Mental challenge to weight status change
I have notice that I am not the only one that has reached my goal, gone below my goal, and now above my goal. Some of what I have read I find it very encouraging bc it's like yall are mentally okay with it.
I remember being told that it is normal for us to do this. There is a certain percentage that you will gain back of what you loose.
How do you deal with it? Are you okay with it?
I am not okay with it. I am not ready for Obesity to think its going to win again. I know I am not nearly as big and unhealthy as I used to be, howeever, me not being at my smallest is a failure to me. I did it once I know I can do it again.
Does any one else feel like this? I am at the stage where I am a roller coaster of emotions again. Obsessive again with the scale, with inches going down, intake, my husband doesn't understand. He said I should be happy. After having my baby my high blood preddure came back. My goal is to loose weight and pray I can get off my blood pressure meds. I know it runs in my family. If I loose the weight and can't get off of it, then I know I did the best I could. I just hope I will know that I did enough. Sometimes we are our own worst enemy!
I remember being told that it is normal for us to do this. There is a certain percentage that you will gain back of what you loose.
How do you deal with it? Are you okay with it?
I am not okay with it. I am not ready for Obesity to think its going to win again. I know I am not nearly as big and unhealthy as I used to be, howeever, me not being at my smallest is a failure to me. I did it once I know I can do it again.
Does any one else feel like this? I am at the stage where I am a roller coaster of emotions again. Obsessive again with the scale, with inches going down, intake, my husband doesn't understand. He said I should be happy. After having my baby my high blood preddure came back. My goal is to loose weight and pray I can get off my blood pressure meds. I know it runs in my family. If I loose the weight and can't get off of it, then I know I did the best I could. I just hope I will know that I did enough. Sometimes we are our own worst enemy!
My goal was 140 and I got down t o 122. I did gain some back over the summer, I believe as a side effect of medication. Last time I got on the scale, it read 134.
I'm trying to be OK with it. If I had ended at 134 and never got any lower, I would have been very pleased. I think it's the fact of the numbers rising that scares me. I'm afraid they will keep going up and up and up....
And I know that should not be the case. My doc and I changed my meds again after I realized the med was causing weight gain. And I know what to eat and I still have my pouch and my tool stll works. But that fear is still there in the back of my mind.
I'm trying to be OK with it. If I had ended at 134 and never got any lower, I would have been very pleased. I think it's the fact of the numbers rising that scares me. I'm afraid they will keep going up and up and up....
And I know that should not be the case. My doc and I changed my meds again after I realized the med was causing weight gain. And I know what to eat and I still have my pouch and my tool stll works. But that fear is still there in the back of my mind.
Kelly
Please note: I AM NOT A DOCTOR. If you want medical advice, talk to your doctor. Whatever I post, there is probably some surgeon or other health care provider somewhere that disagrees with me. If you want to know what your surgeon thinks, then ask him or her. Check out my blog.
"There is a certain percentage that you will gain back of what you loose."
Not necessarily true. Not everyone experiences regain. The only reason you would regain is because you change the energy balance between intake and output. It is all up to you and it is in your power. Do not feel like you are fated to regain your weight.
Some people will no doubt proffer that your body learns to adapt to the surgery and stops "malabsorbing" calories, but there is not general agreement on this from WLS professionals and there is no scientific evidence in the form of studies that show it occurs.
Some will say this outcome of regain is explained by a phenomenon called "digestive adaption", which occurs in people who have large pieces of their digestive system removed. However that is not the case with RNY: all of the guts are still there, they are just bypassed. Nothing has been removed to trigger this response. The body does not know that anything has changed in terms the length of the digestive tract.
Vitamins are "malbsorbed" from the beginning because of the bypass and they remain so. The body does not adapt other areas of the digestive tract to adjust for vitamin malabsortion. Why should it do so for other nutrients?
Not necessarily true. Not everyone experiences regain. The only reason you would regain is because you change the energy balance between intake and output. It is all up to you and it is in your power. Do not feel like you are fated to regain your weight.
Some people will no doubt proffer that your body learns to adapt to the surgery and stops "malabsorbing" calories, but there is not general agreement on this from WLS professionals and there is no scientific evidence in the form of studies that show it occurs.
Some will say this outcome of regain is explained by a phenomenon called "digestive adaption", which occurs in people who have large pieces of their digestive system removed. However that is not the case with RNY: all of the guts are still there, they are just bypassed. Nothing has been removed to trigger this response. The body does not know that anything has changed in terms the length of the digestive tract.
Vitamins are "malbsorbed" from the beginning because of the bypass and they remain so. The body does not adapt other areas of the digestive tract to adjust for vitamin malabsortion. Why should it do so for other nutrients?
Joe, much of what you say I agree with. However, I DO disagree with your comment that "the only reason yu would regain is because you change the energy balance between intake and output. It is all up to you and it is in your power."
I lost a bit too much, became unhealthy, and had lost so fast that my physicians compared it to rolling down an ice covered hill. It took waiting and hanging in there, but I did gain back about 8 pounds, and am now very content and healthier than when I was smaller and had less body fat content. The super-fast loss was NOT under my control, therefore, the appropriate gain was difficult to control (how do you gain back just a smidge without gaining too much? It was an interesting time to say the least!)
I would agree that we are NOT fated to regain our weight, but please do acknowledge that not everyone should stay at their lowest weight - for some of us, some regain may be the healthiest outcome.
I lost a bit too much, became unhealthy, and had lost so fast that my physicians compared it to rolling down an ice covered hill. It took waiting and hanging in there, but I did gain back about 8 pounds, and am now very content and healthier than when I was smaller and had less body fat content. The super-fast loss was NOT under my control, therefore, the appropriate gain was difficult to control (how do you gain back just a smidge without gaining too much? It was an interesting time to say the least!)
I would agree that we are NOT fated to regain our weight, but please do acknowledge that not everyone should stay at their lowest weight - for some of us, some regain may be the healthiest outcome.
Rebecca
Circumferential LBL, anchor TT, BL/BR, brachioplasty 12-16-10 Drs. Howard and Gutowski
Thigh lift 3-24-11, Drs. Howard and Gutowski again!
Height 5' 5". Start point 254. DH's goal: 154. My guess: 144. Insurance goal: 134. Currently bouncing around 130-135.
Circumferential LBL, anchor TT, BL/BR, brachioplasty 12-16-10 Drs. Howard and Gutowski
Thigh lift 3-24-11, Drs. Howard and Gutowski again!
Height 5' 5". Start point 254. DH's goal: 154. My guess: 144. Insurance goal: 134. Currently bouncing around 130-135. No worries! Thanks for the reply!
I'm only a year into this -- so I don't have long term experience. No one should stay at a weight that is not healthy for them. It is easy to go too far when you are in "losing mode". My point is that the phenomenon of regain is not fully understood.
My surgeon's office estimated that 33% of their patients experience significant regain. The surgeon himself is not sure why. As you might guess, he is not a believer in the "malabsorbtion of calories ends after a period of time" theory. He does not see a mechanism for it. If fact, he is of the opinion that there is very little malabsorption of calories at all, ever. These are opinions. We will need to wait for controlled studies.
His observations (and those of his dietitian) are that people loosen up their discipline as time goes on, adding back more calories. I can testify to this myself -- you have to be very careful as time goes on because you can eat a wider variety of things.
In my own case, I have lost in excess of 200 lbs and hit my goal weight. I am now in the normal range and have a normal BMI. It would be unacceptable to me to regain even 10 lbs. I am careful and I exercise a lot (mountain climbing and long-distance hiking). I can see myself losing some additional weight as my fitness level and endurance increase, but staying within a normal range. I am convinced that the effects of my RNY are permanent and as long as I balance calories in with calories out, I will be fine.
I'm only a year into this -- so I don't have long term experience. No one should stay at a weight that is not healthy for them. It is easy to go too far when you are in "losing mode". My point is that the phenomenon of regain is not fully understood.
My surgeon's office estimated that 33% of their patients experience significant regain. The surgeon himself is not sure why. As you might guess, he is not a believer in the "malabsorbtion of calories ends after a period of time" theory. He does not see a mechanism for it. If fact, he is of the opinion that there is very little malabsorption of calories at all, ever. These are opinions. We will need to wait for controlled studies.
His observations (and those of his dietitian) are that people loosen up their discipline as time goes on, adding back more calories. I can testify to this myself -- you have to be very careful as time goes on because you can eat a wider variety of things.
In my own case, I have lost in excess of 200 lbs and hit my goal weight. I am now in the normal range and have a normal BMI. It would be unacceptable to me to regain even 10 lbs. I am careful and I exercise a lot (mountain climbing and long-distance hiking). I can see myself losing some additional weight as my fitness level and endurance increase, but staying within a normal range. I am convinced that the effects of my RNY are permanent and as long as I balance calories in with calories out, I will be fine.
Most Active
Recent Topics