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  1. #1
    Gastric Sleeve Member AnnieG's Avatar
    I have had a gastric sleeve.
    Name
    Annie
    Surgery date
    10/05/2017
    Surgeon
    Dr. Ryan Heider
    Join Date
    Oct 2017
    Last Activity
    11-29-2020 11:18 AM
    Location
    NC
    Posts
    1,572
    Said "Thanks" 3,565 Times
    Was Thanked 1,143 Times in 760 Posts
    Said "Welcome to Gastric Sleeve" 271 Times
    Blog Entries
    2

    Default Response from my RD regarding a weight stop point

    I was concerned about the goal weight I understood my drs office set, so I asked the RD. This was her very heartening response.

    "We try to not set goal weights so I’m not sure about that 129 pounds.

    Really the most important thing is that your hydration and nutrition is optimal, including compliance with a daily MVI/mineral regimen.

    We also want you to “feel” good. You may feel great at 129 or you may feel worn down and yucky at 129 so the number is really just arbitrary. Numbers can look good on paper or per the BMI chart but if you don’t feel good or aren’t healthy, that number is not worth it.

    Your body will know when to slow down and stop losing weight. It’s like a thermostat. With weight loss surgery you reset the thermostat to a new setting and your body is going to level out when it reaches that setting, just like the thermostat at home.

    Focus on eating regularly throughout the day, every 2-3 hours and pack in as much nutrition and variety as you can (which I know you have been doing). Hope this helps some!"

    So Ann02 and sraebaer arrived at the same conclusion! Hooray!
    [I]HW: 240 lbs SW: 199 lbs GW: 140 lbs

    1 MO = 167.0 2 MO = 156.4 3 MO = 148.4 4 MO = 140.6
    5 M) = 136.0 6 MO = 130.0
    1 YR = 122.0 2 YR = 140.00 2.5 YR = 139
    Happy with my weight; happy with my size; over-the-moon with my health!

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  3. Gastric Sleeve Surgery With Weight Loss Agents
  4. #2
    Gastric Sleeve Member Dutchie's Avatar
    Name
    Simonne
    Surgery date
    01/03/2017
    Surgeon
    Dr. Pablo Enriquez Valens
    Join Date
    Dec 2016
    Last Activity
    07-05-2020 12:35 AM
    Posts
    1,494
    Said "Thanks" 1,206 Times
    Was Thanked 1,222 Times in 797 Posts
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    8

    Default Re: Response from my RD regarding a weight stop point

    Thank you Annie!
    This is very helpful.
    English is not my first language anymore, so I may and do make mistakes in my spelling, or say things oddly. Please ask me, if you want any clarifications.



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  6. #3
    Gastric Sleeve Member Ann2's Avatar
    I have had a gastric sleeve.
    Name
    Ann2
    Surgery date
    08/18/2014
    Surgeon
    n.a.
    Join Date
    Oct 2013
    Location
    Missouri
    Posts
    6,630
    Said "Thanks" 5,839 Times
    Was Thanked 5,052 Times in 2,720 Posts
    Said "Welcome to Gastric Sleeve" 3,616 Times
    Blog Entries
    3

    Default Re: Response from my RD regarding a weight stop point

    I think the thermostat metaphor is something people can relate to. But I would feel better about that lovely metaphor if I knew there was any actual science underlying it. And by "science" I mean hundreds and thousands of subjects in controlled studies who didn't just self-report re their behavior, since self-reports in the areas of eating and weight control are notoriously inaccurate.

    I can, however, report on my own situation. When I hit 150 pounds I thought I was done. BTW, 150 pounds was my own goal (never even told my surgeon that). Anyway, at 150 pounds I started eating 1700 calories/day, thinking that would keep me from regaining. To my great surprise, during the next 9 months I lost another 15 pounds, down to 135 while averaging 1700 calories/day. And there my weight loss stopped. I stayed at that weight for nearly 2 years, during which time my average daily calories rose slightly to 1,750.

    Then last September I decided to eat more veggies and fruits and have been eating 8 a day since then. In eating more veggies and fruits, I am now eating an extra 100 calories a day -- 1,850 daily cals on average. From September through mid-January I lost three more pounds. And there I stayed until a month ago.

    In the past month, I've endured significant stress and lost yet another 3 pounds because I've been eating less. Happily, I've now stopped losing weight and am slowly working back up to 1,850 cals/day (I'm at 1500-1600 right now). I'm betting when I get there my weight will settle in the low 130s.

    All that's to say, for me, weight loss appears to be a calories-in/calories-out thing. What works for me isn't "science," but just one person's experience. I don't know how extrapolatable it will be to you or anyone else. That's another way of saying "Your mileage may vary."



    Consult: 235 lbs
    My and doc's preop diet: 216 -19 lbs
    M1 postop 205 -30
    M2 193 -42
    M3 184 -51
    M4 174 -61
    M5 167 -68
    M6 162 -73
    M7 156 -79
    M8 151 -84
    M9 148 -87
    M10 146 -89
    M11 144 -91
    M12 143 -92
    M13 142 -93
    M14 140 -95
    M15 139 -96
    M16 137 -98
    M17 135 -100

    First Surgiversary post

    Second Surgiversary post

    Third Surgiversary post

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  8. #4
    Gastric Sleeve Member AnnieG's Avatar
    I have had a gastric sleeve.
    Name
    Annie
    Surgery date
    10/05/2017
    Surgeon
    Dr. Ryan Heider
    Join Date
    Oct 2017
    Last Activity
    11-29-2020 11:18 AM
    Location
    NC
    Posts
    1,572
    Said "Thanks" 3,565 Times
    Was Thanked 1,143 Times in 760 Posts
    Said "Welcome to Gastric Sleeve" 271 Times
    Blog Entries
    2

    Default Re: Response from my RD regarding a weight stop point

    Quote Originally Posted by Ann2 View Post
    I think the thermostat metaphor is something people can relate to. But I would feel better about that lovely metaphor if I knew there was any actual science underlying it. And by "science" I mean hundreds and thousands of subjects in controlled studies who didn't just self-report re their behavior, since self-reports in the areas of eating and weight control are notoriously inaccurate.

    I can, however, report on my own situation. When I hit 150 pounds I thought I was done. BTW, 150 pounds was my own goal (never even told my surgeon that). Anyway, at 150 pounds I started eating 1700 calories/day, thinking that would keep me from regaining. To my great surprise, during the next 9 months I lost another 15 pounds, down to 135 while averaging 1700 calories/day. And there my weight loss stopped. I stayed at that weight for nearly 2 years, during which time my average daily calories rose slightly to 1,750.

    Then last September I decided to eat more veggies and fruits and have been eating 8 a day since then. In eating more veggies and fruits, I am now eating an extra 100 calories a day -- 1,850 daily cals on average. From September through mid-January I lost three more pounds. And there I stayed until a month ago.

    In the past month, I've endured significant stress and lost yet another 3 pounds because I've been eating less. Happily, I've now stopped losing weight and am slowly working back up to 1,850 cals/day (I'm at 1500-1600 right now). I'm betting when I get there my weight will settle in the low 130s.

    All that's to say, for me, weight loss appears to be a calories-in/calories-out thing. What works for me isn't "science," but just one person's experience. I don't know how extrapolatable it will be to you or anyone else. That's another way of saying "Your mileage may vary."
    OH my dear friend, you made me laugh! My "mileage" has always varied -- in everything. I just think I'll have to listen to my inner self (not the one who said eat eat eat, but the one who says health health health!

    I'm at about 800 calories a day at 4 months out, but fixing to increase to 900-1000 at 5. Lots of energy but tired of the same foods. Went out of my comfort zone over the weekend with no ill effects, with the grandkids and my daughters. Apparently fun grandma is back

    Thanks for your genuine insights!
    [I]HW: 240 lbs SW: 199 lbs GW: 140 lbs

    1 MO = 167.0 2 MO = 156.4 3 MO = 148.4 4 MO = 140.6
    5 M) = 136.0 6 MO = 130.0
    1 YR = 122.0 2 YR = 140.00 2.5 YR = 139
    Happy with my weight; happy with my size; over-the-moon with my health!

  9. #5
    Gastric Sleeve Member Christie13's Avatar
    I have had a gastric sleeve.
    Name
    Christie
    Surgery date
    11/03/2016
    Surgeon
    Dr. Wright
    Join Date
    Nov 2016
    Last Activity
    09-12-2019 04:13 PM
    Posts
    5,169
    Said "Thanks" 978 Times
    Was Thanked 2,940 Times in 2,192 Posts
    Said "Welcome to Gastric Sleeve" 1,465 Times
    Blog Entries
    97

    Default Re: Response from my RD regarding a weight stop point

    I had "chosen" 120 as my goal weight and my PCP thought it was a great number based on my stature and build. My body had other ideas. At first I wondered if 108 was too thin. But now that I am used to seeing myself that way I can tell you that I am completely happy and feel great at this weight. Totally loving it. Ironically I saw my ex husband this past weekend for the first time since I lost weight and he told me I was "too skinny". I just kind of laughed as he totally got fatter. LOL. (My current husband has lost weight and looks fabulous!!)



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  12. #6
    Gastric Sleeve Member Ann2's Avatar
    I have had a gastric sleeve.
    Name
    Ann2
    Surgery date
    08/18/2014
    Surgeon
    n.a.
    Join Date
    Oct 2013
    Location
    Missouri
    Posts
    6,630
    Said "Thanks" 5,839 Times
    Was Thanked 5,052 Times in 2,720 Posts
    Said "Welcome to Gastric Sleeve" 3,616 Times
    Blog Entries
    3

    Default Re: Response from my RD regarding a weight stop point

    "You're too skinny!"

    SMDH.

    Just this morning, my banker told me to go eat a hamburger. I suppose he thought that was something clever to say.

    Naturally, this is a guy who's gained 50 pounds in the last 10 years. Hey, it happens. I get it. Middle age. Kids in high school and college. He's in the thick of it. Literally.

    People tell us all kinds of things to protect their own egos, their choices, and the consequences of their choices. But none of their self-protection blather should be taken onboard by us as advice or instructions. It's just blather.

    Bless their hearts.



    Consult: 235 lbs
    My and doc's preop diet: 216 -19 lbs
    M1 postop 205 -30
    M2 193 -42
    M3 184 -51
    M4 174 -61
    M5 167 -68
    M6 162 -73
    M7 156 -79
    M8 151 -84
    M9 148 -87
    M10 146 -89
    M11 144 -91
    M12 143 -92
    M13 142 -93
    M14 140 -95
    M15 139 -96
    M16 137 -98
    M17 135 -100

    First Surgiversary post

    Second Surgiversary post

    Third Surgiversary post

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  14. #7
    Gastric Sleeve Member DHB's Avatar
    I have had a gastric sleeve.
    Name
    Dale
    Surgery date
    11/14/2017
    Surgeon
    Kathrine Lamond
    Join Date
    Sep 2017
    Last Activity
    03-18-2019 09:24 AM
    Location
    Chevy Chase, MD
    Posts
    460
    Said "Thanks" 615 Times
    Was Thanked 416 Times in 264 Posts
    Said "Welcome to Gastric Sleeve" 141 Times

    Default Re: Response from my RD regarding a weight stop point

    Quote Originally Posted by Ann2 View Post
    "You're too skinny!"

    SMDH.

    Just this morning, my banker told me to go eat a hamburger. I suppose he thought that was something clever to say.

    Naturally, this is a guy who's gained 50 pounds in the last 10 years. Hey, it happens. I get it. Middle age. Kids in high school and college. He's in the thick of it. Literally.

    People tell us all kinds of things to protect their own egos, their choices, and the consequences of their choices. But none of their self-protection blather should be taken onboard by us as advice or instructions. It's just blather.

    Bless their hearts.
    You've got to write a book. Too much wisdom for just this little forum.


    Beginning weight: 265
    Weight at surgery: 255
    M1: 240 (-15)
    M2: 232(-8)
    M3: 227 (-5)
    M4: 221 (-6)
    M5: 215 (-6)
    M6: 210 (-5)

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  16. #8
    Gastric Sleeve Member AnnieG's Avatar
    I have had a gastric sleeve.
    Name
    Annie
    Surgery date
    10/05/2017
    Surgeon
    Dr. Ryan Heider
    Join Date
    Oct 2017
    Last Activity
    11-29-2020 11:18 AM
    Location
    NC
    Posts
    1,572
    Said "Thanks" 3,565 Times
    Was Thanked 1,143 Times in 760 Posts
    Said "Welcome to Gastric Sleeve" 271 Times
    Blog Entries
    2

    Default Re: Response from my RD regarding a weight stop point

    "Bless their hearts. " down here in NC iis followed with "let's take him/her a casserole". Ann2 thanks for cheering up my early morning. You guys all rock!
    [I]HW: 240 lbs SW: 199 lbs GW: 140 lbs

    1 MO = 167.0 2 MO = 156.4 3 MO = 148.4 4 MO = 140.6
    5 M) = 136.0 6 MO = 130.0
    1 YR = 122.0 2 YR = 140.00 2.5 YR = 139
    Happy with my weight; happy with my size; over-the-moon with my health!

  17. #9
    Gastric Sleeve Member Fab50's Avatar
    I have had a gastric sleeve.
    Name
    Cindy
    Surgery date
    04/26/2018
    Surgeon
    Dr. Steven Udelhofen
    Join Date
    Dec 2017
    Last Activity
    09-06-2018 07:52 AM
    Location
    Ohio
    Posts
    45
    Said "Thanks" 81 Times
    Was Thanked 22 Times in 19 Posts
    Said "Welcome to Gastric Sleeve" 0 Times

    Default Re: Response from my RD regarding a weight stop point

    you have done a FANASTIC job......you all but met your goal weight in only 4 month. That is astonishing!!!!



    HW: 379 - at consultation 11/30/17
    SW: 325 - surgery date 04/26/18 (54)
    1 month: - 314 (11) - (65 total)
    2 months: - 305 (9) - (74 total)
    3 months: - 297 (8) -. (82 total)
    4 months:
    5 months:
    6 months:
    7 months:
    8 months:
    9 months:
    10 months:
    11 months:
    12 months: 1st goal - 204 lbs - (-175.00)
    18 months: 2nd goal - 179 lbs - (-200.00)

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