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You seem to have cracked it. It looks like you will be eating fruit for your snacks. Good luck on beginning your weight loss journey

We discussed my surgical history and family history. We discussed my medical issues. We discussed my current diet and exercise (at that point in time). We discussed my previous weight loss efforts. He asked me if I had been doing any research and if I had a particular surgery in mind. I told him I was interested in the RnY gastric bypass - he agreed and thought that surgery would be the best for me. He gave me a print out of predictions for my comorbidities and weight loss, for the first year. He told me what tests he would want me to have, before surgery. I needed a mammogram, an EGD, and a psych eval. He felt I was a low-risk for apnea, so I didn't need a sleep study. I'm also already under the care of a cardiologist and had fairly recently had an echocardiogram - so I didn't need to repeat that. Because I had already done a ton of research, I really didn't have any questions, so the appointment was fairly quick. After my appointment, the receptionist scheduled all of my nutrition visits for the following 6 months, and my pre-op appointment (the final appointment with the surgical team before surgery).

Surgery day I was 250 lbs I'm starting week 7 and I am down 17 lbs . I have stalled for 3 weeks and I think I just might be coming out of it. Having such low calorie intake and body is still in healing mode. ( Body uses energy to heal ) . Make us all week and tired. In a funk kinda thing.. look for the small wins. They will help you smile and feel better. I just cut a new hole in my belt to make smaller because my pants fall down. ( Second time doing this) woooo hooo! I now can reach my shoes with out a shoe horn. Didn't even notice that. My wife told me me she saw me do that. . sweet!!! The little wins are very important. So look for them and enjoy your journey. Celebrate it !! Wishing love and good health on your weight loss journey!!

I'm down 17 lbs and starting week 7. Been in a stall for about 3 weeks( feels longer) but I keep reading it is ok. And the journey is a long road . I'm happy so far. I keep getting stronger after feeling very week and low energy( 1000 calories a day will do that to you ) I have increased my calories recommend by my nutrition specialist. 1200- 1300 is ok see how I feel. . it has helped. I have had no issues with my wounds and feel I am healing very well. I have added more walking and light stretching excise with super light weights. And feel better and better. So reading your post I believe you are doing super. What I learned is not to over think it. Consistency is our best tool. The journey to better health is a marathon the weight loss is a bonus. Plus the little wins add up . I can actually reach my shoes with out a shore horn, pants fall off with out a belt. ( Today I cut a second hole to make belt smaller) !! Whoo hooo!! Wishing continued success and good health!!! Cheers from Toronto Canada!!

You might want to track what you're consuming, just to make sure you're hitting all of your protein and hydration goals. Not getting enough will make you feel bad and will also stall your weight loss. Are you taking your vitamins? You might want to have your labs (to include ferritin level) checked. I took vitamins, religiously, before surgery. I'm sure that half the reason why I'm dragging right now is because they had me hold them. I get to start taking them on Tuesday and I'm so looking forward to it! I'm anemic and can't wait to start getting some iron, again. I'm looking forward to getting back to exercise. Pre-surg, I enjoyed running on an elliptical and I also liked doing some of the workouts that Beachbody offers. I'm really looking forward to seeing some results from exercise. Before surgery, I never saw anything change. Now, I should and it's exciting!

I don't formally exercise because I don't like the guilt or stress feeling if I don't do it a certain day. So this time around, I have embraced a lifestyle that is based on movement, meaning I just keep moving in my daily life. Whether I'm at home doing chores or at work. For example, when I watch a movie, I will do exercises, like crunches or sit-ups. I keep a pair of dumbbells by my couch. Sometimes I wear leg weights all day. And some days, I feel so tired probably because I'm not taking in enough calories, and I won't do anything but stretch all day. I practice the "One in One out" rule to have no clutter in my home so I do a lot of walking back and forth to get what I need. Things like that. While others depend on exercise to lose weight. I don't. I can't "outrun my fork" lol. The exercise is to just to keep me healthy. The weight loss is from my diet.

I would just say make sure you increase your calories to around 1200, switch up your exercises once in a while, watch the sugars because they can definitely slow weight loss, keep protein between 70-90g per day, watch the fats (and try to have the majority you consume as healthy fats), reduce caffeine if possible, avoid carbonation, definitely keep fluids up. And after all that, just give it time, have patience, and really pay attention to your NSVs (Non Scale Victories). Those are keeping me sane right now during my VERY long and annoying stall.

You are doing great! You probably are gaining muscle with all the workouts and it’s balancing the fat loss weight wise… keep up the amazing work

Good to hear the progress you have made. I had my RNY done on the 9th May. My weight loss has slowed down this past month too. it is kinda a little bit odd this whole experience isnt it? Never done this before and dont know what to expect. Wouldnt it be nice to know what the road ahead would look like? Like yourself I do feel much better for my loss. I am basically just going for walks at this point. So far I can manage 3.5kms easily which is such an change after finding walking past four houses was enough to exhaust me. We got this.

I was diabetic pre surgery and my blood sugar never went over 160 after a meal, but my A1c was 7.4. Type 2 diabetes causes weight gain among other issues. Psych meds definitely cause weight gain, and hormonal imbalances (particularly PCOS, which I have) definitely cause weight gain and slow down or stop weight loss.

k. i did ultra low carb (<25 NET g per day), aimed to get 60g protein per day and just let the fat fall where it may that kept me under a certain calorie level. I have no idea what diet that would called. maybe calorie-restricted-modified-Atkins-2?? ...but im going to say this (and i know there will be opposing positions to it!): beyond the initial drop in weight when going low-carb, in MY experience, macro makeup has little influence on long-term weight loss than calorie deficit does. try different tactics, and find out what works for YOU. not everyone will respond the same way to a particular "diet". Good Luck! ❤️

Hello, on Sept 14th I had a revision from the lap-band to the Gastric Sleeve. Pre-surgery liquid diet I went from 235 to 212 on the liquid diet for about 10 days. I have only lost a total of 2 pounds, and I am 7 weeks out. I am very frustrated at this point. I am doing everything I am supposed to be doing. I could walk a little more, but other than that I am only consuming around 800 calories a day. I am not comprehending the science of this. I burn around 1600 calories a day, so why am I not losing weight? I do need to mention that I am going through menopause and had to go off of my hormones for 4 weeks after surgery but have been back on them now for 3 weeks. I was also diagnosed with a under-active thyroid about 9 months ago and am on 25MG of thyroid medication. I am at the point where I just feel no matter what I do I am not going to lose. Has anyone else experienced no weight loss right after surgery and how long did it last? I am trying to stay positive, and everyone keeps telling me not to pay attention to the scale, but I am a numbers person. I absolutely dread going to my next dietician appointment in two and half weeks because my last one which was my first post op appointment, she told me I should be losing more than 2 pounds in one month. I guess I just need to know if others have experienced this. I am about ready to give up.

Hello, on Sept 14th I had a revision from the lap-band to the Gastric Sleeve. Pre-surgery liquid diet I went from 235 to 212 on the liquid diet for about 10 days. I have only lost a total of 2 pounds, and I am 7 weeks out. I am very frustrated at this point. I am doing everything I am supposed to be doing. I could walk a little more, but other than that I am only consuming around 800 calories a day. I am not comprehending the science of this. I burn around 1600 calories a day, so why am I not losing weight? I do need to mention that I am going through menopause and had to go off of my hormones for 4 weeks after surgery but have been back on them now for 3 weeks. I was also diagnosed with a under-active thyroid about 9 months ago and am on 25MG of thyroid medication. I am at the point where I just feel no matter what I do I am not going to lose. Has anyone else experienced no weight loss right after surgery and how long did it last? I am trying to stay positive, and everyone keeps telling me not to pay attention to the scale, but I am a numbers person. I absolutely dread going to my next dietician appointment in two and half weeks because my last one which was my first post op appointment, she told me I should be losing more than 2 pounds in one month. I guess I just need to know if others have experienced this. I am about ready to give up.

did he test your a1c? with weight loss you often have to readjust down many meds including psych meds. If your meds are inducing diabetes you may want to taper or change meds if possible. type 2 diabetes (nearly all adults who get it are that) usually gain weight due to insulin resistance due to stress on pancreas and other biochemical issues due to excess weight. there is a small contingent of adults who develop a latent autoimmune diabetes which is really a different disorder with same result of pancreas not working (my dad has it) and there isn’t as much you can do) it will settle out and you will learn no matter what! we got your back

This isn’t an easy question to answer because we have different needs & we are different people. I was at my goal at 6 months but kept losing as I struggled to eat enough at first to slow the loss. My surgeon told me to work up to about a cup of food by maintenance & I guess that was pretty true but it did depend on what I was eating as some things were more filling - still the same now. I was barely eating 900 calories at 6 months & then about 1300 when I stabilised at about 15 months. I eat about 1400 now & generally eat about or a bit less than what would be considered a recommended serving size. Someone taller, younger, more active than me, heavier than me & with a larger frame would need to eat more & vice versa. And of course the foods you eat also okay a part. I’m a low processed make it myself person, eating lower carbs, very little sugar, lowish fat. Have you spoken to your team about the foods you struggle with? What do you mean by struggle - make you feel sick, feel your restriction, sit heavily, taste, etc.? Is it a specific food/s, food group or any food randomly? Can you relate it too how much you eat, how fast or even when you eat? (Sounds odd to ask about time but for example I have difficulty eating breakfast before 8:30/9am.)

Any one that you can enjoy & don’t mind doing regularly. Still haven’t found the one for me & I’ve tried lots of them over the years. LOL! I do a series of stretches & some basic resistance exercises at home. Mostly to support my back but also to tone my arms & keep me limber. I’m not looking at running a marathon or dead lifting my, or anyone else’s body weight. @SpartanMaker has listed all the benefits of regularly exercising but if you’re looking at exercising predominately for weight loss there is an ugly truth: exercising only accounts for about 10% of the weight you want to lose. So only about 1 of those last 10lbs you want to lose.

You may not want to hear this but this may not be a stall. This may be your body’s set point (the weight your body is happiest at & is easiest to maintain) and/or you’ve reached a point where your food intake is equivalent to what your body needs (burns) to function. Not everyone gets to the goal they’ve chosen. The average weight loss after three years is about 60/65% of the weight you had to lose to put you in a healthy weight range. Have a chat with your dietician & review your eating plan & activity. Though if you decrease your calories & increase your activity to lose those last 10lbs you will have to maintain that to remain at the lower weight. Only you know if that is sustainable.

My last stall lasted 5 of the longest, most frustrating weeks ever. Now I am at a lower weight, losing it is so much more difficult. I am eating more calories, about 900 to 1200 a day and having limited exercise is making my weight loss tough going. I knew this would happen sooner or later but it's still damn annoying. We cannot tell what your weight is so we would find it difficult to help you, but many say that it's really hard to get to our ideal set point. Our bodies just don't want to give up the last bits of fat. Some on here have managed to get to 'gold medal' stage but many have had to admit defeat at silver. We are all winners in my eye if we can keep our lost weight off My team think I will lose slowly for another 6 or 7 months. Then I can consider plastic surgery on my old saggy bits. TBH, I have lost more than I ever dreamt I could. So, vary your diet as much as possible and keep going until you cannot do one damn day more !

OK folks, I really need some humor right now! Let's see those funny GIF & Memes related to weight loss & weight loss surgery! I'll add a few to get us going:

I agree with @GreenTealael 100%. Your bariatric team is in the best position to help. We here on the forums really know nothing about you. To start with, your profile isn't filled out, so we don't even have basic info. Beyond the basics like starting weight, goals weight, current weight, age, gender, and height, I'd ideally need to see your food log, and would have your percentages of body fat and lean mass. Finally, I'd want to understand what you mean by "I work out 6 times a week for over 50 mins". Exercise type and intensity make a ton of difference here. Even those things might not be enough though and that's where your bariatric team can help. There is one universal truth if you're not losing weight: You are eating about the same number of calories as you're burning. Without some potential metabolic and endocrinological testing that your doctor can do, it would be hard to know if this is due to Eating more than you think Burning less that you think in exercise A slow metabolism due to the loss of lean body mass Maybe even a hormone imbalance As pointed out, the simplest place to start is making sure your are logging your food accurately. It's really easy to be off by several hundred calories and this can easily be enough to make a huge difference in how much you lose.

Stalls are common and normal. It takes a while for your body to adjust and your set-point to change. Be diligent in weighing and measuring. Eye-balling quantities just does not work. Weighing, measuring, and recording keeps you honest. If you have not already done so, get some bariatric cookbooks or look up bariatric recipes online so that your meals are not boring and repetitive. You might try cutting out all high carb items such as bread and other things made with flour, white potatoes, rice, processed foods, and anything made with sugar. Avoid protein bars and processed "protein snacks"--they are CANDY to your body and will trigger you to eat more. In the almost two years since I started in the bariatric program I have encountered stalls frequently. The worst one lasted for over three months. My best advice is to stay off the scale, no matter how tempting it is. Check the scale just once a month. Contra-intuitively, sometimes it takes eating MORE for a few days to help reset your set-point. Measure yourself instead: neck, upper arm, bust, chest below bust, waist, hips, thighs. Record the measurements in an app or diary. You'll see losses even if the pounds are sticking. You'll also see your clothes fitting differently or need to replace them with smaller sizes. My second tip is to shop at thrift stores! I've gone down from size 30-32 (4x) to 18-20 (1-2x). Who can afford retail with that many size changes?!

Lucky you. It will be harder when you have no restriction. It's essential that you use this period to learn how to eat differently and continue to hold the line. I lost half of my weight-loss prior to surgery. Because of complications, after my RNY>RNY revision surgery I had three endoscopy procedures which stretched my pouch and anastomosis. After a few weeks I had very little physical restriction. I've had to work very hard to eat differently and continue to lose weight. My post surgical loss is now equal to what I lost prior to surgery, and I struggle every day with cravings. I need to keep my calorie count in the area of 1000-1200 per day. I eat almost no sugar, flour, white potatoes, rice, or processed foods. But--it's worked and I will continue to do this for life, recording every morsel in my (Baritastic). app I know that as soon as I start to return to old eating habits I will regain what I have lost. It's hard work, but so worth it. Hang in there!

I am revising to MGB tomorrow due primarily to weight loss. I never had issues with GERD or heartburn. I didn't take care of my sleeve and when I tried getting back to basics 5 years out it just didn't quite work, I just couldn't lose more than a couple pounds. I went to my surgeon in Mexico to see if a resleeve were the way to go but he advised against it for me. He said MGB is way less invasive and will really help me with the weight loss I'm hoping for. I am self pay so after a lot of research I am doing what seems best for me.

The mini bypass has been kicking around for a long time - it was around the periphery of bariatrics some twenty years ago when my wife and I first started looking into WLS, and it's still there today, not having achieved mainstream status (and many, if not most, US insurance companies still don't cover it.) in the meantime, the BPD/DS, VSG and now the SIPS/SADI have gone mainstream, gaining acceptance by the ASMBS and insurance industry. It would pay to understand why that is. When I last looked into these things, 2-3 years ago, ASMBS was fairly positive about the SIPS/SADI, but they didn't yet have the data to recommend it; they apparently do now. I would suggest looking through their site to see if they have any current opinion on the MGB and why it doesn't get on their recommended list. Amongst the MX surgeons, the MGB seems to mostly be sold as a cheaper alternative to the RNY rather than a technically better one. Classically, bile reflux is one of the problems with these simplified, single anastomosis procedures. There are claims that some techniques have been developed to mitigate that problem, but I don't know how much of that is real progress and how much is marketing. The MGB does seem to be more mainstream in other countries, so there may be something to the claims of improvement, and it simply lost its best opportunity to be sold to the US industry and authorities. Given that, I would be apprehensive about getting it done while living here in the states, if for no other reason than long term support - how many US doctors, bariatric or otherwise, understand it, and how to treat you in the years ahead should there be a problem. It's something like owning a French car here in the States - parts and service are a problem. My wife has a DS, which has something of that issue, despite being mainstream and approved, as it is still something of a niche procedure, with few surgeons understanding it. It, however, has the redeeming value of having demonstrably better performance - both initial loss and most particularly regain resistance; the MGB doesn't, as it's not markedly different than the RNY or VSG in performance. Have you had your GERD evaluated as to its cause? A hiatal hernia or shape issue can usually be corrected while still maintaining the sleeve, though some surgeons may not be well practiced at that and would simply revise to a bypass to correct it (the old "VSG + GERD=you need an RNY" thing rather than fixing the basic problem - it might need an revision, or it might not.) In correcting regain, these revisions seem to be only moderately successful - count on maybe twenty pounds or so - about what one would expect from the intense dieting required around surgery time, and one can expect similar results from a hiatal hernia repair. Basically, you have already learned how to eat around a small stomach, so shrinking it further with a revision doesn't yield nearly as good a result as your virgin procedure. Some do show remarkable improvement, but they seem mostly to be those who take the regain seriously and swear to "not let that happen again" and really buckle down and get with the program. One can almost consider the revision to be a placebo. If I were looking to seriously tackle a regain problem, I would lean more toward the BPD/DS as that more directly addresses the metabolic problem, though not the GERD as it retains the sleeve - that would remain an issue as to whether the sleeve itself is the cause of it and that can be corrected.

As far as the kid, there is such a fine line. You want to teach them how to eat healthy but without giving them a complex or making them feel bad about themselves. Otherwise, you could create an eating disorder on the other side of the spectrum. (Anorexia, etc) My SIL struggles with weight and when her daughter got chubby, made a big deal and was worried about her dealing with what she had dealt with through her life. But IMO opinion did it in a bad way. She's 16 now, healthy and happy but the risk was there. The other part (and forgive me if I sound rude) but not your kid not your problem. Just love your niece for who she is and when she is with you, offer up healthier options and do activities to stray away from boredom eating. If she asks you questions in regard to your weigh loss or whatever you can then just explain how you eat and explain healthier choices. Side note: I never say anything to people but sometimes it makes me sick to see how much people eat. I was one of those people so it even makes me disgusted with myself too. I don't judge (although that sounded horribly judgy) and never comment, some of these people aren't even overweight in the least so eat what you want and live your life. I guess it gives me flash backs or maybe minor PTSD. haha Everyone is allowed to eat what and how they want and they have to deal with the results, regardless of what they are.