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bariatric surgery advice needed ...
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<blockquote data-quote="andcol" data-source="post: 905087" data-attributes="member: 96315"><p>Hello and welcome. I can read the despair in your message and can feel your pain. I was (a few year back) 20 stone got diagnosed at 18 stone and then shed 6 stone over the next few months. I was surprised I could do it. I, personally didn't use shakes I just used real food but very small amounts. The shakes are easier in a way as the nutrients are balanced and a defined amount. The veg you listed are fine. Personally I stuck with raw carrots but I was never a veg person.</p><p></p><p>I wonder if your doctor understands the action of insulin on the body. Insulin makes you store fat it is that simple so you are on insulin. As for Pioglitazone and all other drugs of its class (thiazolidinediones), these are absolutely contraindicated in patients with heart failure so I am surprised you are on it.</p><p></p><p>Luckily for me I did not have any medical reasons not to starve myself back to normality and it worked. I returned back to normal blood glucose levels within a month and my 3 month HbA1c returned to the normal range from the 90s. As I have continued and lost more and more weight things have only improved to the extent that I do not have to worry about what I eat now (however, I do and always rob peter to pay paul). You can read my 3 month journey from the link in my signature.</p><p></p><p>Given all of the other conditions and the amount of medication you are on you will need to get the assistance from your GP. Note I did not say approval as it is your body and life not his/hers. I am pretty sure that people going for bariatric surgery have to go on a low calorie diet for a few months before as well. The reason you need their support is that as you start the journey you will rapidly have to reduce your medication. You will need regular check ups because of your other conditions.</p><p></p><p>As you start downn this route the first few days are really hard (bloat yourself on water and just occupy your mind) then it gets easier. I then found I went through what people term carb flu. It is in fact your body moaning that it needs fuel as it hasn't yet switch from glucose burning to fat burning. Drinking lots and lots of water helps (this lasts a few more days just keep going). As you come out you will be fully fat burning and just think you have about 400,000 calories of reserves to go through so at a deficit of lets say 1600 calories that is 250 days. You will not maintain the low calorie diet for that period of time but it will get you on the way and then look at a diet that is not going to raise those insulin levels too high and manages to continue to allow you to reduce your weight further.</p><p></p><p>Good luck with whatever you decide to do, print of all the material if you decide to go down this track and give them to your doctor (including the research as I expect he hasn't read it).</p></blockquote><p></p>
[QUOTE="andcol, post: 905087, member: 96315"] Hello and welcome. I can read the despair in your message and can feel your pain. I was (a few year back) 20 stone got diagnosed at 18 stone and then shed 6 stone over the next few months. I was surprised I could do it. I, personally didn't use shakes I just used real food but very small amounts. The shakes are easier in a way as the nutrients are balanced and a defined amount. The veg you listed are fine. Personally I stuck with raw carrots but I was never a veg person. I wonder if your doctor understands the action of insulin on the body. Insulin makes you store fat it is that simple so you are on insulin. As for Pioglitazone and all other drugs of its class (thiazolidinediones), these are absolutely contraindicated in patients with heart failure so I am surprised you are on it. Luckily for me I did not have any medical reasons not to starve myself back to normality and it worked. I returned back to normal blood glucose levels within a month and my 3 month HbA1c returned to the normal range from the 90s. As I have continued and lost more and more weight things have only improved to the extent that I do not have to worry about what I eat now (however, I do and always rob peter to pay paul). You can read my 3 month journey from the link in my signature. Given all of the other conditions and the amount of medication you are on you will need to get the assistance from your GP. Note I did not say approval as it is your body and life not his/hers. I am pretty sure that people going for bariatric surgery have to go on a low calorie diet for a few months before as well. The reason you need their support is that as you start the journey you will rapidly have to reduce your medication. You will need regular check ups because of your other conditions. As you start downn this route the first few days are really hard (bloat yourself on water and just occupy your mind) then it gets easier. I then found I went through what people term carb flu. It is in fact your body moaning that it needs fuel as it hasn't yet switch from glucose burning to fat burning. Drinking lots and lots of water helps (this lasts a few more days just keep going). As you come out you will be fully fat burning and just think you have about 400,000 calories of reserves to go through so at a deficit of lets say 1600 calories that is 250 days. You will not maintain the low calorie diet for that period of time but it will get you on the way and then look at a diet that is not going to raise those insulin levels too high and manages to continue to allow you to reduce your weight further. Good luck with whatever you decide to do, print of all the material if you decide to go down this track and give them to your doctor (including the research as I expect he hasn't read it). [/QUOTE]
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