards without almost passing out. It was a personal challenge; there was no one chasing me.

RNY gastric bypass causes malabsorption. It's essentially a doctor-induced, doctor-monitored starvation diet. 700 cals is low for me now, although that was my common calorie goal most of last year. In my defense, I spent most of the day moving! 1100 cals is my daily goal now and I exceed that most days of the week. Over the week, the deficit doesn't look too bad. Yes, you read it right. I often burn twice what I intake. The only reason my calories from exercise are added back is so I can see my new protein goal. But my calories are slowly increasing and my exercise isn't, so my deficit is shrinking to something towards normal. It'll be a normal 500 cal per day deficit in another 8-10 months.

Oh, and I regularly tell the Nazis to go F themselves in my food notes. I do that less often now than I did last year, but I still do it occasionally. Yelling at the computer monitor is pretty good stress relief. And if I need more, I go for a walk. Ha! Keto works for me. No hunger, almost no food cravings, very little food anxiety. I've found what works and the Nazis are mucking it up. But yes, I'll get over it. It's a few days and I'll be back where I want to be. My OCD doesn't like the blips on my graphs, but I'll tell my OCD to go F itself too.

If you have time to waste, I've detailed this whole business in a blog. http://2poufs.blogspot.com/ Start from the oldest posts and read forward. Probably will answer some more questions, but I'm happy to answer them here too, if the mods don't mind the hijacking.