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Tim,

As I understand it the starvation/metabolic shut down is only temporary. The

problem is that most of us, without WLS, cannot take the psychological

warfare our bodies use on us and we become despondent and break our diets.

With WLS our bodies have to give up the fight and begin using food as fuel.

Further, I believe studies show that obese folks' bodies tend to

automatically cannibalize muscle for fuel, initially. This is why Dr. R

recommends an amino acid like L-Glutamine and requires our participation in

an exercise program. Also, this is why many of us plateau at two weeks while

we're going through the muscle for fuel vs. fat for fuel conversion.

Sincerely,

na

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In a message dated 3/8/00 9:31:59 AM Eastern Standard Time, hathfrtt@...

writes:

> roblem is that most of us, without WLS, cannot take the psychological

> warfare our bodies use on us and we become despondent and break our diets.

>

> With WLS our bodies have to give up the fight and begin using food as

fuel.

>

>

nia, this is brilliant. I have read it ALL, but in my heart of heart, I

have still been trying to undestand WHY it works. This is the explanation

that finally reached my inner being. Thanks for stating it so simply and so

brilliantly.

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Tim,

I believe one big reason is that with the MGB you have malabsortion.

Remember, you have approx. 6 ft. of small intestine bypassed, which means

that you are absorbing 20-30% of normal.

(a big decrease!) So, of what little we do eat because of a smaller

stomach, even less is being used by the body. No diet can do that. That's

why vitamins and exercise are so important for us, so that we don't have

problems with anemia and other vitamin deficiencies, and we don't lose

muscle & bone mass. (hopefully gain it)

Karin MGB 9/20/99

----------------------------------------------------------------------------

-----------------------

> Many of our friends have asked us if once you have the surgery and

> you are in the post operative period don't you fool your body into

> thinking it is starving and shut it down> So the question is does this

happen to MGB patients and if not why

> not?

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Tim,

One of the books that finally got through to me on the calories versus

meta-bolic slow down was The Zone.

It is written by a Dr in Biology who was looking for a way to keep he and

his brother alive longer ( their father died at 42 of a massive coronary)

Anyway, I realized that it has less to do with calories and more to do with

WHAT you eat. It kind of works out to about 1200 calories but you are eating

lots to get there. Basically when I started I figured the amount of protien

I needed to keep my body from canabalizing itself and tried to hit that

amount. Therefore, I would not need to worry about my body using the protien

I carried as muscle. So I basically stick to meat and green veggies and find

myself fairly muscular for my size. I also think this is because of my

polycystic ovarys which in addition to not working, seem to produce too much

testosterone! LOL So I think I naturally keep muscle. Now, after surgery, I

will have to watch my protien intake to keep my muscle but I think I

understand a bit more about the process after reading this book! :) hjave a

good day! {PAige

>

>Reply-To: MiniGastricBypassonelist

>To: MiniGastricBypassonelist

>Subject: starving...

>Date: Wed, 08 Mar 2000 14:00:10 -0000

>

>Hello,

>Just wanted to open up some conversation on a topic that has been

>asked by several of our friends since my wife had her MGB surgery.

>

>From the www.obesity.com web page:

> " Meanwhile, diets that limit calories to less than about 1200 a day

>fool the body into thinking it's starving. The body reacts by slowing

>its basal metabolic rate (BMR), the rate at which calories are burned

>while resting. The longer you diet, the slower your BMR, and as BMR

>decreases, the pounds come off more slowly. "

>

> Many of our friends have asked us if once you have the surgery and

>you are in the post operative period don't you fool your body into

>thinking it is starving and shut it down? My wife and I have been in

>the diet business for many years trying to shed the pounds and this

>thing about starving ones self by being under a certain calorie limit

>seems to be the one bit of advice all diets have in common. You must

>take in a certain amount of calories in order to lose weight but take

>in too little and you will stop losing weight and may even gain.

>

> So the question is does this happen to MGB patients and if not why

>not?

>

> By the way the www.obesity.com web page is good for all types of

>information and current news about obesity. There are even articles

>by Dr. Ornish who wrote " Eat More, Weigh Less " and is mentioned as

>the diet program in Dr. Rutledge's handbook under the " Ornish Diet

>Program " .

>

>Thanks for the time,

>Tim Spelich

>

>PS.

> By the way my wife, Terri, is doing fine after her MGB surgery with

>little to no complications. She still is able to eat any foods she

>liked before surgery although salads have become her favorites. She

>doesn't want the snack and junk type foods and prefers things that

>are less fatty and sweet. I guess what is key is that she is able to

>eat anything she just prefers not to. That in itself is wonderful.

>

>Again thanks,

>Tim Spelich

>

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<< As long as it is getting nourishment, it thinks

everything is all right and burns right along. >>

Jane, I found the same thing! As long as the nutrients keep arriving in the

new tummy, the " new connection " keeps funneling the signal to keep everything

functioning at top levels. When I tried " cutting down " to cut calories, I

had the same plateau experience with my weight. Dee in MI (16Dec99)

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<< The MD who did my psych evaluation said there are 8

definitive set-points that truly hereditarily obese people must combat in

order to lose weight and then maintain that weightloss. >>

Okay, na, here comes the next onslaught of questions! Can you share

with us what those 8 definitive set-points are? Many thanks! Dee in MI.

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<< Regarding those set-points, I didn't ask. I made a follow-up appointment

for 3 MOS post-op, just so a professional could determine that I was not

floundering in depression. That will be March 27. I will find out then, if

that's okay. >>

Thanks, na! We'll look forward to your post come April! Dee in MI.

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