NickelChip

Hey there! I had bypass back in February. My best advice is to ignore other people's stats and focus on you. I, too, was worried about my progress, but 7 months in, I am still losing weight and just bought jeans in a size I have not worn since I was 22 years old (I am 50 now). Here is how it went for me, just so you can see one example, but we are all different. Starting weight: 251 lbs (BMI 40.5 as I am 5'6" tall) Pre-surgery loss (over 6 months): -12.2lbs (this was from nutrition changes) 2 week liquid diet: -15.4lbs Month 1: -8.2lbs Month 2: -10.8lbs Month 3: -3.8lbs Month 4: -11.0lbs Month 5: -3.4lbs Month 6: -5.2lbs Month 7: -3.6lbs So far in month 8: -2.2lbs Today's weight: 175.2lbs (BMI 28.3) My goal is to lose another 20lbs in the next 5-6 months, which would be 3-4 lbs per month. That would get me to a "normal" BMI of under 30 and would be about the same weight I was when I was 18 years old.

Choose the one that comes up around 21g protein. I know that if you weigh out a 3oz serving (weight after cooking), you're getting roughly 21g protein, whether it's chicken breast, steak, or salmon.

Just to add, meat loses about 25% weight when cooked. So 4oz of raw chicken will weigh about 3oz after cooking.

Okay, so as I see it, you have three potential issues with coffee. The first is caffeine, which is the main reason some (not all) doctors say not to drink it. It's a mild diuretic, and if you are struggling at all with hitting your fluid targets, you want to avoid anything that will make it worse. If, on the other hand, you easily can surpass 64oz water in a day, you're probably good to go. I never had issues hitting my fluid targets. The second issue is acidity. It's possible the coffee may upset your stomach (but if you are already drinking decaf without an issue, you're probably fine here too). I had to stop drinking coffee except for a few times a month well before I ever had surgery because the coffee was making me sick, so I switched to tea. And I started drinking regular tea at around 4 months because decaf was just sad. The third issue is all the stuff people love to put in coffee and forget has calories. That's just something to be mindful of, because if you mix up a large coffee with tons of real sugar, sugary syrups, and cream, you can easily consume hundreds of calories without even thinking about it. This happened to a friend who had VSG and didn't use sugar but would add a ton of cream to a very large thermal cup of coffee. He honestly thought he was just adding "a splash" of cream. Like, dude, that's 400 calories you just put in that coffee. And it's liquid, so it just goes right down without filling you up at all.

Looking great!

The only way one cracker would make any difference is if you ate it right before going into surgery. Not saying you shouldn't ask yourself why you decided not to follow the rules because that's good information to process for the future, but you don't need to worry that what you did will make a difference to your outcome. When you're in that final stretch before surgery, usually after 8pm or maybe midnight the day before you go to the hospital, that's where you need to follow directions to the letter because you need to have an empty stomach so they can operate on it.

That's really good! Your waist is getting so close to the 35" threshold, under which they say is the "healthy" measurement for women. Also, your waist to hip ratio is 0.74, which is really good, too.

@ShoppGirl I don't, actually. They've changed their offerings a few times, so I'm actually still paying for the group access under a membership level that doesn't exist anymore. I do know they offer a platinum program for $999 that includes 3 personal visits with Dr. Weiner, 3 personal visits with Zoe, plus 3 months of membership for the group meetings (and a bunch of other things like help accessing prescription meds, etc.) but not sure what the cost is to book a single appointment. Although, if you need/want all 6 appointments and planned to do 3 months of groups anyway, it works out to about $140 each with the platinum package, which isn't bad.

Oh, yes. It really is so disheartening, and knowing it's normal/expected doesn't make it feel any better! To give you an idea of how my weight loss has fluctuated, here are my monthly totals so far: February: -16.4 lbs (2 week pre-op diet plus surgery on 2/21) March: -11.6 lbs April: -7.6 lbs May: -2.8 lbs June: -11.2 lbs July: -1.6 lbs August: -8.4 lbs And so far in September I'm at a whopping -0.4 lbs for the month. Let me tell you, May and July both sucked, and I honestly don't think I did anything differently in June or August to explain the variation. It just is what it is. I'd say stay off the scale, but personally, I enjoy having the daily number because I'm obsessed with having a record to look back on, so I get having to do it every morning. I'm sure you're far from done losing, even if you're at a slow point right now. Just for fun, I'm attaching a side by side comparison that I made of myself yesterday. It's a photo of me from last summer at my highest weight alongside a pic of me from my walk yesterday. When the scale stalls, making something like this cheers me up and helps me see beyond the numbers on the scale.

I attend some of their monthly support groups and you can almost always get your questions answered by Zoe or Dr. Weiner in the groups without needing a one-on-one unless you have something very specific where you would need to share a lot of personal details or test results that are beyond the scope. The calendar shows how many people are registered for a session, so you can choose one with a small attendance to better your chances. I find it worthwhile even if I only make it to a few groups per month.

Today marks 6 months since my gastric bypass surgery! It's also almost exactly one year since I attended the orientation class at the weight loss center that was the first step in beginning the surgical program. I came home after the class and took a "before" photo. I had just weighed in at my highest weight ever. I was on blood pressure meds and my A1c put me in the prediabetic danger zone. My joints ached every morning. My 50th birthday was looming and I felt so old. The day after that photo, I started making changes to my diet. I lost 13 lbs from August until early February. I lost an additional 13 lbs on my 2-week liquid diet. I had my surgery on February 21 and since then, I've lost another 45lbs, for a total of 71 lbs down! My blood pressure is normal, and so is my A1c. The aches and pains are gone, and I'm hitting my 10k step goal several days each week. I'm nowhere near perfect, but I'm improving steadily. I honestly couldn't tell you the last time I was this weight. It had to have been when I was around 22 years old. Like pretty much everyone says, my only regret is not doing this sooner.

Weight loss success is roughly 80% or more about your nutrition and 20% or less about exercise. No gym required! So if you don't like the gym or can't fit it into your schedule, really hone in on the nutrition for now and add whatever body movement you CAN manage every day. Meet yourself where you are, not where you think you should be. If you only walk 1500 steps a day, set a goal for 5,000 a day and don't expect yourself to be running a marathon next month. If you're already good about walking, kick it up by putting on some ankle and wrist weights while you do a 15 minute dance video on YouTube to get your heart rate up and build some strength. Or buy a set of resistance bands and do those a few times per week. Culturally, I think we've become convinced you have to "go to the gym" to see results, and it's really not true. And if you only have the energy to focus on one thing in these early days, start with nutrition because that's where you will see the most lasting results. You're still healing right now and your body is not ready for grueling workouts at this stage.

Amazing! And for what it's worth, I don't think you looked 297 lbs in the before photo. But you don't even look like the same person now.

Anxiety is so normal, but don't let it get in the way of what will almost certainly be one of the best things you ever do for yourself. My suggestion over the next few days is to look at the thread of before and after photos to help remind yourself of why you're doing this. I had my surgery 6 months ago and a lot of my experience was similar to GreenTealael's, except I was given a sedative before being wheeled to the OR, and all I remember was being pushed toward the hallway. Next thing I knew, I was in my hospital room. The pain was very minimal and the nurses were so attentive. It turned out I had been in the OR for a lot longer than planned because of some scarring in my abdomen that caused a few minor complications, but I had no memory of that and it hasn't been a problem. I was in good hands the whole time. The first few weeks will be an adjustment, but after that, you'll start getting the hang of your new lifestyle. If you've canceled before only to be back 3 years later to do it, you know this is something you need. A year ago, I weighed over 250 lbs and could barely squeeze into a size 22. Today, I'm the lowest weight I've been in 30 years and I was actually able to put on a pair of my 12-year-old daughter's size medium pants (stretchy ones, but still...). It's an amazing feeling.

I'm not sure where you found the 50% body weight number, but I had my 6-month appointment with my surgeon today and was told that losing 20% of your starting weight and keeping it off is the definition of "success" from a medical perspective. So, if you started at 252, that would be a 50 lb loss. Prior to gaining weight, you were at 65lbs lost, making your initial results within the successful range and if you are currently at 205, you're just slightly out of that range for longterm success. I think you may have confused the percentages of "body weight" and "excess body weight." To determine your excess body weight for a woman, you start with 100 lbs and add 5 lbs for each inch over 5 feet tall. So for you, that would be 120 lbs. (That's not a goal weight, but rather an "ideal" for a person your height who has never been overweight.) You would then subtract that from your starting weight, giving you 132 lbs of "excess" body weight. 50% of that is 66 lbs, which is essentially what you lost after surgery. Current research is showing that gastric sleeve surgery is not as durable for weight loss for some people. The Pound of Cure podcast has a lot of episodes that address this (you can find it on Youtube). It's certainly worth talking to your doctor about your options, which may include revision or GLP-1 medications. You'll want to find out your insurance coverage options, too. Of course, the first thing you'll want to do is make sure you are following your nutrition plan and exercise guidelines and cutting out bad habits to see if that helps you reverse some of the gain. If you haven't had a physical lately, definitely go in for that as any number of things can crop up, especially during perimenopause, that can cause weight gain. Wishing you luck! I'm 50 and I'm definitely nervous about reaching my goals and keeping the weight off at this age.

In the meantime, a lot of phones have a step tracking app available, so if you carry your phone with you most of the time, that can be a good estimate. I've compared my Fitbit count to my friend's phone app (hers is one that comes with her iPhone) when we've gone for a walk together and the results were very similar.

To speak to the bones sticking out part, I am roughly the same size as you (5'6" and 180 lbs) and yes, when I run my hands along my abdomen, I feel my ribs. And I can see my collar bone prominently. The last time I was this weight I was about 23 years old. And I remembered the other day as I felt a rib and said what the hell is this--that I used to be able to feel my ribs, see my collar bones, feel my hip bones, etc. all the time. Up until my thyroid quit on me in my mid-20s and my weight got into the 190s and then 200s. Associating that with being frail is more a comparison to how your body used to feel because most average weight women have bones that can be felt and no one thinks of them as delicate. Although, have you done a DEXA scan at all? I've been curious to do one to see how close my smart scale is to reality when it comes to muscle mass, fat percentage, etc. Maybe that would either put your mind at ease or give you some data to sway your doctors into running different tests? They're a little pricey, but I was thinking I might do one at my 1-year surgiversary. As for the tiredness and the circles under your eyes, I have that too. But I've also noticed that every other woman I know has the same, no matter what her weight. I'm not sure about your age or how much you have going on in your life right now, but I'm 50 years old with two teenagers who participate in enough after school activities that it's a part time job just to drive them there. Plus, I'm a single parent the past four years and their father has been unemployed long-term, so the stress is way up there. After almost 6 months of no caffeine, I started drinking tea in the mornings again and my brain fog is doing much better. So, while I would definitely be diligent in advocating for tests to figure out what is going on (especially since the universe seems to have chosen you pretty frequently for "almost unheard of, weird medical side effects") I'd also take stock of the stuff going on in your life that would make anyone feel run down and not their best. All of which is to say, hopefully you can find the balance between worrying about the things that need worried about and letting go of the things that will sort themselves out in time.

I think the experience you're having emphasizes that a lot of this not as much in our control as we think it is. Which I'm sure is no more comforting for you than it is when someone is following every single rule and staying stalled at a higher weight than they had hoped. If it helps, remember that this stage is temporary. You won't keep losing forever, and when your body reaches its new set point, whatever it is, how you carry that weight is going to change. I know you probably look in the mirror and think what have I done, I'm going to look sickly forever, but it's temporary (and probably something you notice more than other people do). Whether your weight increases in the next year, or if it just turns out that your new, lower weight begins to look more natural to you as fat gets redistributed, this is only a brief point in the journey. The clothing not fitting part must be particularly frustrating, though, since it costs money to fix. I hope you're able to find an inexpensive solution, especially for your work clothing. You're sure to find your equilibrium soon.

I'm curious if you've ever gone in for a DEXA scan to determine your body composition. I ask because I know that if you've been obese for a long time, your body architecture has changed to support that weight, and that isn't something that just goes away as you lose fat. BMI, which is problematic at best, can be skewed by formerly obese people weighing more because of extra bone and organ mass that a never obese person of similar height and build would not have. If you have a DEXA scan, you can get a much more reliable idea of how much body fat, bone mass, etc., you have and may feel a lot better about your progress. I would also take a step back and ask yourself why that number you've set is important to you. If you "only" lost 25 more lbs, you would have lost half your body weight. That's kinda crazy! You would be half the person you were before (in a good way, of course). Or if you "only" lost 10 more pounds, would it really be so bad? Would 40 lbs really make a massive difference in how you look and feel compared to where you are now? Are you putting so much pressure on yourself to reach an arbitrary number that you don't fully appreciate just how amazing your progress is? You're down 110 pounds! That's like having an entire Olympic gymnast you are no longer dragging around on your back every day. Regarding your energy levels, are you getting enough fruit and veg? If you're still really low carb and really low calorie, as I seem to remember your dietician was having you do, that might account for the lack of energy. It could be your body is needing more fuel than you're giving it and is lacking the phytonutrients that don't come in a multivitamin.

Many years back, I had a job that required me to go to a big food science convention. The vendor exhibition was this massive place where all the global food companies, big and small, would introduce new and upcoming products. The first day there, a coworker cautioned me to be very careful and selective about what and how much I sampled throughout the day. She recalled that a few years before, Olean had been all the rage and every food company seemed to have samples of fat free products made with the stuff. And of course, who can resist eating all that free food, right? You could go back as many times as you wanted to get samples, and people sure did. Well, a shockingly high number of conference attendees during the Olean year had ended up back in their hotel rooms that first night having very unpleasant bathroom experiences. In fact, that event in part led to them figuring out that too much of the stuff could be really bad. Luckily there was nothing quite so terrible the year I went, although I did get a glimpse of just how unnatural all that processed food can be.

Nutrition is key at this point, and what you eat is even more important than how much you eat since you're at a point where it's normal to be able to eat closer to a "normal" portion size. The book that really made an impact on me is A Pound of Cure from Dr. Matthew Weiner. I have recommended it to everyone I know, whether they are considering WLS or just want to eat healthier and lose a few pounds. You can get it through Amazon, and there's a whole series of videos on YouTube that take you through all of the recommendations. Personally, I've watched all of his videos and the podcast, but in your situation, I would suggest you start here : And then watch this one: After that, just keep watching the videos and commit to making one major change per month for a slow and healthy approach.

It lasts at least a few days, but at this point, you should probably make a small batch, like a half recipe. I can easily eat a serving now but it's very filling.