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Just because she's not hungry doesn't mean her fill is ok. How much can she eat at a sitting? That is how you determine if she needs an adjustment. The fact that she just needs to lose 50 lbs. is going to be harder and slower than someone that needs to lose 200 lbs.
For years I was "subclinically thyroid" - I had the symptoms but the doctor couldn't determine what was wrong. Looking back at my test results, by the new guidelines my thyroid was hypo - but by the old guidelines I was fine.
My doctor finally put me on 50mcg Synthroid, and I've seen a total turnaround in my symptoms.
Those aren't new guidelines. The AACE articles in the first link no longer exist, and the first link even specifies that they date back to 2000, 2001, and 1997. They're not guidelines, nor are they new. It's a biased editorial based on other editorials, which were based on articles that are no longer in publication (outdated, obsolete).
I worked in the medical records department of a major metropolitian hospital for six years assembling emergency room medical record charts -- we hadn't gone totally electronic yet. Somewhere around ten percent of gastric by-pass patients came back to the ER because of complications. Some were complaining the surgery didn't work for them. It was enough to convince me that the surgery wasn't worth the risk of complications or the added risk of it being ineffective. Lapband procedure is marginally better in terms of complications but about the same in terms of risk for ineffectiveness. At least that is the conclusion I reached using inductive reasoning from what I saw on records.
I worked out at a 24 hour fitness where one of our members was a gastric by-pass victi---uh, patient, himself. He worked out constantly, said he watched his diet like a hawk--owned up to losing 50 pounds but could easily needed to lose another thirty or so.
I'm eighty pounds overweight, but walk, lift weights and stay in pretty good condition for an old, fat guy. The cholesterol is low, blood pressure under control, etc. I don't believe there is anything that would convince me to do gastric by-pass. I'll just haul my lard out of bed and keep walking and being as fit as I can for a heavy dude. Not everyone is going to be model thin or look like Matthew McConnawhatever. Do the things that help you feel better and be as healthy as you can be for your body type.
If you're trying to do things for image sake, then just go get the blubber sucked out of you every couple of years. It's not safe, but actually safer than by-pass surgery.
Yeah we didn't want to do that over the lapband. We also paid out of pocket to avoid insurance. She has an iPhone app that she puts in everything she eats and it calculates all the nutritional intake. We eat a ton of fresh vegetables and beans.
Just because she's not hungry doesn't mean her fill is ok. How much can she eat at a sitting? That is how you determine if she needs an adjustment. The fact that she just needs to lose 50 lbs. is going to be harder and slower than someone that needs to lose 200 lbs.
A yorkie would out eat her. It's crazy because I went from 220 to 183 by not eating fast food in 3 months without working out and have stayed at that weight for over 2 years. Granted I've went up to 193 but I lift weights. I'm just trying to see if maybe there's something that we're overlooking that is causing her not to lose the weight.
Should she stop doing aerobics and do light weights?
I really don't need people questioning the lengths at which she went. She's tried every diet with no results before the lapband. When we first met 12 yrs ago she was 150lbs and that's what she wants to be at. We have no kids and she's not on birth control.
I understand the worry, believe me. For 9 years, doctors tested my thyroid, and when it came back normal every time, they told me I was stressed, needed Weight Watches (tried that, didn't work), etc. One gave me a week off work to see if I felt better. Just keep at it, exhaust the possibilities.
If your wife isn't already doing so, have her keep a detailed food diary, as someone else suggested. I find I stay on plan really well when I diary everything I eat. Also water intake.
I feel for her because it was to easy for me to drop the weight and I watch her and its a battle to just drop 1lb. She works her but off to the point of whezzing heavily during her workouts while eating like a 5 yr old.
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