Things you wish people knew before surgery.
fit_chickx
Posts: 569 Member
My heart is breaking. I am watching two good friends struggle. One three years out with a significant gain. The other is six months out. lost 27 pounds gained 10 pounds back.
Weight gain could be from complications, needing a revision, health issues or not following the plan.
Is there anything you would want new people to know?
What advice can you give that makes you successful long term with surgery?
Real advice if you had a substantial gain. How did you get the weight back off?
Weight gain could be from complications, needing a revision, health issues or not following the plan.
Is there anything you would want new people to know?
What advice can you give that makes you successful long term with surgery?
Real advice if you had a substantial gain. How did you get the weight back off?
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Replies
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Here's my experience - it is NOT easy. It takes a lot of commitment. I feel like many people who have surgery are not prepared mentally and don't understand the seriousness of the commitment. When you are told that you will have to make lifestyle changes, permanent ones, believe it. For me the first year was a breeze. The second year wasn't bad either. But something about that year three... I let life get in the way, made excuses, made bad choices,and gained back 30 lbs of the 200+ that I lost. If was surprisingly and frighteningly easy to put that weight back on. I am chipping away at that now by going back to basics, meaning I am pretty much eating the way I did the first year or two after surgery. I HAVE to keep my physical activity consistent. The advice I would give is stick to the plan you are given by your surgeon and his team. Abandon old habits for good. If you even try to engage in them, they can take over. Leave them behind. Also, a bad day doesn't have to turn into a bad week or a bad month or a bad year. Remember why you had surgery and appreciate the benefits you have gotten from it - for me the benefits were better health and a better quality of life. I am grateful for that and it keeps me wanting to do better every day.15
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My experience -
I was foolish to think that after goal I would be this magical skinny person that maintained my weight effortlessly.
Use the first golden year of your surgery restriction. Don't waste it! Weight Loss get's slower and harder to lose in the years to come.
Surgery is not magic. The restriction alone will not keep you successful. I know doing things my way never works. Log your food, work your eating plan and raise your activity level. It's making these habits for life.
A wise person told me "You have two choices. Go through the pain of discipline or the pain of regret" It was a reality check after I had my 20 pound gain in my third year. I gain weight easily by eating off plan for a few days. It takes months to get it off.
I knew I had to get back to the same dedication that I had at the start.
I keep connected to other bariatric patients. Your experiences and support keeps my head in the game.
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I know I've wrote this before on these boards but the simplest thing to do is cut refined carbohydrates as much as possible. Specifically sugar. I think the reason folks gain weight or struggle to maintain a loss is because they don't truly change their habits.
I'm coming up on 3 years in March and the only weight gain I experienced is last year when I had shingles. But I nipped that in the bud and lost even more weight. Don't get me wrong, it's not easy especially at first. But when I broke away from the CICO thinking it opened a whole new world of thinking for me. I hardly even weigh myself now. I just try to eat right and exercise moderately. That's what works for me.8 -
I agree with all of you guys - I am about a year and eight months out. I had some travel which threw me off a bit and was battling a twelve pound gain. One thing that I did before surgery and continue to do after surgery is that I keep going to weekly weight watchers meetings. Having something to look forward to every week keeps me accountable. It is so easy to put it back on, and takes much longer to get back off!9
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It's always sad when I read about people struggling with weight loss after surgery. No one goes into the surgery with the wish that they will struggle with the process and immediately start to regain. I have friends who have regained and when I ask what happened they tell me they fell back into their old habits of chips, soda, bread, and fast food and they don't exercise.
Don't start looking forward to your favorite foods. Those are the ones that contributed to your being overweight. Make a list of those foods and know you can't go back to them.
Success comes down to sticking with the plan even when you don't want to. Log your food daily even the bites you might take when you're cooking to make sure the food is seasoned correctly. Those bites add up to calories and you need to own them. Start off your day with exercise. I walk in place while I'm brushing my teeth, that's at least 2 minutes of walking, get another 2 minutes in while you're brewing coffee, and 60 seconds while heating up breakfast in the microwave.
Attend some type of support meetings to help you stay on track. Stay active on the bariatric boards here or other sites.
Be willing to be the oddball. If you have to eat fast food be willing to order and immediately 'fix' your food so that you won't be tempted to overeat. If you get a chicken sandwich or burger throw away the bun, count out 10 french fries and throw the rest in the trash. You'll get some odd looks but who cares, this is your life and you have to do what it takes to be successful. If dining out, put your food on an appetizer plate and box up the rest. I don't care how expensive the restaurant is, do it anyway. Ask for your food to be cooked the way you need it cooked. They want your money and will comply. I once had the chef come out of the kitchen to ask me a question about my strange request. I explained what I needed and he made a recommendation to get my needs met.
Reach out to your doctor's office for support if you struggle. They want you to succeed. They have seen it all. Nothing you can say will shock them and if it does they are professionals and need to figure it out for you. Take your food journal and exercise log. Be 100% honest with them.
Be your own cheerleader.17 -
fit_chickx wrote: »I gain weight easily by eating off plan for a few days. It takes months to get it off.
Oh my gosh, this.
Trying to stay on point day in and day out is so exhausting. As a bonus, I wish the surgery came with a high metabolism! Ha!
I just look at the office donuts and I gain 5 lbs.
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I just posted in the Success section so I will be brief here: put yourself first. You have been told what will make you successful. Do it. Bring the food you need if there is no other option. Join in the social events, eating what you pre-ordered from calling the restaurant: a child’s portion of salmon and green beans, discreetly ordered privately? Sweetly answer inquiring looks with “doctors orders.” Put your health goals first! I am cheering for you!3
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I was sleeved in September 2014. I lost about 17 pounds pre-surgery. Over the first three months post-surgery, I lost another 40 pounds. Slowly. Lots of stalls. Lots of two steps forward and one step back. Until the steps back became greater and greater and I started gaining back the small amount of weight I had lost. I had a procedure to evaluate the size of my stomach and learned it was back to the same size as pre-surgery --- so wondering if your stomach can stretch is a very valid possibility. My surgeon advised a revision but then left the practice and the new surgeon declined to take the case. Then, I talked to my PC doctor and learned about an RX medication being prescribed for current weight loss surgery program patients to assist with curbing that intense hunger feeling and cravings that can come with reduction in calories (something I always had....the only time I did not feel hungry was the first week after surgery). I have been taking Phentermine 37.5 mg daily in the mornings since mid-October and have lost 17 pounds without feeling hungry and with out-of-control cravings. Meaning...I can do this without being miserable and "hangry".
I am looking forward to continuing my journey this next year and really feel like I can do this. It is still challenging every day and a very slow process. I have to keep my carbs to under 60 grams and do a minimum of 60 mins of exercise. But I am looking forward to being a big loser in 2018!!6 -
VGS on 7/15. lowest 160, currently 192.
The hunger comes back. The ability to eat crap food comes back. The urge to snack comes back.
Carbs will be my enemy for the rest of my life, especially in the form of beer and munchies
Grazing/snacking are my biggest enemies as a boredom-snacker.
It's amazing how a year ago, I had felt successful and was so excited to be at such a small size and fitness level. I was running 10ks for the first time in my life.
Over the last year, I've all-but stopped exercising, but keep active. I eat what I want (sometimes with reckless abandon. For a while I think I became a functioning alcoholic. I snack, and drink, and get lazy. I watched all of those brand-new Medium-sized clothes grow too small, until I needed to buy a bigger size (something I promised myself I'd not do).. In short, I have become a "Bad Barry (Bari)".
For me, the point is that this is a life change, and it's relatively new. I spent 37 years living in a sugar/bread/beer dominated lifestyle. I've had less-than two years in this new life, so I expect to backslide. I have (mostly) quit drinking, and started exercising again. I have the tools to get where I want to be. I've been there once, and I'll get there again.
Also, marriage and kids do not help at all when trying to focus on yourself.9 -
It's only a tool. You need to bring your determination and willingness to change, and employ those DAILY.
It is a journey you will be on THE REST OF YOUR LIFE.
It ain't a temporary diet; it is a lifestyle. You need to figure out a) what you need to do to employ your new tool for weight loss, and b) when you hit your goal weight, what you need to do to KEEP your new more slender self.
This is hard work! If possible, make sure you have a supportive family and circle of friends. If anyone disparages you for taking the easy way out, ignore them (and ease them out of your daily circle, if at all possible. Who needs negativity, particularly ill-informed negativity?)
I had RNY in Dec 2012. I'm down 160 pounds. I have another 60 I want to lose before starting a series of body tucks, and I plan to lose that weight in 2018, a pound a week. I track every bite and sip. I exercise daily. This keeps me accountable. I'm 64, from a long-lived family, so I expect to do this for 30 years. I'm worth it.
The first year was easy for me, lost 100 pounds. Second year, third year, didn't work at it, didn't gain but didn't lose. Finally, half-way through the fourth year, I got serious about weight loss again. It took me about 9 months to figure out a routine whereby I could lose a pound a week, and not feel deprived.
Yeah, it's hard work!6 -
Did anyone who had the surgery still smoke cigs?0
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@TheOne1985 My co-worker smokes cigarettes. He stopped briefly right before and after he had vsg in Sept 2014. But he eventually went back to it. He also went back to his old eating habits and stopped exercising. He's gained back at least 50lbs he lost. He doesn't even talk about his surgery anymore.0
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YOU cannot put in BASIC effort and expect EXTRAORDINARY results.
Follow the program, don't bend the rules, get exercise in, be patient, you didn't gain it all overnight, surgery isn't a magic pill that'll make it fall off overnight.4 -
I was sleeved August 2016. Lost right at 100lbs and ended up at 193.2. I wanted to lose another 25 to be in the "healthy" weight range. I was wearing nice clothes and felt great. My wife became pregnant in December which we found out about in late January 2017. She was a high risk pregnancy being diabetic and her age. We had to make 3 trips a week to St. Louis to her doctor for monitoring, etc and after the baby was born, he stayed in the NICU for 13 days. I'm absolutely NOT making any excuses, but during these days I lived on gas station grub and fast food joints. I found myself drinking soda again as well. Little man was born on August 15, 2017 and the months of bad eating had wrecked me. Leading into the holiday's, my willpower wasn't there. I ate candy around Halloween, indulged in sweets during Thanksgiving and ate junk at Christmas & New Years and all the time in-between. I went from 193 to 231 when I finally worked up the courage to get on the scale.
So I've gone back to what worked for me during that first year post-op. Protein drinks, protein bars, healthy foods, little soda (I have one once in a while) and logging every morsel. I down at LEAST 80oz of water a day too. I'm feeling great and am back down to 213.2, 20lbs away from my lowest weight. I'm optimistic and committed and haven't indulged in any of the donuts or other junk that people keep bringing in to work. Though my baby is a more-than-full-time-job and keeps me from exercising, I'm looking forward to warmer weather and getting back outside.
You have to stay committed! This is for life. Eating the old junk that made you fat in the first place will only take you back there. I've found that while I can only eat about a cup of food at one time at most, I can eat more often. It doesn't take long when you are grazing during the day to over-eat. Make a plan, choose the right foods, log everything and focus on why you had the surgery in the first place.6 -
klcovington wrote: »I have been taking Phentermine 37.5 mg daily in the mornings since mid-October and have lost 17 pounds without feeling hungry and with out-of-control cravings. Meaning...I can do this without being miserable and "hangry".
Phentermine aka Adipex is good for controlling cravings and helping you get a handle on things. Just remember that you shouldn't take it for more than 12 weeks straight.
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I wish people knew that it's not magic. It requires hard work and dedication. If you stop working, the weight-loss will stop as well. The first year is the hardest for food as your new stomach is so sensitive, but it's also the most essential and the easiest time to develop good habits.
I have had a couple of time where I've tried to eat some things that I shouldn't (mainly because we were on the road for softball and I didn't know what else to try), but I can't stand the way that they make me feel so I developed "Softball Habits" very quickly where I have high protein snacks ready for when I'm driving.
My biggest suggestion would be to keep a food journal for post surgery to log not necessarily what you're eating, but how it's making you feel. That way, when you want to try it again, you can look back and determine whether or not it's even worth it. I had a major aversion to poultry for the first 6 months (I LOVE LOVE LOVE poultry) so I made a point to try it again once I got past that 6 month point and I was fine. However, there are some other things that I won't even give a second chance because they're not worth it.3 -
I second everything that’s already been said.
The wake up call for me is seeing people that had surgery around the same time as me that have lost so much more weight than me.
I fell into previous habits. While I can’t eat as much at one sitting, i can still eat high calorie stuff. It’s very easy to indulge in chocolate and junk. I was eating crap food and skipping the protein. Bad!
Every day you have to make a conscious choice about your food and exercise. It’s not over because you had a bad meal or day. Unfortunately one can lead to more. When you eat a certain way your whole life and then have to makes permanent changes, it’s hard.
I think some failure I had early on was setting my goals too high. I was eating great and feeling good and exercising a TON. I was not expecting the downfall. Setting small, achievable goals can be the way to go.
Just remember that you can start to turn everything around again. You can start to lose weight again after a stall. You can start to eat better at your next meal, and then continue eating better. You can start being active again by simply doing 10 minutes on a treadmill or elliptical or taking a walk, then adding more exercise later. You have to START though. You can’t keep saying that tomorrow you’ll do it and then tomorrow comes and then you put it off again.
Stay realistic and remember why you had surgery in the first place.6