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I had my sleeve on 12/13/2022 and after 30 days I have lost 25 pounds. Where should I be with calories in? Right now I am averaging 400 to 600 calories a day with protein target 61 GMs (I don’t always achieve) fat 33 GMs and carb max 33 grams (which I never achieve). Water intake 32 oz daily. I just can’t eat or drink more. I know I know 25 pounds in 30 days is good but I guess I thought weight loss would be quicker especially at first. HW 255. SW 237. CW 211.6
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Am I losing weight too slow or am I where I should be @ 10 weeks post op?
summerseeker replied to spata's topic in Gastric Sleeve Surgery Forums
What does your team say ? That's all that matters. We all travel at our own pace. We are all different by sex, age and levels of activity. For some the road is short because they have less to loose. There will never be an average weight loss per month because of our variables. Just keep plodding on. You will get where you want to be. I think you are doing ok but I don't know your diet or how many calories you are eating or what kind of foods you can manage. Sent from my Lenovo TB-J606F using BariatricPal mobile app -
I had VSG sleeve with the Weight loss team in Puerto Vallarta. You have access to Gerald Witt before and after surgery. He is 4 years post op. They have a facebook group with over 2000 people. Not a ton of posting but there are a lot of resources. The hospital was top notch and Dr. Para was great. My experience was very good but almost 30 days post op and no issues. I am a very self directed individual though. The cost was $4200 which was all the doctors hospital etc. There were a few other charges and for me I too the family and rented an Airbnb. It was a great time for my wife and 3 kids but even for me it was nice. If you are like me and insurance doesn't cover it was great for me.
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Noom Weight loss Program
catwoman7 replied to Michele 2021's topic in POST-Operation Weight Loss Surgery Q&A
the last 20 lbs are a BEAR to get off. Soon after year 1, I was losing around 2 lb a month, even though I was working pretty hard at it. I don't know if any diet programs are going to any more successful at taking the last 20 lbs off quickly, because the fact is, you are likely eating A LOT fewer calories now than you were when you started. I've gained 10 lbs this year, and am working like a demon to get it off. But I'm losing a measly 1/2 lb or so a week (so same as when I was trying to get the last 20 lbs off after my bypass surgery). Reason being - back when I weighed over 300 lbs, it took 3000 (or maybe even more) calories to maintain that weight. Right now, at 160-ish lbs, it takes about 1600 calories to maintain my weight. To lose a lb a week, you have to cut 500 calories a day (or burn up 500 calories a day - which is A LOT of exercise!). To lose 2 lbs a week means cutting 1000 calories a day. That would put me at 1100 kcal/day if I wanted to lose 1/2 lb a week, and 600 kcal/day if I wanted to lose 2 lbs a week. Ah...not happening ( and also not healthy - the only people who should be eating 600 kcal/day should be under medical monitoring, like we were in the early weeks and months after WLS). On the flip side, when I was eating 3000 kcal a day at my highest weight, I could have easily found 1000 or even 1500 calories a day to cut and still been eating at a healthy level (I'm not saying it's easy - dieting never is - but at 3000 calories, it's very feasible to cut 1000 or 1500 calories - not so when you're only averaging (and maintaining on) 1600 cal/day). So by cutting 1000-1500 calories/day, that averages out to about 2-3 lbs a week. But again, cutting that many calories NOW would be impossible for me. long way of saying - it's hard to get those last few pounds off because there are only so many calories you can cut and still remain healthy. I've said this before, but back when I weighed over 300 lbs, I'd mentally roll my eyes at these barely overweight women at Weight Watchers meetings who'd moan and complain about how hard it was to lose 10 lbs. "Ha!", I would think, "try losing 200 lbs!". Now I totally get it... I'm not saying don't try. Your efforts WILL work. But your weekly losses will be in ounces now, not pounds. -
Hi there I am curious if anyone has tried a weight loss program called noom? I had a bypass 21 months ago and I still have 18 pounds left to lose to reach my goal weight Of 128 lbs. The surgery was amazing but I feel like it’s very easy to experience stalls and start to lose focus. They report that most people will reach their goal weight by 18 months and afterwords effects of the surgery will start to diminish which is not an encouraging thing to hear! Would love to hear others stories or advice on how they lost those last 20 lbs etc😊 Michele
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Am I losing weight too slow or am I where I should be @ 10 weeks post op?
catwoman7 replied to spata's topic in Gastric Sleeve Surgery Forums
as Arabesque said, rate of weight loss is dependent on numerous factors, only a couple of which you much (if any) control over, which are: 1) how closely you stick to your program and 2) your activity level. If you do well with those, the weight will come off, whether fast or slow. If your overall trend is down, then you're golden. I just checked and I'd lost about 32 lbs by then, but my starting weight was lower than yours, plus I don't know your gender, age, activity level, how much muscle you have (the more muscular, the more calories you burn, even at rest), etc. So again as Arabesque said, you can't really compare yourself to others....there's just too many factors at play. Again, if your overall weight trend is down, then you're fine. I think 45 lbs down sounds great, actually. -
Help skin shrinking with slower loss
Arabesque replied to cuddly sam's topic in General Weight Loss Surgery Discussions
I echo @catwoman7’s comments. The benefits of the surgery which make the initial weight loss much easier don’t last so I wouldn’t deliberately try to slow your weight loss. It will only make it harder to lose the remainder. I don’t have a lot of loose skin. I lost about 90lbs. I didn’t have much at all when I reached my goal (which was always my lowest weight). I think genetics helped as I certainly had my age against me. When I dropped the additional 11kg the loose skin was more noticeable though still not enough for me to justify plastic surgery. They ‘d probably only remove about a kilo of skin if they took it from all over my body. I cover mine very easily with my clothes. I wear body con clothing often & don’t need shape wear to restrain/control my saggy skin. And as catwoman7 said, I’d rather have some loose skin than still be at my higher weight. -
Am I losing weight too slow or am I where I should be @ 10 weeks post op?
Arabesque replied to spata's topic in Gastric Sleeve Surgery Forums
You’ve lost 45lbs since surgery - that’s a good amount so far. Something worth celebrating. 🏆 Never compare your weight loss journey with anyone else. It will only drive you down the road to crazy town. There are too many factors that can influence your rate of loss: genetics, medical history, weight loss history, medications, age, gender, stalls, etc. And you lost a lot pre surgery which can affect your rate of loss after surgery - you’re at a lower weight which means you won’t lose as quickly as you did when you started back in April. There are averages which can be used as a guideline but as with all averages some lose more & some lose less & there’s nothing wrong with that. What does your team say (they know you & your situation better) ? -
14lbs in a month is a lovely loss. I have seen it said that the weight loss can be slower when you have gone from a sleeve to a bypass. On this journey our emotions can really mess with us, Some days we feel up and the next we are down. I had a bad couple of days this week. It only took a small change to make me feel like I could do this again. I am also on bipolar meds and anti d's. Are you able to go for gentle walks? This will help your circulation and help the blood move around your body and help you in the healing process. Check in with dietician to get some advice on what things you can do at this stage. Might be small things will make a big difference. Breathe. 😊
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Help skin shrinking with slower loss
Spinoza replied to cuddly sam's topic in General Weight Loss Surgery Discussions
Hi Sam, that's a really hard question to answer without more information about how far along you are and what surgery you've had! Could you fill out your stats or give us something more to go on please? My understanding is that how our skin adapts to weight loss is a lot to do with genetics/age and much less to do with how we manage that! Do you have specific concerns? -
January 2023 I got very ill in September of 2022 - had a tear in my hiatius - a hiaitial hernia tear - that was bleeding into my chest area. No symptoms until I was so weak and tired that I couldn't function well. Ended up needing transfusions and emergency hospitalization to figure out what was wrong. 5 days in patient with no food or water, just IVs. Lots of testing and then came home on lots of iron pills and vitamins. Three weeks later had a gastric bleed.... more hospital stay of 4 days and endoscope and found out that I have some, well, a lot of issues in my "normal sleeve anatomy" - lots of areas that were bleeding. No actual ulcers, just ... issues. Now will be doing weekly iron infusions - no more oral iron; and meds to help heal my stomach lining. I lost 10 pounds in the hospital, but was warned to eat well and drink lots of fluids and to put back at least 2/3 of what was lost in the hospitalizations as a good portion of that is blood building. I craved macaroni and cheese. Not something I even usually like much ! So I ate that and high protein, lots of water and saw my doctors on a weekly basis. I, of course gained weight back as I healed. But decided to be VERY VERY careful in what I ate as directed by my doctors to not piss off my gut - and then added in what I knew to do for my over all health. My 13 year old tool was still there and of the appropriate size - I had NOT "stretched out" my sleeve in 13 years. I was assured by the gastro doc that it was fine ! So I took the 2 total pound weight loss from surgery and then post op required gain.... and have lost 6 more pounds in 3 months. I am out of the 30s BMI for the first time in ...... more than 40 years. Yes, BMI of 29 on the Smart BMI for my age. I am doing much better, will probably need monthly iron infusions on a regular basis; as the oral iron is not working for my irritable gut. But I am a seemingly healthy almost 67 year old, now wearing a size 14 petite slacks to work ! The last time I did that .... I was about 23 years old.... I have almost lost half of me.
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Help skin shrinking with slower loss
cuddly sam posted a topic in General Weight Loss Surgery Discussions
Hi guys after the sleeve could we add a extra scoop powder or more calories so we lose slower to give skin a chance to go back ? Sent from my SM-G986B using BariatricPal mobile app -
Post Op Skin Care - How do I minimize skin issues?
Arabesque replied to Nadae's topic in POST-Operation Weight Loss Surgery Q&A
Some of what are you are experiencing could be a post surgical effect &/or from the anaesthetic (it’s renown for causing skin & hair dryness). Also there could be some hormonal issues at play too. Slather on a good body lotion & as you start to eat a wider variety of food you may find it decreases. As for loose skin & stretch marks nothing can stop that happening. How much you end up with depends on many factors like age, how long you’ve carried your weight, how long you’ve been at your highest weight & genetics. Think of your skin as a hair band that has been well used & stretched out - ain’t nothing going to make that go back to how it was when it was new. Same with your skin regardless of how many vitamins you take. I’m using a ‘wonder’ cream at the moment that’s supposed to reduce stretch marks. ‘See results in two weeks.’ Well it’s been more than a month & there’s been no change. My skin is a little softer so I guess that’s a win. Won’t be buying it again. Find a good facial oil, with or without collagen. (I love Drunk Elephant’s Marula oil & Charlotte Tilbury’s Collagen superfusion facial oil - wish I could bathe in it.) At the very least you’ll notice a change in the tone & texture of your skin. Then you can join those of us who’ve tried UV, RF & derma needling treatments to help with facial skin laxity. (The treatments have become my new addiction 😁.) -
Hi Jeannie! I am in the same boat... have lost 20 lbs in the first couple weeks after revision to bypass, and only another 1-2 lbs the last week or so. I am one month out today. It looks like you went on to lost another 41 lbs in the next 2 months or so, is that right? That is super encouraging! I just started regular foods today, so I am hoping that jump starts my weight loss again. Did you notice anything that you did that helped yours start up again after the stall?
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Stalls are normal after the initial post-surgery weight loss. Its your body's time to stop and reset and get used to the new pipes. lol It's feeling that "uh oh something is different so it must be wrong" feeling so it's holding on to all the calories it can in case your body needs them to cope with what ever stress is happening. Once it realizes there is no new stress (other than new pipes!) it will start burning the calories/fat for you again. That is my "very non-professional" explanation. Hope that helps!
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Pre-Op by a month and I'm scared...
Arabesque replied to Kris Poole's topic in Gastric Bypass Surgery Forums
To add to @Smanky’s response, remember the main reason you’re doing this - for your child. It’s a very good reason coupled with improving your general health. I mean it won’t change your MS status but the weight loss will likely make your life easier. I didn’t have any comorbidities befits my surgery but I knew the chances of them starting were very high. And I wanted to be able to do fun things with my nieces & nephews. And I can now. On Christmas Eve I was jumping on a trampoline with four of them. We were laughing so much as they tried to double bounce me so I’d fall over - I did. They’re aged 5-9 & I’m looking at 58 this year. Before the surgery I wouldn’t (embarrassed) & couldn't (physically) do that. It is so worth all the perfectly ok concerns & worries you may have before the surgery. All the best. -
VSG Experience; starting weight 205lbs
Michele 2021 replied to KRod6's topic in Gastric Sleeve Surgery Forums
I was also a lower BMI… prior to my surgery I was 205. I’m almost 2 years post op and will fluctuate between 139-144. Lbs. I was hoping to lose a bit more weight but appear to be stuck at my present weight and am very happy. My surgery was a breeze! No issue’s postoperatively only took pain meds. For a few days. no hair loss, no dumping syndromes or any issues at all! It’s been a wonderful experience for me and I have zero regrets. The best of luck to you on your weight loss journey! My only advice is to keep up with the exercise water and diet plan! It’s so easy to lose your focus on those things when your at a smaller size…. -
Post Op Skin Care - How do I minimize skin issues?
Smanky replied to Nadae's topic in POST-Operation Weight Loss Surgery Q&A
I kept my skin in the best condition I could with collagen support supplements, biotin, hydration and body lotions with actives like retinol in it. Oh and a daily and pedantic application of 50+ SPF. I still have a lot of loose skin (I'm 51, so it's not gonna bounce back much), but the scars are almost gone and my skin is as happy as it can be. There's no escaping at least some loose skin with big weight loss, and unless plastics are an option down the track, leaning to love it is all you can do! -
Absolutely what NovaLuna said. But, since I am a chronic comparer, if it helps, I lost 17lbs in the first SIX WEEKS post op (I do calendar month losses so I bunched the fist 6 weeks together). Probably about 12 or 13lbs in the first 4 weeks? I had a stall in my second week (first of many!) that lasted about 10 days. Hope that helps and good luck on your journey.
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3 Month medically supervised diet
NovaLuna replied to BypassTheBS's topic in PRE-Operation Weight Loss Surgery Q&A
Most insurance now days requires a medically supervised diet. Generally it ranges anywhere from 3 months to a full year. My own was 6 months, but it also took an extra 2 month to schedule my surgery due to the fact that they were overbooked, so for me it was 8 months. Maybe your surgeon is just used to patients having a longer requirement and is just concerned that maybe you'll struggle with the dietary requirements and getting used to eating in a new way? But, honestly? Although I DID diet before my surgery I don't eat the same way as I did now during that time. I took my weight loss phase of my surgery to learn how to eat healthier and how to do it in a sustainable way since this is not a 'diet' but rather a life change. You have to learn to eat in a healthier way for the rest of your life, but you want to do it sustainably. I had to learn how to work in foods that I loved, but do it in moderation. Because I do not want to be a statistic in weight loss surgery failure. I do NOT want to gain my weight back! Hell, I cry if I'm up 1 pounds over what I consider my 'comfort range' (the top of my comfort range is 191. My secondary maintenance weight range is 186-191. I say secondary because my original maintenance range for an entire year was 179-183, but in your second year leading up to your third year post op you gain some weight back. It's normal. It sucks and I had massive issues with it which is probably part of what is causing my chronic anxiety, but I'm allowing myself to not freak out as long as my weight doesn't go over 191 at the heaviest. I'm 189 today. And sorry if that's TMI. I'm an aspie so sometimes I overshare what others see as pointless info.). Anyway, you are the one who knows yourself best and if you feel that you can be successful in three months then go for it! Also, welcome to the forums and I wish you the best on your weight loss journey! It's a difficult one, but incredibly fulfilling! 😊 -
preop 3 Month medically supervised diet
BypassTheBS posted a topic in PRE-Operation Weight Loss Surgery Q&A
I’m very new here and I’m so ready get sleeved! My insurance (AETNA) requires 12 visits to my surgeon on a medically supervised diet program. The 12 visits can be scheduled however I see fit so I’m choosing weekly. My surgeon is pushing for me to spread out the appointments so I can instill new eating habits and see some weight loss before surgery. I want this so bad, I’m sticking to weekly appointments while really trying to put what I learn in this program into practice such as reading labels, journaling, following the surgeons’ calculated macros. I think I can make weekly progress if I really turn on the tunnel vision. -
Post Op Skin Care - How do I minimize skin issues?
Nadae posted a topic in POST-Operation Weight Loss Surgery Q&A
Hello everyone! I’ve just had my sleeve surgery on January 8th of this year and if it helps, I’m 32 years old. I’m less than one week post op and I can already see my skin changing and getting flaky from dehydration. My fluid intake is improving so all is well. What I would really love to know is how can I take care of my skin to minimize dry patches, loss skin, stretch marks,…etc. I think the early I tackle this, the better 😂 Your advice and experience will help me so much - please share any products, habits, vitamins, supplements, exercises…etc. that help you keep your skin healthy -
How much you lose during your first month depends on numerous factors including age, starting weight, comorbidities, how strictly you follow dieting guidelines, exercise, etc. I was well over 300 pounds starting out and lost 23 pounds my first month. Everyone's results differ and comparing your own progress to someone else can drive you nuts (from personal experience). Every pound you lose adds up over time and focusing on yourself and your own weight loss is far better for your mental health (trust me, I drove myself crazy comparing my weight loss to others. I was a chronic staller and my weight loss slowed significantly after the first 3 months. Which is normal, but the fact that I started losing in single digits when I still had so much weight to lose drove me nuts). A common problem is that people (myself included) seem to think the weight will just fall off because of series like 'My 600 pound Life' in which those people have MUCH more weight to lose and thus their numbers are much higher. My advice is to try and stay realistic with your weight loss goals and try not to stress if it takes longer to lose what you want to. Like I said, every pound adds up over time and I met my goal in 18 months so I'm sure if you follow your plan that you'll be able to reach your goal too.
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VSG to DS coming soon!!
JohnGraySmiley replied to Scorpio_Qveen_21's topic in Duodenal Switch Surgery Forum
Our stories are very similar. I was sleeved in 2016 and similar weight. Lost 90 lbs, my surgeon wanted me to lose 100. Had 2 additional babies 2 & 3years later, then covid. I’ve been offered Topomax & Lomaira after starting a weight loss program, but not very effective. I lost 15 lbs at the most. I have a date 6 weeks out for DS revision with my same surgeon. How has healing been the last 2 months, and have you seen progress? How long was your hospital stay? -
Recent Observations: Reverse Behavioral Conditioning
The Greater Fool replied to smc124's topic in General Weight Loss Surgery Discussions
The whole WLS experience is an experience in conditioning. Our actual plans have sometimes vast differences yet no one seems to want to reconcile the differences. It seems the actual plan doesn't really matter but it's following a plan that seems to be the important element. We are learning a new way of eating, a healthier and sustainable way to eat and live. As a reward we consistently lose weight. What conditioning! We follow plan and lose weight. The surgery helps us follow the plan the major part of which is not eating too much. In point of fact most people would lose weight for the first several months no matter what they eat. The surgery is doing the heavy lifting. We all have read of people that eat what they want, pick and choose plan elements, and/or quickly return to their old habits, and yet early on they lose weight. Think of how they are being conditioned: Eat what you want and lose weight. Eventually comes the point where the weight loss stops, or even reverses. It comes for us all. How have the two groups conditioned themselves? Well, the group conditioned with following the plan continue to follow plan, perhaps tightening a little. It's the same thing they've been doing and continuing is just doing what you've been conditioned to do. This group continues doing well. The second group that wasn't following a plan is stuck. Now they have to make a change to something they are unprepared for and unconditioned to do: They need to eat to plan. Except they have no positive conditioning related to plan. For these folks, they are back on the dieting circle. They are conditioned to eat what they want, so this is where their conditioning keeps wanting to take them. They are back between a rock and a hard place. Eating to plan has more implications than simply losing weight fast. We are conditioning ourselves for long term success. Sorry for the sermon, lecture, and longwindedness. Someone will be passing the contribution box. Good luck, Tek
