Does the Patient Fail the Procedure...?

Even if they do sabotage their surgery by resuming improper eating habits, for the most part THAT IS NOT THEIR FAULT. It is the surgery that failed them when the hunger hormones in their stomach won't stop when the satiety hormones in their intestines no longer allow them to feel full.

THAT is reality. And it DOES suck.

Especially when everyone and their brother is pointing their fingers at the person instead of at the WLS where the blame belongs.

"As mentioned, obesity occurs when there is any breakdown in the negative feedback system that controls energy balance.  Human energy intake is mainly controlled by hormonal factors   There are several key hormones that control hungry, satiety, as well as early energy and long term energy requirements.  Ghrelin which is produced primarily in the stomach is considered the hunger hormone.  PYY which is produced mainly in the intestine is considered the satiety or fullness hormone.  Insulin is the short term energy hormone and it works along with GLP.  Leptin is the long term energy hormone and is mainly produced in fat cells.  But even this is relatively simplistic and leptin and insulin actually complete sometimes for binding in the hypothalamus of the brain.  As a result a lot of patients who are insulin resistant also have excess leptin but leptin cant tell the brain that you already have too much fat tissue.  So there is a breakdown in that regulation.  As opposed to the input for energy intake which is mainly hormonal, the output is mainly through the nervous system.  When the body wants to conserve energy it increases the tone of the parasympathetic system, reducing the heart rate and the metabolic rate.  And this is what occurs when people try to reduce their caloric intake.  When the body wants to produce more energy it activates the sympathetic system.  The bottom line is that energy balance is a rather complex process and a deficit anywhere either in the input or the output or the afferent or efferent system or as well as in the brain or central nervous system and the hypothalamus can cause obesity because of the energy imbalance.  "

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Yup, they sure do fail the Pt.  Funny how people's opinions change after they stop losing weight or develop serious side effects from their particular surgery.  The blamers are the first ones to start whining when they stop losing weight or develop symptoms that they they denied existed unless you weren't "following the rules."

If you have to eat bird food to succeed with WLS that is a failure of the surgery.  Right now my surgery works like it was intended.  I eat a normal mostly healthy diet that consists of real food, not protein shakes or bars.  If I get to crazy with refined carbs, I don't lose weight, that is a given for all surgeries.

I get so sick of food Nazis who lecture others on their choices.  Food is to be enjoyed.  I refuse to let it control me to the point where I am obsessed with every bite I put in my mouth. 

You won't find me *****ing about  not losing weight or gaining a few lbs.  I take responsibility for my choices.  That being said, I don't think people should have to go hungry to lose or maintain.  That is the surgery failing.

Thank you for this post, Phyllis - I will NEVER understand people that are still swapping food for those ******g disgusting protein shakes at years out of surgery - what is wrong with them?  

An RNY newbie posted yesterday that her protein shakes were "for life".  In what universe is this normal?   I can easily eat 100-120g of protein a day - no problem - so unless I am on some sort of Slim Fast or Cambridge type diet, why would I swap a scrumptious bit of rotisserie chicken for a minging protein shake or bar????

That's okay. I don't understand why people think that the way life is for them is the way it is for everyone else and anyone who makes different choices obviously is a moron.

Has it ever occurred to you that maybe not everyone thinks protein bars and shakes are disgusting? Has it occurred to you that not everyone can get in enough protein without using shakes? Has it occurred to you that some people need way more protein than 100-120 g in a day?

Apparently not. Apparently anyone who does it differently than you has something "wrong" with them.

And don't get me started on those disgusting rotisserie chickens. You do realize supermarkets make them out of the chickens that are old enough that they are on the verge of going bad, don't you?? I call them Bacteria on a Spit.

I would like you to point out where in my post or any other post I have ever made where I have called anyone a moron? This is like deja vu ... Only when I asked this question last time, she blocked me LOL (I assume this is why you have quoted me?)

I have my opinions and you have yours ... I might not understand your choices, but they and your expressing them certainly doesn't rile me up the way mine seem to do so to you!

You continue to suck down your shakes for years and I'l continue to eat my bacteria on a spit and we're all happy ...

 I eat that chicken all the time and every day I have a nectar natural protein drink. (it's not really a shake, IMO, because you don't mix it with milk.

it's all good - I never eat stuff I don't like.

You know, when I typed that I thought to myself "she's going to glob onto that one word and point out it was never used." But I left it in anyway because I think saying things like "what is wrong with them?" and all the rest of the tone of your post clearly implies you think people who consume protein shakes and bars when they could be eating "real" food are morons.

I suggest you go back and read your post and substitute "protein shake" for something you like to eat and see if you now understand why your post could annoy the heck out of someone who likes protein shakes and is happy to drink them regularly.

And I quoted it because OH forum software is buggy and I didn't think it would be clear who I was responded to.

 I eat those chickens and don't seem to have a problem - never any GI upset.

 I try to cook my own only because I want to use free range chickens but it's not even half the time right now. they are easy and they taste good!

Well I eat them at potlucks. But I still think they are gross.  More so once someone who worked at a grocery store making them told me about them. (Trust me, you don't want to know.) But even before then I found them too greasy.

I just get tired of people telling me there is something wrong with me because I drink protein shakes. I like them. They work for me. So those people can just **** off.