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@Tazrok you will get lots of different advice here due to the plain fact the we ALL were given different advice as well. there is no one right way to eat really. but since you came in here asking if you are possibly missing something, ill dip in first a couple questions: 1) how long have you been eating this way? days? years? months? based on your descriptions and pictures, im guessing you are probably taking in about 1100-1200 cals a day (so long as there is nothing else u are eating or drinking?)...this leads me to my next question... 2) how tall are you? 3) are u insulin resistant? suffer from hypothyroidism? have PCOS? depending on your answers the responses to your post may change. as an aside, for most of my loss phase, i barely had any veggies myself. i had very little stomach real estate and chose to eat protein forward, up to about 5-6 months post op. (though this changed near the end of weight loss phase when i became a salad junkie ha). while the make up of your intake doesn't matter as much as the amount, the make up (i.e., nutritional value) is important for overall health and well being. same goes for exercise. p.s. i am also a lifetime grazer. it became necessary after surgery because i just could NOT eat alot at once and it has just become the way i eat now (i am 5+ years post op...and yep i have managed to stay below goal weight this entire time).

I went back and forth for at least 10 years on this. Fortunately, I didn't have the health issues you have, but I knew if I didn't get the weight off, I wouldn't live to see my 60th birthday (I was 55 at the time). I went into it thinking it was a "dangerous" surgery, but I thought it was even more dangerous for me to stay at almost 400 lbs. I was happy to learn that these surgeries are no longer dangerous (like they were years ago) - they're actually very routine now and quite safe - safer than hip replacement surgeries, which they do all the time. So I took the jump. Absolutely the best decision I've ever made! I'd do it again in a heartbeat - in fact, I'd go back and have it done every year if I had to!

It's completely normal to have concerns before starting a pre-op program. Firstly, congratulations on taking steps to improve your health! Quitting vaping is a significant achievement, and worrying about weight gain is understandable. Remember, everyone's journey is unique. Personally, for me, it was hard to quit vaping. I quit because I was slowly decreasing the amount of nicotine I was using. The last smoking devices I was using were purchased from this website and were disposable vapes with a low percentage of nicotine because I had a terrible nicotine addiction. So, focus on the positive changes you're making for your health. Trust the process and stay committed to your goals. Consider seeking support from your healthcare team for guidance and reassurance. Remember, you're not alone in this journey. Stay strong and stay focused on your goals. You've got this!

@BlueParis you're looking great! I'm impressed you can stand in those shoes. I think I would end up in the hospital if I tried. And congrats on finally getting below that magical 70kg marker. I'm happy to report that after 7 weeks of very pokey weight loss in which I only lost 4 lbs total and stalled out completely for 2 of those weeks, I have now dropped 4 lbs in 4 days. I cannot begin to express how relieved I am. I know it will slow again soon enough as a pound a day isn't sustainable, but I plan to enjoy it as long as it lasts. NSV for me this week! So, I had gotten down to around 205 lbs back in 2017 through my hospital's nutrition program. Naturally, I bought some clothing back then, though unfortunately I regained steadily over the years. Because I had moved house 4 years ago, I purged most everything in my closet. This included almost all the smaller clothing, plus the remnants of my old "professional" wardrobe that was also in smaller sizes from a good 20 years ago. (I should say, I don't regret that too much as the clothing was way out of style and I never have cause to wear suits these days anyway.) But I did happen to hold onto one springy sort of dress that I guess I must have thought was too nice to get rid of, just in case it ever fit again. Well, I pulled it out of the closet the other day to wear to my daughter's special event at school and not only did it fit, it was loose. I honestly struggle to see the difference when I look at myself in the mirror sometimes, but there's no denying how clothing fits, and I know this dress never fit me loose back then like it does now.

I love that last part. That’s so true. I am looking at every way or calculating it and it boils down to the fact that losing only a percentage of that I am most likely not going to reach my “happy weight” however I will lose a large amount of weight and I will be healthier. That’s what matters most.

How do you know how much excess skin you have? Like in lbs. I watch these shows and its like we cut off 25 lbs of skin. How do I get an idea of how much weight my excess skin is so I can decide if I am truly happy here or if I want to lose a little more? I am at the point of plateau. I have been at 157-162 for 10 months now. I would like to end up at the 145 ish range. I just have no idea how to know if I have 15 ish lbs of skin. and I dont want to cut the skin, not be in the 140s, lose another 10 ish lbs and possibly have to go back and have more skin cut off/ have more sag that I am trying to avoid.

I was never given calories either. Just the 60g protein & that I should be eating about a cup of food by 6 months. I due random checks of calories for my own interest & I was barely eating 900 calories but as @ShoppGirl said there are many factors that influence how many calories you need. Factors like age, gender, height, activity levels, etc. I too suggest getting in contact with your team. They know you best & can advise you better for your needs, Stalls happen & can happen several times. Though we usually say they last 1-3 weeks, it’s not unusual for them to last longer. Out of curiosity do you track your food & know your calorie & macro intake? What are your portion sizes like? Remember too, your portions sizes & number of calories you need do increase as you progress. For example at 18 months I was eating about 1300 to maintain & now at almost 5 years I eat about 1600 to maintain the same weight. And my portions are around 3-4ozs protein & a good cup or more of steamed vegetables.

To tell you the truth i stopped weighting my food a long time ago since i never bring food to work (There's a Healthy Food Buffet at work) i usually just eat until im full. For example, this was yesterday's lunch:

I lost 33 pounds in my first 6 weeks, not in my first month. I also started a good 100 pounds heavier than you. The bigger you are, the faster you initially lose. I will say that you should go check out the NSV thread here (Non Scale Victories). Even if the scale isn't doing what you want, it doesn't mean things aren't happening. Clothes fit differently, rings are looser, you fit into seats with arms better, you're not smooshed when you sit in a booth, you can do more walking and working out without as much difficulty, etc.... Don't weight yourself everyday. Try picking a specific day each week and do it then. Make sure you're prioritizing protein first, then veggies, then carbs and healthy fats. Move everyday. Can be a workout, can be walking, could be swimming or biking. Just make sure you're moving your body. Try to stay away from sugar and salt as much as possible. Get at least 64oz of fluids daily, if not more. The first 6 months is when you lose the most, so do everything you can to help that along.

Not hundreds but thousands of posts about it. I never understand, when it is something that almost every single person experiences after their surgery & it can be so demoralising, that surgeons & support teams don’t warn & prepare people for it. Yes, it generally occurs around week 3 +/-. The stall can last 1-3 weeks. It likely won’t be your one & only. Your body shuts down to reassess your needs as a result of the weight you’ve lost so far. This is when your body resets things like your digestive hormones, etc. The stall will break when your body has made the adjustments & is ready to move forward again. Stick to your plan. Don’t stress your body more by making additional changes to your activity or food intake other than what your plan recommends or requires. While waiting fir the stall to break, celebrate the weight you’ve lost so far. It’s a fabulous achievement.

HI all! How do you navigate eating out? Life is busy I do well during the day but at night if I do not cook for the fam then its take out. I try and make good decisions. The other day we had Mexican food. I got a grilled chicken taco, added black beans, light sour cream and some guac. Put some pico de gallo on it and only ate the insides and only half, saved the other half for lunch. If we get burgers, I will only eat the meat with mustard and the lettuce and tomato. ect... I was watching a video someone posted and it was saying that the #1 failure of WLS is chasing restriction, I do not eat till I am stuffed, but I do eat till I am satisified. If I get a craving I just grab a otter pop or 2. I am not sure if I am supposed to steer clear of all this? I am losing weight and its literally melting off, so I figured this is ok.

Hey Warren, I'm presuming because they would only look at fixing the opening if they did feel it was contributing to the pain and other issues I'm having 'downstream'. This would not be a true revision in the sense of reducing the size of the pouch. My insurance company also only pays for 1 bariatric surgery in your 'lifetime'. They would only pass for the revision of opening if it were medically necessitated, and they would not consider 'failure to lose weight' or a 'weight regain' as medically necessary. My GI wanted me to talk to the bariatric surgeon who specializes in revisions. The surgeon does not think what is happening to me is 'dumping due to widened opening'. He said it doesn't sound like dumping to him and if that happened to everyone whose opening widened, everyone would be having "dumping" issues after a couple of years. He did point out that both the upper and lower GI I had done do not look at the inside of the pouch so if there is a hernia that is causing the on again/off again pain and on rare occasions bleeding (looks like coffee grounds), then the GI doctor would not know as they never 'scope' the pouch for a routine upper/lower GI. He also indicated that depending on the scope size a GI doctor uses, it doesn't go through every single space that we have (due to us having been um "modified"?) so it would take a doctor who uses an extra long scope. That last part I must confess I do not understand at all. He does have me scheduled right now for a laparoscopic investigatory procedure to take a look inside my pouch and see if there is scar tissue or a hernia that needs to be addressed. He also gave me prescription acid reflux meds and said if i got better after 'taking' them, I could cancel the procedure in 2 weeks. What he fails to understand and I've tried telling his office, I can go a month with no pain. Then I go back to back days in extreme pain. Have not been able to tie it to specific food, time of day I'm eating, etc. My right side starts with a stabby/cramping pain (closest I can compare if it feels like the pain I used to get when I ovulated or that 'stitch in your side' type feeling. It often goes downhill from there. I have tried to get it figured out now for 2 years but taking ANY medicine and 'not having an episode in the next 2 weeks' does NOT give me a definitive answer as I do not have this pain all the time, it is just enough to be frustrating and has lasted LONG enough to be concerning. The 'coffee ground' type bleeding that I have observed is one and off for the past 3 months (maybe it started a while ago but now I know what to 'look for'. I don't like going under anesthesia but I'm probably going to keep that procedure scheduled as I have no guarantee that ANY medicine given for the next 2 weeks has 'fixed' any issue. I wonder if anyone else has ever had their opening revised but not their pouch out of curiosity.

After the vitamin infused IV yesterday I do feel better. However, the health professional administering the IV said I was dehydrated. Which seems weird, at that point in the day I already had 64 ounces of water along with 12 oz Gatorade zero. Typically I get 72 -80 ounces by the end of the day. Fluids haven't been an issue for me. I'm sending a message to my doctor to see if there could be an issue absorbing fluids. I've never heard of that, but it seems weird im drinking so much water and still deemed dehydrated. Could be a reason for the slow weight loss maybe.

It’s really interesting reading about how and why everyone chose their surgery My surgeon actually told me at the very earliest : he would not make the choice for me as if i wasn’t the one making the surgery type choice it opened up the possibility of regretting whichever i went with. I asked him what he recommended he told me there are no specific advantages of bypass over sleeve or vice versa. He did however explain that 30% of vsg patients end up with GERD (especially it already having reflux without surgery) and that dumping was way more frequent in bypass patients. He also told me that age factors in : younger women for example can use the sleeve then may need to convert to bypass later in life (after several pregnancies for example) to continue being able to face fluctuating weight from such events. In the end i went with the sleeve, hoping i wouldn’t be one of the 30% who develop GERD. 1 month post up tomorrow - So far so good no reflux but i am taking medication that could be masking it

Ooof, yeah. So I weighed myself several days ago after uh... my digestive system decided to clear itself (took a while). Just to see. I LOOK a lot thinner already - I'm just over 2 weeks out - but I just wanted to see. And the results were lovely. BUT. I made the mistake of weighing myself in the couple of days after that, and of course it jumped up a bit, and I realised that I will make myself crazy if I do it every day. A lot of processes are reorganising in there! If you've started solid foods (I'm allowed soft solid foods, and that certainly makes for highs and lows!), that's going to make things jump around a lot, I just think the number has to be less important than it once was. I know weight loss is a lot more complex than the first law of thermodynamics, but if you're up and moving around at 750-900 calories a day, something is being converted to the energy you're using, and maybe having lower weight loss numbers here is a good sign - you're doing consistent resistance training, so you're retaining or gaining (dense) muscle instead of eating away at it, while dropping the (lighter) fat. Good job with the 6x week exercise - that's awesome

I feel so defeated.... it feels like every time I try to improve my health I make things worse. A small bit of back story first.... I had my WLS back in 2000, and was never told a lot of what they tell people now. I was simply told to take calcium, stool softeners and a multivitamin.... not what kind or what it should include etc. I was then told years later I was anemic, but after 2 years with that (PCP) doctor she never addressed it even though I inquired. Due to an extremely large hernia and pain I was having, I went to the bariatric doctor and he said to fix the hernia I would need to lose weight. I was losing weight again (after many years) and was feeling tired all the time. I asked my team about the low iron/anemia and asked if should I address it. I was advised to take 18 mg of iron daily so I bought the multivitamin with it included.... I bought a year's worth.... several days in, I became painfully constipated. Nothing worked but suppositories. I also increased my water intake and fiber both in food and with Benefiber. I was finally able to go without extreme pain after 2 days. One day of not using the suppositories and I am right back to not able to go again. I don't know if this is something that my body just needs to adjust to or if I messed myself up with all the years of taking stool softeners (that I don't even know if I was getting benefit of because I took soft gels)... I did message my team to ask advice, but with so many here going through similar stuff I thought I'd rant here also! I hate to think I wasted over $100 on the multivitamins that I can't take now. I'm a retired teacher with limited funds.....lol....

you should be losing on 800-1200 kcal/day. When did you start? If it's just been a few days, I wouldn't worry about it yet. If it's been longer, maybe you should check with them - they may have a dietitian on staff you could work with. It could be you're taking in a lot of sodium (that can cause water retention in some people), or more calories than you think - or something. Because if it's been more than a few days, there's something going on here.. I started out a 373 and my pre-program dietitian had me eating about 2000 kcal/day - I did lose weight. It wasn't speedy, but I did take about 40 lbs off in six months...

I unfortunately only spent a few months following surgery without being overly hungry, but after about the three month mark it came back with a vengeance, so I decided to do some research. I now consume Non digestive or Resistant meladextrin. Its a corn fiber that your body can't digest so; no calories, good fiber and probiotics purported to help with the following: Resistant maltodextrin is believed to enhance gut health by [19, 29, 30]: Promoting the growth of good gut bacteria Improving stool weight, consistency, and bowel movements According to some researchers, resistant maltodextrin has potential against obesity, diabetes, and heart disease because, in various studies, it has [31, 32, 33, 34, 35, 36, 37, 38, 39]: Reduced belly fat and body weight Decreased food intake Increased satiety hormones (glucagon-like peptide-1 and peptide YY) Lowered the production of the “hunger” hormone (ghrelin) Reduced blood sugar levels and insulin resistance Blocking the growth of cancer cells and tumors ** hasn't been proven** Decreasing endotoxins, inflammatory cytokines and oxidative stress markers (TNF-a, IFN gamma, MDA) Increasing protective antibodies and anti-inflammatory substances (IgA, butyrate, IL-10) In clinical studies of over 200 people, resistant maltodextrin enhanced the growth of good gut bacteria, including [19, 29, 44, 47, 48]: Bifidobacterium Ruminococcus Eubacterium Lactobacillus Lachnospiraceae Bacteroides Holdemania Faecalibacterium As a resistant starch, this type of maltodextrin will help keep your blood sugar level stable after meals. In a meta-analysis of over 900 people, resistant maltodextrin blocked the increase of blood sugar after meals (postprandial glycemia) [37]. resistant maltodextrin decreased blood glucose and insulin levels. It increased a weight-loss protein called adiponectin that blocks glucose production. 3) Obesity In several clinical studies of over 300 overweight people, resistant maltodextrin reduced body weight, body mass index (BMI), and body fat. In one 12-week clinical study of 30 people with metabolic syndrome, it decreased waist circumference and belly fat [31, 55, 35]. In clinical studies of over 160 overweight men, resistant maltodextrin decreased feelings of hunger, increased satiety, and reduced and food intake. In another study on 32 healthy people, it decreased levels of the “hunger” hormone (ghrelin), lowered feelings of hunger and improved satiety [31, 32, 33, 34]. In rats, resistant maltodextrin reduced body weight, belly fat, and suppressed excess food intake [56, 6, 50 I found numerous research studies that pretty much said the same things above..so I figured I'd give it a try. It has no flavor and desolved completely so I just add it to my water plus it has no calories and helps regulate Ghrelin (hunger hormone). It really seems to help! I just make sure its non GMO etc etc. Perhaps it can help you, I figured it couldn't hurt and I do feel less hungry...still by try but less.

So today I hit a milestone I didn't expect so soon---I've officially lost 50% towards my goal weight!!! 😭 I've lost 76 lbs since my highest weight (320) and 63 lbs since surgery (307). I'm stunned honestly. I've had some stalls and my weight loss has been slower than some others but my doctors kept telling me to stay the course, that my weight loss was right on track. Well, now it seems I've caught up and am ahead of the game! It feels so unreal... Here's a pic of me pre-op and two from today!

Throwing my anecdotal experience in the ring here, as well! I had a Vertical Sleeve Gastrectomy (VSG) at the end of November 2023. I was a "slower loser" the whole time, and then I hit a major stall about 6 months post-op, just bouncing around the same ~5ish pounds for months. I set up an appointment with my team for July 8th, discussed the issues I was having (mainly just being hungry and therefore eating larger portions), compared the different options, and we settled on trying out Phentermine. I did have to have a mobile heart monitor for 30 days prior to my surgery, as I had these weird heart "flutters" for YEARS and nobody could really figure out what they were (they ended up being PACs, or Premature Atrial Contractions, which apparently almost everyone has at some point and most people can't feel. I'm just unlucky! They are benign if they are not occurring in excess). My team had me do an EKG in-office that day, as well. They asked about any family history of heart issues, sudden death at early ages, etc. With a normal EKG, I was started on half of a 37.5mg tablet for 4 days, to increase to a full tablet after that if there was still residual hunger and I didn't have any major side effects. They said I'd know within those first few days if it was going to cause any issues. I did increase to the full 37.5mg after 4 days, and I've broken the stall (dropped 5lbs since July 8th, and part of that was spent at a music festival with few healthy food options), and I feel generally great! I do also have ADHD and Narcolepsy, so the stimulant properties are helpful for me. I'm feeling satisfied with much smaller portions and not experiencing cravings at all. I did have some mild insomnia the first few days, BUT I am already a night owl with a bit of insomnia due to the Narcolepsy, so it wasn't a big issue. Other comorbid conditions include depression and anxiety, which I am taking medication for, as well. The anxiety has not been exacerbated, which WAS an issue I had with previous stimulant use for Narcolepsy. Cost-wise, it ended up being roughly $7 USD with insurance. For me, trying Phentermine is definitely worth it, and I will follow up with my team later next month to see where I'm at. I had feared I was done losing after only 6 months post-op, and Phentermine has restored my hope that I can keep going to get to a healthier weight. It's important to remember that, while Phentermine will decrease your appetite, it does NOT cause you to burn any more calories than normal unless you also increase your activity. You have to decrease your portions - the Phentermine just makes it easier to do that, if it works as intended. So, your personal experience may vary, but it's worth discussing with your team if you feel stuck! EDITED TO ADD: My team said that I need to take a break from using it daily about once a month (like, not take it for a couple of days), otherwise I'll develop a tolerance and it won't work as well. This is pretty typical for stimulant medications in general.

I kept losing for almost another year after I reached my goal. It began at a similar rate of loss as I was experiencing but gradually got less & less until it stopped. Over that time I increased my calorie intake (added more & more snacks) & my portions got a little larger. I was eating about 1300 calories when I initially stopped losing but eat about 1500/1600 to maintain at about the same weight now. Like @Spinoza, I’m a believer in our changed set point. This is the weight my body is happy at & this is the weight it wants me to be thanks to the surgery. Could I eat my set point up? Yes, if I wanted. I mean that’s what we did before - ate our set point higher. Our original set point wasn’t an obese weight. Don’t forget you may initially stop at a lower weight than you expected but it may give you wriggle room if you experience the bounce back regain around years 2 or 3. Give your body time to resettle. Lots of things change when your weight starts to stabilise. Just give it time. Slowly increase those calories. Get in touch with your dietician for ideas of what you can add or how you could adjust your current eating plan. Good luck.

I'm 5 yrs out from byoass/11 yrs out from sleeve and at goal. I've been adminning a small WLS board since I inherited it in 2015 - we have a close group of mostly ladies (a couple of gents) and most of our people are fairly far out from surgery but we do have a few newbies. We do 2 Weightloss Challenges a yr and they're pretty fun, We have 3 prizes and they're decent prizes. 6 wks long, % of lbs lost, weekly weigh ins, rules - the whole sha-bang. Lots of support. The last challenge, I was going thru some stuff and I let life get in the way and while it went off without a hitch, as my co-admins are amazing, it wasn't the same as usual. I promised everybody the summer challenge would be GREAT! I started working on it (yes, I have help from my co admins) and I have daily education, Fun Food Facts, I do something where I ask everyone to say something supportive to someone they don't know well, and I try to do small weekly challenges. It hard doing everything online. I do a hydration challenge, a moving challenge (try to park a little further, put in a few more steps in ur day), no fast food for 7 days , no snacking for 7 days, do (however many) crunches (however many) wall push ups, etc. You get the idea. The challenges are getting stale. Thinking about doing a "take ur pic in an outfit on day 1 and on last day and see how it looks" challenge. If you were in an online challenge, what would you appreciate doing? What would be fun? What kind of information would u like to see or know? What kind of support would you like to see or get? If you'd like to get involved, you r more than welcome to join us! It starts July 24 and goes 6 week. I will be posting info on it on the website in the coming weeks but u can certainly do a search on challenges and bring up a TON of them! We're on Facebook : https://www.facebook.com/groups/SupportWLS (or look for Recipe For A New Life). We'd love to have you, however you DO need to be 6 weeks out from surgery (for fairness, as you lose a TON of weight early on, not quite fair). But you can certainly come over and support the challengers!

I completely understand your frustration, in the last 8 weeks I've lost and regained the same two pounds. I'm 9 months in..so very close to your timeframe. I read in my bariatric clinic handbook to contact the clinic if weight loss stops longer than 4-5 weeks. I have an appointment next week at which time I will be asking for answers. Like you, I am always at a calorie deficit, I watch every single calorie, fat, sugar and carb gram sticking to my 800 calories a day, 80 protein grams, 50 net carbs a day. My labs are "perfect"... So yeah I do understand, I'm sorry you're going through this, especially for longer than I have. What did your doctor recommend/say? As far as being cold, there are numerous posts here on the forum with other WLS patients discussing being cold all the time - do a search to find them. In fact, as I type this I have a heating pad on my back and an electric blanket on in front - its 56°F here too cold!!! Before surgery I would have been fine, I kept my heat on during the winter at 55° and was comfortable where as everyone else was chilly. So, its completely normal. I was wearing a long sleeve shirt in 76° sunshine the other day and was still chilly. So rest assured your being cold is completely normal! Let us know what your doctor said and keep us updated!

Good afternoon all! I just was thinking of all the surprises I've experienced since WLS...and I wanted to ask others what's surprised them about their weight loss/surgery journey that they weren't told by their bariatric team?! I'll go first: 1. All the aches and pains in my hips and butt. My butt hurts now when I sit since I'm missing my butt padding! Also, since losing weight my posture and gait have changed so now I'm in PT for hip abductor pain. 2. The ever increasing and changing locations of skin irritation. The skin now droops in places I wasn't told to expect and I get red irritation under my butt creases from over lap - sorry for the unpleasant visual! 3. I've shrunk..so driving I now need extra padding to be at my former "sitting height" I feel like a kid driving my parents car now. 4. I've had to buy new glasses, mine were stretched out from digging into my fat head 😋 and now they keep falling off when I look down. 5. I've had to buy new shoes, all my old shoes no longer fit. They just flop around. I was expecting new clothing..not shoes. 6. I feel more clumsy and weak despite working out. My manual dexterity is horrible now. 7. I still feel hunger 😔 These are just a few of the changes I've experienced that my bariatric team never mentioned. Do you have any to add that can take the surprise out of it for people just starting their WLS journey?! I eagerly await your responses!