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First off, let me say that you should always listen to your doctor and nutritionist...rather than crazy people on the internet, myself included. But here's my rant today. And for what it's worth....this is just MY feelings on this nonsense. I'm no expert. Ya'll need to eat. Not overeat. But also NOT UNDER-EAT. Eat healthy food you enjoy. I know how it happens. Your weight loss gets sluggish and stuck and you think OMG, this isn't working, I'm Failing at this! You start to panic. And what does a lifelong self-destructive dieter DO when they start to panic? They go exteme. They go...ok, my doctor said it was ok to eat this much.....so I'm gonna try to eat HALF of that to speed up my weight loss! I'm going to work harder than anyone! I'm going to eat less! I'm going to force this weight off of my body...because this is my last chance and I'm freaking out and I can't fail at this, so I NEED to do better and cut back! Only, here's the thing. You don't need to cut back. You need to stay the course, nourish your healing body, have good energy to boost your metabolism and lose weight sensibly. Why do people do VLCDs? (very low calorie diets....1000 or less calories a day)....they do them because they show results in a hurry. And there is nothing people like better than a lower number on the scale...regardless of how they're achieving it. Or how harmfully they are achieving it. When you eat less than 1000 calories a day, did you know you lose more muscle than fat...even if you are eating tons of protien grams? When you lose muscle, you slow your metabolism, endanger your organs that have muscle (heart anyone?), and decrease your bone density. None of this is a good idea. And when you're eating starvation level calories, your body tries like hell to keep you from dying....by, you guessed it, slowing your metabolism even further. And the carb thing...can we talk about that a minute? You DO want to avoid carbs that are metabolized to sugar really fast, like sugary foods and refined white flour items because they can cause your pancrease to over-react and send too much insulin and you'll end up with rebound hunger....but other carbs, particularly ones that have good fiber content to slow the sugar can also have good protien content...and they don't do the rebound hunger thing. They give you great available energy. Why do we lose so much weight so rapidly when we do keto? We don't really....but the first five pounds is so quick and shocking that it MUST work! (except you're not losing fat, you're losing the water that your liver stores extra glucose in.....and you've stripped your liver of its emergency reserve of energy. And yeah...you can make the sugar you need from other things through gluconeogenesis....but it takes amino acids that your body is typically harvesting from your muscles.) Don't do that thing where you lose the five pounds eating keto....then eat a few carbs and go OMG, look at the weight I've gained!....and go keto again and lose the same five pounds of water. It's an illusion. (Not saying keto people can't lose weight...they do lose weight fast...but they also have about five pounds in lost water from glucose storage, no emergency stores, and their bodies may be consuming their muscles) Food for thought (literally!) Guess what organ runs exclusively on sugar? Pure glucose. Your brain. Your brain burns over 300 calories of glucose every day. At just 2% of our body weight....our brains burn about 20% of the calories we use each day! The CPU needs fuel. Lots of people lose weight rapidly with Very Low Calorie Diets after bariatric surgery. They have these amazing results that other people notice and are in awe of. They lose to goal eating very little and feel very accomplished about their self discipline and their amazing fast results. And then guess what happens? At goal...they are still people who have never learned how to eat sustainably for life. All they know is starvation and self deprivation. And starvation doesn't work long term. Please learn to eat sustainable amounts of calories. Do it early so you don't fudge your metabolism into starvation level calorie requirements. One of the best ways to have a robust metabolism...is to do exercise every day. It doesn't have to be the gym or something you find tedious. Do things you enjoy....but keep moving. It's hard to build your robust metabolism.....when you're too tired to do anything but go to work and go to bed...because you're starving yourself. Please eat. Don't overeat. But eat. Learn to eat right, not starve. Starving is not the cure and in many cases sets the stage for significant regain. Do it right, even it it's slower than other people. Do it sustainably. Learn to coexist with food, not avoid it. (easier said than done) Don't get discouraged by small losses. Just keep losing to goal with small sensible tweeks. You don't have to suffer extremes to have success. Learning to control your diet moderately...is the best skill to have when facing a lifetime of sustaining a significant weight loss. This end my rant. Totally ok if you think I'm nuts/wrong/whatever. Take what you like and leave the rest. Peace and best wishes to everyone on this crazy road.

Well said. I also generally agree with your overall point @Creekimp13. Self-starvation is harmful, non-sustainable and counter-productive in the end. And my experience taught me that SPEED of loss is not as important as continuing to lose. It took me almost two years to reach goal and toward the end I was losing only about 1-2 pounds per month. But even that slow loss adds up over time and I got where I wanted to be! But as @BayouTiger said, we really are all different. For instance, you said: This may often be true, but I am currently in maintenance and eating about 1000 calories per day. I'm not restricting myself to that number, I eat about six mini-meals per day and plus small snacks whenever I am hungry. And I am exactly maintaining on that intake (besides normal fluctuations). I track my food pretty carefully, so my calories counts tend to be pretty precise. Some days I may have what I call a "munchie" day and eat more - I don't fight it. Some days I'm uninterested in food for some reason and I'll eat less - I don't force it (besides trying to hit my protein goal). But it averages to about 1000 calories per day. I'm short at 5'1", I've lost more than half my body weight, and I'm guessing I have a fairly low BMR. So the assumption that everyone eating 1000 calories a day or less is crash dieting for quick results is not always valid. As @BayouTiger said, I know your heart is in the right place and someone out there probably needs to read what you wrote. But you can't lump everyone together.

when i was did puree week, i found that adding a "flavourless" (i mean, it's NOT flavourless, but it's alright) protein powder (at least 30g protein per serve) to yogurt really helped me. that and protein powder with low-fat milk and fruit blitzed to smoothie consistency. proud of you, you can get over the hill!

Thank you thank you. I've been afraid to add things because they were so strict on this stage being straight about protein.

Hi! I also have PCOS and I am going to go with the sleeve hopefully soon! My surgeon explained that for PCOS the sleeve is a better option for me  bc they remove the stomach hormones and if for some reason the sleeve doesn’t get the desired results then can always do a bypass down the road.  Something I just learned is dairy is not good for PCOS. I thought I was doing good drinking Premier Protein shakes and the dietician said to reduce dairy and do plant based Protein with almond milk fit shakes( Vega Protein Powder is sooo good) bc dairy cause inflammation and other trouble for pcos. Hopefully once you learn more and your test results come back you can make the best decision for yourself! Keep me posted on your journey! Good luck! 

TY catwoman7 and Arabesque ok i am horrible at figuring how much i lost i think i meant 10 a month..lol i stated at 223 and yesterday i weighed in at 187 an its week 12 so whatever that turns out to be. he did say it should be 30 a month. so i am friggin failing evidently lol i have landed in the hospital 2 times to get iv fluids. i have expressed my concern and issues to the doc but he keeps saying to be patient and it takes time and everyone is different. blah blah.. and reiterates what to do again. doc says 3 pieces of anything is all i am suppose to eat. i dont think a body can survive on that. hence my issues. at yesterdays apt FINALLY they said to try prilosec and the anti-nausea med once a day and see if that helps - if not they are gonna look into my gallbladder. i agree my gut feeling is there is something odd gong on.. this cant be. i have another apt next week - and if not more normal by then i am gonna insist on an x-ray or something. thank you both for you comments.

we get some real doozies on here once in awhile. We haven't had one in awhile, but if you stick around long enough, one will eventually show up.

I was STARVING hungry until the 3-4th week post surgery when I started eating 1200 calories a day.

Thank you so much for your reply! I was trying to find out what is the medical reason for this. Everyone has been giving me advice on food choice, which I understand and accept but I was wanting to find out what the reason was for there not being restriction to begin with. This is the first time in my research and in reading replies that I am feeling like this connects to what I am asking. I did not stretch out the pouch, it has never offered restriction to begin with either time. I thought there was error in the first operation. It clearly was not though because the exact same thing happened the second time and now I am just now trying to see what is going on on the inside of me that creates this mechanism to begin with.

Caffeine was not restricted in any phase of my pre-op or post-op diet. You should ask your nutritionist for clarification because you are going to get a bunch of different answers.