#obsm Transcript
Healthcare social media transcript of the #obsm hashtag.
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See #obsm Influencers/Analytics.
| Profile | Tweet |
|---|---|
 | #obsm chat @obsmchat Welcome to the #obsm chat. Tonight we are discussing if weight regain is Inevitable. All persons from health professionals to prospective patients to allies and friends are welcome to join. |
 | Michelle Vicari @Eggface 🔔 It's time for this month's #obsm Tweet Chat. Add #obsm to your tweets so others can follow along. Follow @obsmchat for tonight's topic questions. Search #obsm and click on latest to see what others are saying. |
 | Dr. Rachel @AskDr_Rachel RT @obsmchat: Welcome to the #obsm chat. Tonight we are discussing if weight regain is Inevitable. All persons from health professionals to prospective patients to allies and friends are welcome to join. |
| Dr. Rachel @AskDr_Rachel RT @Eggface: 🔔 It's time for this month's #obsm Tweet Chat. Add #obsm to your tweets so others can follow along. Follow @obsmchat for tonight's topic questions. Search #obsm and click on latest to see what others are saying. |
 | Patty Nece @pattynece RT @obsmchat: Welcome to the #obsm chat. Tonight we are discussing if weight regain is Inevitable. All persons from health professionals to prospective patients to allies and friends are welcome to join. |
| #obsm chat @obsmchat Please take a minute to introduce yourself. Even if only planning to "lurk" (read along without commenting) it’s helpful knowing the faces in the audience :-) Please note #obsm chats do not serve as medical advice. We will introduce the first question in a few minutes. #obsm |
| #obsm chat @obsmchat RT @Eggface: 🔔 It's time for this month's #obsm Tweet Chat. Add #obsm to your tweets so others can follow along. Follow @obsmchat for tonight's topic questions. Search #obsm and click on latest to see what others are saying. |
| Patty Nece @pattynece Patty Nece here - @ObesityAction board member and someone struggling with some regain! #obsm |
| #obsm chat @obsmchat Tonight the human behind the @obsmchat account is @arghavan_salles. #obsm |
| Dr. Rachel @AskDr_Rachel Hi everyone! I am excited for tonight's #obsm chat. I am a #psychologist in NYC specializing in #obesity #weightmanagement and #bariatricsurgery. @obsmchat |
 | Arghavan Salles, MD, PhD @arghavan_salles Hi, everybody! I'm a #bariatric surgeon at @WashUSurgery @WashUBariatric. I'll be moderating from the @obsmchat account tonight. #obsm |
| Michelle Vicari @Eggface Waving hello 👋🏽 from California #obsm pals, Michelle "Shelly" #BariatricSurgery Post-Op, @ObesityAction Coalition Board Member, #OACAction taker, Patient Advocate. |
| #obsm chat @obsmchat @pattynece @ObesityAction Hi, Patty! #obsm |
 | GeekyGrouch @grouchy_geek @obsmchat Hello #obsm chatters. Kyle Harris is here. #iamabariatricpatient |
 | Neil Floch MD @NeilFlochMD The @obsmchat #obsm is happening right now. Just search the hashtag and see all the tweets #obsm. Also add #obsmchat to each tweet so everyone can see your comments. |
| Neil Floch MD @NeilFlochMD RT @obsmchat: Are you or your patients experiencing weight regain? It's a very common problem! We'll be tackling weight regain in our next #obsm chat this Sunday, October 14 at 9:00 pm EST. We'll post a blog about the chat later this week. Everyone welcome!! https://t.co/R9PhZbCbJt |
| #obsm chat @obsmchat @AskDr_Rachel So glad you could join us, Rachel! #obsm |
 | Rob Portinga @mcnee @obsmchat Rob, 9.5 years post RNY, likely lurking mostly as I'm preparing dinner right now #obsm |
| #obsm chat @obsmchat @Eggface @ObesityAction Hi, Shelly! #obsm |
 | Paul Davidson, PhD @PaulDavidsonPhD Hi #obsm, I'm Paul Davidson, a bariatric psychologist @BrighamWomens |
| Dr. Rachel @AskDr_Rachel RT @NeilFlochMD: The @obsmchat #obsm is happening right now. Just search the hashtag and see all the tweets #obsm. Also add #obsmchat to each tweet so everyone can see your comments. |
| #obsm chat @obsmchat @txkyleharris Hi, Kyle! Glad you could join us. #obsm |
 | Austin Chiang, MD MPH FASGE FACG @AustinChiangMD Hi I'm a gastroenterologist with a subspecialization in bariatric endoscopy at @TJUHospital. Happy to participate in tonight's #obsm chat @obsmchat |
 | Deborah Greenhouse @greenhousemd @obsmchat pediatrician in SC, trying to decrease childhood obesity with motivational interviewing and creative efforts to decrease food insecurity in SC. #obsm |
| Neil Floch MD @NeilFlochMD It’s @NeilFlochMD here from @fcbariatrics and @NorwalkHospital let’s talk! #obsm |
| #obsm chat @obsmchat @mcnee Hi, Rob! #obsm |
| #obsm chat @obsmchat Let's get the discussion going! Please remember to tag all tweets with #obsm so we can see them! Here's the first question. https://t.co/6KFwW4eYzJ |
| Michelle Vicari @Eggface Fact: #Obesity is complex #obsm https://t.co/HHsGaT3yFh |
 | iamabariatricpatient @JeanineMSherman RT @txkyleharris: @obsmchat Hello #obsm chatters. Kyle Harris is here. #iamabariatricpatient |
| Neil Floch MD @NeilFlochMD RT @obsmchat: Please take a minute to introduce yourself. Even if only planning to "lurk" (read along without commenting) it’s helpful knowing the faces in the audience :-) Please note #obsm chats do not serve as medical advice. We will introduce the first question in a few minutes. #obsm |
 | Dr. Sylvia “Voice” Bollie, MD, DABOM @EmbraceYouMD RT @obsmchat: Are you or your patients experiencing weight regain? It's a very common problem! We'll be tackling weight regain in our next #obsm chat this Sunday, October 14 at 9:00 pm EST. We'll post a blog about the chat later this week. Everyone welcome!! https://t.co/R9PhZbCbJt |
| Neil Floch MD @NeilFlochMD RT @PaulDavidsonPhD: IT'S BACK.... Is Weight Regain Inevitable? Join TONIGHT'S #OBSM tweet chat, 10/14, 9:00 EST. More info and chat questions at https://t.co/YkUmOAETfT …. Everyone welcome! @asmbs @asmbsih #obsm #obsmuk #obsmmex #obsmmena @EASOobesity @YWMOAC @notyourfaultie https://t.co/2kz6c9IWmH |
| GeekyGrouch @grouchy_geek @obsmchat I tend to lose weight when traveling for work because I have to work at eating healthier. I tend to gain weight when at home & I have a ready supply of healthy choices for meals and snacks. My weight can fluctuate +/- 3-5 lbs. #obsm |
| Dr. Rachel @AskDr_Rachel I have seen a lot of #weightregain following weight loss and this can be extremely frustrating. Many people struggle with this at one point or another. #obsm |
| Patty Nece @pattynece @AustinChiangMD @TJUHospital @obsmchat Thanks for joining! #obsm |
| Dr. Rachel @AskDr_Rachel RT @obsmchat: Let's get the discussion going! Please remember to tag all tweets with #obsm so we can see them! Here's the first question. https://t.co/6KFwW4eYzJ |
 | walt medlin KILL THE FILIBUSTER, Statehood DC, PR @bonuslife #obsm lots... but usually less than people are afraid of |
| Dr. Rachel @AskDr_Rachel RT @Eggface: Fact: Fact: #Obesity is complex #obsm https://t.co/HHsGaT3yFh |
| Paul Davidson, PhD @PaulDavidsonPhD Nearly all my patients experience some element of #weightregain, though it is mild to moderate for most. It is one of the most frustrating things for a #bariatricsurgery patient. #obsm |
| Austin Chiang, MD MPH FASGE FACG @AustinChiangMD It varies widely, but I commonly see patients who have regained weight after bariatric surgery. It's rather common, but there are ways we can help. #wls #bariatricsurgery #obsm |
| #obsm chat @obsmchat @AustinChiangMD @TJUHospital Welcome, Austin! #obsm |
| iamabariatricpatient @JeanineMSherman @obsmchat Hello everyone Jeanine Sherman #bariatricsurgery patient and patient advocate! #iamabariatricpatient #obsm |
| #obsm chat @obsmchat @greenhousemd Welcome! Thanks for joining. #obsm |
| Neil Floch MD @NeilFlochMD This is a fantastic example of how you can be funny about the frustration of regaining #weight without needing to ridicule a person for being #overweight - Bravo @PaulDavidsonPhD #obsm |
| Dr. Rachel @AskDr_Rachel RT @PaulDavidsonPhD: Nearly all my patients experience some element of #weightregain, though it is mild to moderate for most. It is one of the most frustrating things for a #bariatricsurgery patient. #obsm |
 | Dr. Kasey Goodpaster @DrGoodpaster A1: Weight regain occurs for the vast majority (~98%) of pts who lose a significant amount on diets. W/surgery, it’s far less common to regain all of what was lost, but still possible.On average, pts will regain 10% of what was lost as the body settles into a new set point. #obsm |
| #obsm chat @obsmchat @NeilFlochMD @fcbariatrics @NorwalkHospital So glad to see you here, @NeilFlochMD! #obsm |
| Dr. Rachel @AskDr_Rachel RT @AustinChiangMD: It varies widely, but I commonly see patients who have regained weight after bariatric surgery. It's rather common, but there are ways we can help. #wls #bariatricsurgery #obsm |
| #obsm chat @obsmchat RT @Eggface: Fact: Fact: #Obesity is complex #obsm https://t.co/HHsGaT3yFh |
| Patty Nece @pattynece For years I'd lose, then regain all plus some additional weight. Now, having lost about 115 pounds, and sustaining most of that loss for several years, I'm regaining again. It's frustrating, annoying, and scary. #obsm |
| Dr. Rachel @AskDr_Rachel RT @NeilFlochMD: This is a fantastic example of how you can be funny about the frustration of regaining #weight without needing to ridicule a person for being #overweight - Bravo @PaulDavidsonPhD #obsm |
| Patty Nece @pattynece @JeanineMSherman @obsmchat Welcome Jeanine! #obsm |
| Paul Davidson, PhD @PaulDavidsonPhD Weight regain is the body's natural response to the perceived threat of #weightloss. It can be managed by numerous approaches and should be anticipated rather than feared. #obsm |
| Dr. Rachel @AskDr_Rachel RT @DrGoodpaster: A1: A1: Weight regain occurs for the vast majority (~98%) of pts who lose a significant amount on diets. W/surgery, it’s far less common to regain all of what was lost, but still possible.On average, pts will regain 10% of what was lost as the body settles into a new set point. #obsm |
 | Robyn Pashby, PhD (she/hers) @robynpashbyphd Hi all! Great topic tonight. Robyn Pashby here - clinical health psychologist #obsm |
| Paul Davidson, PhD @PaulDavidsonPhD RT @NeilFlochMD: This is a fantastic example of how you can be funny about the frustration of regaining #weight without needing to ridicule a person for being #overweight - Bravo @PaulDavidsonPhD #obsm |
| Patty Nece @pattynece RT @DrGoodpaster: A1: A1: Weight regain occurs for the vast majority (~98%) of pts who lose a significant amount on diets. W/surgery, it’s far less common to regain all of what was lost, but still possible.On average, pts will regain 10% of what was lost as the body settles into a new set point. #obsm |
| Patty Nece @pattynece @DrGoodpaster Glad you made it! #obsm |
| Dr. Rachel @AskDr_Rachel RT @PaulDavidsonPhD: Weight regain is the body's natural response to the perceived threat of #weightloss. It can be managed by numerous approaches and should be anticipated rather than feared. #obsm |
| Neil Floch MD @NeilFlochMD @AustinChiangMD @TJUHospital @obsmchat Congratulations to @AustinChiangMD as being a disruptor and innovator as awarded by @HealioGastro @GoHealio #obsm |
| Deborah Greenhouse @greenhousemd @obsmchat Teens frequently seem to regain weight when their social situation changes- new school, new home, new peer group, family financial problems. #obsm |
| Dr. Sylvia “Voice” Bollie, MD, DABOM @EmbraceYouMD A1. Where do I begin?!😳😭😫😖🤨Weight regain is a painful reality of the weight loss process. I tell my patients we weren’t made to lose weight-just gain or maintain it. That’s why we have to view weight loss/ #obesity 🚫as a single event but lifelong process #obsmchat #obsm |
| Neil Floch MD @NeilFlochMD RT @obsmchat: Let's get the discussion going! Please remember to tag all tweets with #obsm so we can see them! Here's the first question. https://t.co/6KFwW4eYzJ |
| Rob Portinga @mcnee A1: at my lowest post RNY, lost 190. But lost of muscle too. "regained" about 35# of muscle, then over years about 50 more pounds, recently lost about 15 of that. #obsm |
| walt medlin KILL THE FILIBUSTER, Statehood DC, PR @bonuslife RT @PaulDavidsonPhD: IT'S BACK.... Is Weight Regain Inevitable? Join TONIGHT'S #OBSM tweet chat, 10/14, 9:00 EST. More info and chat questions at https://t.co/YkUmOAETfT …. Everyone welcome! @asmbs @asmbsih #obsm #obsmuk #obsmmex #obsmmena @EASOobesity @YWMOAC @notyourfaultie https://t.co/2kz6c9IWmH |
| walt medlin KILL THE FILIBUSTER, Statehood DC, PR @bonuslife RT @Eggface: Fact: Fact: #Obesity is complex #obsm https://t.co/HHsGaT3yFh |
| Dr. Sylvia “Voice” Bollie, MD, DABOM @EmbraceYouMD RT @DrGoodpaster: A1: A1: Weight regain occurs for the vast majority (~98%) of pts who lose a significant amount on diets. W/surgery, it’s far less common to regain all of what was lost, but still possible.On average, pts will regain 10% of what was lost as the body settles into a new set point. #obsm |
| walt medlin KILL THE FILIBUSTER, Statehood DC, PR @bonuslife RT @obsmchat: Let's get the discussion going! Please remember to tag all tweets with #obsm so we can see them! Here's the first question. https://t.co/6KFwW4eYzJ |
| #obsm chat @obsmchat @JeanineMSherman Thanks for joining, @JeanineMSherman! #obsm |
| walt medlin KILL THE FILIBUSTER, Statehood DC, PR @bonuslife RT @Eggface: Waving hello 👋🏽 from California #obsm pals, Michelle "Shelly" #BariatricSurgery Post-Op, @ObesityAction Coalition Board Member, #OACAction taker, Patient Advocate. |
| Dr. Rachel @AskDr_Rachel @greenhousemd @obsmchat I actually would expand that and say most people tend to also regain weight when there are #stressors, including life events. #weight #weightregain #obesity #obsm |
| #obsm chat @obsmchat RT @NeilFlochMD: This is a fantastic example of how you can be funny about the frustration of regaining #weight without needing to ridicule a person for being #overweight - Bravo @PaulDavidsonPhD #obsm |
| Dr. Rachel @AskDr_Rachel RT @greenhousemd: @obsmchat Teens frequently seem to regain weight when their social situation changes- new school, new home, new peer group, family financial problems. #obsm |
| Patty Nece @pattynece RT @mcnee: A1: A1: at my lowest post RNY, lost 190. But lost of muscle too. "regained" about 35# of muscle, then over years about 50 more pounds, recently lost about 15 of that. #obsm |
 | Crystal Johnson-Mann, MD, MPH, FACS, FASMBS @CJMannMD A1: In my experience thus far, the majority of patients experience some degree of weight recidivism. The degree of weight regain is highly varied. #obsm |
| Dr. Rachel @AskDr_Rachel RT @fittmd: A1. Where do I begin?!😳😭😫😖🤨Weight regain is a painful reality of the weight loss process. I tell my patients we weren’t made to lose weight-just gain or maintain it. That’s why we have to view weight loss/ #obesity 🚫as a single event but lifelong process #obsmchat #obsm |
| #obsm chat @obsmchat @DrGoodpaster Yes, important to point out that some amount of weight regain is normal and expected after significant weight loss, regardless of how that weight loss was achieved. #obsm |
| Neil Floch MD @NeilFlochMD @obsmchat #weightregain is expected to a limited degree in most all patients after #bariatricsurgery - evidence shows that patients reach a low at 18-21 months and then regain some #weight #obsm |
| Austin Chiang, MD MPH FASGE FACG @AustinChiangMD A1: One study of a cohort of 300 patients at a single institution post-RYGB showed mean ~23% weight regain #obsm #weightregain https://t.co/CiVgRo6s8x |
| Dr. Rachel @AskDr_Rachel @fittmd Yes! I also explain to my clients that this is not something that is just fixed and you are done. It is a lifelong process that unfortunately takes work! #weight #weightregain #obesity #obsm |
| Neil Floch MD @NeilFlochMD RT @Eggface: Fact: Fact: #Obesity is complex #obsm https://t.co/HHsGaT3yFh |
| #obsm chat @obsmchat @rpashbyphd Hi, Robyn! Thanks for joining! #obsm |
| Austin Chiang, MD MPH FASGE FACG @AustinChiangMD @NeilFlochMD @TJUHospital @obsmchat @HealioGastro @GoHealio Thanks for the shoutout! I truly appreciate it! #obsm |
| Neil Floch MD @NeilFlochMD RT @AskDr_Rachel: I have seen a lot of #weightregain following weight loss and this can be extremely frustrating. Many people struggle with this at one point or another. #obsm |
| Patty Nece @pattynece Well said! #obesity isn't a one and done - it's a "lifelong process." #obsm |
| Dr. Rachel @AskDr_Rachel RT @obsmchat: @DrGoodpaster Yes, important to point out that some amount of weight regain is normal and expected after significant weight loss, regardless of how that weight loss was achieved. #obsm |
| Patty Nece @pattynece RT @greenhousemd: @obsmchat Teens frequently seem to regain weight when their social situation changes- new school, new home, new peer group, family financial problems. #obsm |
| Neil Floch MD @NeilFlochMD RT @PaulDavidsonPhD: Nearly all my patients experience some element of #weightregain, though it is mild to moderate for most. It is one of the most frustrating things for a #bariatricsurgery patient. #obsm |
| Paul Davidson, PhD @PaulDavidsonPhD @AskDr_Rachel @greenhousemd @obsmchat Stress, medical illness, medications, hormonal shifts, social pressures, the ease of letting go healthy habits over time all contribute to #weightregain #obsm |
| Dr. Rachel @AskDr_Rachel RT @NeilFlochMD: @obsmchat #weightregain is expected to a limited degree in most all patients after #bariatricsurgery - evidence shows that patients reach a low at 18-21 months and then regain some #weight #obsm |
| Neil Floch MD @NeilFlochMD RT @AustinChiangMD: It varies widely, but I commonly see patients who have regained weight after bariatric surgery. It's rather common, but there are ways we can help. #wls #bariatricsurgery #obsm |
| #obsm chat @obsmchat RT @fittmd: A1. Where do I begin?!😳😭😫😖🤨Weight regain is a painful reality of the weight loss process. I tell my patients we weren’t made to lose weight-just gain or maintain it. That’s why we have to view weight loss/ #obesity 🚫as a single event but lifelong process #obsmchat #obsm |
| Dr. Rachel @AskDr_Rachel RT @AustinChiangMD: A1: A1: One study of a cohort of 300 patients at a single institution post-RYGB showed mean ~23% weight regain #obsm #weightregain https://t.co/CiVgRo6s8x |
| Patty Nece @pattynece @rpashbyphd So happy you're here! #obsm |
| #obsm chat @obsmchat RT @mcnee: A1: A1: at my lowest post RNY, lost 190. But lost of muscle too. "regained" about 35# of muscle, then over years about 50 more pounds, recently lost about 15 of that. #obsm |
| Dr. Rachel @AskDr_Rachel RT @pattynece: Well said! #obesity isn't a one and done - it's a "lifelong process." #obsm |
| Dr. Rachel @AskDr_Rachel RT @PaulDavidsonPhD: @AskDr_Rachel @greenhousemd @obsmchat Stress, medical illness, medications, hormonal shifts, social pressures, the ease of letting go healthy habits over time all contribute to #weightregain #obsm |
| Austin Chiang, MD MPH FASGE FACG @AustinChiangMD A1: A study by my mentor @MetabolicEndo showed that after #gastricbypass surgery, the degree of #weightregain was associated with GJ stoma diameter #rny #wls #obsm |
| Patty Nece @pattynece RT @AustinChiangMD: A1: A1: One study of a cohort of 300 patients at a single institution post-RYGB showed mean ~23% weight regain #obsm #weightregain https://t.co/CiVgRo6s8x |
| #obsm chat @obsmchat RT @NeilFlochMD: @obsmchat #weightregain is expected to a limited degree in most all patients after #bariatricsurgery - evidence shows that patients reach a low at 18-21 months and then regain some #weight #obsm |
| #obsm chat @obsmchat RT @AustinChiangMD: A1: A1: One study of a cohort of 300 patients at a single institution post-RYGB showed mean ~23% weight regain #obsm #weightregain https://t.co/CiVgRo6s8x |
| Austin Chiang, MD MPH FASGE FACG @AustinChiangMD A1: A study by my mentor @MetabolicEndo showed that after #gastricbypass surgery, the degree of #weightregain was associated with GJ stoma diameter #rny #wls #obsm @AGA_CGH https://t.co/usmyXDpDN0 |
| Neil Floch MD @NeilFlochMD #weightregain should be expected but significantweight regain is what we hope to avoid. There are techniques to avoid and limit it but patients must follow up with their #Bariatric #surgeon #obsm https://t.co/JphFtakIcx |
| #obsm chat @obsmchat @AustinChiangMD Important to remember that the lowest weight people can achieve, regardless of method of weight loss, is typically not sustainable. #obsm |
| Patty Nece @pattynece RT @PaulDavidsonPhD: @AskDr_Rachel @greenhousemd @obsmchat Stress, medical illness, medications, hormonal shifts, social pressures, the ease of letting go healthy habits over time all contribute to #weightregain #obsm |
| #obsm chat @obsmchat RT @AskDr_Rachel: @fittmd Yes! I also explain to my clients that this is not something that is just fixed and you are done. It is a lifelong process that unfortunately takes work! #weight #weightregain #obesity #obsm |
 | Shenxing Du (Osis Du), PT, AST @dsx0221 RT @Eggface: Fact: Fact: #Obesity is complex #obsm https://t.co/HHsGaT3yFh |
| Dr. Rachel @AskDr_Rachel RT @obsmchat: @AustinChiangMD Important to remember that the lowest weight people can achieve, regardless of method of weight loss, is typically not sustainable. #obsm |
| #obsm chat @obsmchat @pattynece Yes, this is part of why it is important and useful to recognize #obesity is a chronic disease. #obsm |
| Neil Floch MD @NeilFlochMD RT @obsmchat: @AustinChiangMD Important to remember that the lowest weight people can achieve, regardless of method of weight loss, is typically not sustainable. #obsm |
 | Lhalpin521@gmail.com @Lhalpin521gmai1 @AskDr_Rachel #obsm my name is Linda Halpin. After I had the lap-band I gained most of my weight back. This time around is different. I'm up only 4 pounds. I had the sleeve in December of 2016. |
| Neil Floch MD @NeilFlochMD RT @AustinChiangMD: A1: A1: A study by my mentor @MetabolicEndo showed that after #gastricbypass surgery, the degree of #weightregain was associated with GJ stoma diameter #rny #wls #obsm @AGA_CGH https://t.co/usmyXDpDN0 |
| walt medlin KILL THE FILIBUSTER, Statehood DC, PR @bonuslife RT @obsmchat: @AustinChiangMD Important to remember that the lowest weight people can achieve, regardless of method of weight loss, is typically not sustainable. #obsm |
| Neil Floch MD @NeilFlochMD RT @PaulDavidsonPhD: @AskDr_Rachel @greenhousemd @obsmchat Stress, medical illness, medications, hormonal shifts, social pressures, the ease of letting go healthy habits over time all contribute to #weightregain #obsm |
| Neil Floch MD @NeilFlochMD RT @pattynece: Well said! #obesity isn't a one and done - it's a "lifelong process." #obsm |
| #obsm chat @obsmchat RT @NeilFlochMD: #weightregain should be expected but significantweight regain is what we hope to avoid. There are techniques to avoid and limit it but patients must follow up with their #Bariatric #surgeon #obsm https://t.co/JphFtakIcx |
| Patty Nece @pattynece RT @obsmchat: @AustinChiangMD Important to remember that the lowest weight people can achieve, regardless of method of weight loss, is typically not sustainable. #obsm |
| #obsm chat @obsmchat #obsm https://t.co/ahRUR9J2Nv |
| Neil Floch MD @NeilFlochMD RT @AskDr_Rachel: @fittmd Yes! I also explain to my clients that this is not something that is just fixed and you are done. It is a lifelong process that unfortunately takes work! #weight #weightregain #obesity #obsm |
| Michelle Vicari @Eggface Build a team of #support: https://t.co/nFLwhCOZge (powered by @ObesityAction) search your area by zip code for #healthcare providers who can help: find doctors, #bariatricsurgery programs, dietitians, others. #obsm |
| iamabariatricpatient @JeanineMSherman RT @fittmd: A1. Where do I begin?!😳😭😫😖🤨Weight regain is a painful reality of the weight loss process. I tell my patients we weren’t made to lose weight-just gain or maintain it. That’s why we have to view weight loss/ #obesity 🚫as a single event but lifelong process #obsmchat #obsm |
| Neil Floch MD @NeilFlochMD RT @AustinChiangMD: A1: A1: One study of a cohort of 300 patients at a single institution post-RYGB showed mean ~23% weight regain #obsm #weightregain https://t.co/CiVgRo6s8x |
| Neil Floch MD @NeilFlochMD RT @obsmchat: @DrGoodpaster Yes, important to point out that some amount of weight regain is normal and expected after significant weight loss, regardless of how that weight loss was achieved. #obsm |
| Paul Davidson, PhD @PaulDavidsonPhD It is important for those trying to lose #weight to recognize that #weightregain is NOT a sign of personal failure....#obsm |
| Neil Floch MD @NeilFlochMD RT @CJMannMD: A1: A1: In my experience thus far, the majority of patients experience some degree of weight recidivism. The degree of weight regain is highly varied. #obsm |
| Dr. Rachel @AskDr_Rachel I want to emphasize the point that @NeilFlochMD made that "patients must follow up with their #bariatricsurgeon" as well as their surgical team. #obsm |
| GeekyGrouch @grouchy_geek @AskDr_Rachel @fittmd I work at it everyday. From selecting healthy options to cook and/or eat to getting my behind to the gym when I don’t want to go. #obsm #dailystruggles #iwillwin |
| Neil Floch MD @NeilFlochMD RT @AskDr_Rachel: @greenhousemd @obsmchat I actually would expand that and say most people tend to also regain weight when there are #stressors, including life events. #weight #weightregain #obesity #obsm |
| Patty Nece @pattynece RT @Eggface: Build a team of #support: Build a team of #support: https://t.co/nFLwhCOZge (powered by @ObesityAction) search your area by zip code for #healthcare providers who can help: find doctors, #bariatricsurgery programs, dietitians, others. #obsm |
| Dr. Rachel @AskDr_Rachel RT @obsmchat: @pattynece Yes, this is part of why it is important and useful to recognize #obesity is a chronic disease. #obsm |
 | -III-----III- @tripleplates RT @PaulDavidsonPhD: Weight regain is the body's natural response to the perceived threat of #weightloss. It can be managed by numerous approaches and should be anticipated rather than feared. #obsm |
| Arghavan Salles, MD, PhD @arghavan_salles @Eggface And #obesity is a chronic disease. #obsm |
| Neil Floch MD @NeilFlochMD RT @greenhousemd: @obsmchat Teens frequently seem to regain weight when their social situation changes- new school, new home, new peer group, family financial problems. #obsm |
| Patty Nece @pattynece @Lhalpin521gmai1 @AskDr_Rachel Happy to see you Linda! #obsm |
| Deborah Greenhouse @greenhousemd @obsmchat Another thought from the pediatric front: Kids frequently regain if they are being used as a pawn by divorced parents. One parent offering continuous junk food just to get the other parent mad. One of the saddest things that I see. And I see it a lot. #obsm |
| Neil Floch MD @NeilFlochMD RT @Lhalpin521gmai1: @AskDr_Rachel #obsm my name is Linda Halpin. After I had the lap-band I gained most of my weight back. This time around is different. I'm up only 4 pounds. I had the sleeve in December of 2016. |
| Lhalpin521@gmail.com @Lhalpin521gmai1 @AskDr_Rachel @obsmchat @fittmd #obsm Every day it takes work to work on yourself. |
 | LutherLiz (she/her) @Lutherliz Late to the chat. Liz from MN here. Member of the @ObesityAction Advancement Committee #OBSM |
| Neil Floch MD @NeilFlochMD RT @obsmchat: #obsm https://t.co/ahRUR9J2Nv |
| Patty Nece @pattynece RT @PaulDavidsonPhD: It is important for those trying to lose #weight to recognize that #weightregain is NOT a sign of personal failure....#obsm |
| Dr. Kasey Goodpaster @DrGoodpaster A2: Weight regain is not inevitable;in fact fearing weight regain can create a self-fulfilling prophecy. The key is to make lifestyle changes that are sustainable & seek ongoing support from a multidisciplinary team. Obesity is a chronic disease that requires lifelong care. #obsm |
| Arghavan Salles, MD, PhD @arghavan_salles @NeilFlochMD @PaulDavidsonPhD Also important to recognize that weight regain is normal and is not something to be ashamed about. But hopefully the amount of weight regain is minimal and can be managed. #obsm |
| Paul Davidson, PhD @PaulDavidsonPhD Some #weightregain seems inevitable for nearly all, but this can be mitigated by vigilance, a focus on healthy habits with #mindful eating, and seeking help at the first signs of trouble. #obsm |
| Arghavan Salles, MD, PhD @arghavan_salles RT @pattynece: For years I'd lose, then regain all plus some additional weight. Now, having lost about 115 pounds, and sustaining most of that loss for several years, I'm regaining again. It's frustrating, annoying, and scary. #obsm |
 | Kristal Hartman @kinetic_kristal @obsmchat Hi All, I have to fight weight regain every day. -100 lbs 4 yrs post sleeve. #obsm |
| Arghavan Salles, MD, PhD @arghavan_salles RT @PaulDavidsonPhD: Weight regain is the body's natural response to the perceived threat of #weightloss. It can be managed by numerous approaches and should be anticipated rather than feared. #obsm |
| Michelle Vicari @Eggface Understanding that #obesity is a chronic disease has helped me. Chronic diseases require lifelong management. Every day I manage my obesity w/a variety of tools some are general, some specific to my needs. There is no finish line. #obsm |
| Arghavan Salles, MD, PhD @arghavan_salles @greenhousemd @obsmchat Sounds like some of the same stressors that may trigger weight regain among adults! #obsm |
| Deborah Greenhouse @greenhousemd @obsmchat A2: I don't think that weight regain is inevitable. But I do think that preventing weight regain requires support for the entire family. #obsm |
| Arghavan Salles, MD, PhD @arghavan_salles RT @fittmd: A1. Where do I begin?!😳😭😫😖🤨Weight regain is a painful reality of the weight loss process. I tell my patients we weren’t made to lose weight-just gain or maintain it. That’s why we have to view weight loss/ #obesity 🚫as a single event but lifelong process #obsmchat #obsm |
| Patty Nece @pattynece @PaulDavidsonPhD One of the most important things I learned from @rpashbyphd was the cycle of behavior change, which includes a relapse stage. It's a normal part of the process. Helped relieve some of the blame I felt for decades. #obsm |
| GeekyGrouch @grouchy_geek @obsmchat Yes. Especially if you add weight training to your workout regimen. Keep a food and activity diary. DON’T weigh yourself daily. When you see an upward trend, look at what you have been eating and doing. Is there a correlation? #obsm |
| Dr. Rachel @AskDr_Rachel I think following up with one's #bariatricsurgery team and/or at least one of healthcare providers that is talking about your #health and #weight is key. Regular follow up helps with accountability, but also a small #weightregain can easily turn into a large one. #obsm #weight |
| Arghavan Salles, MD, PhD @arghavan_salles RT @AskDr_Rachel: @fittmd Yes! I also explain to my clients that this is not something that is just fixed and you are done. It is a lifelong process that unfortunately takes work! #weight #weightregain #obesity #obsm |
| Robyn Pashby, PhD (she/hers) @robynpashbyphd One important aspect of managing weight regain is ongoing long term #support from the healthcare team. Needing lifetime support isn’t a sign of weakness it’s a sign of strength! #obsm |
| Dr. Rachel @AskDr_Rachel RT @obsmchat: #obsm https://t.co/ahRUR9J2Nv |
| LutherLiz (she/her) @Lutherliz Q1: It tends to feel like regain is inevitable it has happened so frequently. #OBSM |
| Austin Chiang, MD MPH FASGE FACG @AustinChiangMD A2: Weight management needs to be a multifaceted approach. Procedures can help kickstart, but ultimately regular follow-up with health professionals, dietary guidance, physical activity, mental health, social support all play into it #obsm |
| Patty Nece @pattynece @kinetic_kristal @obsmchat Glad you made it! #obsm |
| Neil Floch MD @NeilFlochMD Patient must consistentlyfollow up with the Bariatric team: #surgeon #RD and mental health expert in order to avoid previous causes of #obesity #obsm https://t.co/RTt6Y7yyLK |
| #obsm chat @obsmchat @Lhalpin521gmai1 @AskDr_Rachel Thanks for joining, Linda! And congratulations! #obsm |
| Patty Nece @pattynece RT @DrGoodpaster: A2: A2: Weight regain is not inevitable;in fact fearing weight regain can create a self-fulfilling prophecy. The key is to make lifestyle changes that are sustainable & seek ongoing support from a multidisciplinary team. Obesity is a chronic disease that requires lifelong care. #obsm |
| walt medlin KILL THE FILIBUSTER, Statehood DC, PR @bonuslife RT @Eggface: Understanding that #obesity is a chronic disease has helped me. Chronic diseases require lifelong management. Every day I manage my obesity w/a variety of tools some are general, some specific to my needs. There is no finish line. #obsm |
| Dr. Sylvia “Voice” Bollie, MD, DABOM @EmbraceYouMD @brianedwardsmd Definitely- if clinically indicated. As you well know the complex pathophysiology of #obesity does require medication to obtain/ maintain #weightloss in certain people. #obsm #weightlossjourney |
| Patty Nece @pattynece @Lutherliz @ObesityAction Happy you're here! #obsm |
| #obsm chat @obsmchat RT @Eggface: Build a team of #support: Build a team of #support: https://t.co/nFLwhCOZge (powered by @ObesityAction) search your area by zip code for #healthcare providers who can help: find doctors, #bariatricsurgery programs, dietitians, others. #obsm |
| #obsm chat @obsmchat RT @PaulDavidsonPhD: It is important for those trying to lose #weight to recognize that #weightregain is NOT a sign of personal failure....#obsm |
| #obsm chat @obsmchat RT @AskDr_Rachel: I want to emphasize the point that @NeilFlochMD made that "patients must follow up with their #bariatricsurgeon" as well as their surgical team. #obsm |
| Dr. Rachel @AskDr_Rachel @Lhalpin521gmai1 @obsmchat @fittmd It is true! I tell my clients, it is NOT easy and takes work, patience, commitment and persistence, as well as following up with medical providers. #obesity #obsm |
| #obsm chat @obsmchat @txkyleharris @AskDr_Rachel @fittmd So true. The struggle is real. #obsm |
| Paul Davidson, PhD @PaulDavidsonPhD A great strategy to keep weight off is to build in #strengthtraining as a part of your program in addition to #nutrition changes and #cardio. #obsm |
| Patty Nece @pattynece @greenhousemd @obsmchat Oh my gosh. I'm not a parent, but I can't imagine putting my child in the middle of it all. #obsm |
| Rob Portinga @mcnee how are we defining "regain"? X amount from lowest? any gain after a period of maintained/stable weight? #obsm |
| Patty Nece @pattynece RT @PaulDavidsonPhD: Some #weightregain seems inevitable for nearly all, but this can be mitigated by vigilance, a focus on healthy habits with #mindful eating, and seeking help at the first signs of trouble. #obsm |
| Neil Floch MD @NeilFlochMD I have used #weightloss medications to stop the re-onset of post surgical #hunger or desire to reintroduce poor food choices. These techniques have been successfully stopping weight regain. #obsm https://t.co/RTt6Y7yyLK |
| Dr. Rachel @AskDr_Rachel @txkyleharris @fittmd It is not easy, but it sounds like you are doing it! Keep it up! #obsm |
| #obsm chat @obsmchat @greenhousemd That is quite unfortunate. Weight that is easily gained is not easily lost. #obsm |
| Neil Floch MD @NeilFlochMD RT @PaulDavidsonPhD: It is important for those trying to lose #weight to recognize that #weightregain is NOT a sign of personal failure....#obsm |
| #obsm chat @obsmchat RT @Lhalpin521gmai1: @AskDr_Rachel @obsmchat @fittmd #obsm Every day it takes work to work on yourself. |
| Dr. Rachel @AskDr_Rachel RT @Eggface: Build a team of #support: Build a team of #support: https://t.co/nFLwhCOZge (powered by @ObesityAction) search your area by zip code for #healthcare providers who can help: find doctors, #bariatricsurgery programs, dietitians, others. #obsm |
| LutherLiz (she/her) @Lutherliz RT @DrGoodpaster: A1: A1: Weight regain occurs for the vast majority (~98%) of pts who lose a significant amount on diets. W/surgery, it’s far less common to regain all of what was lost, but still possible.On average, pts will regain 10% of what was lost as the body settles into a new set point. #obsm |
| Crystal Johnson-Mann, MD, MPH, FACS, FASMBS @CJMannMD Some degree of weight regain is inevitable, but the amount can be managed by continued lifestyle changes, good support systems, and regular check-ins with the bariatric surgeon to prevent a small problem from spiraling out of control. #obsm |
 | Sarah Bramblette, MSHL @Born2lbFat Hi everyone, stopping by to say hello, I’m not able to chat tonight. Just want to say I’ve experienced regain rollercoaster managing #lymphedema as never fully know what’s contributing to the change on the scale. #obsm |
| #obsm chat @obsmchat @Lutherliz @ObesityAction Welcome, Liz! Thanks for joining. #obsm |
| Patty Nece @pattynece @PaulDavidsonPhD The seeking help piece is so important. But I fear most people working on their weight don't have supports in place. #obsm |
| Neil Floch MD @NeilFlochMD RT @txkyleharris: @AskDr_Rachel @fittmd I work at it everyday. From selecting healthy options to cook and/or eat to getting my behind to the gym when I don’t want to go. #obsm #dailystruggles #iwillwin |
| #obsm chat @obsmchat RT @DrGoodpaster: A2: A2: Weight regain is not inevitable;in fact fearing weight regain can create a self-fulfilling prophecy. The key is to make lifestyle changes that are sustainable & seek ongoing support from a multidisciplinary team. Obesity is a chronic disease that requires lifelong care. #obsm |
| Kristal Hartman @kinetic_kristal @obsmchat The one thing I have never let go of since surgery is logging my food daily in MFP. It’s the best tool I have to help me stay on track. I have logged in and closed my food journal for 1491 days in a row now! #obsm |
| Patty Nece @pattynece RT @NeilFlochMD: I have used #weightloss medications to stop the re-onset of post surgical #hunger or desire to reintroduce poor food choices. These techniques have been successfully stopping weight regain. #obsm https://t.co/RTt6Y7yyLK |
| #obsm chat @obsmchat RT @arghavan_salles: @NeilFlochMD @PaulDavidsonPhD Also important to recognize that weight regain is normal and is not something to be ashamed about. But hopefully the amount of weight regain is minimal and can be managed. #obsm |
| Neil Floch MD @NeilFlochMD RT @pattynece: @PaulDavidsonPhD One of the most important things I learned from @rpashbyphd was the cycle of behavior change, which includes a relapse stage. It's a normal part of the process. Helped relieve some of the blame I felt for decades. #obsm |
| Dr. Rachel @AskDr_Rachel RT @obsmchat: @txkyleharris @AskDr_Rachel @fittmd So true. The struggle is real. #obsm |
| Neil Floch MD @NeilFlochMD RT @txkyleharris: @obsmchat Yes. Especially if you add weight training to your workout regimen. Keep a food and activity diary. DON’T weigh yourself daily. When you see an upward trend, look at what you have been eating and doing. Is there a correlation? #obsm |
| #obsm chat @obsmchat RT @PaulDavidsonPhD: Some #weightregain seems inevitable for nearly all, but this can be mitigated by vigilance, a focus on healthy habits with #mindful eating, and seeking help at the first signs of trouble. #obsm |
| Lhalpin521@gmail.com @Lhalpin521gmai1 @NeilFlochMD #obsm Follow up care is a must in my book as well as still going to support groups. |
| Dr. Rachel @AskDr_Rachel RT @arghavan_salles: @Eggface And #obesity is a chronic disease. #obsm |
| Neil Floch MD @NeilFlochMD RT @rpashbyphd: One important aspect of managing weight regain is ongoing long term #support from the healthcare team. Needing lifetime support isn’t a sign of weakness it’s a sign of strength! #obsm |
| Dr. Rachel @AskDr_Rachel RT @greenhousemd: @obsmchat Another thought from the pediatric front: @obsmchat Another thought from the pediatric front: Kids frequently regain if they are being used as a pawn by divorced parents. One parent offering continuous junk food just to get the other parent mad. One of the saddest things that I see. And I see it a lot. #obsm |
| #obsm chat @obsmchat @kinetic_kristal Hi, Kristal! Thanks for joining. And congratulations! #obsm |
| #obsm chat @obsmchat RT @Eggface: Understanding that #obesity is a chronic disease has helped me. Chronic diseases require lifelong management. Every day I manage my obesity w/a variety of tools some are general, some specific to my needs. There is no finish line. #obsm |
| Patty Nece @pattynece @mcnee Great question. For me personally, I see it as a problem when I can't stop the upward trajectory. That's the scary part. #obsm |
| Neil Floch MD @NeilFlochMD RT @fittmd: @brianedwardsmd Definitely- if clinically indicated. As you well know the complex pathophysiology of #obesity does require medication to obtain/ maintain #weightloss in certain people. #obsm #weightlossjourney |
| #obsm chat @obsmchat RT @pattynece: @PaulDavidsonPhD One of the most important things I learned from @rpashbyphd was the cycle of behavior change, which includes a relapse stage. It's a normal part of the process. Helped relieve some of the blame I felt for decades. #obsm |
| Neil Floch MD @NeilFlochMD RT @PaulDavidsonPhD: A great strategy to keep weight off is to build in #strengthtraining as a part of your program in addition to #nutrition changes and #cardio. #obsm |
 | Dr. Victoria Dooley @DrDooleyMD RT @fittmd: A1. Where do I begin?!😳😭😫😖🤨Weight regain is a painful reality of the weight loss process. I tell my patients we weren’t made to lose weight-just gain or maintain it. That’s why we have to view weight loss/ #obesity 🚫as a single event but lifelong process #obsmchat #obsm |
| Patty Nece @pattynece RT @AustinChiangMD: A2: A2: Weight management needs to be a multifaceted approach. Procedures can help kickstart, but ultimately regular follow-up with health professionals, dietary guidance, physical activity, mental health, social support all play into it #obsm |
| #obsm chat @obsmchat RT @txkyleharris: @obsmchat Yes. Especially if you add weight training to your workout regimen. Keep a food and activity diary. DON’T weigh yourself daily. When you see an upward trend, look at what you have been eating and doing. Is there a correlation? #obsm |
| Dr. Rachel @AskDr_Rachel @Lhalpin521gmai1 @obsmchat @fittmd Very true! I talk to my clients about a "health seflishness." We need to be selfish when it comes to our health, but unfortunately that takes work--- but the work DOES pay off! #health #obesity #obsm #healthbehaviors |
| #obsm chat @obsmchat RT @AskDr_Rachel: I think following up with one's #bariatricsurgery team and/or at least one of healthcare providers that is talking about your #health and #weight is key. Regular follow up helps with accountability, but also a small #weightregain can easily turn into a large one. #obsm #weight |
 | lucky @lucky78380783 RT @PaulDavidsonPhD: A great strategy to keep weight off is to build in #strengthtraining as a part of your program in addition to #nutrition changes and #cardio. #obsm |
| #obsm chat @obsmchat RT @rpashbyphd: One important aspect of managing weight regain is ongoing long term #support from the healthcare team. Needing lifetime support isn’t a sign of weakness it’s a sign of strength! #obsm |
| Dr. Rachel @AskDr_Rachel RT @DrGoodpaster: A2: A2: Weight regain is not inevitable;in fact fearing weight regain can create a self-fulfilling prophecy. The key is to make lifestyle changes that are sustainable & seek ongoing support from a multidisciplinary team. Obesity is a chronic disease that requires lifelong care. #obsm |
| Michelle Vicari @Eggface If you had high blood pressure and on a Rx or a special eating plan to manage it and stopped... your blood pressure would probably go up. There is no jugement, shame or guilt. You just get back to managing it. We need to end the stigma with #obesity. #obsm |
| Patty Nece @pattynece Indeed! #obsm |
| lucky @lucky78380783 RT @fittmd: @brianedwardsmd Definitely- if clinically indicated. As you well know the complex pathophysiology of #obesity does require medication to obtain/ maintain #weightloss in certain people. #obsm #weightlossjourney |
| #obsm chat @obsmchat RT @NeilFlochMD: Patient must consistentlyfollow up with the Bariatric team: Patient must consistentlyfollow up with the Bariatric team: #surgeon #RD and mental health expert in order to avoid previous causes of #obesity #obsm https://t.co/RTt6Y7yyLK |
| Dr. Rachel @AskDr_Rachel RT @arghavan_salles: @NeilFlochMD @PaulDavidsonPhD Also important to recognize that weight regain is normal and is not something to be ashamed about. But hopefully the amount of weight regain is minimal and can be managed. #obsm |
| Deborah Greenhouse @greenhousemd @obsmchat Agreed. These situations rarely end well. unhappy parents, unhappy and overweight kids who don't understand what is going on. The answer is in counseling for the parents but though to get there. #obsm |
| Dr. Rachel @AskDr_Rachel RT @PaulDavidsonPhD: Some #weightregain seems inevitable for nearly all, but this can be mitigated by vigilance, a focus on healthy habits with #mindful eating, and seeking help at the first signs of trouble. #obsm |
| #obsm chat @obsmchat RT @fittmd: @brianedwardsmd Definitely- if clinically indicated. As you well know the complex pathophysiology of #obesity does require medication to obtain/ maintain #weightloss in certain people. #obsm #weightlossjourney |
| Neil Floch MD @NeilFlochMD The definitionsof significant weight regain have not been clearly defined #obsm https://t.co/RTt6Y7yyLK |
| Neil Floch MD @NeilFlochMD RT @AskDr_Rachel: @Lhalpin521gmai1 @obsmchat @fittmd Very true! I talk to my clients about a "health seflishness." We need to be selfish when it comes to our health, but unfortunately that takes work--- but the work DOES pay off! #health #obesity #obsm #healthbehaviors |
| Austin Chiang, MD MPH FASGE FACG @AustinChiangMD Agree with this. Medications can be an adjunct that is often overlooked. It's sometimes about resetting the body's set point and recalibrating the hunger/satiety hormones #obsm |
| #obsm chat @obsmchat RT @PaulDavidsonPhD: A great strategy to keep weight off is to build in #strengthtraining as a part of your program in addition to #nutrition changes and #cardio. #obsm |
| Neil Floch MD @NeilFlochMD RT @Eggface: If you had high blood pressure and on a Rx or a special eating plan to manage it and stopped... your blood pressure would probably go up. There is no jugement, shame or guilt. You just get back to managing it. We need to end the stigma with #obesity. #obsm |
| iamabariatricpatient @JeanineMSherman RT @PaulDavidsonPhD: Some #weightregain seems inevitable for nearly all, but this can be mitigated by vigilance, a focus on healthy habits with #mindful eating, and seeking help at the first signs of trouble. #obsm |
| Patty Nece @pattynece RT @Eggface: If you had high blood pressure and on a Rx or a special eating plan to manage it and stopped... your blood pressure would probably go up. There is no jugement, shame or guilt. You just get back to managing it. We need to end the stigma with #obesity. #obsm |
| iamabariatricpatient @JeanineMSherman RT @arghavan_salles: @NeilFlochMD @PaulDavidsonPhD Also important to recognize that weight regain is normal and is not something to be ashamed about. But hopefully the amount of weight regain is minimal and can be managed. #obsm |
| Dr. Sylvia “Voice” Bollie, MD, DABOM @EmbraceYouMD A1. Personally (prior to my current pregnancy 🤰🏾) I was able to maintain my 40lb weight loss through: ✅Sleep 7-9hr/night 😌 Stress management 👟Regular exercise (#runner) 🥦 Reduced carb (~100-150g/ day) #obsm #weightlossjourney https://t.co/X2dzQkPeF5 |
| Neil Floch MD @NeilFlochMD RT @pattynece: Indeed! #obsm |
| Dr. Rachel @AskDr_Rachel I think a common theme is the work that it takes to "fight" the #weightregain. There truly needs to be #healthbehavior changes that are #lifestyle changes. #obsm #obessity #weight #weightregain |
| Patty Nece @pattynece RT @kinetic_kristal: @obsmchat The one thing I have never let go of since surgery is logging my food daily in MFP. It’s the best tool I have to help me stay on track. I have logged in and closed my food journal for 1491 days in a row now! #obsm |
| Dr. Rachel @AskDr_Rachel RT @Eggface: Understanding that #obesity is a chronic disease has helped me. Chronic diseases require lifelong management. Every day I manage my obesity w/a variety of tools some are general, some specific to my needs. There is no finish line. #obsm |
| Neil Floch MD @NeilFlochMD RT @greenhousemd: @obsmchat Agreed. These situations rarely end well. unhappy parents, unhappy and overweight kids who don't understand what is going on. The answer is in counseling for the parents but though to get there. #obsm |
| #obsm chat @obsmchat @mcnee Great question. In #bariatric surgery it is often based on the lowest weight people get to and comparing that to where they are at a particular later timepoint. #obsm |
| lucky @lucky78380783 RT @Eggface: If you had high blood pressure and on a Rx or a special eating plan to manage it and stopped... your blood pressure would probably go up. There is no jugement, shame or guilt. You just get back to managing it. We need to end the stigma with #obesity. #obsm |
| #obsm chat @obsmchat RT @NeilFlochMD: I have used #weightloss medications to stop the re-onset of post surgical #hunger or desire to reintroduce poor food choices. These techniques have been successfully stopping weight regain. #obsm https://t.co/RTt6Y7yyLK |
| walt medlin KILL THE FILIBUSTER, Statehood DC, PR @bonuslife @pattynece @mcnee #obsm - #regain -it is one of the most disempowering things I ever see patients face... |
 | Jason Thomas @ramblerjay RT @AustinChiangMD: A2: A2: Weight management needs to be a multifaceted approach. Procedures can help kickstart, but ultimately regular follow-up with health professionals, dietary guidance, physical activity, mental health, social support all play into it #obsm |
| Neil Floch MD @NeilFlochMD RT @AustinChiangMD: Agree with this. Medications can be an adjunct that is often overlooked. It's sometimes about resetting the body's set point and recalibrating the hunger/satiety hormones #obsm |
| Patty Nece @pattynece @Born2lbFat Thanks for the drive-by Sarah!! #obsm |
| Dr. Rachel @AskDr_Rachel So true Shelly! "There is no finish line" as #obesity is a chronic disease . #obsm #obesityisadisease |
| Dr. Rachel @AskDr_Rachel RT @pattynece: @PaulDavidsonPhD One of the most important things I learned from @rpashbyphd was the cycle of behavior change, which includes a relapse stage. It's a normal part of the process. Helped relieve some of the blame I felt for decades. #obsm |
| #obsm chat @obsmchat #obsm https://t.co/mZHUhwpUk7 |
| Kristal Hartman @kinetic_kristal RT @pattynece: @PaulDavidsonPhD One of the most important things I learned from @rpashbyphd was the cycle of behavior change, which includes a relapse stage. It's a normal part of the process. Helped relieve some of the blame I felt for decades. #obsm |
 | John Oeffinger @johnoeffinger75 RT @Eggface: If you had high blood pressure and on a Rx or a special eating plan to manage it and stopped... your blood pressure would probably go up. There is no jugement, shame or guilt. You just get back to managing it. We need to end the stigma with #obesity. #obsm |
| #obsm chat @obsmchat @pattynece @PaulDavidsonPhD And may not have access to the support they need. #obsm |
| Rob Portinga @mcnee @obsmchat but for me, I know the first 30-35# of "regain" was muscle, not fatty tissue.. so.. I've never considered that regain... but if you just look at numbers on my medical history..... #obsm |
| Dr. Kasey Goodpaster @DrGoodpaster A3: Work w/ a behavioral heath provider to explore eating triggers & improve coping, set realistic goals, break down “black & white”/perfectionist thoughts, & use mindful eating techniques to enjoy food in smaller amounts without feeling deprived. #obsm |
| #obsm chat @obsmchat @kinetic_kristal Food diaries can definitely help, but many people have trouble keeping up with it. Well done! #obsm |
| LutherLiz (she/her) @Lutherliz Q2: I don’t think inevitable is the right word. I think there will be lifelong weight fluctuations but regain is common and not something to be ashamed of facing #OBSM |
| Patty Nece @pattynece @bonuslife @mcnee Exactly! Which is why support is so vital! #obsm |
 | Essa Aleassa MD @EssaAleassaMD RT @DrGoodpaster: A1: A1: Weight regain occurs for the vast majority (~98%) of pts who lose a significant amount on diets. W/surgery, it’s far less common to regain all of what was lost, but still possible.On average, pts will regain 10% of what was lost as the body settles into a new set point. #obsm |
| Dr. Rachel @AskDr_Rachel Great advice! I always say the food and activity logs are the data. Without that it is so easy to say "I dont know why it happened," but if we can at least look at the #healthbehaviors we have somewhere to start, but also acknowlegding that #obesity is a disease. #obsm |
| Paul Davidson, PhD @PaulDavidsonPhD A return to chewing 40x/bite, taking 30-45 mins. to eat a meal, shopping with a list, meal prep, keeping less healthy foods a treat, logging, and using technology to help monitor physical activity all help minimize regain. #obsm |
| LutherLiz (she/her) @Lutherliz RT @Eggface: Understanding that #obesity is a chronic disease has helped me. Chronic diseases require lifelong management. Every day I manage my obesity w/a variety of tools some are general, some specific to my needs. There is no finish line. #obsm |
| LutherLiz (she/her) @Lutherliz RT @AustinChiangMD: A2: A2: Weight management needs to be a multifaceted approach. Procedures can help kickstart, but ultimately regular follow-up with health professionals, dietary guidance, physical activity, mental health, social support all play into it #obsm |
 | Dan Castro @DanCas2 RT @pattynece: Indeed! #obsm |
| #obsm chat @obsmchat RT @Eggface: If you had high blood pressure and on a Rx or a special eating plan to manage it and stopped... your blood pressure would probably go up. There is no jugement, shame or guilt. You just get back to managing it. We need to end the stigma with #obesity. #obsm |
| iamabariatricpatient @JeanineMSherman RT @AskDr_Rachel: Great advice! I always say the food and activity logs are the data. Without that it is so easy to say "I dont know why it happened," but if we can at least look at the #healthbehaviors we have somewhere to start, but also acknowlegding that #obesity is a disease. #obsm |
| Essa Aleassa MD @EssaAleassaMD RT @DrGoodpaster: A3: A3: Work w/ a behavioral heath provider to explore eating triggers & improve coping, set realistic goals, break down “black & white”/perfectionist thoughts, & use mindful eating techniques to enjoy food in smaller amounts without feeling deprived. #obsm |
| Dr. Rachel @AskDr_Rachel RT @rpashbyphd: One important aspect of managing weight regain is ongoing long term #support from the healthcare team. Needing lifetime support isn’t a sign of weakness it’s a sign of strength! #obsm |
| #obsm chat @obsmchat RT @NeilFlochMD: The definitionsof significant weight regain have not been clearly defined #obsm https://t.co/RTt6Y7yyLK |
| Dr. Rachel @AskDr_Rachel RT @AustinChiangMD: A2: A2: Weight management needs to be a multifaceted approach. Procedures can help kickstart, but ultimately regular follow-up with health professionals, dietary guidance, physical activity, mental health, social support all play into it #obsm |
| Dr. Rachel @AskDr_Rachel RT @NeilFlochMD: Patient must consistentlyfollow up with the Bariatric team: Patient must consistentlyfollow up with the Bariatric team: #surgeon #RD and mental health expert in order to avoid previous causes of #obesity #obsm https://t.co/RTt6Y7yyLK |
| Neil Floch MD @NeilFlochMD RT @AskDr_Rachel: I think a common theme is the work that it takes to "fight" the #weightregain. There truly needs to be #healthbehavior changes that are #lifestyle changes. #obsm #obessity #weight #weightregain |
| #obsm chat @obsmchat RT @fittmd: A1. Personally (prior to my current pregnancy 🤰🏾) I was able to maintain my 40lb weight loss through: ✅Sleep 7-9hr/night 😌 Stress management 👟Regular exercise (#runner) 🥦 Reduced carb (~100-150g/ day) #obsm #weightlossjourney https://t.co/X2dzQkPeF5 |
| Paul Davidson, PhD @PaulDavidsonPhD A key behavioral strategy to minimize #weightregain is continuing to meet your treatment team. We may be at our best when you are feeling at your worst with #weightloss. #obsm |
| GeekyGrouch @grouchy_geek @obsmchat Don’t weigh daily. Realize that a small amount of weight gain happens periodically. Add time to your cardio exercise. Make appointment dietician and/or mental health professional to discuss what you are eating and why you are eating. #obsm |
| Neil Floch MD @NeilFlochMD RT @obsmchat: @mcnee Great question. In #bariatric surgery it is often based on the lowest weight people get to and comparing that to where they are at a particular later timepoint. #obsm |
| LutherLiz (she/her) @Lutherliz RT @Eggface: If you had high blood pressure and on a Rx or a special eating plan to manage it and stopped... your blood pressure would probably go up. There is no jugement, shame or guilt. You just get back to managing it. We need to end the stigma with #obesity. #obsm |
| Dr. Rachel @AskDr_Rachel RT @PaulDavidsonPhD: A great strategy to keep weight off is to build in #strengthtraining as a part of your program in addition to #nutrition changes and #cardio. #obsm |
| Neil Floch MD @NeilFlochMD RT @Eggface: Understanding that #obesity is a chronic disease has helped me. Chronic diseases require lifelong management. Every day I manage my obesity w/a variety of tools some are general, some specific to my needs. There is no finish line. #obsm |
| Robyn Pashby, PhD (she/hers) @robynpashbyphd Behavioral strategies follow cognitive changes. People must continue to practice encouraging #selftalk and minimize catastrophic thinking about small weight regain in order to keep the behaviors going. #obsm |
| #obsm chat @obsmchat @fittmd Thanks for highlighting the complexity of #obesity as a disease! A multi-faceted approach is key. #obsm |
| Dr. Rachel @AskDr_Rachel RT @NeilFlochMD: I have used #weightloss medications to stop the re-onset of post surgical #hunger or desire to reintroduce poor food choices. These techniques have been successfully stopping weight regain. #obsm https://t.co/RTt6Y7yyLK |
| Paul Davidson, PhD @PaulDavidsonPhD @txkyleharris @obsmchat I agree, there is evidence that weighing weekly may actually be wiser for most. #obsm |
| Neil Floch MD @NeilFlochMD RT @mcnee: @obsmchat but for me, I know the first 30-35# of "regain" was muscle, not fatty tissue.. so.. I've never considered that regain... but if you just look at numbers on my medical history..... #obsm |
| Patty Nece @pattynece It's hard to avoid those feelings of shame when you regain. I talk about the complexities of #obesity all the time, and even I fall prey to the shame witch. Any suggestions for dealing with the shame? #obsm |
| Austin Chiang, MD MPH FASGE FACG @AustinChiangMD A3: I believe it's all about finding what's easiest to achieve for the specific patient, starting with small steps and not too many drastic changes #obsm |
| Dr. Rachel @AskDr_Rachel RT @obsmchat: @greenhousemd That is quite unfortunate. Weight that is easily gained is not easily lost. #obsm |
| Robyn Pashby, PhD (she/hers) @robynpashbyphd RT @PaulDavidsonPhD: A key behavioral strategy to minimize #weightregain is continuing to meet your treatment team. We may be at our best when you are feeling at your worst with #weightloss. #obsm |
| Neil Floch MD @NeilFlochMD RT @DrGoodpaster: A3: A3: Work w/ a behavioral heath provider to explore eating triggers & improve coping, set realistic goals, break down “black & white”/perfectionist thoughts, & use mindful eating techniques to enjoy food in smaller amounts without feeling deprived. #obsm |
| Paul Davidson, PhD @PaulDavidsonPhD RT @rpashbyphd: Behavioral strategies follow cognitive changes. People must continue to practice encouraging #selftalk and minimize catastrophic thinking about small weight regain in order to keep the behaviors going. #obsm |
| Neil Floch MD @NeilFlochMD RT @obsmchat: @kinetic_kristal Food diaries can definitely help, but many people have trouble keeping up with it. Well done! #obsm |
| Patty Nece @pattynece RT @rpashbyphd: Behavioral strategies follow cognitive changes. People must continue to practice encouraging #selftalk and minimize catastrophic thinking about small weight regain in order to keep the behaviors going. #obsm |
| #obsm chat @obsmchat RT @DrGoodpaster: A3: A3: Work w/ a behavioral heath provider to explore eating triggers & improve coping, set realistic goals, break down “black & white”/perfectionist thoughts, & use mindful eating techniques to enjoy food in smaller amounts without feeling deprived. #obsm |
| walt medlin KILL THE FILIBUSTER, Statehood DC, PR @bonuslife @txkyleharris @obsmchat #obsm personally I like weighing daily, so the ups and downs are more obvious |
| Neil Floch MD @NeilFlochMD RT @AskDr_Rachel: Great advice! I always say the food and activity logs are the data. Without that it is so easy to say "I dont know why it happened," but if we can at least look at the #healthbehaviors we have somewhere to start, but also acknowlegding that #obesity is a disease. #obsm |
| Patty Nece @pattynece RT @PaulDavidsonPhD: A key behavioral strategy to minimize #weightregain is continuing to meet your treatment team. We may be at our best when you are feeling at your worst with #weightloss. #obsm |
| Deborah Greenhouse @greenhousemd @obsmchat A3: Gotta put in my plug for motivational interviewing here. Focus on what the patient/family is motivated to change and work with them to figure out how to change it and, in this scenario, prevent weight regain. #obsm |
| Paul Davidson, PhD @PaulDavidsonPhD @jen4tri If you really want this, it will happen. #obsm |
| Neil Floch MD @NeilFlochMD RT @PaulDavidsonPhD: A return to chewing 40x/bite, taking 30-45 mins. to eat a meal, shopping with a list, meal prep, keeping less healthy foods a treat, logging, and using technology to help monitor physical activity all help minimize regain. #obsm |
| Patty Nece @pattynece RT @PaulDavidsonPhD: A return to chewing 40x/bite, taking 30-45 mins. to eat a meal, shopping with a list, meal prep, keeping less healthy foods a treat, logging, and using technology to help monitor physical activity all help minimize regain. #obsm |
| Neil Floch MD @NeilFlochMD RT @PaulDavidsonPhD: A key behavioral strategy to minimize #weightregain is continuing to meet your treatment team. We may be at our best when you are feeling at your worst with #weightloss. #obsm |
| lucky @lucky78380783 RT @Eggface: Understanding that #obesity is a chronic disease has helped me. Chronic diseases require lifelong management. Every day I manage my obesity w/a variety of tools some are general, some specific to my needs. There is no finish line. #obsm |
| Dr. Rachel @AskDr_Rachel @kinetic_kristal @obsmchat #selfmonitoring and food logs definitely helps as it is the data and helps one see what is going on as well as keeps people accountable. I am so happy to hear you have kept doing this! #obsm #weight #weightregain #weightloss |
| Neil Floch MD @NeilFlochMD RT @txkyleharris: @obsmchat Don’t weigh daily. Realize that a small amount of weight gain happens periodically. Add time to your cardio exercise. Make appointment dietician and/or mental health professional to discuss what you are eating and why you are eating. #obsm |
| Paul Davidson, PhD @PaulDavidsonPhD @greenhousemd @obsmchat Agree 100%. #obsm |
| Dr. Rachel @AskDr_Rachel RT @Lhalpin521gmai1: @NeilFlochMD #obsm Follow up care is a must in my book as well as still going to support groups. |
| #obsm chat @obsmchat Great tips here! #obsm |
| Patty Nece @pattynece RT @greenhousemd: @obsmchat A3: @obsmchat A3: Gotta put in my plug for motivational interviewing here. Focus on what the patient/family is motivated to change and work with them to figure out how to change it and, in this scenario, prevent weight regain. #obsm |
| #obsm chat @obsmchat RT @txkyleharris: @obsmchat Don’t weigh daily. Realize that a small amount of weight gain happens periodically. Add time to your cardio exercise. Make appointment dietician and/or mental health professional to discuss what you are eating and why you are eating. #obsm |
| Dr. Rachel @AskDr_Rachel RT @Eggface: If you had high blood pressure and on a Rx or a special eating plan to manage it and stopped... your blood pressure would probably go up. There is no jugement, shame or guilt. You just get back to managing it. We need to end the stigma with #obesity. #obsm |
| Paul Davidson, PhD @PaulDavidsonPhD RT @obsmchat: Great tips here! #obsm |
| Michelle Vicari @Eggface One of the reasons I hate "goal weights" It's a # that is forever carved in our minds to achieve for "success" & if/when regain/life/age/illness etc. happens for pts. it's the lifelong benchmark = we're "failures" (guilt/shame/avoidance) if we don't get back to that # #obsm |
| Kristal Hartman @kinetic_kristal @AskDr_Rachel @obsmchat Thank you @AskDr_Rachel! #obsm |
| #obsm chat @obsmchat RT @pattynece: It's hard to avoid those feelings of shame when you regain. I talk about the complexities of #obesity all the time, and even I fall prey to the shame witch. Any suggestions for dealing with the shame? #obsm |
| Kristal Hartman @kinetic_kristal @obsmchat #obsm |
| #obsm chat @obsmchat RT @greenhousemd: @obsmchat A3: @obsmchat A3: Gotta put in my plug for motivational interviewing here. Focus on what the patient/family is motivated to change and work with them to figure out how to change it and, in this scenario, prevent weight regain. #obsm |
| Patty Nece @pattynece This approach helped me lose 115 pounds for sure, but I'm not finding it quite so helpful in dealing with regain. Wonder why that it? #obsm |
| Neil Floch MD @NeilFlochMD RT @rpashbyphd: Behavioral strategies follow cognitive changes. People must continue to practice encouraging #selftalk and minimize catastrophic thinking about small weight regain in order to keep the behaviors going. #obsm |
| Neil Floch MD @NeilFlochMD RT @PaulDavidsonPhD: @txkyleharris @obsmchat I agree, there is evidence that weighing weekly may actually be wiser for most. #obsm |
| #obsm chat @obsmchat RT @Eggface: One of the reasons I hate "goal weights" It's a # that is forever carved in our minds to achieve for "success" & if/when regain/life/age/illness etc. happens for pts. it's the lifelong benchmark = we're "failures" (guilt/shame/avoidance) if we don't get back to that # #obsm |
| Neil Floch MD @NeilFlochMD RT @pattynece: It's hard to avoid those feelings of shame when you regain. I talk about the complexities of #obesity all the time, and even I fall prey to the shame witch. Any suggestions for dealing with the shame? #obsm |
| Michelle Vicari @Eggface Using tracking apps can help you get a B&W look at what is happening food, drink, exercise, sleep-wise https://t.co/rq4xQ5rmSk #obsm |
| Dr. Rachel @AskDr_Rachel @fittmd You hit on so many of the key #healthbehaviors that I talk to my clients about, including #sleep, #stressmanagement, #diet and #exercise! AND not related, but congrats! I am also pregnant...when are you due? :) #obsm |
| Dr. Rachel @AskDr_Rachel RT @obsmchat: @mcnee Great question. In #bariatric surgery it is often based on the lowest weight people get to and comparing that to where they are at a particular later timepoint. #obsm |
 | Laurel Ann Kameleonalani Whitlock 🐊🌺🌈 @twirlandswirl Hello! Laurel in Orlando. Sorry I'm late, took an accidental nap! #obsm |
| LutherLiz (she/her) @Lutherliz #obsm if I knew how to avoid shame I might have figured all this weight stuff out by now, but talks like this and recognizing the science of metabolism and how common regain is does help normalize it. |
| Rob Portinga @mcnee @pattynece maybe over time, what was the "easiest" for you changes...? #obsm |
| Paul Davidson, PhD @PaulDavidsonPhD @Eggface The #weightloss is only one piece of success, and over time, I think health factors and functional capacities take on more importance than the goal weight number. Focus on those and it's easier to keep your head in the game for the long run. #obsm |
| Arghavan Salles, MD, PhD @arghavan_salles So important to remember your healthcare team--dietitians, psychologists, weight management professional (surgeon or medical doctor)--is there to help! #obsm |
| Arghavan Salles, MD, PhD @arghavan_salles Great tips here for all of us trying to maintain or lose weight. #obsm |
 | Judith Cook @JudithC06981334 Hi I’m looking for help understanding weight regain I’m 4 yrs out VSG #OBSM |
| Patty Nece @pattynece @jen4tri @PaulDavidsonPhD @alexiusnewstart Great that you have resources available! #obsm |
| LutherLiz (she/her) @Lutherliz #OBSM Q3: I think coming up with a long term lifestyle plan for maintenance and one for “getting back on track” when needed. |
| Neil Floch MD @NeilFlochMD A compassionate physician will want to help you when you are hurting. Never feel shame and don’t feel afraid when the chips are down. Go see your #surgeon #nutritionist and #psychologist #psychiatrist or #therapist #obsm |
| Arghavan Salles, MD, PhD @arghavan_salles Totally agree. Keeping track of intake and physical activity can help us identify a strategy moving forward. #obsm |
| lucky @lucky78380783 RT @NeilFlochMD: A compassionate physician will want to help you when you are hurting. Never feel shame and don’t feel afraid when the chips are down. Go see your #surgeon #nutritionist and #psychologist #psychiatrist or #therapist #obsm |
| Kristal Hartman @kinetic_kristal @pattynece @obsmchat You know me and my social media deficiencies @pattynece lol! #obsm |
| walt medlin KILL THE FILIBUSTER, Statehood DC, PR @bonuslife @greenhousemd @obsmchat #obsm totally agree #motivationalinterviewing allows best care |
| Patty Nece @pattynece @JudithC06981334 Welcome! Glad you're here! #obsm You'll find some good tips if you scroll through the tweets. |
| Neil Floch MD @NeilFlochMD I like weighing daily as long as patients understand the natural fluid fluctuations can alter daily weight #obsm |
| Neil Floch MD @NeilFlochMD RT @greenhousemd: @obsmchat A3: @obsmchat A3: Gotta put in my plug for motivational interviewing here. Focus on what the patient/family is motivated to change and work with them to figure out how to change it and, in this scenario, prevent weight regain. #obsm |
| Kristal Hartman @kinetic_kristal RT @AskDr_Rachel: I think a common theme is the work that it takes to "fight" the #weightregain. There truly needs to be #healthbehavior changes that are #lifestyle changes. #obsm #obessity #weight #weightregain |
| GeekyGrouch @grouchy_geek @Eggface I don’t have a goal #. I do however, have a goal range. As long as I am “in the range” I know I am on the right track. If I stay at the high end of my range, I check my food/activity diary. #obsm |
| #obsm chat @obsmchat Thanks for pointing out what may be associated with weight gain, @bonuslife! #obsm |
| #obsm chat @obsmchat RT @Eggface: Using tracking apps can help you get a B&W look at what is happening food, drink, exercise, sleep-wise https://t.co/rq4xQ5rmSk #obsm |
| Neil Floch MD @NeilFlochMD RT @pattynece: This approach helped me lose 115 pounds for sure, but I'm not finding it quite so helpful in dealing with regain. Wonder why that it? #obsm |
| Patty Nece @pattynece RT @NeilFlochMD: A compassionate physician will want to help you when you are hurting. Never feel shame and don’t feel afraid when the chips are down. Go see your #surgeon #nutritionist and #psychologist #psychiatrist or #therapist #obsm |
| Neil Floch MD @NeilFlochMD RT @Eggface: Using tracking apps can help you get a B&W look at what is happening food, drink, exercise, sleep-wise https://t.co/rq4xQ5rmSk #obsm |
| Dr. Sylvia “Voice” Bollie, MD, DABOM @EmbraceYouMD A2.Weight regain is🚫inevitable with recognition &preparation. ✅It helps to work with a multi disciplinary team to focus on a comprehensive, individualized defense plan 👟Exercise 🥦Nutrition 🧠 #MentalHealth 💊 Medication if needed #obsm Find an #obesity👩🏾⚕️ @OMAsocial |
| #obsm chat @obsmchat @twirlandswirl Welcome! #obsm |
| Neil Floch MD @NeilFlochMD RT @AskDr_Rachel: @fittmd You hit on so many of the key #healthbehaviors that I talk to my clients about, including #sleep, #stressmanagement, #diet and #exercise! AND not related, but congrats! I am also pregnant...when are you due? :) #obsm |
| Michelle Vicari @Eggface @PaulDavidsonPhD Yes! Quality of life, what can you do that you couldn't do before, resolution of health issues... all so much more important than the size of your pants in your closet. #obsm |
 | Nate Sann, FNP-BC @nate_sann RT @PaulDavidsonPhD: A key behavioral strategy to minimize #weightregain is continuing to meet your treatment team. We may be at our best when you are feeling at your worst with #weightloss. #obsm |
| Laurel Ann Kameleonalani Whitlock 🐊🌺🌈 @twirlandswirl T1 Last time I lost a significant amount of weight, I gained it all back and about 35 pounds more. Every weight loss attempt since then, I struggle when I get back to my "starting weight" from the first try. Any weight lost above that feels like just lost time. #obsm |
| Dr. Rachel @AskDr_Rachel A3: #selfmonitoring is always a great #behavioral strategy to help one stay on track and to help with accountability. I always mention "going back to the basics" when it comes to #food. And to look at one's #stress and improving #healthy #coping strategies. #obsm #obesty #weight |
| Patty Nece @pattynece @NeilFlochMD I think many folks are too ashamed to even take that step unfortunately. #obsm |
| Neil Floch MD @NeilFlochMD @twirlandswirl Welcome lol #obsm |
| Neil Floch MD @NeilFlochMD RT @Lutherliz: #obsm if I knew how to avoid shame I might have figured all this weight stuff out by now, but talks like this and recognizing the science of metabolism and how common regain is does help normalize it. |
| Dr. Rachel @AskDr_Rachel RT @arghavan_salles: Totally agree. Keeping track of intake and physical activity can help us identify a strategy moving forward. #obsm |
| Neil Floch MD @NeilFlochMD RT @PaulDavidsonPhD: @Eggface The #weightloss is only one piece of success, and over time, I think health factors and functional capacities take on more importance than the goal weight number. Focus on those and it's easier to keep your head in the game for the long run. #obsm |
| LutherLiz (she/her) @Lutherliz #obsm unfortunately I have plenty of experience with physicians who exacerbate shame as “motivation” but they are never my doctors for long |
| Neil Floch MD @NeilFlochMD RT @arghavan_salles: So important to remember your healthcare team--dietitians, psychologists, weight management professional (surgeon or medical doctor)--is there to help! #obsm |
| Neil Floch MD @NeilFlochMD RT @arghavan_salles: Great tips here for all of us trying to maintain or lose weight. #obsm |
| Neil Floch MD @NeilFlochMD RT @JudithC06981334: Hi I’m looking for help understanding weight regain I’m 4 yrs out VSG #OBSM |
| Patty Nece @pattynece @txkyleharris @Eggface How big is your range? #obsm |
| Neil Floch MD @NeilFlochMD RT @Lutherliz: #OBSM Q3: #OBSM Q3: I think coming up with a long term lifestyle plan for maintenance and one for “getting back on track” when needed. |
| Neil Floch MD @NeilFlochMD RT @arghavan_salles: Totally agree. Keeping track of intake and physical activity can help us identify a strategy moving forward. #obsm |
| Laurel Ann Kameleonalani Whitlock 🐊🌺🌈 @twirlandswirl T1 At current, I've lost more-or-less 48 pounds, but some of those pounds have been lost several times. It's always the weight regain that gets me back on track, but not always with a healthy mindset... I'm usually not kind to myself for slipping. #obsm |
| Paul Davidson, PhD @PaulDavidsonPhD @brianedwardsmd @ObesityMedicine Biological factors may include anatomical changes following bariatric surgery, hormonal shifts such as increases in ghrelin or decreases in leptin, the obesogenic features of certain medications, and so on are all examples of biological factors which impact #weightregain #obsm |
| Patty Nece @pattynece @kinetic_kristal @obsmchat You're doing just fine! #obsm |
| #obsm chat @obsmchat @Lutherliz It's important to point out here that weight #bias, internalized or otherwise, contributes to the shame. #obsm |
| Neil Floch MD @NeilFlochMD Good advice #obsm |
| #obsm chat @obsmchat RT @PaulDavidsonPhD: @Eggface The #weightloss is only one piece of success, and over time, I think health factors and functional capacities take on more importance than the goal weight number. Focus on those and it's easier to keep your head in the game for the long run. #obsm |
| Kristal Hartman @kinetic_kristal RT @Eggface: One of the reasons I hate "goal weights" It's a # that is forever carved in our minds to achieve for "success" & if/when regain/life/age/illness etc. happens for pts. it's the lifelong benchmark = we're "failures" (guilt/shame/avoidance) if we don't get back to that # #obsm |
| Neil Floch MD @NeilFlochMD RT @obsmchat: Thanks for pointing out what may be associated with weight gain, @bonuslife! #obsm |
| Paul Davidson, PhD @PaulDavidsonPhD This is so true! #obsm |
| Dr. Rachel @AskDr_Rachel @marybzw777 @NeilFlochMD Yes! It often helps people stay on track by thinking about the food they are going to be writing down (or entering in the app). #planning is also key which can be done when one looks at what they have already eaten in the day. #obsm |
| Neil Floch MD @NeilFlochMD RT @fittmd: A2.Weight regain is🚫inevitable with recognition &preparation. ✅It helps to work with a multi disciplinary team to focus on a comprehensive, individualized defense plan 👟Exercise 🥦Nutrition 🧠 #MentalHealth 💊 Medication if needed #obsm Find an #obesity👩🏾⚕️ @OMAsocial |
| #obsm chat @obsmchat RT @arghavan_salles: So important to remember your healthcare team--dietitians, psychologists, weight management professional (surgeon or medical doctor)--is there to help! #obsm |
| Neil Floch MD @NeilFlochMD RT @twirlandswirl: T1 Last time I lost a significant amount of weight, I gained it all back and about 35 pounds more. Every weight loss attempt since then, I struggle when I get back to my "starting weight" from the first try. Any weight lost above that feels like just lost time. #obsm |
| LutherLiz (she/her) @Lutherliz It is also important to recognize hormones when talking about regular weight fluctuations and weight gain. #OBSM |
| Neil Floch MD @NeilFlochMD RT @Eggface: @PaulDavidsonPhD Yes! Quality of life, what can you do that you couldn't do before, resolution of health issues... all so much more important than the size of your pants in your closet. #obsm |
| Dr. Rachel @AskDr_Rachel RT @obsmchat: #obsm https://t.co/mZHUhwpUk7 |
| Laurel Ann Kameleonalani Whitlock 🐊🌺🌈 @twirlandswirl T1 At current, I've "gained" back about 8 pounds, but I know a lot of it is carb bloat. I lost my job last week and again turned to food for comfort. Just started back with good decisions today.... #obsm |
| Neil Floch MD @NeilFlochMD RT @AskDr_Rachel: A3: A3: #selfmonitoring is always a great #behavioral strategy to help one stay on track and to help with accountability. I always mention "going back to the basics" when it comes to #food. And to look at one's #stress and improving #healthy #coping strategies. #obsm #obesty #weight |
| Dr. Rachel @AskDr_Rachel RT @DrGoodpaster: A3: A3: Work w/ a behavioral heath provider to explore eating triggers & improve coping, set realistic goals, break down “black & white”/perfectionist thoughts, & use mindful eating techniques to enjoy food in smaller amounts without feeling deprived. #obsm |
| Rob Portinga @mcnee not replying as much as I'd like.. standing here in kitchen reading along tho as I do my prep of salad fixings for this weeks lunches... #obsm |
| #obsm chat @obsmchat @JudithC06981334 Thanks for joining! There have been some suggestions in the earlier tweets that may be helpful to you if you want to scroll through. #obsm |
| Neil Floch MD @NeilFlochMD Find a new doctor time......,#obsm |
| #obsm chat @obsmchat RT @NeilFlochMD: A compassionate physician will want to help you when you are hurting. Never feel shame and don’t feel afraid when the chips are down. Go see your #surgeon #nutritionist and #psychologist #psychiatrist or #therapist #obsm |
| Kristal Hartman @kinetic_kristal RT @PaulDavidsonPhD: A return to chewing 40x/bite, taking 30-45 mins. to eat a meal, shopping with a list, meal prep, keeping less healthy foods a treat, logging, and using technology to help monitor physical activity all help minimize regain. #obsm |
 | Mage of Micturition and Vaccination💉🧙🏾♀️ @catjacarol01 RT @arghavan_salles: Great tips here for all of us trying to maintain or lose weight. #obsm |
| Neil Floch MD @NeilFlochMD RT @twirlandswirl: T1 At current, I've lost more-or-less 48 pounds, but some of those pounds have been lost several times. It's always the weight regain that gets me back on track, but not always with a healthy mindset... I'm usually not kind to myself for slipping. #obsm |
| Neil Floch MD @NeilFlochMD RT @PaulDavidsonPhD: @brianedwardsmd @ObesityMedicine Biological factors may include anatomical changes following bariatric surgery, hormonal shifts such as increases in ghrelin or decreases in leptin, the obesogenic features of certain medications, and so on are all examples of biological factors which impact #weightregain #obsm |
| Dr. Rachel @AskDr_Rachel #selfmonitoring is not easy and does take work, but is a great #behavioralstrategy. There are some great apps out there to help people as well and like anything else, in time it becomes a regular routine! #healthbehaviors #obsm |
| #obsm chat @obsmchat RT @txkyleharris: @Eggface I don’t have a goal #. I do however, have a goal range. As long as I am “in the range” I know I am on the right track. If I stay at the high end of my range, I check my food/activity diary. #obsm |
| Neil Floch MD @NeilFlochMD RT @PaulDavidsonPhD: This is so true! #obsm |
| #obsm chat @obsmchat RT @fittmd: A2.Weight regain is🚫inevitable with recognition &preparation. ✅It helps to work with a multi disciplinary team to focus on a comprehensive, individualized defense plan 👟Exercise 🥦Nutrition 🧠 #MentalHealth 💊 Medication if needed #obsm Find an #obesity👩🏾⚕️ @OMAsocial |
| Patty Nece @pattynece RT @obsmchat: @Lutherliz It's important to point out here that weight #bias, internalized or otherwise, contributes to the shame. #obsm |
| Neil Floch MD @NeilFlochMD RT @Lutherliz: It is also important to recognize hormones when talking about regular weight fluctuations and weight gain. #OBSM |
| Neil Floch MD @NeilFlochMD RT @twirlandswirl: T1 At current, I've "gained" back about 8 pounds, but I know a lot of it is carb bloat. I lost my job last week and again turned to food for comfort. Just started back with good decisions today.... #obsm |
| Dr. Rachel @AskDr_Rachel RT @PaulDavidsonPhD: A return to chewing 40x/bite, taking 30-45 mins. to eat a meal, shopping with a list, meal prep, keeping less healthy foods a treat, logging, and using technology to help monitor physical activity all help minimize regain. #obsm |
| Dr. Rachel @AskDr_Rachel RT @PaulDavidsonPhD: A key behavioral strategy to minimize #weightregain is continuing to meet your treatment team. We may be at our best when you are feeling at your worst with #weightloss. #obsm |
| #obsm chat @obsmchat RT @AskDr_Rachel: A3: A3: #selfmonitoring is always a great #behavioral strategy to help one stay on track and to help with accountability. I always mention "going back to the basics" when it comes to #food. And to look at one's #stress and improving #healthy #coping strategies. #obsm #obesty #weight |
| Paul Davidson, PhD @PaulDavidsonPhD @twirlandswirl Keep it up, it's so worth it! #obsm |
| Patty Nece @pattynece @mcnee You're modeling behavior for all of us! #obsm |
| Kristal Hartman @kinetic_kristal @PaulDavidsonPhD I have a friend that is 2 weeks post op gastric bypass and watching her reminds me of how I “used” to do things...this list is great reminders @PaulDavidsonPhD 👍🏻 #obsm |
| Neil Floch MD @NeilFlochMD RT @Lutherliz: #obsm unfortunately I have plenty of experience with physicians who exacerbate shame as “motivation” but they are never my doctors for long |
| Laurel Ann Kameleonalani Whitlock 🐊🌺🌈 @twirlandswirl T2 I feel like for some people, it almost is inevitable. They ALWAYS have to be very strict with themselves. But I also think that fluctuations are normal, too, and if you gain a few pounds here and there, it isn't necessarily "regain." It might not stay. #obsm |
| Dr. Sylvia “Voice” Bollie, MD, DABOM @EmbraceYouMD Understanding “why” you eat is essential to prevent weight regain ✅Optimize #selfcare ✅ Self study through books (I like @DrSusanAlbers ) ✅Mindful eating ✅Reflection ✅ Working with a therapist to optimize #mentalhealth & modify behavior #obsm #obesity #weightlossjourney |
| #obsm chat @obsmchat @Lutherliz And the data suggest shame does not work as motivation so there is no evidence to support that harmful strategy. #obsm |
| Paul Davidson, PhD @PaulDavidsonPhD @kinetic_kristal You exemplify how to do so well with #bariatricsurgery @kinetic_kristal! #obsm |
| Patty Nece @pattynece @AskDr_Rachel I like monitoring when I've followed my eating plan. Not so fond of it when I haven't. #obsm |
| Dr. Rachel @AskDr_Rachel @PaulDavidsonPhD @Eggface YES!!!! There is so much more than just the number. Overall #health #qualityoflife and other factors are also important. #qol #obsm |
| Dr. Rachel @AskDr_Rachel RT @arghavan_salles: So important to remember your healthcare team--dietitians, psychologists, weight management professional (surgeon or medical doctor)--is there to help! #obsm |
| #obsm chat @obsmchat @twirlandswirl You are not alone. Many people gain weight and are harsh self critics. Self compassion is important to remember for overall health. #obsm |
| #obsm chat @obsmchat RT @PaulDavidsonPhD: @brianedwardsmd @ObesityMedicine Biological factors may include anatomical changes following bariatric surgery, hormonal shifts such as increases in ghrelin or decreases in leptin, the obesogenic features of certain medications, and so on are all examples of biological factors which impact #weightregain #obsm |
| Laurel Ann Kameleonalani Whitlock 🐊🌺🌈 @twirlandswirl @PaulDavidsonPhD I hope so. I get the weirdest mental blocks around certain numbers and like, self-sabotage to avoid them. 50 pounds lost, I think, is one of them. It just seems so impossible that, despite being incredible close, I'm convinced I can't get there. #obsm |
| LutherLiz (she/her) @Lutherliz Truth, but the trend of using shame as a motivator continues in many doctors #obsm |
| #obsm chat @obsmchat RT @NeilFlochMD: Good advice #obsm |
| Patty Nece @pattynece RT @fittmd: Understanding “why” you eat is essential to prevent weight regain ✅Optimize #selfcare ✅ Self study through books (I like @DrSusanAlbers ) ✅Mindful eating ✅Reflection ✅ Working with a therapist to optimize #mentalhealth & modify behavior #obsm #obesity #weightlossjourney |
| Dr. Rachel @AskDr_Rachel @pattynece Many people say that and people tend to monitor when they are "on track" more, but daily monitoring no matter what will help, even though it is not as enjoyable ;) #obsm |
| LutherLiz (she/her) @Lutherliz Lol, that sounds right. #obsm |
| #obsm chat @obsmchat @mcnee Food prep is an important tool! #obsm |
| #obsm chat @obsmchat RT @AskDr_Rachel: #selfmonitoring is not easy and does take work, but is a great #behavioralstrategy. There are some great apps out there to help people as well and like anything else, in time it becomes a regular routine! #healthbehaviors #obsm |
| Dr. Rachel @AskDr_Rachel @Lhalpin521gmai1 @obsmchat @fittmd Actually I meant to write a "healthy selfishness" ;) #obsm |
| Paul Davidson, PhD @PaulDavidsonPhD I think it is also important to point out that weight can fluctuate 5-7 lbs. in a typical day, and thus one must be careful to not make assumptions about #weightloss patterns based on too little data. #obsm |
| Patty Nece @pattynece @3lbsdoc @obsmchat Those entrenched mental paths are hard to ignore. #obsm |
| #obsm chat @obsmchat RT @fittmd: Understanding “why” you eat is essential to prevent weight regain ✅Optimize #selfcare ✅ Self study through books (I like @DrSusanAlbers ) ✅Mindful eating ✅Reflection ✅ Working with a therapist to optimize #mentalhealth & modify behavior #obsm #obesity #weightlossjourney |
| Dr. Rachel @AskDr_Rachel RT @arghavan_salles: Great tips here for all of us trying to maintain or lose weight. #obsm |
| Dr. Rachel @AskDr_Rachel RT @NeilFlochMD: A compassionate physician will want to help you when you are hurting. Never feel shame and don’t feel afraid when the chips are down. Go see your #surgeon #nutritionist and #psychologist #psychiatrist or #therapist #obsm |
| Paul Davidson, PhD @PaulDavidsonPhD @twirlandswirl Don't give the number the power over you. Better numbers are clothing sizes, number of steps you get in, blood pressure, etc. #obsm |
| LutherLiz (she/her) @Lutherliz RT @PaulDavidsonPhD: I think it is also important to point out that weight can fluctuate 5-7 lbs. in a typical day, and thus one must be careful to not make assumptions about #weightloss patterns based on too little data. #obsm |
| Laurel Ann Kameleonalani Whitlock 🐊🌺🌈 @twirlandswirl T3 In my personal experience, weight regain is closely correlated with my emotional well-being. Food is a huge crutch for me, so I need to treat myself well, all-around, so I don't resort to donuts. #obsm |
| #obsm chat @obsmchat RT @PaulDavidsonPhD: @twirlandswirl Don't give the number the power over you. Better numbers are clothing sizes, number of steps you get in, blood pressure, etc. #obsm |
| Arghavan Salles, MD, PhD @arghavan_salles RT @PaulDavidsonPhD: A key behavioral strategy to minimize #weightregain is continuing to meet your treatment team. We may be at our best when you are feeling at your worst with #weightloss. #obsm |
| Arghavan Salles, MD, PhD @arghavan_salles RT @Lutherliz: Q2: Q2: I don’t think inevitable is the right word. I think there will be lifelong weight fluctuations but regain is common and not something to be ashamed of facing #OBSM |
| Neil Floch MD @NeilFlochMD RT @twirlandswirl: T2 I feel like for some people, it almost is inevitable. They ALWAYS have to be very strict with themselves. But I also think that fluctuations are normal, too, and if you gain a few pounds here and there, it isn't necessarily "regain." It might not stay. #obsm |
| Kristal Hartman @kinetic_kristal @PaulDavidsonPhD Thank you so much @PaulDavidsonPhD! My journey is not without highs and lows and I truly mean it when I say I’m battling every day! I just try to keep my head in the game and approach each day knowing that the investment I’m making daily is worth it! #obsm |
| Arghavan Salles, MD, PhD @arghavan_salles RT @DrGoodpaster: A3: A3: Work w/ a behavioral heath provider to explore eating triggers & improve coping, set realistic goals, break down “black & white”/perfectionist thoughts, & use mindful eating techniques to enjoy food in smaller amounts without feeling deprived. #obsm |
| LutherLiz (she/her) @Lutherliz The connection of emotional and physical health is very strong #obsm |
| Dr. Rachel @AskDr_Rachel @txkyleharris @Eggface That is great! I tend to encourage people to have a goal range due to the fluctuations, as well as other #health related and #behavioral #goals. #obsm |
| Laurel Ann Kameleonalani Whitlock 🐊🌺🌈 @twirlandswirl T3 I also tend to be way too harsh on myself. Gaining a pound or two - especially during my period! - should be negligible, but I take it as a sign of personal failure and get into a "gained that back, may as well gain it all back since I'm already a failure" mindset. #obsm |
| Neil Floch MD @NeilFlochMD RT @obsmchat: @Lutherliz And the data suggest shame does not work as motivation so there is no evidence to support that harmful strategy. #obsm |
 | Jeanne Blankenship @JBlankenshipRDN It’s a game changer and key to personal awareness! I’m a fan! Whether it’s an app or pen and paper — self reflection is powerful. #obsm |
| Dr. Rachel @AskDr_Rachel RT @obsmchat: Thanks for pointing out what may be associated with weight gain, @bonuslife! #obsm |
| Dr. Rachel @AskDr_Rachel RT @fittmd: A2.Weight regain is🚫inevitable with recognition &preparation. ✅It helps to work with a multi disciplinary team to focus on a comprehensive, individualized defense plan 👟Exercise 🥦Nutrition 🧠 #MentalHealth 💊 Medication if needed #obsm Find an #obesity👩🏾⚕️ @OMAsocial |
| Neil Floch MD @NeilFlochMD RT @AskDr_Rachel: @PaulDavidsonPhD @Eggface YES!!!! There is so much more than just the number. Overall #health #qualityoflife and other factors are also important. #qol #obsm |
| Neil Floch MD @NeilFlochMD RT @obsmchat: @twirlandswirl You are not alone. Many people gain weight and are harsh self critics. Self compassion is important to remember for overall health. #obsm |
| Dr. Rachel @AskDr_Rachel RT @Eggface: @PaulDavidsonPhD Yes! Quality of life, what can you do that you couldn't do before, resolution of health issues... all so much more important than the size of your pants in your closet. #obsm |
| Deborah Greenhouse @greenhousemd @Lutherliz Shame is never a positive motivator for ANY change, weight-related or otherwise. The result is almost always the opposite of the actual goal. Find a doctor who will work with you, not against you. #obsm |
| Arghavan Salles, MD, PhD @arghavan_salles Important to remember that weight management is not just about what we eat. Thanks, @fittmd, for the reminder! #obsm |
| Patty Nece @pattynece Great advice! The scale numbers are fickle. While women's clothing sizes are too (😀) your current clothes aren't! So I'd suggesting judging by those sizes. #obsm |
| Neil Floch MD @NeilFlochMD RT @Lutherliz: Truth, but the trend of using shame as a motivator continues in many doctors #obsm |
| Arghavan Salles, MD, PhD @arghavan_salles RT @NeilFlochMD: A compassionate physician will want to help you when you are hurting. Never feel shame and don’t feel afraid when the chips are down. Go see your #surgeon #nutritionist and #psychologist #psychiatrist or #therapist #obsm |
| Patty Nece @pattynece RT @twirlandswirl: T3 In my personal experience, weight regain is closely correlated with my emotional well-being. Food is a huge crutch for me, so I need to treat myself well, all-around, so I don't resort to donuts. #obsm |
| Laurel Ann Kameleonalani Whitlock 🐊🌺🌈 @twirlandswirl T3 So self-awareness and entirely non-weight-related coping mechanisms have a huge effect on weight loss and regain. Almost like mental health is part of your overall health. Weird. #obsm |
| Neil Floch MD @NeilFlochMD RT @AskDr_Rachel: @pattynece Many people say that and people tend to monitor when they are "on track" more, but daily monitoring no matter what will help, even though it is not as enjoyable ;) #obsm |
| Rob Portinga @mcnee @pattynece @bonuslife speaking of support.. I've started an online bariatric support group... hoping to offer help to those to don't have or need additional support... https://t.co/3mDwOeyb6z #obsm |
| Neil Floch MD @NeilFlochMD RT @PaulDavidsonPhD: I think it is also important to point out that weight can fluctuate 5-7 lbs. in a typical day, and thus one must be careful to not make assumptions about #weightloss patterns based on too little data. #obsm |
| Arghavan Salles, MD, PhD @arghavan_salles RT @fittmd: A2.Weight regain is🚫inevitable with recognition &preparation. ✅It helps to work with a multi disciplinary team to focus on a comprehensive, individualized defense plan 👟Exercise 🥦Nutrition 🧠 #MentalHealth 💊 Medication if needed #obsm Find an #obesity👩🏾⚕️ @OMAsocial |
| Neil Floch MD @NeilFlochMD RT @PaulDavidsonPhD: @twirlandswirl Don't give the number the power over you. Better numbers are clothing sizes, number of steps you get in, blood pressure, etc. #obsm |
| LutherLiz (she/her) @Lutherliz Exactly my point. #obsm |
| Neil Floch MD @NeilFlochMD RT @twirlandswirl: T3 In my personal experience, weight regain is closely correlated with my emotional well-being. Food is a huge crutch for me, so I need to treat myself well, all-around, so I don't resort to donuts. #obsm |
| Arghavan Salles, MD, PhD @arghavan_salles RT @fittmd: Understanding “why” you eat is essential to prevent weight regain ✅Optimize #selfcare ✅ Self study through books (I like @DrSusanAlbers ) ✅Mindful eating ✅Reflection ✅ Working with a therapist to optimize #mentalhealth & modify behavior #obsm #obesity #weightlossjourney |
| Dr. Rachel @AskDr_Rachel @Lutherliz It's true but sad. We continue to struggle with this and need to continue to educate other #healthcare professionals that #obesity IS a disease and shame is NOT a source of #motivation. #obsm |
| Neil Floch MD @NeilFlochMD RT @kinetic_kristal: @PaulDavidsonPhD Thank you so much @PaulDavidsonPhD! My journey is not without highs and lows and I truly mean it when I say I’m battling every day! I just try to keep my head in the game and approach each day knowing that the investment I’m making daily is worth it! #obsm |
| Paul Davidson, PhD @PaulDavidsonPhD In terms of behavioral approaches to weight loss, this recent article stirred a great deal of discussion. file:///C:/Users/pd59/Downloads/jama_Jin_2018_pg_180035.pdf #obsm |
| Arghavan Salles, MD, PhD @arghavan_salles @pattynece @AskDr_Rachel I think that's a pretty natural response ;) #obsm |
| Neil Floch MD @NeilFlochMD RT @Lutherliz: The connection of emotional and physical health is very strong #obsm |
| Neil Floch MD @NeilFlochMD RT @AskDr_Rachel: @txkyleharris @Eggface That is great! I tend to encourage people to have a goal range due to the fluctuations, as well as other #health related and #behavioral #goals. #obsm |
| GeekyGrouch @grouchy_geek This. Back from a recent cruise and my number I strived for every day was # of stairs. Averaged 40 flights of stairs a day. Helpful also to avoid crowds at elevators. #obsm #iactuallydespiseelevatorsnow. #takethestairs |
| Neil Floch MD @NeilFlochMD RT @twirlandswirl: T3 I also tend to be way too harsh on myself. Gaining a pound or two - especially during my period! - should be negligible, but I take it as a sign of personal failure and get into a "gained that back, may as well gain it all back since I'm already a failure" mindset. #obsm |
| LutherLiz (she/her) @Lutherliz RT @AskDr_Rachel: @Lutherliz It's true but sad. We continue to struggle with this and need to continue to educate other #healthcare professionals that #obesity IS a disease and shame is NOT a source of #motivation. #obsm |
| Dr. Sylvia “Voice” Bollie, MD, DABOM @EmbraceYouMD @Lutherliz 😔😔😔 I’m optimistic this cruel & rudimentary approach will ⬇️decrease as we ⬆️increase our evidence based understanding of #obesity as a disease & strive to treat all people with compassion 💛 #NOCW2018 #obsm @ObesityAction @OMAsocial @ObesitySociety @ObesityCareWeek |
| Neil Floch MD @NeilFlochMD RT @JBlankenshipRDN: It’s a game changer and key to personal awareness! I’m a fan! Whether it’s an app or pen and paper — self reflection is powerful. #obsm |
| #obsm chat @obsmchat RT @kinetic_kristal: @PaulDavidsonPhD Thank you so much @PaulDavidsonPhD! My journey is not without highs and lows and I truly mean it when I say I’m battling every day! I just try to keep my head in the game and approach each day knowing that the investment I’m making daily is worth it! #obsm |
| Neil Floch MD @NeilFlochMD RT @greenhousemd: @Lutherliz Shame is never a positive motivator for ANY change, weight-related or otherwise. The result is almost always the opposite of the actual goal. Find a doctor who will work with you, not against you. #obsm |
| #obsm chat @obsmchat #obsm https://t.co/7ekseNd9p3 |
| LutherLiz (she/her) @Lutherliz RT @fittmd: @Lutherliz 😔😔😔 I’m optimistic this cruel & rudimentary approach will ⬇️decrease as we ⬆️increase our evidence based understanding of #obesity as a disease & strive to treat all people with compassion 💛 #NOCW2018 #obsm @ObesityAction @OMAsocial @ObesitySociety @ObesityCareWeek |
| Michelle Vicari @Eggface If you are taking medications, chat with your doctor about potential weight gain side effects, you may not be able to or want to change them but there may be alternatives https://t.co/bu7wVp0GyK #obsm |
| Neil Floch MD @NeilFlochMD RT @arghavan_salles: Important to remember that weight management is not just about what we eat. Thanks, @fittmd, for the reminder! #obsm |
| Laurel Ann Kameleonalani Whitlock 🐊🌺🌈 @twirlandswirl @bonuslife Definitely. But I also need to have a little more discipline and a few better coping mechanisms. Especially since I'm #keto (usually...) and taking in that much sugar really makes me feel lousy! #obsm |
| Neil Floch MD @NeilFlochMD RT @pattynece: Great advice! The scale numbers are fickle. While women's clothing sizes are too (😀) your current clothes aren't! So I'd suggesting judging by those sizes. #obsm |
| Neil Floch MD @NeilFlochMD RT @mcnee: @pattynece @bonuslife speaking of support.. I've started an online bariatric support group... hoping to offer help to those to don't have or need additional support... https://t.co/3mDwOeyb6z #obsm |
| #obsm chat @obsmchat @twirlandswirl All-or-none thinking can be, as you've noticed, detrimental to maintaining progress and mental health. #obsm |
| Dr. Rachel @AskDr_Rachel @reallyrosie Maybe not counting bites, but keeping track of what you are eating, slowing down your eating, working on #stressmanagement and other #behavioral strategies could help! #obsm #obesity #weight #weightgain |
| Neil Floch MD @NeilFlochMD RT @AskDr_Rachel: @Lutherliz It's true but sad. We continue to struggle with this and need to continue to educate other #healthcare professionals that #obesity IS a disease and shame is NOT a source of #motivation. #obsm |
| Dr. Rachel @AskDr_Rachel RT @JBlankenshipRDN: It’s a game changer and key to personal awareness! I’m a fan! Whether it’s an app or pen and paper — self reflection is powerful. #obsm |
| Neil Floch MD @NeilFlochMD RT @PaulDavidsonPhD: In terms of behavioral approaches to weight loss, this recent article stirred a great deal of discussion. file:///C:/Users/pd59/Downloads/jama_Jin_2018_pg_180035.pdf #obsm |
 | Dr. Paula Bruno, PhD, LAc @2HeartsWellness What about the role of mindset when it comes to weight loss/ #obsm #acupuncture #bodywork #herbs #diet #taichi #holistichealth #guthealth #HealthyLiving #austintexas #atx #SundayMotivation ♥️♥️#Wellness https://t.co/eJbXlzhR8J via @wordpressdotcom |
| Laurel Ann Kameleonalani Whitlock 🐊🌺🌈 @twirlandswirl @PaulDavidsonPhD My heart rate and blood pressure have both dropped DRASTICALLY since this weight loss journey began! #obsm |
| Paul Davidson, PhD @PaulDavidsonPhD @txkyleharris Nice job @txkyleharris, it's mind over matter with #weightloss at times. You can help make the environment work for you when you plan ahead. #obsm |
| #obsm chat @obsmchat RT @greenhousemd: @Lutherliz Shame is never a positive motivator for ANY change, weight-related or otherwise. The result is almost always the opposite of the actual goal. Find a doctor who will work with you, not against you. #obsm |
| Neil Floch MD @NeilFlochMD RT @txkyleharris: This. Back from a recent cruise and my number I strived for every day was # of stairs. Averaged 40 flights of stairs a day. Helpful also to avoid crowds at elevators. #obsm #iactuallydespiseelevatorsnow. #takethestairs |
| Neil Floch MD @NeilFlochMD RT @obsmchat: #obsm https://t.co/7ekseNd9p3 |
| Neil Floch MD @NeilFlochMD RT @Eggface: If you are taking medications, chat with your doctor about potential weight gain side effects, you may not be able to or want to change them but there may be alternatives https://t.co/bu7wVp0GyK #obsm |
| #obsm chat @obsmchat RT @twirlandswirl: T3 So self-awareness and entirely non-weight-related coping mechanisms have a huge effect on weight loss and regain. Almost like mental health is part of your overall health. Weird. #obsm |
| Neil Floch MD @NeilFlochMD RT @AskDr_Rachel: @reallyrosie Maybe not counting bites, but keeping track of what you are eating, slowing down your eating, working on #stressmanagement and other #behavioral strategies could help! #obsm #obesity #weight #weightgain |
| #obsm chat @obsmchat RT @mcnee: @pattynece @bonuslife speaking of support.. I've started an online bariatric support group... hoping to offer help to those to don't have or need additional support... https://t.co/3mDwOeyb6z #obsm |
| #obsm chat @obsmchat RT @AskDr_Rachel: @Lutherliz It's true but sad. We continue to struggle with this and need to continue to educate other #healthcare professionals that #obesity IS a disease and shame is NOT a source of #motivation. #obsm |
| Dr. Kasey Goodpaster @DrGoodpaster A4: Consider talking to an obesity medicine specialist about adding weight loss medications as an adjunct to behavioral therapy. Using a combination of both improves outcomes. #obsm |
| LutherLiz (she/her) @Lutherliz #obsm Get your sleep, drink your water, limit sugars and processed food, move your body, pay attention to what works for you |
| walt medlin KILL THE FILIBUSTER, Statehood DC, PR @bonuslife @twirlandswirl #obsm - totally agree - donut is for enjoyment, not for rescue! |
| Dr. Rachel @AskDr_Rachel @bariatricgg @obsmchat I love that you added the "no negative self talk." SO important to be kind to oneself and use #positive #selftalk. #obsm #behavioralhealth #health #obesity |
| Patty Nece @pattynece I started on weight management medications when I couldn't control my weight regain. They helped a lot. One in particular helped me stop craving everything sugary I came across. #obsm |
| #obsm chat @obsmchat RT @Eggface: If you are taking medications, chat with your doctor about potential weight gain side effects, you may not be able to or want to change them but there may be alternatives https://t.co/bu7wVp0GyK #obsm |
| Paul Davidson, PhD @PaulDavidsonPhD @kinetic_kristal This approach is the key to success, it's a lifelong area of focus, but taken one piece at a time, it is very possible to experience #weightloss and keep it off. #obsm |
| Kristal Hartman @kinetic_kristal RT @PaulDavidsonPhD: @twirlandswirl Don't give the number the power over you. Better numbers are clothing sizes, number of steps you get in, blood pressure, etc. #obsm |
| #obsm chat @obsmchat @twirlandswirl @PaulDavidsonPhD Great news! #obsm |
| Kristal Hartman @kinetic_kristal RT @PaulDavidsonPhD: @kinetic_kristal This approach is the key to success, it's a lifelong area of focus, but taken one piece at a time, it is very possible to experience #weightloss and keep it off. #obsm |
| Dr. Rachel @AskDr_Rachel Sundays are always great days to do #mealprep. Good for you! #obsm |
| Patty Nece @pattynece RT @AskDr_Rachel: @bariatricgg @obsmchat I love that you added the "no negative self talk." SO important to be kind to oneself and use #positive #selftalk. #obsm #behavioralhealth #health #obesity |
| Dr. Sylvia “Voice” Bollie, MD, DABOM @EmbraceYouMD @twirlandswirl Agree! As an #emotionaleater (in recovery) I can relate ✅Awareness is the first step then ☝️Prioritizing self care to prevent #emotionaleating 🔂It takes continual practice 😌 #obsm #obesity #weightlossjourney |
| Patty Nece @pattynece RT @DrGoodpaster: A4: A4: Consider talking to an obesity medicine specialist about adding weight loss medications as an adjunct to behavioral therapy. Using a combination of both improves outcomes. #obsm |
| Dr. Sylvia “Voice” Bollie, MD, DABOM @EmbraceYouMD RT @mcnee: @pattynece @bonuslife speaking of support.. I've started an online bariatric support group... hoping to offer help to those to don't have or need additional support... https://t.co/3mDwOeyb6z #obsm |
| Paul Davidson, PhD @PaulDavidsonPhD @brianedwardsmd I certainly hope so! All the things we are discussing should help with longterm #weightloss. I believe a combination of behavioral, nutritional, and medical interventions offer the best chance for success. #obsm |
| #obsm chat @obsmchat #obsm https://t.co/FyRNyyhYtG |
| Dr. Rachel @AskDr_Rachel RT @mcnee: @pattynece @bonuslife speaking of support.. I've started an online bariatric support group... hoping to offer help to those to don't have or need additional support... https://t.co/3mDwOeyb6z #obsm |
| Dr. Rachel @AskDr_Rachel RT @PaulDavidsonPhD: In terms of behavioral approaches to weight loss, this recent article stirred a great deal of discussion. file:///C:/Users/pd59/Downloads/jama_Jin_2018_pg_180035.pdf #obsm |
| Neil Floch MD @NeilFlochMD RT @DrGoodpaster: A4: A4: Consider talking to an obesity medicine specialist about adding weight loss medications as an adjunct to behavioral therapy. Using a combination of both improves outcomes. #obsm |
| Neil Floch MD @NeilFlochMD RT @Lutherliz: #obsm Get your sleep, drink your water, limit sugars and processed food, move your body, pay attention to what works for you |
| Jeanne Blankenship @JBlankenshipRDN Yes, experts in this area understand the ups and downs and the expected time points for anticipatory guidance. And we know that regain is not about the individual, but rather the natural history of obesity and it’s management. It’s an opportunity to use different tools. #obsm |
| #obsm chat @obsmchat RT @fittmd: @twirlandswirl Agree! As an #emotionaleater (in recovery) I can relate ✅Awareness is the first step then ☝️Prioritizing self care to prevent #emotionaleating 🔂It takes continual practice 😌 #obsm #obesity #weightlossjourney |
| Laurel Ann Kameleonalani Whitlock 🐊🌺🌈 @twirlandswirl @Eggface I hear that and I get it, but I also have one in my mind.. I feel like a concrete goal puts a tangible destination in mind. "Feel better" isn't concrete. But I also fixate on numbers, which isn't healthy, either. There is so much brain trickery in this all. #obsm |
| Arghavan Salles, MD, PhD @arghavan_salles RT @greenhousemd: @Lutherliz Shame is never a positive motivator for ANY change, weight-related or otherwise. The result is almost always the opposite of the actual goal. Find a doctor who will work with you, not against you. #obsm |
| Patty Nece @pattynece RT @PaulDavidsonPhD: @brianedwardsmd I certainly hope so! All the things we are discussing should help with longterm #weightloss. I believe a combination of behavioral, nutritional, and medical interventions offer the best chance for success. #obsm |
| LutherLiz (she/her) @Lutherliz RT @PaulDavidsonPhD: @brianedwardsmd I certainly hope so! All the things we are discussing should help with longterm #weightloss. I believe a combination of behavioral, nutritional, and medical interventions offer the best chance for success. #obsm |
| Austin Chiang, MD MPH FASGE FACG @AustinChiangMD A4: As mentioned earlier, medications can help reverse weight regain, and endoscopic therapies can help reduce stoma diameter that might be causing weight regain in post-gastric bypass patients #weighregain #rny #obsm |
| Dr. Rachel @AskDr_Rachel RT @obsmchat: #obsm https://t.co/7ekseNd9p3 |
| Kristal Hartman @kinetic_kristal RT @mcnee: @pattynece @bonuslife speaking of support.. I've started an online bariatric support group... hoping to offer help to those to don't have or need additional support... https://t.co/3mDwOeyb6z #obsm |
| Dr. Rachel @AskDr_Rachel RT @Eggface: If you are taking medications, chat with your doctor about potential weight gain side effects, you may not be able to or want to change them but there may be alternatives https://t.co/bu7wVp0GyK #obsm |
| Michelle Vicari @Eggface Finding ways to reduce #stress helps me #meditation #yoga #helping others playing with my pets, etc. https://t.co/TJKAni7sZ9 #obsm https://t.co/K1SHGyh6NG |
| GeekyGrouch @grouchy_geek @obsmchat I stay away from the mirror. Still having a lot of excess skin, I still see the 430+ lb. me. I realized it made me depressed and I tended to fall into old habits of eating to comfort myself. So I just try not to look in mirror and dwell on it. #obsm |
| Patty Nece @pattynece RT @JBlankenshipRDN: Yes, experts in this area understand the ups and downs and the expected time points for anticipatory guidance. And we know that regain is not about the individual, but rather the natural history of obesity and it’s management. It’s an opportunity to use different tools. #obsm |
| Dr. Kasey Goodpaster @DrGoodpaster A5: Separate weight and eating behavior from self-worth. Strive for “B student” rather than perfection. See returns to previous eating behaviors not as slips or failures but as learning opportunities that will get you closer to your goal. Seek support. It takes a village! #obsm |
| Arghavan Salles, MD, PhD @arghavan_salles RT @mcnee: @pattynece @bonuslife speaking of support.. I've started an online bariatric support group... hoping to offer help to those to don't have or need additional support... https://t.co/3mDwOeyb6z #obsm |
| Rob Portinga @mcnee one thing that helps is to always remember I am more than a number.. be it a number on a scale, BMI chart, whatever. #obsm |
| Arghavan Salles, MD, PhD @arghavan_salles RT @AskDr_Rachel: @Lutherliz It's true but sad. We continue to struggle with this and need to continue to educate other #healthcare professionals that #obesity IS a disease and shame is NOT a source of #motivation. #obsm |
| Arghavan Salles, MD, PhD @arghavan_salles RT @fittmd: @Lutherliz 😔😔😔 I’m optimistic this cruel & rudimentary approach will ⬇️decrease as we ⬆️increase our evidence based understanding of #obesity as a disease & strive to treat all people with compassion 💛 #NOCW2018 #obsm @ObesityAction @OMAsocial @ObesitySociety @ObesityCareWeek |
| Paul Davidson, PhD @PaulDavidsonPhD It is valuable to see the weight as one element of the process, and the more you find functional goals you WANT to reach, the more likely you are to stay committed to #weightloss and improved health. #obsm |
| Dr. Rachel @AskDr_Rachel RT @DrGoodpaster: A4: A4: Consider talking to an obesity medicine specialist about adding weight loss medications as an adjunct to behavioral therapy. Using a combination of both improves outcomes. #obsm |
| Arghavan Salles, MD, PhD @arghavan_salles RT @Eggface: If you are taking medications, chat with your doctor about potential weight gain side effects, you may not be able to or want to change them but there may be alternatives https://t.co/bu7wVp0GyK #obsm |
| Dr. Rachel @AskDr_Rachel RT @Lutherliz: #obsm Get your sleep, drink your water, limit sugars and processed food, move your body, pay attention to what works for you |
| Michelle Vicari @Eggface Forget #'s on clothing tags or the scale. A favorite quote from Dr. @YoniFreedhoff "Your best weight is whatever weight you reach when you're living the healthiest life that you can honestly enjoy" #obsm https://t.co/DC3QYApiZQ |
| Patty Nece @pattynece Understanding some of the physiological drivers underlying weight regain has helped me understand that it's not all my fault or personal failing. That makes all the difference in the world. #obsm |
| Patty Nece @pattynece RT @mcnee: one thing that helps is to always remember I am more than a number.. be it a number on a scale, BMI chart, whatever. #obsm |
| Patty Nece @pattynece RT @DrGoodpaster: A5: A5: Separate weight and eating behavior from self-worth. Strive for “B student” rather than perfection. See returns to previous eating behaviors not as slips or failures but as learning opportunities that will get you closer to your goal. Seek support. It takes a village! #obsm |
| #obsm chat @obsmchat RT @Eggface: Finding ways to reduce #stress helps me #meditation #yoga #helping others playing with my pets, etc. https://t.co/TJKAni7sZ9 #obsm https://t.co/K1SHGyh6NG |
| Patty Nece @pattynece RT @AustinChiangMD: A4: A4: As mentioned earlier, medications can help reverse weight regain, and endoscopic therapies can help reduce stoma diameter that might be causing weight regain in post-gastric bypass patients #weighregain #rny #obsm |
| Jeanne Blankenship @JBlankenshipRDN I believe this resource will help connect people with providers that have expertise and an intense understanding of treatment — it means no more settling for providers that don’t. #obsm |
| #obsm chat @obsmchat Great advice here! #obsm |
| Michelle Vicari @Eggface @twirlandswirl Yes, there is ;) The above the neck work I have done has been the best work of all #obsm |
| #obsm chat @obsmchat RT @mcnee: one thing that helps is to always remember I am more than a number.. be it a number on a scale, BMI chart, whatever. #obsm |
| Laurel Ann Kameleonalani Whitlock 🐊🌺🌈 @twirlandswirl @AskDr_Rachel @PaulDavidsonPhD Thanks! I'm hoping to get off blood pressure medication soon. I'm at an ideal BP right now so it's a balancing act of not letting it get too low while still trying to prove I don't need it. #obsm |
| #obsm chat @obsmchat RT @Eggface: Forget #'s on clothing tags or the scale. A favorite quote from Dr. @YoniFreedhoff "Your best weight is whatever weight you reach when you're living the healthiest life that you can honestly enjoy" #obsm https://t.co/DC3QYApiZQ |
| Patty Nece @pattynece RT @PaulDavidsonPhD: It is valuable to see the weight as one element of the process, and the more you find functional goals you WANT to reach, the more likely you are to stay committed to #weightloss and improved health. #obsm |
| Dr. Rachel @AskDr_Rachel I think it is important for one to remember that #weightregain is normal and very common. Dont blame yourself, but seek help and support if you can. Also, go back to the basics...#selfmonitor for a few days and see if you can find small #behavioralchanges you can make. #obsm |
| Rob Portinga @mcnee RT @Eggface: Forget #'s on clothing tags or the scale. A favorite quote from Dr. @YoniFreedhoff "Your best weight is whatever weight you reach when you're living the healthiest life that you can honestly enjoy" #obsm https://t.co/DC3QYApiZQ |
| LutherLiz (she/her) @Lutherliz #obsm I remember that I love myself enough to keep fighting for my health, and that if I’ve lost it once I can do it again |
| Kristal Hartman @kinetic_kristal @obsmchat I really dislike the word ‘exercise’ because it makes me feel like I HAVE to do something. When I need a biological shift to get me back on track I tell myself “ just do something to move your body” and that is the right psychological/physiological combo for me! #obsm |
| Arghavan Salles, MD, PhD @arghavan_salles RT @JBlankenshipRDN: Yes, experts in this area understand the ups and downs and the expected time points for anticipatory guidance. And we know that regain is not about the individual, but rather the natural history of obesity and it’s management. It’s an opportunity to use different tools. #obsm |
| Patty Nece @pattynece RT @JBlankenshipRDN: I believe this resource will help connect people with providers that have expertise and an intense understanding of treatment — it means no more settling for providers that don’t. #obsm |
| walt medlin KILL THE FILIBUSTER, Statehood DC, PR @bonuslife RT @Eggface: @twirlandswirl Yes, there is ;) The above the neck work I have done has been the best work of all #obsm |
| Patty Nece @pattynece RT @kinetic_kristal: @obsmchat I really dislike the word ‘exercise’ because it makes me feel like I HAVE to do something. When I need a biological shift to get me back on track I tell myself “ just do something to move your body” and that is the right psychological/physiological combo for me! #obsm |
| Arghavan Salles, MD, PhD @arghavan_salles @txkyleharris @obsmchat I hear this from patients, too, that they still see themselves the way they used to look. #obsm |
| Paul Davidson, PhD @PaulDavidsonPhD @brianedwardsmd @ObesityMedicine Kevin Hall's study show the power of lower leptin in struggling to keep weight off. This is why #bariatricsurgery is so valuable, we don't see the same level of decrease in leptin, but do see decrease in ghrelin. #obsm |
| Dr. Rachel @AskDr_Rachel #stressmanagement is so important. Find what works for you, if it is #meditation #walking #physicalactivity #diaphragmaticbreathing , calling a friend, etc. #stress #obsm |
| Arghavan Salles, MD, PhD @arghavan_salles RT @DrGoodpaster: A5: A5: Separate weight and eating behavior from self-worth. Strive for “B student” rather than perfection. See returns to previous eating behaviors not as slips or failures but as learning opportunities that will get you closer to your goal. Seek support. It takes a village! #obsm |
| Michelle Vicari @Eggface Also #obsm... Find great patient support & resources https://t.co/P6mbKrHzGs @ObesityAction @YWMOAC |
| Neil Floch MD @NeilFlochMD RT @pattynece: I started on weight management medications when I couldn't control my weight regain. They helped a lot. One in particular helped me stop craving everything sugary I came across. #obsm |
| walt medlin KILL THE FILIBUSTER, Statehood DC, PR @bonuslife RT @Eggface: Forget #'s on clothing tags or the scale. A favorite quote from Dr. @YoniFreedhoff "Your best weight is whatever weight you reach when you're living the healthiest life that you can honestly enjoy" #obsm https://t.co/DC3QYApiZQ |
| Dr. Rachel @AskDr_Rachel RT @mcnee: one thing that helps is to always remember I am more than a number.. be it a number on a scale, BMI chart, whatever. #obsm |
| Neil Floch MD @NeilFlochMD RT @PaulDavidsonPhD: @brianedwardsmd I certainly hope so! All the things we are discussing should help with longterm #weightloss. I believe a combination of behavioral, nutritional, and medical interventions offer the best chance for success. #obsm |
| Arghavan Salles, MD, PhD @arghavan_salles Love this! The best number may not be the smallest number. #obsm |
| Dr. Sylvia “Voice” Bollie, MD, DABOM @EmbraceYouMD Based on the data we have so far 👟Exercise (11K steps/ day or 450mins/ week) 🥦 Reduced cal/ carb diet 💊Medications when needed ✅Reg 👩🏾⚕️👨⚕️ follow up Working with an #obesity / #weight specialist can help Find 1️⃣ via @OMAsocial or @ObesitySociety #obsm |
| Neil Floch MD @NeilFlochMD RT @AustinChiangMD: A4: A4: As mentioned earlier, medications can help reverse weight regain, and endoscopic therapies can help reduce stoma diameter that might be causing weight regain in post-gastric bypass patients #weighregain #rny #obsm |
| Neil Floch MD @NeilFlochMD RT @Eggface: Finding ways to reduce #stress helps me #meditation #yoga #helping others playing with my pets, etc. https://t.co/TJKAni7sZ9 #obsm https://t.co/K1SHGyh6NG |
| Neil Floch MD @NeilFlochMD RT @txkyleharris: @obsmchat I stay away from the mirror. Still having a lot of excess skin, I still see the 430+ lb. me. I realized it made me depressed and I tended to fall into old habits of eating to comfort myself. So I just try not to look in mirror and dwell on it. #obsm |
| Neil Floch MD @NeilFlochMD RT @DrGoodpaster: A5: A5: Separate weight and eating behavior from self-worth. Strive for “B student” rather than perfection. See returns to previous eating behaviors not as slips or failures but as learning opportunities that will get you closer to your goal. Seek support. It takes a village! #obsm |
| Dr. Rachel @AskDr_Rachel YES! I talk to my clients about a "healthy happy weight" and not just a number on the scale. #weight #weightregain #obsm |
| Neil Floch MD @NeilFlochMD RT @mcnee: one thing that helps is to always remember I am more than a number.. be it a number on a scale, BMI chart, whatever. #obsm |
| Paul Davidson, PhD @PaulDavidsonPhD RT @AskDr_Rachel: #stressmanagement is so important. Find what works for you, if it is #meditation #walking #physicalactivity #diaphragmaticbreathing , calling a friend, etc. #stress #obsm |
| Neil Floch MD @NeilFlochMD RT @PaulDavidsonPhD: It is valuable to see the weight as one element of the process, and the more you find functional goals you WANT to reach, the more likely you are to stay committed to #weightloss and improved health. #obsm |
| Neil Floch MD @NeilFlochMD RT @Eggface: Forget #'s on clothing tags or the scale. A favorite quote from Dr. @YoniFreedhoff "Your best weight is whatever weight you reach when you're living the healthiest life that you can honestly enjoy" #obsm https://t.co/DC3QYApiZQ |
| GeekyGrouch @grouchy_geek @obsmchat For me, I realize it’s going to happen and that my weight will ebb and flow. I just have to remind myself why I started this journey and that I have a long way (lifetime) to go. #obsm |
| #obsm chat @obsmchat RT @JBlankenshipRDN: I believe this resource will help connect people with providers that have expertise and an intense understanding of treatment — it means no more settling for providers that don’t. #obsm |
| Neil Floch MD @NeilFlochMD RT @pattynece: Understanding some of the physiological drivers underlying weight regain has helped me understand that it's not all my fault or personal failing. That makes all the difference in the world. #obsm |
| #obsm chat @obsmchat RT @AskDr_Rachel: I think it is important for one to remember that #weightregain is normal and very common. Dont blame yourself, but seek help and support if you can. Also, go back to the basics...#selfmonitor for a few days and see if you can find small #behavioralchanges you can make. #obsm |
| #obsm chat @obsmchat RT @kinetic_kristal: @obsmchat I really dislike the word ‘exercise’ because it makes me feel like I HAVE to do something. When I need a biological shift to get me back on track I tell myself “ just do something to move your body” and that is the right psychological/physiological combo for me! #obsm |
| #obsm chat @obsmchat That’s a wrap! Thanks, everyone, for another great #obsm chat! Special thank you to the patients who shared their experiences and expertise. Hope you will join us for the next #obsm chat Sunday, November 11, at 9p EST. |
| Dr. Rachel @AskDr_Rachel RT @obsmchat: Great advice here! #obsm |
| LutherLiz (she/her) @Lutherliz RT @arghavan_salles: Love this! The best number may not be the smallest number. #obsm |
| #obsm chat @obsmchat RT @PaulDavidsonPhD: @brianedwardsmd @ObesityMedicine Kevin Hall's study show the power of lower leptin in struggling to keep weight off. This is why #bariatricsurgery is so valuable, we don't see the same level of decrease in leptin, but do see decrease in ghrelin. #obsm |
| #obsm chat @obsmchat RT @Eggface: Also #obsm... Find great patient support & resources https://t.co/P6mbKrHzGs @ObesityAction @YWMOAC |
| walt medlin KILL THE FILIBUSTER, Statehood DC, PR @bonuslife @kinetic_kristal @obsmchat #obsm - it's very interesting to me how that #movement that works for my body changes as I age. Much mellower cardio actually better tolerated, and less "max" on the weights. Rest days tend to be more also... |
| #obsm chat @obsmchat RT @fittmd: Based on the data we have so far 👟Exercise (11K steps/ day or 450mins/ week) 🥦 Reduced cal/ carb diet 💊Medications when needed ✅Reg 👩🏾⚕️👨⚕️ follow up Working with an #obesity / #weight specialist can help Find 1️⃣ via @OMAsocial or @ObesitySociety #obsm |
| Laurel Ann Kameleonalani Whitlock 🐊🌺🌈 @twirlandswirl @arghavan_salles @txkyleharris @obsmchat I've noticed recently I have NO IDEA what size my body is. If I'm picking up clothes to see if they'll fit or how much room I need on a bench or anything where I have to imagine my own size, I'm WAY off. I always imagine myself bigger - sometimes bigger than I ever was. #obsm |
| Paul Davidson, PhD @PaulDavidsonPhD @txkyleharris @obsmchat This is accurate and as long as you can accept this fact, it won't hurt you very much with #weightloss. #obsm |
| walt medlin KILL THE FILIBUSTER, Statehood DC, PR @bonuslife @arghavan_salles "Butt Kicking 80 year old" is my goal! #obsm |
| Dr. Rachel @AskDr_Rachel @arghavan_salles @txkyleharris @obsmchat This is also very common. I recently spoke about this on @SIRIUSXM #doctorradio. #bodyimage #obesity #obsm |
| Patty Nece @pattynece RT @mcnee: @pattynece @bonuslife speaking of support.. I've started an online bariatric support group... hoping to offer help to those to don't have or need additional support... https://t.co/3mDwOeyb6z #obsm |
| Neil Floch MD @NeilFlochMD Weightloss is a long distance marathon and not a sprint. Try to stay even keel everyday. Be cautious but forgiving of yourself when and if you stray. Get back on track and start over the next day. #obsm https://t.co/RTt6Y7yyLK |
| Neil Floch MD @NeilFlochMD RT @JBlankenshipRDN: I believe this resource will help connect people with providers that have expertise and an intense understanding of treatment — it means no more settling for providers that don’t. #obsm |
| GeekyGrouch @grouchy_geek @DrGoodpaster I strive for perfection. I accept “B student” if I know I did my best. #obsm |
| Dr. Rachel @AskDr_Rachel RT @arghavan_salles: Love this! The best number may not be the smallest number. #obsm |
| Paul Davidson, PhD @PaulDavidsonPhD @twirlandswirl @arghavan_salles @txkyleharris @obsmchat It is natural for there to be a lag in the brain recognizing what the body has achieved..#obsm |
 | Turner & Page @TurnerandPage James Higgins here. I will be posting the transcripts for tonight in a few minutes if the software cooperates. #obsm |
| Arghavan Salles, MD, PhD @arghavan_salles Thanks to the authors of this paper, I have stopped using "exercise" and instead refer to "physical activity" with patients. https://t.co/rmxWlHvzLZ @SOARD_JOURNAL @asmbs #obsm |
| Patty Nece @pattynece @reallyrosie An obesity medicine specialist should be able to help you figure that out. #obsm |
| Arghavan Salles, MD, PhD @arghavan_salles RT @fittmd: Based on the data we have so far 👟Exercise (11K steps/ day or 450mins/ week) 🥦 Reduced cal/ carb diet 💊Medications when needed ✅Reg 👩🏾⚕️👨⚕️ follow up Working with an #obesity / #weight specialist can help Find 1️⃣ via @OMAsocial or @ObesitySociety #obsm |
| Paul Davidson, PhD @PaulDavidsonPhD RT @NeilFlochMD: Weightloss is a long distance marathon and not a sprint. Try to stay even keel everyday. Be cautious but forgiving of yourself when and if you stray. Get back on track and start over the next day. #obsm https://t.co/RTt6Y7yyLK |
| Laurel Ann Kameleonalani Whitlock 🐊🌺🌈 @twirlandswirl @AskDr_Rachel @PaulDavidsonPhD Will do! Step 1 - stop the "lost my job" depression come/binge eat cycle. Ugh. This is gonna be a tough week. #obsm |
| Neil Floch MD @NeilFlochMD RT @NeilFlochMD: This is a fantastic example of how you can be funny about the frustration of regaining #weight without needing to ridicule a person for being #overweight - Bravo @PaulDavidsonPhD #obsm |
| Dr. Rachel @AskDr_Rachel What a great chat! Thank you to everyone who participated! AND just remember there IS help! Seek help, support and speak to your #healthcare professional if you are struggling with #weightregain. #obsm |
| Michelle Vicari @Eggface @obsmchat Looking forward to continuing the conversations this week and following new #obsm friends. Night everyone! |
 | Mark A. McKenney @MarktheSpaman RT @2HeartsWellness: What about the role of mindset when it comes to weight loss/ #obsm #acupuncture #bodywork #herbs #diet #taichi #holistichealth #guthealth #HealthyLiving #austintexas #atx #SundayMotivation ♥️♥️#Wellness https://t.co/eJbXlzhR8J via @wordpressdotcom |
| #obsm chat @obsmchat RT @NeilFlochMD: Weightloss is a long distance marathon and not a sprint. Try to stay even keel everyday. Be cautious but forgiving of yourself when and if you stray. Get back on track and start over the next day. #obsm https://t.co/RTt6Y7yyLK |
| Dr. Rachel @AskDr_Rachel RT @NeilFlochMD: Weightloss is a long distance marathon and not a sprint. Try to stay even keel everyday. Be cautious but forgiving of yourself when and if you stray. Get back on track and start over the next day. #obsm https://t.co/RTt6Y7yyLK |
| #obsm chat @obsmchat RT @arghavan_salles: Thanks to the authors of this paper, I have stopped using "exercise" and instead refer to "physical activity" with patients. https://t.co/rmxWlHvzLZ @SOARD_JOURNAL @asmbs #obsm |
| Patty Nece @pattynece RT @arghavan_salles: Thanks to the authors of this paper, I have stopped using "exercise" and instead refer to "physical activity" with patients. https://t.co/rmxWlHvzLZ @SOARD_JOURNAL @asmbs #obsm |
| #obsm chat @obsmchat @TurnerandPage Thank you! #obsm |
| Dr. Sylvia “Voice” Bollie, MD, DABOM @EmbraceYouMD Thanks for the awesome @obsmchat everyone! Always great to collaborate with others passionate about improving our understanding of how to best people with #obesity 🤗 Have a great week 🙌🏾 #obsm #SundayMotivation |
| Paul Davidson, PhD @PaulDavidsonPhD Thanks to everyone for participating in tonight's #obsm chat. Looking forward to continuing the conversation until next month. |
| Laurel Ann Kameleonalani Whitlock 🐊🌺🌈 @twirlandswirl @PaulDavidsonPhD @arghavan_salles @txkyleharris @obsmchat I've also literally not recognized myself in recent photos because I don't see myself as that small. It's so surreal. #obsm |
| Patty Nece @pattynece RT @NeilFlochMD: Weightloss is a long distance marathon and not a sprint. Try to stay even keel everyday. Be cautious but forgiving of yourself when and if you stray. Get back on track and start over the next day. #obsm https://t.co/RTt6Y7yyLK |
| #obsm chat @obsmchat @twirlandswirl @AskDr_Rachel @PaulDavidsonPhD Hang in there! We're rooting for you! #obsm |
| #obsm chat @obsmchat RT @AskDr_Rachel: What a great chat! Thank you to everyone who participated! AND just remember there IS help! Seek help, support and speak to your #healthcare professional if you are struggling with #weightregain. #obsm |
| Dr. Rachel @AskDr_Rachel I also dont talk about #exercise, but rather #physicalactivity. The word "exercise" can be quite intimidating for many people. It's important to also know the individual you are speaking to. Maybe just talking about walking or movement is even a better place to start. #obsm |
 | Jake Mey, PhD, RD @CakeNutrition RT @NeilFlochMD: Weightloss is a long distance marathon and not a sprint. Try to stay even keel everyday. Be cautious but forgiving of yourself when and if you stray. Get back on track and start over the next day. #obsm https://t.co/RTt6Y7yyLK |
 | 🌸✳️ 100 days of memories @nightskymadness RT @NeilFlochMD: Weightloss is a long distance marathon and not a sprint. Try to stay even keel everyday. Be cautious but forgiving of yourself when and if you stray. Get back on track and start over the next day. #obsm https://t.co/RTt6Y7yyLK |
| #obsm chat @obsmchat @fittmd Thanks for all your contributions tonight! Appreciate your insights! #obsm |
| Dr. Rachel @AskDr_Rachel @twirlandswirl @PaulDavidsonPhD YOU GOT THIS!!! and we are all here for you! Find a good distraction so you dont end up in the kitchen :) #obsm #motivation |
| Arghavan Salles, MD, PhD @arghavan_salles RT @NeilFlochMD: Weightloss is a long distance marathon and not a sprint. Try to stay even keel everyday. Be cautious but forgiving of yourself when and if you stray. Get back on track and start over the next day. #obsm https://t.co/RTt6Y7yyLK |
| Dr. Rachel @AskDr_Rachel RT @Eggface: @obsmchat Looking forward to continuing the conversations this week and following new #obsm friends. Night everyone! |
 | SaludHEALTHinfo @SaludHEALTHinfo RT @PaulDavidsonPhD: A return to chewing 40x/bite, taking 30-45 mins. to eat a meal, shopping with a list, meal prep, keeping less healthy foods a treat, logging, and using technology to help monitor physical activity all help minimize regain. #obsm |
| SaludHEALTHinfo @SaludHEALTHinfo RT @AskDr_Rachel: Great advice! I always say the food and activity logs are the data. Without that it is so easy to say "I dont know why it happened," but if we can at least look at the #healthbehaviors we have somewhere to start, but also acknowlegding that #obesity is a disease. #obsm |
| Paul Davidson, PhD @PaulDavidsonPhD @reallyrosie @brianedwardsmd @ObesityMedicine OUCH! You may want to try more water based activities as it is easier to move in a pool when you have arthritis. #obsm |
| Arghavan Salles, MD, PhD @arghavan_salles @twirlandswirl @AskDr_Rachel @PaulDavidsonPhD You're not alone--we're all here for you, at least virtually. Holler if you need us! #obsm |
| Arghavan Salles, MD, PhD @arghavan_salles RT @AskDr_Rachel: What a great chat! Thank you to everyone who participated! AND just remember there IS help! Seek help, support and speak to your #healthcare professional if you are struggling with #weightregain. #obsm |
| Paul Davidson, PhD @PaulDavidsonPhD RT @AskDr_Rachel: I also dont talk about #exercise, but rather #physicalactivity. The word "exercise" can be quite intimidating for many people. It's important to also know the individual you are speaking to. Maybe just talking about walking or movement is even a better place to start. #obsm |
| Laurel Ann Kameleonalani Whitlock 🐊🌺🌈 @twirlandswirl @PaulDavidsonPhD @arghavan_salles @txkyleharris @obsmchat I keep this picture handy for when I feel like I've accomplished nothing. #obsm https://t.co/LKZxqorwtp |
| SaludHEALTHinfo @SaludHEALTHinfo RT @NeilFlochMD: A compassionate physician will want to help you when you are hurting. Never feel shame and don’t feel afraid when the chips are down. Go see your #surgeon #nutritionist and #psychologist #psychiatrist or #therapist #obsm |
| SaludHEALTHinfo @SaludHEALTHinfo RT @arghavan_salles: Thanks to the authors of this paper, I have stopped using "exercise" and instead refer to "physical activity" with patients. https://t.co/rmxWlHvzLZ @SOARD_JOURNAL @asmbs #obsm |
| Dr. Rachel @AskDr_Rachel @twirlandswirl @PaulDavidsonPhD @arghavan_salles @txkyleharris @obsmchat This is unfortunately very common. I always say to "examine the evidence" that you have lost weight. Identify some of the other (non weight) changes you have noticed and remind yourself of those-- this should help! :) #obsm #bariatricsurgery #weightloss #bodyimage |
| Arghavan Salles, MD, PhD @arghavan_salles RT @AskDr_Rachel: I also dont talk about #exercise, but rather #physicalactivity. The word "exercise" can be quite intimidating for many people. It's important to also know the individual you are speaking to. Maybe just talking about walking or movement is even a better place to start. #obsm |
| Jeanne Blankenship @JBlankenshipRDN RT @NeilFlochMD: Weightloss is a long distance marathon and not a sprint. Try to stay even keel everyday. Be cautious but forgiving of yourself when and if you stray. Get back on track and start over the next day. #obsm https://t.co/RTt6Y7yyLK |
| Kristal Hartman @kinetic_kristal @obsmchat Absolutely @bonuslife. Weight maintenance for me is 80% food and 20% movement but that movement part is like a biological lock and key...when I struggle I have to shift that balance sometimes! #obsm |
| SaludHEALTHinfo @SaludHEALTHinfo RT @AskDr_Rachel: #selfmonitoring is not easy and does take work, but is a great #behavioralstrategy. There are some great apps out there to help people as well and like anything else, in time it becomes a regular routine! #healthbehaviors #obsm |
| SaludHEALTHinfo @SaludHEALTHinfo RT @PaulDavidsonPhD: It is valuable to see the weight as one element of the process, and the more you find functional goals you WANT to reach, the more likely you are to stay committed to #weightloss and improved health. #obsm |
| SaludHEALTHinfo @SaludHEALTHinfo RT @DrGoodpaster: A5: A5: Separate weight and eating behavior from self-worth. Strive for “B student” rather than perfection. See returns to previous eating behaviors not as slips or failures but as learning opportunities that will get you closer to your goal. Seek support. It takes a village! #obsm |
| Dr. Rachel @AskDr_Rachel @twirlandswirl @PaulDavidsonPhD @arghavan_salles @txkyleharris @obsmchat Looking at the progress is definitely a great reminder! #obsm |
| Paul Davidson, PhD @PaulDavidsonPhD @twirlandswirl @arghavan_salles @txkyleharris @obsmchat What a great testament to your efforts! Your weight loss is only equalled by your smile! #obsm |
| SaludHEALTHinfo @SaludHEALTHinfo RT @Eggface: Forget #'s on clothing tags or the scale. A favorite quote from Dr. @YoniFreedhoff "Your best weight is whatever weight you reach when you're living the healthiest life that you can honestly enjoy" #obsm https://t.co/DC3QYApiZQ |
| Laurel Ann Kameleonalani Whitlock 🐊🌺🌈 @twirlandswirl @AskDr_Rachel @PaulDavidsonPhD I've been cleaning a lot to deal with the loss of control I've felt. It's not a bad substitute. #obsm |
| walt medlin KILL THE FILIBUSTER, Statehood DC, PR @bonuslife @kinetic_kristal @obsmchat #obsm - it is the keystone for me, too... Nothing works well without it. (see #Kryptonite) |
| Dr. Rachel @AskDr_Rachel @twirlandswirl @PaulDavidsonPhD Cleaning is definitely not a bad substitute-- there arent many bad substitutes, so whatever works for YOU is great! #obsm |
| Robyn Pashby, PhD (she/hers) @robynpashbyphd RT @Lutherliz: #obsm I remember that I love myself enough to keep fighting for my health, and that if I’ve lost it once I can do it again |
| Jeanne Blankenship @JBlankenshipRDN So true, my body craves “move but be nice” these days. Walk jog combos and yoga. Hikes and swims. It’s the mental with movement benefits — no longer about making out or pushing so hard. Just where I am at! #obsm |
| Laurel Ann Kameleonalani Whitlock 🐊🌺🌈 @twirlandswirl @PaulDavidsonPhD @arghavan_salles @txkyleharris @obsmchat Aw, thank you! #obsm |
| SaludHEALTHinfo @SaludHEALTHinfo RT @AskDr_Rachel: A3: A3: #selfmonitoring is always a great #behavioral strategy to help one stay on track and to help with accountability. I always mention "going back to the basics" when it comes to #food. And to look at one's #stress and improving #healthy #coping strategies. #obsm #obesty #weight |
| SaludHEALTHinfo @SaludHEALTHinfo RT @rpashbyphd: Behavioral strategies follow cognitive changes. People must continue to practice encouraging #selftalk and minimize catastrophic thinking about small weight regain in order to keep the behaviors going. #obsm |
| Kristal Hartman @kinetic_kristal RT @arghavan_salles: Thanks to the authors of this paper, I have stopped using "exercise" and instead refer to "physical activity" with patients. https://t.co/rmxWlHvzLZ @SOARD_JOURNAL @asmbs #obsm |
| Kristal Hartman @kinetic_kristal RT @NeilFlochMD: Weightloss is a long distance marathon and not a sprint. Try to stay even keel everyday. Be cautious but forgiving of yourself when and if you stray. Get back on track and start over the next day. #obsm https://t.co/RTt6Y7yyLK |
| Laurel Ann Kameleonalani Whitlock 🐊🌺🌈 @twirlandswirl @AskDr_Rachel @PaulDavidsonPhD Don't worry, I find the bad ones easily. It's a skill. #obsm |
| SaludHEALTHinfo @SaludHEALTHinfo RT @DrGoodpaster: A3: A3: Work w/ a behavioral heath provider to explore eating triggers & improve coping, set realistic goals, break down “black & white”/perfectionist thoughts, & use mindful eating techniques to enjoy food in smaller amounts without feeling deprived. #obsm |
| #obsm chat @obsmchat @DKasznel Hi, Donna! If you tag your tweets with #obsm everyone will be able to see them. Thanks for joining! |
| Kristal Hartman @kinetic_kristal RT @Eggface: Also #obsm... Find great patient support & resources https://t.co/P6mbKrHzGs @ObesityAction @YWMOAC |
| #obsm chat @obsmchat @bariatricgg Hi, Debe! Thanks for joining. Remember to tag your tweets with #obsm so everyone can see them! |
| SaludHEALTHinfo @SaludHEALTHinfo RT @pattynece: It's hard to avoid those feelings of shame when you regain. I talk about the complexities of #obesity all the time, and even I fall prey to the shame witch. Any suggestions for dealing with the shame? #obsm |
| SaludHEALTHinfo @SaludHEALTHinfo RT @NeilFlochMD: I like weighing daily as long as patients understand the natural fluid fluctuations can alter daily weight #obsm |
| walt medlin KILL THE FILIBUSTER, Statehood DC, PR @bonuslife RT @JBlankenshipRDN: So true, my body craves “move but be nice” these days. Walk jog combos and yoga. Hikes and swims. It’s the mental with movement benefits — no longer about making out or pushing so hard. Just where I am at! #obsm |
| Laurel Ann Kameleonalani Whitlock 🐊🌺🌈 @twirlandswirl @Eggface @AskDr_Rachel @PaulDavidsonPhD @Neda @BEDAorg I didn't identify with binge eating until recently. I figured I just had a lack of self-control. But since I started paying more attention to my weight, food intake, AND mental health, I realize it's literally an inability to stop sometimes. #obsm |
| #obsm chat @obsmchat @DrGoodpaster Thanks so much for joining us tonight! #obsm |
| Laurel Ann Kameleonalani Whitlock 🐊🌺🌈 @twirlandswirl @Eggface @AskDr_Rachel @PaulDavidsonPhD @Neda @BEDAorg I'm not going to sit here and diagnose myself, but I know it's a compulsory reaction and being able to stop some of the self-blame has made it easier to avoid doing it, as well. #obsm |
| #obsm chat @obsmchat @bariatricgg Well done! #obsm |
| #obsm chat @obsmchat @evla2488 Thanks for joining us! Remember to tag your tweets with #obsm so everyone can see them. |
| #obsm chat @obsmchat @reallyrosie @AustinChiangMD The best hashtag for this chat is #obsm so everyone can see your tweets. Thanks for joining! |
| Dr. Rachel @AskDr_Rachel RT @obsmchat: @reallyrosie @AustinChiangMD The best hashtag for this chat is #obsm so everyone can see your tweets. Thanks for joining! |
| Dr. Rachel @AskDr_Rachel RT @obsmchat: @evla2488 Thanks for joining us! Remember to tag your tweets with #obsm so everyone can see them. |
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