44 Year Old Mother of 2, PCOS, Sleep Apnea, Back and Knee Pain. Houston, TX
I was skeptical and afraid to have WLS. I had...
Today's visit was much less chaotic. The office manager (whom is very sweet) came in herself to make sure all of my questions were addressed. Dr.S is my favorite doctor. I just think he is a big sweetheart. I think the last visit was crazy due to some clinic changes. It had nothing to do with me. It was just timing.
Anyway, this visit was so much better, and they went out of their way to make me feel special. ( Dr. S can undoubtedly be very charming....but really, that is his job.)
I am very happy that I went to see him again this week, he was just a doll.
I am considering some other procedures, but it will be a little bit before I can have another procedure. I have do more thinking what I want to do.
(I have to overanalyze my analysis and then re-analyze my overanalysis.) lol
I hope my bb is healed by next month when I return.
Also, he said I can start abdominal exercises now, so I am very excited about that too!!
Weight Loss and Exercise: The struggle is real
I haven't posted very much to my WLS review because I was busy healing from plastic surgery. It has been nearly 9 months since I last posted anything. I want to say what an amazing and exciting transformation this has been for me!!
I am so happy that I decided to have WLS ! I cannot imagine still having to "drag" all of that extra weight around. (Even though I was curvy, and nobody thought of me as "obese" - At least that's what they said- I was definitely obese.)
I can look back and think about days when I stepped on the scale, and no matter what I seemed to do or how hard I tried, the numbers just didn't go down. It was terribly depressing. I did not understand then that the extra fat produces hormones that disrupt your metabolism, and keep you fat. It is just nearly impossible for some of us to lose the weight and keep it off without having WLS surgery.
Part of the puzzle for me is that I do believe (No, I KNOW) that I have a slow metabolism, and I have had more than one doctor tell me that my thyroid is not functioning well; however, Dr. Marvin did not want to put me back on Synthroid, even though I took it before. My core temperature runs at about 96 F. (No kidding) One endocrinologist had me taking it every morning before I got out of bed, and I recorded in the 96 to 96.5 range every day. He said my thermometer was broken, or that I didn't know how to take it. (Oh, come on. I am a nurse. I know how to take my damn temperature.) So, I used my old mercury thermometer. Same temps. Perhaps some of you also have this problem ??
Anyway, it is very frustrating to be eating only 1400 to 1500 max calories per day, doing all of the running, lifting and cycling that I am doing, and have my weight hardly budge. (I am still the exact same size I was 4 years ago; although, I do believe more of it is muscle.) My hip measurement is pretty much the same, but I have bigger thigh and arm circumferences. This can make shopping somewhat more difficult for me. Especially pants. I have to buy them with the stretch in them. Or wear leggings. (Yes, I am part of the leggings are pants movement.)
On a positive note, despite the slower metabolism, at least I haven't gained any of the weight back...I am so into my exercise now that I've had my tummy tuck!! It gave me that extra push. My figure just looks a lot better, and I am happier when I buy clothes, and they actually look pretty good. I just took my "after" photos for my tummy tuck last week. Despite the fact that I hated taking nearly naked pictures (lol), and my body is certainly not "perfect", my ps says that I look good. Well, I know it's his job to make patients feel good about themselves, but I do hope that he meant it !! You know how many women he probably sees everyday, (Some of whom I'm sure look a lot better than I do.) But, when your ps tells YOU that you look good, you want to believe it......
So, back to the weight loss. I am certainly disappointed that I have not been able to lose more weight. (When I had my combo surgery in January, and was not exercising, I lost about 15 lbs. just like that. Just sitting in my recliner and walking around the block.) I do not understand this at all. Crazy.
Now that I am back at exercising, I have gained back about 8 pounds. I am really dumbfounded. I can see that some of it is that I've gained muscle, but my pants do fit a bit tighter also, even though they are the same size as before. This is just upsetting; I just want to throw that scale away, and never weigh again. But, I know that this is something I cannot do. I have to try to figure out what is going on with me, and try to find the right formula between exercise and diet that produces weight loss. My trainer says eat fish, veggies, and some fruit. Drink lots of water. No or not much carbs.
However, if you are going to cycle, then you have to eat carbs. You will simply run out of stored glycogen halfway through the ride. You have to eat foods with a higher glycemic index at certain intervals before you go, and during the ride. Even the night before. So, not eating carbs is not going to work for me all of the time. And I am not giving up cycling because I love it!!!
So, there is this whole thing about my weight and the different types of exercise that I enjoy, and learning how to manage my diet to arrive at my goal weight. I am really struggling. I would like to be about 20 pounds lighter. (My BMI really is borderline, and I would have to lose at least 10 pounds to get off of the borderline side of the BMI chart.) My trainer says this is ridiculous, but I would really like to achieve my original goal. However, exercising and eating right are not just about my goal. It is now my lifestyle, and a change that I will remain committed to.
So, this is where I am today. I am very happy about the progress I've made, but I never did hit my "goal" weight which was 150. I would probably look pretty thin at that weight, but then the less you weigh, the easier it is exercise!! Plus, it would just feel good to finally make my goal, even though I cannot say that I am not thrilled with my progress so far.
If you are overweight/obese, and have co-morbid conditions like high blood pressure, sleep apnea, and /or diabetes, then please consider having WLS for your health and honestly, for your sanity. Yo-yo dieting is bad for you, damages your metabolism, and will eventually drive you batty. Not to mention the damage that being heavy does to your self esteem.
Please see a board certified bariatric surgeon with a lot of experience in the procedure that you need or want to have. If you live in or around the Houston area, then please go see Dr. Robert Marvin. He is simply wonderful, and you will be in great hands!!
I am not going to post pics of myself due to anonymity, sorry. Besides, all of my "fat" pictures have since been destroyed and/or thrown out along with all of my "fat" clothes.........
Still Struggling 4+ Years Post
I posted last month, & I said I was stduggling; Unfortunately, I still am. I have cut out all sweets, bread, sugar, and almost all alcohol. (wine is all I like).
I still have a bad day every once in a while where maybe I slip on one thing or another, but for the most part, I am sticking to my new eating plan. I have been out of town several weeks in a row recently, but I usually bring my own food along so I won't be tempted. I still don't see a huge difference in my weight, but it has not been long enough for me to see a difference.
I am pretty hard on myself, but I am really hoping to see a change in the right direction. I did lose about 15 pounds with my tummy tuck 6 months ago, and gained 8 pounds back. So, if I can lose 10 lbs. , then I will be thrilled.
I just want you to know that even at 4 years out, I am still working hard toward my goal. It is a personal goal, & not one other people even know about. I don't discuss my weight with any of my close friends simply because most of them are way heavier than I am, and that would be insensitive of me. That doesn't keep
me from feeling like I could do better....
I am just going to try to accept where I am and continue with my plan. I am working out with my trainer in the morning, & I am looking forward to it!!
If / when I reach my goal weight, I will post. Until then, wish me luck, as I seem to be STUCK!!!! I know posting about losing the last bit of weight might seem silly, but it isn't to me. I started this journey with a goal in mind, & I am still plugging along. I really want to get there.........If you are a WLS patient, then maybe you will understand.....
My Hair Is Falling Out
It's been a month since I wrote in. I am still at the same weight, despite giving up the foods that I thought would help me lose weight. And I believe I am still the same size. I quit running altogether, substituting cycling 25 miles x2 each week, and then elliptical and weightlifting, and some core stuff, and whatever other crazy exercises my trainer makes me do. lol. I noticed about 3 weeks ago that some of my hair was falling out in the sink, and it got some thinner. Yikes. I wondered if it was the surgery I had 6 months ago, or if it is related to hormones (I have an estrogen patch, and rarely have any menopausal symptoms.) I feel pretty good in that respect. So, now I am focused on maybe adding more protein to my diet. I am at 50 to 60 g per day, which Dr. Marvin said was enough. I take the 2 multivitamins every day, plus 10,000 mcg of Biotin, Zinc, and I was taking Tumeric; however, I stopped, since it made me feel tired, and I read it can interfere with the absorption of iron. Something I probably do not need. (I wondered if that was making me tired.)?
I need to have my bloodwork done and my visit with Dr. Marvin. (keep saying this) I have been really busy, and I just need to make time to go. I have no idea why I haven't lost any weight. It seems like cycling 50 miles a week would burn more calories than running 15. At least by the calculations I did based on my height and weight. But, Dr. Marvin told me that it can look that way on paper but not be that way in real life. Whatever. Talk about discouraging. However, I am still going to do the exercise, because I like it, it's fun, and I have to do it for well being, and at least weight maintenance. My knees are doing better since I quit running, but cycling does make them ache some. This is the problem with getting older.........lol
Feeling a little down
Since almost none of my friends know that I had WLS, I can't really talk to any of them about this.....so that leaves you..
I have been trying really hard to re-lose that last 10 lbs. that I lost with my tt surgery 6 Months ago; then re-gained it....
I have given up sweets, bread, most carbs, wine, & pretty much all other foods except protein & veggies....This was very hard for me.....Then I switched from running to cycling ...( I was doing both before, but I am finally up to being able to just replace running with cycling altogether.) I did this mostly due to knee pain.
Then my hair started falling out some, so I added more vitamins, protein & EFA.
I feel like that has stabilized now, but I am not losing any weight !!! Just in a holding pattern....
I am pretty aggravated.....I am cycling 50 miles per week..Sometimes more. I am up to 27 miles at 17 mph. My goal was 30miles. I am almost there....My trainer really knows nothing about cycling. He says he could only do about 4 miles & then he would probably pass out...lol
My husband tries to encourage me to go ahead & ride with a group for more support & fun, but, honestly, I'm just not feeling it. I don't know why....My husband is not interested in road cycling, & he can't go as far as I can, so he is not going with me....
He is into a different type of biking...
So, waah !!! I am a bit depressed, but I know that eventually I will snap out of this & make some progress...I was running more often than I am cycling, so this probably has affected my mood....
Anyway, I just wanted to say that I am still not really where I hoped to be by now & it stinks !!! I am just going to keep on hanging in there....Maybe something miraculous will happen !!!! :)
my hair started falling out some....&
Hair Falling Out & Fatigue. Figured It Out.
Just wanted to update you that the mystery is solved....I saw my gyn last week for fatigue & my hair falling out. He ran a bunch of blood tests. The verdict is iron deficiency anemia. I really didn't think I was still anemic since no periods since December, but apparently I either never recovered from it after surgery, or the cause was not just heavy periods....
Now I have to start taking iron again, & return in 2 months for more tests....He talked about looking for other causes, & so I agreed and we have a game plan : Oh, joy.
I knew something was up when I was exhausted every day by lunchtime, & my hair was falling out. It's not as bad since I started the hair vitamins, but, I still see some shedding. At least it's not my hormones !! lol.
Despite the issues, I did reach my cycling goal of 30 miles about 2 weeks ago, then I went from cycling 25 miles x2 per week to cycling 20 miles x 3 per week. I think I will just stick to my 60 miles per week for now until maybe my iron level gets above 30 and my Hemoglobin gets above 10. I don't even know how I have managed to cycle this far with my anemia. I just know that I was anemic 3 years ago, & I still am; Although, these levels are the lowest by far.
I am not going to spend a lot of time worrying about it, though. I know that even with supplementation, it could be a while before I get my energy back. I am still going to do my exercise. I am able to pretty much keep up with my work, it's just that I feel like I am dragging by noon, & I have to force my way through the afternoon ! I am doing ok under the circumstances.
I will let you know what happens. I did make my appointment with Dr.Marvin, but I could not get in for a while, so that's why I scheduled to see my regular doctor (who is basically my GYN, since I really only use the urgent care for other stuff.)
At least now I know.
I don't think my wls had anything to do with the anemia since there is not supposed to be any malabsorption with the sleeve; however, I was not anemic before I had this procedure.....Hmmm...
I will just have to wait & see if additional testing tells us anything more....
Post VSG Iron Deficiency Anemia
I recently posted that I have IDA and it was somewhat surprising to me that I still have this 8 months post total hysrefectory. I figure no bleeding = normal iron count. Not so. I have done more reading recently regarding this issue....Post vsg patients should stay on at least 18 mg of iron daily....This can be achieved by taking daily mvi containing iron. My mvi does not contain iron....I hate ingesting iron for many reasons....Mostly due to slowed GI motility & constipation issues.....I purposely bought mvi without iron for this reason....Big Mistake....
My wls doctor said VSG does not lead to malabsorption because there is no re-routing of the anatomy.....However, upon further reading, I just discovered that because the surface area of the stomach is decreased by at least half, if not more, of its original size, there is much less stomach acid to convert the iron from food into a state that can be absorbed...Thus, it is very important to continue iron supplementation after surgery.....Something I wish I had known before. My wls doctor told me that when my iron levels came up, that I could discontinue the iron supplement. This is obviously not working for me, as I have been up & down with low iron since my sleeve in 12/2012...
He even told me that my heavy periods were likely the cause ......
Based on what I have read today, it is pretty standard to be iron deficient post VSG.... This might not seem like a big deal to you at the moment, but having IDA has definitely affected my quality of life...I am simply too tired to meet the daily demands of raising 2 kids and meeting my household demands without running out of energy midday. Not to mention keeping up with my exercise regimen.
Bottom line: My advise to all sleeve gastrectomy patients is: Take at least 18 to 30 mg of iron daily. Do not wait to become iron deficient......The pure exhaustion of it all is not worth it......
I am now taking 60 mg of iron 2x daily until my energy levels pick up......Then I will decrease it to 30 mg daily....
Hopefully, I will feel better very soon. And I plan on discussing this issue in detail with my wls doctor at my next visit....which is pretty soon.....
So, Good luck!! I hope you stay healthy & do not have to endure this issue.....
Iron Supplements Post VSG
3 year appointment for my regular 4 year checkup date in December.--OK I am a year late. I'm sure he will fuss...(More things happened this year.......2016 has definitely been a challenge.....)
The good news is that I am feeling so much better after 3 weeks on iron !! Not nearly as tired. Getting more done without getting as fatigued.....
Hired a cycling coach. He has me eating mostly protein, veggies, fruit & water...
Carbs only on cycling days.
Can't say that I never deviate from the eating plan, but I think I have lost a pound or two in the 2 weeks I have been on it. He has increased the frequency & intensity of my work outs, so I am glad for the increased energy levels... I cannot always do all of the exercise on my plan, but I do my best. He is ok with it, & I love having an experienced person to teach me...He is pretty cool & sort of a freak in a good way. Lol-' Plus he's a lot of fun to talk to while we're riding ..... That's a plus.
I can't say that I feel 100% back to normal, but I do feel a lot better!
So, since I doubled my 60mg to 120mg daily...I have probably recovered in half the time....Soon I will have to go by Dr. Marvin's office before my scheduled appointment to pick up some more iron pills....
I like the kind he sells because it is easier to digest & causes less constipation.
I am sooo happy for finding out the problem with my energy level & hair loss. I am glad it was pretty much an easy diagnosis with a pretty easy fix.
If you turn up iron deficient post VSG, just be sure to take your iron supplements & keep your appointments with your doctors who are following you.
Good luck !
Dr. Marvin is an excellent surgeon. He has a low rate of complications, and takes time to answer all of your questions fully. He is a nice person, which is a plus, and he truly cares about his patients. I felt very comfortable with him, and felt that he was honest about what I could expect from the procedure and the aftercare. He does tend to be a busy person, but anytime I asked to schedule an appointment with him, I was afforded that opportunity. He does work with a PA, and sometimes you will have your appointments with her instead of the doctor. But, this person is very knowledgeable as well, and she can give you another perspective. Just know that if you would rather see the doctor, then I am sure you probably can if you request that. I would absolutely choose this doctor over any other in the Houston area, even if I had to pay out of pocket, which, luckily I didn't. I do not believe there is another weight loss surgeon out there with as much skill or expertise in this area. You would be crazy to use anyone else. Weight loss surgery is only as safe as the surgeon you choose. Good Luck.