SpartanMaker

As a bypass patient, there is really nothing that's off limits for me. I pretty much eat anything I want to, just in smaller portions. Some people have to be a bit more careful due to dumping syndrome, but I've been pretty lucky in that dumping for me is really rare. It's happened once in 2 years when I significantly overindulged on pretty much pure sugar with no fiber or protein to moderate things, It was not fun and I definitely learned my lesson! One other thing I'll say is that my tastes have changed. For example, I just don't really want much red meat, so I now eat a mostly vegetarian/pescatarian.

I'd probably bake them into some homemade sourdough bread. Something akin to Whole Foods Seeduction Bread for those that are familiar with it?

I strongly encourage you to seek out therapy ASAP. While surgery will make your tummy smaller and make it hard to eat a lot for some time, you'll eventually get back to a point where it becomes relatively easy to overeat again. Keep in mind that surgery won't fix your head, thus emotional eating like you describe won't go away simply because of surgery.

I'd suggest taking a look at The National Weight Control Registry at http://www.nwcr.ws/. This is a long term list of over 10,000 successful "losers" that have lost weight and kept the weight off for long periods of time. If we dig into the data a bit, a few things seem to come to light as keys to successfully maintaining weight loss: 78% eat breakfast every day. 75% weigh themselves at least once a week. 62% watch less than 10 hours of TV per week. 90% exercise, on average, about 1 hour per day Of course, another thing you'll see in the data is that there really is no one size fits all model for success. While the trends above are helpful for most people, there are people that are successful that don't exercise, that never weigh themselves, and don't eat breakfast. The point is that ultimately you have to find out what works for you.

Post-bariatric surgery hypoglycemia (PBH) is super common. It's one of those side effects they don't seem to ever mention pre-surgery. 🤔 I don't tend to have too much of a problem with it anymore, since I stopped trying to only eat 3 meals a day. As long as I eat every 3 hours or so I'm fine, but too much more than that and I start getting woozy.

I'm going to start with my obligatory recommendation to talk to your surgical team. There is a possibility your issues are complications due to surgery, or even other potential medical conditions. It's better to be safe than sorry and talking with a medical professional can help rule out some issues. With that out of the way, I will give you my non-medical opinion just based on what you posted. Again, just based on what you wrote, it is possible that what you're experiencing is related to the volume of exercise and your low calorie intake. While it's not exactly the same, this is similar to something we call RED-S (Relative Energy Deficiency in Sport). Feel free to Google that to get an idea of what I'm talking about. Both in the case of RED-S, and what you're describing, it sounds to me like your body is telling you that you're overdoing things. I love that you're being more active, but without properly fueling your body, you can actually cause some nasty problems (again, see RED-S). Keep in mind that your body actually only improves physically during recovery, which includes both proper rest and proper nutrition. Dehydration can also exacerbate the problems your having. Plus, while dehydration can always be an issue for anyone, for someone so soon after bariatric surgery it can be really problematic. One of the most common reasons bariatric surgery patients end up back in the hospital is due to dehydration. My advice would be to give yourself a down week from the exercise, which should do a couple of things. One, it will give your body a chance to recover some, which is a good thing. Two, it will help you know if this really is due to the volume of exercise and the incredibly low calorie intake. By the way, a down week, does not need to be a week completely off, Just stepping things down 25% to 35% is enough. For example, instead of walking 5 hours, shoot for 3 or 3.5. Do the same on your swimming. Taking a down week like this around once a month is really common for even pro-level endurance athletes. I promise it's going to help and not hurt you in any way.

Don't be afraid to talk to your surgical team about the constipation as well. It's super common post surgery and they should have a lot of experience with treating it. They should be able to help you find the right combination of medication/supplements to help you out.

Medical questions should really go to your surgical team.

Give yourself time! When you press the brake in your car, it takes time to come to a complete stop. The same is true when you try to go from losing to maintaining. It's hard to know immediately if you are eating the right amount, especially with a significant amount of exercise like you're doing. As you are learning, you've got to EAT to fuel that level of activity and it can be stressful for us formerly fat people to eat at levels that at one time would have led to weight gain. Track things for a month or so and see where you end up. If you continue to lose, then you obviously need to eat even more. If you seem to be maintaining within a few pounds (keeping in mind normal fluctuations), you're probably where you need to be. If, heaven forbid, you do start to gain again, just ease off a tiny bit on the calories and you'll stabilize. Whatever you do, don't stress it, because you now have all the knowledge and tools to stay at the weight you want!

You've gotten some good advice already, but reading your post, a few things stood out to me. These are in no particular order: 1200 calories sounds high for 15 weeks post-op, but if that's what your plan calls for, who am I to question it? I think the bigger question is does this 1200 number include all the alcohol? One of the reasons alcohol is not recommended post bariatric surgery is that it's got a ton of calories and will definitely slow weight loss. The other huge concern on alcohol is that a substantial number of post-op patients develop alcohol use disorder. (Some estimates are as high as 20% or even 30%.) You didn't actually specify how much you drink, but when I see "active social life", I interpret that as "I drink a lot". Maybe try drinking non-alcoholic drinks when you are socializing? If you find that you can't give it up the alcohol, this is a major red flag and you really need to seek help. Taking another approach here, I noticed that you are being more active, which is fantastic! I did want to make sure you knew that changing your activity levels like that (starting a couch to 5k plan), will cause your body to retain more water. This means you may not see the results you are expecting on the scale, even if you are still losing fat. Keep in mind that the your weight is made up of lots of things other than just fat, so variations are normal and are just part of the process. If you are eating less than you burn in a day, then you are 100% burning off fat reserves, even if the scale does not show it. Best of luck.

Well, great is sort of relative isn't it? 😁 For me it's much better than I expected this week, all things considered. I'm sure for some it's pretty slow. Consider that the world record half marathon time is about 58 minutes. This means I'm running twice as slow as those folks. On the flip side, this time would probably put me in about the 55th to 60th percentile world-wide for my age group. This means I'm probably a little faster than average, but I'm sure not winning any races! I've got another Half Marathon race scheduled in November and hope to break 2:05 in that one. I haven't fully decided yet, but may do one in April or May and if so, will be shooting for a sub 2:00. I guess my point is I don't think too much about how I compare to others. My real goal is to continue to beat myself!

Are you logging your food? If you end up working with a dietitian, I can almost guarantee they are going to ask you to do so. You might as well start ASAP so they have something to work with. Specific amounts matter, so be sure to weight and measure everything. The reality is we just aren't good at determining how many calories we actually eat. Most people underestimate calories, but overestimating isn't unheard of either. You mention a couple of times that you're eating a lot. What you need to understand is that the amount of calories you are currently eating just IS NOT ENOUGH for you. You need to be consuming eating even more calories and logging your current intake will often be the first step. Once a baseline is established, a dietitian can help you find ways to increase your caloric intake to where it needs to be, even if you feel like you can't physically fit any more food in.

Have you tried smoothies? I find even with my restriction, I can down 500-600 calories in smoothie form, vs maybe 300-400 cals of most other things before I'm full. You can load it up with fruit, peanut butter, protein powder, etc. to suit your tastes.

I don't know if this is your issue or not, but one thing I've seen from others in a similar situation is that they still eat like fat people trying to diet. If that's you, you need to completely change your mindset. Your job at this point is to GAIN weight, so dietary fat and carbs are your friends. A key change would be to look for and eat more calorie dense foods like rice, potatoes, peanut butter, full fat dairy, etc. If you eat meat, look for fatty meat, not lean cuts. Calories are your friends right now. Just my .02.

Just finished a Half Marathon in ~2:10. Not too shabby for an old man that had a total knee replacement and open heart surgery, and that used to weight >330 lbs a couple of years ago. That's all, thanks for indulging me! 😀