Saturday, May 26, 2012
It's been a year!! And what an experience it has been. A wonderful one that has changed my lifestyle forever! My focus has changed to finding the BEST foods to put into my body and getting the exercise I need to work it off. It's amazing to me how something as small as the Lapband can make such a big difference!
I had my 1 year doctor's checkup yesterday. I was a little anxious. Maybe curious is a better word? I took in my weight loss graph of pounds and inches lost with a list of the few things I focus on daily. And nutrition averages.... protein, carbs, fat, sodium. All from using the Spark Tracker! Such a wonderful tool folks. I encourage all to use it!
Anyway, thought it would be good to share what the checkup was like and the things I learned.
First, my Doc reviewed my graph and it provided some good dialogue about the band and what I was doing right and where I could make changes to improve my weight loss. She was pleased with my progress. She recommended a fill based on the following:
1) I hit a plateau 6mos out and she says that is normal and means a fill is needed (as long as I am following the basic band guidelines).
2) I do NOT "feel" full after eating. I stop eating on my own.
3) Get hungry 2-3 hrs later. (This is not the case for me as long as I manage my carbs.)
I asked about checking the band. They do not do fluroscopes unless there are problem symptoms like reflux and vomiting. They do blood work on the yearly exam and that's it! She said after the first year, and as long as I am trying to lose weight, I should come in for a checkup every 3-4 months.
She asked a lot of questions about my eating. These are her guidelines:
...Bulk protein first, then bulk veggies/fruit, then starch if still hungry, but shouldn't be if fill is correct.
...Drink 30min before and 1 hr after. Absolutely no fluid in between.
...Eliminate protein shakes as a meal if possible
...3 meals.... no snacking
...Exercise, exercise, exercise!!
I asked her how much volume I should be eating. She doesn't go by all the written guidelines out there. She finds that everyone is different. The key is to follow the guidelines above and, if you are not losing weight or feeling hungry between meals, you need a fill. She said (and I love this!), people need to listen to their body and get to know their hunger signals and triggers. She loves that I track my food and have a support group that is focused on accountability. (THAT"S YOU! THANK YOU!)
I asked her about problems she sees with the band 1-2 yrs out and she said almost all are as a result of the band being too tight and the patient doesn't call their doctor right away! If you have night time reflux or vomiting more than 2x's a week, you should see your doctor immediately and don't wait for months or a year. And not your regular doctor, because they will just give you medication for the symptoms.
Got a 1/2cc fill. I am now 9cc's in my 11cc band. Am sticking to the 2 days of liquid/soft food. I may even do an additional day of soft food just to be on the safe side.
So that was it! No big deal. Got a good reminder of the basic rules of living with the lapband. Something I hope to do successfully for the rest of my life.
Everyone's program is different. What was your last visit like? And what are your doctor's orders??? Do you follow them?