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Posts Tagged ‘1-Year Post Op Appt’

bilbl_mainToday I had my 1-year post op appointment, and it went fabulously!  I was looking forward to it for the past couple of weeks, because I knew I was going to hear good comments.

(You guys might have noticed that I skipped my weigh-in post yesterday.  That was because for the 4th week in a row, my weight stayed the same, at 180.  That was confirmed again today at the doctor’s office.  More on that in a bit).

As soon as I got to the office, they took my vitals, including my blood pressure.  This was actually the only area of concern.  My blood pressure was elevated  (150/81) on Thursday when I went to the doctor to have the stitches on my hand removed, and at the time we wrote it off to the fact that I’d taken two flights of stairs up to the office. But when it was elevated (145/77) again today, I did get a bit concerned.  The bariatric doctor wasn’t overly worried about it because she said the diastolic number was good, and my previous records showed excellent blood pressure.  I need to get my blood drawn soon, so I think I’ll get my blood pressure checked again then, too.  Better safe than sorry.

When I saw the bariatric doctor, she was incredibly pleased with all of my numbers.  She was thrilled with my weight loss, which was 3 pounds away from losing 100 pounds in the 1 year since surgery!  I’ve lost over 80% of my excess weight, which is above average. When I asked about my goal weight of 150 lbs (30 more pounds to go), she said that it would be a perfect weight for me and there’s no reason I shouldn’t reach it.  She actually thinks that anywhere around 160 would be great for me, because it would put me in a solid BMI range. She was extremely pleased when I told her about my workout schedule (5-6 workouts a week, including cardio and toning), and said that I’ve completely transformed my lifestyle from top to bottom.  The doctor gushed about my progress, and said, “if only I could clone you!”

Then I met with the nutritionist who was also really pleased with everything I’ve been doing, especially the logging.  I told her how much I enjoyed it, especially all the connections I’ve made on MyFitnessPal. She said she really likes what I’ve been eating for lunch and dinner, but once again recommended that I eat more than a protein shake for breakfast.  Her feeling is that a protein shake doesn’t hold people long enough because it’s liquid, which runs right through you.  For me, I enjoy the shake because it does keep me satisfied, and it’s really easy.  She did like the green smoothies I’ve been having sometimes, and her only tip was to cut out the mangoes I’ve been putting in, because of the carbs.  She said she’d cut out the fruit altogether, or use berries if I really wanted fruit in them.  She also liked that lately I’ve been mixing it up by having a Quest bar and yogurt for breakfast.  So, I may try to have that more often.  The only thing she wants me to tweak is my afternoon snack – she suggested that I skip the popcorn (too many carbs, no protein) and the nuts (too much fat & calories for the little protein payoff).  She’d rather see me have string cheese and lunchmeat, cottage cheese with veggies, or Greek yogurt with Kashi Go Lean, and a 1/4 cup or less of berries. Basically, snacks = protein and fiber.  But overall, she was really happy with my food diaries. She said she likes that I enjoy cooking, and that I prepare most of my meals.  I definitely think not eating out too much has been a huge part of my success.  It’s so much easier to control what you eat when you cook for yourself, instead of not knowing exactly what they’re putting in the meals they make for you at restaurants.

When I mentioned my weight loss plateau, both the doctor and the nutritionist said that this was just my body catching up with all the weight loss.  They said that most people experienced plateaus throughout their weight loss journey, and that I was lucky that this was my first true plateau, one year out.  Neither one was at all concerned, and both seemed to think that I should just keep up with what I’ve been doing, for the most part.  I think the nutritionist’s ideas about my snacks will definitely help me reign things in and get myself back on the losing path.  If that doesn’t shake things up enough, I may do 3 days of shakes and Greek yogurt to jumpstart the scale a bit.

Today’s appointment was wonderful, and reminded me of just how far I’ve come.  To think that one year ago I was going in for surgery and today I’m only 30 pounds from my goal weight.  Amazing.  More celebratory thoughts tomorrow on my actual surgiversary.

 

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