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Lap Banding Journal - PJAD

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PJAD - 07 Aug 2004 10:42 GMT
Hi,
If you are interested in reading about my Lap Banding experience -
please visit my site below.

I never thought it would come to surgery - but obesity really does
corrupt your health.

http://lapbandstory.blogspot.com/

Regards,
PJAD
Heywood Mogroot - 08 Aug 2004 01:05 GMT
> Hi,
> If you are interested in reading about my Lap Banding experience -
> please visit my site below.

At least you chose a fully reversible surgery.

I disagree with this:

"I couldn't come up with a better solution to my Hypertension problem
"

since a lap band isn't going to do anything for you that eating less
and exercising more wouldn't have.

How much did the surgery cost you? Was it painful? How is it affecting
your life now?

"And of course first stop HJ's (Burger King) - Jnr Whopper and half of
the Regular Fries did the trick."

I can see you're well on the way to longterm success.

70kg may seem like a lot to lose, but at 1kg/week that's just a year
and a half. 1kg/week loss is doable for most anyone IMO (especially a
guy your age, sheesh), and it's a lot healthier than the enforced
anorexia of WLS.

Good luck though. Try to eat for nutrional value and not taste. Now
that you've got it you might as well keep it I suppose. Though if I
were you I'd think about NOT getting the damn thing tightened and just
learn how to eat healthy.
PJAD - 08 Aug 2004 09:18 GMT
> > Hi,
> > If you are interested in reading about my Lap Banding experience -
[quoted text clipped - 27 lines]
> were you I'd think about NOT getting the damn thing tightened and just
> learn how to eat healthy.

Thank you for visiting my site. - I totally respect your advice. And
yes having a burger so soon was pretty silly - but when you are on
liquids and baby food for 6 weeks - you are really hanging out for a
bit of junk.

I do feel that <snip>enforced anorexia</snip> is a bit harsh though.
Anorexia is a serious mental disorder that effects many people who
often don't have any real metabolic problems.

You are dead right when you say exercise would pretty much be the
answer for my hypertension and obesity. But the downward spiral was at
a critical stage. -My lifestyle and occupation did not include the
required exercise to lose any significant pounds.

And yes to everyone reading, WLS is serious. And so is morbid obesity.
My health was degrading quickly and the option of WLS for me was the
answer as I have repeatedly failed at the conventional methods of
controlling my weight.

<SNIP>
> How much did the surgery cost you? Was it painful? How is it affecting
> your life now?
</SNIP>

I pay $AUS104 a month private health - they paid most of the
procedure.
$AUS1000 in related expenses (tests, consultancy, exercise program
etc)

But my GP believes that when I go below 100kg my BP should be back to
normal and that will save me $75 per month in drugs.

- PJAD
Heywood Mogroot - 08 Aug 2004 17:13 GMT
. - I totally respect your advice. And
> yes having a burger so soon was pretty silly - but when you are on
> liquids and baby food for 6 weeks - you are really hanging out for a
> bit of junk.

yeah, I can see that.

> I do feel that <snip>enforced anorexia</snip> is a bit harsh though.
> Anorexia is a serious mental disorder that effects many people who
> often don't have any real metabolic problems.

What was your metabolic problem? I am very interested in this since I
am trying to understand why people choose WLS over more gradual and
less drastic approaches.

> You are dead right when you say exercise would pretty much be the
> answer for my hypertension and obesity. But the downward spiral was at
> a critical stage. -My lifestyle and occupation did not include the
> required exercise to lose any significant pounds.

It's not just exercise. That's less than half of the battle, really.
The central front is what you put in your mouth. WLS addresses this by
basically physically limiting how fast you can eat, plus other
unpleasant side effects for other more radical forms of the surgery.

At my peak I was only ~108kg, so I admit I was nowhere close to the
depths you hit in your downward spiral. But I was on that track and do
understand the dynamics involved.

But for me, just cutting ~1000 kcal/day out of my diet, combined with
several hours/week exercise, enabled me to lose ~20kg over 5 months --
without severe physical discomfort or even significant food denial.
2000 kcal/day is a LOT of food if you choose your foods wisely.

I simply fail to see why this moderate plan would not work for you,
since it is apparent to me now that dieting isn't that big a deal,
really.

> And yes to everyone reading, WLS is serious. And so is morbid obesity.
> My health was degrading quickly and the option of WLS for me was the
> answer as I have repeatedly failed at the conventional methods of
> controlling my weight.

I normally don't care what people do with their own bodies, but I do
care when they recommend solutions I think are likely incorrect to
other people.

And I think most people do not need WLS to lose 70kg in under 2 years.
I am interested in how dieting failed you. It is my personal -- and
rather unfounded at the moment -- opinion that trying to lose TOO FAST
is a major cause of yo-yo diet failures.

Slow and steady loss, resulting new real eating and exercise habits,
has worked for me and I fail to see why it wouldn't work for most
people, especially men in their 20's.

> But my GP believes that when I go below 100kg my BP should be back to
> normal and that will save me $75 per month in drugs.

My weight loss plan costs $0.00, didn't require medical coverage, and
mainly involves eating less, and eating smarter (healthy fats and
smaller meals to keep my stomach happy).

I have an office mate who chose a more radical WLS that nearly killed
him, so this is why I am rather against it -- I think  dieting really
isn't that big a deal if you have learned how to do it right.
SanitationWorker - 09 Aug 2004 03:01 GMT
> respect your advice. And
>> yes having a burger so soon was pretty silly - but when you are on
[quoted text clipped - 62 lines]
> him, so this is why I am rather against it -- I think  dieting really
> isn't that big a deal if you have learned how to do it right.

Obviously it didn't work for him because he has psychological problems
like most people that much overweight. Sure it's the easy way out but
atleast it's a way out, it's like taking a drug for depression. You could
tell people to try and be happy or you can let them take a drug which
messes with the chemicals in their brain and make them happy. There is
nothing wrong with that and nothing wrong with the surgery if you don't see
yourself being able to do it without those aids.
Heywood Mogroot - 09 Aug 2004 07:13 GMT
>  Obviously it didn't work for him because he has psychological problems
> like most people that much overweight. Sure it's the easy way out but
[quoted text clipped - 3 lines]
> nothing wrong with that and nothing wrong with the surgery if you don't see
> yourself being able to do it without those aids.

I agree about the lap band to some extent because it is safer and
fully reversible. But for the $10,000 to $20,000 this surgery costs
one would think we would be able to devise a more cost-effective
weight loss solution. Home-gyms, engineered 2000 kcal/day diets,
personal therapy, some combination of that, something.

RNY and other irreversible WLS approaches are terribly risky, horribly
disfiguring, and permanent quasi-solutions to very temporary problems,
at least for most people. And probably not that cost-effective in the
long run, since they are (mostly) working on symptoms and not root
causes of obesity.

Most anybody committed to losing up to 1%/week of their bodyweight can
do so without undue stress, or serious hunger. I consider most WLS
surgical centers to be one rung below slime on the morality scale.
What a capital waste of our nation's medical resources.
metonymy - 09 Aug 2004 19:12 GMT
> Most anybody committed to losing up to 1%/week of their bodyweight can
> do so without undue stress, or serious hunger. I consider most WLS
> surgical centers to be one rung below slime on the morality scale.
> What a capital waste of our nation's medical resources.

This simply isn't true.  Were weight loss that easy, there would not be
an obesity problem is this country.

I've been tracking my calories for years and I can assure you that 2000
calories a day will cause me steady weight gain even when doing hard
aerobic exercise (100 to 120 miles a week of cycling).

I've never lost a pound eating more than 1000 calories a day and
experiencing serious hunger.

Signature

He who strives always to the utmost,
him we can save.

Goethe Faust Part II

Heywood Mogroot - 10 Aug 2004 00:41 GMT
> > Most anybody committed to losing up to 1%/week of their bodyweight can
> > do so without undue stress, or serious hunger. I consider most WLS
[quoted text clipped - 3 lines]
> This simply isn't true.  Were weight loss that easy, there would not be
> an obesity problem is this country.

I think we have more of a mass ignorance problem, and that is the root
cause of mass obesity.

How many people know that 3500 kcal adds up to a lb of fat, and that
the corn syrup in cokes gets converted into bad fats by the liver? How
many people recognize that white bread is essentially equivalent to
cotton candy as far as sugar metabolism goes?

How many people have figured out that one 12oz coke/day adds up to 18
lbs of added weight over a year?

> I've been tracking my calories for years and I can assure you that 2000
> calories a day will cause me steady weight gain even when doing hard
> aerobic exercise (100 to 120 miles a week of cycling).

I am certainly no expert, but it looks like your exercise regimen
could be part of the problem. You might need more muscle, and less
exhaustion and caloric stress to your system.

> I've never lost a pound eating more than 1000 calories a day and
> experiencing serious hunger.

Sure 1000 kcal/day isn't enough to keep one satiated. I'm certainly
not suggesting my diet experiences are the norm, but I think I'm
closer to the norm than you.

Doing a diet wrong (losing muscle and wrecking one's metabolism) can
be worse than not dieting at all, it seems. How fast have you lost
weight in the past? At what weight would you not lose at 1000
kcal/day? What is your lean body weight?

From the OP's account of his failure on atkins:

"I suppose that's why the Atkins diet appealed to me so much. The
Low-Carb diet is a scientific revelation. I lost over 25kg in 18months
(2001), and I was eating heaps too!"

I suspect his particular problem is an unhealthy relationship with
food, not a slow metabolism.

Heywood

232/185/182
Annabel Smyth - 10 Aug 2004 13:24 GMT
>How many people know that 3500 kcal adds up to a lb of fat, and that
>the corn syrup in cokes gets converted into bad fats by the liver? How
>many people recognize that white bread is essentially equivalent to
>cotton candy as far as sugar metabolism goes?

Thank goodness Coke in the rest of the world is sweetened with sugar!
Not ideal, but better than corn syrup.  Yet sweetcorn itself is a
"dieter's friend", I find, as it passes through one virtually unchanged.
Signature

Annabel Smyth                   mailto:annabel@amsmyth.demon.co.uk
                               http://www.amsmyth.demon.co.uk/index.html
Website updated 7 August 2004 - for a limited time, be bored by my holiday
snaps!

† cal - 10 Aug 2004 04:23 GMT
Good for you!!!!

i want to be banded also but at this time my insurance will not cover
it.

cal
Heywood Mogroot - 10 Aug 2004 15:44 GMT
cal-4-HIM@webtv.net (? cal) wrote in message news:<21276-41183F9D-75@storefull-3158.bay.webtv.net>...
> Good for you!!!!
>
> i want to be banded also but at this time my insurance will not cover
> it.

in the interim until they do, why don't you try eating less and
exercising more? This is a serious question.

Just a 500 kcal deficit each day should get you losing at 1lb/week.
Not as dramatic as WLS survivors, but 50 lbs/yr is a very healthy rate
of loss, and a 500 kcal shortfall doesn't require hunger pains if you
eat smart and avoid empty calories.
PJAD - 11 Aug 2004 12:52 GMT
> cal-4-HIM@webtv.net (? cal) wrote in message news:<21276-41183F9D-75@storefull-3158.bay.webtv.net>...
> > Good for you!!!!
[quoted text clipped - 9 lines]
> of loss, and a 500 kcal shortfall doesn't require hunger pains if you
> eat smart and avoid empty calories.

Hey Mogroot,
I realize you have a serious power complex, however stop posting
suggestive nonsense. <snip>WLS survivors</snip> implying there is a
significant fatality risk for Lapbanding is a load of ......!  If you
think you are so smart 'Dr 50lbs this 500Kcals that' - Then DO YOUR
HOMEWORK ON THE STATISTICS BEFORE YOU OPEN YOUR TRAP! Fatalities in
the same time span are FAR greater in the Morbid patients that don't
choose Lapband surgery.
Your crummy maths RE: 'energy vs. lbs' is flawed anyway. Why don't you
look up the word metabolism? And then come back to the group and
explain why cows get FAT eating FAT FREE grass. And why some
guzzle-guts can down 2kgs of food in a day, with no exercising & no
diseases stay STANDARD WEIGHT???
Your particular body, Mogroot, is probably in fine working order -
which is why your weight responded in proportion to what you were
eating and the energy you were burning. Stop talking for the masses
(excuse the pun) and give your opinions a reality check - Because,
Metabolic Syndrome is: Insulin resistance, Hyperinsulinism, Fatty
Liver, Diabetes & Hypertension LINKED.
Reason? UNKNOWN? Cure UNKNOWN? Treatment? MANY. Your solutions are
old-school. Rethink the problem. It's not just mathematics. It's
biology, it's chemistry.
And now a lesson on psychology - Get a head check.

PJAD.
http://lapbandstory.blogspot.com
Beverly - 11 Aug 2004 13:35 GMT
> > cal-4-HIM@webtv.net (? cal) wrote in message news:<21276-41183F9D-75@storefull-3158.bay.webtv.net>...
> > > Good for you!!!!
[quoted text clipped - 36 lines]
> PJAD.
> http://lapbandstory.blogspot.com

After reading your blog entry posted below it seems that you didn't have a
problem losing weight on a diet - you just didn't stick with it.

"When I started working full-time, I didn't have the time to prepare my own
meals daily.
And that's where this diet gets unstuck.
As soon as your carbs get over 30grams a day - the weight will pile on.
That's because the Carbs then become the energy source - and the proteins &
fats will just get stored.

So in a way the Atkins diet didn't fail me, just my ability to follow it in
the long term.

SO...

My analysis is this:
If you follow the Atkins diet properly and strictly - then you will lose
weight.
If you don't follow the guidelines - your health will suffer. Your liver may
even suffer.
I put all my previous weight on and MORE!

posted by PJAD   "
Heywood Mogroot - 12 Aug 2004 00:58 GMT
> > cal-4-HIM@webtv.net (? cal) wrote in message news:<21276-41183F9D-75@storefull-3158.bay.webtv.net>...
> > > Good for you!!!!
[quoted text clipped - 14 lines]
> suggestive nonsense. <snip>WLS survivors</snip> implying there is a
> significant fatality risk for Lapbanding is a load of ......!

I put lapbanding in a total different class than eg. RNY. I feel
nobody should ever ever resort to an RNY, but I am open to the
benefits of lap-band.

> Your crummy maths RE: 'energy vs. lbs' is flawed anyway. Why don't you
> look up the word metabolism? And then come back to the group and
> explain why cows get FAT eating FAT FREE grass.

because they graze all day on a high-carb diet.

> And why some
> guzzle-guts can down 2kgs of food in a day, with no exercising & no
> diseases stay STANDARD WEIGHT???

people have different metabolisms, different satiety responses.

> Your particular body, Mogroot, is probably in fine working order -
> which is why your weight responded in proportion to what you were
> eating and the energy you were burning. Stop talking for the masses
> (excuse the pun) and give your opinions a reality check - Because,
> Metabolic Syndrome is: Insulin resistance, Hyperinsulinism, Fatty
> Liver, Diabetes & Hypertension LINKED.

I agree, and am curious about how the lap band enables people to lose
weight where dieting fails them.

Generally speaking I think dieters are looking for rapid solutions,
while the gradual solution is much more healthy. I've read the blogs
of RNY patients happy about losing 5% or 10% of their body weight in a
month, and just see they are not looking at the full picture here --
what do you do when you finally lose all the weight you can?

Will you have enough muscle tissue to be able to eat anything without
regaining?
Will you have lost so fast that you will have loose skin all over your
body?

My main point is that a 500 or 1000 kcal deficit each day need not be
a living hell for most people, if they eat sensibly, since 2000 kcal a
day or more should be enough for anyone to avoid any kind of hunger
pains once their body adjusts to the new WOE.

Now, lap-band basically FORCES you to eat sensibly, but I remain
unconvinced that it is necessary to enable people to start losing a
healthy 1 or 2 lbs per week, no more.

> And now a lesson on psychology - Get a head check.

I don't care what you do with your body at all, and I wish you good
luck on your choice.

I do think that at this time lap-band is more expensive than other
approaches, but am willing to wait on results before making any
judgements on the matter.
Joanne Logan - 24 Aug 2004 20:56 GMT
I wouldn't hold my breath about your insurance company ever covering it.
John Deere, my company, actually pulled WLS coverage from some plans it
had in place, saying the surgery was too risky and unproven. I had also
checked into WLS and was dismayed by this news. All these insurance
companies and doctors screaming at us to lose weight, but closing all
the doors to options. My plan still won't cover nutritional counseling,
for goodness sake.  I know, I know, we're supposed to have all this
willpower to do it on out own. Good luck with that.

Joanne

† cal wrote:
> Good for you!!!!
>
> i want to be banded also but at this time my insurance will not cover
> it.
>
> cal
Heywood Mogroot - 25 Aug 2004 04:06 GMT
> My plan still won't cover nutritional counseling, for goodness sake.

aka diet scams.

Look, it was easy, for me at least. Figure out how much food calories
you need to break even.

Eat about 500kcal/day less than that. Add good muscle toning & cardio
exercise if you want to lose faster. You'll start losing 1-2lbs/week.

Continue this until you get where you want to be. Simple.

> I know, I know, we're supposed to have all this willpower to do it on out own.

You're going to need just as much willpower even *after* a lapband.

1500kcal/day (or more, depending on your current metabolism) is a LOT
of food to keep your stomach happy. If you can't find stomach
happiness & a livable diet within these limits then you're doing
something wrong.

Mental happiness without all the crap food is another issue
altogether. WLS doesn't necessarily address this -- you're still going
to feel denied, but instead of being a mature adult you're going to
intentionally f.ck up your physiology to keep you honest with
yourself.

> Good luck with that.

Worked for me... no willpower required, just commitment to getting to
my goals. Obviously people are different, and I don't cook for a
family, or have a lot of crap food in the house, so YMMV, but really I
don't think weight loss needs to be the big drama-queen production it
is, at least not for most people.

Heywood

232/183/182
 
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