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So glad to hear you are doing well. Yea when the cravings come back it sucks. I have been doing okay. Tomorrow is my last day of the infused chemo. Surgery on 3 weeks then radiation in five. I will be on the immunotherapy another year and maybe oral chemo depending on the pathology from surgery. 🤞 I don’t need the chemo because that may mean I’m immunocompromised still and I’m so sick of the isolation of trying not to get sick and miss treatment. I got a tiny little cold that made me septic and spent 10 days in hospital which made me miss two weeks of chemo so I’ve had to be super careful to not get sick again and all along they have told me once I get to radiation I won’t have to be so careful. I mean sick would mean I would miss treatment but only for a day or two while I had a fever or felt really crummy and it wouldn’t be life or death. Anyways, I only read about the oral chemo on the patient portal tonight so I will ask Dr more about it this Friday when we chat. Maybe it’s not a big deal. I have pretty much maintained my weight till recently. I’ve gained a few pounds. I’m still on the heavy steroids and the immunotherapy caused thyrotoxicosis I think it’s called. I was hyper thyroid to start but then like 3 weeks later it went back to normal and then to hypo thyroid and apparently it usually stays that way. I reached out to my bariatric team and asked him if I could start on with Govee to help get me off of some of these processed carbs and he acted like I was being crazy to be worried about my weight at a time like this. I said I’m not trying to lose weight. I know I’m not supposed to and I haven’t Since December when I started the Chemo, but I don’t think that if you’re so concerned about me, maintaining my weight to fuel my body and help myself recover that the foods I’m eating in order to sustain an overweight body weight are really helping me recover from anything. I said all I want to do is be able to stop eating the garbage and start eating healthy nutrition again and I would be willing to log all my food again and check in with you to make sure I’m not losing too fast or anything, but he says no way not until I get the all clear cancer free from my oncologist. But I’m helping my oncologist can reach out to him and tell him that I’m not gonna get that for another year and if I wait that long, I’ll probably be as big as a house again without any help. Or I may just have to go through an endocrinologist or my family doctor or something. Anyway, anyways, trying to not worry about it too much but I didn’t appreciate that. He acted like I have some kind of eating disorder or something and I have like a death wish. I mean, I wasn’t saying that I wanna take something that’s gonna make me starve myself to death. I was just saying that I want to change what I’m eating and eat healthy obviously if the medicine made it where I couldn’t eat anything. I would stop taking it. I’m not insane. 🤣 but it is very discouraging to see the numbers on the scale go up even if it’s only 5 pounds.

Weight loss surgery success journey stories are important because the written word enables us to connect on an emotional basis with others. Telling our journey stories is a way to build a deeper level of understanding. Thinking about and creating our stories regarding our life history, life experiences, and influences on our lives can be related to family, friends, acquaintances, and even strangers. Everyone has different, exceptional life experiences with unique and special stories to share and teach others. My own story is one of redemption and salvation – but my redemption involved turning away from religion, and my salvation came from science. I was born and raised in a religious, conservative Christian home in Charlotte, North Carolina. My parents are both immigrants from Taiwan, and they moved to the United States in the 1980s. Their command of the English language and understanding of American culture were poor. Their acclimation to the United States was heavily dependent on their participation in the Charlotte Chinese Baptist Church. The Christian Baptist church is where my parents first initially met each other. They dated for a short period of time before they made the decision to get married. After marriage, they gave birth to me as their first born, and two years later, my younger sister. As far back as I can remember, my family attended Sunday services at the conservative Christian Baptist church on a regular basis. I was indoctrinated into being a conservative Christian by my family, friends, teachers, classmates, schools, and the conservative Christian church we attended. I was taught to believe in Jesus, Virgin Mary, and the existence of heaven and hell. We prayed in church, and I was taught to "give my life to god" and to avoid "sin." I was taught homosexuality was a sin and that LGBT people went to hell. My parents forbade my sister and me from dating, and I was told by my family, church, and teachers to save my virginity for marriage, which meant premarital sex was a major taboo. When I was in middle school, all of us girls were enrolled in the "Best Friends" program, an abstinence-only "sex education" program. The program merely consisted of "just say no" if boys wanted sex. Throughout my entire childhood, I unfortunately endured extreme domestic/family violence and experienced severe physical, verbal, emotional, psychological, spiritual/religious, and sexual abuse, incest, trauma, and molestation perpetrated by my conservative Christian father. My conservative Christian father was a very active volunteer at church, and he was highly respected by fellow church leaders and members of the congregation. However, he used his outward acts of service for the church as a deceptive mask to harbor many deep, dark secrets behind closed doors. My father was a chronic alcoholic and domineering, psychopathic perpetrator of horrific violence. He was a sadistic sociopath who derived sick pleasure from abusing my mother, my sister, and me in every way possible: physically, verbally, emotionally, psychologically, spiritually/religiously, and sexually assaulting, molesting, traumatizing, and humiliating us. My father weaponized the Bible as a tool to repeatedly abuse, assault, control, molest, terrorize, threaten, and violate my mother, sister, and me. He claimed the Bible justified his abuse, violence, and mistreatment towards us. He was a gun owner who threatened on countless occasions to murder the three of us and burn down our home “to destroy the evidence," so our bodies would never be found. Both my parents constantly warned I would be sent away to a foster home, where I would be treated far worse by strangers if I ever told my school teachers or complained to authorities about the horrific abuse and violence that was taking place at home on a daily basis. As an innocent young child, I wholeheartedly believed every word of my parents as I did not know any better. A middle school classmate noticed a bruise on my arm and asked me about it. I confided in her about the abuse and violence being perpetuated by my parents against me at home. She was sincerely concerned about my safety and worried about my well-being and told our homeroom teacher, who in turn, informed the middle school guidance counselor. After lunch, I was pulled from algebra class and asked to speak with the guidance counselor. Out of my irrational fear of being removed from my family home, the only place I'd ever known, I lied and said I'd injured myself by accident. At the time, I thought I was in trouble because I'd never been removed from class. I wanted only to return to math class to avoid missing any important class material. Back when I was an innocent child, I still believed in a just and merciful God. I used to kneel at my bed every night and fervently pray to God to kill me in my sleep. I desperately wished to die so I would not be forced to endure another day of extreme abuse and violence. It's heartbreaking for me to think back now about how I started seriously contemplating suicide when I was a young child. I did not wish to live and did not want to continue enduring the horrific abuse I experienced as a child at home every day. No one seemed to care about or love me, not even my own parents. I felt absolutely trapped in this living hell at home. As a child, my parents would not allow me to seek mental health care since doing so would reveal their abuse and violence towards me, and they knew they would face severe legal repercussions. My immigrant parents came from a conservative, traditional Asian culture and attached a very negative stigma to psychological services. They viewed patients who sought mental health treatment as "crazy." At the age of 18, I was finally able to move out on my own, and I left my hometown of Charlotte, North Carolina to attend the University of North Carolina at Chapel Hill. I began to meet and learn from people of different races, ethnicities, socioeconomic classes, religions/non-religions, with family backgrounds and histories that were unlike the oppressive, conservative Christian culture I'd grown up with. I was exposed to new, fascinating ideas, thoughts, and perspectives from my university professors and fellow college students. I learned about liberal. progressive Democrats and the concepts of socioeconomic and racial injustice, diversity, equity, and inclusion, women’s rights, and more. I was exposed for the first time to secular ideas. I began questioning the existence of God at this juncture. All the rules and regulations I'd been taught to follow by my conservative Christian family and church as a means to salvation had brought me nothing but painful despair and misery throughout my entire life up to that point. I was exposed to an entirely new world in college in which I learned that I had value as an individual as well as learning critical thinking skills, philosophical logic, and scientific thought. However, the years of abuse had left many scars. I sought help from a psychiatrist who finally diagnosed me with major depressive disorder (MDD), generalized anxiety disorder (GAD)/panic attacks, and complex post-traumatic stress disorder (C-PTSD). My psychiatrist prescribed antidepressant and antianxiety medications for me, and I also began intensive psychotherapy. I sought out trauma-focused mental health counselors and therapists and successfully completed countless mental health treatments and therapies for my healing and recovery. I discovered the abuse and violence I experienced during my childhood was not my fault, and I was not to blame whatsoever despite what my conservative Christian family constantly told me. I also learned about concepts and techniques such as self-care, emotional regulation, and developing healthy boundaries. The mental health treatments I received included Cognitive Behavior Therapy (CBT), Eye Movement Desensitization and Reprocessing (EMDR) therapy, Somatic Experiencing (SE) therapy, Dialectical Behavior Therapy (DBT) group therapy as well as medical treatments such as Transcranial Magnetic Stimulation (TMS) treatment and esketamine treatment. In addition, I attended support groups for survivors of childhood abuse and incest, sexual assault, rape, and religious trauma. My journey back from the brink had finally begun. However, I was about to take a huge and very dangerous detour in my journey of healing. Food was my drug of choice back then. I used to binge eat massive amounts of food to desperately fill the empty void of nothingness I felt within and to cope with my feelings of depression, sadness, worthlessness, hopelessness, guilt, shame, fear, emotional numbness, fatigue, exhaustion, migraines, stomachaches, anxiety, panic attacks, nightmares, flashbacks, difficulty with focus and concentration, and other symptoms. I preferred unhealthy junk food and fast food that provided me with momentary comfort. I gained prodigious amounts of weight. The antidepressants I took increased my appetite, causing more weight gain. The weight gain made me feel even more depressed, and the depression made me eat ever increasing amounts of food, which became a vicious cycle. I developed social anxiety and hated going out in public because I feared strangers bullying and taunting me for my appearance. I am 5 feet, 6 inches tall, and unbelievable as it may seem to most people, at my maximum, I weighed a staggering 321 pounds at my highest and had a BMI of 51.8. I was super morbidly obese, extremely unhealthy, and unfortunately, developed many serious, chronic health issues over the years. Due to the excess weight, I used to get winded easily and ran out of energy very quickly. I could not stand or walk for more than a few minutes before I began experiencing excruciating pain in my back, forcing me to sit and rest before I could stand and walk again. I suffered from numerous chronic, life-threatening health conditions, which included high blood pressure, high cholesterol, pre-diabetes, obstructive sleep apnea, chronic back pain, knee pain, non-alcoholic fatty liver disease, hiatal hernia, and others. Since I have a family history of even more severe health issues such as stroke, heart disease, diabetes, and cancer, I saw the writing on the wall. My super morbid obesity was literally killing me, and my future seemed bleak and hopeless. Due to my ever growing weight and developing serious, chronic health conditions which made my life excruciating painful and miserable physically and psychologically, I still had suicidal ideation, conducted detailed research on methods for ending my life, and even began to make active suicide plans. Fortunately, President Barack Obama successfully passed the Affordable Care Act, commonly referred to as “Obamacare.” Obamacare was the first time in my life I had the opportunity to obtain health insurance as an adult. Luckily, I also discovered Dr. Peter C. Ng, MD, FACS, FASMBS at Rex Bariatrics and their amazing UNC Rex Health bariatric surgical team in Raleigh, North Carolina. On Monday, October 6, 2014, I underwent a form of bariatric (weight loss) surgery called the duodenal switch with Dr. Peter Ng at UNC Rex Hospital in Raleigh, North Carolina. Thanks to Dr. Ng and his compassionate bariatric team at UNC/Rex Healthcare, my recovery was finally back on track. Science, not religion, literally saved my life. My closest friends volunteered to help me many times, and they're absolutely critical to my success. Cathy took me to all my doctor’s appointments and was my biggest cheerleader. Joni was another amazing mentor and took excellent care of me at home while I was recovering from surgery. I would not be alive today if it weren't for Barack Obama, Dr. Peter Ng, Cathy, Joni, and other dear friends. I learned how to eat a healthy diet and began an exercise regimen to help take off all the excess weight. I worked tirelessly and pushed myself to the limit in terms of my diet, exercise, and lifestyle transformation. It was very difficult to say the least, but I succeeded, not through prayer or faith in God, but through hard work, sheer will, grit, perseverance, determination, and tenacity. Ultimately, I lost 191 lbs – a weight loss I'm very happy and pleased to report I’ve maintained to this very day. I now weigh 130 lbs, which is exactly what I weighed when I was 18 years old, and I have a very healthy BMI of 21.0. Since I've lost and kept off such a massive amount of weight, I no longer have any of the aforementioned health issues; they’ve all completely resolved themselves, for which I am very thankful. I eat a healthy diet, am physically fit, and lead a physically active, robust lifestyle. My friends lovingly refer to me as the "Energizer Bunny." I am happy and healthy now. I continue to take antidepressant medications and to see my psychiatrist and therapist because major depression is prone to relapse without ongoing treatment. I've developed a strong, iron-clad support system of compassionate, caring, kind, empathetic, generous chosen family and loved ones, all of whom I'm incredibly grateful to have in my life. I do not begrudge faith to people who take comfort in religion; however, the toxic form of Christianity that consumed my childhood nearly ended my life. I was saved by science and human compassion. My will to keep fighting came not from a belief in a reward after death, but from learning of the inherent value each of us has here on earth while we are alive and breathing. I visited my bariatric surgeon Dr. Ng for my annual follow-up visit last year on Wednesday, October 1, 2024. I received my blood work test results, and my labs were "perfect." Every year, Dr. Ng laughingly tells me my blood test results are better than his own! Dr. Ng is, without a doubt, my favorite surgeon since he literally saved my life. I’m exceptionally grateful for him and his expert surgical skills in performing the duodenal switch bariatric weight loss surgery on me, and I’m also tremendously thankful to the entire UNC Health Rex medical team. Sunday, October 6, 2024 marked a significant date in my life; it was my ten-year surgiversary. In case you aren't aware, a surgiversary is the anniversary of a surgery, most commonly associated with bariatric (weight loss) surgery, a medically necessary surgical procedure which profoundly changed my life with the best possible outcome. I’ve been grateful and fortunate to find peace, bliss, happiness, and joy in life without the need for religion or belief in a god or higher power. I absolutely love my life, and I'm beyond excited and thrilled to experience all the fantastic joy and happiness that life has to offer. I finally love and truly believe in myself. I'm an outgoing, hardworking, highly energetic Taiwanese American leader and activist. I’m self-employed and work tirelessly at multiple contract and freelance paid positions. My roles include working as a private military defense contractor with the U.S. Department of Defense by assisting active duty U.S. military personnel with their Mandarin speaking skills at a U.S. military base, as a Mandarin speaking private tutor, as an independent film & media contractor for Rob Underhill Productions, as a freelance writer & editor, and as a social media marketing manager. I'm a multicultural individual with a global mindset. I'm known for my values and strength of character: ethics, integrity, perseverance, resilience, and tenacity. Brimming with confidence, commitment to excellence, fervent drive to succeed, innovative thinking, and positive, can-do, go-getter attitude. My passions and strengths include professional networking, social media marketing, event planning, business development, communication, leadership, writing/editing, and team building. I'm well-connected politically and socially including CEOs, VPs, C-Suite executives, elected government officials, directors, leadership, management, business owners, entrepreneurs, physicians, attorneys, engineers, sales & marketing, real estate brokers, creatives, musicians, artists, innovators, and other powerful community leaders at local, state, and federal government levels, U.S Department of Defense (DoD), Fortune 500 companies, and nonprofits in Raleigh/Durham/Chapel Hill/RDU/Triangle, North Carolina, United States, Taiwan, China, and elsewhere around the world. I'm passionate about personal growth, living a fulfilling, purposeful life, and highly value community engagement. Most importantly I love volunteering, inspiring and motivating others, “paying it forward,” and having a positive impact on the community and world around me. I spend much of my free time performing charity work, volunteering at my alma mater UNC-Chapel Hill, promoting business owners, and volunteering and canvassing for Democratic politicians and elected government officials at local, state, and federal levels of government. I'm active in volunteering with many nonprofit organizations, mainly secular and non-religious, although I've cultivated and maintained dear, loving friendships with Called to Peace Ministries, a Christian-affiliated nonprofit organization that provides advocacy, education, support, and practical assistance to domestic violence survivors. In addition, I love volunteering to help people who are struggling with their own weight loss challenges, and I always hope my own story will inspire them. The causes I hold closest to my heart are ending domestic violence and abuse, ending poverty, promoting secular humanism, critical thinking, and science education, advocating for separation of church and state, supporting mental health advocacy and research, supporting social, economic, and racial justice and diversity, equity, inclusion, and helping people who are overweight and obese in their journeys to lead healthier, more physically active lives. I'm extremely active politically and have volunteered countless hours for Democratic political candidates' campaigns in Wake County/Raleigh/Triangle/RDU/RTP, North Carolina with their successful election and re-election to elected government office positions. In addition, I'm very active in the secular humanist movement by participating in local, state, and national meetings and conferences with my favorite organizations including The Freethought Society, Recovering From Religion, American Humanist Association, and countless others. I also enjoy volunteering for other liberal, progressive organizations that support ending domestic violence, advocating for mental health, women's rights, gun control, comprehensive sex education, socioeconomic and racial justice, diversity, equity, inclusion, and more. I enjoy cultural arts such as traveling domestically and internationally, learning about different languages and cultures, attending plays/theater and comedy shows, visiting museums, and going to concerts and hearing live music. I've traveled all over the United States, Canada, Mexico, Caribbean, and Asia including Taiwan, Japan, and Singapore. I'm physically active, love adventure, and enjoy experiencing nature and being outdoors. I love spending time in nature and exercising outdoors, especially hiking and ziplining. I've also done parasailing, flyboarding, canoeing, kayaking, sailing, cruising, whitewater rafting, and been given countless opportunities to experience many other awesome adventures I'd never received before. I absolutely live life to the fullest. This is the happiest I've ever been in my entire life, and I want to help others improve their lives and feel the same joy as I do. If I can do it, you can too! Even if life seems bleak and dark and you feel like quitting, DON'T GIVE UP! I promise you, life gets better; I'm living proof of that! I suffered through countless seemingly insurmountable adversities, barriers, challenges, and obstacles in my lifetime, but I also became a more empathetic, compassionate, loving, and kind human being. I'm a resilient and tenacious survivor and thriver. I'm an unstoppable force of nature to be reckoned with; there's absolutely nothing in the world that can stop me. My experiences have made me absolutely fearless: I fear nothing and no one. My long-term goals are to become a published best-selling author, a highly sought after public motivational speaker, and to give TED talks. I want to speak to audiences around the world about my journey, grit, perseverance, resilience, determination, strength, and tenacity, and to inspire and motivate others to do the same. Thanks so much for reading my story; feel free to share if you’d like and reach out to me if I can help! I attached a photo of Dr. Peter C. Ng, MD, FACS, FASMBS and me at UNC Rex Bariatrics Healthcare taken on Wednesday, October 1, 2024. (10-year surgiversary celebration of my duodenal switch, a bariatric surgery that Dr. Ng performed on Monday, October 6, 2014)

@MrBeeswax I'd say the same thing, there are no limits here. I've looked through a number of scientific papers on weight regain and insufficient weight loss after bariatric surgery and about the only thing you'd find if you do the same is that the data is all over the place. I've seen numbers from as low at 10%, all the way up to 80% of patients regain some weight. The reason for that is there's very little consensus on defining what weight regain even means. If, for example, I lose too much weight, then gain back a bit, some studies would include me the the weight regain numbers. I'd say that's a healthy thing to have happened. I suspect @SouthernSleever fits into that category, though I obviously don't know for sure. One other thing you'll find in those studies is that a lot of the patients that regain a lot of weight or failed to lose enough weight tend to be "non-adherent", meaning it's their behaviors, not the tool that's the real issue. We say this a lot here on this board, but it's worth repeating: Bariatric surgery does not fix your head. If you're not willing to commit to learning how to eat better and move more, then you too may be one of those that "fails" bariatric surgery. I would strongly urge you to keep that in mind if you do pursue surgery. You absolutely can reach a healthy weight, but surgery is not a miracle cure. I takes a ton of hard work and commitment to be successful.

Okay, but I’m asking because if I don’t have to do a surgery I won’t. I’m thinking ten years from now. When I’m 56 will I be back here now. At 275 my weight loss on zepbound has slowed. That’s ~45 lbs drop. But I don’t want to go through surgery to only get to 250 because if I gain 20 lbs in 10 years I’ll be back here.

@MrBeeswax I feel that no matter which surgery you receive when we suffer from the disease of obesity and we detour from eating properly then we're gonna experience weight gain. Obesity bodies are different than regular bodies who metabolize food normally. We who suffer from obesity have a metabolic disease, so when we get surgery and start back creeping in those "comfort and emotional eating foods" that we KNOW our body loves to store FAT with such as chips, cakes, cookies, unhealthy CARBS, refined sugars, just SUGARs period in access then we're gonna regain unfortunately we have a horrible disease that requires very proper planning for success. I lost a lot of weight really fast with VSG and I credit my success to 1.Meal prepping for success 2. Being organized 3. Movement. i honestly don't think the type of surgery matters. its that HAND TO MOUTH MOVEMENT what are we putting in our mouths 😂

You said that you stopped eating meat, are you taking Protein supplements like shakes? You should be having a high protein diet and not so much in carbs, and some veggies are carbs, like peas for example. Fruit has natural sugar in them, you should be focusing on protein. I strongly urge you to talk to your dietician with your surgical team, and make a better diet plan than what you are on. Something you can do in the meantime is to look at the bariatric bowls and plates available on Amazon, and look at the portion sizes of fruits and veggies, then look at the size of the plate for protein. It may not be what you are eating, but could be your portion size. But based on your initial post, you are eating fruits and salads, you are not focused on protein. I say again, check with your nutrition specialist with your surgical team. I will say what others have, 60 pounds is a good amount of weight to lose. Remember that your surgery is a tool, and not a cure. It takes time to gain the weight, it will take time to lose it, when you are eating correctly and as your nutritionist says, contact your surgical team. Congratulations on your journey, you are doing great so far!!

Goodness I cannot believe that my 15 year surgery anniversary will be in October! A friend of mine is considering weight loss surgery so I went looking for this forum again and thought I would do a quick update! I had a VSG in Mexico (Mexicali) in October of 2010. I had zero complications and went from a surgery weight of 276 down to about 125ish. Size 24 to size 0. I had plastics in 2013ish (breast, arms, and tummy). I gained up to about 150/160 and stayed there for many years. Over the past 6 to 7 years I have gained weight thanks to nursing school and the pandemic 🥴 but I'm happy with where I am! I am currently at 170 and in a size 8. (Lots of weight/skin in leg area). My surgery continues to be the best thing that I ever did for myself. The only drawback is that I have GERD, and cannot skip a day without Omeprazole. My labs are fantastic. I can eat pretty a normal size meal but still have some restriction if I go over that. I'll try to remember to come back incase anyone has questions but really I don't think about the surgery or food much anymore 🤗

As a general rule, I would not recommend eating back calories burned for a few reasons: People misunderstand metabolism. Our bodies are highly adaptable and our non-exercise calorie burn is also highly variable day-to-day. We know from recent research that your body tends to try to conserve energy balance, meaning unless your burning over ~400 calories per day in exercise, your body will lessen your calorie burn elsewhere during the day to try to "make up" for the exercise calories. In short, you're not burning as many overall calories on those exercise days as you think you are. Our ability to accurately determine calorie burn from exercise is hard and often we think we've burned more calories than we actually have. For example, you may think you've burned say 400 calories, but it may have only been 250. We also aren't very good at accurately tracking caloric intake, so you may be eating a lot more than you think you are. Adding in even more calories to "eat back" your exercise calories is not going to be accurate, even if the two points above were not true. Something here is not adding up for me. You mentioned you're trying to do a body recomp, but also that you still have a lot of weight to lose. That just doesn't make sense. It's fine to say you want to lose fat and gain muscle, and as a newbie to weight training, you can do both, but you really need to make fat loss the priority here. At best as an untrained woman, you might be able to add 10 or 12 pounds of muscle in the course of a year, but in all likelihood it will be less. I don't mean to discourage you, but most obese people already have more muscle mass than a "normal" person, so you can't expect to add as much muscle as they might be able to. My point is that when we talk about a recomp, what we really mean is trying to stay at about the same weight, but simultaneously lose fat and gain muscle. In my opinion, you need to focus on fat loss first, then try a recomp once you're closer to your goal weight. My suggestion would be to focus on two things: Most importantly, are you still losing weight? If not, then you're eating too much. If you are still losing, is it at a reasonable and sustainable rate? I'd want to see no more than about 3% per month considering that you should hopefully be also adding some muscle mass. This factor is really the primary determinant of where your calories should be. If you're losing faster than ~3%, then it's probably a good idea to eat a bit more, but don't change things by more than a couple hundred calories a day. If you're not losing weight, then as I said, you're eating too much and need to consider scaling back. The second factor here is how you're feeling. If you're eating so little that you can't even think about completing your workouts, or you're just exhausted all the time, then that's a sign you probably need to be eating more. Even so, take it slow here. Add in a couple hundred calories a day and see if you feel better. You can go up to where you need to, but keep in mind, you may also slow or even stop the weight loss. If that happens, you may need to modify your workouts. The flip side of this is if you are feeling good, but not losing, that's probably a sign you're eating too much. In the end, it's a balancing act of eating enough to fuel your workouts, but no so much you stop the weight loss. It will take some time to find the right point for you. Best of luck. (Oh, and in the future, I'd strongly recommend just starting a new thread. This one is several years old.)

My whole life I used to think that. Through my adulthood (age 19-29) I was in great shape, worked out regularly, ate well and maintained a great physique. I always had the propensity to gain weight if I wasn't careful with how I ate and my activity level. I lost over 45 lbs and kept them off through staying active and eating well and my belief was, if I could maintain being in shape doing that, anyone can. It worked for me through 2 pregnancies and a whole decade. Fast forward when my hormones got out of control, I gained 10 kilos in 1.5 months, my weight kept going up, had a bad sports injury and in 5 years I was 30 kilos overweight. I still ate well and worked out 5 times a week but NOTHING WORKED and by nothing, I mean NOTHING not even injectables, not one pound lost, NADA, Zilch. I counted calories, walked 10k steps ...etc. the whole shebang. I was sad, depressed, so uncomfortable and I finally got how sometimes, you try your hardest but it just doesn't happen for you. It was so ironic because I was seen as the health guru who lectured people on how they should work harder and not create excuses (hard pill to swallow, I admit). I finally decided to give in the fact that my weight isn't going to budge dieting and working out like it did in the past. I bit the bullet and got the surgery. I lost a lot of weight fast, but went back to working out regularly and staying consistent and disciplined, I wouldn't have been this successful (not with just the weight lost, but my actual physique, being lean and fit and all) had I just gotten the surgery and depended on it to achieve what I had in mind, I had (and continue) to put in the work, choose to prioritize eating well, etc. Yes the surgery is a tool to HELP you lose weight and BUILD good habits. It doesn't do the work for you in the long run ,that is on you and how you utilize this tool that will determine your success. I would however (very general advise), suggest that before resorting to surgery, that one does try to see how far they can get naturally, and if they can't maintain/fall off the wagon/don't get to their goal weight or physique that they do utilize WLS, but it has to come with a mindset shift. I had that mindset, I just needed the kickstart. Evaluate where your body and MIND is because that is as important.

I didn't tell any family members or friends as you know they can be the most negative and there is also that hint of envy and jealousy. As far as being the easy way out please dealing with a lifelong battle of obesity. This surgery is the best thing that you could've done for yourself to combat this horrible disease! congratulations! I am one year postop VSG so any questions any concerns we are always around. when people say it's the easy way out they really don't understand the complexity of the disease of obesity. The disease of obesity is complex, its metabolic, chronic and systemic and it gives no fucks. It's also a very smart disease. When you try to lose weight on you own without the tool of surgery, your body always fights you and then we play this game of lose gain lose lose gain. Obesity hates to see you win. Enjoy this new life its very hard yet very rewarding . Every day is hard. And No one deserves to know to hell with them lol

Hi Guys, I'm thinking of going on the Mountjaro - how are you getting on with it ? I'm not sure whether to opt for a gastric sleeve or injections because I'm concerned when the jabs stop, I'll gain weight again. 😣

Getting back to the OP's question about what do do: If they really feel they are accurately logging and are also having a hard time eating less, then the option would be to take steps to increase metabolism. Yes, GLP-1 drugs can do this, but there are other options. First, would be adding muscle mass from strength training. Estimates are that each pound of muscle increases calories burned per day by roughly 6 calories, Each pound of fat contributes ~2 calories burned per day. This latter fact surprises some people, but fat is metabolically active tissue. It's just that muscle is more metabolically active. If someone were to gain ten pounds of muscle and lose ten pounds of fat, that would lead to an increase in BMR of roughly 40 calories. That doesn't sound like much, but it adds up over time. If you also add in EPOC (Excess Post-exercise Oxygen Consumption), from the strength training needed to add muscle mass, then I'd estimate this would over time lead to ~400-450 extra calories burned in a week. That would lead to a loss of ~6 pounds in a year even while eating the exact same amount of food. If this is not a sufficient amount, then one can always reduce calories a bit as well. Alternately (I know this will sound counter-intuitive), but the OP might well want to consider UPPING their calories a bit for a while. Our bodies were designed to upregulate our metabolisms slightly when calories are available and downregulate it when calories are scarce. This means our bodies can maintain weight at a wide range of calorie intake. If we're constantly in a calorie restrictive diet, our bodies do downregulate metabolism to keep us from what it perceives as starving to death. What I'd recommend instead is going up 200-300 calories per day for about a month. After this "diet reset", drop down again to 1200-1400 for no longer than 2 months before cycling back up again. You can keep this cycle going on indefinitely. One of 2 things will happen here. Most likely the OP won't gain anything during the increased calorie intake diet reset because their metabolism will increase to compensate. However, when they start back at the ~1300 calorie range, their metabolism may not drop immediately, meaning they'll lose a little bit in the following 2 months. If they do find that they gained during the diet reset, but fail to lose when back in the diet phase, then worst case it shouldn't be more than about 2 pounds (less than 1% of body weight). This isn't likely, but even if this does happen, it will at least tell us that 1300 won't work for weight loss for them and they'll need to go lower. I'd also be remiss if I didn't come back to exercise here. I mentioned that low levels of exercise (30 minutes of cardio), really are not going to do anything toward weight loss. It's obviously going to be different for everybody, but current research seems to suggest that the tipping point is about 400 calories per day. What I mean by that is if you can burn OVER 400 calories in exercise in a day, the body can't suppress your metabolism enough in other ways to keep you from going net-negative for the day. Said differently, you'd need to do something that burns more than 400 calories before it "counts" for weight loss and the only part that counts is the part above 400 calories. Unfortunately, 400 calories is A LOT for most people. The good news is the heavier you are the more you burn, but even at 215 pounds, you'd probably have to run over 3 miles to hit 400 calories. Keep in mind, this would just be to break even, so if you're actually trying to burn more calories this way, it will take even more. I'll use myself as an example here. I'm not trying to lose weight right now, but I have found that if I run over roughly 28 miles in a week, I tend to lose weight. If I run less miles, I maintain. Do the math, and for me that's right at about the 400 calories a day mark. In my use case of one, I'm pretty close to the statistical average as shown in the research. Best of luck whatever you decide.

I guess I shouldn't respond late at night like I did above because I left out some common mistakes people make when logging calories: Mindless eating: either failing to log those little nibbles here and there (including when tasting food during prep), or trying to log it, but guessing after the fact as to how much they actually ate. Not understanding that raw vs cooked food can have vastly different calories. A classic example: The USDA says 100 grams of raw chicken has ~106 to 120 calories per 100 grams. The problem is that when cooked, 100 grams of this same chicken is ~165 calories. The primary reason is due to water lost during the cooking process. This is not an issue if you properly portion out how much of the chicken breast you ate, but if you are using the raw calories and weighing it when cooked, you'd actually be eating a lot more calories than you think. This is a big one: not counting liquid calories. for reasons I don't fully understand, a lot of people just either ignore or don't log liquid calories. That juice they drank for breakfast? Didn't log it. The milk in their coffee? Nope, not logged. That energy drink they had in the afternoon? Not logged either. I think you get the idea. If you haven't figured it out yet, I'm not a huge fan of logging calories since it's really hard to do correctly and even when done to the best of our ability, it's still often wrong. I think, as it may be in your case, it also can become a crutch. There is no cheating physics here. If you eat more calories than you burn in a day, you'll gain weight and if you eat less, you'll lose. As I hope you'll see from what I've posted, in all likelihood, you're eating more than you think. Let's just for the sake of argument say you're really great at logging and you really are just eating 1200-1400 kcal a day. The only other explanation would be an exceptionally low BMR. This would really suck if it's true, but if we assume it is true, then that would still mean you're eating too much. Either way, you have to eat less than you're eating now if you want to lose.

It's been a while since I've been active on here, but I'm really struggling. Any advice or encouragement would be a huge help. 😥 Almost right at my year mark post-op, I stopped losing weight. My doctor said that I should still be losing 1-2 pounds a week. Around this time I was eating 1400-1500 calories, so they recommended I scale back to 1200. I try to eat whole, unprocessed foods about 80% of the time, I still track what I eat, count my calories, prioritize protein, and exercise 4-5 times a week for 30 minutes (usually cardio, but I do resistance train, just not faithfully). I am eating 1200-1400 calories a day, and I'm struggling so bad. My weight sits somewhere between 211 - 219, depending on water retention, my cycle, travel, stress, etc, and it really hasn't changed since I saw my doctor last. I would love to try the GLP-1 class drugs to see if that could help, but my insurance doesn't cover it, so that's not an option. I'm really depressed over this, which I know doesn't help things. I feel like I've worked so hard, and I've just barely gotten halfway there. Now I'm terrified I'll start gaining weight again, and I've caught myself obsessing over my eating to the point it's feeling disordered and mentally unhealthy. Has anyone else had this struggle? If so, what helped you - either with losing more weight, or just coping with being at a plateau? 😭

I just checked and at 2 months, I was down 20.6 lbs from the day of surgery. There's really not a hard and fast rule for how much you'll lose. Everyone is different and it depends on your starting point and how much you lost pre-op, too. I had some months when I lost a lot and other months where I hardly lost anything, but overall it moved steadily downward. My weight loss has stalled for the past month or so, now that I am more than a year out. The only guidelines I was given was 60g minimum of protein per day and 64oz water. I am now almost 14 months post-op and I've gone from 225 lbs on surgery day (251 was my highest, which was 6 months pre-op) to anywhere from 162-165lbs. My exercise consists of walking and that's it. I'd like to lose another 10 lbs but I'm also pretty fine with where I am as long as I don't gain (which is why I do hope to lose a bit more). I've gone from a size 22 to a size 12. I think I could still lose a bit more if I focused on cutting out some bad habits that have crept in with sweets/simple carbs, and if I increased my daily exercise to something a little more challenging than a walk. I don't count calories and I don't really track macros at this point, either. I just try to eat reasonable meals that focus on protein and veggies, and not snack too much or eat junk food too often. A typical day is either spinach frittata, Kodiak protein oatmeal, or a Greek yogurt for breakfast, plus a serving of mixed fruit (strawberries, cantaloupe, blueberries, grapes. Lunch is a good size spinach salad with 3oz chicken and some black beans. Dinner might be a bowl of homemade chicken, bean, and veggie soup, chili, or maybe some grilled meat and veggies. Sometimes I eat chickpea pasta with marinara and meatballs but other types of pasta and breads don't settle well. For snacks, I like string cheese and an apple, or some mixed nuts or roasted edamame. I have to be careful of overindulging in things like popcorn, candy, and cookies because they are too easy to eat without getting full (and sadly I don't get dumping from them). Red meat fills me up very quickly. The hardest thing for me now is dealing with the head hunger that makes me want to reach for food if I am bored or stressed. Getting the stuff out of the house completely is the only strategy that really works for me with that. My only real advice is don't drive yourself crazy. Just do your best each day and pay attention to your body. That's more important than counting calories. You're not on a diet! You need to figure out what you can sustain for the rest of your life, while paying attention now to the basics (protein and water, plus vitamins) to keep up your health.

@@AmberFL I get between 1700 and 1900 calories per day right now, it's working well for me. I'm having a surgery tomorrow though and won't be able to work out for a least 3 -4 weeks and will likely try to cut my calories to 1400 per day to avoid weight gain in that time. We'll see how well that goes, lol.

Thank you! I've read numerous posts about "set points" and always thought if it was actually a thing then why did I need surgery (my body would have stopped at its set point) or why even bother giving plans for exercise if my body has a "set" point!? I realize that most of it is to get our minds set to a healthier way of thinking with follow through, but its simple math: calories in vs. Calories out vs. Bodies requirement = weight/health. Nothing has really changed other than our awareness of this math and adherence to it. It all comes down to calories in calories out. If set points were actually a thing none of us would have needed surgery. Anyone can gain weight if we exceed calories beyond daily needs or lose if we exceed calorie burn. Even those ppl who are bone thin and complain no matter what they do they can't put weight on, if they exceed needs everyday they too would gain. Thank you for an excellent post!

I want to challenge your ideas a bit here. This concept that there is some underlying mechanism at work that controls our weight and that we don't have any say in the matter is based on something called set-point theory. In short, the theory is that some as yet undetermined mechanism (likely in our brain), wants us to be a certain weight and thus actively regulates both calories in and calories burned to keep us around the same weight. Anecdotally, most people can attest to the fact that there seems to be a specific weight where they naturally settle when they aren't actively trying to gain or lose weight, so the theory makes intuitive sense. That said, there are some big problems with this theory: Why have we not been able to find the actual mechanism for this set-point if it really does exist? How are some people able to change their set-point? How do we explain that overweight and obesity are significantly more prevalent in some parts of the world vs. others? In those parts of the world where overweight and obesity are more prevalent, how do we account for the fact that these issues were much less prevalent until very recently? (For example, the rate of overweight and obesity in the USA has tripled since about 1980.) To explain this, more modern interpretations have suggested a more nuanced approach. We know that historically, food scarcity was the norm. It's logical to assume our bodies are well adapted to dealing with this as a result. Unlike set-point theory, we do have a solid understanding of the physical processes involved in regulating metabolism during scarcity. This means our bodies know how to handle a lack of food pretty well by down-regulating metabolism. (There are several ways it does that, but I'm going so skip discussing those specific mechanisms for now) What our bodies are less good at is up-regulating metabolism in an environment of where there is an extreme availability of highly palatable foods like we have today. We often think of our bodies like a car that's always running. This is somewhat problematic, but let's go with the analogy for now. Just like a car idling will burn some fuel, our bodies burn some calories just keeping us alive. If there's a shortage of food/petrol, (either because I can't afford it, or because there's a true shortage), I can curtail my movment/driving to conserve how much I use. Likewise, if food/fuel is cheap and readily available, I can move/drive a lot and even fill my fuel tank (fat stores), whenever I want. Unlike a car that has a limited fuel tank that can only hold a specific amount of fuel, humans have a theoretically unlimited ability to store excess fuel in the form of fat. TL;DR: It's not so much that our bodies decide what weight to be. It's more that we were never designed to deal with cheap, easy access to super tasty food. At the end of the day, what determines whether or not you have more fat stores than you might want is whether or not you eat more calories than you burn in a day. The entire point of this overly long post is that there's no mechanism working against you that's keeping you from reaching your goal. Our bodies were designed to store excess calories to keep from starving to death when food was scarce. We rarely experience scarcity anymore, but our bodies don't know that. They still will do everything they can to hold onto those stored calories "just in case". There are ways to get beyond this, but that will have to wait for another post.

So I have not gotten skin removal YET but I did get a breast augmentation 3 weeks before I hit a year P.O. I lost a lot of weight, work out really hard but my boobs were gonners, between losing and gaining for years, breast feeding two children for 13m each I had skin sacs. I can honestly say that my confidence has sky rocketed- I enjoy wearing cute clothes, I feel better but body dysmorphia is a summa bi&^%, I still see myself at 300lbs, think that I look "fat" and not attractive. I do think once you see your lean fit arms without the extra skin your going to be showing them off as you should! Cant wait to see your "after" pic!

Hi all! I had VSG back in Dec of 2016. I was very involved in this community for a long time. I lost 124 pounds over about 18 months and maintained a 105-110 pound weight loss for almost 3 years. Then the pandemic hit. Then I had some non related medical issues. I went on a medication that caused weight gain. I got frustrated. I fell off the wagon and tumbled down the road and I’m now facing a 60 pound weight gain in about 4 years. I made a lot of excuses! I also started picking up bad habits like drinking alcohol, not counting calories and indulging in carb heavy snacks. But hitting 260+ again shook me. I was only 15 pounds down from my surgery weight. It’s time to get off the pity wagon and get back on track. so I’m back. I’m counting calories. Eating low carb. Cutting almost all alcohol, bread as pasta out! 10 days down, forever to go! My Stats: SW: 305 SD: 275 LW: 181 MW: 195-200 RW: 263 CW: 258 GW: 200

Oh I am so sorry you are having these issues @Arabesque hormonal weight gain sucks! Those of us post menopausal have it so hard when it comes to getting the weight off, nature whats us to be chubby grandmas it seems!!! 😆 But... and not to diminish your concerns, You are still very tiny, if you are still 48.5kg as per your profile, so whilst I know it's driving you nuts, maybe try not to be too distressed about it, you look amazing still, and I am sure that the HRT issue will be sorted out before too long and your doctor and yourself will find the right combo! Your birthday will still be amazing, and you will look stunning!

Many of you know my story. Was two months shy of turning 54 in 2019 when I got my sleeve. Lost all my weight & more and was successfully maintaining that low weight. I began gaining weight from puberty: about a stone a year. Then I started my 60-75kg weight diet/regain swing from my early 20s until peri menopause & menopause hit and then seemingly overnight I was 91kg. Nothing I did moved that weight. Hence my decision to get a sleeve. I experienced some weight regain (good 2 almost 3 kgs) almost 4 yrs ago after I had my gall removed. We worked out I had an absorption issue and wasn’t absorbing protein well or it turned out my HRT tablet (hot flushes, etc. had returned). Switched to a patch and lost the weight without doing anything & no menopause symptoms. Had a hysterectomy in September 2024 & then couldn’t access the HRT patch I was using (damn supply chain issues) & this is when my body turned against me again. ALL my menopausal symptoms returned: hot flushes, night sweats, poor sleep, headaches, creaky joints, acne, etc. & weight gain. Only three kgs so far but that’s in the last three months. And so here we go again. My body working against me. Since this regain began in January (used my last HRT patch in December & was my usual weight at the end of Dec) I’ve made some modifications to my eating. Dropped a snack, reduced some portions (which were still only recommended portion size or a little less). I eat pretty carefully anyway & stick closely to my plan of eating. Was eating about 1600 calories a day and now am probably at about 1300/1400. So at the very least I should have slowed the regain but nope. It’s scary & upsetting. I recognise it as being how my body & my hormones work (or don’t work!) but that doesn’t help. My doctor is trying to help me sort out alternative HRT but nothing is working yet as it all involves at least taking one tablet. I wish I was completely past all this hormone crap & I wish supply chain issues for pharmaceuticals were a thing of the past for everyone affected. I so wanted to be my maintained slim self when I turned 60 in 4 months. I always have been overweight at significant birthdays. This one was going to be different. The way I’m going I’ll be a stone heavier. Not overweight but more than I want to be & have been happy at. Very sad face.

My pre-op diet was 12 weeks of milk with added skimmed milk powder, and one salty drink a day (broth) (This was the diet my doctor put me on as they are researching it, not some weird fad diet I'd heard about to be clear.) I lost quickly for the first 2 weeks, hit a plateau, gained weight, plateaued, jumped back down and repeat. It's not a straight path downwards, sadly. I did lose the required weight. If you stick with the programme, you will get there. The bus kind of drives it self in terms of where toi body wants to be at.

The past week have been nightmarish. I have lost 3 something kgs and my BMI has dropped to below 18, which is considered underweight. I am totally okay and feel fine (checked with my team, my surgeon doesn’t seem too concerned) but been trying to eat everything caloric dense and fattening, no luck in gaining any weight so far!!

A few things here: 1. Factor implant weight at 5 lbs. 2. Your body took a break from working out, so going back will cause a lot of inflammation. From experience, I always gain an lb or two when I go back working out (especially lifting) after a break due to muscle inflammation. 3. Protein is extremely hard for the body to convert to fat. The golden rule is 1 gram per pound of body weight, hence you should be at at least 170 grams, so I say you're doing well with your protein goal. You could always experiment and add/reduce, see what happens? Doesn't hurt. 4. Pretty sure you are carrying a little water weight. Again, go by how your clothes fit, I'm sure they're tighter around the chest Lol, but what about your jeans?