X-post Why Bariatric Surgery can fail Part II
Very interesting, thanks for posting. I read back through several of his entries, and really liked the one about why bariatric surgery works but diet alone most often does not. I'd never read anything about there being two systems--satiety and reward, and this makes a lot of sense to me. Reward is the head hunger. WLS has satiety solidly on the mat, but may not address the need for rewards. He talks about Atkins being the only diet system that includes rewards--frequently low-carb dark chocolate. Anyway, he talks about how as a non-surgical dieter loses weight, their metabolism (calorie burning) slows, and hunger goes up. And this is a "forever" struggle that just gets harder as you lose weight. No wonder 97% of people cannot keep it up. I think it's a good article for anyone who has family harping on them that they just haven't tried hard enough to lose weight without surgery.
http://www.drsharma.ca/2011/05/page/2?cat=6
http://www.drsharma.ca/2011/05/page/2?cat=6
On May 31, 2011 at 8:31 PM Pacific Time, Jenny C. wrote:
Very interesting, thanks for posting. I read back through several of his entries, and really liked the one about why bariatric surgery works but diet alone most often does not. I'd never read anything about there being two systems--satiety and reward, and this makes a lot of sense to me. Reward is the head hunger. WLS has satiety solidly on the mat, but may not address the need for rewards. He talks about Atkins being the only diet system that includes rewards--frequently low-carb dark chocolate. Anyway, he talks about how as a non-surgical dieter loses weight, their metabolism (calorie burning) slows, and hunger goes up. And this is a "forever" struggle that just gets harder as you lose weight. No wonder 97% of people cannot keep it up. I think it's a good article for anyone who has family harping on them that they just haven't tried hard enough to lose weight without surgery.http://www.drsharma.ca/2011/05/page/2?cat=6
As painful as it was for me to read this article, I found it to ring true to me. I am 9 months post op and have lost about 40 pounds.
Before I am blazed about exercise, carbs, etc., let me say that I have followed the rules just like everyone else on the board. My body simply is not responding to the surgery.
My restriction is still very good. It was super tight in the beginning. I lost weight at a good rate for about the first 5 weeks, then it slowed to a creeping crawl.
I lost very very slowly for the next 12 weeks, even though I was going to the gym 5/6 days a week, working with a personal trainer and eating/drinking as recommended.
After that 12 weeks, I stalled. It has been 5 months and I weigh only a few pounds less than I weighed at 4 months out.
I read a post by Old Medic and it broke my heart. He was emphatic with what he said (link to post below) He said everyon cheats sometimes...no big deal. Then he wrote "Other than that, relax. This is as close to a screw-up proof method of losing weight as you can get. Just stick as closely as you can to the basics, don't worry all the time, and you WILL peel off that weight.
That statement broke my heart. I have stuck to the diet 95 -98 % of the time, with little to no results.
http://www.obesityhelp.com/forums/VSG/4392005/Are-you-lookin g-to-fail/#36302876
This has been emotional devasting to me. Everyone is astounded that I haven't lost the amount of weight I expected. I am astounded. I have sought support everywhere I can find it.
I am still fat! I have little hope of making it to goal...ever!
With that knowledge, it is increasingly difficult to visit the board.
I know many of you are thinking....Lurknomore is crazy. I lose wight without even trying. She/he has to be cheating all the time. I remember when I ate (fill in the blank) and I lost x amount of pounds.
I am here to tell you....YOU are wrong if you are thinking like that. I suspect there are others out there that have had the same issues as me. Most are afraid to post about it. I have been afraid too.
I didn't do anything wrong....but my body and the surgery failed me.
You want to know thw worst part. I had no co-morbidities and I was self pay. NOW, I can say I do have increased energy. I feel better then pre-surgery, but I am not happy with the amount of weight I have lost.
The emotional distress is the same for me as it was pre-surgery. I wake up everyday wondering what I need to do today to lose weight....when the HARSE reality for ME is.....IT MAKES NO DIFFERENCE WHAT I DO, I AM NOT LOSING WEIGHT!!!!!
It's like a life sentence of being fat. This must be how an innocent man feels when he is found guilty of a crime and sentenced to life in prison without parole. He knows he is innocent, but no one believed/beieves him. Yet, he has to serve the sentence, with no hope of ever being free.
I have been sentenced to a life trapped in a body that will not allow me to lose weight. I sware, my body could live on air if it wasn't for getting hungry. Oh yeah...I was one of the lucky ones that never lost my appetite.
Sad and depressing as it is...that is my reality. So Yeah! It can fail.
Bt the way...I had the sleeve with the reknown Dr. Alvarez.
Before I am blazed about exercise, carbs, etc., let me say that I have followed the rules just like everyone else on the board. My body simply is not responding to the surgery.
My restriction is still very good. It was super tight in the beginning. I lost weight at a good rate for about the first 5 weeks, then it slowed to a creeping crawl.
I lost very very slowly for the next 12 weeks, even though I was going to the gym 5/6 days a week, working with a personal trainer and eating/drinking as recommended.
After that 12 weeks, I stalled. It has been 5 months and I weigh only a few pounds less than I weighed at 4 months out.
I read a post by Old Medic and it broke my heart. He was emphatic with what he said (link to post below) He said everyon cheats sometimes...no big deal. Then he wrote "Other than that, relax. This is as close to a screw-up proof method of losing weight as you can get. Just stick as closely as you can to the basics, don't worry all the time, and you WILL peel off that weight.
That statement broke my heart. I have stuck to the diet 95 -98 % of the time, with little to no results.
http://www.obesityhelp.com/forums/VSG/4392005/Are-you-lookin g-to-fail/#36302876
This has been emotional devasting to me. Everyone is astounded that I haven't lost the amount of weight I expected. I am astounded. I have sought support everywhere I can find it.
I am still fat! I have little hope of making it to goal...ever!
With that knowledge, it is increasingly difficult to visit the board.
I know many of you are thinking....Lurknomore is crazy. I lose wight without even trying. She/he has to be cheating all the time. I remember when I ate (fill in the blank) and I lost x amount of pounds.
I am here to tell you....YOU are wrong if you are thinking like that. I suspect there are others out there that have had the same issues as me. Most are afraid to post about it. I have been afraid too.
I didn't do anything wrong....but my body and the surgery failed me.
You want to know thw worst part. I had no co-morbidities and I was self pay. NOW, I can say I do have increased energy. I feel better then pre-surgery, but I am not happy with the amount of weight I have lost.
The emotional distress is the same for me as it was pre-surgery. I wake up everyday wondering what I need to do today to lose weight....when the HARSE reality for ME is.....IT MAKES NO DIFFERENCE WHAT I DO, I AM NOT LOSING WEIGHT!!!!!
It's like a life sentence of being fat. This must be how an innocent man feels when he is found guilty of a crime and sentenced to life in prison without parole. He knows he is innocent, but no one believed/beieves him. Yet, he has to serve the sentence, with no hope of ever being free.
I have been sentenced to a life trapped in a body that will not allow me to lose weight. I sware, my body could live on air if it wasn't for getting hungry. Oh yeah...I was one of the lucky ones that never lost my appetite.
Sad and depressing as it is...that is my reality. So Yeah! It can fail.
Bt the way...I had the sleeve with the reknown Dr. Alvarez.
I am so sorry! Your pain and disappointment comes across clearly.
Pardon me for adding my two cents but maybe there are some other factors at work like hormonal/thyroid issues. I would be looking for an endocrinologist who specializes in this sort of issue.
I am beginning to realize that my body loses weight at 800-1000 calories. Any more than that and I stall out. If I eat 1500, I gain a couple of pounds. That just doesn't make mathematical sense. And it is just not fair! I get my hour's worth of exercise in 4-5 times a week and that helps, otherwise I wouldn't have lost what I did. I am beginning to think there is some truth in that some people are just genetically predestined to be fat. Anyone else have any theories?
I am happy to have lost what I did and thrilled that I threw away my cane a year ago and now can walk a mile and not get out of breath. Most of my exercise is in the water because that's what I like to do and is best for my joints. I am still carrying a lot of weight for a barely 5', 60 year old woman. And I still work on losing everyday. Maybe for me (maybe you too), I just need more time.
Pardon me for adding my two cents but maybe there are some other factors at work like hormonal/thyroid issues. I would be looking for an endocrinologist who specializes in this sort of issue.
I am beginning to realize that my body loses weight at 800-1000 calories. Any more than that and I stall out. If I eat 1500, I gain a couple of pounds. That just doesn't make mathematical sense. And it is just not fair! I get my hour's worth of exercise in 4-5 times a week and that helps, otherwise I wouldn't have lost what I did. I am beginning to think there is some truth in that some people are just genetically predestined to be fat. Anyone else have any theories?
I am happy to have lost what I did and thrilled that I threw away my cane a year ago and now can walk a mile and not get out of breath. Most of my exercise is in the water because that's what I like to do and is best for my joints. I am still carrying a lot of weight for a barely 5', 60 year old woman. And I still work on losing everyday. Maybe for me (maybe you too), I just need more time.
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