1 YEAR SURGIVERSARY

A year ago today I was in Mexicali, Mexico.  I was spending the night in a hotel after finishing some tests  Dr. Alberto Aceves was my surgeon.  He and all of his staff are very thorough, helpful and accessible.  The care I received was excellent and I would recommend the option of undergoing bariatric surgery with him in Mexico to anyone.
and interviews with the Bariatric surgeons at the Hospital Almater.

My experience with weight loss surgery has been chronicled here in the past year.  I did great in the hospital but after a week or or at home I started having some problems with tolerating foods.  I went as slowly as I could introducing different soft foods and then more options into my diet to meet my nutrition and protein needs - I had a difficult time for about 3 months but slowly found the foods and vitamins that worked for me.  There was, and in some ways still is, a certain sameness to what I eat each day.  I remained as patient as I could and put up with bouts of nausea and gastric distress when I strayed from what my body could handle. Having those outcomes in mind makes it a lot easier to stay on the straight and narrow - believe me!

My weight loss has been quite swift and I suppose to people around me, pretty shocking. My kids never knew me at the size I am now - for my husband it was a distant memory!

 It may seem like fast = easy.  In some ways I guess it has been.  When you have a physical barrier to overeating it does make it "easier."  Though I've worked  hard to do it right:  get my vitamins, protein, liquids and exercise - just like all the other times I have "dieted."  Except now this is my life and not a diet I can safely stray away from on a whim.  To maintain lifelong health - I have to stick with these requirements.

I am proud that I have done so well in this first year and I believe I can safely maintain my new found healthy weight and lifestyle.

I want to thank my good friend Christina for making this possible and all my friends and family who have been cheering me on!

NEW GOAL?

I have been amazed and humbled by how fast I have lost so much weight.  I have always had to work so hard for weight loss - no matter how low my calories and high my exercise level, it has always been a struggle.

October 2012 I had already lost almost 20 lbs pre-op.

Now not quite 9 months since surgery and I am down 126 pounds.  Today I updated my "weight loss ticker" and see I am 4 pounds from my original goal and am wondering what my new goal should be.

 I am already focused on my fitness, so that continues to be something I want to challenge.  I had a great meeting with a trainer and got a whole bunch of new stuff to work on.  Tom and I did  25 miles on the bikes today and it was so easy -  now I need to see if I can do more hilly rides to challenge myself (I had to walk the bike up one hill today...)

But the weight thing, I am not sure about.  I have not been especially weight focused through life because I have always "weighed more" than I look.  Maybe aiming for a clothing size?  I am not all that attached to being a certain size but it was a bit of a thrill to buy a pair of size 12 capri pants.  Most of the things I have been buying are 14 or a large, but I have a couple of mediums, now, too.   I was a 12 when I got married and even though size 12 is bigger now than it was then - hey - a size 12 is cool with me!

July 4, 2013

Some people do lose more weight after this surgery than they plan on.  I really hope I will not be one of the people who end up having an issue with that.  I am noticing every week now that I can eat more at a sitting and make an effort to add more fruits and veggies to my daily meals in addition to the required protein.

I try to add fat where I can, too.  Sounds funny in this fat phobic world, but I need more fat since I only absorb about 40% of what I eat.  Fat is good for hair, skin, digestion and vitamin absorption.

This morning we went out to breakfast on our bike ride and I had 1 egg with some cheese scrambled in and 2 1/2 slices of bacon.  I was amazed I could eat all that!  I couldn't last month.  So if I keep this up I should be able to stop the weight loss and start the life long maintenance of my new, healthier bod.

A BARIATRIC SURGEON SPEAKS OUT - NOT THE EASY WAY OUT

I just read this great article written by a Bariatric Surgeon.  He is tired of people commenting about his profession - that he is an "enabler" for lazy, unmotivated fat people taking the "easy way" out of obesity.

He lists not only the difficulties of losing weight and maintaining that loss, the hoops people have to jump through to even get surgery and the fact that the AMA this year has declared obesity a disease and not just the cause of other diseases.

As a life long exerciser, a healthy eater and someone with knowledge of nutrition and of my own psychological issues - I can attest that it is not just a matter of eating less and exercising more.  Yes, for many people there is an issue with eating poorly and not exercising.  For many more of us it is far beyond that simple formula.  No one can really explain all the factors involved but the medical researchers are gaining awareness of the multiplicity of factors which affect different people.

Just as some people can smoke cigarettes all their lives and not get lung cancer, some people live long lives on a high fat diet and others drop dead in their 30's following a spartan diet and running marathons.  None of it is simple.

I had wanted to try weight loss surgery for over 10 years before I was given the opportunity.  As soon as I was aware of the Duodenal Switch I knew it was the solution for me.  I have never been a volume eater.  I have generally been a healthy eater - yes I have binged like pretty much anyone, for the most part I have been eating a high protein, low carb diet for 15 years so I knew I could maintain the dietary requirements.  When people "fail" following weight loss surgery and gain weight, it is probably because they didn't learn enough or know themselves well enough to commit to what it takes to be successful.

The surgery is a tool, not the final solution to the problem.  After all, we still have to eat!

8 MONTHS POST BPD-DS WEIGHT LOSS SURGERY

I am just past the 8 month mark following my surgery.  I have lost 120 pounds.  I bought a size 12 Land's End dress last week.  I haven't worn a 12 in over 20 years!

I am fairly settled in to my routine.  I gave a good system for keeping track of my vitamins and supplements.  I get all of them in pretty much every day. 

I also have a good routine for my protein requirements.  I have a small breakfast before work, usually something added to Greek Yogurt (5-10 g).  Then on the drive to work I get a protein drink started and finish it at my desk (30g). I munch on a protein bar during the morning (20-30g).  I am especially happy I found Quest Bars because they have such a great variety of flavors. (I am so very sick of fake chocolate and peanut butter flavored stuff.)

Lunch can be a challenge because I am usually pretty full from the drink and bar; so I have something small like some almonds and cheese or leftovers (5-10g).  Then another snack at my desk later in the afternoon, like protein chips, sunflower seeds or more nuts (5-12g). 

Dinner varies a lot.  If my protein is on the high side I relax and don't worry about stuffing something down.  Today I needed another boost so I made my taco salad mostly  ground beef beans and avocado. I'll probably have another protein bar or drink this evening to get to my 90 grams of protein.

I do find that the evening is hard for me, my stomach is much more fussy at the end of the day so I find I graze a bit in order to find what feels right going down. Also I notice by evening, my stomach will not tolerate a lot of food.  We went out the other night and all I could eat was  3 shrimp.  Then I  waited a couple of hours and had 2 more from my "doggie bag."

My family is concerned that I am not eating veggies and fruits - I do eat a few bites of salad greens, broccoli, spinach or other veggies most days.  I indulge my love of fruit more often eating berries and grapefruit every day.  This week I have had some watermelon and peaches, too.

Sometimes I wonder if I will be able to keep up with the protein requirements in the long haul - I hope that my stomach capacity will grow so I can get more of my protein from food rather than supplemental drinks and bars.  For the time being I am very mindful and just do what it takes!

ONE HUNDRED AND TEN FREAKING POUNDS GONE!

I have never been a skinny girl but I have apparently lost the weight of one off of my body. Wow. 


This model claims to weigh 110 pounds - I lost the equivilant of her...)


I am now 6 and a half months post op from BPD-DS bariatric surgery. I have lost 90 pound post-op and a total of 110 pounds since mid-September when I found my doctors and was scheduled for surgery. They said "lose 20 pounds in the month before surgery" so I did. 

As mentioned in a previous post, I had my 6 month lab tests done and there were just 2 tweaks.  I added a separate Vit A supplement because even though my dose was big from the 2 supplements which included it, my Vit A levels were low.  Also, my protein levels needed to be boosted as my "pre-albumin levels were slightly low."  I had been aiming for 80 plus grams a day but now I aim for more like 100 grams.

I am tolerating more foods, but still not much volume.  For instance, I ate a string cheese stick and some almonds for lunch today.  For several lunches  latelyI have enjoyed little "Caprese" salads made of 2 oz whole milk mozzarella, a very small cut up tomato, fresh basil and olive oil.  It's the perfect size for my stomach.  My breakfast lately has been  between 1/4 and 1/3 cup Greek yogurt with 2 sliced strawberries. I snack on almonds, sunflower seeds and peanut butter stuffed celery.

I eat those little meals and snacks every two hours (which is hard to do some days at work) but it doesn't add up to 100 protein grams.  So I supplement - each mid-morning I have a 30 gram protein drink and mid-afternoon I have a 20 or 30 gram protein bar.  If I am coming up short at the end of the day, I do my best to add something else.

Between the little meals, snacks and my vitamins, I am "eating" all day!  I don't have much variety or opportunities to eat anything other than protein foods, but I am certainly not hungry!

6 MONTHS SINCE SURGERY - LABS

I am now at 6 months post op from my BPD-DS surgery.  I am not sure of my weight today.  I was last on the scale 4 days ago and was holding at 103 pounds gone. Weight loss has seriously sloooowed down.

On Tuesday they took 10 vials of blood for my 6 month labs.  The results so far are all excellent. My potassium supplement is working and my Folic Acid went way up, so the added B vits are working, too. I have stuck with my chewables and am not having any stomach upsets as long as I am careful to drink lots of water with the potassium.

Eating is getting easier.  I am much better at judging my capacity, though tonight we went out to celebrate my new job and I ate about 2 bites too many.  I knew it and ate it anyway.  Sigh.  I need to listen to myself and not be so concerned with "wasting" food in restaurants.  Anyway, it was delicious pancetta wrapped shrimp which was char grilled and taking 1 shrimp home would have been a better choice than the upset stomach I have now had for 2 hours!

My new job keeps me very busy and so it is going to be more of a challenge to eat during the day.  I am sure I will get a new routine  down with time.  I do think I will need to eat my solid breakfast at home and drink my protein drink at work.

Exercise is going well.  Still 3-4 trips to the gym and at least one bike outing each week.

SHOPPING FOR THE SMALLER ME

"My clothes were hanging off me, but clothes shopping was overwhelming now. How was I supposed to go into a store with four stories full of clothing that I could fit into? All my previous shopping experiences had taken place within in the confines of a 16-by-16 foot store with limited selection."

I ran across that quote from a woman who had weight loss surgery and has written a book about it.  I wish I had kept the link along with the quote - because now I can't find it.  Anyhow - I totally relate.

I have always loved clothes and have complained for years that the designers and stores must hate us fat people because if there is an ugly fabric to be found - that is what they make our clothes with.  And the embellishments!  They stick rhinestones and puffy paint and all kinds of crap on the awful printed shirts.  The theory being it takes attention away from the size?  Big + shiny is not a good combination, in my opinion.

Then I got too fat to buy clothes in the stores and had to resort to online shopping.  You would think getting too big for Lane Bryant might curb one's appetite - but it didn't. At least there was more variety to be found and I could sort through the dozens of websites and find simple, classic clothing.  Sometimes the clothes arrived and the fabrics were terrible.  (I had a couple of shirts that felt like paper products.)  I had to learn which brands had consistent sizing and put up with shipping and return costs, but all in all I have maintained a decent wardrobe. 

I have always been complimented on my style and appearance;  told repeatedly that I don't "look that big" which I always attributed to my careful wardrobe.  I wouldn't wear things when they got too tight and the online clothes were inexpensive enough for me to update frequently. 

Now I am in a position to change things up a lot.  I still have about 25 pounds to my goal weight and I will continue to have major problem areas which will need camouflage.  When I went out to "real" stores a couple of weeks ago I was overwhelmed by the selection and prices and unhappy to find that most of the clothes were too small, still.  Sizing has gone nuts in the last 20 years!

I did find a few things to buy and reverted right back to my "preppy" style.  For instance, today (it is 80 flippin' degrees here)  I am wearing navy capri's and flats and an orange and white striped boatneck tee.  Yesterday I wore black pants, a black and white stripped tee, a black cardigan and black & white flats.  I bought 4 classic cotton shirts in blue, red & white stripe, white and yellow.

I am now in the smallest size offered in my favorite online store, and the prices are so much less than in the mall, so I am ordering a bunch of tee shirts to wear with cardigans and capri's to get through the Spring and then take another foray into the mall.

My sisters sigh over the fact that I wear red and black and the occasional other color - and I always have. I felt a little defensive when I was showing off my new outfits because I feel like I have other colors, too - but they are right.  I wear classic styles and classic colors for the most part and will likely stick with them for my new wardrobe.

Do you have your signature style?  Or do you mix it up and follow trends?

5 MONTHS POST - OP BPS-DS WEIGHT LOSS SURGERY

Or maybe some sugar free protein ice cream...

I am now at the 5 month mark and have lost so much more weight than I expected in this time frame.  I am down nearly 100 pounds already. I really didn't expect this.  My weight this month has been slower to come off - in fact it bounces up and down a bit but I think I will make it to the 100 pound mark by the end of the month or at most the first week of April.
I am going to the gym 3-4 times a week and have been going on weekend bike rides.  I am walking most weekdays at lunch for 10-20 minutes.  Hurray Spring weather.

I have been bad about logging my food for the last few weeks - but good about my vitamins and water.  The potassium supplement is still awful and I have missed it a few days here and there due to my desire to avoid gagging memory lapses.  I will do my next set of labs in late April.

I am experiencing hair loss.  I noticed about a month ago that the hair loss was creeping up.  I had a hair cut and my stylist confirmed it.  I am lucky that it is pretty evenly distributed and not leaving bald spots.  I take the appropriate supplements and will continue to use Nioxin shampoo - it is just part of the deal for over half of us who have weight loss surgery.

I calculated my BMI and I am very close to moving out of the "obese" category and into the "overweight" one.  I suspect I will never get into the normal range but that's okay with me - the trainer at my gym is borderline "obese" according to BMI and I wouldn't mind looking like her one bit!