Tuesday, December 9, 2014

13 days out from VSG surgery


This blog post date should be Wednesday, Dec 3, 2014


I've decided to start this blog to track my journey as I go through Vertical Sleeve Gastrectomy (VSG) surgery. 


Going forward; at the beginning of each post I will try to put my current weight. 


I started this journey in August 2014, My physician suggested it after noticing that with my calorie consumption of less than 1,200 per day, negative thyroid tests (meaning nothing was/is wrong with my thyroid) and exercising, I was not losing weight. 

I am not a smoker, I very, very rarely drink alcohol or soda. It was determined that I would be a good candidate for metabolic weight loss. 


I however was not convinced. 


To help my decision I met with a nutritionist who said I was doing everything right and then I enrolled in a metabolic weight loss group. This would give me a chance to learn more about the possibility of bariatric surgery and my metabolism under a nutritionists and physicians weekly supervision for 6 weeks. At the start of the group (Sept 24, 2014) my weight was 260lbs. 


I tracked everything I ate. Even the mints or stick of gum with a calorie intake of no more than 1,200. In the first two weeks I lost a whopping total of zero.  

The biggest problem was I could not eat 1,200 calories per day. I was barely hitting 800 per day. 


Week 3 I lost 1/2 lb. then it was suggested I up my daily exercising, I went from a daily 1 hour work out (and also a personal trainer for an hour 2 times a week) to two hours per day. Week 4 brought a result of a regain for the lost 1/2 lb. then my calorie intake was dropped to 500 per day. This lasted for a day and one half after I nearly passed out walking on the treadmill and my trainer (and family) were horrified that I wasn't consuming enough food. 

My trainer Sadie came up with an eating plan she thought would work to keep my metabolism working and give me enough energy for my workouts. It consisted of me eating protein every 2-3 hours. I abandoned the food regime the nutritionists had me on and began following Trainer Sadie's nutrition schedule.


After a series of calls with my physician and various nutritionists at the hospital and blood work they agreed I should implement Trainer Sadie's nutrition plan. They also didn't realize I was working out for an hour each day already when they told me to up my exercise routine (which was now 2 hours per day) and told me that they believed 30 minutes was sufficient. I went back to my regular routine of an hour and on the days I have my personal training we do an hour of strength training as I've already completed an hour of cardio earlier in the day. 


Following Trainer Sadie's plan I lost 

5 lbs on week 4. But on week 5 they were back again. So I'm attributing it to water weight and not real weight lost. Since that last class in October I fluctuate between 254 and 260lbs. I can go to bed weighing 254 and wake up weighing 257. 


After my husband and I had a meeting with the metabolic surgeon and his lengthy explanation of the genetic metabolism issues I'm experiencing after my weeks of testing,appointments and discussions, I decided to move forward with VSG surgery. 


Today I'm 258lbs, 13 days out from surgery and I have started my liver shrinking diet. My liver will need to be lifted and moved out I the way and the shrinking my liver will allow the surgeon easier access to my stomach via the incisions he will need to make for the laparoscopic tools used during surgery. 


The diet consists of the following:


Breakfast: Protein drink no more than 200 calories with at least 12 grams of protein)


Lunch: Protein drink no more than 200 calories with at least 12 grams of protein)  and one small piece of fresh fruit. 


Afternoon Snack (which you should try to avoid if possible) 6 oz of light yogurt or 1/2 cup cottage cheese. 


Dinner: 4 ounces of lean turkey, chicken, ham, roast beef or fish. 1 cup cooked or raw green vegetables or 1/2 cup V8 juice

Optional: 1 slice of low calorie multigrain bread or 1 tablespoon potato, rice, pasta or beans. 


Evening Snack: 1/2 apple or 10 baby carrots.

 

During this time I need to also drink at least 64oz of water daily. 


Today I had my pre-op appointment which included an EKG and more blood work along with a final surgeons visit.

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