SpartanMaker

It about has to be something you're eating. I don't think this is necessarily related to your weight loss surgery, but it's possible I suppose. If you haven't talked to your surgical team, I'd recommend at least asking about it. That said, I'd be looking first at a food insensitivity. There are lots of things people can have issues with, but some of the more common ones are dairy, histamines and gluten. You can try an "elimination diet" to see if what you're eating is causing the problem. Google it if you're not familiar with the idea. Something else to consider is adding probiotics to your daily regimen. When your gut bacteria are out of kilter, it can cause a lot of gut issues including bad gas. Good luck.

The truth is that you are many times more likely to die of complications related to obesity, than you are from anything related to the surgery. In addition, WLS surgery actually has a much lower complication rate than a lot of other common surgeries like knee surgery. While nothing's guaranteed, as long as you follow your surgeon's instructions like quitting smoking (if you smoke), following your pre-op diet (assuming you have one), following your discharge and post-op instructions, it's really unlikely you'll have any issues whatsoever. The complication rate is a lot higher for older patients (70+), smokers, and those with severe pre-op conditions like undiagnosed heart disease.

I also take a LOT of meds and supplements. I'm probably at about 30 per day. I had no issues whatsoever taking everything once I got home from the hospital, but I did have to space things out a bit. Early on, it was quite a chore just keeping up with everything. The biggest issue was that I was told not to take more than 1 capsule at a time since they can stick together and then potentially not pass through the stoma. More than one tablet at a time was fine, but capsules I needed to be careful with. Now that I'm further out from surgery, I don't really worry about that anymore. I currently take quite a few tablets and capsules together and have no issues.

I have no issues whatsoever taking pills. I'm 4 months in now and I can take a big pile at a time just fine. Hopefully it will be the same for you.

That's awesome news! I too have been dealing with something sort of similar, so I totally understand. Back in november, I noticed a mass in my neck. We did some biopsies, but they were inconclusive. I'm sitting here right now after just getting home from having the mass surgically removed. I unfortunately won't know for sure if the tumor was malignant or not until sometime next week. It's really tough dealing with all the emotions, but probably hardest for me has just been the thought that I worked so hard and went through so much (e.g. WLS), to try to get healthy, only to discover it may all have been for nothing. Could really use all your thoughts and prayers as I fight through this and hopefully fully recover.

Fairlife is my go to. I especially like the Salted Caramel and if you shop at Costco, they carry them. I find the Fairlife drinks just plain taste better than most other brands I've tried. I also learned something cool, at least for me. If you like Lattes or cappuccinos, Fairlife will froth just like milk. (Premier Protein won't.) I froth half of one of Fairlife drinks and add that to my coffee of choice a few times a day.

I had surgery at 58. Looking of global demographic data, it would appear that the average age for weight loss surgery in most Western countries is between 45 and 50. Asian and Middle-eastern countries tend to have a younger demographic.

I bought a couple and personally didn't find them useful at all. Early on post-surgery, they were suggesting things that didn't match my plan, so I couldn't make any of the recipes. An example I remember is something called "Ricotta Bake". This is supposed to be a puree stage food, but it was not allowed on my plan until later in soft food stage. By then, I didn't have to restrict myself to just the ingredients in Ricotta Bake, so I never ended up making this. There were lot's of other examples, but this is one I specifically remember. I'd also say that 75 or 80% of these recipes are readily available on the web for free, so once again, probably no need for a cookbook. I'm 4 months in now and we just make "normal" recipes. I simply eat less of whatever we make.

Yes, crazy good to wear those smaller sizes! I've been losing so fast that I've actually dropped through some clothes I bought after surgery. I still struggle to see it myself sometimes, but going from a tight 44 to a lose 38 waist in pants makes it pretty obvious. I've had a few major stalls as well, but am officially down over 100 pounds now. I'm obviously really happy about that, but also a bit shocked at how fast it's come off. @Hope4NewMe don't count on maintaining a 10 pound loss per month. For the math geeks, most of the time weight loss follows a pattern called exponential decay. It looks something like this: The important takeaway is that the closer you get to goal, the slower the loss.

I think there are a few questions you need to answer first: Why are you struggling to lose that last 100 pounds? What are you expecting medication to do for you that you can't do on your own? Can you afford it? Most of the newer GLP1 agonist weight loss medications (e.g. Ozempic, Saxsenda, Rybelsus and others), are not covered by insurance. If you are self pay, they may cost $1,200 to $1,500 a month or more. Keep in mind (as some have pointed out above), most people that lose weight with these meds gain the weight back when they stop. If price is not a consideration for you, can you even find the medication? Some of these medications are in critically short supply right now.

I concur with @summerset. I'm not really following what you mean by "more than recommended" or why you find it worrying? If you're eating more than your team said you should, stop doing that. Problem solved. Keep in mind that early on after surgery your stomach is inflamed and multiple nerves have been cut. In short, it's unlikely that you'd be able to feel all the appropriate signals to tell you when you're full. This is why most team's have recommendations on specific foods and volumes you should be eating at every stage. These are not only for the safety of your healing stomach, but also to keep you from eating so much you make yourself sick. They are NOT hard "limits" of exactly how much your stomach can hold. Please tell me if I'm wrong, but my suspicion is you were expecting surgical restriction to keep you from overeating and you're testing the limits. Because you are able to eat more than what your team suggested you eat, you are worried that this means you're going to fail later. This is an important point, so I'm going to bold it: Success or failure post-surgery probably has more to do with your ability to follow your team's recommendations than it does with you being restricted by a smaller stomach. Once you get past the initial stages, it's can be as easy to overeat as it was before surgery. If you are headed down this path, I highly recommend working with a therapist that specializes in disordered eating because surgery alone may not be enough.

it's not that unusual to see similar results. You are likely just retaining fluid post-surgery (very common), which could mask any fat loss. Give yourself time and try not to stress. The weight loss will come.

Here's my two cents: Obesity is a medical condition and bariatric surgery has proven to be the most successful long-term treatment option. I'm surprised that even among those of us that have had WLS, we sometimes still act like it was needed due to a lack of willpower or some sort of moral failure. We really have to get over that and acknowledge obesity as a disease state that sometimes requires surgical treatment. To me, it follows that many children also suffer from obesity and that it would be morally wrong to withhold effective treatments options. I wouldn't withhold cancer treatments from a child, so why would it be okay to withhold WLS from children if we know that it can effectively treat their disease state? Regarding all the comments about can a child understand the need or what's required long-term, that really feels like a red herring. Just like we all had to show that we were ready for surgery by jumping through various hoops like psych evals, nutrition visits, & documentation of past diet failures, I would expect the same to be true for children. Those children or parents that aren't ready would be disqualified, just like some people can't or won't complete all the requirements as adults.

There are lots of diet plans, both pre and post WLS so it's hard to say exactly what you should do. Personal preferences also play into this a lot. I'd recommend talking to your team as they will have the best info regarding their plan and what they want you to do. As far as protein drink recommendations, I prefer the Fairlife Nutrition Plan pre-made shakes to most others. On the exercise front, sounds like you have a decent plan already, but I'd add a couple of things: Squats are great, but don't neglect your upper body or core. If you can, add in some planks, side planks, pushups and pullups. All of these can be modified to where you're at physically. For example, if you can't do a regular pushup, start with wall pushups. Progress to an elevated surface such as a bench, then move on to a pushup on your knees, etc. Make sure you keep in mind that you want to keep progressing in both the strength and cardio work. So maybe instead of walking just a mile and quitting, try to extend that a few minutes this week, then do a few more minutes next week, etc. Work up to 45 minutes to an hour a day. Instead of just increasing time, you can also vary your pace with walking "intervals". This would be maybe 30 seconds of all-out walking as fast as you can, followed by 2-3 minutes of a more normal pace to recover. Over time, make the all-out push last longer and/or shorten the recovery period.

Reposting something I posted elsewhere: First, the most common reason for any stall, including the dreaded 3-week stall is simply that you are retaining more Water. There are a few reasons this happens, but around the 3-week mark it comes down to the fact that your body is adjusting to a low carb intake after converting from glycogen to ketones for energy. More water is needed to burn glycogen, so you were retaining more water pre-surgery than you are now that you're using primarily ketones for energy. At about the 3-week mark, your body eventually recognizes that the water loss is long term, so other mechanisms have started kicking in to start holding on to more water. This water loss due to the change between glycogen and ketones is the primary reason for "keto flu", and something that increases your risk of dehydration early after surgery. The other "reasons" for plateaus really don't apply as much at the 3 week mark, but will become more important later in the process. Let's cover those too though so you're prepared: As you lose more weight, your overall metabolic rate will slow down. People sometimes think fat is not metabolically active, but that's not true. Less fat means your metabolism slows down, even if you retain the same amount of muscle. As you lose weight, it takes less effort to move, so the amount of calories you burn from activity also drops quite a bit. As you progress, you'll be able to eat more and especially if you're not tracking intake closely by weighing and measuring your food, you can easily be eating a lot more than you think. This one may be TMI for some, but you may simply be retaining more stool. This is going to be hard for some people to hear, but I can tell you one thing it's not, and that's hormones. Yes, various hormonal processes negatively impact weight loss in a myriad of ways, but they don't overcome basic physics: if you eat less than you are burning, you'll lose weight. What these hormones can do if they're out of whack, is not good things like slowing your metabolism, increasing your hunger, screwing with water weight, or even fooling you into thinking you're eating less than you are. So, with all that sciency stuff out of the way, what do we actually do if we're in a stall? Well, I think it depends on when it happens and how long it lasts: If it's early (a.k.a. the 3-week stall), just keep doing what you're doing and you should be fine. I know people don't like that advice, but as I said, it's just water, so don't worry about it. Later on, especially if the stall is lasting longer than 2-3 weeks. that's when I think it's important that you look closely at what you are actually burning, as well as really tracking what you are eating. If you don't know your BMR (Basal Metabolic Rate), you should. The closer you are to goal, the harder it is to get the balance right between intake and output to make sure you're not eating too much, so fixing this starts with knowing your BMR and accurate food logging. There's a lot of anecdotal advice thrown around about "ways to break a stall", but there seems to be little scientific evidence for any of it. Most of it certainly won't hurt to try, e.g. breaking up your routine in terms of diet or exercise, but just understand that this change may or may not have had any impact. If it makes you feel better to be proactive, go for it. Longer term, there is one piece of solid advice that's backed up by lots of research: Even if you don't really like working out, do it anyway. Those WLS patients that make a regular habit of exercising for 45 minutes to an hour most days a week are significantly more likely to reach their goal and maintain the weight loss. (One caveat here: significantly changing your exercise routine can make you retain water and possibly even add muscle, so don't freak out if you see a stall or even a gain.) I'll take that exercise advice one step further and say you really should be doing some form of strength training. This is also backed up by lots of studies, but the great thing about strength training is that it makes your burn more calories even at rest (in other words, it increases your metabolic rate). There are lots of other benefits, but the metabolic benefit is the most germaine to the stall question. Those that do strength training are less likely to stall during weight loss.

The U.S HHS Office of Disease Prevention and Health Promotion created a generic recommendation for all Americans: For substantial health benefits, adults should do at least 150 minutes (2 hours and 30 minutes) to 300 minutes (5 hours) a week of moderate-intensity, or 75 minutes (1 hour and 15 minutes) to 150 minutes (2 hours and 30 minutes) a week of vigorous-intensity aerobic physical activity, or an equivalent combination of moderate- and vigorous-intensity aerobic activity. Preferably, aerobic activity should be spread throughout the week. Additional health benefits are gained by engaging in physical activity beyond the equivalent of 300 minutes (5 hours) of moderate-intensity physical activity a week. Adults should also do muscle-strengthening activities of moderate or greater intensity and that involve all major muscle groups on 2 or more days a week, as these activities provide additional health benefits. To provide more structured advice, I'd need to understand a few things. First, what do you hope to accomplish from an exercise program? Some common goals might include: Improve overall health (e.g. lessen risk of heart disease, diabetes, etc.) Get stronger / Make day to day living easier Help control weight regain (notice I didn't say lose weight as you can't out exercise a bad diet) Improve mental health / reduce anxiety & depression Sleep better / Have more energy Improve body composition (more muscle mass = more calories burned even at rest) Look good naked Next, are their specific activities you like or don't like? Some people hate gyms, others love them. Some people like to "play" to get exercise (think sports/outdoor recreation), while others love the solitude of walking/running by themselves. Basically what I'm asking is for you to do some self-reflection and think hard about what you think might work best for you. Finally, can you be more specific about what resources you have available? You mentioned a gym (which is not entirely needed), but beyond that? Do you have or can you get: A heart rate monitor (e.g. fitness watch or strap) A place to walk outside or access to a treadmill Other exercise/recreation equipment such as a bike or stationary bike, kayak or canoe, Nintendo Ring Fit Wii Fit, etc. A set of exercise bands and/or dumbbells, Sufficient space to workout at home if you don't go to a gym I'd also really like you to fill out your profile here on Bariatricpal. Details matter. In addition to that, it would be helpful to know some things like: Your age How you'd rate your current fitness level If you have any specific physical or health issues that might impact what exercises/activities you're able to do In short, the more details you can provide, the more tailored I can make a recommendation. Best of luck.

Rather than determine what you can eat to "satisfy" that craving, maybe it would be better to try and first understand why you're craving sweets at all? Some thoughts on possible things that may be driving this feeling: Forbidden foods: If you think of sweets as "forbidden", this can actually intensify your cravings for them. You might need to rethink your relationship with certain foods if this is true. Stress or a desire to self-soothe: Stress as well as physical and/or emotional pain can definitely drive you to crave things you see as comforting. For many, sweets may do this because eating them can trigger endorphins and dopamine in your brain in the same way powerful illicit drugs can. Contextual associations: We sometimes associate certain food with certain things. Examples would be people that feel they have to eat dessert or the meal isn't "done". Another example would be people that eat popcorn at the movies. Boredom: Typically boredom doesn't drive specific cravings, but can absolutely drive you to eat when you're not really hungry. Nutrient deficiencies/poor hydration: While there's a lot of anecdotal references for the idea that your body will crave certain things if you have a specific nutrient deficiency, there's not much scientific evidence for this belief. (In fact there's a lot of evidence that it's not correct. If that was actually driving cravings, we'd all be craving kale and broccoli instead of sugary, salty, fatty foods) That said, there are studies that show both poor hydration or insufficient protein or fiber will increase hunger. In this case however, your cravings would most likely be less specific and more "I'm hungry", vs. "I want sweets". i think once you understand the WHY, you'll be better armed on what you can do to address the craving. In some cases, distractions like @Arabesque mentioned may actually work better than finding a sweet thing that "satisfies" your craving. In other cases, you might be better off eating off plan if the "forbidden" food is the culprit. Only you can really know what's driving this and how best to deal with it.

Can you explain what you mean by false equivalency? A lot of the things @Nepenthe44 mentioned seem to be listed as warning signs for ED: https://www.nationaleatingdisorders.org/warning-signs-and-symptoms https://www.allianceforeatingdisorders.com/8-signs-you-may-have-an-eating-disorder/ https://www.healthline.com/nutrition/common-eating-disorders#signs It's plain to see that some of the things bariatric programs (and this forum), encourage are also listed on those pages. Certainly those things alone don't equal an ED diagnosis, but I do think some of them may cross the line into disordered eating, especially if they lead to or cause issues in other parts of our lives. For example: Do you worry about "messing up" on your bariatric program to the extent that it's causing severe anxiety issues? Alternately, if you do eat off plan, do you express self-disgust and make plans for how to "make-up" for what you ate through extreme exercise or fasting? Are you constantly worried about "going over" your calories and/or macros and do you spend hours every day (to the exclusion of work or family), tracking these things? Do you actively avoid eating or drinking in public because you don't or can't eat like a "normal" person? Do you compulsively weigh and measure yourself and freak out when something is off a bit? To me, these are just a few possible examples of how "what's expected of a good bariatric patient" may just cross the line into an eating disorder. Regardless of the reason or intent, when our relationship with food or our bodies becomes an obsession, we have an issue.

I think we don't talk about it because what is there to say? I'm pretty sure we all recognize that WLS does not fix eating disorders and that therapy is the recommendation. Beyond that, what would we discuss? I don't agree with this assessment, but for what it's worth, the medical community seems to believe that full blown eating disorders are fairly rare in the obese patient population. This is one of the reasons the clinical recommendation is to screen for eating disorders prior to WLS. If an eating disorder is discovered during the psyc eval, it can be a contraindication for proceeding with WLS, depending on the severity and the behavior in question. My personal belief is that you just about can't become obese unless you have some level of disordered eating. Perhaps for many of us the level of disordered eating is sub-clinical (in other words, it's not to the point where we would formally be diagnosed with an eating disorder), or perhaps lots of people aren't fully truthful during the psyc eval to avoid being told we don't qualify for surgery. Either way, I think we have a lot of people that complete surgery and have disappointing results because they only treated part of the problem,

I'm really worried that you're overtraining. While physical exercise is a good thing, it's absolutely possible to overdo it. Some possible warning signs for you to watch for: Feeling tired all the time Trouble sleeping Constant muscle soreness Symptoms of depression Mood swings and/or feeling irritable Feeling stressed all the time Why should you be concerned? Due to your weight, you are at a lot higher risk of injury when exercising. Overtraining ratchets up the likelihood of injury quite a bit more. A significant injury right now could set you back months. Due to reduced food intake, you are at a pretty significant disadvantage recovery-wise compared to someone that does not have to contend with a very low calorie diet. Calories from food (not just protein), is absolutely needed to help post workout recovery. Overtraining can actually be counterproductive to weight loss because it significantly increases cortisol levels. I won't spend too much time talking about why cortisol matters, but even slightly elevated levels of cortisol can negatively impact weight loss. Plus, if you're impacting your sleep levels, this negative effect is exacerbated. Overtraining can actually be bad for your heart. We tend to think that if some cardiovascular exercise is good, more should be better, but that's not always true. Among other things, people that overtrain can cause problems like hypertrophic cardiomyopathy and AFib. While I don't think you're quite to this level yet, it's something to watch out for. Overtraining can actually impact your ability to fight off infection. Getting sick could also set you back quite a bit. If all of the above weren't enough, the likelihood of you stopping training altogether is significantly elevated if you overtrain. I certainly understand you think you're doing the right thing, but hardly anyone that's overtraining realizes it until they suffer the impacts of it. I also think many formerly obese individuals may be more likely to overtrain for a few reasons: We are typically starting from a poor base fitness level, so it does not take nearly as much to overtrain. Most of us have tendency toward addictive behavior. (Yes, overtraining can be due to transfer addiction.) We are trying to "makeup" for a previous lack of exercise. We think that this will help us lose weight faster. As I mentioned, this behavior can actually slow down fat loss, rather than speed it up. Instead, our goal should be to build a sustainable level of fitness that accomplishes a few things: To develop a good level of cardiovascular endurance that keeps our bodies and minds healthy To strengthen our muscles to make everyday living easier and more sustainable for the long-term To decrease the risk of illness and injury To burn more calories, both during exercise and at rest To look good naked (okay, for some of us, maybe that's pushing it!) One of the best ways to do all that is to ensure your current level of exercise is sustainable. From that sustainable base, we add in something called "progressive overload" to ensure we are actually benefiting from the exercise. When we overtrain, there's no room for progress, meaning eventually you either burnout, or your body adapts and the benefit becomes lost. Sorry for the long post here. I know to you I'm just some random person on the internet and you're not likely to pay much attention anyway. Even so, the risk is real, and I encourage you to research this to make sure I'm not just blowing smoke. More than anything, even if you don't think you're overtraining, I'd hate for others to come away from this thread thinking your exercise workload is what they should be doing too. For 99% of us it's not.

Keep in mind that 'weight loss' does not equal fat loss. I would be skeptical that you lost 7 pounds of fat in a week, but some fat, some fluid, and possibly some muscle? Sure. We wrongly think there are only 2 types of "stuff" in our bodies, the good stuff that never goes away and the bad stuff (fat), that we want to go away. It's a lot more complicated than that, and scales are just not a great way to really know what's going on inside your body. Unfortunately, scales are the tool most of us have, so we have to make due. I guess my point is don't overthink what the scale is telling you in either direction. As soon as you hit a stall, you're going to start questioning if you're doing things "right", but you may be having the same issue with a scale not really telling you what you need to know regarding fat loss. If that happens, it's better to just stick to your program and remember that you're using a tool that's pretty lousy at measuring fat loss.

I don't have any experience with this particular product, but it's probably best to talk to your surgical team. Some are a lot more strict about caffeine than others. For those plans that want you to avoid it, at least early on, the rationale given is typically based on a few things: Caffeine is a diuretic. Since most people struggle to get in sufficient fluids early after surgery, it's probably best not to make the problem worse. Caffeine can lead to diarrhea, also exacerbating problems getting in sufficient fluid. Most caffeinated drinks are acidic, which can contribute to gastric reflux. Note that caffeine can also contribute to reflux. Especially for sleeve patients, reflux can be a significant issue. although the effect is minor, caffeine can impair the absorption of certain minerals like iron, calcium & magnesium. This is more so an issue for bypass patients that are already at a disadvantage for malabsorption. Best of luck.

Interesting. I didn't have anything like this, so it's not universal. You might want to update your profile so we know more about your surgery. While some things are consistent between sleeve and bypass, not all are.

From start to surgery took almost 3 years for me, but I know I'm an exception. From the time I completed all the requirements and tests, it was about 4-5 months until my surgery. My chosen center is the largest in my state and they have a serious backlog just submitting things to insurance. That alone took 6-8 weeks. After we got the insurance approval back (which took another 2 weeks), it took a few weeks to get on the surgical schedule. At the time, they were scheduling 2 months out, so I had to wait another 2 months before my surgery. In short, I understand the anxiety your feeling. It was nerve-wracking having to wait so long for a procedure that has been life-changing. I felt like I was waiting to get my life back and the constant waiting was very stressful. That said, it did allow me time to learn a lot about what to expect in post-op life, as well better prepare myself mentally for the upcoming changes. In retrospect, I think I would not have done nearly as well if I had rushed into surgery.

I'm curious, is this just a sleeve thing? I'm a bypass patient, but I've not had anything like this?