NickelChip

Dang it! Back up to 200 today. I could see the digital scale contemplating telling me 199.8, but it decided nope. I've had days with tons of exercise. Days with no exercise. Days with over 1000 calories. Days with barely 500 calories because what I ate made me sick. None of it does anything to move the weight. I get on the scale daily because I like to see the graph as a visual. But I'd like it better if the number went down. On the bright side, my blood work all looks pretty good. A bit low in Vitamin A, zinc, and prealbumin, but so far no one has said I should change anything. @LisaCaryl I love the NSV with the jeans! What a nice surprise, even if you did get stuck wearing them to your group. I have one more week of school runs and after school activities before my kids are out for the summer. At that point, I am going to make a weekly meal plan and try out some new recipes from the bariatric cookbooks that are gathering dust because I've been too busy. I've also found a workout video to try with my pilates bar resistance band set, so that's going to happen this week, at least once.

Stretching in the sense that you mean it is exceedingly rare and only happens if someone consistently binge eats over a relatively long period of time. What does happen naturally is increased capacity. This is true for sleeve and bypass both. After 6 months or so, your stomach regains some of its elasticity and can accommodate a bit more at one sitting. This is fine and healthy. Everyone is different, and everyone's capacity at a given point post-op is different. I don't know what you were told for goals, but my program says 60-80g protein per day and 64oz minimum of water. They want my protein to be around 40% of my calories, and I generally aim for 800-1000 calories per day, but that was not strictly set and will change over time. 1200 seems to be a common goal for the later stages of weight loss, with the amount going up once you are in maintenance. 5oz per meal is reasonable, but you need to be eating breakfast, lunch, and dinner. Plus possibly a snack. My program says aim for 20-25g protein per meal, and supplement with a protein snack or shake as needed until you can get the full amount from food comfortably. By 9 months, you should be fine getting it all from food. Your brittle nails and hair loss suggest you are not getting enough protein and may not be getting enough other nutrients. You should continue to aim for around 4 oz of lean meat or fish, (or a serving of Greek yogurt or cottage cheese, for example) per meal. 4oz cooked skinless chicken breast has 25g protein. Your second priority at every meal should be nonstarchy veg. If you still have room, you can have a little bit of carb (rice, potato, sweet potato, bread, etc.). A serving of fruit makes a nice dessert. An easy way to eyeball it is to take a salad plate (not dinner plate), and put a piece of meat the size and thickness of your palm on one side, and fill about 2/3 of the other side with nonstarchy veg and the remaining 1/3 with carb. Go light on the sauces and butter. If in doubt, check Amazon for bariatric cookbooks. There are several by bariatric experts, including surgeons and registered dietitians. Kristin Willard's Bariatric Meal Prep is a personal favorite, with portion sizes for different stages, and a full color photo for every recipe.

@TwinkleToes87 you know yourself and your weaknesses best, but for most people, never having sugar again after surgery is probably taking it too far. I'll grant that there may be some triggering foods that some people would do best to avoid, just as a person in recovery who is addicted to alcohol will avoid drinking, not even a little bit. But giving up all sugar forever, foe most people, is the type of idea that sounds really great when you're planning how perfect you are going to be after this life changing surgery, and quickly becomes way harder and more punishing than you thought it would be when you are on the other side and realize the surgery was on your stomach but not on your brain/personality. I definitely have a sweet tooth, and unfortunately, gastric bypass did not make me hate sugar the way some people do. It still tastes good. But it also takes a lot less to satisfy me now. I can't physically eat two scoops of ice cream. I can eat about 5 bites. So instead of buying a big container of ice cream for home, which could quickly get me in trouble (because I can eat 5 bites at a time, but I could probably eat it 5 times a day, too), I save that treat for when I go out to my favorite farm stand with amazing homemade ice cream. And I split it with someone else so I'm not tempted to take it home for later. I don't buy a big bag of Hershey's Kisses for the house, but I will buy a single truffle from a chocolate shop and savor it. I won't buy packaged cookies, but I'll buy a single cookie from a good local bakery and eat it over two days. For me, the indulgence is now in the quality of what I am enjoying, not how much of it I can consume. It's not "no sugar ever" but "if I am eating sugar, it better be the best and only a little." And just so you know, the day before I had to start my 2-week liquid diet, I went to a restaurant and ordered a massive meal made up entirely of fried appetizers. I felt so sick and gross after, and it was that similar thinking of what if I never have this again. We all have those moments.

@BlueParis About the same here. I've lost all of 4 lbs in the past 30 days. I hit a low of 199.2 lbs 8 days ago and immediately bounced up above 200 lbs the next day. Now I've been losing maybe 0.2 lbs a day if I'm lucky. Back down below 200 this morning finally, but still above where I was. No rhyme or reason to it. The frustration is real.

I think you need to take a deep breath and try to calm down a little. You've lost 9 lbs in a week. Your liver will be okay. It's good to take the rules seriously, but it's also good to be realistic about how much damage can be done by any particular action and not overcompensate by doing things that seem healthy (water) but might not be (making yourself sick). Two scoops of ice cream is not the same thing as a gallon of ice cream The better question to be asking yourself right now might be why you decided to have the ice cream, and why two scoops instead of one. Understanding behaviors, especially self-sabotaging ones, will be important for long term success. It can also help you find good alternatives. If you absolutely love ice cream on a hot day, consider getting the Yasso frozen yogurt bars with 5g protein for a summer treat when you're able to have them again after surgery. Or if it was because you thought you'd never have ice cream again, I suggest evaluating the rules you plan to follow in the future and make sure they aren't unnecessarily restrictive, as that can cause failure. Or if you just wanted something cold and sweet, stock up on no-sugar added popsicles, which are great for getting in your liquid. Point being, make this a learning experience to do better next time, not a reason to punish yourself or get worked up before your big day.

@BlueParis Thanks! Yes, I see some changes in my face in the photos and when I look in the mirror, and also my arms and even my hand look thinner in the most recent picture compared to last month. I've been microwaving, which may be the problem. Steaming would probably be the way to go. I brought home a delicious chicken shawarma from the weekend, but it dried out after a minute in the microwave and caused me all sorts of trouble. I wonder if putting it in a sous vide would work. I have a fresh turkey breast that I think I will try in the slow cooker that I can then use the meat for my salads at lunch. I do well with raw baby spinach, red peppers, cucumbers, and carrots. I never thought to cook turkey in a slow cooker, but the package suggested it (along with 3 cups broth). Worth a try! I'm so glad you're feeling a bit more at peace with your progress. I envy you being in London, although I swear you can freeze there in the middle of summer. But it's one of my favorite places. I had hoped to go for my 50th birthday this spring, but with surgery, it didn't really work out, so next year! Having spent the weekend away this weekend, I don't envy you all the travel because choosing foods while on the road is very hard. I feel like every time you go into a restaurant, it's some new server staring at your hardly-eaten plate and wondering what's wrong with you.

I had a nice weekend in NYC and the Hudson River Valley, and managed to get 25k steps in one day by walking from my hotel in the Financial District to a venue on W 26th St in Chelsea! It was a great walk and I didn't even feel exhausted by the end of the day. Sore feet, sure, but not terrible. I was excited to buy a bunch of new T-shirts for the summer at Old Navy as my old tops are very large now. I figure they should get me through to the fall, and at 50% off, it was a bargain. My weight hasn't really moved much, but I was pleasantly surprised to compare last month's photo to this month's. 6 lbs wasn't a lot on the scale but seems to be more visible than I expected. I'm still having trouble with vomiting if I eat anything reheated. It's making it hard because I just can't cook every single meal, and if I go to a restaurant, it's enough for 4 days but reheating makes me sick. It's getting warmer now so I'm opting for some cold dishes like smoked salmon and cucumbers or Greek salad with chicken. At least with salad, the chicken is okay a second time because it doesn't get reheated.

I hate to be the bearer of bad news, but it will make no difference how much protein you eat in terms of how much hair you lose. It's like trying to water a rose in a vase and expecting it to start growing into a big rose bush. The hair follicles have already gone dormant. Now all you can do is wait for the hair to fall out so that the follicles can re-enter a growth phase. The hair strands that have stopped won't start again. This usually happens naturally in cycles so gradual and staggered that we never notice it. But surgery makes a bunch of hair stop at once (which it already did, months ago), and it is very noticeable until it all starts back up again. What protein and vitamins will do for you now is make your regrowth strong and healthy. So definitely still take them.

Yes, you are worrying too much, and if you are not hitting your protein and fluid targets because of this fear, you also risk endangering your health and recovery. Your stomach is stiff and swollen right now. It can't stretch out by having an extra sip of water or an extra ounce of food, though you might not feel well. On the other hand, spacing out food into small portions is appropriate. Just make sure you are consuming enough throughout the day and doing what your dietician recommends. I highly recommend you watch this video to put your mind at ease:

@BlueParis I think the hardest part about this process is accepting that the weight loss happens over a full year, or sometimes even more! The stalls make it feel like it will never happen, even though it will. Just not as fast as we want. But you'll get where you want to be eventually if you keep doing the right things. I've been thinking about it and one of the things I think makes it hard for me right now is that part of my brain never really accepted or acknowledged the size I was when I reached my highest weight. I look at myself in the mirror now and even though I haven't been this weight in 25 years and the last time I was close to it was 7 years ago, in my head, this is what I looked like all along, so I don't see the difference. I'll admit, I saw a photo of myself from last summer and was shocked at my size. Did I really look like that? But I look at myself now and all I feel is the frustration I had in my mid-20s of "when will I lose this weight" because it feels like the last 50 lbs never even happened. I'm just back to a place where I recognize what I'm seeing in the mirror instead of pretending it's not there. @RonHall908 I'm also struggling with sleep. I started tracking with my Fitbit and I don't get what I thought I did. I go to bed around 10:30 and I don't have to be up until 7:00, so I always thought I was getting plenty, at least 7 hours and close to 8, but in reality, I wake up at 5:00 this time of year because of the sun coming up. In the past 3 weeks since I started tracking, I've averaged 6h7m and only hit 7h twice. For comparison, my tracker says I've had an average of 1h9m of REM and 1h13m deep sleep, with 45m awake and 3h44m light sleep. For the most part, I'm energetic. I get over an hour of walking in almost every day, with 38m in the moderate zone according to my tracker. I don't drink any caffeine. But I do have about 30 minutes between 2:30 and 3:00pm when I can barely keep my eyes open. After that, I tend to have a second wind and am wide awake by the time 9pm rolls around so going to bed earlier isn't a great option. I try to relax and read, but I still don't fall asleep until close to 11pm, and I can easily stay up until after midnight if I don't stop myself. Maybe this is just what my body wants?

So, let's say you aim for 80g protein, that's 320 calories. 50-60g carb gives you another 200 to 240 calories. If you set a goal of 1000 calories per day, that leaves you with about 53g of fat per day. But if you track carbs and protein, the fat falls into place because those are the only 3 sources of calories. Oh, dry roasted or raw nuts are a nice source of healthy fat. And you can play around with your ratios of macros a little bit to see what works for you to keep you satisfied and give you enough energy.

At 5 months post-op, 500 calories per day might signal your body to be in starvation mode. Most programs seem to recommend between 800-1000 calories as a benchmark until you reach maintenance. For example, my dietician told me 80g protein and that protein should be 40% of my calories, which works out to around 800 calories per day. Do you have any theories on why you can't eat real food after lunch? You should be able to eat most food by now. I'm only at 3 months post-op and the only foods I've been told to be careful with are asparagus (very fibrous) and steak (but ground beef is fine). Have you tried crockpot chili, or pulled chicken? Maybe navy bean soup with ham? Greek yogurt and fruit? I also like tuna salad or smoked salmon.

I would say prepackaged foods are fine for popping in your bag when you go out in case of emergency, but for work, you might want to figure out a better option because that's multiple days every week. Personally, I like baby carrots, red peppers, snow peas, and mini or English cucumbers. Mushrooms are good, but they make me feel ill right now (too dry). If you like ranch dressing, get the container of ranch powder from the dressing aisle and buy some low or non fat cottage cheese. Put the cottage cheese in a food processor or blender and blend it until it's totally smooth. It'll look like pudding, sort of. Add in about a Tbsp of ranch powder per 16oz container of cottage cheese. This makes a fantastic and really healthy dip. I bought a set of parfait cups from Amazon like these: https://www.amazon.com/CRYSTALIA-Breakfast-Container-Colorful-Set/dp/B09N8K6CZ5. I put the veg in the big section and the dip in the small section, and then I store them upside down so the dip doesn't get all over. You can make up 4 days' worth at one time for convenience. Instead of the protein shake, could you make a green smoothie? You could do a frozen fruit blend, a handful of baby spinach, and a serving of Greek yogurt (thin with water to your preference). I like to add a squeeze of minced ginger that comes in a bottle in the produce section. I get a blend of frozen peaches, strawberries, blackberries, and blueberries that comes all in one bag and is so tasty.

Given the troubles I've had with dry food, I think it will be a while before I risk eating jerky, which is a shame because I love it. But I do like those roasted, salted edamame beans @gracesmommy2 recommended! My order of them arrived the other day and that little bag is very satisfying!

My suggestion is eat more vegetables and drop the packaged, processed snacks and protein shakes altogether. You are no longer healing from surgery or dropping a ton of weight quickly, so you don't need 120g protein, or even 100g anymore. If you can eat 3oz chicken breast twice a day, plus a serving of Greek yogurt and fruit for breakfast, you've hit your protein needs and then some. Get your protein from lean meat, beans, nuts, and seeds (not as much from dairy). Have a leafy or non-starchy vegetable at every meal. Eat fruit for dessert and raw veggies and nuts for snack.

Weighed in this morning at 199.8 lbs! Finally under 200! I'm going to NYC this weekend, so lots of walking will be a guarantee, but I'll have to be mindful of hydration and not give in to the temptation of grazing all day on little snack foods. I've already chosen my dinner from the menu of the place we're going Saturday, a lentil soup. Afternoon tea on Sunday will be a nice treat.

That's good to know! Thanks for the update.

@BlueParis Still stalled I had my 3-month appointment yesterday. It seems I'm on track based on the numbers my doctor wants to see, which is losing at least 10% of your day-of-surgery weight at the 3-month mark. For me, that would be 22.3 lbs, and I've lost 22.4 lbs. So, I just have to trust the process, I guess. I have to go in Friday morning to have blood drawn for iron and B-12 check, and I need to redo my TSH (thyroid) from my physical earlier this week because Biotin messes up the results! So I have to stop my multivitamin and my biotin supplement for 72 hours before retesting. And @Noelle74it's so true that the weight does not just "fall off." Maybe the first few weeks, but after that? It's a struggle. Lots of ups and downs. Lots of frustration. I think a lot of trial and error, too, until you find what works for you. My plan is to just keep tracking protein and water, as directed by my dietician, for the next month. I have a vacation at the end of June. If I get back from that and don't like my progress, I will try limiting carbs to under 50g per day until my 6-month check-up at the end of August. If I'm worried at that point, I will talk to doctor about adding GLP-1. But hopefully there will be no cause for concern. My next thing is to learn how to use my resistance bands! That's my goal for the coming week.

@Noelle74 What an amazing transformation! You look terrific! @RonHall908 That's good info about the protein after workout. Not that I exercise hard enough to need to worry about it, but if I ever decide to... @BlueParis Amazing cliff hike! I'm jealous of the beach time, although it's finally warming up this week so I guess summer really is around the corner @gracesmommy2 I have a feeling the hair loss will be coming for me, too. Mine is so thin, and I remember it being shocking a few months after having my kids that it would come out in handfuls. I actually bought a bunch of headbands recently to help hide it if it thins. I'm heading to my annual physical today and my 3-month appointment tomorrow. Looking forward to what the doctor has to say about progress and any changes I should make. I weighed in at 200.6 lbs today. Will I ever get below 200?!?!? I swear this is the hardest milestone. I hit 201 lbs 13 days ago and was so certain I would be under 200 by now.

WOW!!!!!!!! I bet you had times where you thought this would never happen, but here you are! Congratulations! I feel like these big milestones can mess with your head sometimes. Like, I hit 201.6 lbs 12 days ago and was just certain I'd be under 200 in no time... and I'm still waiting! I instantly bounced back to 203, made it to 201.0 after almost a week, stalled for a few days... At least I dipped to 200.8 this morning. But to finally see that 199... that has to feel so good. When was the last time you weighed this little? For me, the last time I was below 200 was when I was 28 (22 years ago!).

My brother had VSG 15 years ago. He lost over 100 pounds. The first few years his appetite was very small, like order an appetizer for dinner and only eat half. But as time has gone on, what he can eat now looks like what a "normal" person with a smaller appetite would eat. We sat next to each other at my cousin's wedding and he cleared his dinner plate over the course of 30 minutes, which was more than I could do and I was pre-op at the time. He had maybe a bite or two of the cake. I suggest you try the YouTube videos from Dr. John Pilcher and Dr. Matthew Weiner. They both give it to you straight and clear up myths and misconceptions about bariatric surgery, and neither of them are trying to sell you something or gain a bunch of followers like a lot of vloggers. It's just solid medical knowledge made easy to understand. I watched all the videos from both surgeons as I was preparing for my surgery and it really helped.

What a long journey you've had to finally reach this point! You've worked so hard and deserve your success so much!

I think this is the time when you stop worrying about what you weigh and you start focusing on how you are living and how your body feels. Are you still hungry even though you just ate a meal that would've been fine for you a month ago? Maybe you need to add more veggies to fill yourself up. Do you feel weak? This could be a sign your body needs more fuel. Are you getting the exercise you need? Are you eating the foods you know provide balanced nutrition? Fix these types of things if they need fixing and let your body do what it will. You still have many months to go before your weight loss journey comes to a stop, so to speak. Ride it out and don't try to steer things too much. It may feel weird to be the weight you are now because you've never been this weight before, but let your body figure it out. You'll get used to it. And if you don't like where you land in the future, you can start eating more to gain.

@gracesmommy2 I'm so sorry about the insurance issues. What a nightmare! Praying it is resolved soon. As for the goal weight, I used the weight loss calculator on the Pound of Cure website and took the lowest weight in the range, which also happened to get me to a "normal" BMI. So, it's pretty arbitrary but it sounded good. I based it on the weight I had reached before starting my pre-op diet, which was after dropping about 12 lbs from my highest point. My own doctor didn't discuss goals or percentages with me, although I don't know if that's standard practice for him or not. My experience has been odd. First, I was with a different weight management center for years, first managing through diet and meds and then switching to the surgical route, but it closed very suddenly. I had my December surgery canceled 3 weeks prior to my date and had to rebook for February with a surgeon at a sister hospital. So I came in very last minute and only met the surgeon and nutritionist at the new place twice so they could sign off on me as quickly as possible. And right after I had my surgery, my surgeon had a nasty ski injury and was out for several weeks, so I did one follow up with his colleague and one with him via video. I'm glad I was able to get the surgery in a timely fashion and they did a good job, but I sometimes wonder how my experience differs from if I had started off in their program. A nice NSV today. I had a dress I wore on my birthday back in March that fit me but with no room to spare. This was a victory in March because I had purchased it for a trip out of town the year before for my birthday but the dress didn't come close to fitting me back then. Well, today I needed something nice to wear to my daughter's dance competition only it was cold and rainy so my summery stuff wasn't going to work. I remembered the birthday dress, which is long sleeved and has a sweater. I put it on and it was so roomy! I'm actually glad I got a second wearing out of it because I'm hopeful it will be much too big when the fall rolls around and I need cool weather clothing again. In fact, my summery dresses that were skin tight two summers ago are already very loose, too. It's the little things that keep you going when the scale decides to stall, right?