Annual Checkup
I had my annual checkup with Dr. Nishimura yesterday afternoon. He said I looked great and was happy with my progress. My blood work showed mostly good things although I’m low on Vitamin D and my Hemoglobin level is borderline low.
I asked him about weight regain. We had a very lengthy conversation about this topic. I asked him if the sleeve can stretch he said that there is a 1% chance yet all Weight loss surgery, regardless of type, there is a 20% chance of regain. He said it really depends on your mindset. If you use your tool the right way and take advantage of the Honeymoon period getting into good habits such as diet and exercise that prepares you for the long run if your sleeve were to dilate or not you would be in a very good position to be successful. It all comes down to your mind set.
He said that many people come in to his office with the wrong mindset and try to deceive by not telling him what they really are doing. They eat and drink the wrong things and they don’t exercise. He said they are not deceiving him they are only deceiving themselves. He said by looking at me he can tell that I have the right mindset and will be successful. He said that I can be the poster child for the practice.
Having the right mindset means that you are not only able to notice when you fall off the wagon but you do something about it. He said it tends to happen, many things in life can cause you to regain, it’s just a part of living. When you get to that point, going back to the basics such as diet and exercise as well as attending support groups will help you get back on track. This becomes easier if you developed the right mindset during your honeymoon period. He said I’m at the point where I don’t need to go to support groups on a monthly basis but I told him I really enjoy them. He said that was fine.
So then I asked him the million dollar question. Do I need to lose any more weight? His response was how do you feel? I said great. He said do you have more energy? I said yes, I’m able to do things that I never felt comfortable doing before. I told him I went skiing and snowboarding last week. He said, you really get this. This is what it’s all about, using your tool to take control of your life. He said I’m at the point where the weight loss will slow down and plateau. I told him that I’ve been trading the same two pounds for a month and a half and then all of a sudden I lost two pounds this morning. He then surprised me. He said that I don’t need to lose any more but my body is deceiving he said that my face and upper body lost the most of the fat but I could lose a little more in my thighs. He said as long as I don’t go below the normal BMI I could continue to lose more weight. He said my body will know when to stop.
He said I should come back in six months for a follow-up.
Then I had my appointment with my primary doctor. Dr. Frank was also pleased with my results. He was very happy with my cholesterol it was 179. My only problem is my blood pressure. I’m still on my meds and it was 150/80. He said that many skinny Americans have high blood pressure he then elaborated especially African Americans. He said I should remain on the meds. I go back to see him in two months for BP check.
So overall I seem to be doing very well.
Highest Weight: 380 Consult Weight: 357 Surgery Weight: 309
Goal Weight: 220 (9/29/10) Revised Goal Range 215-220 Current Weight: 224
Plastics: Circumferential Lower Body Lift - 11/18/2011
Gynecomastia - 6/14/2012
You keep these FARTS up and there ain't going to be much left of the "Big Apple"!
The high BP could be pure genetics that you'll have to contend with. I may be lighter and healthier than I used to be but other than my cholesterol drug I still have to take all of what I was taking pre RNY and counting the supplements I'm taking more!
Never, and I mean NEVER, trust a fart!!