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Re: Hmmm

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Cyndi,

I think the best explanation I have ever had was that of the

honeymoon phase of a marriage. It seems relatively easy for the first

year or so but after that it took work. Some people manage to loose all

the weight during the honeymoon phase but need to be diligent afterwards.

Some loose most of the weight and have to work at taking off the rest.

It is one reason why this surgery should be considered a tool to be used

with the other tools we have. It's a package deal.

Lori Owen - Denton, Texas

SRVG 7/16/01

Dr. Ritter/Dr. Bryce

479/356/hoping for close to 200

On Tue, 6 Jan 2004 09:03:33 -0600 (Central Standard Time) " Cyndi "

writes:

> Ok, I have a question - something I have been wonderin' about now for

> a

> while. Everything I read says our weight loss should start tapering

> off

> after 18 months - 2 years, losing down to what amounts to around 20

> - 40%

> above our ideal weight. Now for what may seem like a silly question

> - Does

> this mean any more weight loss will be " completely " up to me? What

> I mean

> by this is - from this point on I will be on my own like in the past

> right?

> Sorry for sounding so confused... lol I know it can't possibly

> mean the

> weight loss will stop - it simply means the use of my WLS as a tool

> lessons

> over time right?

>

> Hugs,

> Cyndi in Tennessee

> 45 Years Old -- 5 Feet 5 1/2 Inches

> Fobi Pouch -- Proximal

> (Vertically Transected, Silastic Ring Banded, Roux en Y Gastric

> Bypass with

> a Gastrostomy and a Gastrostomy Site Marker) AKA -- TSRBVGB

> 12-30-02 - Dr.

> Baptist Hospital - Nashville, Tennessee

> 363/218/Goal-140ish

> 145 Pounds Gone Forever

> (for the better part of a week I have been bouncing back and forth

> between

> 218 and 222)

>

>

>

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In a message dated 1/6/04 9:07:03 AM Central Standard Time,

snowraven@... writes:

> Does this mean any more weight loss will be " completely " up to me? What I

> mean

> by this is - from this point on I will be on my own like in the past right?

------------

You are not completely on your own as long as you have a functioning

pouch -- however, as time goes by, making it to goal weight, and more

importantly, STAYING there become VERY dependent on YOU. Even with a little

tiny pouch

people DO regain weight. Frequently, it happens because we get sloppy with

our eating -- snacking or eating the wrong things. The pouch won't stop you

from eating many of the foods that cause weight gain.

Some people, who have had the RNY, lose their intolerance to sugar (if

they ever had it in the first place) over time -- frequently due to minor

" dabbling " in sugar along the way, thereby gradually increasing their tolerance.

For some people, there is almost no upper limit to the amount of sugar they

can take in without dumping -- for others, while there is a limit, it still may

be high enough to allow them to indulge in things like cookies/candy/cake

etc.

Many people talk about the first year as a " honeymoon " period -- where

weight loss is fairly rapid and generally " easy " ... during this time, most

people can eat just about anything (that doesn't make them dump) and STILL lose

weight. Part of it has to do with our beginning body size. In the

beginning, when we are still very large, our body needs more calories to

maintain its

size -- therefore, if we are only eating 1000 calories, the deficit is large

and there is weight loss. As we get smaller, our bodies require fewer and fewer

calories to maintain its size. Therefore the same 1000 calories will not

leave as much (if any) of a deficit to make weight loss. It is almost

impossible

to sustain rapid weight loss without continuing to drastically limit your

calorie intake.

During this honeymoon period, many people develop the idea that what

they are doing is all they will have to do for the rest of their lives to lose

the weight and maintain the loss (though some have the delusion that after

they are done losing they will be able to eat pretty " normally " ). For many

people, if they DID continue to live like they did that first year post op they

would settle in to a reasonable weight and stay there. But, most of us have a

hard time doing that. We start dabbling in some of our old ways. Things that

we wouldn't have dreamed of eating the first year or even the second, find

their way into our mouths in years three and four. The next stage of the battle

begins.

So, in answer to your question, I believe that YES, getting to goal

weight and STAYING there WILL be completely dependent on what you do... HOWEVER,

you will have a tool that you did not have in the years before your surgery

-- and that tool will hopefully make all the difference in your ability to

fight the good fight.

Beth

Houston, TX

VBG - Dr. Srungaram

05/31/00 - 314 lbs.

11/01/02 - Abdominoplasty

11/29/02 - 160 lbs.

5'10 "

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