Questions regarding WLS & WW - Please be kind!
I had WLS (RNY) May 15th 2011, and I've lost 87 lbs. I know that doesn't seem like a lot to some of you, but I only have about a 100 to lose. The good news, which is also the bad news is that my body adapted to the surgery immediately. There is nothing I've not been able to eat. I also do not ever vomit under any cir****tances.
As you can guess, given I am a compulsive overeater, I am quickly slipping back into old habits.
So before I rag on myself, I must say that I have an excellent fitness program, I religiously take my supplements, and I mostly drink my water. Yay me!!
Now, part of what trips me up is that no one has really set any limitations for me other than my 60 grams of protein. I have in the past been real comfortable with WW, so I am wondering if any of you would know if the points system would work the same. A nutritionist I worked with said that our bodies are not the same anymore, and that our metabolisms have changed.
Just would like to know your thoughts and if you had any experience.
Protein first, measure your portions. If you feel yourself wanting to graze / eat from "head hunger" go for a walk, a swim or clean your bathroom (nothing seems appetizing after scrubbing a toilet... or is it just me? )
Just because you can eat without getting sick or vomiting does not mean your body "adapted immediately". It just means you are like MOST people who have RNY. The people who get sick easily and vomit a lot are the minority... they just post more because they ARE having trouble.
Keep in mind that 60g of protein is the minimum. it is very possible that your metabolism is lower than it was before you had surgery. The extended period of time with such severe caloric restriction after surgery can cause some people's bodies to permanently drop their metabolism a bit. That is part of the reason that it can actually be easier to gain weight (and can be harder to lose any regained weight) after surgery than it was before. Just having a generally lower metabolism, however, does not change how your body responds to foods in terms of utilizing energy. Too many carbs are still going to be problematic, for example.
Personally, I had surgery to eliminate the dieting and, IMO, you would be better off seeking therapy (if you have not already) to deal with the eating behaviors than to go back to dieting, especially so soon after RNY. You need to do whatever works best for YOU and your unique issues, though.
Lora
14 years out; 190 pounds lost, 165 pound loss maintained
You don't drown by falling in the water. You drown by staying there.
Merlinda,
The following was posted a couple of times last week by a wonderful lady whose name I don't remember. The blue area might be most helpful to you at this point:
Breakfast: 1 Multi Vitamin/Mineral, 2-300mg Calcium Citrate, 1 Spring Valley 500mcg B12 Sublingual Dot, 1 mg prescription Folic Acid, 1 Vita Lady Tender Dry 5000 IU Vitamin D3 capsule, 1-100mg B1 tablet
Lunch: 1-300mg Calcium Citrate, 1 packet Orange Coromega Omega 3 Squeeze
Non-Calcium Snack: 1-500mg Vitamin C, 2 Sundown 25mg Carbonyl Perfect Iron ***take 2 hours from Calcium/Dairy Products***
Dinner: 1 Multi Vitamin/Mineral, 2-300mg Calcium Citrate
*Drink 48-64 ounces Liquids daily (drink up to a meal, wait 60 minutes after a meal) (I add 2 packets sugar free Wyler’s or Hawaiian Punch drink mix in 32 ounces water and 2 teaspoons Benefiber-15 calories)
*Must eat at least 60 grams of Protein a day (100 or more grams beginning at 1200 calories a day)
*Eat no fat/lowfat dairy products
*Eat simple (fruit) and complex (vegetables, whole grains) Carbohydrates (I do not count daily grams)
*No more than 15 grams of Sugar per meal (more grams if able to tolerate-I can tolerate a maximum of 30 grams Sugar per meal from Simple and Complex Carbohydrate sources)
*Eat 3 main meals (B, L, D) no further than 5-6 hours apart
*Eat 1 protein snack at 1200 calories a day at least 2-3 hours from breakfast
*Eat 2 protein snacks at Maintenance calories a day at least 2-3 hours from breakfast and 2-3 hours from lunch
*3-6 Months After Surgery: I ate 600-700 calories a day
*6-9 Months After Surgery: I ate 800-900 calories a day
*9-12 Months After Surgery: I ate 1000 calories a day
*12-18 Months After Surgery: eat 1200 calories a day (I ate 1200 calories a day until 15 months when I reached my goal weight)
*18 Months after surgery (or when goal weight is reached before 18 months): Maintenance calories (BMR/RMR & Activity Level) (Malabsorption of calories lasts approximately 18-24 months)
Good luck,
Hattie
I also have been able to eat almost anything since my WLS. My problems i am having now is head hunger and grazing. I have to be constantly aware. I always think wait if i eat this little piece of food then i am going to have to wait 30 minutes before i can drink and i am thirsty and that food isn't worth the wait.
As far as the chart given. Its pretty true. Eat your vitamins and drink your fluids and eat your protein. But my calorie intake is much higher. At 5 months i eat around 800 - 1000 calories but i eat 3 meals a day and usually 1 small snack. Of course i have been on a stall the last 3 weeks again also.
Keep with your program and you should do ok.
I will say my main problem with WW is that I don't think it empowers people to know about what they are putting in their mouths. It's easy to assign points to something and give you a number of points, but do you KNOW what you're eating? Do you know the composition of your daily intake?
I'm sort of passionate about folks knowing that when they are trying to lose weight. Not everyone has to be a zealot like me, but I think folks should have a basic understanding. This is the tenet upon which I've built Bariatric Foodie - to help people understand food better and know how to make decisions for themselves using information that is available to us all.
So, all that is to say I don't know whether WW would work better for you. Only you know that! There are some NUTs that will sit down and take down information from you (how much you exercise, etc.) and help you come up with targets that will work for you. That could be an option as well.
Let us know what you decide and best wishes!
- These are the rules I followed/follow:
- Breakfast: 1 Multi Vitamin/Mineral, 2-300mg Calcium Citrate, 1 Spring Valley 500mcg B12 Sublingual Dot, 1 mg prescription Folic Acid, 1 Vita Lady Tender Dry 5000 IU Vitamin D3 capsule, 1-100mg B1 tablet
- Lunch: 1-300mg Calcium Citrate, 1 packet Orange Coromega Omega 3 Squeeze
- Non-Calcium Snack: 1-500mg Vitamin C, 2 Sundown 25mg Carbonyl Perfect Iron ***take 2 hours from Calcium/Dairy Products***
- Dinner: 1 Multi Vitamin/Mineral, 2-300mg Calcium Citrate
- *Drink 48-64 ounces Liquids daily (drink up to a meal, wait 60 minutes after a meal) (I add 2 packets sugar free Wyler’s or Hawaiian Punch drink mix in 32 ounces water and 2 teaspoons Benefiber-15 calories)
- *Must eat at least 60 grams of Protein a day (100 or more grams beginning at 1200 calories a day)
- *Eat no fat/lowfat dairy products
- *Eat simple (fruit) and complex (vegetables, whole grains) Carbohydrates (I do not count daily grams)
- *No more than 15 grams of Sugar per meal (more grams if able to tolerate-I can tolerate a maximum of 30 grams Sugar per meal from Simple and Complex Carbohydrate sources)
- *Eat 3 main meals (B, L, D) no further than 5-6 hours apart
- *Eat 1 protein snack at 1200 calories a day at least 2-3 hours from breakfast
- *Eat 2 protein snacks at Maintenance calories a day at least 2-3 hours from breakfast and 2-3 hours from lunch
- *3-6 Months After Surgery: I ate 600-700 calories a day
- *6-9 Months After Surgery: I ate 800-900 calories a day
- *9-12 Months After Surgery: I ate 1000 calories a day
- *12-18 Months After Surgery: eat 1200 calories a day (I ate 1200 calories a day until 15 months when I reached my goal weight)
- *18 Months after surgery (or when goal weight is reached before 18 months): Maintenance calories (BMR/RMR & Activity Level) (Malabsorption of calories lasts approximately 18-24 months)
- * I do not participate in a formal exercise program due to Rheumatoid and Osteoarthritis. I do move around a lot more and do a lot more walking.
My opinion is that the word "compulsive" suggests that you have problems beyond those which Weigh****chers can deal with.
Please refer to Lora's last paragraph, about 7 posts up from here.