hi everyone
Jennifer
on 9/9/08 8:58 am - San Antonio, TX
My doctor has a multi-step discipline in his approach to weight loss with this surgery. There's surgery education, psychological evaluation and counselling if needed, nutritional education, and 5 years of follow up. He also advocates excersize. He told me because of my high BMI that I needed to be in the gym 5 days a week and I've been there since 3 weeks post-op.
I follow the rules that my surgeon set out for me. I do have an occasional bite of cookie or a hershey's kiss now and then. My daily diet is comprised of 40% protein, 35% carbs and 25% fat. My nut has set for me 1,000 calories a day and I'm usually in that range by 50-80 calories.
I don't drink within 30 minutes before or after eating still. I don't graze (most of the time) but my biggest advice to you would be to incorporate exercise into your program.
There is always going to be a big discussion regarding RNY vs. DS. I highly recommend that you do your research and make the best decision for you. The success of the surgery really depends upon you and your commitment. There are failures with both surgeries.
I have about 300 pounds to lose - and my surgery center said that I should expect to maintain a weight loss of abour 60% of my excess weight. I've heard that RNY patients lose between 70-80% and then regain and maintain a weight loss of about 60%. That would put me at a weight of about 260 when all is said and done and that would be a significant improvement for me (although I would like to see it be more).
I have a very flexible food plan and I follow it quite closely. I make a point of not prohibiting any food from my diet. Personally, I am very against the "diet" mentality - diets did not work for me and I refuse to be on one now. I think about the foods that I choose to eat and I try to make the healthiest choices for myself most of the time while recognizing that I am a human being that has to live this way for the rest of my life and deserve to have "treats" from time to time. That said, I am at a stage in my weight loss journey where very little tastes good to me and my pouch still provides a lot of restriction. I have not tried concentrated sugar yet because I made a commitment to wait until I was about 5 months post-op to find out about that. So my food choices now are good - I may need to modify my choices as time progresses.
I could absolutely benefit from more exercise - but this too, as I progress, gets a lot easier. I am much more active than I was, but I will need to formalize my exercise program significantly soon.
Good luck to you on your journey - the choice of what surgery to have is a very personal one and everyone has their different reasons. Continue to discuss your options with your Dr. and you'll feel comfortable with the decision that you make.
Your surgery will only be what you make of it~ It's still about learning to eat correctly and staying in control but the WLS just levels the playing field. I mean it's hard to exercise when you weigh a bajillion pounds! Losing weight rapidly takes away alot of your energy but exercising (even though it's hard and sucks and you won't want to at 1st) will raise your metabolisim and make you burn more even when you are not exercising. It's an important part of the process. I'm so glad that you are on an eating program pre op...It will make the transition so much better post. I followed a post GB foods diet for 10 months pre op to get some weight off (I had to, to qualify) and I think it made it easier for me after. Wasn't such a shock. Now I just eat real small portions of the same foods that I was eating in my practice run...lol
SOme wonderful things are happening to me now that I have lost about 140 lbs. I tried on a 3x dress last weekend and it fit! I used to not be able to fit into ANY clothes from any store. I had to order from the LB catalog. (I was a 5 or 6X) I was so happy! I really didn't think that it would fit! That was a WOW moment for me.
So many cool things are about to happen in you're life. It's such a new outlook...It's wonderful. :)
I am almost 5 months our from lap RNY. I have lost about 92 # in that time. I have worked hard for it too. I have exercised 3-4x a week, and followed the diet instructions given to me. I have given up pop. I have not had any bread, I do eat flat out bread and pita. I try to get my 80gm of protein in a day. It is a struggle sometimes, but I really do try. I get my 75-100 oz of water in each day.
I need to lose about 80 more pounds. I started out at 344#, and hope to make it to 170#. I will re-evaluate at that point to see if I need to loose more. I really think this goal is attainable if I keep at my diet and exercise. I am slowly introducing new foods to my diet now, like soft fruit, and more soft veggies. I truly am happy that I had my RNY.
I know that the DS'ers out there will say the will loose more wt, but I really think it is an individual thing. Both DS and RNY can be successful. You need to research both, and decide which surgery is better for you.
Hope this helps.. Good luck with your insurance stuff. If you have any other specific questions, feel free to let me know.
Caroline