Question:
Can you stretch your new stomach too far at 6 months post op to do any damage?

Hello. I am a little more than 6 months post op and have lost 63 lbs. I can eat anything! I have started keeping track of my calories, protein, carbs, and fats and notice some days I can eat 1500 calories in a day. I know this has to be too much. I have a hard time planning what I am to eat. Does anyone have a good plan to follow? I don't care if it is strict or not; I think I would do better if someone told me exactly what to eat and what not to. I have been on a plateau for at least 2 months now and am getting very depressed. Sometimes I get so upset I make myself sick. I have read a lot of great support from lots of people on this site and hope someone out there has some suggestions for me. Thank you so much!    — Cheri H. (posted on August 7, 2002)


August 7, 2002
My surgeon says pouch stretching is overrated. He recommends eating protein first, and then following the no low sugar low carbs, and get in the liquids.
   — bob-haller

August 7, 2002
I was told to increase exercise to get over a plateau. My pouch has the opposite problem, I can't hold down food. Good day is 450 cal and 40g protein. They just gave me a pill to get my stomach to empty faster...but I can tell it is having trouble which means the stoma closed a third time. Yuck.
   — Thomas M.

August 7, 2002
Hi. Normally, 1500 calories per day would be a good amount if you want to maintain a weight of about 150 lbs. At 6 mos post-op it seems a little higher than what most people are eating. A good site with (what I consider) good nutritional info is Liv Lite Weight Management. It lists recommended foods and gives sample daily menus. Remember; water, water, water, high protein, low carbs and exercise! Good luck!
   — Rebecca T.

August 7, 2002
You might want to look into a program such as Weight Watchers or TOPS. As soon as I feel I can eat normal amounts and start having to worry more about what I am eating and how much, I plan on joining one of these programs. I feel it will help keep me on track and learn how to eat sensibly, and at the same time I will probably have more will power than I ever had when I tried these things previously.
   — Jennifer Y.

August 7, 2002
Were you transected? You sound like me @ 6 mos post op after my original nontransected rny. I KNEW that I was eating too much and for 3 mos I fought so hard to lose, watched calories, protein, exercised like a mad woman. I managed to lose 10 lbs all summer last year. In September I had an upper GI and then it was discovered my staple line had disrupted. I had it fixed and transected and now I am doing great. I am still not the fastest loser but hey, I have lost 110 lbs now and I am still losing. It takes work even with an intact pouch. I am not saying you have a SLD but it is something worth investigating if you are not transected. Ask your surgeon if you are transected and if not, ask for an UPPER GI to see if all is still working as it should. Good luck to you and I wish you the best!
   — Mylou52

August 8, 2002
Hi Cheri. I wish I could give you advice, I just want you to know you are NOT alone. I, too, am just over 6 months post-op and have the same problem you do. I can eat absolutely ANYTHING. The only restriction I have is on portion size. Although I have not counted my daily caloric intake on a consistent basis, I would not doubt that I have been able to consume 1,500 calories per day. I was transected, so I know I do not have a staple line disruption. So many post-ops have problems keeping things down, I guess you could say we are the lucky ones. Sadly, I don't see it that way. I had an unrealistic expectation of what my life would be post-op, because I read the majority of posts on here where people can only eat about 600 calories per day and their weight would just fall off. Here I am almost 7 months out and I have lost 75 pounds. Not too shabby, but certainly not what I had anticipated. Please know you are not alone. If you find something that works for you, please share it with me! If you would like to see any details about my post-op history, please check out my website at www.geocities.com/jaxsites/christie Good luck!
   — Christie S.

August 8, 2002
This is both to the original poster and the previous poster. Just because you "can eat anything" doesn't mean that you "should eat anything". From what my nutritionist says, a 1500-calorie a day diet is more suited to someone that is a year or more out - it's heading more towards a maintenance-level diet. I'd say at 6 months that you should be doing 800 calories tops if you are eating right. <p> Are you doing proteins first? These are needed more than the carbs (even though they have the same caloric value per gram) and definitely are better for you than fats (9 calories per gram). I am only 3+ weeks out, but there are many meals that all I have is protein. Getting your fluids in every day helps too - battling dehydration as well as giving you that full feeling in your pouch. <p> Remember that the WLS is only a *tool*. You have to use this time as a "window of opportunity" to change your eating lifestyle in order to make the surgery totally successful.
   — John Rushton

August 8, 2002
Hi Cheri, I am celebrating my 6 month anniversary today and have lost 72. Not as much as others, but I am quite happy with it. I don't even count calories or fat grams anymore like I used to do when I had to DIET. I don't want to hear that 4 letter word again. I do count protein grams, always reach for protein first and try to keep the carbs and sugar grams low but not eliminated. I have protein/carbs/sugar every day. To me, that is normal eating and I had this surgery to be normal. To give you an idea of what I eat, here is a typical day for me: Breakfast: 1 scrambled egg with 1 slice melted provolone and a tablespoon of chili on top (I have this almost every day) Lunch: Either half a meat sandwich (yes, with mayo and bread) or grilled chicken over salad (yes, with regular salad dressing). Snacks: handful of nuts, few peanut butter crackers, fruit, 1/2 a protein bar, cup or two of popcorn (this one I have almost every night-keeps ya regular) or SF ice cream. Sometimes I eat mini bite size chocolate chip cookies, or have a bite or two of donuts or danishes at work. I don't dump on sugar unless the grams are over 10 or so, but I keep the sugar grams low so as not to raise the blood sugar levels in my body which I know from experience starts me on sugar cravings!! Dinner: 3/4 of a Lean Cuisine or grilled meat/fish/chicken with a steamed veggie. Yes, I eat a little potato, rice, pasta but not much because I would fill up too fast and I try to get in the protein before I get full. Yes, I do go to a fast food place on occasion- I have had 1/2 of a junior cheese whopper, or 1/2 of a junior chicken whopper at Burger King, and I can eat 3-4 inches of a 6 inch sub at Subway. I don't deny myself, I just try to concentrate on protein first. Also, are you getting in all your water? Are you exercising? I have found that when I increase water, protein and exercise, the pounds start moving again. But my plateaus have lasted for almost a month and others have had them for several months in a row so you are not alone.
   — Cindy R.

August 8, 2002
Hi there, 8 months out open RNY Distal...88lbs lost so far. I am considered a "slow loser", I say, by whose standards...I have not been able to lose 88 lbs before, I am verry happy, remember, "slow & steady wins the race"! I also can eat anything...by that I mean, you hear some people that can barely keep anything down and cannot eat so many foods now...I think we are lucky, I also agree with the "no diet" philosophy. I get my protein in first, then veggies, then carbs...I keep sugars under 12 grams per serving and actually rarely eat them. Some days I can eat alot, some days less....If you really tracked it for awhile and consistently ate 1500 calories, I would say, cut back..but you said "some days" you can eat 1500 calories...Like everyone else said..protien/water/exercise. If you really have a problem with food and need help, go to someone who knows your situation and can "prescribe" a personal plan for you...remember advice from here is great, but some things are best done through doctors and nutritionists for your best results. best wishes
   — Patricia R.




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