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My team doesn't focus too much on calories or carbs. They focus mainly on protein, at least 60 g a day and I've been losing up till a week ago. I always get more than 80g of protein in a day. Also, the calories I consume aren't crap. They've always been impressed with my weight loss every time I've been to my check ups. I absolutely need to do more exercise, so I will be working on that.

I'm currently about 5 months post-op and have started to gradually gain a bit. Gained about 5.5 lbs in about a week and I've changed nothing with my routine. While I understand weight loss isn't linear and I can understand not losing for awhile, why am I gaining? Is this normal? Any advice is appreciated. How I can gauge where I should be, about how many carbs and calories did/do you consume at 5 months post-op?

This is amazing @Inspectorjh84! I am still doing really well. I am not up to that many steps yet, but keeping it over 10K a day, which is really good for me. I am going to join a gym in the next couple weeks to help with the skin and try to tighten up. But I am overall very very happy! I am down 92 LBS and hope to be at 100 LBS by the end of Jan when I will take a flight!

The dreaded "Week 3 Stall". It's normal, and I'm just coming out of it myself (plus a 6lb regain that I just re-lost). I've had several others tell me that the stall will last 2-4 weeks, so just weigh yourself weekly instead of daily to prevent worrying over it as much. Just stick to the diet plan and you'll resume losing weight. The weight loss won't be a straight line, expect it to be more like stair steps with a loss, then a flat line for a bit with a slight regain, before it drops again. I've also heard there's typically a second stall around the 3 month mark that lasts 2-4 weeks as well, so just prepare for that as being normal, and stick to the plan. Best of luck to you!

I got severe pancreatitis after my surgery in July and ended up 12 weeks in hospital due to it plus also a hole in stomach and infections. I hope you are doing better now. I was told afterwards that it can be a side effect but not sure if that was just doctors covering their behinds!

The Week 3 stall is real! I stalled and gained 6lbs back between weeks 3 and 5, and just now lost it back in the last week. I've had several people tell me weeks 3-6 will generally have a stall and a slight regain due to your body panicking over the rapid weight loss, and readjusting its baseline, so it is part of the process. I've also been told a second stall/regain will occur around the 3-month mark, and last up to 4 weeks, so prepare yourself for that. I'm bracing for that coming up soon. Keep in mind the weight loss won't be like a straight line, more like stair steps with the occasional bump back up before dropping again. Just stick to the diet, and switch to weighting weekly to prevent obsessing over it (like I did haha). Also, several months from now, as you approach your goal weight, remember that gaining muscle through exercise will make the number on the scale go up, but that's a good thing. Muscle weights 1.5x as much as fat, so as you gain it, you will continue burning off fat, which is the "bad weight". About 1 year out, you won't worry as much about the scale, and will celebrate the wins in smaller clothing sizes, more energy, and better endurance/stamina! Regarding the caloric intake, my surgeon and team recommended I keep aiming for 800-1000 calories per day, but I am a 6'1" male, so my base caloric rate may be higher than yours. I would check back with your doctor or nutritionist to be sure, but I think 1200 is closer to the target after 1 year. Also prioritize water and protein first, followed by unsaturated fats, then try for any carbs/sweets/starches/breads and saturated fats last. My plan has me targeting less than 50g of carbohydrates per day, not low enough for keto, but enough to keep the sugar cravings and fat retention down. You may need to check your macros as well. Best of luck to you on your journey!

Hi Fifi, from another Fifi I now into my 7th month since sleeve surgery but I had a horrible experience afterwards and spent most of July to Nov in hospital with complications so I have no-one to compare myself against and finding it stressful. I think we just have to remind ourselves that we lose what we need to and don't put pressure on yourself, you have already done great. If going by the BMI charts (which I don't believe in 100% as outdated and everyone is different) you are already almost out of the overweight category so well done. 70.7kg is already slim. I am losing about 1kg a week. Started out at just over 120kg and now down to just under 87kg so still have some way to go to my target but I am already very happy with what I have lost but do hope to get down to within the 'normal' BMI category.

I agree 1200 calories seems like way too many at week 2! That many calories is usually once you are in maintenance. I agree with others, when your weight gets "stuck" get off the scale and stick to the plan. It can be very discouraging when you dont see the scale move and then it does a mental number on us. It makes us think why did i do this and give up all the things i used to love to eat if the scale is not going to move. That could lead to going back to old ways of eating. You do want to make sure you are eating enough though so you dont put yourself into starvation mode. If you arent eating enough, your body will hold onto what it can. As long as you are measuring yourself monthly and you see inches going down, you are on the right track. When i get stuck i stay off the scale for awhile. Do you have a nutritionist? if not i would consider getting one. They know more about food than the surgeon.

Definitely sounds like a stall. Some people don't gain during the stall, they just sit at their current weight during it. Me? I gain. And by gain, I mean anywhere from 3-5 pounds. It's infuriating. Then I lose and gain the same 2-3 pounds over and over until one day I get on the scale and see that I lost 5-6 pounds. That's when I know the stall broke. It's going to happen, a lot. So start focusing on your NSVs (Non Scale Victories). Those tell the story of what your body is actually doing better than the scale can.

I had my gastric sleeve done in 2018, so have a few years experience. I couldn't eat anything for at least 4 weeks post op, and then it was a tiny teaspoon of mush at each meal. It took me hours to get through a protein shake of 300ml. By the time I finished the breakfast one, it was time to start the lunchtime one! And so on to dinner... 1200 calories seems huge to me at 3 weeks. I was struggling to drink enough water at that point. My tummy was so tiny. Even if I drank too much water, I would vomit, because my stomach was too small to cope. I still suffer that vomiting if I am too ambitious with my portions. I wouldn't be able to even get through 1200 cal now, unless maybe I went on a strict no carb, high protein plan. Even then it would be a struggle. High protein foods are SO filling. I love fish and seafood, but I can hardly eat 2 tbs of grilled salmon at a meal even 6 years out. I lost 90 pounds in 6 months, luckily no skin looseness... very fortunate. I have slowed my weight loss and then plateaued at 120 lbs loss. If I was you, I would go back to your protein drinks, and go from there.

sounds like the infamous "three-week stall" that most of us experience (our first major stall - and the first of what could be many). Best way to deal with it is to stick to your clinic's eating plan and stay off the scale. Stalls usually last 1-3 weeks. They're aggravating, but they're a normal part of weight loss. It's just your body stopping to recalibrate once in awhile. 1200 calories seems like a lot for being so early out - I didn't hit that until I was more like a year out - but your surgeon may have his reasons for that, and I'm no medical professional. if you want to learn more about the stall, there are literally over 17,000 posts on it on this site. Just do a search on "three week stall". I am NOT kidding about the 17,000+ posts. It happens to almost everyone.

I had vsg surgery on 12/19/23 I lost about 12lbs during the first week and a half but since week two hit I've been seeing the scale not move at all, my inches on my waist was going down so I was to upset. Then I had my post op visit with my surgeon and He told me that I wasn't eating enough, He said that I was losing too much weight and I had told him that the scale hasn't even moved for the past week. But he expected me to hit about 1200 calories a day where I've been eating me 400 or 500. He had said that I should add a couple of snacks in to my meals throughout the day. So three meals a day plus two snacks at least. And it's been a struggle but I've done that and I've been eating around 800 calories a day. Maybe 9:00 but now I'm gaining weight so I'm just unsure of what to do. Should I keep going at this? 800 calorie 900 trying to achieve 1200 so soon after surgery or should I just stick with my four or 500? It seems like so much food for 3 weeks post-op. Also, just so it's clear, I'm pretty much clearer to eat anything I want now just to use discretion when choosing my foods. I am hitting All of my protein and water goals. But I was before when I was getting 400 calories or 500 a day.

I think you need to get back into contact with your dietician. Did you say whether you track your food & monitor your macros? Have you still be having regular blood tests as these will show if you are lacking in any nutrients & you can track & monitor any changes when comparing with your food data. This data will help your dietician to help you construct an eating plan that will meet your needs. There are tests to see if you aren’t absorbing certain nutrients. Like a stool test can identify how much fat is present & if you aren’t absorbing it effectively. I take Creons (pancreatic enzymes) three times a day to help with my protein malabsorption (curtesy of my gall removal - not a common side effect but I was just unlucky). They also help with malabsorption of fats & carbs as well as proteins. Worth a conversation with your doctor if it is discovered you’re have malabsorption issues.

My pants still fit. A slightly snugger fit. I am adopting a different strategy. One that was mentioned of giving myself a week to incorporate one habit at a time. I get very impatient and want to do everything all at once which is great for the first day or 2 but very difficult to maintain. I am working on sleeping 2 hours earlier first. I also started taking Berberine. Let’s see how it goes.

I have yet to get a date. I was trying for the Duodenal switch. Insurance denied, it was expected since that was the only bariatric surgery they don't cover, but it was worth a try. Resubmitted for Rouen-Y gastric bypass. Should hear back in a week or so. Hopefully I can get a surgery date in February.

I am turning 50 in a few months, and I've struggled with my weight most of my life. At 26, my BMI was probably around 30, but I didn't have the health issues so it was just a nuisance to me. I tried dieting and healthy eating for years, but my weight increased steadily in typical yo-yo fashion. Post-pregnancies, I spent my late 30s and early 40s in the 35-39 BMI range and started getting co-morbidities. By the time my BMI hit 40 this past year, I was aching in my feet and joints, had high blood pressure and cholesterol, and was prediabetic. So it's not about weight or appearance at this point but getting control of my health now, while my body can still bounce back and hopefully age more gracefully. I feel like I'm at that tipping point where if I don't act, the next decade will not end well and I will not have a good time of my senior years. This is despite all my best intentions and 7 years of actively going to a weight management doctor. All of that is to say that trying hard and knowing the right things to do rarely leads to success if you are prone to obesity. It's a disease, not a moral failing, no matter what people tell you. Unlike dieting, weight loss surgery provides lasting metabolic changes, as close to a cure as you can get. And you still will have to make all the lifestyle changes you would need to do anyway to lose weight, but they will actually work (instead of spending the next 24 years getting bigger and less healthy like I did). I have posted frequently about what a huge fan I am of Dr. Matthew Weiner's books, YouTube videos, and new podcast. Honestly, his books were life changing for me in terms of my perspective. I highly recommend starting there. He has 3 books, one is called Pound of Cure and gives great, scientifically sound information on what a healthy, set-point lowering way of eating looks like and how to get there. The second is a book that explains exactly how gastric bypass and sleeve surgeries change your metabolism and why they work (it's not just a smaller stomach and eating less!). The third is a cookbook with bariatric friendly recipes and serving sizes for different stages. These books are super fast reads. You can probably get through all three in a week (minus making all the recipes, of course!). With three months to go, my suggestion is get these books and start implementing the diet changes in a deliberate way. Start exercising in a sustainable way, working up to it little by little. See how you feel. Don't do crash diets. Don't start anything, whether food or exercise, you don't think you can basically do 90% of the time for the rest of your life, because there's no such thing as doing it for long enough to lose weight and then getting to "go back to normal." This has to become your new normal, with or without surgery. In three months, if you really aren't sure about the surgery, don't do it. It'll always be there. But know that it's an additional tool that will make the hard work you have to do either way in order to keep your health for the rest of your life more likely to stick. Without it, there's a very high (but not impossible) chance you will not be able to keep your weight in a healthy range.

You sound as if you have a great deal going on in your life. You need to take a moment out of your busy life to just breathe. Three months is still a long time to decide which way you want to go, either with surgery or not. You can cancel right up to the minute you walk into the hospital. A few have. This may not be your time. So lets take the things that you are most worried about, Your hair. You will not go bald. You probably will loose some of your thickness. You are young, you have masses of hair. When you are as old as I am you would have already have lost lots of hair due to menopause, so I started off with a deficit. It did get a little scary and I needed to get my hair cut really short but I do love the freedom that it gives me. I felt it was worth it. This surgery was my last chance at a normal life. You will not loose too much weight, you will stop a right place for you. You need to up your calories until you get to a balance. I am ok on 1500 calories a day. I have a slow life, I dont work anymore. I go out with friends, I eat and drink as before. The only thing I do not do is overeat. I don't miss doing that, my friends might do. Especially if they liked to overeat with me. How do you see yourself ? Not how others see you. They may want a fat friend to bolster their own negative ego's. Do you put weight on every year and keep it on ? We all did. We did diets after diets and put it all back on again with added weight. Lots of us ended up with weight related illnesses like diabetes and blood pressure. If you think you can loose weight yourself and keep it off then you need to try. Give yourself 6 to 12 months to do it. Bariatric surgery is not an easy option but if you stick with it, it is a solution. If you do not follow the guide lines then like a diet, it will fail. You should go back and chat with your surgeon. You need to be totally happy with your decision. Give yourself the time you need.

1). there are a lot more people who don't reach goal than there are who lose too much weight. Plus if you feel like you're losing too much weight, you can always increase your calories to put the brakes on it - or to start gaining. So I wouldn't worry about this one AT ALL. 2). fewer than 5% of people are able to lose weight and keep it off. You may be one of the lucky ones who can do that - and if so, and you're afraid of the surgery, it's not too late to pull out and try it on your own. I wasn't one of the lucky ones. I spent my first 55 years as overweight or obese. I gained and lost weight a million times and could never keep it off until I had weight loss surgery. 3). hair loss, if you experience it (and not everyone does), is temporary. I lost hair during months 5-8 post-surgery (so...for three months). It wasn't much, though. I could tell because there were more hairs in my combs and brushes, but I really didn't notice it at all when looking in the mirror, so I'm sure no one else noticed it. Plus hair loss after surgery is more like shedding - not huge clumps of loss like one might have after chemo. For a lot of people, they're the only ones who notice it. It's usually more loss of volume than noticeable "bald spots" - and it does grow back. to me, the risk of losing some hair temporarily vs. being morbidly obese for the rest of my life was a no-brainer. But you may think and decide differently for yourself - and there's nothing wrong with that. If you're not mentally ready for this yet, or want to try on your own to lose weight, then there's nothing wrong with canceling or postponing your surgery. You wouldn't be the first..or last.

HI!!! First, i wish you all a happy new year I had my first appointment with my surgeon a few days ago, i have some blood tests coming up in 2 weeks. So my surgery should be in 3 months. I'm 26 years old, height 5'9 and weight 260 lbs. My surgeon said i should be getting the sleeve. Okay, that being said...... I'm terrified. I'm scared about the hair loss because my hair is part of my identity and my self-love..... I can't stop thinking about it. Second, I'm scared of losing too much weight? I don't know if i'm over-reating.... but I've always been overweight so I don't know how I would react to my new body. People around me have always said that my weight looks good on me... Third, I'm wondering if I had tried enough before getting it ? I don't know if I should try to exercise and diet again one last time before getting it since I have to change my lifestyle anyway if I do this surgery.? I never really tried any diet and exercise program consistently in my life. Everytime I tried to do something, i would give up shortly after starting it. I'm a nurse and a university student, so my life is kind of crazy. My sleep schedule is crazy, my work schedule is crazy... Honestly, i'm just writing down all my thoughts because I feel like no one around me can understand what i'm going through.... and I'm looking for some advice or some guidance... Only my parents & brother know...

Do you have a dietician? If so ask them for more specifics. We all need the amount of information & depth of detail that makes us feel comfortable & confident about we have to do. We have different needs (food preferences like vegetarian or vegan, food sensitivities or allergies, general health, current weight, age, mobility, etc.) which is why I suggest you get the specifics from your dietician for what will best complement your needs. Your surgeon may have requirements too. As some general advice, start tracking your food (lots of tracking apps available like My Fitness Pal). Increase your fluids to 2L/64ozs. Reduce or drop any carbonated drinks. Reduce snacking. Reduce the highly or ultra processed foods in your current diet. Increase your protein & vegetable intake - look at around 4oz protein & a good cup of vegetables for a meal. Modify some of your cooking styles like use an air fryer or bake not pan fry. Swap simple carbs for complex whole or multi grains. Reduce the number of sugary/sweet foods you eat. You don’t have to do all these things at once, unless you have a tight time frame but certainly start introducing a couple of these things each week or two until you get more definite information from your dietician. PS If you don’t have a dietician yet, ask for a referral to one from your team.

What does your pre-op diet look like? Mine will be 2 weeks of full liquid, so basically protein shakes, water or sugar free flavored water, decaf coffee and tea, sugar free jello and pudding, sugar free popsicles, broth, skim milk, Greek yogurt, unsweetened applesauce, and cream of tomato soup. I think she said up to 5 shakes per day but I need to clarify at my final dietician appointment on Feb 1. Not gonna lie, I am not looking forward to this part. My previous clinic only did a 2-day liquid diet. But I can survive!

Hi all, I am glad I’m not the only one having issues. I haven’t had steak in 16 months. A month ago I was woken by my husband as I thought his arm was a big ice juicy steak🤣 Cat you could be gaining muscle and that’s why the weight doesn’t look different on scales. But your measurements do. The surgeon also said when you go to soft diet/full diet you can have a stall. But also fluid intake plays a part. Some Guy you are doing a great job. Screw what others think. Sarcasm is the way to go. meisha tell them how much you’ve lost overall. As that is when your weight loss journey started. Some people don’t know I had the partial sleeve. But I went in for hernia repair august 2022 and ended up with the Partial sleeve cause of stomach damage. So mine was a bonus and a kick start to reality. Me……When I had my 8wk post appt we had talked about the pain I was in and not stomaching soft foods and how I might end up having gastric bypass……. Well I ended up in hospital NYE. I couldn’t drink/eat or even swallow my own saliva without excruciating pain. Turns out I had a perforation in my oesophagus and stomach with a lot of inflammation. We had to go on a drip as I was also very dehydrated. Have intravenous meds 3 times a day as I was becoming septic too. So I am back on fluids for this last week and the next two weeks. 🙄. So over fluids/liquids. I cried Christmas Day as everyone was eating turkey and prawns. but the plus side is I’ve lost 10kgs since Nov 2nd.

So I eat 4200 calories a day. Long story short. 456 pounds at age 19 had DS 39 now and I weigh 178 pounds I've been working out 3x a week for two years. Lifting weights. At first I lost muscle, because I was eating 2200 calories most days maybe 60 grams of protein. I now I eat 4200 a day and get 250 grams of protein easy but even with gaining muscle I don't gain weight on the scale yet. I've gained in the past but once I started lifting weights I stopped. I just stay at 178ish.. my doctor wants me to take enzymes but I want to be able to gain weight with food... It's annoying to me I can't even gain a pound. I'm slowly raising calories 200 at a time. I wait a month then I'll raise it again but does anyone know how many calories I probably need and can anyone tell me for sure how many calories I absorb and how much fat, carbs, protein I absorb? My doctor says he can't tell me because everyone is different but... I need answers. I find myself scared every day I'll lose weight.. it's crazy to me im eating so much but my doctor's kinda not cool.. so I don't trust him last time I took enzymes I ended up getting up to 240 pounds on accident and the idea of gaining that much weight scares me.. I prefer to do it normally I just wonder what the calorie number is need. What works for you

So I got my psych eval back on Thursday. I also found out that I can do 2 of my dietitian appointments in the same month. I've already did 1 and I only have to do 4 total. I did the clearance with my pcp and have pulmonary and cardiology scheduled for this month. I also called my insurance and they said that approval comes one week after the file is submitted. So it looks like I might be able to get my surgery done in March. I'm actually hoping for the end of February but I digress lol