JUST WONDERING

Thanks alot for replying.  You know it is like my surgeon and nut are just too busy to answer any of my e-mails now.  My surgeon says that he is going through alot right now, I'm not sure what that is but are they jus absoultely too busy to responsond to an e-mail.  I am just fortunate enough where I am not gaining weight, just not loosing.  My typical day of eating is a piece of wheat toast for breakfast along with an 8oz glass of skimm milt and maybe some strawberries.  For lunch a small cheff salad and for dinner 6 small shrimp with 3 crackers and yougart for snack.  I exercise alot just don't have an appetite for food.  I really don't know what way I should be going since my nut won't answer my calls.  I even e-mailed her my journal from fitday.com and she have not responded.  I may consider the revision at this point I'm just not sure.  Thanks for your concern and keep in touch.

Hmmm. Sounds like you're well within the calorie ratio for RNY (people usually talk about an absolute max of 1200 calories daily). However, your diet is very low in protein. If you were to change what you're eating to aim for 60-70 grams of protein, from low fat protein sources, each day, it *might* make some difference in your weight loss.  I remain suspicious that you might have that super-efficient metabolism, though. What kind of vitamin and supplement regimen are you on?

I know several others suggested checking your thyroid.  As someone whose been hypothyroid for 26 years, let me tell you....doctors don't always diagnose low thyroid correctly.  They draw blood, send it off to the lab and - typically - only test for TSH (thyroid stimulating hormone).  If that value is between the standard lab values for "normal" (.05 - 5.0) then they will declare you "normal" and tell you to eat less - even if your values are on the high end of normal.  But - the American Association of Clinical Endocrinologists recommended changing the TSH normal range to .03-3.0  several years ago.   I would estimate that about 95% of labs have not changed their normal range at all.   All the ones I've been sent to have not. I would suggest that you ask your doctor for the actual lab values.  If your TSH is over 3.0 you are actually over the AACE recommended range for normal BUT your doctor will declare your thyroid levels as "fine" if they are anywhere under 5.0 (even if it's something like 4.8 or 4.9).  Whenever I have found myself in that particular predicament it has been very difficult for me to keep from gaining weight, much less losing it.   And, TSH is not all that should be tested.  There's the freeT4 - that checks for the storage level of thyroid circulating through your system - which can be within normal ranges - but your body's ability to convert the T4 to T3 (the active hormone) can be affected by different medicines you may be taking or other hormones, such as birth control pills or estrogen replacement.   If you can't get a doctor to test your TSH and freeT4 - and your free T3 should be tested as well, (but most doctors won't do it because they think it's unnecessary) - you can order a test for all three of these yourself at www.healthcheckusa.com   Last time I used it it cost $80 for a full thyroid panel.

I agree whole-heartedly that many hypothyroid patients are not diagnosed properly. I would suggest that you go see and Endocrinologist who specializes in bariatric or diabetic patients - or go with the home test kit mentioned above.  I haven't been dx w/hypothyroid yet and am still waiting to get my RNY, but my new PCP is running a full panel on me because my last TSH was 2.7 and I can't lose weight even though I've restricted my calories to 900. She also said that 0.5 to 5 is only "normal" if you don't have any symptoms. But if you do have symptoms, 0.2 to 2 is "normal".  Symtpoms commonly are: Fatigue Weakness Weight gain or increased difficulty losing weight Coarse, dry hair Dry, rough pale skin Hair loss Cold intolerance (can't tolerate the cold like those around you) Muscle cramps and frequent muscle aches Constipation Depression Irritability Memory loss Abnormal menstrual cycles (women) Decreased libido   More info on Endocrine Web: http://www.endocrineweb.com/hypo1.html You may also have an imbalance in your sex hormones. While they may all be in "normal" range, they might not be balanced (like one at the very bottom of the band and another at the very top).

I agree with the previous posters regarding frequency of eating; twice a day is NOT enough!!!  Your body will think it is STARVING and hold onto every last freakin' ounce.  Eat 4 to 6 times a day - SOMETHING.  It would be best if that something had some protein in it.  It does not have to be a huge meal; maybe half a banana and some natural (sugar free) peanut butter; turkey and cheese roll-up, just get SOMETHING in every 3 hours or so. 

This is from my surgeon's nutritionist. Good Luck!!!  I plateau frequently as well, but when I look at the overall picture I am still losing and happy.