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Hi everyone, I had Laparoscopic Sleeve Gastrectomy in September 2023. my starting weight (on the day of surgery) was 102 KG and today march 27th 2024 I am 70.6 KG so I've lost a total of 31.4 KG. My height is 165 cm. so I believe I'm almost close to my weight goal. I want to lose maybe 8-10 more kilos and I think that's good enough for me. I took photos of my body on November and yesterday I took photos as well to compare both. however what I'm noticing is that although weight number has gone down, I do see difference in shape of my body (legs, arms, face, back) but I have an issue with my stomach. it has gotten better and smaller, however for someone almost going into 60's I don't think my belly should be looking this big. Do you guys recommend anything to do or try or should I see a doctor about this? please help! I don't want to struggle with reaching my goal weight and having a big stomach still.

Long rant ahead sorry ... So, I'm slightly angry (understatement). I saw my french primary care doctor yesterday. She's never been great to be honest. I've been seeing her for 6ish years. 5 years ago I gained over 80lbs pounds in a year and a half going from 118lbs (that had been my standard adult weight since my teenage years with a BMI of 19) to 200lbs ( BMI 32.3) after taking antidepressants. I stopped the antidepressants after a year because the weight gain was making me more miserable than I was being slightly depressed and thin. I have been struggling to loose the weight since... loosing and regaining the same 15-20 lbs again and again. As I've mentioned before, I have slight cérébral palsy - nothing too bad but enough to make walking pretty painful on my legs when I hit over about 130lbs and to make me generally clumbsy - I also lack gross motor coordination and don't have the best fine motor skills either... I can't really do any sports that require coordination and can only really ride a bicycle in a flat straight line and it takes a lot of mental effort for me to keep my balance, crowds freak me out because I'm scared of tripping and falling and don't even mention jumpy little dogs, my nemisis as my balance is so precarious. However I've always made do and It's never stopped me having an enjoyable fufilling life and a pretty decent career. My weight gain really really made me suffer, emotionally of course, my self esteem, my self worth etc ( I live in Paris which is the thinnist city in a thin country ... and it's not a place where people are kind to overweight people at all - I checked and the mean BMI of a Parisienne woman is 22.3 - so when you hit a BMI of 30 here you're really a fat outlier and are basically scorned in all public spaces ). It also made me physically miserable and I lost the little flexibilty I had - constant pain when walking - loss of gross motor skills, trouble showering standing up at 30 years old, not being able to put my socks on etc etc. For the last 4 years I have been to my Primary care doctor about 5 times asking for a referal to a nutritionist - she's always refused as told me "but it's simple, you just need to eat less and move more, it's not magic, No need to waste money on a nutritionist if you have no willpower "No **** sherlock! She has no idea the willpower it takes to get out of bed at 200lbs with cerebral palsy when you feel like your legs are litterally going to snap, when your feet are burning with weight stress induced neuropathic pain. In January I finally cracked after a lot of introspection and thought and booked my VSG for February in Turkey. I've now lost 35lbs since my preop diet so in just under 2 months. I already feel a lot better, the pain when I'm walking is lessening, I'm fitting back into the "second round" of fat clothes I got myself. So I walked into her office yesterday ( I had the intention of "fessing up" to having had a VSG and asking her for iron supplement ideas as I'm still being sick when I try and take iron ) She took one look at me and said "ah, you've finally found your willpower, loose another 20kg (40 pounds) and you'll be an attractive young woman again" I had a surge of red rage inside me, I kept my calm, but didn't tell her about the surgery, I just smiled and told her I needed a refferal to a dermatologist for a mole on my face and left. I'm never going back to see her again. I spoke to my physical therapist on the phone this morning and he sort of helped he said "can I be unprofessional ? Honestly, qu'elle aille se faire foutre, (she can go f*ck herself)" Lets find you another doctor." My physical therapist knew about the surgery, as did my orthopedic surgeon and booth agreed that with my CP anything is better than being even slighty overweight and that the surgury was worth the risk as they've both seen me loose my mobilité over the last few years and has seen how its affected me. They said that if I could afford to go private abroad I should because If not I'd have to jump through hoops for years in france because my BMI (32) wouldn't have been considered high enough as a stand alone. So yeah... this weekend I find myself another doctor who's not a fatphobic arsehole and has a minimum of human compassion. And for the iron I'm just going to go and ask directly at the pharmacy what the have to propose. Sorry that was long but I just had to get it out, I'm slowly realising all the **** I've put up with because of my weight these last years and I am ANNNNGRYYYY!!!! Hope everyone is having an okay hump day!

Thanks again @Arabesque and @ChunkCat for your advice earlier. I haven't been checking in as much, dealing with continuing health issues. Healthcare providers are difficult to get scheduled with in my area, so I'm just now getting to follow up with them. I've been waiting to get scheduled with a Neurologist since August, but no luck. I've had to burn my days off with work due to Covid at the beginning of the year, so I'm not able to get in with a specialist since the closest one available is about a 4 hour drive from here. There's also no immunologists with availability in 2024 within 4-5 hours from here either, so I'll be waiting on that for a while. I am getting in with a cardiologist to see what is going on. My heart rate is dipping down to 28-29 bpm in my sleep, and I wake up feeling exhausted. I'm on a CPAP and also getting another sleep study scheduled in April to see if adjusting that will help. I'm still just walking about 1-2 miles a day. I walked 4 miles a couple weeks ago, and was hardly able to get out of bed for 3 days. I've never been that drained from that relatively small amount of exercise before. Luckily I was able to work from home and had my laptop in bed with me, but it was a struggle with the 12 hour shifts. I am getting frustrated since I've gained weight back, and I'm 10 lb heavier than I was at New Years, but my primary care thinks whatever issues I'm having is killing my metabolism. I'm starting back on my pre-op diet this week to try to lose a little more. If anyone has any suggestions, please let me know, I am open to them. Thanks!

i think it all depends on how much actual fat you still have left when you get plastics. even if you reach "goal weight" you may still be carrying subcutaneous fat along with the excess skin. i've read of folks on here who have dropped 10, 20, 30 lbs after plastics, so it has been done. me, I lost a grand total of 400g (i.e., 0.88 lb), so basically nothing....BUT it made a huge difference visually, so...

Hey there, fellow Massachusetts person! Here are a few options that might work for you for protein: If you like soups such as creamy tomato, butternut bisque, etc., add a scoop or two (10-20g protein) of unflavored protein powder such as Isopure or Syntrax to the soup. Also, if you make a canned soup like cream of chicken, make it with Fairlife skim milk for even more protein. 1/2 a cup cream of chicken with 1 scoop of protein would give you about 17g protein. If you are at a stage where you can have apples, make a great protein dip by taking 1 cup Greek yogurt and adding one serving chocolate protein powder and 1 scoop powdered peanut butter and eat 1/2 cup with 1/2 an apple. This gives you around 25g protein depending what brands you are using and tastes delicious. A great source of plant-based protein is edamame, which they sell already shelled and lightly salted, ready to eat, in the produce section of Hannaford (and probably other stores, I would assume). Also, four of the cracker-sized slices of Cabot cheddar have 8g protein, and if you pair it with Triscuit thins, that's another 3g for a nice 10g snack (when you can have crackers).

Hey there, fellow Massachusetts person! Here are a few options that might work for you for protein: If you like soups such as creamy tomato, butternut bisque, etc., add a scoop or two (10-20g protein) of unflavored protein powder such as Isopure or Syntrax to the soup. Also, if you make a canned soup like cream of chicken, make it with Fairlife skim milk for even more protein. 1/2 a cup cream of chicken with 1 scoop of protein would give you about 17g protein. If you are at a stage where you can have apples, make a great protein dip by taking 1 cup Greek yogurt and adding one serving chocolate protein powder and 1 scoop powdered peanut butter and eat 1/2 cup with 1/2 an apple. This gives you around 25g protein depending what brands you are using and tastes delicious. A great source of plant-based protein is edamame, which they sell already shelled and lightly salted, ready to eat, in the produce section of Hannaford (and probably other stores, I would assume). Also, four of the cracker-sized slices of Cabot cheddar have 8g protein, and if you pair it with Triscuit thins, that's another 3g for a nice 10g snack (when you can have crackers).

Hi @Allie727- I had my procedure done in January at Mayo Clinic in Minnesota. From what I’ve read online, compared to what they recommend for post-procedure guidelines, they recommend a pretty strict diet. Did the clinic provide you with how much food to consumer at each phase, along with how many calories? Here’s what they had me follow: - Weeks 1-4: Liquid diet (protein shakes + regular Gatorade). 60-80g protein, 64 oz liquids, less than 1,000 cals a day. I was probably only consuming 400-500 a day. - Weeks 5 & 6: Pureed foods (no more Gatorade). 60-80g protein, 64 oz liquids, 600-700 cals a day. A meal should be 2-3 ounces of food. - Weeks 7-10: Soft foods. 60-80g protein, 64 oz liquids, 700-900 cals a day. A meal should be 1/2 cup to 3/4 cup. I just started a regular diet/regular food today, 3/24. 60-80g protein, 64 oz liquids, under 1,200 cals (but I have a call with the dietitian in a week to see if that’s correct. A meal should be 1 cup to 1.5 cups. Like you, protein and water has never been an issue. I’ve never really felt restricted. I definitely feel full after I eat, but not sick-full at after eating. They also recommend you take at least 30 mins to eat. I found that if I finish my food quicker than that, I’ll get a stomach ache. I felt bloated earlier on post-procedure, but that slowly goes away. 6 weeks out, I had lost about 34 lbs at that point, but everyone is different!! Hope this helps!

I had the sleeve on March 19, 2024.

you can always increase calories to gain weight (or to stop a loss), but keep In mind that a vast majority of us experience a 10-20 lb bounce back regain around year 3. You might want to factor that in. I purposely went below my goal just in case I had a rebound (and I did...actually closer to 30 lbs for me...).

Morning all ( well it's the morning here)! I weight in (officially) every Friday (In truth I have issues avoiding jumping on the scales every day) I'm 5 weeks post-op today. ⁠Opération day weight 91.1kg ( 200.5 lbs - 14 stone 4 and a half) •⁠ ⁠⁠Current weight 80.9kg ( 178 lbs - 12 stone 10 and a half) •⁠ ⁠⁠Weight Lost 10.2kg or 11.19% of starting weight ( 22.5 lbs 1 stone 8 and a half ) •⁠ ⁠⁠Starting BMI 32.65 •⁠ ⁠⁠Current BMI 29.1 So my stall has well and truly broken and I think I'm on the right path!

i lost 10 lbs in the month after reaching goal. and then another 5 or so lbs in thr 2-3 months following. the fear of losing too much weight is a common concern to those who reach goal (or are nearing it) it doesn't last long. slowly up your calories if you can...if u cant now, trust me, you will have no problem later. if you continue to lose weight over months (not weeks as its way too soon for concern) and you dip below 18.5 BMI and your doc/team is concerned , then that will be your cue to be concerned. otherwise use this time to figure out what YOUR maintenance calories are (not what is recommended to you as we are all different and require different calorie intakes) and enjoy and bask in your success! congrats!

You can take my advice with a grain of salt since I've never been in the position of losing too much weight and am only 4 weeks post-op, but I think at this point your best bet is to ignore calories and just listen to your body. Eat if you're hungry, don't eat if you're not, and focus on nutritious food. Your body will stop losing weight when it feels like it. I agree with @Spinoza that I think the surgery gives you a new set point. It's best to just see what that is and only worry about it if it's so low that it's unhealthy. More than likely, it'll bounce back up on its own if it's too low for you to maintain. But better you bounce up to where your goal was initially than put the brakes on now and then bounce up 10 lbs higher than you wanted in a year.

Differences in size never cease to amaze me. I am almost exactly the same weight as you but 3 inches taller and I am a US size 8-10. No idea how that happens. OP I am a firm believer in the concept of a new set weight after bariatric surgery. I would have been happy 15 or 20 pounds heavier than where I settled. That was my goal actually. After I got into that ballpark I didn't try to lose any more, but it just happened. And then, eating very much the same stuff, my loss then stopped. And I've maintained thereabouts for a year or more with very little effort. If you can keep eating healthy and nutritious foods then could you just see where that gets you to? There are lots of healthy people with a BMI of 25+ and lots with a BMI of 19-. You'll find yourself somewhere in the middle eventually I suspect.

Thanks for the reference. I ended up having a capsulorrhaphy procedure on my right shoulder about two months after my VSG surgery. They also repaired the labrum, rotator cuff, and she spent over 45 minutes just cleaning up the bursitis. She put in 4 anchors during the procedure just to try and stabilize the shoulder. I used Alison Cabrera @ UTSW, and would highly recommend her. I ended up on daily hydrocodone just to get me to that surgery, however, I was still able to maintain my daily steps. Shoulder surgery is no joke! And this was all done to try to get me another 10 years so I can get reverse shoulder replacement 😐 My range of motion is limited now, but that was to be expected. I'm doing my best to protect my left shoulder so I can avoid surgery as long as possible. I've finally gotten used to sleeping flat on my back. For VSG follow up, I ended up about 80lbs lost. Right now I'm sitting about 75lbs down (gained 5lbs back) as I am noticing I can eat a little more (but still really restricted). I have a little anxiety about that as I am just over 10 months post VSG surgery. The last thing I want to do is undo all of the work. I'm still staying positive and using the Streaks app (iOS) to help with motivation (70K steps a week, plus 360 minutes of workout per week (includes walking)). I need to get back into putting all of my food into the fitness pal app. After the VSG surgery and the shoulder surgery, I ended up in a depression. Talking with a therapist who had experience with bariatric surgery helped. I don't think it was a depression just because of the VSG. I'm sure the chronic pain followed by a shoulder surgery (sling for 6 weeks post-op; and PT for 5 months) contributed significantly. As I mentioned previously, make sure your are taking care of your mental health. @Humikrig Good luck on your surgery!

Its just like doing a keto diet for life, you each week up your carbs until you fall out of ketosis than back off by 5-10 grams then maintain that carb load for life. You do the same for calories, increase by 100 for two weeks, still losing..tack on another 100 each few weeks until weight loss stops, now you've found your maintenance calorie load.

Hi everyone! I finally did it, after chasing this surgery and fighting with insuracne I had t 3/19/24. I"m on day three, and I'm so tired Im' napping more than I"m awake sipping. Did anyone else experience this? Hot long will it take to east up and I'll feel awake agaIn? I assume it has to do with the liquid diet and very little calories and the array of pills they have me on.

I am 10 weeks out and I can eat eggs and chicken thighs but not chicken breast. I can't stomach the white meat. Wondering if it will be like that for awhile. We will see. se

I have hit my goal of 140 the end of February a d went into maintenance. I have since lost 4 more lbs, down to 136. I know there will be fluctuations and I'm okay with that. But I'm still consistently losing (3lbs in last 10 days). I've upped my calorie intake and still... What's going on? I don't want to lose much more, I'm already a size 2, but I don't want to overdo it either for the sake of not losing.

i had an arm lift (and breast lift, and tummy tuck...all in one shot in Dec 2019). i always disliked my upper arms. when i was thin (and thought i was fat) i was self conscious of what i thought was the size of them and rarely wore sleeveless tops. then when i actually got fat i NEVER wore them. if i had to go to an event the warranted (an arm-baring) dress, i always wore a shawl. fast forward to the weight loss and i was left with some saggy jiggly upper arms. while they looked okay when my arms were at my sides, i really did not like the look of them flapping in the wind when i raised them, lol. and i raise them alot, ha...i'm one of those raise-your-arms-in-the-air-and-wave-them-like-you-just-don't-care kinda gals, lolololzzz. so i had them done about a year post op (6-ish months after i reached goal). LOVE EM. while i did wear sleeveless again after the weight loss, i feel a lot less self-conscious about them after the arm lift. and really, it makes all the difference :).. now i do have very prominent scars on my arms (i scar very badly, and knew this going in), but for some reason the scars dont bother me as much as the flapping did. Go figure. recovery is no joke though, i'll be honest. had i not done too much too soon, i would probably have been good to go by 6 weeks...but i didn't, so my recovery was more like 3+ months. that was over 5 years ago now, and i've been wearing tank tops and other sleeveless tops all year round since, hahaha. it really all boils down to what YOU are comfortable with...i was told by countless of people that i didn't need to/shouldn't get it done. but i got it anyway, because the only person who can say i need it is ME. if you have the means and the desire, the option is yours. Good luck! ❤️ some pics: 1st link: 6 months BEFORE the arm lift 2nd link: Day before VS 3 weeks after arm lift 3rd link: 6 months AFTER the arm lift

You might consider a version of these: https://www.wholesomeyum.com/keto-banana-muffins-recipe/ They are keto, so they are low in carbs, but you could always add some blueberries and skip the banana bakery emulsion, swapping in vanilla. They keep well in the fridge. I used real dark chocolate in mine and a combo of Splenda and allulose, they still came out to only about 10 total carbs and 8 grams of protein. That would change a bit if you add blueberries though.

Thank you @Shanna NYC for your kind words. I broke my stall (slightly) this morning and am feeling much better for it ... I also know that I need to work on my coping mechanisms and be kinder to myself. Up until 2019 I'd never weighed more than 115 pounds for my whole adult life ... and then I gained nearly 100 pounds in just over a year and have spent the last 3 years desperatly unhappy and going through cycles of loosing and gaining the same 20 pounds and you are right ...25lbs is more than I've lost on any of the crazy diets I've tried... So I'm on the right track! Merci Encore (as we say in French!)

Hi Everyone, Hope you all are feeling and doing amazing. Quick question???? Did anyone have a feeling of being super full or not being able to "digest" regular food between 6-10 weeks post op? The feeling started around 6.5 weeks out and I just feel so UGH... Like anything I eat was just sitting at the top of my stomach. I also have issues being "regular" in the bathroom so I thought it was that. I was able to fix that and the bottom of my stomach got relief but the top still felt full. I was having a hard time eating or drinking only cause I always felt full like overfull. Reached out to the doctor and he said that sometimes between 6-10 weeks scar tissue can develop where the stomach and intestine are attached which can constrict. Has anyone had this and did it go away or get better after 10 weeks? I switched to primarily a liquid diet and it is better but still feel ugh. I feel like Violet in Willy Wonka. Doctor is doing an upper GI x-ray just to be safe but that is a week away. Just want to get ideas from you all. 🙂

I've hit the dreading 3 week stall too... I'm also weighing daily and starting to get a bit down that nothing is budging. I'm one month post surgery tomorrow and haven't lost anything for 9 days. I didn't have to do a preop diet because my starting BMI was 32.6 but I was careful and did loose 7 pounds in the two weeks before surgery. BMI is now 29.68 I was 200.4 pounds at surgery and am now 182.6 - so I've lost 17.8 pounds since surgery. I'm a bit off what the surgical team reccomended because they wanted me to loose 20 pounds in the first months ... so unless I loose 2.2 pounds overnight I've failed at that. I know that stalls happen but It's really really getting me down and upsetting me. I've even put on 1.2 lbs in the last week. And I'm following everything to a T. I'm walking an average of 12k steps/ 5 miles a day. I'm eating under 800 calories. I'm drinking all the fluids. I'm just really upset that nothing is moving. 16/02/2024 200.42 17/02/2024 200.42 18/02/2024 200.42 19/02/2024 200.42 20/02/2024 200.42 21/02/2024 200.42 22/02/2024 200.42 23/02/2024 194.92 24/02/2024 194.92 25/02/2024 194.92 26/02/2024 194.92 27/02/2024 190.08 28/02/2024 190.08 29/02/2024 190.08 01/03/2024 189.20 02/03/2024 187.88 03/03/2024 187.44 04/03/2024 186.34 05/03/2024 185.02 06/03/2024 183.70 07/03/2024 182.38 08/03/2024 182.82 09/03/2024 182.05 10/03/2024 183.92 11/03/2024 181.50 12/03/2024 181.94 13/03/2024 182.60 14/03/2024 182.60 15/03/2024 182.16

From October up to my two week liquid diet I lost 60 lbs. That was a 4 1/2 month span. Two week pre- op I lost 15 lbs. My surgeon said I will have stalls. But, then I'll have times where it will seem like it's falling off easy. I'm impatient as well. Back in June I tore my meniscus and it requires surgery. They won't do surgery until I hit a certain BMI. I'm within 10 lbs of hitting that number. Lose a couple pounds a week is still a victory. As you said, this process takes months.