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There isn’t really a hard & fast rule about how much weight you will lose at certain points along the way. The calculators, advice from your surgeon, dietician, etc. are all based on averages so not what you WILL lose but what you MIGHT lose. At about 5 months you’ve lost 63lbs (plus the 40lbs before your surgery). It took me about 6 months to lose 60lbs & I lost at a pretty good rate. Yes, I started at a lower weight than you & we say, the more you have to lose the faster you’ll lose in the beginning, yet again this is a generalisation based on averages. I’d say you’re doing well - congratulations! My test always was what did my surgeon say. If he was happy I was happy. (My dietician to a lesser extent.) What does your surgeon say about your weight loss to date? Focus on getting in your protein. It’s essential as is getting in your fluids. It will help you get the most from your surgery. Eat your protein first, then your vegetables & if you are able any multi/whole grains you are allowed. This helps ensure you hit your protein goal. In the first months it wasn’t unusual for me to just to eat my protein & nothing else for a meal. Drink all day - in the car, out doing chores at the shops, etc. I found drinking through the night helpful too - still do. Enjoy every one of those pounds you’ve lost. Remember there’s no time line for when you have to have lost all your weight. You’ll get there in your time & there’s only right in that.

Hi! New here! I had VSG previously and I'm going to have the Overstitch procedure this week. If you've had this done or are thinking about it, I'd love to hear from you! I have not met my surgeon in person (phone consult) and there is a long list of medications. I'm pretty nervous about this non-invasive procedure in a way that I never was about the VSG! It could be the extensive medication list- I didn't need any prescriptions after VSG. Prilosec and Miralax daily 7 days before surgery, Zofran, Emend, and Betyl for nausea and cramping, starting the morning of surgery, and ibuprofen rx for pain. I had VSG in 2017 with no complications. I lost 115 lbs. Fast forward to 2023, 1 years after hysterectomy, I experienced about 30 lbs regain. I was having trouble losing with increased workouts and diet modifications, so I tried Mounjaro. I lost 30 pounds. I felt nauseous and fatigued the entire time I was on that, I subsisted on gingerale (I did not drink any carbonated or sugary drink before this) and cereal or saltines. I went off because I wanted a break from the side effects. I rapidly regained all that I lost and 10 more. After attempts to moderate diet again failed, I went back to my doctor. I'd read about Overstitch, but the information out there is pretty vague. Basically, I know what it is and that it's available. I can't find any decent experience reviews. My doctor expects that I can easily lose between 20 and 40 lbs. Not the significant loss of VSG, but on my small frame, that's a large amount and it would bring me to a much healthier place.

I wanna join in!!! When I started this journey, I weighed 421 pounds. I was in a size 28/30 and 5x clothes, size 10 ring, and size 11 wide show. Fast forward 2 years and I weigh 176, I'm in size 12/L clothes, size 10 medium shoes and size 5 ring (I actually need a smaller size but that won't fit over my knuckle, so 5 is as low as I can go). I had high cholesterol (228), I had type 2 diabetes (A1c was 7.9 and glucose averaged around 168-175) and I had high blood pressure (even on meds, my "controlled" bp was averaging 135/85). Now my cholesterol stays around 125-130, my A1c is 5, my glucose was 96 last time it was checked, and my bp actually runs low now (105/58 on average). I always needed seats with no arms, tables in restaurants because I was so big my stomach would be smooshed against the table in a booth, couldn't sit in movie theater seats, needed a cane to get around because my mobility was so bad and I had so much inflammation in my joints. Snored when I slept. Couldn't stand for very long. No way could I ride a roller coaster or even walk around a theme park. Always needed an aisle seat and seat belt extender on a plane. Now I can sit anywhere I want, in any kind of seat, never need any kind of seatbelt extender, and never be smooshed against anything!! On another note, I noticed 2 things that still mess with my head. The first is that when I see my reflection in the mirror, I NEVER realize or remember it's me!!! I always think "man, I'd love to get down to that size" and it takes me a while to put 2 and 2 together and remember it's me I'm looking at and I'm already that size lol The other thing that messes with me is something my husband pointed out. When I walk, there's a gap between my thighs and they don't touch or rub against each other. WHAT??? I didn't even realize it!!! So I tried to walk with my thighs rubbing against each other and I ended up tripping myself because my shoes kept hitting against each other lol That was definitely crazy. But I love it!!!

Good morning! I had gastric bypass on 4/12/21. My highest ever was 293. I had surgery at 262. My lowest at my year mark was 135. Found out I was pregnant extremely fast after hitting my lowest and cannot budge out of the 150-155 range and I’m getting discouraged. I'm eating between 66 to 120 g of protein depending on the day. My fat intake I think is too high at around 70g, my net carbs range greatly between low 30’s to 100 g depending. My calories also vary between 800’s to 1200’s and I need to find the best range for losing weight while exercising now I started working out with the treadmill while concentrating on strength training and core workouts to help tummy skin shrinkage. I still have my restriction and often cannot even eat more than 4-6 oz a meal. I eat what I can of some fruit and veggies but mainly I’ll eat protein snacks like Catalina crunch, some small stuff from Atkins, Kodiak cake snacks sometimes. To name a few. I also drink a protein shake once a day which is either of the brand Ryze or Iso100 with 12oz of Fairlife low fat milk. Just to paint a picture. I work in corrections on night shift so there isn’t much moving around at night. But…I’m here to ask for advice and recommendations to help kickstart weight loss again. I’m miserable!!! please help if you can.

@BlueParis The eclipse was so incredible. I went with a friend and my two teen daughters. We were all impressed beyond belief by the totality. But it was a very rural area and the small roads couldn't handle the traffic leaving the area all at once so it took 7 hours to drive home instead of 3.5. I counted myself lucky to get chicken nuggets. Stopping for a real meal (the original plan) was out of the question with the crowds. @Noelle74 The stalls are frustrating for sure. I know I could stop weighing myself daily, but at this point I am enjoying having a record since I do it in a smart scale app. I think it'll be worth it being able to look back later and remind myself of how it went. But I'm at 7 weeks post-op today and would love to see the scale shift a bit before the 8 week mark. I'm only down 17lbs since surgery. I've also had some incidents of throwing up. It seems to be when I eat too fast or don't chew enough.

Kind of yes and no. I met with my surgeon team and was told try to stay around 1000-1200 calories, 130g or less of carbs, and to be at least 80g of protein. They said they don’t know why for some people the metabolism reacts differently and changes greatly with surgery while with others the metabolic response is very minimal. They said obesity is a chronic disease that the body settles into. They said that the journey though is my own and that I shouldn’t be comparing myself to the substantial weight loss others have. I think it’s really hard to not compare sometimes though because many here get the surgery and become very healthy very fast. They are planning to meet with me again in about a month and will discuss various weight loss medicine additions such as ozempic, wegovy, metformin, topiramate, phentermine, mounjaro. It could take one or a pair of these medications together to get the metabolic rate to be where it needs to be for weight loss for me.

I had the modified ds and it said pretty much stop eating after 30 mins or you're grazing? But it feels like 30 mins is too fast for me bc i get that feeling you're describing happens even if I've had maybe less than .5oz of anything. I'm 6 wks out from surgery too. Idk if I have gotten the "full" signal yet, just pain or nausea..

I'm in Canada, so the brands we can get might be a little different. For SF syrups, Matteo's is my go-to for the most part. I really liked the Skinny Mixes and Jordan's syrups in the past (pre-OP) but haven't tried them since my surgery. I find all of them to be cloyingly sweet if you're not careful with the amount you use -- so really, add half a teaspoon at a time, test it out and see if you need more until you know what your 'sweet spot' is. I made tuna, salmon & chicken salad too, but my recipes were very lack-luster. I did a can of tuna or a can of chicken, drained (but not squeezing out the liquid using the lid otherwise it'd get too dry too fast, lol); I usually started with 2 tbsp of light mayo or greek yogurt, mixed until it was coated and then adding another tbsp at a time until it was saturated to the point of being sloppy (I was having a ton of texture / moisture issues at the time). Salt & pepper to taste. With the fish, I often added a couple shakes of dried dill and a touch of garlic powder, and some peas (raw or cooked). With the chicken, I liked adding curry powder and tiny pieces of cooked carrot. Honestly, any veg you like that you can stomach at this point would probably be a nice addition to change things up from meal to meal. I can still only eat half a can of tuna/etc at a time, so I tend to leave it plain and dress it up with seasoning or veg right before eating. I also found that for me personally, the light mayo worked better at moisturizing the salads. The greek yogurt was more protein (and overall healthier than the mayos I could get my hands on), but the yogurt absorbed differently into the flaked protein. Especially if I was making it ahead of time. Probably the oils in the mayo.

@RonHall908 Isn't the slow weight loss the worst? I had my second mini stall this past week. At least it was 4 days instead of 7 like I had at the three-week mark. I truly did think, based on how quickly I lost weight in the pre-op diet phase, that it would be super quick after surgery. I lost 15.4 lbs in 2 weeks compared to 16.8 pounds in 8 weeks post-op. What the heck?! It's demoralizing at times. I still have 3 weeks until my next appointment with the dietician and 5 weeks until I see the doctor again. I'm really hoping I'm on track. They say the first 3 months is the fastest weight loss, and if that's true for me...it really sucks. The one thing I can handle large quantities of is water, or even something very liquid like a smoothie. 16oz in under 30 minutes is no problem. And I can eat a full 1 cup serving of bean and veg soup. Any kind of meat fills me up fast, though, although tuna salad is probably the one I can eat the most of.

I had a very bad ankle injury in 2022 which reduced my mobility and I wasn't able to workout much or move because of the pain. I felt my weight creeping up because I was buying XL clothes and everything was still very tight (I had already put on 30 lbs the past few years so I was already heavier than I ever was) but I never weighed myself (my biggest mistake) so I had no idea how much heavier I was? I started entertaining the idea of WLS because nothing else worked (dieting, working out, even liraglutide) - mind you this was not even on my mind before - and saw the surgeon on Feb 2023 to see if he would even do it, and he said he would and that he recommended VSG for my case. Had a chat and decided I will put it on hold because I wasn't mentally ready. Fast forward to summer 2023 and we were travelling, we were in a water park and my 8 year old and I decided to go for a ride and I was panting going up the stairs to the big slide. While we queued the staff asked us to step on the weighing scale to see if we're under the weight threshold and I really didn't want to be weighed, my heart was pounding and my palms were sweating and once my daughter and I stepped on the scale the staff goes: "you're almost beyond the threshold but I'll let you go" and it was as if a slap was delivered across my face. I did the math in my head and realized that I have reached a weight I never ever saw even while pregnant (funnily I barely gained any weight in both my pregnancies and snapped right back). I came back from my holiday and booked my surgery for December. Best decision of my life.

@NickelChip is on totally on point. I cannot stress the importance of asking yourself do you need this next bite or do you just want this. If you just want it put your fork down. If you’re about to put that mouthful in your mouth out of habit, put the fork down. Even if your response is I don’t know put your fork down & wait. In a couple of minutes try again & if the answer yes, I need it take the bite. Of course you have to really consider the difference between wanting & needing. I started practising this from my surgery (so 5,5yrs ago) & still do it. Been extremely helpful. Slowing your eating is based on the fact it least. 20 minutes for the message to get through to your head that you’ve had enough. If you are a fast eating, eating mouthful after mouthful, by the time the signal you’ve had enough registers you’ve eaten way too much. Notice I say enough not full. Enough is the goal. Enough is what your body needs to function. Full or over full is usually the volume of food to make you feel good or better or happier or whatever. Some hints & tips to incorporate which can help. Buy yourself some small cutlery. Baby forks and spoons, cocktail forks, sporks or similar. (I think almost everyone uses smaller cutlery after surgery but you could start now.) They will make your spoonful smaller and slow your eating. if you haven’t yet, get hold of some smaller bowls & plates. Will help to keep your portions the correct size and can make you think you’re eating more because the smaller plate is full. I used ramekins, tapas plates, side plates while losing & now use entree/appetiser plates (9in dia). So still no dinner plates for me. After putting food on your cutlery, push some off so the fork and spoon aren ‘t full. Try sending timelines for smaller portions of your meal. Like, I’ll take 10 minutes to eat a quarter of my meal. If you eat it before ten minutes, wait before starting the next quarter. Or, try cutting up your meat (depending on your meal) first. Count how many pieces and work out how often you can eat a piece. I still do this type of portioning. Right now I’m eating some crackers with a topping for lunch. I eat one cracker every ten minutes. Sometime I wait longer but never more quickly. If you are eating with others, put your cutlery down when they are talking and don’t take a bite until they have finished or someone adds to the conversation. You become a good listener & distracts you from eating. I live alone & didn’t like using a timer so I used to set other guideline. If watching tv, take a bite with an ad or a scene change or similar. If playing on line game like solitaire, play a game before taking a bite. If reading, take a bite after reading a certain number of pages. Between bites, put your cutlery down, and sit back from the table so you're not leaning on the table. Sure others may have some tips as well. All the best.

as for whether subsisting on a very low calorie diet for a prolonged period of time affects your BMR (metabolism) in the future, there are arguments for AND against. one particular study that i found intriguing was the "Biggest Loser Study"..that found that contestants that participated in the study ALL ended up with lower BMR's than before weight loss...EXCEPT for the one contestant who ended up getting WLS. that one person's BMR did not lower like the rest after his wls, in fact, in went back up. obv, the sample size was very small, and the subjects were only observed for 6 years, but still. something to ponder. you can read the study here if you are interested: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4989512/ or, if you want an easier NYT-read of the same study, here is a link to a more reader-friendly version: https://www.nytimes.com/2016/05/02/health/biggest-loser-weight-loss.html now for a personal anecdote: i was 300 calories A WEEK for the first two weeks, then 300-400 calories a DAY for a couple months, then 500-600 the next couple months, then 700-800 until i reached goal at at 7 months. i'm 5'2" and at 7 months i was 127 lbs. fast forward almost 6 years post op and i am consuming 2200+ cals a day and i'm just under 120 lbs. however i also do quite a bit of dedicated exercise (1.5 to 2.5 hours daily), plus other active stuff i just do for fun in daily life. BUT...when i wasn't exercising as much as i am now, i was maintaining at about 1800 calories a day...so at least for me, i don't think my BMR/metabolism was negatively affected after a sustained low cal diet...if anything, i think it got better...though i probably have all the exercise to thank.

I share this story in hopes that it may help someone to never pick up a drink after VSG or to at least be hyper-vigilant about the dangers of drinking post weight loss surgery. I was sleeved in August of 2015 @ 310 lbs. Quickly lost most of the weight needed and began running 5k. Not really setting the world on fire, but it was really good for me. Prior to surgery, I had always enjoyed drinking with friends. Typical guy stuff - couple beers @ a football game or watching the game on Sunday, meeting for drinks after work, etc. Never an issue or problem. Never anything that i had to have. My doctor warned me against alcohol, sodas, and transfer addictions, but I thought "never me". WOW, was I wrong. I remember the first couple times I had a beer after the surgery (I waited 6 months), it was very fizzy and uncomfortable. I convinced myself that it would get easier, and unfortunately it did. Next came the rum and coke zero. Wow, that tastes great, and I get a buzz very quickly. That fast buzz turned into getting very drunk, very quickly. Our new bodies absorb the alcohol in 1/2 the time that a normal internal system would. Over the last couple yeaars there have been many episodes of drinking way to much, blacking out, and not remembering what happened. I have had to apologize for my behavior more than once after a night of drinking. I even started drinking every day. I would make a drink as soon as I got home each day. 1 turns into 2 or 3. Just like lays potato chips you can not have just 1. Alcohol consumed my every thought. When can I have a drink? How can I make sure I can get a drink? It amazed me how I was able to justify that if creamer was good in my morning coffee, how great would Rumchatta be (it's damn good, by the way). I am living proof that transfer addiction is a real thing. I am now in counseling for my alcohol addiction. Transfer addiction is definitely a real thing. Prior to VSG surgery I was over 300 pounds because I had an addiction to food, and all the wrong kinds of food. My new addiction is alcohol and it's best friend is food addiction. what goes with beer = chicken wings, or nuts and pretzels, what goes with a margarita = tacos, etc. Alcohol also makes it impossible to lose weight. So if you are really dedicated to clean eating but you drink, your weight may stay the same, but it surely will not go down. I have packed on 60 lbs of the 120 that I lost. And, I am slowly changing behaviors to get back to where I want to be. It is a journey,, but I am worth it. I will overcome. Addiction is sacrificing everything for that one thing ! Recovery is sacrificing that 1 thing to have everything !

Hello everyone. I’m new here. I had my gastric bypass surgery on March 13, 2024, along with a large hiatal hernia repair. I am in no pain. I vomited once since I’ve been home. That’s only because I drink something too fast. I would love to know how is everyone doing or have done after the first week of surgery? I am just sick and tired of drinking everything. I need help to see if I can help at least a little something so like a scrambled egg or something. I take a lot of medication and I’m afraid to even take my meds. Please feel free to comment and help me out. thank you so much. The first picture is me 6 months before surgery. The second one is 1 month before surgery.

I have to be on a liquid diet for two weeks before my bypass. I’m on day 9 and if I’m not constipated I have diarrhea! Who knew? I’m only having extra protein Slim Fast, broth, jello, water and occasionally a sugar free popsicle. I think my GI system is out of wack!

Well hell, I'll weigh in on this one! Sleeved in August - Had my first drink in September (birthday) - Only a single drink and no issues and didn't have anything else until vacation in February - I was SUPER excited that I could actually drink a whole beer. Again, no issues, just feeling a bit bloated after one so that was a good thing. Fast forward.... 2 years - I could drink like I used to. Mixed drinks like Martini's with no carbonation - like it's water. Fizzy drinks like beer or white claws - a little slower, but I can keep pace pretty well. What HAS happened now though, I don't get that happy buzz. I go from "just fine" to "OMG, I'm hammered" at some point during the day with no in between. It's a VERY delicate balance to make sure I stay in the "just fine" category as I've found that when I hit the "OMG, I'm hammered" stage, I don't remember things the next day. Fortunately, I'm apparently a very happy drunk that doesn't do stupid things... but still - I hate that I can't hold it like I used to.

Thank you for the advice! It's weird, a day or 2 after I last replied, the random nausea and intense abdominal pain practically disappeared on its own. Of course now I've been fighting with trying not to eat so fast I make myself sick and getting tired of eating the same thing over and over. Do you actually weigh out your food? I'm avoiding that because it reminds me of all the failed attempts at dieting. I doubt I'm hitting my protein and water goals still, but it's been an improvement from the past 6 weeks. You have to stay positive right? Do you actually eat 3 meals or at specific times? I'm still trying to recognize my body cues on that.

Thanks. I had my one week post op today and the pathology came back and I did in fact have gall stones. My surgeon did not discuss the channel length with me. Nor did he give me the option to resize my sleeve. He believes that the risks are too great for the difference it would make for me but he did also do several tests to get a good picture of my sleeve before we landed on the SADI as opposed to the bypass. Perhaps if my sleeve was larger he would have steered me towards the bypass. My surgery was robotic this time my sleeve was just laparoscopic I’m curious now what my channel length is. Not that I really know what would better one way or another. So it turns out that my pain was almost entirely from gas because I was in a great deal of it until the morning of day when I finally passed a lot of gas and with each time I felt more and more relief. I did walk quite a bit but in retrospect I would’ve walked even more if I had known how much better that toot was going to make me feel. I walked everytime I got up anyways, like to pee brush my teeth or when they woke me up in the middle of the night even. I finally pressed the issue that they switch out my IV pole machine thing. Mine had a very weak battery and even being unhooked that short time while I walked it depleted it so much that it set off alarms they had to come shut off. It was super annoying for them as well and I felt like they were acting annoyed with me as if it was my fault for calling them rather than just accepting that beeping going on all day and night. I am a super light sleeper and it went off other times too so I finally said don’t you have other patients that don’t have to unhook it so many times a day that you could switch with mine. They did and we were all happier for it. Anyways, grab that iv pile and walk walk walk. It doesn’t matter how fast you go, just that you do it. And if you have to toot or belch do not hold it in no matter what. I don’t care who is on the room. Get it out and explain later. Although the doctors and nurses should understand anyways. That was really tough for me but after the relief the first one brought I didn’t care anymore. 😆 I forget. Do you have your date Yet??

Day one of my liquid diet. After re reading my pre op diet, it states that I can’t have creamy soups. 😕 I hope these two weeks go by super fast.

Hi all, the sun is finally out and I've made my 10k step goal today for the first time since Monday at least! Thanks again for everyones support - it does help! @gracesmommy2 I have thought about SAD, but normally I'm okay in all weather, I even prefer summer holidays in the north with raincoats and wool socks and fires! I reckon I'm probably a bit anemic and low on vitamin D... and that plus the exhaustion, the being cold and the being away from home is just a bit much. I hate lugging luggage around and so tend to travel light and where as when I'm home and it's cold I just wrap out and bundle myself under covers with a hot water bottle... but when I'm travelling it's hard esp as I've mucked up on my packing for the last few trips and not packed enough warm clothes. I do have a sort of lightbox thing at home that I usually use to deal with jetlag but I've been lucky enough since my operation to only be doing short hall... I do go to Canada and the US next month though so will get my lightbox out of whatever cupboard it's hiding in when I next make it home. I'm also aware that I'm loosing fast, which I think is pretty normal as I wasn't overweight for that long ( my BMI got above 25 for the first time in my life only in 2020)... I'm on Thursday I'll be 3 months since surgery and as of today I've lost 19.75kg (43.4lbs or 3st1lbs) since my surgery so over 21% or my body weight in under 3 months ... I know that this must be doing a number on my mental state too. I was 91.1kg on the day of surgery and am now 71.35kg - however I also lost 5kg in the 2 weeks before surgery, my surgeon didn't need me to do a preop diet but just to be safe I still pretty much did a broth fast for the two weeks prior. So all in all in 15 weeks I've lost over 25kg ... and I know thats why I'm so exhausted! However I'm also happy because my team wanted me to have lost 20% total body weight at 3 months and I've exceeded that with a week to go ... I know things will get better... but I would love some proper warmth and light for more than a couple of days! @LisaCaryl I've always shed a lot of hair but haven't noticed things getting worse yet ... but I guess I'll just ride it though when it does happen! On the bright side I have to loose only another 2.2lbs to have a BMI under 25 again ... I know BMI is a crap tool ( and honestly find it a tad unfair because I reckon I have at least a couple of extra lbs of boob!) but I'm still very much looking forward to no longer being officially overweight! Hope everyone has a lovely weekend and that all those far enough north got to see the boreal lights.

Hello everyone! I had the gastric sleeve done in 2016. I lost a total of 140 lbs. I hit a stall and managed to keep myself at that amount. Fast forward to 2020. I was diagnosed with Fibromyalgia, Chronic Fatigue Syndrome, Hashimotos Thyroiditis, and had to have my thyroid removed due to large nodules. With all that occurring and being prescribed new meds I started to gain the weight back. As of today I have gained most of the weight back-120 lbs. I am wanting to get back on track and try to lose it back and then some. Any tips or recommendations? Is it even possible to lose all of it back?

My dietician wanted me to get at least 90g of protein a day and 30g or less carbs. My energy has been sapped as well. But I also work 55-60 hours a week. So that doesn't help much along with getting in some exercise daily. So, I've been getting in 40-45 g of carbs and that seemed to help some. But I've also had no more than 100 grams.of caffiene every couple days. I use the baritastic app and log everything. It's helps a lot. My dietician can log in and see what I've been doing. She hasn't said anything, but I also don't have an appointment with her until next month. I think my issues are getting enough vitamins and minerals. My hair used to grow very fast, now it doesn't. I take three multivitamins a day and two B-complex vitamins. Along with calcium chews. I also have an appointment with the bariatric center where I had the surgery. I'm certain they will have another round of blood tests to see if I have any deficiencies. Sorry this was a book. 😁

My surgery date was 04/04/2024. The pain started last night. Everytime I try to eat or drink, I have really sharp pain in the left side of my stomach. The pain shoots through my chest and shoulder. The only way I get relief is if I lay specifically on my left side. My right side and my back has bad pain also. Today, I hardly have drank anything due to this pain. My nutritionist told me to go back onto clear liquid just for today to see how it goes. He believes I consumed too fast and there may be a blockage. He also told me I started eating cottage cheese too soon and it could be that as well. He predicted it would be better by end of day. It has not and my nutritionist isn't answering me to my concerns. All day today, I've barely been able to finish a protein shake and a tiny bit of water and about a cup of chicken broth. I'm still in a lot of pain, worse each time I try to drink something. I do burp here and there randomly. No fever, no chills, no infection on incisions. Did anyone else experience this? Does it go away quickly? How can I eat something without it hurting? I guess I'm looking for reassurance that this is normal? Thank you

Thank you very much! Congratulations to you as well for your successful journey. It's amazing to finally be free of the fat and, more importantly for me, the addiction to food and the total control/power I have over food now. It's seriously my lifelong dream at 55 so staying motivated was baked in.. Thank you again. I am sure I didn't elaborate or explain my reasons enough but actually I am concerned about slowing down the weight loss. I still eat very small portions and am worried it would be hard to sustain on just protein, without carbs. I like my body running more ketogenic than carbed up with the ups and downs of carbs. Without adding fat, and with our malabsorption aspect of the surgery, I am wondering if its possible or not so much..If I am being honest, at 240lbs, I started eating dirtier with carbs to try and stabilize at 240 until I got my knee surgeries, but then just dropped another 20+ within a month and a half or so. My steps and activity increased, small by normal people standards, but a lot for where I have been, after I got another Cortisone shot to the knees. This just illustrates my concern once I reach goal weight and I am rucking, hiking, and lifting. Those three things will be lifelong for longevity and mobility going forward. Obviously everyone is different as far genetically and such, but I have been extremely low calorie, plenty of short fasts up to three days, and have plateaued at certain points during my weight loss, and after doing a refeed with carbs and basically whatever I want to eat, I recharged my metabolism for another huge run of weight loss. The refeed was usually only a couple days to a few days but less than a week. Now with this approach remember I am lifting weights. I mean hard as I can weight lifting 4 days a week. It sucks! Low energy lifting is not fun but the recomp.. I really believe the built-in calorie burn from lean muscle mass is the most efficient way to permanently stay in shape. Male or female doesn't matter. IMHO if your metabolism is slow and you are struggling with the last few pounds, I mean the literally like 5-10 pounds from goal BF, man or woman, start lifting weights. The body recomp will floor you. And that weight or really I think just your body composition after significant weight loss without adding lean muscle mass leaves you looking(Sometimes) like a no muscle bag of skin. Flat. It's not fun but the results.. Anyways thank you for the reply and just to make clear if any of the vets care to weigh in, the WLS gave me the tool, the only tool I will ever need again to lose weight. It's so powerful for me that I need to think about slowing down my weight loss combined with, if possible, being low carb and more ketogenic as a lifestyle choice I prefer. I just don't know if low carb is sustainable without the fat calories. that specifically is what I am looking for. Does anyone prefer low carb/ketogenic after surgery and is it possible? I already realize that fats can be problematic, is anyone doing carnivore after DS Sadi. Not my preference but the only option it seems for low carb without the keto fat plan. Thanks in advance for any tips.

That first week I felt like a fish out of water, it was so surreal and jarring. Not everyone feels that way, but a good number of us do and it's hard. We're here to support you and tell you that it will get better, you will feel better, and things will feel normal again once you've adjusted. This is not forever. I'm going to my 3 month post op today, I'm able to eat and feel good most of the time (When I don't eat too fast) and able to do a fairly intense daily walk for an hour as well as the normal daily activities. I'm still a bit tired, sometimes I feel emotional when I've not gotten enough nutrition or sleep, but I've learned to see the signs and take proactive measures so it really doesn't happen all that often anymore. I really started to feel better around 8 weeks, and feel much better again at 12 weeks. Right now the best thing you can do is remind yourself that this is ground zero, all the healing is ahead of you, there's a lot to learn but you will learn it as you go.