Pre-op worries - advice needed.

kipz303
on 4/9/10 1:48 am
First off - LOL I'm sorry I haven't been around much, school occupies a good part of my time right now.

I'm doing the 6 month diet that's required for my insurance.  I wasn't doing that well and actually gained 8 lbs.  I had started exersizing and they also weighed me the week before my menstrual cycle. Hopefully thats all it was? =(

Anywhoo. I've been really trying, I don't eat sweets, I cut out soda, I drink  4- 750mL containers of water a day (and it all comes out so I know I'm not retaining). The exersize part is the hard one for me. I walk...walk walk walk..that's all I have been able to do because of my back.  I got a Wii and am starting to use it.. started my Centrum Chewables Multi... and my 100% whey protein is trying to work its way in as well.

What am I doing wrong? Like I said..I'm pre-op..I have 3 more appointments before they submit for approval... but they told me if I gain any more weight they will make me lose a certain amount before they submit.

I've been doing this for almost 3 weeks now - am I just being impatient?  Is it normal to see a slight increase in the weight before you see it go down? 

Any suggestions would be helpful (non-expensive ones please xD I'm broke right now) 

 

RNY - August 13, 2010

LBL - October 29, 2012

 a total of 271 lbs lost!!

Katrina F.
on 4/9/10 2:26 am - So.Cal, CA
Have you asked about any meds you might be on for your back? Some meds make you gain weight or in your case hold onto what you normally would be losing.

How many cals are you taking in per day and how much are you walking? I know when I was in Options classes for my insurance I walked for 1 hour every other day of the week.

God bless our troops

kipz303
on 4/9/10 3:02 am
That's about how much I walk actually - every day after class my fiancee' takes me to the mall for a coffee and we walk around the mall 3 or 4 times.  ... I'm taking in around 1200-1500 cals every day - as requested by my surgeon and my nut. .. Not on any meds for my back - I take an ibuprofen when it's bad or use active-on (looks like a deodorant stick LOL)  I stay away from meds as they are one of the main things that caused my high weight gain in the past!

 

RNY - August 13, 2010

LBL - October 29, 2012

 a total of 271 lbs lost!!

larra
on 4/9/10 2:39 am - bay area, CA
You can appeal this requirement, and the DMHC will most likely back you up. Many people are unaware that things like this can be successfully appealed, and your insurer certainly isn't going to inform you of this.
     I have sent you a pm with more information.

Larra
kipz303
on 4/9/10 3:05 am
THanks -  I sent you a pm as well! =) ... if I appeal..and I continue with my diet..if the appeal is denied..then I can just finish out the diet and have the surgery correct? Considering that there is no break in the diet and I continue everything just incase appeal is denied.  I'm half way through it.. I'm not sure if it would be worth the fight right now - my last appointment is June 22. then from there thew would submit. I'm just worried because I really want this.. I'm tired of being unhealthy and in pain all the time.

(to answer your question my bmi is around 46-47... I'm 5'9 and 320/325)

 

RNY - August 13, 2010

LBL - October 29, 2012

 a total of 271 lbs lost!!

larra
on 4/10/10 3:49 am - bay area, CA
As far as I know, if you were to continue with your 6 months diet without interruption, and your appeal fails, you should still get credit for the 6 months. Of course, it's always best to make sure everything is documented. I've seen lots of posts by people who did everything exactly as required by their insurers but the doc (or nutritionist, depending on requirements) didn't document something, and the insurer wouldn't accept it.
    Even though you're half way through, you expressed concern that, if you didn't lose weight (or enough to satisfy the insurer, whatever that means) you would not be approved even though you had spent the 6 months trying your best. I have no idea whether or not that would happen to you, but if it did, you would not be as close to completing the requirement as you seem to be. That was part of my concern for you.

Larra
kipz303
on 4/10/10 4:15 am
Ahh no worries about the documentation - my surgeon has me documenting everything I eat and drink..every single day as well as exercize log. - I think I'm god on the documentation =D

 

RNY - August 13, 2010

LBL - October 29, 2012

 a total of 271 lbs lost!!

ahill4455
on 4/9/10 8:56 am
I just took a class today and ask the same question.   I eat 1200 and 1500 calories and work out 4 to 5 days a week.   I lost this week but not a lot.  I ask the instructor why because I should be pulling 3 pounds a week according to her math.   She told me to check my sodium because it could make you retain water.  So check your sodium.
  HW :364 
  SW: 328.5
  CW: 219.8
  GW: 185

Pre Op:  35.5 lbs lost
Month 1: 30 lbs lost
Month 2: 12 lbs lost
Month 3: 12.7 lbs lost
Month 4: 13.4lbs lost
Month 5: 6.2 lbs lost
Month 6: 8.2 lbs lost
Month 7: 7 lbs lost
Month 8: 7 lbs lost
Month 9: 3.4 lbs lost
Month 10: 4.2 lbs lost
Month 11: 0 lost
Month 12: 4.6 lbs lost
      
cabin111
on 4/9/10 9:27 am
If you are not cheating with the carbs and sugar...The below may help.
Disregard if you have seen this before.  But for you new people who hit a stall for several weeks and feel frustrated that the scale is not moving the copy and paste below may help you...Brian
Below is a copy and paste from DX...very knowledgeable man.  He had said after WLS it is like decending stairs...

Still staying on-track calorie-wise? And the scale shows you stopping? Or Even Gaining?!?!? ----------------------------Re-Post Unsolicited advice/info… -------------------------------------- Pull back from your ‘daily’ charting, and look at a weekly or even monthly. There are up and down spikes each day, But if you ‘graph’ the highest to the lowest, I’d bet there is still A downward slope over the course of the month. There’s an 8 to 10lb. volume of "wiggle room" due to water alone. And it comes into play a lot. This has to do with our bodies using glycogen for short term energy storage. Glycogen is not very soluble, But it is stored in our muscles for quick energy – One pound of glycogen requires 4 lbs of water to keep it soluble, And the average glycogen storage capacity is about 2 lbs. So, when you are not getting in enough food, (Like when you drop down to your calorie intake) Your body turns first to stored glycogen, Which is easy to break down for energy. And when you use up 2 lbs of glycogen, You also lose 8 lbs of water that was used to store it Voila -- the "easy" 10 lbs that most people lose in the first week of any diet. As you stay in caloric deficit, however, Your body starts to ‘realize’ that this is not a short term problem. You start mobilizing fat from your adipose tissue And burning fat for energy. But your body also ‘realizes’---- (by way of your liver releasing hormones signaling low Cal intake) ---That fat can't be used for short bursts of energy – Like, to outrun a saber-tooth tiger. So, it starts converting some of the fat into glycogen, And rebuilding the glycogen stores. And as it puts back the 2 lbs of glycogen into the muscle, 8 lbs of water has to be stored with it to keep it soluble. So, even though you might still be LOSING energy content to your body, (Thus showing negative Calorie load overall) Your weight will not go down or you might even GAIN for a while As you retain water to dissolve the glycogen that is being reformed and stored. Yes? The whole ‘weight-loss’ process is not a straight "Slide" down the scale. More like "Stair-Steps," (Down then forward, then down, then forward, etc... As your body cycles fat out of "deep storage" and through the Liver Into the muscles as Glycogen. The muscles and Liver can hold about a 3 weeks supply. This is why many people find that their "Stall" or "Plateau" Breaks when adding a bit of exercise And upping their water intake, or in the case of an "extreme exerciser," The total Calorie or Protein Intake, To signal the liver to let go of more Glycogen. Fear not, many people who are now enjoying life at a normal BMI Once had a few weeks or so of thinking- "...my weight loss has been awfully slow, has it stopped..."? Hope this helps some. You are doing Great! Keep it Up! Best Wishes-Mike Wazowski Dx

kipz303
on 4/10/10 2:40 am
Thanks for all the replies guys.. Looks like I'm gonna be doing a "recheck" this week to check my sodium and my sugars compared to my water!! ...

So if I'm understanding correctly...the more water you drink and the more you move around..the more glycogen gets used up?

 

RNY - August 13, 2010

LBL - October 29, 2012

 a total of 271 lbs lost!!

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