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My Bariatric Surgery Journey


Wulaw Horn

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Congratulations on your progress!  At this point if I were you I would go to every 3rd day weigh ins and once a week measure waist circumference centered at your umbilicus. You are exercising enough that you may be adding muscle mass despite the caloric deficit and lean mass is less dense than adipose tissue

 

just a thought 

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2 hours ago, Sawbonz said:

Congratulations on your progress!  At this point if I were you I would go to every 3rd day weigh ins and once a week measure waist circumference centered at your umbilicus. You are exercising enough that you may be adding muscle mass despite the caloric deficit and lean mass is less dense than adipose tissue

 

just a thought 

wtf is my umbilicus and how do I measure that?

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259.8!

Pretty pumped up. I have now seen what I needed to see on the scale and can go to weighing myself weekly more or less now. Maybe every time I take a good piss. 
hope I hit under 250 sometime this month. That would be a pretty big psychological goal because it puts me closer to 100 than 300 which would be nice. 
My adult low is 243. I spent like 3 days there before I hit 250 again bungee jumping back toward 300. Yes- I used to have. Cheat days when I was on Atkins or something like that where I’d eat 3 pieces of pizza and a piece of cake- total 2500 calories on the day and gain 7 pounds somehow. That was such a beat down. 
now I can’t get to 130 G of protein through food because I can’t eat that much. Here is what I ate yesterday that almost made me throw up from eating too much. It’s wild. 
 

 

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Why do you need to consume so much protein? RDA is 0.8 g per kg and that should be your ideal body weight not current. If you are far enough from surgery to be doing body weight exercises my assumption would be your wounds are healed enough not to require any extra protein over RDA for healing. I’m assuming you have a dietician as part of your treatment team did they explain the rationale?  I’m not suggesting you not follow their instructions I’m asking to learn. 

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3 hours ago, Sawbonz said:

Why do you need to consume so much protein? RDA is 0.8 g per kg and that should be your ideal body weight not current. If you are far enough from surgery to be doing body weight exercises my assumption would be your wounds are healed enough not to require any extra protein over RDA for healing. I’m assuming you have a dietician as part of your treatment team did they explain the rationale?  I’m not suggesting you not follow their instructions I’m asking to learn. 

Yes. Dietician said so. I think it’s probably because we can only get a little food down at a time so they want it to be as dense as possible. That’s a guess. My boy @Scipioalso said 1G per pound if you are trying to build muscle and they want you to do strength stuff bc it’s a big worry if you start losing muscle. I’m not altogether sure though, that’s not anything I ever asked for explanation on. 

1 hour ago, Gatorubet said:

More importantly, did you get rid of that back itch?

That was my wife’s night stand. Remote was over there. Got lazy. 

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So, happened for the first time for me- ate too much or too quickly and vomited. It was super gross. Like 4 times with hardly anything coming out. Ate the inside of a gyro - left the pita. Like maybe 6 OZ. Was trying to finish at the mall court before going to the movie Air and had 15 minutes and maybe that was too quick. 
really sucked.  Not a lot of food at all to make me sick like that. It’s amazing how slow you have to eat with this thing happening. Super common I think but was hoping to avoid this. 

Edited by Wulaw Horn
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6 hours ago, Wulaw Horn said:

Yes. Dietician said so. I think it’s probably because we can only get a little food down at a time so they want it to be as dense as possible. That’s a guess. My boy @Scipioalso said 1G per pound if you are trying to build muscle and they want you to do strength stuff bc it’s a big worry if you start losing muscle. I’m not altogether sure though, that’s not anything I ever asked for explanation on. 

That was my wife’s night stand. Remote was over there. Got lazy. 

Do you mean 1g/kg? 1g/lb is way more than anyone needs. 
 

carbs and protein have the same caloric density 4kcal/g and fats are much more dense at 9. 
 

80-100 g of protein per day is more than enough to maintain and even add muscle. Ask your dietician about backing off on the protein, adding good fats like avocado, cheese and nuts, and maybe a BCAA supplement

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6 hours ago, Sawbonz said:

Do you mean 1g/kg? 1g/lb is way more than anyone needs. 
 

carbs and protein have the same caloric density 4kcal/g and fats are much more dense at 9. 
 

80-100 g of protein per day is more than enough to maintain and even add muscle. Ask your dietician about backing off on the protein, adding good fats like avocado, cheese and nuts, and maybe a BCAA supplement

1g per pound of weight is all old rule of thumb you hear from weightlifters and people looking to build muscle, fwiw. Not disagreeing with you, just saying that’s just something generally “out there.” Sounds like his dietician or nutritionalist has heard it as well. 

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10 hours ago, SydneyCarton said:

1g per pound of weight is all old rule of thumb you hear from weightlifters and people looking to build muscle, fwiw. Not disagreeing with you, just saying that’s just something generally “out there.” Sounds like his dietician or nutritionalist has heard it as well. 

Maybe a slight derailment but worthy to discuss IMO. As long as you are getting sufficient essential amino acid intake,  grams of total protein is not that important.  Dietary protein gets broken down into amino acids, and excess amino acids get deaminated and converted to simple sugars and burned as a ready energy source or converted into fatty acids and then triglycerides which are stored in adipose tissue. Anything over 1g/kg per day, unless you are a high mileage biker or runner, or lift heavy several times a week, is likely excessive. Usually no big deal but the excess nitrogen from deamination can be bad for your kidneys in certain situations. And Wulaw is physically struggling to consume that amount of food. 
 

There may (?likely are) anabolic benefits of whey protein that are independent of the dietary protein load but that would be a separate topic

 

In Wulaw’s specific case adding muscle mass is secondary it seems. If the primary reason for the high protein intake is density of calories it’s bad info. If it’s to build muscle it’s overkill for him esp if it’s making him overfull to the point of vomiting. Decreasing protein and increasing healthy fats, maybe adding BCAA supplements, might meet his caloric and nitrogen needs without feeling overly full. Clearly he should check w his dietitian before making any changes and there obviously may be other reasons for their recommendations 

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11 hours ago, SydneyCarton said:

1g per pound of weight is all old rule of thumb you hear from weightlifters and people looking to build muscle, fwiw. Not disagreeing with you, just saying that’s just something generally “out there.” Sounds like his dietician or nutritionalist has heard it as well. 

No- that’s based upon height. 120 or 130 is like 1G per 2 pounds at present weight. 

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10 minutes ago, Sawbonz said:

Maybe a slight derailment but worthy to discuss IMO. As long as you are getting sufficient essential amino acid intake,  grams of total protein is not that important.  Dietary protein gets broken down into amino acids, and excess amino acids get deaminated and converted to simple sugars and burned as a ready energy source or converted into fatty acids and then triglycerides which are stored in adipose tissue. Anything over 1g/kg per day, unless you are a high mileage biker or runner, or lift heavy several times a week, is likely excessive. Usually no big deal but the excess nitrogen from deamination can be bad for your kidneys in certain situations. And Wulaw is physically struggling to consume that amount of food. 
 

There may (?likely are) anabolic benefits of whey protein that are independent of the dietary protein load but that would be a separate topic

 

In Wulaw’s specific case adding muscle mass is secondary it seems. If the primary reason for the high protein intake is density of calories it’s bad info. If it’s to build muscle it’s overkill for him esp if it’s making him overfull to the point of vomiting. Decreasing protein and increasing healthy fats, maybe adding BCAA supplements, might meet his caloric and nitrogen needs without feeling overly full. Clearly he should check w his dietitian before making any changes and there obviously may be other reasons for their recommendations 

Apparently fats are pretty hard/gnarly to digest especially early on. 

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One note of personal experience on the 1g/lb rule.
You have to be REALLY lifting for hypertrophy+mass gain and doing everything else right for hypertrophy, I.e. 8-9 hours of sleep every night optimal times, 5 meals a day, etc. for that to make sense. IOW- bodybuilding protocols.
I’m no dietician but I’ve managed to pull off the fat loss + muscle gain combo and 200+ grams of protein per day is a lot under optimal conditions, let alone coming off surgery that reduces your capacity to consume and digest food.

it sounds like you’re doing great but I wouldn’t overthink things like this.

Edited by Bozo_Casanova
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1 hour ago, Bozo_Casanova said:

One note of personal experience on the 1g/lb rule.
You have to be REALLY lifting for hypertrophy+mass gain and doing everything else right for hypertrophy, I.e. 8-9 hours of sleep every night optimal times, 5 meals a day, etc. for that to make sense. IOW- bodybuilding protocols.
I’m no dietician but I’ve managed to pull off the fat loss + muscle gain combo and 200+ grams of protein per day is a lot under optimal conditions, let alone coming off surgery that reduces your capacity to consume and digest food.

it sounds like you’re doing great but I wouldn’t overthink things like this.

I get what you are saying. To be clear it’s only 130, but it’s too much for me to get thru food  and I’m having to drink the last 30/40 G. 

Edited by Wulaw Horn
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I think it’s best to leave Wu’s protein intake to his dietician and physician who specialize in folks who have had a significant part of their digestive system removed. He digests food very differently than folks with original equipment.

My mother had a bypass and she dropped well over a hundred pounds in her 70’s. It cured her diabetes. She regained mobility. But she struggled to eat enough protein, as Wu is alluding. Doc wanted her on 100 a day and she simply couldn’t eat enough, and as a cancer survivor she couldn’t eat soy. She didn’t digest meat well, so it was a constant struggle and it hammered her kidneys and liver.

Great work WU. Keep at it.

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13 minutes ago, Texzilla58 said:

I think it’s best to leave Wu’s protein intake to his dietician and physician who specialize in folks who have had a significant part of their digestive system removed. He digests food very differently than folks with original equipment.

My mother had a bypass and she dropped well over a hundred pounds in her 70’s. It cured her diabetes. She regained mobility. But she struggled to eat enough protein, as Wu is alluding. Doc wanted her on 100 a day and she simply couldn’t eat enough, and as a cancer survivor she couldn’t eat soy. She didn’t digest meat well, so it was a constant struggle and it hammered her kidneys and liver.

Great work WU. Keep at it.

Wife’s goal will only be 90 bc it’s based upon height (she’s 5’7” I’m 6’1”) so she gets off a little easier (that’s what she said), but yeah it’s really hard to eat 5 meals a day when you are supposed to spend 30 minutes eating each meal and when you just sort of lose any desire to eat pretty quick into the meal. 
made a pork chop that was probably 6 Oz. Took me 2 hours to eat it. That’s all I had. Protein first. Then carbs. Then leafy vegetables. Haven’t made it there yet. 

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258.6. Going to weigh now on Sundays and a Wednesday’s. Figured I’d stall out after a pretty. If jump 3 or 4 days in a row but still progress from last time. 
Put on slacks, button down as a sports coat for Easter and looked better than I have in years. Didn’t feel gross or disgusting. 

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54 minutes ago, Jerry Callo said:

Keep up the good work!

Thanks man.  

It's so funny my food for the week.  My wife was making fried fish for Easter- I couldn't have that obviously. So- I made a pound of beef fajita meat (just pre-seasoned at the store- I literally just threw them on the flat top for 5 minutes) and creamed spinach (Just simple from the frozen spinach).  So ,basically my food for the week is a pound of fajita meat- 1.3 pounds of porkchops, 2 things of cottage cheese- 7 eggs and 12 deviled egg halves, with 1 head of mashed cauliflower.  That's it for 7 days.  Total cost about 25 or $30.  Will have to supplement with protein mixed with milk daily.  it all fit in a shopping bag coming to work in 4 not particularly big containers.  
I linked this thread to my dietician.  She is a super nice lady. She will probably now be horrified by me and by extension all of yall (most of yall). Hopefully she's not intrigued enough to start exploring elsewhere.  

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Fitness Goals for every day:

10,000 steps, 5 miles, 3500 calories, 7 hours of sleep (that's actual sleep time not laying in the bed- 8 is almost impossible), 30 minutes in the zone:

 

Actual averages- 9900 steps (had brutal day on Easter and a slow day monday- felt like total shit), 3725 calories, 31 minutes in the zone, 6 hours 48 minutes sleep (I keep waking up at 5:50 even on the weekends- irritating), 4.71 miles.  

Pretty much almost there. I'd be over my averages on all the stuff if my worst days were bad instead of terrible.  But, I'd say that's pretty good as far as hitting my goals go- I'm hitting all of those goals (exceeding really) at least 5 times a week.  Just need to improve the bad days a little bit.  IT poured down rain one of those days so I couldn't go out side and do my 10 minute walk every hour and then Easter I shut it down and did family time and didn't feel like doing anything by 8:00 when everyone went home and the kids went to bed. .

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69,294 total steps
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Avg. 9,899 steps per day. spacer.2efb200ffaa61c74c12f3d26924f6bf7. 3,315 fewer than last week
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32.88
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 1.78 miles below last week
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3,725
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219
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6 hrs 48 min
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 0 hrs 21 min lower than last week
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8 of  9 hrs
avg. hrs with 250+ steps
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avg. resting heart rate
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68 bpm
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 2 bpm since last week
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20.0 lb
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 3.7 lb since last week
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I'd say I'm starting to actually feel good on this thing. I still don't like any of it emotionally or mentally, but my body is actually feeling pretty good and I'm noticing some positives.  
Wife is on day 4 of liquid diet in preparation for surgery Tuesday. Not fun and she's not suffering in silence.  

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Congratulations on your progress!

 I was a big fan of your family RV journey.  I know it ended crappy but man that is something your family will remember for the rest of their lives and tell their grandchildren about.(the experience/fun moments)

Rooting for you here too.  Glad to see you got through a plateau.  The body absolutely has huge motivation not to give up reserves.

Anyway, FWIW

Just listened to the Billy Gardell (Mike of Mike and Molly) episode on Conan OBriien’s Sirius Channel.  It was on the Andy Richter hosted series. He had the surgery and had some pretty interesting comments that echo what it appears you are going through.  If you are looking for a voice of someone who has been on the journey it might be worth a listen.

 

Edited by Incredulity
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23 hours ago, Incredulity said:

Congratulations on your progress!

 I was a big fan of your family RV journey.  I know it ended crappy but man that is something your family will remember for the rest of their lives and tell their grandchildren about.(the experience/fun moments)

Rooting for you here too.  Glad to see you got through a plateau.  The body absolutely has huge motivation not to give up reserves.

Anyway, FWIW

Just listened to the Billy Gardell (Mike of Mike and Molly) episode on Conan OBriien’s Sirius Channel.  It was on the Andy Richter hosted series. He had the surgery and had some pretty interesting comments that echo what it appears you are going through.  If you are looking for a voice of someone who has been on the journey it might be worth a listen.

 

Thanks man. Will definitely check that out. 

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Deja Vu all over again. Sitting in the bariatric surgery doctors office this time in the waiting room while they are weighing my wife on the cattle scale (she doesn’t need that but some of these mofo’s in this room do). Her last words to me before we went in “I sure hope I’m the skinniest fat person there”. She was, much like I was. 
she’s slightly lower than the BMI I was at so we were both sort of borderline maybe for this but within parameters. She’s wanted to do this for the last 6 years or so (recovery from baby #3 at 38 don’t go well for her or how she wanted) so she didn’t have the existential angst I had- she’s not wired that way. 
but- after asking me about a billion times if I was excited and always being perplexed when I said no… she isn’t super excited. Sinking in I guess. She’s fine. I’m worried. Not super fun when someone you live is wheeler away in a hospital bed regardless of circumstances. 

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On 4/8/2023 at 4:35 AM, SydneyCarton said:

1g per pound of weight is all old rule of thumb you hear from weightlifters and people looking to build muscle, fwiw. Not disagreeing with you, just saying that’s just something generally “out there.” Sounds like his dietician or nutritionalist has heard it as well. 

Yeppers.  This is also for those breaking down muscle fibers with intense weight training.  This is where the old trope about steroid and muscle mass comes from - they don't add muscle directly, they just allow for more intense sessions and cut the recovery time down significantly.  Why those big gorillas are eating 10 times a day and consuming tens of thousands of calories.  

For "most" of us that are active and fit and do workout, albeit not to add on so much mass, you can tweak things and back off these old formulas.  

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My good days were well above average, my bad days were bad enough to drag me down into below average territory for what I wanted to accomplish.  10% off or so on all my averages vs what I wanted. In my defense, it pissed down rain on monday (I always walk at work and then at my kids cheerleading and karate practices and wasn't able to do that- and Sunday was Church and then a 5 hour drive to Ft. Worth so didn't have much of a chance to do anything then. The other days I appropriately got after it and I'm doing well Monday, Tuesday and today so far:

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Mon. Tue. Wed. Thurs. Best Day! 12,063 Sat. Sun.
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63,312 total steps
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Avg. 9,045 steps per day. spacer.2efb200ffaa61c74c12f3d26924f6bf7. 5,982 fewer than last week
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total miles
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30.17
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 2.71 miles below last week
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3,556
avg. daily calorie burn
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125
total active zone minutes
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7 hrs 16 min
avg. restful sleep
 0 hrs 28 min over last week
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avg. hrs with 250+ steps
same as previous week
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66 bpm
avg. resting heart rate
 2 bpm since last week
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20.0 lb
weight loss
same as previous week
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Last week’s step standings
You Tiffany W.
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You Tiffany W.
63,312 53,739
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So, wife wanted to stay one more day at hotel for her recovery (we did this in Fort Worth and she is opposed to a 5 hour drive right now), so the food I took to get me through Thursday morning wasn’t going to make it through Friday morning. So, decided to go get a ribeye at a restaurant and eat that for dinner Wednesday and all day today. Got a 10 Oz ribeye. Mashed potatoes and green beans. 
first picture is what I ate (and I didn’t actually eat all of it) second picture is what I took home. 

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252.0. Next week at this time I should absolutely be under 250 pounds. I spent 1 day of my married life under 250 pounds. 
working at about a 15,000 calorie deficit per week burning 3500-4000 calories a day and eating 1200-1500 per day. 
I made myself a breakfast burrito with 1 egg a little sausage and the carb less tortillas they said we can have. I’ve been working on it for 2 hours. Shits nuts. 

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On 4/17/2023 at 8:17 AM, Wulaw Horn said:

I’m worried. Not super fun when someone you live is wheeler away in a hospital bed regardless of circumstances. 

No kidding. 
It was even worse when I couldn’t go inside the hospital waiting room with Mrs. Brat when she checked in for her surgeries on three different occasions in 2020.

I had to wait outside in the car until the nurse texted me to pull into the entry portico while they wheeled her out afterwards. Extremely stressful situation.

 

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22 minutes ago, Pescado_Rojo said:

How's Mrs Wu's recovery going? 

Pretty well. 
she’s one week in. Today was her first day off clear proteins and onto milky shake type proteins. 2 weeks on that, then 2 weeks on soft food and then she’s good to eat normal (new normal). She’s still got gas pains (they pump your stomach full of CO2 so that they have room to get into your stomach and it sticks with you for a while and is pretty miserable) but other than that she seems to be doing pretty well. 

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Progress_Track_star.eee0f48b094cdde6dd5a Progress_Track_star.eee0f48b094cdde6dd5a Progress_Track_star.eee0f48b094cdde6dd5a Progress_Track_star.eee0f48b094cdde6dd5a Progress_Track_best_day.44023868937acb19 Progress_Track_star.eee0f48b094cdde6dd5a Progress_Track_star.eee0f48b094cdde6dd5a
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Mon. Tue. Wed. Thurs. Best Day! 13,842 Sat. Sun.
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footprints.5413deb0f4d204cd34dd587028d9b
82,691 total steps
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Avg. 11,813 steps per day. spacer.2efb200ffaa61c74c12f3d26924f6bf7. 19,379 more than last week
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total miles
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38.79
total miles
 8.62 miles over last week
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avg. daily calorie burn
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3,790
avg. daily calorie burn
 284 cals. over last week
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total active zone minutes
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195
total active zone minutes
 70 min since last week
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exercising this week
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7 of  5 days
exercising this week
 3 days since last week
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avg. restful sleep
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6 hrs 52 min
avg. restful sleep
 0 hrs 24 min lower than last week
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avg. hrs with 250+ steps
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9 of  9 hrs
avg. hrs with 250+ steps
 1 hr over last week
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avg. resting heart rate
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66 bpm
avg. resting heart rate
same as previous week
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weight change
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28.0 lb
weight loss
 3.2 lb since last week
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View Dashboard
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Last week’s step standings
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You Tiffany W.
82,691 36,962
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I killed it last week with everything except the sleep time.  Hotel bed, up early two days to get to the hospital and quite frankly just some restless sleep worried about my wife and her surgery.

But 20% over goal on steps 20% over goal on mileage, 80% over goal on time in the zone working out, etc.  

Hit the at least 30 minutes of exercise every day, plus every single day I did my minimum steps every hour.  
It's really easy to focus on stuff like this when you aren't at work. Being healthy can be a full time job I've heard- makes sense to just ditch the other day job and focus on nothing but this, right?  That's surely what's going on in the mortgage world right now. A big pause from everyone so I can focus on my health and be there to take care of my wife while she focuses on hers. 

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