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Update 21.04.2015 and general blog

denzel

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Me - female, 153.5 cm tall (short!), turning 55 next month (how did that happen??).

Sleeved 02.02.2015 by Dr Stephen Watson at SJOG Murdoch Perth, weighed 82.5 kg at my heaviest in 2002 - BMI 35, weighed 74 kg at pre-op appt - BMI 31.4 , and weighed ??70.4 kg BMI 30 immediately pre-op.  
Lightest I got down to was 41.3 kg, BMI 17.5 in 2015 (I had a gut infection).

I had plastic reconstructive surgery - 1/2 bodylift and arm lift at the end of 2015.  
My blog is on bandingtogether.com, same username.

Not working, heaps of medical problems not obesity related, on Disability Pension.  
Health-wise, I do best on a gluten-free, low FODMAP, LCHF diet. 

Recent heaviest weight was 22.03.2018 54.88 kg, BMI 23.29. 
My only consolation is that when I last weighed this, in May 2015, I had more body fat (I have scales which also measure hydration and body fat %).
Dietitian's long-term goal for me was 50-53 kg, so I am over my goal weight.   My original goal eight was 50 kg.
I desperately want to get back to 46 kg, BMI 19.5 - my happy weight. 


Following another Campylobacter gut infection last year, i ceased some prescribed medication as I simply could not face taking it.
Then inadvertently went through seven months of hideousness with Cymbalta Withdrawal Syndrome, had no energy, was hideously fatigued, no appetite control, and ate and ate and ate.

I am now back on Cymbalta for Fibromyalgia/ME/CFIDS nerve and soft tissue pain.
For me, a bonus of Cymbalta is one of it's known side effects - diminished appetite!  Yay!

Negatives for me are:
Still feeling very fatigued and drained with post-exertional malaise (ME/CFS), feel great in the mornings until after I walk the hounds and then it's downhill from there. 
As far as my "energy/wellness/health budget" go, I either spend it on walking the dogs, or other activities such as housework.  Walking the dogs wins out ....


Positives/strategies for me are:

  • Involvement in a group of like-minded supportive folk, i.e. this forum!
  • I continue to follow a LCHF diet, and have made the effort over the last couple of days to chew more and to take a break between mouthfuls.  
  • I have found  doing the 20, 20, 20 does slow my eating down, and therefore I fill up/reach satiety faster! I am not doing any other activity while I am eating, and quite frankly, it is quite boring, so I don't stretch the time period out more.
  • I continue to use small crockery and cutlery.
  • I have been back and looked at the guidelines given to me by my dietitian post-op.  I had consulted her at every stage - pre-op, and then at every progression post-op, and have found a very basic guide for a plan for getting in protein when on full diet. 
  • I continue to walk briskly minimum 3.4 km daily with two houndies.
  • I have identified areas that I personally for me need to work on, these are in italics.

Slow down your eating pace. If you have a gastric band, you may need to wait up to 90 seconds between each swallow.

Chew well and clear the mouth between small forkfuls (spoonfuls). There’s no need to rush when the meal is small.

Skip energy-laden drinks, such as sugar-drinks (soft drinks, cordials, energy drinks) and drinks containing alcohol (beer, wine, spirits, cider, liqueurs).

Choose nutrient rich foods including protein rich foods. Protein is nature’s natural appetite suppressant.

Stick with a smaller serving size that is just enough to take your hunger away without either making you feel over-full or leaving you hungry soon after - a fine balance that takes time to to discover. Serve more and you’ll attempt to eat more - human nature at work! Serve too little and you will slip into a less helpful grazing and snacking pattern.

Learn to recognise the differences between true tummy hunger and head hunger. Head hunger is driven by social occasion, desire, emotions, or mood. Respond to head hunger with something other than food.

Stop grazing and random snacking. Between meal eating and drinking is easy to forget and accounts for stalled weight loss and weight regain in many. 
http://www.foodtalk.com.au/contents/en-us/d136_The_Pouch_Reset_Test_Diet__does_it_really_work_.html
 

  • I am now in the first stages of meal planning and looking at recipes.
  • I've gone through some of my resources here at home,  and had a good browse through "Curb the carb.  The safer way to diet.  The healthy low-carbohydrate weight loss programme" by Amanda Cross.  It's not bariatric, but has good recipes with macros and meal planning. Also goes through three stages of weight loss - fast, slower, maintenance.   A lot of the recipes are 1-2 serves for folk who haven't had weight loss surgery, so it's easy enough to split the meal up into servings appropriate for me and know what the macros are for each serve.  
  • I am going to source a LCHF dietitian in Perth - and see them under a Chronic Disease Management Plan.  I am really confused about how much my daily protein should be, there is a lot of conflicting info, and also whether or not I should have snacks *sigh*.


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I've gone through some of my resources here at home,  and had a good browse through "Curb the carb" by Amanda Cross.  It's not bariatric, but has good recipes with macros and meal planning. Also goes through three stages of weight loss - fast, slower, maintenance.   A lot of the recipes are 1-2 serves for folk who haven't had weight loss surgery, so it's easy enough to split the meal up into servings appropriate for me and know what the macros are for each serve. 

GP double appointment (for other things) booked for Tues 1st May, and I'll request a referral to Dr Nicola Lowth, a LCHF dietitican, and try to get it under a Chronic Disease Management Plan.

 

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