Question:
need support....... can't work the program

I really need some advice. I am 9 weeks postt op and have lost only 42 lbs. I seem to be doing everything wrong. I know I don't get enough protein. I have ordered samples and tried many, many shakes and bars but I can't cope with any of them. I probably get enough water, but in the past 2 weeks I have had a few cans of diet coke.....a bad habit creeping back into my diet. I really crave "real" food and I don't know how to stop at the first feeling of fullness. Consequently I have spent the past few weeks being so overfull I throw up daily. I know all of this is terrible. I do exercise most days and have also joined a gym ..... that part is the only thing I do "properly". What's wrong with me? I really want to lose the weight but I am so messed up with using this tool. How do I get back on track? How do I get the protein in? And how do I get past the guilt? I feel like a failure. I have a follow up apt next week with my surgeon and I am scared he will say I am doing bad. He said that at 1 month post op when I had only lost 25 lbs. This was meant to be a good thing to do for myself, but it is distroying my self esteem. Please help.    — Katie E. (posted on January 22, 2003)


January 22, 2003
My suggestion is try looking for foods that are high in protein instead of shakes. Try beef jerky you get 13grms of protein per serving and just spit out the fatty bits, chews up really well. Also look for other real foods that are high in protein. Try also timing your eating take one bite and wait a 1-5 minutes then take another this might help with the vomitting. Hope this helps get you back on track good luck!
   — Diane S.

January 22, 2003
I think that you should be very proud of yourself. 42 pounds is a great accomplishment. I'm 10 weeks out and have lost 50 punds since surgery. I started back on "real" food 8 days after I came home from the hospital. Remember, soft foods and liquids pass through very quickly. Soda is a no-no. Try not to drink with your meals and don't drink until 1 hour after and that should help. I eat everything except pastas and rice. You want to eat things that take awhile to digest, such as meat, veggies and fruits. Good luck!!!
   — Barbara M.

January 22, 2003
Try keeping a journal, or using fitday.com to track what you are eating. Buy a book with nutritional values and HIGHLIGHT the high protein items. Grocery shop in advance and stock up on these items. Try and stick to a routine, and pre-plan your meals. Measure your foods. Discipline yourself now. This is all good advice, that we have all used before- you just need to clear your mind and establish YOUR PLAN. Once you get the hang of it- you won't need to track dilligently. However when you feel yourself slipping- a quick look at your protein "source" book, a trip to the grocery store and some pre-planned food days can get you back on track. You can do this. Another thing, when you go back to your surgeon, you can bring your notebook and show him HOW good you've been (jot down your water intake and exercise) so no matter WHAT he says, you know you are doing everything you can. You also MAY be a slow loser, which is entirely NOT ANYONE'S FAULT. There are ALSO such things a plateau, very early out. 42 lbs gone is excellent in my opinion.
   — Karen R.

January 22, 2003
42 lbs at 9 weeks is really good. When is the last time you have lost 42 lbs??? ***You need to relax a little bit*** This surgery is a learning experience. The first few months are really practice! You have to look at this like a new birth. Would you get mad at a baby who throws up every day? Of course not. You have a 9 week old stomach that needs to be trained. Your brain has to be trained too, only you have to un-learn all those bad habits. Don't crucify yourself over coke, just relax. The main thing is that you are trying. Keep going to the gym! Also, keep trying the supplements. Your tastes will change month to month, so don't give up on that. Your gym will also have single servings of things you can experiment with. I couldn't drink 'shakes' right away (so gross), and found supplements that were more like juice. They are good and still do the trick. So, please ease up on yourself, remember that you are a newborn in this process, and be as kind to yourself and as patient as you would be with a newborn. Good Luck!
   — Cara F.

January 22, 2003
Katie, first calm down and take a deep breath. Now, don't ever say "only lost X number of pounds" again. It would not matter if you were true blue to this program, there will ALWAYS be someone who lost faster than you even when they started at the same height/weight and there will always be some who lose slower. This is not a race and if you start comparing your loss to others now, it will just unnecessarily add to your stress level, which I may add is already high and going higher. Here are some helpful tips to help you get back on track: 1. Start measuring your food. If you don't know when to stop at the first feeling of fullness, measure out 3-4 oz of food (more if the food is soft or watery like salad, less if dense meats)and that is all you put on your plate-when it is gone-meal is over. If that amount is too much and you throw up, then next meal reduce it by an ounce until you find what is just right for you. 2. There are lots of high protein foods that you can eat to get in more protein-any type of meat, seafood, chicken, cheese, will do it. 3. Eat 6 small meals a day. You should never go hungry. Whenever you are hungry, eat one of your small meals. Ensure that its protein first, then veggie, then fruit. Your exercise sounds great, so does your water. Stop beating yourself up. A few sodas will not kill you but try to stick to water. I used to be a diet Coke fanatic but waited 5 months post-op to try one. By then it was so awfully sweet that I had lost my taste for it! Also, don't be afraid of your surgeon. If he is berating you for not losing enough, then he is not a very good doctor. 42 pounds in 9 weeks is very good. Just prepare yourself that he may say its not good-so what? It can only effect your self-esteem if you let it. So don't let it! Smile, say thank you and then go out and exercise!
   — Cindy R.

January 22, 2003
One of the most helpful things for me is i eat 6 times a day. the more often I eat, the less likely I am to get terribly hungry and I'm not tempted to overeat. the other thing I do is use coffee cup saucers as a measurement of what I can eat. A spoonful of this and a sponful of that quickly fills up my plate and that is all I eat is that one small plate. If I use a standard size plate, I overeat everytime. When I eat out, when I place my order I request the waiter to bring a to-go box with my meal. when it is served, I put the part I can't eat into the to go box and I eat the portion I've served for myself.
   — Darlene P.

January 22, 2003
I think 42lb is good. However because you know that you are continuing to eat past full I would encourage you to consider counseling with a therapist who specializes in either eating disorders or treating obese patients. There maybe something else emotional going on causing you to continue with negative behaviors. Either way it is important that you not see yourself as BAD. Because you are not. You may not have the eating part down yet but your doing good with exercise and drinking water, give yourself a pat on the back. Stay encouraged and keep focused. Don't give up, if it were going to be easy to change all of our behaviors we probably wouldn't need the surgery.
   — CarmelCandy777

January 22, 2003
Hi everyone. I am the original poster. Thank you to everyone who replied. You all had some sound advice. I am encouraged not to give in to despair and to keep trying. It is hard sometimes to remember that no matter how much I want to revert to my old ways sometimes, it was so destructive to me. I guess I need to focus on the new me and to also keep reminding myself I am new to this. I appreciate the feedback. Thank you.
   — Katie E.

January 22, 2003
CAN'T, DON'T KNOW HOW, WHAT'S WRONG WITH ME? FAILURE.... First off, change your vocab and lose the negative stuff like the words you used above. Skip the trip to the surgeon and get thee to a therapist to work on the negativisms. It's not the food. I see a psych once a month for a mental calibration. Good luck and God Bless!
   — Kimberly L.

January 22, 2003
I have not had the surgery yet, but am planning to as soon as insurance approves. I too have fears of failing, I recently gave up smoking(it's been 10 days)and I crave one sometimes but I don't(won't) give in. I am hoping I'll have the same luck with food after my surgery but if I don't, I won't quit quitting, and neither should you! You can do this!!!!!!! Look at all the support you have right on this website. None of us obviously have had the best of luck with our weight and all we can do is keep trying-you will find what works for you-keep searching.
   — Tonya M.

January 22, 2003
Want a good old fashioned scare. Look at my picture andd see what it could be like if you continue. Keep up doing the good thing gym. Check in often with the people. You can email anytime you want. Throwing up everyday is not good for you. We are all here to support you. Now hold out your hands SMACK SMACK. All is forgiven. GO forth and thin some more
   — snicklefritz

January 22, 2003
Hi Katie: As an extremely slow loser, who had lost 33 pounds at 9 weeks, I know how you feel about facing the doctor and the scale. It is so unfortunate that your doctor felt that your 1 month weight loss was not up to par. He/She was wrong! When I went for a 4 week check up, I had lost 23 pounds. My doctor told me that he was so pleased, because it was I think 20% of my goal. Instead of being condescending, he was positive and complementary. No wonder so many people are disappointed with their weight loss. With comments like these, it is like before surgery when you dread getting on a doctor's scale. I think you are doing wonderfully, but can understand how hurtful these comments are to you, and would be to me. After the first weigh in, I was seen by my family doctor for weigh-ins. Most family doctors are extremely impressed just to see the weight go down. They are not like the surgeons, who have preconceived ideas of how much weight you should lose. Is it an option to see you family doctor instead of the surgeon? It might be feasible, because many have surgery out of state where they would be unable to follow-up with the surgeon. Of course, if you encounter any problems, then you could call your surgeon. Just a suggestion. You are doing fabulous. Don't let anyone, even your surgeon, tell you otherwise. Love Grace
   — Grace H.




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