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Store bought rotisserie chicken breast sautéed in butter, pickled beets and couscous.

I had my RNY in September 2023. The day before my surgery, I took a tailor's tape and measured my neck, chest, belly, waist, hips, thigh and calf. I've reached a loss of 165 lbs and took those same measurements again on the weekend (in inches); Neck 17 -> 14.5 = -2.5 Chest 52 -> 44 = -8 Belly 57.5 -> 44 = -13.5 Waist 47 -> 39 = -8 Hips. 51.5. -> 41 = -10.5 Thigh 32 -> 24 = -8 Calf 18.5 -> 16.5 = -2 Total inches lost: 52.5 That's almost 4 1/2 FEET. I am currently about 20 lbs short of my goal.

DaisyChainOz, keep your chin up! You know you've got this! Sooner or later we'll encounter obstacles. Fight the good fight, and hang in there - you'll be off the plateau and on your way again. Cheering you on!

Both are very important to your general health. Vitamins because you’re not able to consume enough of a variety of foods to get all the nutrients your body needs to function effectively. Protein should be your focus not only now but forever. It can be a challenge to reach your protein goal every day especially in the first couple of months after surgery when your portions are so small. But work at being at least close to your goal and that your general trend is you’re consuming more and getting closer to the goal. We usually say eat your protein first then any vegetables you are able to and lastly any allowed complex carbs but only if you are able to eat more. This often means a meal is solely protein and nothing else. Protein is very important to your wellbeing and if you’re not consuming enough your body will take it from any it can i.e. your muscles. Not taking your vitamins or meeting your protein (or any other goals you are given) will have a negative impact on your health. The regular blood tests your surgeon & team will request are to ensure you’re not deficient in any nutrient. (5.75yrs out I still have regular blood tests - was 3 monthly until year 4 & every 6 months now.) You are likely experiencing a stall. Stalls are very common with the first one (yes, first one) almost all of us experience occurring around the three week mark though it can be earlier or later than that. @catwoman7 would tell you, there are literally 10s of 1000s of posts here about the infamous three week stall. A stall usually lasts 1-3weeks though some experience longer stalls. Frustrating yrs but they happen for a reason. A stall occurs when your body shuts down to reassess your current needs in response to your weight loss, smaller calorie intake and this first one the stress of your surgery & recovery. You will start to lose weight again when your body is ready to move forward again. Stick to your plan & meet your nutritional goals as closely as you can so you’re not & stressing your body more than it already is experiencing.

I think the first thing that comes to mind is just how varied dumping syndrome can be. When the bariatric teams talk about it, they tend to tell you all the symptoms and that it tends to happen pretty quickly after eating. Unfortunately, it's not that simple or straightforward. Some people may only have one or two symptoms. Others multiple symptoms. For some people it happens really quickly, and for others it can take hours before it begins. Time to recover is also really varied. For some it's over with in 30 minutes or less. Others can be in agony for many, many hours. As an example, I'm over 2 years out and for the longest time I just assumed I was one of the lucky (or cursed depending of your perspective), people that didn't really have to worry about dumping. I can eat almost anything and not have "typical" dumping syndrome. What I do have is what I was calling reactive hypoglycemia, meaning I was having low blood glucose issues ~3 hours of so after eating. After talking to my bariatric surgeon in my last checkup, she pointed out that what I was calling reactive hypoglycemia, is likely just a different form of dumping. Once I started being more careful about not eating a bunch of added sugar without sufficient protein as a buffer, the symptoms mostly went away.

Thank you for the insight into your experience. I appreciate your perspective on it all.

Okay, so I had reached a BMI of 40 when I got the referral to the surgical team. But with 6 months of nutrition counseling and the 2 week liquid diet, the day of surgery I had a BMI of 36.3. I chose the bypass and I am very happy with it. My weight loss has not been the dramatic numbers you see with larger patients, but it's been stunning to me. I am almost a year out and am currently within 9 pounds of a normal BMI. I have not been this weight in 30 years and I firmly believe no amount of diet and exercise alone would have gotten me here. I would do it again in a heartbeat and wish I had done it earlier. With regards to the bypass itself, I am very pleased with it. I chose it over the sleeve because of GERD concerns and because my brother, who had the sleeve 15 years ago, has had a lot of regain that I think the bypass will help me avoid to some degree. I had some issues with vomiting for the first several months when I didn't eat very slowly or had something that was not the "right" texture for my picky insides. But other than that, I've been great. At this point, I can eat about a third to a half of a typical portion of most meals so I don't feel like I get funny looks or anything from people who don't know my situation. I do not experience dumping, which is sad because it means I can eat sweets if I want them without getting sick. And yes, I do want them, so managing cravings is my biggest challenge. I no longer care much for bread or pasta and I also don't eat rice. I do like a few roasted potatoes sometimes and I will steal a couple fries from someone else's plate but I won't order them for myself. I mostly prefer protein, veg, and fruit. And, yeah, sweets... My labs have all looked good so far (have to go get blood drawn next week ahead of my 1-year follow up). I feel fantastic. My one concern had been not being able to take ibuprofen because I was taking it a few times a week for pain. Well, within weeks of the surgery, even when my weight was still fairly high, my pain went away. I have had one time in the past year when I had a headache and wished I could take ibuprofen (and actually, I could have if I had really needed to because a single ibuprofen, or even one a week, is not a high enough risk to worry about).

Thank you so much for your reply. I really appreciate your perspective. ❤️