BMI is 75

Hello Group

New to the group just had a few questions maybe someone can help me with. My current weight is 460 lb and I was told that before I can have the surgery I would need to lose at least 50 lbs. Has anyone had the gastric sleeve surgery at my current weight? I'm not opposed to trying to lose the weight but having to lose 50 lb if it was that easy I don't believe that I would be wanting to have the surgery. I'm not an overeater I don't have a food addiction I've just been a fat kid all my life my family is full of obese people I really do feel like we have the fat Gene curse. Like I said at the beginning I'm not saying that I will not try to lose the weight.

Thanks everyone

Aisha

Good for you for making the decision to have surgery. It's not a magic bullet, but it's a very useful tool and it's not an easy decision to make.

Please know that I'm not trying to be rude, but you didn't get to 460 lbs by magic. You should absolutely be able to lose 50 lbs before surgery. To maintain your current weight, you are taking in probably around 4000-4500 calories a day. That is a lot of calories. You don't have to drop down to an extreme low, but work with your program to put together a sensible plan to help you achieve your goal. Start looking at what you eat and even drink--liquids have a lot of calories that people aren't aware of. Even if you cut 1000 calories from your daily diet, that's going to put you on track for 2 lbs down a week, and that's still 3000 calories a day.

Get in the mindset of filling up on lean protein first, low-carb veggies and limiting carbs--you'll need to do that after surgery in order to be as successful as you can--and I bet you'll see the scale start to go down.

It'll be hard, but you can do it. You've already made one big decision, now you need to make a bunch of smaller ones to get you on the right road. Come to us for support or to vent. Check out the daily menu threads--there are a lot of great ideas in there.

Believe in yourself!

Jen

Thanks for your advice I understand that people may think that everyone eats a lot of calories per day but that is not my lifestyle. I understand that obesity for the most part is what is classified self-induce because of what we consume in our bodies. However there are a few of us that unfortunately we have metabolically going on that doesn't necessarily explain our weight gain. I went to several doctors I do not have any health concerns like diabetes thyroid and etcetera. I do however have polycystic ovaries and which I was diagnosed with at the age of 16. As far as my family history on my father's side there are morbidly obese people. I wanted to do a clinical trial on the actual Gene that they have identified as the fat Gene however I never received a phone call back from the University of Pennsylvania. That is my story in a nutshell thank you everyone for your help and advice and support.

Are you weighing and tracking every thing you put into your mouth with something like MyFitnessPal? If so, show us a week of what your eating looks like please. If not, that's the best place to start - measure and log every single thing that goes into your mouth.

The heavier you are, the more dangerous it is to undergo anesthesia and surgery. It may be difficult to lose 50lb, but it will likely make bariatric surgery much safer.

I'd like to express gentle skepticism that you are "not an overeater." To maintain a weight of 460lb, you likely need to eat over 4,000 calories per day. By definition, that requires overeating.

It is absolutely possible to lose weight before having surgery. Start by logging what you eat each day-- MyFitnessPal.com is a great tool for that-- and start cutting back what you're currently eating. If you can stay under 2000 calories per day at your current weight, you should be able to lose a bit. Bonus points if you can get moving a little bit. You can do it!

I work a hundred hours a week I don't have time to eat 4000 calories a day. Some days I'm lucky to have at least one meal which is dinner. I have polycystic ovary disease and which I was diagnosed at 16 years old in high school or weight was about 210 and then my weight balloon to 400 pounds in The Last 5 Years it's been steady between 450 to 460. However thanks for your advice.

Good luck to you!

Jen

Even with PCOS or metabolic problems, your body will certainly require more than 2000 calories to maintain your current weight. That's science.

I would strongly encourage you to log what you're currently eating and use that as a starting point. Log for a week, and be completely honest, and see where your calories end up. Cut back by 500 calories per day and you will lose a pound per week.

My mother swears she doesn't over eat. Yet she is more than 200lbs overweight. True some days she doesn't eat hardly anything...but when she does..she really makes up for the days she doesn't eat. You aren't some medical anomaly. Because if you were..you would probably have your own special on TLC. It's true polycystic ovarian syndrome can make it very hard to lose weight and increase your appetite..but there is plenty of women who have it and are thin. Truthfully if you are in this much denial about how much you eat I don't think weight loss surgery is an option right now. If you some how manage to find a doctor that will do the surgery without any weight loss first or nutritional classes (and a plethora of other tests and clearances you will need done) you can Seriously hurt yourself after surgery.

If it's not the amount you are eating, it's what you are eating. I guarantee you are not 460lbs from eating one or two salads a day.

WLS will do nothing for you if you are eating perfectly already. Success requires a complete lifestyle change, but you don't sound like you are anywhere near ready.

If you decide to get honest with yourself, log EVERYTHING that passes your lips into MyFitnessPal. Every bit of food and drink. I'll guarantee you are eating more than 1200 calories per day!