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Confused and Frustrated

standaman
on 4/7/10 6:01 am - Wichita, KS
Hello, I just went up to my Dr office to pick up some leave paperwork. I weighed myself since i was there even tho i said i wouldn't till the end of April when i am scheduled for my first fill.  well i gained 3 lbs since my first preop visit on 03/30 i had lost 10 lbs since the surgery, I eat three times per day, drink 52 grams of protein shakes everyday, get about 42oz of water in, take my vitamins and have been walking every other day. Why did I  GAIN?  when i eat its 3/4 of a cup of food...any help for a frustrated Bandster?
        
LillieGracesMom
on 4/7/10 7:02 am
Hi, I had my band installed on 3/4/10 and I will be 5 weeks out tomorrow.  I am officially on regular foods, but I am only allowed (per my nutritionists instructions) to eat 1/2 cup of food at a time.  I have two protein shakes in between meals and drink at least 64 ounces of water a day.  Plus I walk at least 2 - 3 miles EVERY day.  I have lost 37 pounds as of this past Tuesday.  Perhaps you should up your water intake and try to get in a walk everyday.  Plus I heard, depending on the time of day that you weigh your weight could vary by 2 pounds either way.  This is one of the many reasons why I do not own a scale at home and only weigh in at doctor's appt.'s. 
Hope this helps,
Heather
        
Tammy G.
on 4/7/10 12:41 pm - Indian Trail, NC
Hi - and first - congratulations on losing 31 pounds - that's great!!!

Second - I am about 3 months post op and have had some fluctuations also.   Best advise I can give is journal everything you are doing and speak to your nutritionist.      There are so many things to balance to get the right forward progress that it is hard to get what works for one person to work for the next.    I journaled and spoke to my nutritionist and she helped me recognize that while I wasn't getting enough calories in I had too many fat calories and too much sodium.    In your journal track protein, fat calories, sodium to start with then see what changes the nutritionist might suggest .. it really helped me out alot.

Good Luck.
            
dtb55
on 4/8/10 5:43 am
I had my surgery on 1/21/10 and am down 14 pounds since the surgery, but its been through hard work on my part, dieting and exercise. I honestly don't think the band has helped me at all. I don't feel any restriction, although I've only had one fill (3 cc's), so maybe I'm being impatient. I plan to keep plodding on though.

Denise
rich_in_nfpa
on 4/8/10 12:33 pm - New Freedom, PA
Denise, I know exactly what you mean. I'm feeling the same way. I've had one fill (4 cc's) and feel absolutely no restriction at all. Most days I'm able to keep my eating under control but that's through will power rather than the band. Some days, though (like today), I'm not able to keep a lid on it. I seem to be able to eat anything, any quantity, take any size pill, etc. I'm trying to stick to the eating plan the surgeon's office gave me but I'm not always successful. My surgery was 2/23/2010 and I've lost 17-18 pounds since then but I was hoping for more considering I'm eating an average of 1200 calories per day -- not very much for a 6'2" adult male.

My next fill is 5/6/2010 and I'm hoping for more restriction then. Like you, I plan to keep plodding along doing the best I can. I'm not gaining weight and that's a blessing.
Rich -- "One Day at a Time, One Pound at a Time"
(Start: 292.6 / surgery weight: 265.0 / current: 205.6 / goal: 175.0)
Tom C.
on 4/8/10 7:41 pm - Mount Arlington, NJ
Denise / Rich,

With a good band fill you really shouldn't feel restriction. A good restriction should feel like .. every normal stomach feeling. And when you eat you should be able to "pass" food comfortably. However a good restriction will STOP you from over eating.

Plus alway remember, they put the band around your stomach and not your brain. It will take will power. I battle this to this day. NOT ALL THE TIME, but occasionally - especially if I am not following the rules 100%

Fills are very different for everyone. The first thing to remember is how the fills are done. Some doctors do it under fluoroscope (x-ray and barium drink), while most do it “blindly" (poke and hope). If under x-ray the Doctor can “see" exactly how ‘tight’ the band is, compared of a Doctor who puts in  x cc in at a time. Sometimes it takes fewer visits to get to the “sweet" spot with fluoroscope then with blind.

 

Band: Realize has two size bands(9cc and 11cc), and Lap band has 3 (4cc, 10cc, 15cc). Hence it could take more saline in one band to get to the “sweet spot" (ex. It will take 4.5 cc for a 9cc band to be half-fill, compared to 5.5cc for a 11cc band and 7.5 cc for the 15cc to be half-filled). Now before you freak about the “size" of the band, remember this: all bands (no matter what brand or size) all “close" to the same diameter. It may take a longer time (more saline) for the “larger" band to get that diameter then a smaller band.

As for feeling full, here are some tricks I do – maybe they can help:   Studies show it takes 20 – 30 minutes for your stomach to tell your brain you’re full. So the slower you eat, you will feel full – taking in less food. For me, during meals I take a bite of food – chew for 30 seconds – swallow – then wait another 30 seconds before I put another bite in my mouth (so every minute I eat something). My eating slowly, a plate of food lasts longer, and basically when I am done with my plate of food, I feel full.   Make sure you’re not drinking: 30 minutes before; during eating; or 30 minutes after you meal. (A) liquids can “fill" up the stomach fast. While you may feel full quicker, liquids get expel quicker then solids, so that full feeling will go away quickly. (B) liquids causes solids to pass through your “band funnel" quicker. When you have a band, think of your stomach as funnel shape. Now think of a kid at the beach playing with a funnel. If they put sand (food) in that funnel, and fills it up – it takes a while for the sand to run out of the funnel. Now if that kid fills the funnel up with sand, then pours water on top of it, the sand become more liquefied, and runs out of the funnel quicker.   Use smaller plates and/or utensils, so the amount of food seems larger – and then it may give you a false sense that you ate more then you did.   Make sure you are hitting your protein amount. Protein will keep you full – longer. Last year when I first had the operation I noticed if I ate 4 ounces of protein I didn’t feel full - however if I ate 6 ounces I did. I spoke to my Doctor about it. FOR ME he said that those “numbers" are somewhat guidelines. He went on to explain there are some folks who feel full on 2 ounces of protein while some need 6 or 8. He also explained that the calories intake should not be too much of a concern in the beginning. The way he explained it to me was: Prior the operation I may have been taken 3,000 calories per day. After the operation, with the amount of food I was taking in - I may have been taking in 1700 calories. While that’s 500 calories more then the recommended daily allotment - it was actually 1300 calories less then what I normally took in. So not only was I losing weight, but was also feel full. We need to worry about calories when our weight slows downs/stops or starts going up. ADVICE WARNING: TALK TO THE DOCTOR BEFORE INCREASING /CHANGE YOUR INTAKE  

Finally, remember when eating: you eat Protein first, then fiber, then (if room) non-starchy cabs, then fats (very little). Again, it’s the Protein that will make you full

Good Luck on your Journey !!

Tom

“Nothing I will ever eat will give me the feeling I get as when I lose weight”  The views expressed are based on my own experiences - and should NOT BE FOLLOWED IN LIEU OF DOCTOR’S ADVICE/INSTRUCTIONS. Only your Doctor knows your condition, and make sure you talk to them before making any changes to your diet
Tom C.
on 4/8/10 7:34 pm - Mount Arlington, NJ
Firstly our weight fluctuates during the day. You will be lighter in the morning than the evening. Plus every scale is different. At the infirmary at work there are 7 different scales, and I register 7 different weights.

Now with all that said, I need to ask. Are you following the rules? 52 grams seem very little, but that may be what YOUR Doctor and/or nutritionist told you.

When I first had the operation I had the same concerns as you. A close friend, who is a Certified Fitness Trainer, gave me a valuable lesson concerning losing weight. He gave me some information I found interesting, and thought I’d pass it along. The first thing he said is “You have to EAT in order to lose weight". I know, it sounds strange. He further explained, this does not mean to OVEREAT, but eat sensible portions. That means eat until you feel full (not stuffed).

He explained the body is a marvelous machine, and it will protect itself. If one doesn’t eat enough, the body’s metabolism will slow down - in order to keep it functioning. If a person intake is less then what it expels, the body will start to “store" food. If a person stay on this type of eating regiment over a prolonged period, the body starts to “eat it self" - which is extremely unhealthy and could be fatal.

 


That’s why I hate “the scale". There are other “scales" you can use to monitor your success: your constant hunger reduction (eliminated); reduced clothing size; increase energy; re-familiarizing yourself to body-parts unseen for years (errr… toes) ; “common" activity becoming easier (walking, climbing steps), just feeling good about yourself; sleeping better (reduced snoring); the mirror; better medical exam results (lower cholesterol and/or blood pressure); etc.

 

Many may compare their lost to someone else’s, and get discouraged. The amount of weight lost is affected by many factors. Everyone loses weight at different rates. It has to do with age, gender, one’s weight, exercise, etc.. A 10 pound lost to one person could be as affected as a 40 pound lost to another. Think of it this way: If a 400-pound person loses 40 pounds; a 300-pound person loses 30 pounds, a 200-pound person loses 20 pounds, and a 100-pound person loses 10 pounds – the 400-pound person didn’t necessarily loose more weight than the others. All three lost 10% of their body weight. Noticed, I started at 435 pounds. So my weight loss, while number wise may seem a lot, could be the “same result" if someone started at a lower weight and lost less “total amount" of pounds

 

And sometimes it is not the number of pounds that someone loses in a specified period of time that is important. Remember, if you are toning up muscle – your weight loss may seem to have slowed (or stopped), when in fact you are replacing fat with muscle. Muscle is heavier then fat. Someone weighing 200 pounds with a body fat percentage of 25 is carrying around 50 pounds of extra fat. That same person weighing 200 pounds with 10 percent body fat would be carrying only 20 pounds of fat. So it’s not the number that is important.

Finally, we are a generation of instantaneous results, however remember we didn’t put all the weight on at once, it took years. So don’t you think losing it would take just as long? This isn't one of those miracle instantaneous weight loss programs. Those types of programs always fail. This is a way of life. Plus in all my years of losing weight I’ve come too realized with instantaneous weight lost comes instantaneous weight gain.

 

Nowhere does any of the literature state you will lose x amount of weight in x days. Think LONG TERM. That’s what I am doing. My new outlook is  “Slow and steady wins the race".  Even if it take me over 5 years to lose all the weight I want to, I know in the long run I will be happy and healthier. My doctor firmly believes the slower you lose weight, the better chance you have of keeping it off. My doctor reminded me that each pound I gained took time to put on, and it’s going to take some time to lose those same pounds.



 


Good Luck on your Journey !!

Tom

“Nothing I will ever eat will give me the feeling I get as when I lose weight”  The views expressed are based on my own experiences - and should NOT BE FOLLOWED IN LIEU OF DOCTOR’S ADVICE/INSTRUCTIONS. Only your Doctor knows your condition, and make sure you talk to them before making any changes to your diet
dtb55
on 4/9/10 3:47 am
Tom,

You're right, I have to stop comparing myself to others.  I don't have 100 lbs to lose.  The surgery was approved due to my Type II diabetes and sleep apnea, so its going to be slower going for me.  Thanks for the information.  It helps.

Denise
standaman
on 4/9/10 4:17 am - Wichita, KS
Thanks To you all I guess thatI was just frustrated that day things are going wel now and i will take the good advice from you all and put them to work,, Tom you are Awesome! and a credit to this site
dtb55
on 4/12/10 12:07 am
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