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Yeah, that sounds 100% within the normal range of early post-op calorie consumption. I am having gastric bypass in 3 weeks, and my program suggests 3 meals and 3 protein supplements per day for the first several weeks. In the beginning, the word "meal" is used very loosely. This is basically limited to yogurt, cream soup, cream of wheat, pudding, and applesauce. The expectation is you can maybe have a few bites. All the protein is coming from those 3 shakes (20-25g per shake). Calories are pretty much irrelevant, at least for now. Your entire metabolism has been rewired. If you follow what you're told to do, you will lose weight on a wide spectrum of calorie intakes. My program suggests no more than 200 calories per protein shake serving, with a limit of 5 grams of sugar and at least 20g protein each. So, if I had the recommended 3 shakes and went with the max calories, I would consume 600 calories in those daily supplements, plus another maybe 100-200 in "meals" depending how much of the yogurt/cream of wheat/pudding I manage to swallow. My shakes actually only have 90 calories each (23g protein), so during my pre-op liquid diet, I won't feel at all guilty if I drink 4 or 5 of them, or even 6 if needed. Post-op, I doubt that will be possible, but even then, I wouldn't see an issue with having that many if I could physically manage it. All of which is a longwinded way of saying you're doing fine! Congratulations!

Thanks! We'll see as more weight comes off. My surgeon was on board with the extra 10 lbs.

I think some get around this by having their insurance approve the staged treatment plan ahead of time, that way it isn't considered a revision, it is considered the second step in a primary surgery. This happens most often when a person's weight is high enough the surgeon believes the intestinal part of the surgery will be easier and safer at a lower weight. I've seen a number of people do this on the DS groups so it is possible, but my guess is not every insurance company lets their patients know it is possible and I'm sure there are some that outright refuse to because insurance companies like to be difficult. I wish you much luck with your surgery!!

I went that exact route and the bypass was the easiest recovery for me and with no side effects except constipation which is easy to treat. I take miralax (a tsp a day) is perfect for me. But I have to add the common "everyone is different" so this is my story. I had to go from band to vsg due to serious complications of the band, and then I had to go from vsg to rny due to developing severe gerd.I really think the band created that environment by damaging my esophagus before the sleeve. The best way for me to describe the rny revision is... Finally a feeling of normality. I feel so good and normal now, pre-any weight loss surgery normal except I can't eat as much. No severe gerd, no side effects, no hassle anything except taking daily vitamins which I always did anyway pre WLS.I hope this helps.

Just checking in to say I’m now 149 pounds. The weight just continues to slowly come off. This is so great to know that after 10 year’s it’s possible

I have had both sleeve and then a bypass revision. I had to get revised because of GERD due to the sleeve. If you've had any type of gerd in the past, go bypass instead and save yourself years of pain and suffering. Both are life changing as in you lose weight, and it stops you from binging, but other than that, once you are are completely healed, I don't really see it being any different than living as a thin person. You still have to watch your weight, watch the things that you eat for health purposes. Be aware that one can eat around the sleeve. You can't eat around the bypass though. I think the only thing that is different than life pre-surgeries is that I have to use a daily multivitamin patch (so I don't have to deal with a lot of pills). I added one chewable adek after I had the bypass. If I had to do it over again I would skip the sleeve. At the time, I was afraid of the bypass. I got severe gerd from the sleeve but please know that not everybody gets gerd from the sleeve. Now I realize that having a bypass was absolutely nothing for me to be afraid of. It's been a problem/side affect-free experience. It resolved all my problems I had with my sleeve.

If you lost a lot of weight during pre-surgery prep, the post-surgery loss could be less and slower. That was my experience.

WHOOOO! I needed a "formal" dress for a Charity event. I walked in, saw a dress I liked, grabbed a size. Tried it on an BAM! DONE!!!! Never in a million years would this happen. Normally it would be 45 stores, 2 weeks of looking and basically finding something I hate but fits.. WHOOOOO HOOO Also- I HIT MY FIRST "ORIGINAL" GOAL THIS WEEK! This was what my surgeon and myself agreed on from my initial appointment and I am perfectly fine here.. but my "updated" goal is just there to be able to say I lost half of my original body weight!

It's sad that others can't be happy for another's success. Especially coming from one's own family member. That catty competitive BS always bugged me and still does. I used to work in an all-women's health club and OMG... the things I heard other's saying about one another made me sick. I learned early on not to let other's opinions effect or define me. Negative comments are certainly harder to take coming from a loved one but even so..parent or not, they are mentally flawed just like the rest of us. Makes it easier to pass it off or forgive them thinking that way, I guess. I remember my Mom saying to me one day while I cared for her after she suffered a stroke... 'What happened to you?" Referring to my weight gain. I was always the fit beautiful one in the family. It hurt me momentarily. She was sharp as a tack up until the end, but the filter was gone. I could have said I quit taking care of myself after I started taking care of you. But I never would have said that to her in a million years. I don't think I even realized that till much later. As for good compliments. Most have been you look great...amazing, congrats etc. A recent one was on my curls. Is that natural or...? I smiled and said yes...along with a bit of hair product. Beautiful, she said. I'll admit it was nice to hear. Especially after feeling invisible for so long. Downside is men are starting to take notice of me again. I never missed it since a lot of that felt like sexual harassment to me. But nothing really negatives as of yet. Knock on wood. I'm sure I'll be ready for them though if I do. LOL Kinda true...

Doing well here! Down almost 60lbs, but like some others I have added a few too many carbs. I am still losing weight consistently and feel good but need to clean things up after Thanksgiving. Oh, I tried some fried chicken and fries a while back. My new stomach DOES NOT like fried food.

Hi all.. Am I doing something wrong? I had my surgery on 5th December so am over 4 weeks post op .. I feel awful, I'm struggling to eat any more than ready brek and then it's only 3-4 teaspoons full. I've got no energy and just feel rough Thank you for your post.. a breath of fresh air! I'm also 1 month post op and feeling pretty amazing. Like you no more pain in my back, my knees don't hurt and I don't walk down stairs like a toddler. I'm 28lb down and was really concerned at the start that I wasn't losing enough weight. But everyones body is different and this is my journey, so I'm trying not to compare against others and just follow the guidance of my dietitian. I got annoyed with myself yesterday cause I ate a choc biscuit 🍪. I'm still on puréed food and don't even know why I ate it but I'm not going to beat myself up about it just try not to do it again. I want this to work for so many reasons so I just need to focus on those x. Well done on your 37lbs!! Good luck for tomorrow x

can anyone please share success stories of how infertility has helped them after their weight loss journey? I need some inspiration and guidance 🤭😊

WHOOOO! I needed a "formal" dress for a Charity event. I walked in, saw a dress I liked, grabbed a size. Tried it on an BAM! DONE!!!! Never in a million years would this happen. Normally it would be 45 stores, 2 weeks of looking and basically finding something I hate but fits.. WHOOOOO HOOO Also- I HIT MY FIRST "ORIGINAL" GOAL THIS WEEK! This was what my surgeon and myself agreed on from my initial appointment and I am perfectly fine here.. but my "updated" goal is just there to be able to say I lost half of my original body weight!

The requirements for surgery depend on your insurance. For my insurance, I had to have a BMI of 35+ and at least one comorbidity - or a BMI of 40 with no comorbidities. When I walked into the surgeon's office, my BMI was 35.5 and I had two comorbidities (diabetes and high cholesterol). I was a low-BMI patient, but I did qualify. I was 5'6" and weighed 233 pounds, the day I walked into my surgeon's office. Sad to say, but you might need to gain some more weight, in order to qualify.

It takes a lot of calories to maintain that heavier weight & for the body to function at that weight (just moving with that weight alone requires a lot of energy) & so the calorie deficit has a greater impact. It requires your body to burn more fat to get the energy it needs to function so there is a greater weight loss. There is a percentage formula to help give you an idea of what weight loss you may expect (may not will) but I can’t recall what it is. Though I think they say you may expect to lose about 30% of your weight at three months. Say it says you’ll lose 10% of the weight you’re to lose in your first month. It you weigh 600lbs & are to lose 400lbs you might to lose 40lbs in the first month. Have a lower starting weight & are to lose 200lbs you might lose 20lbs. Well, that’s my understanding. 😁

The lactose in the shakes can cause people to poop badly. There is something to take to help with lactose intolerance but I dont know what it would be called in the US. This might be something to ask at your meeting. There is also another preop diet to follow for those who are lactose intolerant. But that would normally be suggested by the dietician. Not sure why it wasnt suggested for you. Again another question for the meeting. I was not allowed fruit in my preop. If you have IBS you may find that certain fruits/foods may not agree with your tummy. Its all trial and error to find out what the culprits are that are affecting you. Fruit/vegies that have a high seed/fiber content were a no no for me before my RNY. Kiwi fruit, Zucchini, stone fruit, grapes etc are a bit of a problem but after you have the bypass you may find that you have the opposite problem and these fruits/vegies will help things to move along. It is all a bit of a learning curve. If you were to go an do it on your own these are issues that you would have to face anyway with having IBS so there no point is ditching the op at this stage. It is not part of their remit to even say "well if you cant handle it you may become malnourished". This statement smacks of shaming. It is their job to educate you in navigating it all. The RNY job is to make our bodies less capable of absorbing nutrients/calories from the food. This process is called malabsorption. This is the reason that you will be taking bariatric vitamins for the rest or your life. You will require blood tests on a yearly basis for the rest of your life to check that your body is being given the correct amount nutrients and head off any long term issues. Eating well and taking care of your body is something to focus on. I have been listening to the podcasts of The Bari Chronicles. You may find the Vitamin episode helpful. https://podcasters.spotify.com/pod/show/the-bari-chronicles/episodes/Multivitamins-Nutrition-For-Weight-Loss-Surgery-e2eduqv (Also available on apple podcasts. I hope it all goes well at the meeting.

Most people hit a stall 2 to 3 weeks after surgery. There is also retention after surgery because of the IV. Just keep working your program and the weight will come off. Also note you started at a low weight to begin with, so it may be slower but do speak to your team if you are concern. I like this post I saw on Pinterest once, if you keep working at it you will see the results, good luck!

This isn’t uncommon. Our tastebuds & sometimes sense of smell changes after surgery while we’re healing & our tummy is very sensitive. It is temporary usually about two months which is about how long it takes you to fully heal from the surgery. Unfortunately though it can make finding foods & drinks we can tolerate challenging. You may find something you easily ate yesterday you can’t face today. Don’t give up on that food. Just avoid it for a few days & then try it again. Some foods seem extra sweet or salty. Textures can be off putting too. Sometimes a food or flavour you didn’t enjoy before tastes delicious during this time. Add to that our loss of appetite &/or interest in eating & it can feel like a nightmare & you’ll never be able to eat again. In a few weeks you’ll find you are enjoying flavours, textures & foods more. If you’re lucky your loss of hunger & interest in eating will last a 6-12 months +/- which helps with your weight loss but they too will pass. Actually after they return you often wish they hadn’t & you still weren’t hungry. I embraced things tasting exceedingly sweet at this time. I gave up sweet foods - never reintroduced them. So no cakes, biscuits, desserts, lollies, flavoured carbonated drinks, etc. except on very odd special occasion. Very little added sugar (<5g a day) & avoid artificial sweeteners or sugar alternatives where I can. I ate a lot of soup, yoghurt & extra milky scrambled eggs & extra milky instant rolled oats during purée. During soft foods I ate a lot of minced meat dishes (meat balls, savoury mince bolognese, …) with sauces & slow cooked stews/casseroles. Give your self time to heal & recover & your tummy to be less fussy & sensitive. I used to say my tummy was like a petulant temper throwing 2 year old during that time.

Week 3 Post Op Sw: 155kg / 341 lbs Stats to date: - 11.6kg / 25.5 lbs I hit 3 full weeks post op yesterday and met with my surgeon + nutritionist So far so good, nut is happy with the progress i’ve made and have given the ok to move to solid food no restrictions. We looked at my hydration levels, all are good thank god because this particular subject is one of my biggest worries ! She gave me some ideas to up my protein but told me it’s quite normal to not be getting protein in yet and that month 2 is generally when you can build on that. We talked a lot about actually going up in food quantities. She told me that i should be eating 150g meals from month 1-3 then around 200 g from 3-6 months and ending up at 300g meals (standard portion size) from 6-12 months. She explained how to start adding quantity : adding one more spoonful per week. She and my surgeon are both pretty against weighing food they want me to start eyeballing as they both say the goal is to be able to live a normal life and be able to visually know one’s serving. Not sure how i feel about that and the whole upping the quantities thing is scary right now … we’ll see. My surgeon is completely happy and has provided my estimated weightloss curve. He estimates per his calculations a loss of around 60kg in 12 months - fingers crossed. He also gave me the ok to got back to work earlier than he had anticipated - but with a warning that i need to take particular care in having my daily vitamins because work means being more active and more fatigue. He did however not clear me for any physical activity on top of work. I work in an airport so i walk a LOT daily and he doesn’t want me to add more activity on top of my above average daily steps. I’ll be back in his office at month 3 now so early july ! I am officially stalled and have been for around 5 days so far weight wise which is expected and i’ve decided to just put the scale away and check back one week from now. I have survived my first ever restaurant with my boyfriend - and it went great ! I ate very slowly and was able to adapt my portion and my meal (steamed salmon and 1 baby potato) Incidentally we had a little conversation about his exclamations of « is that all you’re having are you sure, are you really sure » and i realised it’s strange for him to be seeing me eating so little and he has this kind of guilt about going all out and eating big portions. It made me feel ssooo good to get back into « normal » life, even at work i packed a snack box of individually portioned snacks (16g cheese slices, 30g watermelon, 30g strawberries and then a lunch of tuna salad and 3 crackers). It was so much easier than i thought to actually get into a real life normal routine - i love it !

Eli Lilly’s Zepbound (Tirzepetide) has been approved by the FDA https://www.fda.gov/news-events/press-announcements/fda-approves-new-medication-chronic-weight-management

I just hit 9 weeks from surgery this week, and the 60 lb lost mark since starting the Pre-Op diet (11 weeks total). I'm finally off all of my diabetes and blood pressure meds, and my non-exertion-related dizzy spells have subsided, so I'm feeling good there. Fewer random aches and pains in my legs and back! However, after getting Covid over the holidays (5 weeks post op), I'm still feeling pretty tired and weak due to pre-existing issues with my lungs. I actually felt great the week before getting covid, and was getting around 5 miles of walking in per day and was getting more energy. After fighting it off for two weeks, I feel about as weak as I did about 5 days after surgery, even today. 1 mile of walking and I have to sit down for about a half hour. The only time I get dizzy is if I lift more than about 15-20 lbs. I'm working with my doctor on it, and it sounds like I may be stuck with long Covid for several months, but should eventually shake it. However, had I not had the surgery, I think I would've been way sicker had I caught it at my heaviest weight. My doctor said I would've probably had to spend a significant time in the hospital had I not had the surgery. No regrets at all! Just trying to focus on the baby steps and smaller incremental progress. Hope you all are doing well too!

I keep trying to eat in the morning because it's supposed to be better to spread the meals out over the day but I keep getting reminded why that doesn't work for me. I usually end up hungry again in 2 hours then need a nap, doesn't matter what I eat. I figure as long as I have the energy I need to fuel my day and continue losing weight, then I'm doing fine. I have gastroparesis and my stomach doesn't play nice in the morning and I usually have milk in my decaf coffee but no solid food until after I do my work out. I think if you feel good and have the energy to do what you normally do then you're doing it right for you.

Yeah, I would just keep an eye on portion size to avoid overdoing it early on. I have a couple of favorite cookbooks out of all of the ones that I've bought (because I always overdo everything). They are: The Bariatric Diet Guide and Cookbook by Dr. Matthew Weiner (a bariatric surgeon), and Bariatric Meal Prep Made Easy by Kristin Willard (a registered dietician who specializes in bariatric nutrition). I would 100% recommend both of them and you can get them on Amazon. I like Dr. Weiner's book because he gives you what serving size to expect at different stages post-op. For instance, there's a chickpea curry with riced cauliflower. If you're at 1-3 months post op, your suggested serving is 2 tbsp curry and 2 tbsp cauli (which is 1/4 cup total). If you are 3 months to 2 years, it's 1/4 cup of each. If you are 2 years or more, it's 1 cup curry and 1/2 cup cauli. What I like is that it normalizes the reality that you start with really small portions and naturally eat more over time. I see so many people getting so nervous because they are hungrier at 1 year than they were at 1 month, and it's like yes, that's what is supposed to happen! I wish this book had the nutrition facts spelled out for all three portion sizes, not just the largest, because my math sucks with fraction. And I wish it had more photos, although the ones it does have are very nice and the overall quality of the book is high. What I like about Kristin Willard's book is it gives you 6 full-week meal plans and is meant for doing prep ahead, grab-and- go types of meals that you portion out in advance. Also, it is gorgeously illustrated with full-color photos for every single recipe. There is one weekly menu for purees, one for soft foods, and 4 for normal diet. They even include a shopping list for each weekly plan. In my opinion, (comparing to my surgeon's plan and what I see in Dr. Weiner's book) the suggested portion sizes are geared toward a patient who is 1-2 years post-op, so bear that in mind. You would probably get twice as many servings out of each recipe in the first year, and up to 4x the servings in the first few months. And of course both books are likely to have specific foods at a stage that your own program disagrees with, so you have to adjust accordingly. I'm also going to give an honorable mention to The Easy 5-ingredient Bariatric Cookbook by Megan Wolf, a registered dietician and bariatric specialist. The book loses marks for the lack of photos but gains marks for its stage specific portion size suggestions and for all the recipes being really easy to pull-off without buying out your entire supermarket for ingredients. The author is based in Manhattan, and these are definitely recipes you could accomplish with a tiny NYC kitchen and limited cooking skills. Honestly, if I had a friend going through WLS, I would probably give all three of these as a gift, along with a set of small (4 oz and 8-12oz) freezer safe food storage containers. Hope that helps!

I told myself I could do it on my own too. I lost those same 45+ pounds over and over and over again through the years along with attaining a sluggish metabolism through low calorie dieting. Your body will constantly fight to get back to that higher abnormal weight setpoint we made for ourselves. It's exhausting. Regaining the weight always involved a few more pounds and eventually co morbidities. You might not have any now, but you will. Not trying to be negative but realistic. Also, as I got older, maintaining all the added exercise to try to keep it off became unattainable. WLS is way more than just food restriction. The surgery resets that setpoint, so you are no longer working against your own bodies stubbornness to stay at a higher bodyfat %. Don't pass on doing it based on fear. I would be more scared not to do it, knowing what I know now. GL.

Hi, everyone, I've just caught up on posts after being away from the site for a bit. I would love to comment on everyone's posts because we're all going through such similar things. I'm really proud of us for the changes we're making. @ShoppGirl, I think you are correct about the treadmill being narrow and having to balance on it. I was shocked to find that walking on a treadmill is very different from walking on the street, but it definitely is. I have a treadmill that I walk on during meetings at work (I work from home) and that's a lot easier for me than walking on the street. But I had to set it under a stand-up desk because trying to balance on the narrow thing would be a full-time job and I couldn't pay attention in my meetings. (Also I'd probably fall off of it a lot.) My first week back to work was exhausting. I was just fried at the end of each day, even though I work from home. My hubby had his prostate out on Friday. He was able to come home the same day, which we were not expecting but it was a very nice surprise. I'm plenty recovered enough from my surgery to do stuff for him, so we're doing well. But it's obvious to me that I'm still recovering, because I get tired much more easily than pre-op. I'm proud of myself because I planned and brought protein drinks to make sure I got nutrition throughout the day. All day, I had been aware of the hospital cafeteria, which is close to the surgical waiting room, but I knew that I was not going to go in because I had no reason to. Back in the day, I would have had the perfect excuse to go nuts in there while I waited for hubby's surgery to be done! Then, since I got to take my husband home, I ended up being at the hospital later than I expected, so I had to find something to eat and ended up having to go there. So I had my first experience of eating somewhere other than home. I was able to find appropriate protein in the right amount, and that's all I had. I had my first post op visit with the PA, who told me not to worry about the fact that I don't have fullness cues. She said by 3 months it may get harder to get things down, because scar tissue hasn't formed yet, and also by 3 months, I'll have developed a much better sense of what's going on in my body. Surprisingly, she said that if I'm doing pureed easily, I could move to soft. So that was a great surprise and I'm enjoying the soft stage. I can eat more of a variety of things. It's going fine, which still bothers me because I wish I had more sense of restriction. I worry that I'm going to return to old bad habits! So I'm being careful to measure, and I tell my Baritastic app everything I'm eating! The thing I'm currently struggling with is that eating only 1/2 cup at a time, I've been eating only one thing and focusing on protein. I'm finding myself craving things like fruit and vegetables. So I had a couple florets of broccoli tonight which was great. I read a sample diet for the soft stage that had entries like, "2 bites of _______". I am going to focus on eating more fresh things, now that I understand I can just have a bit less of whatever my protein is and "2 bites" of something fresh. I'm also struggling with getting all the vitamins in, since I have to separate the calcium from the iron from the multivitamins. There are only so many hours in the day! I know others have mentioned this, so at least we're all in the same boat, and we'll figure it out. I am losing maybe half a pound a day. I know that's a lot, and I had a couple of non-scale victories the other day. I had to go in to the office for a meeting, and I put on a dress that had been too tight to wear. It fit perfectly! And the sandals I wore zip up the back. They'd been hard to zip because of my fat ankles, but now they are even a little bit loose! On paper, I've lost 30 pounds from my heaviest, but it doesn't feel or look that way to me. I'm only 5 feet, so that much weight should be quite obvious, but it isn't. That bugs me some, but I know I'm just beginning and I WILL be able to see the difference when I lose more. I'm happy that I can move around and get some exercise. I thought I'd be just weak from taking in so few calories, but I'm not. Occasionally, I'll get a little lightheaded, but it's not bad at all. I was able to do my pre-op treadmill routine (3 30-minute walks daily at 2.0 MPH, which means 3 treadmill miles a day) although I did have one day when I got a little lightheaded and had to turn down the speed just a bit. Today was the first time that I actually felt "hungry" since surgery. But it was mixed in with a desire to eat out of boredom as well as some head hunger, so I'm not quite sure what the deal was, exactly. I am trying to just pay attention to that stuff and ask myself questions about how I'm feeling, without any intention of acting on it. I think I will do better if I start eating more of a "meal" type diet with mostly protein but a little of things like vegetables and fruits, so that I have some variety and am getting in some varied nutrients from food, not just my vitamins. And yes, I STILL have a little of the sticky stuff from the hospital on my skin! What is that about?