I wish I had kept some of my smaller clothes - but I wasn't about to keep them around for the last 15-20 years.

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249.8 today. I cracked into territory I haven't seen in probably 20 years.

Also hit a few significant milestones. I'm less than 50 pounds to the 190s which for me would be a fine goal.

Also, I dropped below a BMI of 35 this week, which now puts me in Obese Class I (Moderately obese, BMI 30-35). I started at Obese Class V (Super Obese, BMI 50-60) though I was barely over the bottom threshold. Class VI is the highest (Hyper obese, BMI 60+)

I'm about 30 pounds from being merely overweight. My driver's license weight is 31 lbs over my current weight - that's a first. (TBH that weight was a lie to the other side when I recieved my license.)

I'm reaching protein goals and taking a double dose of biotin so I'm hoping my hair doesn't fall out. It grows back eventually, though. I still have to use protein supplements to get to 80 grams a day though.

Fatigue and nausea are still significant problems. I take an anti-emitic for the former former but there's not much that can be done about the latter as long as I'm on a starvation diet. Eventually I'll get up to 800-1200 calories a day and that will help.

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Speaking of the diet -

Goal is 80 grams of protein (320 kcal), less than 50 gr of carbs (200 kcal), 48-64 oz of water and then fill out the rest with fat. High protein, low carb, and a moderate amount of fat. Counting protein, eating a lot of veg, and limiting everything else obviates the need for counting calories. It takes aspects from Atkins and keto diet, which is the general recommendation of this clinic, and is likewise modeled on wider recommendations.

4-6 meals / snacks of 100-200 calories each per day. I can eat a 1/4 to 1/3 of solid food at a sitting, and I'm supposed to take 20 minutes to eat it.

Little or no sugar, limited alcohol after three months (bariatric surgery makes you get hammered 2-3x faster. Anything that is either not completely digestible (e.g. corn) and foods that can dough up in the stomach (e.g. bread, pasta and other starches) to prevent blockages. Anyting containing more than a few grams of sugar or significant amounts of fat need to be shunned or avoided.

Bariatric multivitamin 1x per day, iron 1x day, calcium citrate 3x a day. The calcium cannot be taken with iron and must be taken at least 2 hours apart.

Daily exercise is necessary to avoid losing lean tissue.

In order to maintain success in the long run, all of the lifestyle and other changes recommendations have to be followed - for life.

As expected, I have stalled out. The last 12 days my weight has been bouncing between 243.2 and 244.8.

I'm told that stalls last 10+ days but I wouldn't expect it to go too much longer. My wife returned to a rapid loss rate after her stall. It happens to everyone.

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I'm getting about 800 calories a day, I can have up to 1200.

Yeah, it would be impossible to bottom out at that weight consuming fewer than 1000 calories. You'll be back to it soon.

Oh yeah, I know. I have a ways to go before I hit equilibrium.

Fun fact I learned from my doc and nutritionist - if you take two people of the same weight, one who has never lost weigh, and one who has, the second will have lower caloric requirements, even substantially so. I've been told that at equilibrium I will probably only be able to eat 1200 calories a day.

Wow. That is interesting. Maybe that's why I gain weight at fewer calories now than I did in my twenties. Maybe we slow down our metabolism by overfeeding.

I don't know what the mechanism is, but it does perhaps explain a few things. It seems a lot of the "common wisdom" regarding nutrition is just wrong.

For sure. The food pyramid is outdated, but you may not have had that.

Oh yeah the food pyramid was horrible - and it used to be a lot worse. USDA recommended carbohydrate intake is 45-65% of total caloric intake and that's just a recipe for poor outcomes.

It's almost as if it's an indirect subsidy to the corn and wheat industry. /s

(February 19, 2019 at 1:20 pm)Jackalope Wrote: Oh yeah the food pyramid was horrible - and it used to be a lot worse.  USDA recommended carbohydrate intake is 45-65% of total caloric intake and that's just a recipe for poor outcomes.  

It's almost as if it's an indirect subsidy to the corn and wheat industry.  /s

https://www.ncbi.nlm.nih.gov/pubmed/8375951

I can only read the Abstract, but it's enough...
""
Food lobbies, the food pyramid, and U.S. nutrition policy.

The U.S. Department of Agriculture's 1991 withdrawal of its Eating Right Pyramid food guide in response to pressure from meat and dairy producers was only the latest in a long series of industry attempts to influence federal dietary recommendations. Such attempts began when diet-related health problems in the United States shifted in prevalence from nutrient deficiencies to chronic diseases, and dietary advice shifted from "eat more" to "eat less."
""

Of course, it doesn't help when the author is one named "Nestle"

It's almost enough to make one cynical