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URBANREDNEK Posts: 3,919
9/26/18 10:11 A

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Thinking about you, and hoping that your surgery yesterday went better than expected and that you are settling in to an easy and uneventful recovery.

Keep the focus on your health and how you are feeling --- and let the scale worry about itself for a few months.

Take care!

Sir Terry Pratchett:

"Science is not about building a body of known 'facts'. It is a method for asking awkward questions and subjecting them to a reality-check, thus avoiding the human tendency to believe whatever makes us feel good."

Starting weight: 258 lbs
Maintenance Range: 147-155 lbs

236 Maintenance Weeks
SLIMMERKIWI's Photo SLIMMERKIWI SparkPoints: (272,635)
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9/23/18 2:36 A

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You are putting far too much emphasis on the scales. They only tell part of the story, and a small part at that.

The fact is that even tho' you may not have lost weight the last (?) 4 weeks, your body will still be reaping the rewards - it's just that most you won't be able to see. Here is an example:
reduced blood pressure and/or blood sugars if they were problematic

How has your quality of sleep been?
How do your clothes fit?
Do you have more energy?
Has your level of fitness increased?
Have you noticed an improvement in the condition of your hair and/or skin?

Finally, when you start a fitness regime that includes weight/strength training, you will develop muscle. Guess what??? That muscle actually WEIGHS something. Your body will retain fluids (blood) to help with that muscle development. But, at the same time, you will likely have lost fat.

Weight loss isn't linear. There are weeks you may not lose anything, and sometimes you may even gain, but that doesn't mean that you are doing anything wrong. It is just how our bodies tend to work sometime.

When you joined the gym, did they do a body fat measurement? That will often set a person's mind at rest!

I understand your anxiety re your forthcoming operation. Try to relax about it because the Doctors are well trained to deal with these situation. Learning good relaxation techniques actually helps when a person is about to have surgery. I am talking from experience!! I was so relaxed going into surgery I didn't even need the pre-op sedative, as the nurses and Doctors found out after they realized that they had forgotten to give it to me LOL!

Good luck with the surgery. Let us know how you got on.

Take care,

Co-Moderator Dealing with Depression

Team Leader Essential Tremors :-) (Benign and Familial)

Co-Leader Crohn's Can't Stop Me

I am not a Dr - please check with your qualified Health Professional for a diagnosis and treatment plan

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URBANREDNEK Posts: 3,919
9/22/18 11:45 A

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Well, I don't really have much in the way of advice, and don't know you well enough to know what might be comforting --- I can definitely offer commiseration, though!

Major surgery is scary to everyone, and clotting issues just make it that much worse. I went in to my last 3 surgeries with a history of numerous DVTs, numerous PEs, and an autoimmune disease that causes giant cell granulomas and all kinds of peripheral vascular disease. Yup - freakin' scary!

What got me through was having total trust in my surgeon, spending as much time as I needed talking with the anesthesiologist to make sure that I was comfortable with the meds and their effects before being knocked out, and agreeing on a plan with the surgeon for getting me up and moving as quickly as possible after the surgery. My surgeries have all been abdominal (105 staples on the largest one), so I had an abdominal binder to help with support, avoided opiates and other strong pain killers (alternated acetaminophen and ibuprofen as needed) so that my balance and thought processes wouldn't be compromised, and was up walking the halls within hours of waking up in the recovery room. While I was restricted from any other activities for weeks / months, I was always allowed to walk (on a treadmill when alone, and using trekking poles for support when out for accompanied walks outside), and my recoveries went really well with no clotting issues (yay!).

As for the plateau - well, I would suspect that any injury / disease that creates the need for major surgery is going to trigger the immune system to collect and maintain as much nutrition / energy as possible --- causing the body to hold on to both stored fats and fluids as part of the "self defense" mechanism. That you added in strength training indicates that there will also be extra fluid held in the muscles as they tear / repair / build --- which will show up on the scale as added "weight" and so can disguise any losses of fat. Also - keep in mind that "healthy" does NOT show up on the scale --- all the scale shows is your current relationship with gravity. Your health improvements can all show up as better blood indicators (lower sugars and lipids, higher vitamin / mineral concentrations, lower inflammation indicators), higher energy, better mental concentration, better mood (along with better hormone levels), and a host of other major benefits that don't appear in a number between your toes. Please don't feel that your efforts to create a healthier lifestyle have been "wasted" because the scale hasn't moved fast enough to suit your chosen schedule --- eating the right foods that you really enjoy, discovering and enjoying healthy forms of movement, and focusing on creating a healthy long-term lifestyle will benefit you immediately with a better and easier recovery from the surgery, and overall with better quality of life. The scale may or may not eventually catch up with your efforts (it may take some months / years of experimentation to see what works best with your body), but each thing that you have done so far has been a benefit!

Once you have gotten through the surgery, focus on eating nutrient-rich foods and on getting in a fairly high level of protein (you need extra minerals and vitamins and proteins for healing), and discuss with your surgeon what calorie intake and activity that they recommend for best healing. My surgeon preferred maintenance level calories for the first couple of months, warned me that the scale was going to be up quite a bit for a while due to the extra fluids given during and after the surgery and held by the body to repair the damaged tissues (it was close to 15lbs from one surgery - and took about 6 weeks to flush out), and really emphasized having nutrient-rich choices. I was on Tinzaparin, so didn't have the Vitamin K concerns that come with Warfarin, but please make sure that this is part of your discussions with your docs, too.

I have never gained weight while recovering from surgery - when I looked at it realistically over the first few months of recovery! The first major uptick on the scale can be a shock, but understand what it is from and that it will flush itself out over time (weeks / months - NOT days). I found that focusing on healthy foods, and spending some of my enforced downtime in finding new foods and recipes and preparations, kept me eating a maintainable and healthy level. The walking let me maintain a good level of muscle tissue, so I wasn't too far behind once the other restrictions were lifted. If you are on bed-rest, then make sure that you have a physical therapist to come and work with you while still in hospital, and who can help you set up what you CAN do while recovering at home (there are lots of exercises that can be done with most "bed rest" restrictions that will allow for keeping muscle tone and strength).

You have been doing a great job of taking care of yourself, and on doing the things to make your body as healthy as possible - so give yourself a huge pat on the back! While the surgery is going to be scary, just make sure that you talk through everything with the surgical team and then continue to do your part for the best possible recovery.

Take some deep breaths, focus on all of your successes, and you will come through this stronger and healthier than ever.

Sir Terry Pratchett:

"Science is not about building a body of known 'facts'. It is a method for asking awkward questions and subjecting them to a reality-check, thus avoiding the human tendency to believe whatever makes us feel good."

Starting weight: 258 lbs
Maintenance Range: 147-155 lbs

236 Maintenance Weeks
REBCCA's Photo REBCCA SparkPoints: (438,018)
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9/21/18 10:02 P

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Dear JessDarkLighter,
Major this absolutely essential?

As for creating a healthy lifestyle and getting off your plateau. 80% of weight loss/gain is about what you eat and of course how much. You can use your recovery time to improve your diet and explore options like Dr. Joel Fuhrmann guidelines..
and the benefits of being dairy free.
I do hope everything works out for your thriving health!

"'Enough' is a feast. Buddhist proverb

776 Maintenance Weeks
NIRERIN Posts: 14,432
9/21/18 9:46 P

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I know a lot of people talk about set points, and to a small degree I think that there are places where our inputs and outputs tend to balance a little easier than others. And you do have to make some changes to shake yourself down to the next step. A big part of what helps that is identifying the issues that you are actually having and finding workarounds that work for you. To compare weight loss to school, you have quizzes and midterms and finals each semester, and then a final for the whole year. Each part is a step that has important lessons and you have to cover each one and know it at the end to make the grade. Losing weight has that same step and evaluation and reevlauation process. Each change gets you closer to where you want to be, but the steps and decisions get harder each time and produce smaller results.

Exercise is a double edged sword. Yes, it has wonderful health benefits, but it makes weight loss trickier. Yes, it increases your calories burned, but many calorie burn calculators tend to artificially inflate the amount of calories that you burn, which means eating all the calories back could dramatically hinder your weight loss. At the same time, the closer you are to your goal weight, the more accurate those calorie burn numbers are and the more you need to eat those exercise calories back. Increasing your muscle mass actually requires eating more calories, but muscle mass is slow to difficult to build while you are losing weight. Maintaining while losing is often a better goal, but that means smaller deficits and slower losses. Exercise also can make you hungrier and it can also relax you out of vigilance. What I mean by that is that people let some indulgences slide that they would not otherwise, often to the tune of significantly more calories than they are burning. They add the whip at Starbucks because they worked out, but then they also have a larger portion because they worked out, and they might have two squares of chocolate instead of one. It's like being bled to death by papercuts because none of these things are individually significant, but all together they more than wipe out the calories burned through exercise.

The other thing with muscles is water. It's how muscles are repaired after you work out. More workouts equals more water retention in the short term. Also most people are rarely just at that point where additional muscle burns off the excess fat. Usually you have to build muscle, which often means a short term increase in inches and weight. Think of bodybuilders, they bulk, then they cut. It's the adult version of some kids putting on weight and then shooting up in height, while other kids shoot up in height and then put on the weight. A jog today doesn't drop pounds and inches tomorrow. Consistency over time, as in months and years depending on the intensity of your workouts, is what shows on your body. It's a long game that has some great results, but you do have to put in the work in spite of sometimes and know that the long term is what you are looking for, not the short term bobbles.

Finally you really have to figure out some lower calorie foods that you like and an overall balance of diet. Switching between cucumbers as a snack when trying to lose and pizza while you are regaining is going to result in that on and off yo yoing that you have been experiencing. Accept that cucumbers aren't going to cut it as a snack for you, but also that pizza isn't working either. Perhaps try baking mushroom caps and finishing them off with pizza sauce and cheese as a snack instead. Lower calorie than the pizza, but tastier than the cucumber. Maybe have your alfredo or pesto sauces over vegetable noodles rather than pasta noodles. Ease up on what you have been doing while losing, but at the same time cut out the things that you have been doing while gaining. It's difficult to choose the healthy option that doesn't taste as good, but if you poke around enough you can likely find something that's tastier than "diet" food, but healthier than what you are eating off of the wagon.

When people say that you can't out exercise a poor diet what they mean is that you can eat 500 calories in under ten minutes pretty easily, but there is a pretty small pool of exercises that can burn that amount of calories in an hour. Your diet, which is simply what you eat, is far more important than exercise when it comes to what you see on the scale.

Why are you not devoting some of you attention to other things that you enjoy? Yes, you have a lot to learn, but you're not going to learn it in a week, a month or even a year. It's a process that's ongoing. Feel free to set aside a certain amount of time each day and each week, but also do things that you enjoy. Yoga might have benefits, but if you hate yoga but love gardening then gardening might be a better long term solution for you. If you love wings, find options for having wings. It might be having a filling broth based soup and salad for lunch on days (or the day after) you have wings for dinner. It might be making and baking your own wings. It might be having wings with celery filled with hummus or blue cheese or cottage cheese as your dinner. It might be using wing sauce to top steamed vegetables. Find ways to enjoy what you are doing.

Good luck on Tuesday and throughout your recovery.

-google first. ask questions later.

9/21/18 10:26 A

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I have been on multiple weight loss trips in my life. Every time I wind up getting stuck at a certain weight. This time, I wanted to avoid this. So after losing about ten pounds from walking and calorie restriction, I signed up for a gym. I slowly added strength training and yoga to my weekly activities...
And I’ve been stuck in the same two pound range ever since. Today was the fourth time that I weighed nearly the same.
I’m upset. I feel like I’ve devoted every moment of my life to creating a more healthy body and all I have to show for it is a slight increase in flexibility.
On Tuesday I’m having major surgery. I’m anxious enough about it because I have a blood clotting condition, but now I’m also terrified that I’m going to gain a ton of weight while I’m restricted to bed rest.
Anyone have any suggestions? Or comfort?

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