Weight loss Surgery Question RNY 4/27

No stranger on the internet can tell you that - talk to your care team.....

Here's what the Mayo Clinic has to say.
http://www.mayoclinic.org/tests-procedures/bariatric-surgery/in-depth/gastric-bypass-diet/art-20048472

And some info from Johns Hopkins.
http://www.hopkinsmedicine.org/healthlibrary/test_procedures/gastroenterology/roux-en-y_gastric_bypass_weight-loss_surgery_135,65/

This is from the US National Institutes of Health.
https://medlineplus.gov/ency/patientinstructions/000258.htm
https://medlineplus.gov/ency/patientinstructions/000173.htm

slepygrl wrote: »

Why the weird judgment? I am healthy. I eat right, exercise. I'm off all meds. (The pic in my profile was taken today.)
This surgery process took 6 very long months. I'm doing EVERYTHING I was told to do.
I only came on here to see what other people are doing.

It's not judgement. Its a blunt presentation of facts. @MKEgal 's post sums up the confusion as to why you don't have a plan in place already. Weight loss surgery by its nature permanently alters the calorie and nutritional needs of the patient for life. It's a big deal. Your care team should have taken care of this long ago, and if they already have, you don't need advice about calories from other people. You should follow what was given you.

slepygrl wrote: »

I'm only wanting to see what other people are doing.

[snip]

WTF! THERE IS NO CONFUSION!

Well...

slepygrl wrote: »

My question is. How many calories should I be taking in daily?

...?

slepygrl wrote:

Why the weird judgment? I am healthy. I eat right, exercise. I'm off all meds. (The pic in my profile was taken today.)
This surgery process took 6 very long months. I'm doing EVERYTHING I was told to do.
I only came on here to see what other people are doing.

.
Your original post said:

I have RNY weight loss surgery on 4/27/16. Up to now I've been in survival mode. Just trying to learn how to eat with my new stomach. So far things are going well. I'm down almost 60lbs. I feel good. I'm very happy with my decision.
My question is. How many calories should I be taking in daily? I haven't been tracking my eating.

.
Which throws several red flags saying that you did not get good information, or were not following that instruction, did not know what to do:
Survival mode, learning how to eat, how many calories should I be taking in, haven't been tracking my eating...
If you were doing what your medical team taught, you would be paying close attention to your nutrition / intake.
.
The best advice any of us can give to someone in your very unusual situation is exactly what we said:
see your doctor.
You are medically strange, and I don't mean that in a bullying sort of way, but being realistic here, your needs are now (and will remain) so far out of the norm that only someone who has been through it or who deals with those patients regularly has any hope of answering your question in a way that won't lead to harming you.
.
And even if you were a regular everyday noob popping in to ask for help,
we'd need lots more info to be able to answer your question about "how much should I be eating".
Age, height, current weight, goal weight, activity level.
Which is one reason I keep that BCM.edu tool link handy.
The person can put everything in for her/himself, not have to answer questions from strangers, play with the numbers to get to a healthy BMI, see how many servings of foods they will get with various amounts of activity, etc.

slepygrl wrote: »

FOR F*** SAKE! I know all the ins and outs of the surgery. I know how it's done. I know why. I'm only wanting to see what other people are doing. Calorie allowance varies from person to person. I'm active. I do stuff. WTF! THERE IS NO CONFUSION!

Woah! Why the anger?
Noone here can tell you how much you need to be eating, that's something you need to discuss with your doctors and if they haven't already offered you advice on calorie intake, thats pretty worrying.

slepygrl wrote: »

MKEgal wrote: »

slepygrl wrote:

Why the weird judgment? I am healthy. I eat right, exercise. I'm off all meds. (The pic in my profile was taken today.)
This surgery process took 6 very long months. I'm doing EVERYTHING I was told to do.
I only came on here to see what other people are doing.

.
Your original post said:

I have RNY weight loss surgery on 4/27/16. Up to now I've been in survival mode. Just trying to learn how to eat with my new stomach. So far things are going well. I'm down almost 60lbs. I feel good. I'm very happy with my decision.
My question is. How many calories should I be taking in daily? I haven't been tracking my eating.

.
Which throws several red flags saying that you did not get good information, or were not following that instruction, did not know what to do:
Survival mode, learning how to eat, how many calories should I be taking in, haven't been tracking my eating...
If you were doing what your medical team taught, you would be paying close attention to your nutrition / intake.
.
The best advice any of us can give to someone in your very unusual situation is exactly what we said:
see your doctor.
You are medically strange, and I don't mean that in a bullying sort of way, but being realistic here, your needs are now (and will remain) so far out of the norm that only someone who has been through it or who deals with those patients regularly has any hope of answering your question in a way that won't lead to harming you.
.
And even if you were a regular everyday noob popping in to ask for help,
we'd need lots more info to be able to answer your question about "how much should I be eating".
Age, height, current weight, goal weight, activity level.
Which is one reason I keep that BCM.edu tool link handy.
The person can put everything in for her/himself, not have to answer questions from strangers, play with the numbers to get to a healthy BMI, see how many servings of foods they will get with various amounts of activity, etc.

MFP may not be the best fit for people like me.

MFP is fine for pretty much anyone and everyone who is trying to lose weight, get fit, or whatever. It's good for calorie counters, macro counters, muscleheads, bariatric surgery patients, morbidly obese, "just want to lose 10 vanity pounds," or whatever. You can customize your macro and calorie goals according to your particular situation, and find support from others going through what you're going through. However, until you have instructions on what those goals are from your care team, all anybody should be telling you is to speak to your care team first.

slepygrl wrote: »

PaulaWallaDingDong wrote: »

You didn't receive a care plan past 1 month?

My care plan ends at day 33 (post op)

I'm making an appointment in the morning.

:-)

Really? I hate to be negative, but I feel like you got ripped off, either by your care team or your insurance. 33 days isn't right. There are loads of complications that need to be monitored for for pretty much the rest of your life.

It's good that you're going to make an appointment, though.

I'd suggest checking out the obesityhelp website. it has a lot more useful info than what you will find on MFP (for this type of question) im still pre op, so no expert, but i also asked the same question as you, and received a lot of useful information. Basically protein first, but calories are king. the feedback seems that most try to keep 600-800 calories until they reach goal, and then increase as your stomach and maintenance allows (1000-1200 ish from what i see). the bulk of these calories from protein, and minimizing carbs. (of course some people are exceptions)

All of which lines up with everything i've received from my bariatric clinic. It just good to hear it from others in a similar situation.

Colorscheme wrote: »

Ehmeeheart wrote: »

I'd suggest checking out the obesityhelp website. it has a lot more useful info than what you will find on MFP (for this type of question) im still pre op, so no expert, but i also asked the same question as you, and received a lot of useful information. Basically protein first, but calories are king. the feedback seems that most try to keep 600-800 calories until they reach goal, and then increase as your stomach and maintenance allows (1000-1200 ish from what i see). the bulk of these calories from protein, and minimizing carbs. (of course some people are exceptions)

All of which lines up with everything i've received from my bariatric clinic. It just good to hear it from others in a similar situation.

Stupid question. I've never had weight loss surgery, but is 1200 really maintanance? Let's say someone is 5'4" [average height for a woman, more or less] and 140 lbs and active. 1200 cals seems really low. I know once you have wls, the stomach is teeny tiny so you can't eat a lot at once, but surely CICO still applies.

I can't imagine being on 1200 cals as maintance since my TDEE is around 2400 cals/day.

For sure, cico still applies, but there seems to be a bit of an exception to this. from what I've read, and been advised, some people (esp morbidly obese) when they lose massive amounts of weight, and yo yo weightloss have a messed up metabolism. Studies are showing that someone who has weighed say, 140 all their adult life can maintain that weight on 2000 calories, but someone who loses 150lbs to get to a maintenance weight of 140, will have to eat a lot fewer calories per day to maintain. Which is why wls is sometimes the best choice, for some people. It can help minimize hunger. And give you a chance to get a handle of behaviour changes needed when the restriction begins to fade. (For some)
The last study I saw in the media was about the regain of biggest loser contestants. This was separate from behaviour change. A study of their metabolic rates before and after weightloss.
But I'm definitely no expert, I'm just figuring all this out for myself, and seeing what works.

Just my dumb question - but why would you undergo very serious surgery, just to be limited to 600-800 calories afterwards, and a maintenance of 1200 - if you can stick with 1200 and lose the weight anyways?

Re why have the surgery if you can maintain a weight loss on 1200. The reality is most obese people can't maintain that lifestyle long term without a powerful tool like RNY. And medically at this point, weight loss surgery statistically has the best long term outcome for maintaining significant weight loss vs diet and excersize alone.
Basically, it becomes the third pillar. Healthy diet +excersize + Rny = best likelyhood for reaching a healthy weight.

Of course there are always exceptions, and that's great for them. My grandmother has maintained a nearly 150lb loss for 30 years. Me, not so much. Again, surgery isnt for everyone.

astrampe wrote: »

slepygrl wrote: »

FOR F*** SAKE! I know all the ins and outs of the surgery. I know how it's done. I know why. I'm only wanting to see what other people are doing. Calorie allowance varies from person to person. I'm active. I do stuff. WTF! THERE IS NO CONFUSION!

Why are you yelling and swearing at strangers who tried to help you?? WOW....Maybe you need psych help, not nutrition.....

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