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califsleevin
on 12/30/21 11:52 am - CA
Topic: RE: Calories 5 yrs out/49 year old woman

Your sense about the TDEE (and BMR, basal, or resting, metabolic rate) calculators is correct - you can't trust them. They are good at telling us what our metabolism should be but not what it actually is. Unfortunately our trip through obesity land means that ,our metabolism often isn't what it should be, which is why it is usually so difficult to lose weight. Our WLS should help to correct that to varying degrees, depending upon procedure, technique and individual quirks.

A professional will gauge your metabolism in a couple of different ways. Typically a nutritionist may use a body composition scale, or its analog, a pair of handles that you grip to determine your fat mass, lean mass, etc., from which can be derived a BMR figure, which can be only slightly better than the online calculators, as it still uses mathematical algorithms based upon averages of normal people. There is also a Vox test that can be done where you breath into a device and it determines your metabolic rate from your respiration, but it too, is algorithmically based upon normal people, but is it is more individualized.

The best method that I have come up with to get your individual needs is to track your intake for a couple of months, with MFP or one of the other tracking apps or programs, and take your average daily intake (which hopefully is relatively consistent.) Is your weight stable in that time; gaining, losing? If it's stable then you have a decent ballpark figure for your own total metabolism, and you can work from there. Classically, if you can cut 500 calories per day from that figure, that should lead you to an average loss of about a pound a week, or five pounds per month. If your metabolism is way off, then you may not lose quite that fast, but it gives you a reference point. My metabolism wasn't too bad when I was losing after my VSG, as I was losing around 10 lb per month at about 1100 calories per day as I was nearing goal weight, which works out to my total metabolism being somewhere around 2100. Sure enough, as I ramped things up to go into maintenance, I wound up right in the 2000-2200 calorie range. YMMV, but it does give you a ballpark reference point.

Good luck on bringing it back down,

1st support group/seminar - 8/03 (has it been that long?)  

Wife's DS - 5/05 w Dr. Robert Rabkin   VSG on 5/9/11 by Dr. John Rabkin

 

ejirish
on 12/29/21 1:41 pm
Topic: Calories 5 yrs out/49 year old woman

Just curious if anyone has gotten sound guidance on how many calories are really needed for weight loss? I dont trust the online TEE calculators.. I think they're too high. I'm 49/ woman.. peri meni I think.. and I'm 5 years out sleeve. I have 40 lbs to lose .. I'd love to lose 10 at this point.

If anyone has gotten professional input on this I'd love to hear it.
Thanks!

Dr. Guillermo Alvarez
on 12/28/21 7:24 am
Topic: The #AskDrA Show | Episode 180 | VSG Names, Being Scared Before Surgery & Autoimmune Diseases

Good Morning!

Take a look at the New Episode of The #AskDrA Show.

Check it out here: https://youtu.be/V5Dl0CciesY

Regards

Dr. Alvarez

Dr. Guillermo Alvarez
on 12/21/21 7:14 am
Topic: The #AskDrA Show | Episode 179 | Losing too Much Weight, Lap-band to Sleeve & Our Prices

Good Morning!
Don't forget to check out the new #AskDrA Episode out now!

Watch it here: https://youtu.be/mHViIse_eWA

Regards
Dr. Alvarez

(deactivated member)
on 12/21/21 5:36 am, edited 12/20/21 9:36 pm
Topic: RE: Gaining weight after going to gym?

Going to the gym to lose weight, but the scale shows again? Don't panic! You're not alone - studies show that this happens to many people very often. It even occurred to me, but a couple of things helped me. Best nootropics redditt was the first thing that helped me. After exercise, there are biochemical reactions in the muscle cells that draw in extra water - hence the weight gain. Muscles regenerate in this way, and this is normal.

(deactivated member)
on 12/15/21 12:45 pm
Dr. Guillermo Alvarez
on 12/14/21 7:37 am
Topic: The #AskDrA Show | Episode 178 | Vaping and Surgery, Gallbladder & Boarding a Plane

Good Morning!

Don't forget to check out the new #AskDrA Episode out now on Youtube.

Check it out here: https://youtu.be/gPqDS62cqCg

Regards

Dr. Alvarez

(deactivated member)
on 12/13/21 9:31 pm
Topic: RE: Weight Loss Tracker Graph?

i do not know the exact functionality of weight tracker graph. i also searching on this any body here to help me regarding this

Member Services
on 12/11/21 3:12 pm - Irvine, CA
Topic: A December to Remember Giveaway COMING

We are excited to bring you "A December to Remember Giveaway". Each day, we will post a question and you can enter to win the prizes outlined for that day's question. Your comment is your entry, so please only post one time. The winner will be chosen the next day and announced within the original post. We will notify the winner via private message, so be sure your email address is correct.

We will begin on Monday, December 13th, 2021, and run it through Friday, December 31, 2021. Each day, the question will be posted on the Main Forum and remain at the top. Be sure to check back each day, so you can enter the giveaway.

Thank you,

Member Services.

TheWombat
on 12/10/21 10:49 am
VSG on 06/11/18
Topic: RE: Nausea after surgery

What hollykim said. Call your surgeon, now.

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