Target Weight
LisaMarie
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Realistically 50% of excess is a success so how much to and ideal wt, that is amount that is excess, take 1/2 that is realistic and expected and a succesful surgery, when you get there rejoince anything else is a bonus!!!!
Truly set non scale goals and have an easier time iMHO!
Jamie
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Jamie Ellis RN MS NPP
100cm proximal Lap RNY 10/9/02 Dr. Singh Albany, NY
320(preop)/163(lowest)/185(current) 5'9'' (lost 45# before surgery)
Plastics 6/9/04 & 11/11/2005 Dr. King www.albanyplasticsurgeons.com
http://www.obesityhelp.com/member/jamiecatlady5/
"Being happy doesn't mean everything's perfect, it just means you've decided to see beyond the imperfections!"
Maybe this will explain things better......
REALISTIC EXPECTATIONS
WHERE IT ALL STARTS!
The surgical community considers anyone a success when they have lost 50% of their excess weight. Right here we have a problem. MANY approach this surgery expecting to lose 100% of our excess weight. And if we don’t, then we consider ourselves failures even though our surgeon is adding our name to their success column.
The first month or two after the surgery makes matters worse. You are losing 20 pounds +/- a month and believing that this will go on forever. I know I had my calculator out and was trying to figure out how long it would be before I hit my goal (excess pounds divided by 20). But life isn’t like that for most of us. We hit plateaus. We come to the end of our widow of opportunity before we reach our goal and we stop losing. Or we stop losing and regain some of our weight.
Why do surgeons consider 50% as a success? It is because there is no other method that you could use that would result in that much weight loss on a permanent basis (think 5, 10, 15 years). Remember back to your old diet days? Yes, you lost weight, but regained it plus additional weight. The best you can attain with dieting is a 5% weight loss.
Before surgery, have your eyes wide open. Although most people lose 70% to 80% of their excess weight, you may lose only 50%. Figure out what 50% is, and be sure to rejoice when you hit that mark. ANYTHING ELSE IS A BONUS!
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WT LOSS DIFFERENCES
There are so many factors to consider, heights, starting weights, men vs. women, individual metabolisms, age, and most importantly if you have any other medical conditions or are on medications!!! Remember the heavier people are the more they will lose (but the farther away one will be from an ideal bodywt..) and the lighter one is the closer to an ideal bodywt you will get, but the less they will loose overall!
EXAMPLE: After RNY surgery research states most people can/will loose 50-78% of their excess bodywt...lets say both of these "hypothetical" people lose 75% of their excess bodyweight....
- A 400lb person at 5'6'' (a bmi of 64) who has 250# of excess wt (ideal is 150#) will lose 187.5# and weigh 212.5# and have a BMI of 34.5, 1 1/2-2 years after surgery.
- A 300# person of 5'6'' (a bmi of 48) who has 150# of excess bodywt. (ideal also 150#) will loose 112.5# and weigh 187.5# and have a bmi of 30, 1 1/2-2 years after surgery.
NOTE both are still actually obese/overwt not thin by any stretch, but much healthier!
BMI
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Weight Status
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Below 18.5
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Underweight
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18.5 – 24.9
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Normal
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25.0 – 29.9
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Overweight
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30.0 and Above
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Obese
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LETS FIGURE IT OUT!
PREOP WT (highest) _________-CURRENT WEIGHT _________= ________# LOST
IDEAL BODY WEIGHT (SEE CHART http://www.idealbodyweightchart.com/ to get BMI of 25 this would be highest normal wt for your ht) ______________
PREOP WT ___________-IDEAL BODY WT____________=EXCESS WT_________
# POUNDS LOST_________/ (DIVIDED BY) EXCESS WT_______=________x 100= _____% LOST
IF THIS NUMBER IS > 50% you are a SUCCESS!
![](http://images.obesityhelp.com/_shared/images/smiley/msn/wavey.gif)
Jamie Ellis RN MS NPP
100cm proximal Lap RNY 10/9/02 Dr. Singh Albany, NY
320(preop)/163(lowest)/185(current) 5'9'' (lost 45# before surgery)
Plastics 6/9/04 & 11/11/2005 Dr. King www.albanyplasticsurgeons.com
http://www.obesityhelp.com/member/jamiecatlady5/
"Being happy doesn't mean everything's perfect, it just means you've decided to see beyond the imperfections!"