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Something isn't adding up here. If she's getting in 109g protein, that's 436 calories right there. If she's only taking in 662 calories, then her protein would be about 65% of that. Maybe some misinterpretation of what MFP is reading? I can see that they might "recommend" 35% protein for her low calories - a typical normal diet might be 15-20%, and a bariatric weight loss diet might well be 50-60% (or more, at the beginning when we are eating little else other than protein.) 60-80g would be a typical recommendation for a woman with a sleeve, as there is no significant malabsorption involved, though some go higher than that as a means of avoiding "carbs", or under the false assumption that the extra will help avoid loss of muscle mass (it will to the point that one is actually working to build muscle mass, but the only thing the excess does, other than make expensive urine, is to avoid deficiency, but one doesn't need much extra to avoid that - the typical bariatric recommendations will cover it.) It does sound like a bariatric RD would be a good person to consult, and if she is truly only getting 6-700 calories and still struggling, then there may be some other metabolic issue going on, and some other appropriate specialist may be in order. But a good RD would be a great start in getting a good baseline of what is really happening dietwise. Starting at 400 lb, a sleeve is often somewhat marginal for getting to normal, particularly for a woman of that size (how tall is she - that's a factor as well in determining an appropriate goal and understanding metabolic issues.) You say that she recently moved cross country - where is she now - that can be a help in finding new specialists. It might be that the VSG is indeed marginal for her needs, and she really needs something stronger. A DS is a straightforward conversion from the VSG (as it uses the sleeve as its basis) and is typically the strongest metabolic tool of the mainstream procedures, so that is also a longer term consideration.

To celebrate reaching my goal weight (95% excess weight loss), I had a DexaScan done to measure my body fat percentage. I'm at 20.6%, which is in the Ideal range for my age. The scan revealed that my weight loss was mostly fat and not muscle.

Dang girl. Get i!!

This isn’t a NSV, but everyone reading this thread HOPEFULLY can give me some insight. I am 18 months PO. I have lost 156 lbs. (total) BUT, WHY do I bite the inside of my mouth when I chew sometimes! Is it the weight lost in the face, sagging to allow me to ‘bite it easier’ now?

i typically weigh myself once every 2 weeks to see where i am at.

Yea the weight loss does get slower the closer you get to a normal BMI. My last 20 or so pounds were a BEAR to get off. I worked my butt off and lost about 2 lbs a month. But I finally got there...

NO ! You haven't wasted anything ! You have GAINED experience, you have gained the knowledge that IF you eat certain foods, you won't lose weight. One of the biggest issues for many people, myself included isn't losing the weight... if I really set my mind to it.... it is keeping it off. I am a dozen years post surgery. Look at where I started and where I am now. About 4 years ago I decided to take some gained weight off.... again... and to stop every so often and maintain THAT weight for a while. BLEW MY OWN MIND !!! I could eat more, or eat treats and maintain my weight each time. Two years ago I got down to about 172 - 173 and decided to stay there and only panic if I got to 177. I kept a 40 pound weight loss for 2 years. AFTER losing 120 pounds 12 to 10 years ago. A while back... a few months I decided that I would just try to get back from an average of 175 to maybe that 172. Took my time, made some small changes. Gained 2 pounds during the 8 days of Chanukkah with some latkes and jelly donuts. And family dinners. Not a problem. Went back to what I was doing before our holiday and lost the two pounds ... (again) and didn't beat myself up over it. As soon as I stopped eating the holiday foods, the two pounds came off and another couple pounds after that... For me, it is all about getting into the right head space and weighing daily, watching what I eat, and balance. Friends dropped off dinner for my adult daughter and I tonight.... line caught, home made fresh FRIED fish. And french fries. (REALLY ?!) The fish was delicious. I ate 4 fries. And a piece of fish. I have fish for lunch tomorrow, and dinner..... and my daughter has fish and fries for days... I am the same weight now as I was in college... in 1977. From my heaviest weight I am almost half of myself. NEVER ever say that you cannot. Take a break from being so hard on yourself. Take a week and maintain where you are now. Then go back to where you need to be. You can do this.

Hey there! I started with a lower BMI and had lots of success! I am 5’ 5”, started at 209. Within 6mo I was WNL and a year later I was about 145lbs & am happily staying there. I have actually heard that lower BMI (30-35) has more long term success with the sleeve, in part because folks at that level tend to not have as many food addiction or unhealthy habits. There are some studies going on to demonstrate the success of lower BMI folks, with the hope that eventually insurance will cover lower BMIs more often. (I just eeked in at BMI of 35 at my highest- may have purposefully gained a few to do it.) IMHO the trick is to track what you eat and have a balanced diet (not another low carb, highly processed fad nonsense diet that’s just going to fail long term.) So, yes! Lower BMI patients absolutely have a ton of success. And potentially have greater long term success. So go for it! You will do great.

My goal weight put me at a BMI of about 23. I’m at about 19.6 now but was a little less. I’m an outlier & initially lost about 137% of the weight I had to lose. I maintained that for about a year. At the end of last year, my HRT dose was increased & I had to increase my protein intake (absorption issue) & I put on a good 2 kgs in the same month. I’ve lost a little of that but have maintained that new weight for about 6 months now making my loss about 132%. I look at BMI as a guide only. I chose my goal weight based on a weight I was always able to get down to in the past - I used to bounce between 60 & 75kg until menopause. Too many factors can influence what is the ideal weight for you. Age, skeletal frame, gender, level of activity & muscle mass, health considerations, etc. Plus, & most importantly, you have to be happy & able to enjoy your life. If the dietary restrictions or exercise regime you have to follow to maintain a lower weight are too restrictive & limit how you want to live your life it won’t be sustainable.

No problems at all for me. My psychologist is in the same practice/program as my surgeon, dietician, and exercise physiologist. Getting appointments is easy for me.