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Hi all, So I just had my psych eval and he told he that he is clearing me! He wants me to meet with the dietician, start only calorie counting (I was doing WW to lose the pre-op weight goal), and wants me to continue my vitamins ( I had wrong ones). Anyways! this is awesome news- how long after this do I get my surgery date?

When I was still losing & exceeding my goal, my surgeon said he thought I’d lost enough & needed to up my intake. I said I’m not deliberately trying to lose more but I could only eat what I could eat at that time & I thought the extra loss would help if I did have a regain - some wriggle room. Of course I kept losing & they stopped commenting as my surgeon & his colleague realised I was actually more finely built & my weight was okay. They prefer me to be a little more than I am currently (more 50kg) but I weigh what I weigh. I slowly started adding snacks to my intake to slow my loss as I was able. In time though I was able to eat more for a meal so I reduced my snacks until I found that balance/sweet spot to maintain. I’ll always need to snack because I generally eat pretty cleanly & therefore lower calories. Over time I’ve worked out what foods I’m better off avoiding & what foods I can only have occasionally. I’m not a calorie counter or food tracker but do random checks - it works for me. Watching what I eat & being aware of portion sizes will be a lifelong behaviour. As others have said it wouldn’t take much to start down the weight gain path. To me it comes down to what weight you feel most comfortable at, is easy to maintain & working out a way of eating to support that weight that is sustainable & doesn't restrict or affect your life/lifestyle. All the best.

I would not be too concerned about losing too much weight. Unless you have extremely rare and serious complications, it is infuriatingly easy to eat more than enough calories to maintain. For most people, avoiding regain is the biggest concern in the long term. I’m about 3.5 years out and I have to be super careful to track my calories and work out every day. If I weren’t careful to eat low-calorie foods, I could easily gain back a lot of weight. The effects of the restriction wear off over time and I can eat much larger portions than I could, say, 1 year out. Not nearly as much as I could eat pre-surgery (I was a bottomless pit!) but if I were still eating the same high-calorie foods, I would be in trouble. The only reason I’ve been able to maintain my weight loss so far is because I completely changed the way I eat. Going through the post-op diet progression forced me to reset my diet, relearn how to eat. Now that my restriction has weakened and I can’t rely on my stomach to limit my portion sizes, I have to fill my stomach with low-calorie foods. In some ways it’s easier than before surgery because I’ve retrained my palate and developed good habits, but it is definitely still a struggle every day.

I've been told by a lot of vets to ride the weight loss down for as long as it lasts, even if you dip way below your goal weight. Usually the weight loss will taper off by itself unless you have extreme complications, and that breathing room will be welcome when you hit that rebound and gain some before balancing out. At least that was the advice given to me by DS vets that have maintained their weights for well over a decade, so I assume the same holds true for bypass patients. It is very rare to lose too much, but it is possible that your body's happiest set point is lower than your goal weight, and you'd never know if you don't let the weight loss continue until it naturally tapers off. I don't know what maintenance looks like for a bypass patient, but I suspect like Catwoman7 says, there is some measure of monitoring and portion controlling that will always be there, just like a lot of naturally thin women engage in to maintain their weights. I figure you either track your food (with an app), or you track the scale, or you track both. But most women I know track something regularly to maintain. I'm so excited for you being so close to goal!!

Oh for heaven's sake... It's like you keep buying the winning ticket in the medical maladies lottery. I really hope you're back to feeling better soon, and that this is the last time you have a scare like this!

NickelChip you are amazing, this is truly reprehensible behavior from the admin at the hospital, and you are just not batting an eye, rolling on with what needs to happen to reach your goal in a new direction.

Buying clothes and shrinking out of them before I get to wear them. It's a bummer, but hey, it's a good problem.

Lmao that is too funny, and thank you so much for the laugh. I needed that!! It is 10:40 pm here currently, and I was so nervous today that I only managed to gulp down one Optifast lol. Really did not feel hungry at all because I am anxious, but also so excited. Love your personality! 🥰

Starting my liquid diet tomorrow, and I will be on it for 3 days. Surgery is at 7:30 bright and early on Wednesday morning... Super nervous!

In any case, I wish this person the best of luck.