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When I was 3.5 mos out I hit a stall for four weeks and my blood sugar was going low (I stayed on a glucose monitor for a few months, even after my T2 diabetes appeared resolved). I was eating 600 or so cals and my doctor said that was too low. Upped to 800 or so and my weight loss began again. Correlation or causality? Don't know...just know that my energy improved and my blood sugar stablized.

@brandycsiz - I think its pretty common. I've deifinitely gone off track, mostly due to other health issues and stress outside of the surgery itself. I was able to walk several miles without stopping in December, then after getting Covid (and I'm assuming long-Covid now), if I go more than 3 miles in a day or try lifting weights in the gym, I get physically ill for 2-3 days afterwards. I keep walking 1-2 miles in the evenings after work, but the lack of progress and regain of weight is very discouraging. I tended to stress eat before, and to be honest, the surgery was a success because at least it limits the amount I tend to binge on when having a bad time. I still have those cravings, but at least now I can drink 8-12oz of water and delay eating. I'm probably on track with my diet 3-4 days per week, but have been overdoing it or eating too many calorie/carb-dense foods when I have an off day or when I see family, who aren't the most supportive. My mom likes to drop off Little Debbie cakes and other snacks on my porch twice a week as she's driving by, and it's straining our relationship because I throw them away immediately, and she sees that as me being ungrateful and disrespectful. I am 6lbs heavier than I was around 8 weeks post-op, so its really getting me down. After covid, I developed some issues with my heart rate. It drops down in the upper 20's to low 30s in my sleep and my blood pressure drops too low, but if it get it past 100bpm, my blood pressure spikes, and I get dizzy and almost faint. I'm trying to get in to see specialists, but I can't get in with a specialist for 5+ months just for initial consult. I have to drive 3+ hours to another area to try to get in sooner, but I burned all my leave time for the year with Covid in January, so I can't take the days off to travel.

I totally sympathise. But honestly this sounds completely within normal limits. There's no way you're going to have this surgery, stick to your programme, and not lose a heap of weight. It's just that the loss isn't linear. There are times when you lose half a pound a day (early!) and times when you lose a quarter of a pound a week. And all manner of gains and plateaus and whatever in the middle of that. And you'll be eating much the same and exercising much the same so there's no rhyme or reason to it! I hope you don't get hung up on this - you've already proven that you are losing inches. I truly hope you get to where you want to be asap.

Officially 2 weeks post op as of yesterday and i feel like i’m finally in a groove : i can serve food and know if it’s too much. I’ve mastered what my new normal portion is. I have also managed to make sure my water intake is ok (not great, around 1.5 litres per day should be a little more). I feel much better and have even had morning or afternoon snacks on the go which is great as i feel i’ll be able to manage once i go back to work next week. I’m not getting enough protein in daily yet because i can no longer stomach protein shakes, they feel heavy on my stomach and have made me throw up the last 2 times i’ve tried them. I have a couple more brands to try and hopefully one of them works. I tried protein water but honestly i can’t stomach it either (taste wise) - everything seems so sweet … I don’t have much room for vegetables and i’m craving some so badly. I’m going to try and incorporate some but i have to prioritise the little protein i’m getting in so it won’t be easy. One thing i’ve learnt this past week: some days i can eat more than others. It almost scared me one day but the next few days i ate so much less than i realised we just need more sometimes ! Weight wise i’m at 10.9 kgs (24 lbs) down which is great so far :) I know a stall is near as everyone mentions the 3 weel stall so i’m’trying to be reasonable and weigh in less ! My new goals for the week are to make sure i reincorporate vitamins and minerals that will help me fight any fatigue next week when i go back to work. And also, to up my protein intake ! Hope everyone is doing well :)

That was sweet of her, I hope you guys kept in touch. I mean even if my bf doesn't say anything, I ask him things like if this changed or is that is noticeable, ect. I've already landed myself back in the hospital once due to critically low potassium and the symptoms I had were obvious. So now I'm trying to be more aware so I can spot signs earlier. But yeah I do have to keep in mind that it could seem rude to say something without me bringing it up first. I just saw my therapist and after I said I had surgery, she said I could tell by your collarbones (its a televisit so the view is just to mid shoulder). You're so right about the body dysmorphia! I'm trying to find a balance between: not being obsessive about how much or quickly I'm losing and remembering to appreciate even the smallest change. I've never really taken pics or measurements even prior to surgery, but I did buy this body fat scale I saw another bariatric patient suggest. I am taking the information with a grain of salt, but it is satisfying to see the numbers trend downwards. Aside from that, it is strange to have to tighten my shorts and be able to wear shirts that are a size smaller. I don't want to celebrate too early then hit a stall/weight gain and spiral. But the idea of being able to wear that one dress that's been sitting in my closet?? Talk about a dream come true! Did you go out and strut when you got to that point?

yep i had back (and hip) pains for a few months after dropping the first 30lbs or so. like others above i asked my dic and did some of my own research and its seems the answer is as the above posters mentioned. - water and mineral bone loss (reduction of bone density) during weight loss (especially at a rapid rate) may cause spinal misalignments due to the weaker structure, hence pain. - muscle tone loss: your remaining muscles are working harder to make up for the loss, hence pain. - your centre of gravity is changing: your back was used to carrying the weight of your belly and it's reduction in size is affecting your posture, hence pain. its a bit of a changeover period, but with some effort you can decrease the discomfort: exercise, stretching, sit/stand up straight, good nutrition, good sleeping position, body alignments (chiro) and what no one wants to really hear: slower weight loss rate. by losing weight slower, you allow your body time to adjust as you lose weight instead of playing catchup which causes relatively more pain. those weight loss pains eventually went away (i can't remember exactly when..maybe around 6-7-8 months post op?), but i do have morning back pain now if i sleep on my stomach (which has always been my preferred sleeping position), but that's another story. im 5+ yrs out

My son’s wedding was today and I managed to eat with everyone without getting sick. I’ve struggled with not taking one more bite when I feel a bit full. I think maybe I’m learning finally. I’ve had to set a timer after eating to not take a drink too soon. I never realized what a set habit it is to drink while eating. I am able to eat solids now as long as I take small bites and chew a lot. I don’t know that my stall has broken yet. I went down almost two lbs but nothing else yet. Trying to not get discouraged over that. I didn’t measure before hand so I can’t say if I’m losing inches at least. I was just too discouraged at my weight before surgery to measure anything. I will say even with the little bit of progress I’ve made since surgery I was comfortable in my dress at my son’s wedding. I’m sure when I see pictures from it I will be my worst critic but for tonight I feel pretty so I’ll take it.

@ms.sss said exactly what I was going too. Done all those things too. I still have facial droop, nasolabial folds & jowls though my skin is more even in texture, tone & colour so still a win in my book. Unfortunately, the skin on your face has stretched just like the skin on your body. However, once your weight stabilisers, if it hasn’t yet, you will notice your body & face sort of resettles & you may notice you look a little better & brighter in the face. I’ve accepted this is how I look I mean I am almost 59 & I’ve earned this face. I take great pleasure in seeing the real shape of my face, having a jaw line, cheekbones & not having really droopy eyelids. I’m still vain enough though to keep up the Botox, filler, SecretRF (same as Morpheus8) & retinol, vitamin C, serums, & other aspects of my skin care routine. lol!

Life just throws it all at you some times & I’m sorry you’ve been through a lot. Unfortunately the pouch reset is a fairy story/old wives’ tale. What needs to be reset is not your tummy but your head. Remember all that head work we had to do in the beginning? The stress, emotions & changes you’ve been experiencing has likely meant those old bad habits have snuck in again & you’ve been turning to food to comfort yourself. It’s easy to become complacent too. All completely understandable. Don’t know if you were a food tracker or not, but tracking even for a couple of weeks like @Spinoza suggested will help you identify what you may need to adjust - food choices, protein & fluid goals, portion sizes, nutrition. Then start by making one or two changes & another one or two a couple of weeks later. Small changes are easier to adopt & adapt to. Probably aim to get back to about where you were when your weight stabilised & how you initially maintained. Maybe contact your nut/dietician to help you get back in the right mindset. Therapy may help you manage & better cope with the stress you’ve been experiencing too so you don’t turn to food. You’ve been successful for ten years. You can do it again. All the best.

Yep, stalls are a very normal & common part of weight loss. In fact they’re important. Your body shuts down to reassess your needs based on your changing weight & alters digestive hormones, metabolism, etc. The stall will break when your body is ready to move forward again. It will take the time it needs. Don’t stress it more by making more changes to your diet or activity above your plan. They can be frustrating but you really just have to ride it out. Yes, to only waiting 30 minutes before & after eating to drink too. Check with your team about collagen. While it does contain protein it is not a complete protein as it doesn’t include all the necessary amino acids so usually can’t be counted towards your goal. I believe there is a collagen powder which has added the missing amino acids but I can’t recall the brand. Use unflavoured protein powder instead to add to soups, shakes, porridge, etc. All the best.

Would I be right in thinking your nutritionalist is recommending a keto like diet? They are big on no root vegetables & no corn, peas because of their naturally high sugar content. (Potatoes are often a no because they are considered a starch.) I regularly ate carrot & sugar snap peas. I threw frozen corn & peas into soups, mince dishes, some slow cooked dishes, omelettes, etc, I usually just microwave my vegetables with a splash of water & a dab of butter but also will stir fry & occasionally roast (especially cauliflower with a little hummus & zataar to serve). I love vegetables & enjoy them best simply with salt & pepper but don’t be afraid to try herbs & spices. The only vegetables I don’t eat is potato, sweet potato & pumpkin (they tend to sit heavily) except a very small piece (bite or two) with a roast dinner. My thoughts were & are vegetables are vegetables (except potato). They are highly nutritious (all those vitamins, minerals & fibre) so a valuable addition to our food choices. And the little we eat, especially in the first months will have minimal impact on your calorie intake & weight loss. I mean 1/4 cup peas is 30 calories if you can eat that much. Plus the ‘sweet’ vegetables are naturally sweet so they don’t count towards your sugar intake. Certainly didn’t affect my weight loss or maintenance. I say eat your vegetables, just watch portion size & what you serve or add to them. Like no honey glazed carrots, sour cream or cheese sauces at least for a while.

nope, doesn't look like you are doing anything wrong. you are losing weight, you are feeling good and your doc has no complaints. sounds like you are doing everything right. my first 3 months post op was all about food aversion and stomach restriction. i didn't make my protein goals for 3 months. my was tired and faint-y. everyone gets to their "place" in their own way and speed. no need to change what ain't broke.

stalling is a very normal part of weight loss. Most people lose weight in a "stair step" pattern. The best thing to do is make doubly sure you're following your plan to a "T" and stay off the scale for a few days. Maybe just weigh yourself once a week until it breaks. And as long as you're following your plan, it WILL break. Your body just has to stop and recalibrate once in awhile.

I personally would do as your surgeon recommended. Perhaps they want you to increase your overall calorie intake at 6 months? Mine at 6 months is 800 so close to yours, there is documentation that the body does go into starvation mode and will stall out and hold onto what weight there is for "self preservation" darn bodies don't understand we're trying to become healthier! That being said, a stall is a stall and not much can be done other than wait it out and have faith in the journey. Although, I understand your frustration!

I have a question for folks that may have experienced this. I'm not convinced it is 100% related to my surgery since I had some of these symtpoms, albeit milder, prior to my surgery. I felt like the dizziness and general weakness went away the first 4 weeks following surgery, and I was able to walk 2 miles easily without stoppoing, and 4-5 miles a day with minimal rest. I was really looking forward to going back to the gym once I was cleared to lift weights. However, I caught Covid, and was mostly stuck in bed for 2 weeks over Christmas and New Years, around the time I was working in solid foods again. Since then I'm barely able to walk 1 mile without stopping, and even then I need to rest for over an hour to feel right again. It's gotten progressively worse, especially in the last two weeks, to the point that I don't feel comfortable driving when the vertigo and extreme fatigue hits. It's to the point that I'm falling off my treadmill if I go more than a half mile. It went from being somewhat disruptive previously to debilitating now. Luckily I work from home, but even that is starting to get disrupted. Over the past year I was evaluated for heart issues, had 3 MRI's, a CT scan, echocardiogram/ultrasound, had my carotid checked, been to two opthamologists and tried two different pairs of glasses, checked out by a Neurologist and Neurosurgeon, evaluated by an ENT, went to a hearing and balance specialist (no Menieres disease, inner ear crystals, etc), normal BP (between 110 and 130 systolic, and 70-85 diastolic), Blood Sugar has returned to my pre-diabetic levels (92-98 fasting, and no higher than 130 when checked 2 hours after eating). Pulse Oximeter is showing O2 staying between 95-98. CPAP was re-titrated to treat sleep apnea following the weight loss. Blood labs showed Total Cholesterol and LDLs somewhat high, but decreasing steadily since my surgery in November, High levels of Iron and Calcium though, but everything else plus thyroid were normal. Heart rate has dropped from pre-surgery rate averaging around 80-90 bpm down to 40-55, but my PCP wasn't able to determine why. My father and grandfather (currently 92) both have a normal heart rate between 45-55 for their whole lives, so maybe that one is hereditary. Thanks for reading and any advice is appreciated!

[MINI GASTRIC BYPASS THREAD – PLEASE CONSIDER YOUR SURGERY AND EXPERIENCES MAY NOT APPLY TO MINI GASTRIC BYPASS PATIENTS] Hi all BP’ers and lurkers out there; especially hi to everyone who had the mini gastric bypass (AKA the one-anastomosis gastric bypass/single-anastomosis gastric bypass/omega loop gastric bypass) It’s my surgiversary! I can’t believe it’s already been a year. But what a year it has been. Man. I wanted to share a lot of thoughts about my journey – there’s not a ton of MGB patients out there yet, and especially not in the US. I’ll admit I’ve been working on this for a while, because I want to share the good word about the MGB and contribute some of the things I simply cannot find out there. Well, now I know, at least how it’s been the first year for myself. So that’s my small contribution. Below, I’ll post the following posts individually so it’s easy to browse for anyone new: The surgery: what is it, how does it work, what does science say about weight loss and complications with MGB? My journey to weight loss surgery My weight journey for a year after the mini gastric bypass My diet and calories – stages + what does a typical day look like after a year? Exercise – what and when and how much? Alcohol and MGB What I wish they had told me prior to surgery Setting a goal Why I think you should consider the MGB What it’s like being a mini gastric bypass patient on BariatricPal – what I found useful, and why I needed a pause from participating on the forum What now? I hope you’ll find some of this enjoyable.

That's a great view. I walk one to two miles every other day. Part of the reason for the gastric bypass is I have a torn meniscus ligament in my knee. It's going to require a full knee replacement. The surgeon won't consider doing the surgery until I'm at 40 BMI. That's the reason why I can only do 1 to 2 miles, anymore than that is just unbearably painful. Tha days I don't walk, I get on the rowing machine I have at home. I try to exercise at least 6 days a week. It's not high intensity or anything as of yet. Great to see your stall has passed. My weight loss is very slow. But, it is moving.

Hi ShoppGirl, I replied to you in the DS forum. You'll probably find the answers you need in the Facebook group I'm in. It says it is for the Duodenal Switch, but we also have plenty of SADI patients in the group and we have veterans of both surgeries in there. https://www.facebook.com/groups/1799552573392212 I highly suggest joining that group and posting your questions. Regarding gas, yes, the SADI can have gas issues if you eat too many simple carbs. And eating too much junk food may make your bathroom visits rather unpleasant. I had the DS done about 4.5 months ago and I don't usually have any gas issues and my bathroom visits are pretty normal except my stools are pale colored now due to the fat malabsorption (perfectly normal). But I stay below 50 total carbs per day and eat about 120 grams of protein a day and about 100 grams of fat. With the SADI or DS surgery you are more focused on your macros than calories because we malabsorb a portion of everything but simple carbs. If you keep your carbs low after the SADI you will lose weight better and maintain weight better...and you should minimize the side effects. You'd also want to stay away from sugar alcohols and you might find that some foods digest differently, like lettuce or other leafy greens. Usually most SADI or DS patients learn within the first year what their trigger foods are and learn to eat them at home at night or not at all.

I'm so glad you tried the muffins and liked them!! I really enjoyed mine, they kept well in the fridge and warmed up really well with a quick zap in the microwave. Regarding the nutritional needs of a SADI patient. We don't really know, honestly. The SADI is too new to have some of the longer term studies that have been done on the sleeve, bypass, and DS. But it is commonly thought by most surgeons that the dietary needs of a SADI are more than with the bypass because SADI patients are thought to malabsorb more than a bypass patient. And their needs are most likely a little less than a traditional DS. That said, I attended nutrition classes with all the different surgeries in one group, so we had to learn everybody's requirements!! Most good surgeons recommend that SADI patients follow the dietary requirements of a DS patient to be on the safe side. That means 80-120 grams of protein, less than 50 TOTAL carbs while in the active weight loss phase (the dietician said "net carbs" is not an official measurement, but if you want to follow net carbs you'd need to keep under 30 net carbs since they get counted differently, most DS patients introduce a bit more complex carbs into their diets once they reach maintenance weight) and the fat grams recommended by the ASMBS is 60 grams of fat by 1 year post op. However, SADI and DS patients malabsorb a good amount of fat, so veterans of the surgeries will tell you that you need more fat than that. I seem to feel best around 80-100 grams of fat a day, but there are veterans of the DS surgeries that eat closer to 150 grams, or whatever alleviates their constipation and eases their symptoms of low fat like dry eyes and dry skin. According to most studies, a DS patient only absorbs about 20-30% of the fat they consume, around 60% of the protein they consume, 60-80% of the complex carbs, and every single calorie of simple carbs!! That's why simple carbs are so important to restrict post surgery (besides the digestive drama), you can eat your way around any surgery with simple carbs... And this is why counting calories is pretty useless for DS and SADI patients. We don't yet know exactly what the percentage of absorptions is for SADI patients as they haven't done a breakdown study (as far as I know) but it is safe to assume SADI patients absorb a little more fat and protein than a traditional DS patient would. The best way to find your own perfect macros post surgery IMO is to aim for 80-120 grams of protein and then watch your protein labs. They will tell you if you need more protein or if you can back off a little. And for me at least, I find my skin, hair and eyes are highly sensitive to when I have too little fat in my diet.

20 pounds in a month (when the average is 2 pounds per week without surgery) is actually really good. And yes, you're at the point where you'll hit your first stall. I tend to gain a few pounds when I hit one, too. Totally normal.

Congratulations, it sure feel great to just be overweight doesn't it. I remember your struggles. You had it tough. Are you managing to eat better now ? I am happy at this weight so am not bothering with going down another category even if my GP says it would be good for me.

So with my surgery getting closer with every day, and now I have hit the 3 month mark, I have been reflecting on a lot of different things. One of the most common phrases I find myself saying at the moment, especially to my boyfriend, are things along the lines of: "You'll love it when I am a skinny b***h, imagine how good I will look", or, " if you think I am attractive now, just wait until I am thin". All are extremely toxic, I am aware. I genuinely saw nothing wrong with what I was saying, but I realised that not only is this a lot of internalised fatphobia, I am also diminishing the love and attraction that my partner has for me now, in this body, MY body. His response to me recently brought this home. He said: "I don't know why you keep saying that, because I love how you are now and I find you f*****g hot as anything, and that won't change with you losing weight". It really did shock me, although it shouldn't have. I realised I have just been putting myself down constantly, hoping for this "better me" to come along, and completely disrespecting who I am now. I relate a lot of this back to my previous abusive relationship, where even though I was the smallest I have ever been at 12 stone, I was constantly picked on by my ex. He would pinch and poke the 'fat' parts of me, telling me that he couldn't wait to see what I looked like when I was skinny, and saying how he couldn't wait to be able to pick me up and throw me about when I was 'small', always comparing me to women who were slimmer. Even though that was back when I was 17-21 (I am now 27), it has clearly done its damage. I need to change this narrative. I need to stop regurgitating the abuse that was put onto me by someone else. I need to learn to appreciate and love my body now, and how far it has gotten me. I need to trust that my boyfriend loves me right now for who I am, and I need to remind myself that I am worthy of that. Just some musings ❤️

being on these forums long enough i would assume that one should realize by now that everyone is different. we say/post it multiple times a day, every day. i don't like weight lifting . it's don't like olives. i don't like talking about my wls. others don't feel the same way. i get that. we are all different people getting our own versions of joy. i may not make the same connections to things as you do, and thats cool. i mean, some people have sex every day while others don't. some people weigh themselves every morning others don't. some people read books while others don't. why do people drink too much and become alcoholics? alcohol is so gross. this line if thinking is the close sibling to why do people eat too much and get fat? being fat is so gross. to paraphrase you: "but how did you get to the point where <eating> was enjoyable enough to do it often <that u end up being 300 lbs>?" the incredulity in your post is loud and clear...but really, if u think about it, its not that impossible to understand (especially from the point of view from a person who was morbidly obese) your intention may be not to sound judgy...but in my very insignificant opinion, you kinda do. but i mean, you are entitled to say whatever you want. i guess i just wanna ask you to take a pause and reflect on how ur post may or may not have come across. sorry. 😔 i don't normally weigh in this heavily in anonymous internet chats as i hate confrontation, but this touched a wee nerve for me. (i may just delete this post after i overthink it to death...we shall see...i have already edited this post a gazillion times in my overthinking, ha.)

When I went in for my 1 week visit to the dietician she told me that I was right on track... 14 pound loss since starting the pre-op diet. She told me to expect about a one-month stall (or very little weight loss) once I started to add food in. She said that clothing will start to fit looser, but the scale may come to a halt. Then it will pick up again. I'm trying to weigh only once a week and not bank on the scale as my only means of seeing results. It's hard!

Perhaps just come out and ask " why do you feel the need to say hurtful things, and if you don't, perhaps consider how others might take it. You may be joking, but it still hurts." How else will Granny know she's hurting you? I used to be like you and always thinking others are laughing at me, or talking about my weight etc., but I've just gotten to where I don't care. I told my children when people say bad things about you: 1. Do these people matter to you? if not, then their comments don't matter either. If they do, talk to them because they DO matter to you and they should know they're hurting you with their careless words. If they matter to you then you and they deserve the benefit of talking about it or 2. People say bad things about others because they don't feel good about themselves. So they belittle others to feel better about themselves, they're just sad small people not worth your time or thoughts. Just the fact they do it makes it not worth your time! Your family and YOU deserve the time to talk about what bothers you, how else will they know, grow and learn?