Doc wants to see more weight loss... ideas?

sleevegirl
on 8/8/11 10:13 am, edited 8/8/11 10:30 am - Austin, TX
I'm currently searching for a registered dietician that specializes in bariatrics, if anyone knows someone that will do phone/internet consults, please send them my way. I do have a great lead from my trainer, but throwing that out there...

I had an appointment last week with my surgeon. He wasn't thrilled with my weight loss so far (not disappointed, but wanted to see more). 

I've lost 32 pound since surgery, almost 7 weeks ago. This week, so far (tomorrow is weigh in day), I've lost only 1 pound. The doctor doesn't think plauteaus should happen this early out and I should be losing 4-5 pounds per week. He said to increase calories then drop them back down after two days, add a fruit, stop tracking fat and carbs and only worry about calories and protein. Here's my little chart so far...

324 (-6) - Week 6 - 08/02/2011
330 (-3) - Week 5 - 07/26/2011
333 (-0) - Week 4 - 07/19/2011
333 (-0) - Week 3 - 07/12/2011
333 (-14) - Week 2 - 07/05/2011
347 (-8) - Week 1 - 06/28/2011

I'm NOT complaining. I do wi**** was faster, but he wants me to be down another 30 by around 9/21 and a total of 135 by Christmas. This seems like a monumental task!

To answer you next questions... I'm eating about 700-800 calories per day. I get 80-100 protein, 30 fat, 40 carb (although I'm going to remove those from my tracking so I won't fixate on the red numbers LOL). I work out with a trainer doing strength training twice per week. I hit the gym 3-4 times per week for 20-40 minutes of cardio (treadmill or elliptical) and walk with friends once per week for an hour, plus a family stroll now and then.

I'm going to cut out cheese (sniff) and see if that helps overall. He said I might go to the gym twice per day, it could help boost my motabalism, so I might try that.

I cannot eat raw veggies until month 3 (slowly slowly introducing them, he originally said month 5). All beef products are out until at least then, steak for sure until month 5.

Right now, I eat soft foods. A typical menu will look like this:
Breakfast - 7oz greek yogurt or leftover chiken from night before, sometimes a protein drink
Lunch - Tuna or Chicken - grilled or baked, cauliflower mash or lima beans
Dinner - Chicken (tonight hubby made chicken tortilla soup without chips and corn and thickened it with refried beans) or something, some kind of veggie.
Snacks - cheese stick, laughing cow cheese, Just the Cheese snack, sometimes I'll have another dinner late night if I'm low on calories (almost always).

I'm meticulous about tracking - almost to a fault. I track EVERYTHING that I put into my mouth. I could see if I were fudging it, but even when I had a 1/4 cup of my kid's homemade ice cream, I put it in there. Best choice? Probably not, but, that was this past weekend. Family freeze off - she won 3rd place... oh, look, shiny...

Anyway...

My trainer suggested a yogurt smoothie. I don't even know where to begin though. I'm allergic to all fruits except banana and berries. I'm allergic to tree nuts. I'm allergic to soy and all soy products. I'm slightly lactose intolerate. So what do I make it out of? Fruit juice is out, milk is out, soy is out, almond milk is out. LOL! I guess I could use lactaid milk, right? Someone give me a recipe with a lot of calories (that's the first time I've asked for that, so screwed up!) LOL

Anyway, let me say... before you all go "30 pounds is amazing!". I KNOW it is. Trust me, I'm down 2 underwear sizes, a pants size (and almost a 2nd one). I feel great, I'm off all blood pressure meds, etc etc...

I'm just going by what my surgeon says and trying to meet his goals :)

They did have a nutrition counselor (not a nutritionist or whatever) but she left and they are hiring a new one. I did email them for a suggestion of someone I could hire. I've also emailed my weightloss therapist for a recommendation too.

Yes, I have a huge team of people behind me, I know! :) I'm lucky to have a great husband too, he's been fabulous thorugh all of this!

Edit to add: My water is usually at least 64 oz. I generally get in 80-100 though. I have no trouble drinking water, I don't use crystal light very often (once every few days maybe) so it's straigh****er.

Candy from Austin, TX  |   Website  |  MyFitnessPal  |  My OH Blog

5'6" / HW 375 / SW 355 / CW 150 / Maintaining 155-159 - Goal Reached! 225 Pounds Lost
  

Could_It_Be
on 8/8/11 10:22 am, edited 8/7/11 10:23 pm
HOLY CRIPES Girl, that seems INSANE! Do you have full faith in the doc?

We're about the same length of time out and my docs are THRILLED at my 31 pound loss. Maybe cause I'm having complicatons?

To me it seems you are doing all the right things. That is just crazy!

Good luck!

Oh and try the lactose free, protein added Mootopia from HEB. Lactaid is beyond gross and I find Mootopia almost good ;)
             
VSG on 6/22/11
sleevegirl
on 8/8/11 10:27 am, edited 8/8/11 10:28 am - Austin, TX
Ah, but I have a lot more to lose, he's basing it on percentages. And, yeah, love the doctor... just wodering if anyone else has any other ideas. LOL

Yeah, I've had Mootopia before, it's not too bad. I just didn't want to call it that because most peole don't have an HEB (blasphemy!) It's definitely better than the other, still has that weird plastic taste to me, but if I can mix it with some stuff... Hmm... 

Candy from Austin, TX  |   Website  |  MyFitnessPal  |  My OH Blog

5'6" / HW 375 / SW 355 / CW 150 / Maintaining 155-159 - Goal Reached! 225 Pounds Lost
  

Could_It_Be
on 8/8/11 10:30 am
Well, my idea was to kick the doc in the shins but if you like him, well then...

I'd be interested if you find a good bariatriac nutritionist. I'm just down Hwy 6 from you and the one with my group is really nice but is not specialized in bariatriacs.

Anyway, try the Mootopia!

Hope you get lots of good ideas! :)
             
VSG on 6/22/11
sleevegirl
on 8/8/11 10:33 am - Austin, TX
Yeah, I still might kick him ;) LOL

My trainer reached out to Sara Stein, so I'll probably do a consult with her, she mentioned asking for new labs to see if any vitamins are out of whack or anything. She's not bariatric in particular, but she's a smart woman (she wrote Obese From the Heart - GREAT book if you get a chance to read it)

Candy from Austin, TX  |   Website  |  MyFitnessPal  |  My OH Blog

5'6" / HW 375 / SW 355 / CW 150 / Maintaining 155-159 - Goal Reached! 225 Pounds Lost
  

scorp2413
on 8/8/11 10:28 am - orchard park, NY

You did not mention your water intake. Sorry if I missed it! When I up my exercise my muscles hold on to water, so I have to drink more. I do not have a surgery date yet but I thought I would throw it out there!

 

        
sleevegirl
on 8/8/11 10:30 am - Austin, TX
My water is usually at least 64 oz. I generally get in 80-100 though. I have no trouble drinking water, I don't use crystal light very often (once every few days maybe) so it's straigh****er.

Candy from Austin, TX  |   Website  |  MyFitnessPal  |  My OH Blog

5'6" / HW 375 / SW 355 / CW 150 / Maintaining 155-159 - Goal Reached! 225 Pounds Lost
  

scorp2413
on 8/8/11 10:32 am - orchard park, NY
Thanks! I love reading what everyone is doing. I think you are doing great! :)

 

        
sleevegirl
on 8/8/11 10:34 am - Austin, TX
Thanks, I do too, but I do admit to being annoyed with the stalls, pauses, whatever. I was surprised he wanted to see more so I thought I'd ask for tips. Can't hurt!

Candy from Austin, TX  |   Website  |  MyFitnessPal  |  My OH Blog

5'6" / HW 375 / SW 355 / CW 150 / Maintaining 155-159 - Goal Reached! 225 Pounds Lost
  

infodiva808
on 8/8/11 10:33 am
Most of the participants on this forum would disagree with your doctor. Most of us experience plateus, especially at week 3. I would say you are on track and will probably blow him away with your progress at a later date.

BTW I think there is such a thing as hemp milk, from hemp seeds.
            
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