Search the Community

So this could be your body’s set point. The weight your body is happiest at & will continue to gravitate to this weight despite your efforts to lose more. Remember if you reduce your calories & increase your activity to lose more weight, you will have to continue to eat fewer calories & be more active than you are now to maintain the lower weight. And this isn’t sustainable as you’re already experiencing & your body will fight you the whole time. This becomes a head issue. You’ve lost about 100lbs. That’s an achievement. Plus you’ve built muscle which weighs more than fat too. Look back on how you were before there surgery - general health & status of your cop morbidities, mobility, ability to do the things you wanted to, self confidence, etc. What have you gained or regained with this weight loss. Don’t fear your appointment. Take in your tracked food intake (there could be something you’re missing) & your activity. Ask what else you can do. Ask if this is it for you? Ask what else you can do. Maybe raise whether the GLP-1medications would be of benefit. Do you see a dietician? Because of your intense weight training, you may need to be consuming more & by reducing your calories you have put your body into starvation mode. Even with all this, don’t give up yet. Many of us continued to lose well into our second year albeit very slowly like grams not kilograms a week or month (ounces not pounds). All the best.

Lap band surgery 2004, nothing but pain & discomfort, no weight loss. Especially port sight hurt, lots of throwing up. After several attempts for help I started to just “live with it”. Married a wonderful man about 2 years ago, he said No your quality of life is more important. Went to doctors with me and he detailed everything (stuff I didn’t think to mention). I was referred to an excellent gastric surgeon. After tests and imaging, he said “the band needs to be removed and a bypass RNY performed. I was scheduled within a week, no waiting time. Best thing I ever did! The band was cutting into my liver, and other issues. I had a bit of discomfort but no pain meds other than Tylenol. I had this done May 15,2023, I have lost 70 pounds and feel great. Wear a size 4-6 jeans. I hope this helps someone. I think the band is the worst choice!

Thank you. I honestly have no idea how they would think it’s a sensible way to schedule anything, honestly, I was so shocked I couldn’t say anything to her on the phone. I think I may call tomorrow to ask for a complaints number to be honest. I just can’t understand how that is even justifiable. I’d love to go private and I did look into it, but I had a few complex needs that they advised I go back to the tiered weight management service the NHS offer for help and therapy first. At this point I wish I’d have ignored their advice and booked anyway!

kindly check here for more Weight loss products that will help you. https://sites.google.com/view/weight-los3/home

I'm supposed to have my surgery on Dec 27th at Mt Auburn Hospital in Cambridge, MA, with pre-op tests scheduled for next week. Today, I get an automated message from my hospital to check MyChart. I did, and it showed my pre-test appointment as canceled. My surgery date is also gone from my upcoming visits. No explanation. Meanwhile, my insurance approval appears to have gone through. I called the weight management center's office and the receptionist mumbled something about surgeries being canceled and someone would call to explain. No one has called all day. I emailed, too, but nothing. Now the office is closed for the day and I'm so worked up over this, I won't get a wink of sleep. It wouldn't be such a big deal if it had to be delayed, except I am currently on an insurance plan through the healthcare marketplace as I am self-employed and my husband has been unemployed for a bit. But he starts a new job in January and I have no idea what the health insurance situation is going to be in terms of coverage. I am so stressed right now I could cry.

I owned a home scale, but for the first 18 months or so I was too large for it. I did have monthly follow-ups with my surgeon, so I weighed in there. At my follow-ups the topic of my weight / weight loss was never brought up unless I brought it up, since there were more important things to talk about. The things my Doc paid attention to were how I felt physically and mentally, if I was having any issues or concerns, did anything significant change. The things I also paid attention to was how my clothes fit, my stamina, was I happy. Once I could fit on the home scale I almost lived on it for a couple weeks, as the novelty of it was just too much. Then the novelty wore off. Since then I only weigh at medical appointments when they ask me to do it. One does not need a scale to succeed at weight loss. Home scales can be had pretty inexpensively, I see one on Amazon for $16. If it's a matter of dire circumstances I'm sure your Surgeon or PCP or any of your other medical professionals wouldn't mind if you stopped by for a weigh in. Most department stores that sell home scales would allow 'testing' the scale before you buy or don't buy. Good luck, Tek

What percentage of weight loss did you achieve?

It is, I guess I worry to much because the scales are not showing weight loss each week.

Agreed! We all have a baseline weight from parts of our body that just have to be there (bones, organs, skin, etc). On top of that is muscle (good weight) and fat (we need a little of this, but excess fat is what we're fighting here). That's why tracking percentage weight loss is more important as we get closer to our goals. An example I was given, just using big/easy round numbers, is pretend your start weight is 300 and your goal is 200. That means you would have 100 pounds of excess weight to lose, and the 200 is your base weight your body needs to survive (again, just using easy numbers here, not an actual guide) So if starting at 300, and you lose 50 out of the 100 excess lbs, that's a 50% loss. After that, you're starting at 250lb over the 200lb goal. To lose 50% of that (25lb), you would have to put in the equivalent amount of effort that helped you lose the previous weight, because its 50% of excess. This is why it feels like we have diminishing returns on our work. 25lb total loss at this stage feels like its not much, but its still a 50% excess weight loss! That's why weight loss slows as we get near the goal. Our metabolism readjusts because if we kept losing at that original weight, it would put our body into shock since it can't adjust that quickly. Just expect it to slow down and taper off, but track that percentage rather than actual pounds. One more thing, as you put on more muscle, that will likely keep you from hitting the exact goal if it is too low. Muscle weights in excess of 1.5x as much as fat per volume. If you go to the gym now when you previously didn't, you will gain more muscle weight, which is a good thing. The more muscle, the higher your baseline metabolism, which burns the excess fat off quicker and keeps it off. The scale doesn't tell you everything. You're doing great, keep up the good work!

noticing how your clothes fit is a good idea for monitoring weight loss if you don't have a scale. you could also take your measurements if you have a tape measure; you could use the scale at your doctors, the gym, at a department store; or even water displacement, lol: fill a tub with water to a certain level get in up to your neck and mark the waterline...😂

This is so awful, I am beyond sorry that you have had to go through this. I know most of us can completely empathise with how hard the waiting game is at the best of times, let alone with the added stress of the NHS and how badly run it seems to be with WLS! I had initially considered just staying on the NHS waiting list (I am currently on the Tier 3 Weight Management programme), but after hearing awful experiences like yours, and from reading about waiting times, I decided to look into going private with Spire. I think it may be worth just getting a second opinion in regards to what you were told before by a private surgeon! My surgeon, Simon Monkhouse, was amazing in the initial consultation. I have PCOS too, and an underactive thyroid, and he recommended a bypass and was transparent about it all. You can get a free consultation with him quite quickly, maybe this would be an option for you! simonmonkhouse.com I have everything crossed for you that you will get the surgery soon, and everything will work out. I'd definitely pursue putting in a complaint, too. Sending love and hugs x

Hi! I was wondering if anyone who is 5+ years since surgery is still experiencing any issues? I find that when I eat certain foods, much like when I was about a year or so out, that I have a feeling of being too full and can’t keep the food down. It isnt all the time. And it isnt really if I eat too much or too fast. I still eat pretty small meals at any given time and typically just eat 6 or so very small meals. An example would be if I eat pasta, maybe 1/3 to 1/2 a cup may feel unbearable and too full and can’t keep the pasta down. It could be something random like a handful of jelly belly jelly beans. I would say it happens maybe 1 a week? Just curious if anyone else has this issue. I have done well at keeping the weight off since the surgery and have hovered around 130-140 for the past 2 years. I am fairly active 50’s, 5’5 female. Thanks!!

I had VSG (2015) to RNY revision on January 18th due to GERD. I also had regained almost 70 pounds from my VSG post-op low weight. I've so far lost about 20 pounds since the pre-op diet & surgery. I need to lose another 20 pounds (for normal BMI) to 50 pounds (for calculated ideal body weight). I'm now on unrestricted food textures, and per my program's dietician, I'm supposed to be on my "maintenance" diet now. However, they refuse to discuss any calorie goals or macros other than protein. I'm someone who needs very clear goals and guidelines (thanks, long-undiagnosed ADHD), and I'm feeling very lost about what my diet should look like moving forward. The lifelong guidelines for my program, as I understand them: 60-80g protein per day Up to 4 oz. (1/2 cup) per meal, consisting of: Up to 3 oz. protein per meal Up to 1 oz. (total) veg, fruit, or starch per meal 3 meals per day 1 snack per day (the program guide I was given says 1-2, but per my surgeon I'm only allowed to have 1 snack per day and it has to be between lunch and dinner) - I have no guidelines for the amount I'm allowed for the snack. I assume it's not supposed to be as much food as the meals, but I don't know. Protein shakes/powders are frowned upon The only sample menu provided in my program guide is as follows: Breakfast: Egg omelet with sautéed peppers & onions Snack: Protein shake OR Greek yogurt with berries [removed per my surgeon's instructions] Lunch: Lettuce wrap with turkey and avocado/cheese [it is not clear to me if the / means avocado OR cheese, or avocado AND cheese, but I assume the former] Snack: Apple slices with 2 tablespoons nut butter OR carrots with hummus Dinner: Pesto chicken with spaghetti squash, sautéed spinach, and cherry tomatoes I plugged this menu into the Baritastic app to try and get a sense of what the calories and macros are supposed to look like. The sample menu gave no amounts other than the nut butter, so I used the 3 oz. protein + 1 oz. veg/fruit/starch rule. With the carrots & hummus snack option, here are the macros for the day: 593 calories 62g protein 32g fat 17g carbs (13g net carbs) 4g sugar 4g fiber And here are the apple & nut butter (I used natural peanut butter) macros for the day: 739 calories 67g protein 43g fat 21g carbs (16g net carbs) 8g sugar 5g fiber So from that, I'm extrapolating that I should be aiming for the following daily: 600-750 calories 60-80g protein 30-40g fat less than 25g carbs less than 10g sugar I have a few concerns... I have already been going well over those amounts at just over a month post-op. I've typically getting around 800-900 calories per day. It seems like a real struggle to get to the upper range of protein daily while sticking to the allowed amounts and without using any shakes or protein supplements. Even then, 80g seems low for a protein goal. I have never been a big meat eater (I was vegetarian through most of my teens and 20s), and I absolutely cannot stand any fish or seafood. I do eat a lot of dairy, eggs, and beans, but it seems like that's not going to do it. The standard daily fiber goal I've always heard is 25g per day. I've been getting about 12-15g per day right now, but knowing that I'm overeating and already having too many carbs means even that's not sustainable. I've struggled with post-op constipation... I have gotten to a much better place recently, but if I need to cut back to 4-5g of fiber per day to be within my other limits, I'm afraid of going backwards. That I'm limited to 1/2 cup of food per meal for the rest of my life came as a shock to me, as a revision patient. I knew that my pouch would be smaller than my sleeve, and like with my original surgery, the amount I'd be able to eat at one time would be very small initially. But with my sleeve (which was done by a different surgeon in a different program), there was definitely not the expectation that the amount I could/should eat at 1 month post-op would be the same as what I could/should be eating at 6 months or 1 year out. My bypass surgeon also told me that she left my pouch a little larger than normal so that I wouldn't lose too much additional weight, so my pouch is already larger than a regular bypass patient's. Do these amounts seem in line with other people's experiences? Or am I way off-base?

Surgery went well - it took me the rest of the day of surgery to have some conciousness. I do not understand why they begin to attempt to get you out of bed when you are still under the influence of the anesthesia and can barely keep your eyes open. The next day was much better and I was able to walk slow laps around the floor. My surgeon had the staff provide me with a stomach band that wraps around and closes with velcro which helps tremendously hold my abdomen stable when up and walking around. I still have lots of swelling and I am about 7 lbs heavier (per scale) than on surgery day due to the swelling, fluid etc. I hope that within this next week most of that will subside. Weight DOS - 195 Today - 202 I am staying on target with protein/fluid requirements 60g/64 oz - I was given Boost Glucose Control Max in the hospital and decided to get a pack of that as well as a pack of the Premier Protein Shakes both 160 cal/11oz/30g protein. I had an issue of jaundice while in hospital and upon coming home my face and body had a distinct yellow tone. My blood work had elevated as well a low levels due to surgery. I looked up my pain meds which all had an effect on the liver and could cause levels to increase. I made the decision to stop these pain meds. I was also given liquid Oxy which I was able to take a couple half dose to help with the pain. This morning I was able to get away with Tylenol (powdered). My skin looks like it is getting back to narmal as well. I am not saying it was the medicine, it could have been just the trauma of the surgery and or a combo of both, I followed what I thought was best for me. I don't have an appetite which I am not complaining about at all & I am consuming my nutrition one sip at a time. I'm anxious to hear how you guys felt 2-3 weeks after surgery with the swelling , fluid weight etc. ❤️

I just want to say that this thread makes me smile. 5 months ago, I came out of a 7 year relationship. He loved my body and I’m grateful for that, but unfortunately has a lot of demons of his own he was not willing to work on, so it ended badly. Now that I’ve started this journey and am losing the weight, which is still so new as I’m only one month out, I see the change in my interactions with men and I find it very interesting. I am TERRIFIED of eventually getting back out there and dating. I’m afraid they won’t understand my story, my body, the inevitable loose skin or that I will be a different person entirely. It’s such a strange thing to think about. I’m just happy to hear that so many of you are in body positive, supportive relationships. It means those men are out there.

I’m doing ok. I had revision and it’s definitely not the same as I expected. It’s slow weight loss but at least it’s going down. Body take longer to heal compared to before. Over all can’t complaint. Thanks for asking!

I don't know the percentage , but I lost 25ish pounds so far. My doc said weight loss at my age will be alittle slower because my metabolism has slowed down. So far so good !

Hello Irene, Welcome in here and congratulations on your surgery date. You will find a March 2024 group on here that you can join. Don't read anything on the net. Scare stories are not needed. This surgery is very safe. This forum is a safe place. Stick to your teams advice, There is not a single person on here who has the same regime as you, pre or post op. Don't buy loads of things you think you may need. Our tastes buds change after surgery because of Ketosis. Just buy a few of a selection of protein shakes. You may want to buy pain meds if you are not in the UK. You will not need much at the hospital. Go in clothes that you can go home in. Take a Chapstick and some Biotin. Some people take a phone charger with a long lead. You might want to use a recliner chair for sleeping, if you have one. I didn't and had to sleep upright in bed for a while and a recliner would have been easier. I had a bed wedge and lots of pillows. If you have a pre op diet they are tough for the first 4 or 5 days but its worth it in the end. You will have a weight loss stall at 2-3 weeks. You have not done anything wrong. You may get over emotional and / or get the regrets at this time. Our hormones are in the fat cells and releasing them in such a hurry makes our hormones go on a wild ride.

After about 3 weeks post op, I am finally feeling better. So I am back to focusing on what I am eating and trying to break my stall. I have the stall at week 2, only really loss weight for 1 week after surgery when I was in the liquid stage. I want to ask all of you, how much proteins you eat a day? Before the surgery I was told to have 65-75 grams of protein a day, but when I follow up 1 week after surgery, my nutritionist told me to drink 2 bottle or protein shake a day. That’s already 60 grams! However I followed what he told me for a week. With the 2 bottle of shakes, my protein intake is over 100grams a day. When week 2 ended I didn’t loss any weight, but gained 2lbs…I feel like I took too much protein so when week 3 started I stop drinking 2 bottles of shakes and only drink 1. I can eat 40-50 grams of protein on my own right now. With the shake I am ranging from 70-85 grams a day. I like salmon, tuna and other type of fish and it gives me good amount of protein. Now after a few days of doing that. I finally loss that 2 lbs and back to my 1 week post op weight 241 lbs. do you think I am doing the right thing here not listening to what my nutritionist tell me?…he said I needed more protein to heal. 85 grams of protein is already 20 grams over what they told me to take initially tho. My liquid intake is 48oz a day now. This is hard because I literally can only sip very small sips. To finish a full bottle of water 500ml, it will take a 1 full hour, sometimes longer. With 3 meals a day, not drink 30 mins and 30 mins after, 48 oz of liquid is at my best. My eating schedule is 8am-5pm. 8am breakfast, 12pm lunch and 4:30pm dinner. Take me 30 mins to finish my meal. I feel like drinking water is like a full time job now. Surgery date 1/22 250lbs Post op 1/24 257lbs 1/31 follow up visit and started 2 shakes a day 241lbs 2/5 243lbs I stop drinking the 2 shakes 2/9 241lbs So after almost 3 weeks I loss about 9 lbs, and it was only during the first week when I was eating! Now I am feeling better I want to continue with the loss and not gain weight. Any input would be welcome. Thanks in advance.

Try to work through the liquid diet and stay on it as recommended. Getting in 3 Protein shakes a day is pretty good, you're getting your protein in. I'm 3 weeks out from my surgery. Don't rush the soft foods, from my own experience you won't be able to eat much at all. It seemed like I could get in all the liquid I needed. Once I started soft food, I can barely get 1 measuring cup of food in. So you will need to drink one or two protein shakes a day to get in the protein you need with the food you can eat once you get to soft food phase. You won't be able to eat enough protein to get he recommended amount set by the dietician or whoever is directing you the recommended amount protein you need. I too lost weight before my surgery 70 lbs. Since my surgery I've only lost 7 lbs. Which is expected because of healing and getting the body back used to taking in soft foods again. You're doing really good, keep it up. Remember, when you do get to eat soft foods, take it slow. I've vomited only a couple times from getting to full. It's definitely different when you can only take a few bites and feel full. Wish you the best!

I agree with @NickelChip, this seems quite off. I've seen 800 calorie plans for bypass patients in the active weight loss phase, but most people are in the 1200 calorie range for maintenance... And your portion size will naturally increase a bit over time as you are able to eat more as your pouch heals. It won't be as much as a "matured sleeve" can eat, but it won't be a few tablespoons either. At the bariatric clinic I go to I attended nutrition class with sleeve patients and bypass patients, even though I'm a DS patient. We were all told to keep each meal to 10 grams of fat or less (general aim at 1 year out is 60 grams of total fat as per the ASMBS guidelines for a year out), and 10 grams of carbs or less, for less than 50 total grams of carbs a day, as they want us in ketosis during the active fat loss phase (this amount will double to about 100 grams of total carbs in maintenance). And protein varies for each group but bypass was to aim for 80 grams of protein a day, since they malabsorb some compared to the sleeve patients. NONE of us were given a calorie goal, only macro goals. We were ALL told to aim for 5-6 small meals a day for consistent energy, aiming for 4-5 meals if we go to bed early or get up late. So we were encouraged to eat about every 3 hours, allowing 2-3 hours between our last meal and bed. And told a fair amount of our carbs should come from high fiber, low carb vegetables and low sugar fruits, with a fiber supplement (SunFiber is amazing and non-bloating) and Miralax as needed to maintain regularity.

TL/DR: Worried about losing weight by not eating enough. | Looking for tips to reach protein/calorie goals when not hungry. | Looking for others' experiences with lack of hunger this far out in WL Journey. ------------------------- I meet with my nutritionist for check-ins about every 3 months. For this last one, my 9-month, she told me not to be upset if I hadn't lost, as a stall was expected. Yet, I had lost just as much as I had been. We went over what I had been eating & she wasn't concerned about content but suggested increasing variety. [I'm a meal repeater 🤷‍♀️] Though, she again warned me that it is now especially likely that I would stall since I hadn't yet. Since that appointment, I've still been losing weight. I know it might appear strange to worry about meeting the goals we are here to meet, but my nutritionist is big on trying to relearn the natural cues of the body. So, as they are absent, you can notice pressure in your stomach, sighing, or a runny nose as indications of fullness. As indications of hunger return, you can utilize them to increase portions within the parameters of slow eating and not exceeding controlled sizes. The thing is, I don't know that the initial increase after, you know, the literal wounds healed, I have really expanded much more. I don't really get hungry until 'early-bird dinner' time. So eating during the day is purely done out of obligation. [& if I'm being truthful, there are times when I forget entirely until after work.] So obviously, that leads me to try to have all of my calories in one 'meal' in the day, which I have to eat over a couple hours [even if it is small] if I don't want to get nauseous or actually regurgitate. [The regurgitation has improved slightly over the last couple of months. I had a very reactive stomach that required me to prolong my dependence on protein shakes. Pre-surgery, I don't think I came even close to needing to vomit since pre-school 🙁.] To be fully upfront, I have not counted a single macro or calorie or weighed a single food item during my entire journey. I've tried tracking before in my weight-loss journey, and it was not healthy mentally for me. I realize that I may be under goals rather than over them, but straightforward counting of calories is just not something that would be part of a successful journey for me. So, all of this is a longwinded way to say: - Is anyone else struggling to eat enough this far out? - What helps you to reach your protein/calorie goals when you don't really want to eat? - Any other tips/tricks/specific brand or meal suggestions?

short answer: yes! upper/lower/mid back pain improved! as did foot pain, knee pain! long answer: it got better, then it got bad again, and then better. apparently rapid weight loss results in weird aches and pains as your body musculature re-adjusts to your smaller size. lower back pain returned and i got a new hip pain, but then both went away. aside: but one thing that was new and annoying and hasn't gone away is that get back pain now when i sleep on my stomach (i never had this problem before)...my guess is because now that i don't have a larger stomach to prop me up, my back is actually hyper-extending now when i'm on my stomach which results in pain in the morning. boo.

It can feel awfully confusing, right? My lovely husband of many years never reacted any differently to my body regardless of size, and at my highest weight I started hiding out, not changing in front of him, etc. He told me then that my feeling awful about it was basically my issue and he shouldn't be punished for it. I remember crying and laughing through my tears. Today I'm 60 lbs down from 6 months ago and the look in his eyes hasn't changed one bit. He still loves me and my body. I'm a lucky gal, and I know it, but for a while I didn't know it, or couldn't internalize the fact that he loved me and my body the same. He also encourages me to wear clothes that are flattering because he knows it makes me feel good and when I feel good, he's more likely to be the recipient of that emotion. Abusive relationships tend to taint everything, and it's hard to change the response to comments from well intended people to the appropriate response of knowing that they want the best for us and are sincere. Try giving him the benefit of the doubt.

I had the menopause in my very early 40's and this surgery at 62. The only things that I have noticed a difference are - My hair had already thinned so I got really worried at one stage and had to cut it really short, I can notice my scalp with wet hair but hide it after styling. - My skin is a mess. I lost elasticity after menopause. I have decided to not have the surgery. It looks too brutal and having to pay myself it would be out of my reach for all the work I would need. I have lost a huge amount of weight and mostly without exercise or having a busy work life. I had a lot of long stalls but I tried not to compare myself with others who were storming along. You will get there in the end, Have a chat with your team. I found it useful.