{"id":648,"date":"2022-03-14T16:28:04","date_gmt":"2022-03-14T22:28:04","guid":{"rendered":"https:\/\/www.bdragon.com\/?p=648"},"modified":"2022-03-14T16:28:07","modified_gmt":"2022-03-14T22:28:07","slug":"gastric-sleeve-weight-loss","status":"publish","type":"post","link":"https:\/\/bdragon.com\/lair\/2022\/03\/gastric-sleeve-weight-loss\/","title":{"rendered":"Gastric Sleeve Weight Loss"},"content":{"rendered":"<div class=\"entry\">\n\n\n<p>About 6 years ago in 2015, I learned details about a bariatric weight loss surgery called &#8220;gastric sleeve&#8221; when my boyfriend Andy&#8217;s sister underwent the process and the procedure.  He and I discussed it quite a bit as his sister went through the process and we both thought it would probably be a good option for each of us as well for weight loss, since we both had struggled with our weight through the years.  Over time I did further research and reading about the surgery itself and became convinced it was definitely a path forward that I wanted to pursue.  It was just so difficult to manage to plan for it in my life and way too easy to keep putting off!<\/p>\n\n\n\n<p>Then Andy passed away in September of 2019 due to an obesity-related disease.  Though we had broken up prior to this happening, it was a pretty devastating loss.  In January of 2020 I finally managed to start looking into my health insurance plan and trying to figure out where I might go to to get the process started for a gastric sleeve.  But then came the COVID pandemic and lockdowns soon after, which of course slowed things down.<\/p>\n\n\n\n<p>I finally managed to find and visit a surgeon to get the process started later on in 2020.  It was upsetting when I told the surgeon the story of Andy &amp; I, and the surgeon said something along the lines of: &#8220;If he&#8217;d had this surgery, he would still be alive&#8221;&#8230;. that was a kicker.  There were several requirements that needed to be met before surgery such as a psychological evaluation and nutritionist consultations along with diet and exercise changes and a lot of preparation for handling pre and post surgery.<\/p>\n\n\n\n<p>Another great motivator for me during this time has been my current boyfriend &#8211; who also took the opportunity in 2020 to embark on a new diet and exercise plan of his own and lost over 100 pounds.  He has been an inspiration and it&#8217;s been wonderful to share diet and fitness tips with each other on our own respective journeys.<\/p>\n\n\n\n<p>My surgery was at last scheduled and took place on October 5th 2020.  I believe it&#8217;s always nerve-wracking to undergo surgery, but I feel like I had an excellent surgeon and surgical team and overall it went quite well with just minor side effects.  Now of course I had to start the healing process and the process of changing my diet and adjusting to an entirely new way of eating compared to my previous decades of life!<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Protein, Protein, Protein!<\/h2>\n\n\n\n<p>From the nutritionist consultations, other provided pre-surgery planning videos, and my own research &#8211; there was a large emphasis on sticking with a <em>high protein<\/em> diet once back on solid foods after surgery.  The intent was to help reduce any muscle loss when losing the weight quickly and emphasize fat loss instead.  <\/p>\n\n\n\n<p>One very very helpful formula I picked up from one of the pre-ops videos was this: <mark class=\"post-text-highlight1\"><strong>divide the number of calories in a serving by the number of protein grams and <em>try to aim to eat foods that are a &#8220;15&#8221; or less, or at the very least stick to a ratio of 20 or less<\/em><\/strong><\/mark>.  For example, a serving of low fat cottage cheese at 120 calories and 19 grams of protein is 120\/19 = 6.3 (good!).  A serving of pizza at 380 calories and 16 grams of protein is 380\/16 = 23.75 (not so good).  This formula is something I stuck to religiously for at least the first 6-8 months along with portion control, cutting out added sugars, and adding more fresh fruits and vegetables (regardless of protein ratio), and I feel it helped change my eating habits for good.<\/p>\n\n\n\n<p>The calculation is basically the number of non-protein calories you&#8217;re consuming per protein gram in whatever you&#8217;re eating.  So you want to keep the number lower &#8211; therefore the amount and ratio of protein in all those calories is highest vs. calories coming from anything that&#8217;s not protein.<\/p>\n\n\n\n<p>A second protein number that goes very well with this ratio calculation is I was told to aim for 50+ grams of protein per day.   Basically: 50 or more grams of protein per day, try to stick to foods only with that protein ratio (calories \/ protein grams = 15-20 or less) and keep the overall calories low.  It was fairly easy to roughly track all of this with a calorie tracking program (I have been using MyFitnessPal).<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Results So Far<\/h2>\n\n\n\n<p><em>Before surgery and all my diet, lifestyle and exercise changes that went with it, my BMI was around 48.  As of Fall 2021 a little over a year later I had lost 125 pounds and my BMI was about 29.<\/em>  I was thrilled to recently get OUT of the &#8220;obese&#8221; category (BMI 30+) and am continuing on my weight loss journey.  I hope to eventually lose at least 150 pounds total and get my BMI back below 25 in a &#8220;normal&#8221; weight range.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"683\" data-attachment-id=\"732\" data-permalink=\"https:\/\/bdragon.com\/lair\/2022\/03\/gastric-sleeve-weight-loss\/125lb-before-after-front-smaller-text\/\" data-orig-file=\"https:\/\/bdragon.com\/lair\/wp-content\/uploads\/125lb-BEFORE-AFTER-FRONT-smaller-text.jpg\" data-orig-size=\"1200,800\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"125lb-BEFORE-AFTER-FRONT-smaller-text\" data-image-description=\"\" data-image-caption=\"\" data-large-file=\"https:\/\/bdragon.com\/lair\/wp-content\/uploads\/125lb-BEFORE-AFTER-FRONT-smaller-text-1024x683.jpg\" src=\"https:\/\/new.bdragon.com\/lair\/wp-content\/uploads\/125lb-BEFORE-AFTER-FRONT-smaller-text-1024x683.jpg\" alt=\"\" class=\"wp-image-732\" srcset=\"https:\/\/bdragon.com\/lair\/wp-content\/uploads\/125lb-BEFORE-AFTER-FRONT-smaller-text-1024x683.jpg 1024w, https:\/\/bdragon.com\/lair\/wp-content\/uploads\/125lb-BEFORE-AFTER-FRONT-smaller-text-300x200.jpg 300w, https:\/\/bdragon.com\/lair\/wp-content\/uploads\/125lb-BEFORE-AFTER-FRONT-smaller-text-768x512.jpg 768w, https:\/\/bdragon.com\/lair\/wp-content\/uploads\/125lb-BEFORE-AFTER-FRONT-smaller-text-150x100.jpg 150w, https:\/\/bdragon.com\/lair\/wp-content\/uploads\/125lb-BEFORE-AFTER-FRONT-smaller-text.jpg 1200w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/figure>\n\n\n\n<p>It is absolutely helpful when you feel full after just a few bites, which is what my new smaller stomach (pouch) allows me to do.  Pre-surgery I ALWAYS felt so hungry no matter what and it felt impossible to lose weight.  But on the other hand, the gastric sleeve surgery is also just a tool you can use to achieve greater weight loss &#8211; it does not do the research, preparation or work for you.  I have also completely changed my way of eating and now exercise in order to get and feel fit.  It feels like a whole new lifestyle but it was not <em>terrible<\/em> to change because I was totally mentally prepared for it, it <em>fits<\/em>, and I feel great!<\/p>\n\n\n\n<p>I don&#8217;t want to drag this post out too long, so I plan on writing some more posts with details about what I personally do for diet, exercise, supplements that have worked for me, in case it helps anyone else!  Meanwhile I did write up these quick bullet points about what I think has worked best for me with food while losing weight after gastric sleeve:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Cut out &#8220;<mark class=\"post-text-highlight1\">Added Sugars<\/mark>&#8221; (check nutrition labels)&#8230;. be extremely strict about this with only very occasional exceptions as a treat &#8211; you will feel so much better after getting sugar out of your system!<\/li><li>Cut way DOWN on <mark class=\"post-text-highlight1\">carbohydrates<\/mark>.  I wouldn&#8217;t say I&#8217;ve been &#8220;keto&#8221; strict &#8211; just be aware of carbs and keep them low.  Keto food items are good candidates though because often high protein, just watch the calories and fats.<\/li><li><mark class=\"post-text-highlight1\">Emphasize Protein<\/mark> &#8211; lean protein is best &#8211; for example sirloin steak instead of ribeye, chicken instead of hamburger.   This will also help keep the carbs, fats, and sugars low.<\/li><li>Use the <mark class=\"post-text-highlight1\">protein &#8220;ratio&#8221; calculation<\/mark> mentioned as a good guide: &lt;<strong>calories&gt; \/ &lt;protein grams&gt; = ideally 15 or less, at least 20 or less<\/strong>.<\/li><li><mark class=\"post-text-highlight1\">50+ grams<\/mark> of protein per day.<\/li><li><mark class=\"post-text-highlight1\">Track <\/mark>your food using a diary or app (like MyFitnessPal) it helps to get a good grasp on your general rough calorie and protein totals.<\/li><li>Eat lots of <mark class=\"post-text-highlight1\">non-starchy veggies<\/mark> (low calorie) &#8211; starchy vegetables to limit are things like: potatoes, corn, peas.<\/li><li><mark class=\"post-text-highlight1\">Fruits<\/mark> &amp; fruit sugars are ok in moderation as well.<\/li><li>If you&#8217;re ok with using them, utilize <mark class=\"post-text-highlight1\">artificial sweeteners<\/mark> to satisfy your sweet tooth&#8230; consider things like sugar-free candies.<\/li><li>If you can afford it, there are lots of <mark class=\"post-text-highlight1\">high protein &#8220;alternative&#8221; snacks<\/mark> out there like protein bars, cookies, chips, that you can substitute for those times you might feel like snacking (because it happens!).<\/li><li><mark class=\"post-text-highlight1\">Substitute<\/mark> healthier snacks and alternatives in general &#8211; for example I am using some whole wheat &#8220;keto&#8221; branded tortillas for quesadillas instead of a full on &#8220;regular&#8221; tortilla, since the wheat tortilla is about half the calories of the regular one and has higher protein&#8230; Just invest some time thinking about &amp; searching for such alternatives that will work for you.  Look for keywords like &#8220;protein&#8221;, &#8220;low carb&#8221; or &#8220;keto&#8221; because these often fit the profile and the calories \/ protein grams calculation.<\/li><\/ul>\n\n\n\n<p><em><mark class=\"post-text-highlight1\">Finally, a disclaimer &#8211; I am, of course not a doctor or even a licensed nutritionist!  I am simply an individual who has been through the gastric sleeve surgery and weight loss process and am giving my opinions &amp; views on how things have worked for me.  None of this should be taken as medical advice.<\/mark><\/em><\/p>\n\n\n\n<p><\/p>\n\n\n<\/div>","protected":false},"excerpt":{"rendered":"<p>About 6 years ago in 2015, I learned details about a bariatric weight loss surgery called &#8220;gastric sleeve&#8221; when my boyfriend Andy&#8217;s sister underwent the process and the procedure. He and I discussed it quite a bit as his sister went through the process and we both thought it would probably be a good option &#8230;<\/p>\n","protected":false},"author":3,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"jetpack_post_was_ever_published":false,"_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[192],"tags":[195,194,197,198,196,199,193],"class_list":{"0":"post-648","1":"post","2":"type-post","3":"status-publish","4":"format-standard","6":"category-health","7":"tag-bariatric","8":"tag-bariatric-surgery","9":"tag-diet","10":"tag-exercise","11":"tag-gastric-sleeve","12":"tag-health","13":"tag-weight-loss","14":"anons"},"jetpack_featured_media_url":"","jetpack_shortlink":"https:\/\/wp.me\/peSL2o-as","jetpack_sharing_enabled":true,"jetpack_likes_enabled":false,"_links":{"self":[{"href":"https:\/\/bdragon.com\/lair\/wp-json\/wp\/v2\/posts\/648","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/bdragon.com\/lair\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/bdragon.com\/lair\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/bdragon.com\/lair\/wp-json\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/bdragon.com\/lair\/wp-json\/wp\/v2\/comments?post=648"}],"version-history":[{"count":2,"href":"https:\/\/bdragon.com\/lair\/wp-json\/wp\/v2\/posts\/648\/revisions"}],"predecessor-version":[{"id":740,"href":"https:\/\/bdragon.com\/lair\/wp-json\/wp\/v2\/posts\/648\/revisions\/740"}],"wp:attachment":[{"href":"https:\/\/bdragon.com\/lair\/wp-json\/wp\/v2\/media?parent=648"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/bdragon.com\/lair\/wp-json\/wp\/v2\/categories?post=648"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/bdragon.com\/lair\/wp-json\/wp\/v2\/tags?post=648"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}