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Dr. Adeyeri, Thanks for this article for those of us (myself included) who can find the scale creeping up. It’s a good reminder to take responsibility and face reality instead of denying the weight gain or acting like we’re not sure why the scale is going up. Thanks for the great advice. Going back to the beginning always works. Reaching out for help at support groups and anywhere else is good, too, because it helps us hold ourselves accountable. I’d also suggest troubleshooting – sitting down to try to figure out where we might be going wrong. Small changes can creep in without us noticing beforehand, and make us gain weight. Thanks for the article!

People who have undergone bariatric surgery know the weight loss battle does not end in the operating room. Months and even years after surgery, some weight can slowly creep back on. But this isn't a time to panic because now you have the tools to overcome a little setback and regain control of your weight. This time, you are in charge. One of the lessons you learn after weight loss surgery is that you are in charge of your health, diet and exercise program. The food no longer rules the roost--you do. The truth of the matter is no matter what the scale says, 110 or 310, everyone puts on a few pounds now and then. As a bariatric surgeon in New Jersey for more than 10 years, one of the biggest anxiety triggers for patients is weight gain. "That's it--it's over--I'm going to gain all the weight back." Of course that's not true. To get back on pace, I’ve listed a few essential steps to help get you back on track to dropping the pounds once again: • Go back to the beginning Post-surgery, you probably followed your healthcare team’s advice to the letter. But as time passed, and you looked and felt healthier, you may have started to deviate from those dietary and exercise guidelines. Pull out your notes and review the program guidelines that brought you this far. Get back on the scale once a week and fire up your food journal again. • Get thyself to the nearest support group ─ STAT Weight loss is a personal journey, but it doesn’t have to be a lonely one. Online support groups on BariatricPal.com are great secondary resources to live weekly or monthly groups with your bariatric doctor or hospital. There is support all-around you, reach out and take it. • Work it out Are you using the ‘too tired’ reason for missing a trip to the gym or 30 minute fast walk around the neighborhood? If you need energy, you know how to get it—get up, get out and get moving. “Too busy,” you say? Remember, only you can prioritize your health and wellness. You matter—make time for your health every single day. • Come to terms with the weight gain This doesn’t mean blaming yourself. Rather, be forthright about how and why it happened and pat yourself on the back that you’ve recognized it now—not later. There’s no need to beat yourself up. You have already done the hard part by recognizing some weight has crept back on. That in itself shows you are going to battle back. We encourage our patients at Sterling Surgicare to call us if they feel frustrated or defeated--everyone needs a pep talk now and then. Remember there are many people supporting you 24/7 in this effort. Life is filled with occasional side-steps and set-backs. It is part of making us who we are. Make a plan, regroup, recommit. You can do this.

Yes that's what my doctor just told me thank god it's only water [emoji5] [emoji5] And I'm drinking water a lot and wàlking that's why i was shocked when i saw the weight gain [emoji23] [emoji23] Sent from my SM-G935F using BariatricPal mobile app

I am almost 3 months out, and have had no complications as of now. I did have issues with constipation, but remedied that by leaving low carb for a more natural diet. I also had issues with acid reflux, but I got rid of that several weeks ago by going on a regimen of good old APPLE CIDER VINEGAR. Gassygurl, perhaps this will help you as well. I take 2 Tbsp per day. It is really good for you as well. Before the ACV, I was taking Prilosec...didn't want the side effects of long term usage. Lainey, having second thoughts is completely normal. We all have them. I was ready for surgery after decades of battling weight gains (and losing), but I still had thoughts of backing out. I am happy that I didn't give into them. I will say that you must get your snacking under control if you intend to be successful long-term. This surgery helps you to eat less, but does not stop you from eating sweets and salty snacks. You can still eat just as much as you did before surgery. I go out to eat with family and friends every Thursday after my daughter's volleyball game. I eat well. I can find a salad or protein and veggies anywhere, so it isn't an issue.

Well, hello everyone! I just happened to come across this site while researching. I wish I'd have found it much sooner!. So, I need some assistance. Please be forewarned, this will be a rather long post so, if you don't want to read too much, I won't be offended....feel free to stop reading!! I had DS surgery in 2013 and until the end of 2015, enjoyed a wonderful outcome of weight loss (down to 155 lbs) and pretty much, eating as I pleased and staying at the same weight, within 5 lbs. I decided to have the plastic surgery for the removal of excess skin from my arms as well as a breast lift and augmentation (but with my own tissue, not implants, a story for another time!) in January last year. A couple of days before my scheduled surgery, I was having some issues with something I had not experienced since DS...constipation. I didn't think much of it. Just rolled with it. The night before surgery, I started with horrible stomach pains, continued constipation and cold sweats. Because I didn't want to lose my surgery deposit, and I was feeling ok the next morning, I went ahead with the surgery. It went well and I was sent home the same day to recover. I was still constipated and the following day, began vomiting and started with the worse pain I'd ever felt in my life. (Side note: I am disabled with permanent nerve damage in my neck and can no longer work.....and I have had two neck surgeries (among MANY others). So, I feel like I've experienced pain unlike most people have.) The pain on that day got so bad, I could not get up off of the bathroom floor and ended up calling 911. I was left on a gurney in the ER hallway for hours screaming in pain. The EMTs decided that since I had had surgery the day prior, that was what was causing my pain instead of letting me see a doctor right away. When I finally got to see one, the CT scan he ordered scared him so much that he immediately called one of the doctors in my bariatiic practice (of whom he was a friend) and sent me 45 minutes away to another hospital via ambulance for emergency surgery. I had an obstruction that was so severe, my small intestine had become necrotic. The doctor told me a couple of days later, if I had arrived at the hospital an hour later, I would be dead. After a miserable six day stay in the hospital, I was sent home to recover, finally able to eat somewhat normal food again! For the next couple of months, I stayed full of fluid to the tune of not being able to get in my clothes. I was also still expierencing constipaation. About two months later, I gained 20lbs in a three week period. I was devastated but was comforted by my surgeon who was certain the weight gain was a symptom of the consipation. Regardless, going up from a size 8 to a 12 put me even deeper than my normal level of depression (related to self esteem issues, family issues, etc). I started on a journey of doctor visits, medications and other "remedies" for this problem I was having. I even ended up giving myself daily injections of a prescription laxative that threw me into the Medicare donut hole to the tune of $2000 for 60 days of medicine. During all of this, my surgeon even did a laparoscopy to make sure everything was functioning properly. He did say the other doctor had repaired my intestine during the emergency surgery but made it more of a loop DS so, he put it back the way he did it for my DS. With all these things, my bowels finally started moving again and I was able to back off from the injections. I did not, however, lose any weight. In July, I had another plastic procedure to remove the excess skin from my thighs and back. After a very long and painful recovery (infections not to be believed), I actually, despite having a great deal of tissue removed, had GAINED more weight. Another 10 pounds! That eventually came off and I got down to the 20-25 lbs above my "settled" weight. BUT, despite exploring EVERY avenue, could not lose any more weight. I was even seeing other doctors to explore things like hormones, etc that could be keeping me from losing the weight. It was almost like this was my new settled weight. NOT acceptable to me.....not after knowing what it's like to wear a size 8 after being overweight since age 5.....forget the entire wardrobe I now have and cannot wear! I finally went back to see my surgeon a few weeks ago and he did an x-ray that showed that my stomach was a bit larger than most of his DS patients at my stage and since I have continued to suffer with GERDS, set me up with a procedure they dubbed a "partial gastrectomy". He essentially, stapled my stomach to make it smaller, thereby reducing the volume in my stomach giving food less time to become acidic and travel back up the esophagus. I had surgery on Monday. Came home the next day. He told me I would not have to follow the same prolonged diet as when I had my DS but could do things in 3 day increments (3 days of clear liquids, 3 days of full liquids, 3 days of puréed food, etc). I am swollen again. I am wearing my jogging pants instead of anything that will restrict my swollen stomach. My weight is the same (175 lbs)....which I know consists of some water weight from the swelling....I DEFINELTY feel a difference with the volume I can take in. And, I have actually experienced some vomiting if I overfill with fluid, which rarely happened to me before (and not so close to my DS). I am just having THE HARDEST time consuming liquids only. I've allowed myself to migrate to the puréed food stage a couple of days early and have kept things down fine. I just wonder how long I really need to wait to eat regular food again. I mean, this ain't my stomach's first rodeo, if ya know what I mean! Just wondering if there was anyone else out there that had gone through a similar experience and came out on the other end and what that result was. Anyone willing to share a similar experience will be greatly appreciated! However, NO JUDGEMENT PLEASE. I do suffer with depression and have more stress right now than I care to admit (outside of the whole weight situation). Thank you if you took the time to read this far! I'm glad to have a forum I can now refer to if I have questions or issues and, perhaps even make a few new friends! ~W

How do you know whether weight loss surgery is for you? Will it be the weight control solution you have been searching for for years? Or will it be a decision you regret? Nobody can answer that for you, but here are some considerations as you think about whether weight loss surgery is for you. The Qualifying Criteria You are not a candidate for bariatric surgery unless you meet certain criteria set by your surgeon or, if applicable, your healthcare coverage plan. The standard criteria are: Body Mass Index (BMI) over 40 or BMI 35 with an obesity-related comorbidity, such as type 2 diabetes, high cholesterol, or sleep apnea. Confirmation that your obesity is not caused by an underlying condition that would make weight loss surgery ineffective. A psychological exam to show that you are capable of sticking to the post-op diet and lifestyle changes that are necessary. Previous documented attempts at losing weight with diet and exercise. Ineffectiveness of Previous Efforts Weight loss surgery is a last resort, not a first try at losing weight. It is for patients who have been obese for years and who have tried to lose weight using lifestyle changes, such as a modified diet plan and a formal exercise program. Many weight loss surgery patients try “every diet under the sun” before deciding that it is time for WLS. They may have had trouble losing any weight at all, or may have lost weight initially but been unable to keep it off. Readiness to Change Weight loss surgery is just the beginning. The way you eat after weight loss surgery determines how well you will be able to control your weight for the rest of your life. You need to be ready to change if you want to be successful with weight loss surgery. No longer will you be able to down a pizza or hit the drive-through on a whim. Are you ready to possibly: Give up coffee and regular and diet soda? Cut sugary treats and fried foods, especially with gastric bypass? Pass on the alcoholic offerings at home, parties, and restaurants? Count protein, slash carbs, and measure portions? Addressing Other Issues Weight gain does not always take place in a vacuum, and weight loss does not solve other problems you might have in your life. First, identify why you became overweight in the first place, and what is keeping you from losing the weight. Is weight loss surgery the answer, or do you need to first deal with an abusive relationship or lack of self-confidence, for example? Emotional eating is a common reason for weight gain. If you tend to eat your feelings away, you are best off figuring out other ways to handle your feelings before you get surgery. Can you use walking as a form of therapy? Maybe you can join an in-person or online support group to turn to when you feel sad, lonely, or angry. If your emotional eating is related to a specific problem, such as stress at work, your best bet may be to handle the problem before getting WLS. That could mean finding a healthy coping mechanism, or it could mean getting counseling to help you work through the source of stress. It could even mean finding a new job, as scary as that sounds. Consider Replacement Addictions Replacement addictions are common after weight loss surgery. They happen when you give up food – which can be an addiction – for a different addiction. Instead of turning to food for comfort, entertainment, or companionship, some weight loss surgery patients turn to “replacement addictions” or “cross addictions” They may take up smoking, or start to abuse alcohol. Replacement addictions can also be healthier than eating; some weight loss surgery patients become gym rats or take up gardening, sewing, or other hobbies. As you consider weight-loss surgery, think about the possibility of food addiction being replaced by replacement addictions. What role does food play in your life now? What do you see replacing that emotional or physical role after surgery? The decision to get weight loss surgery requires a lot of soul searching for most candidates. These points can help you work through some of the doubts you may have as you try to decide what is best for yourself.

Any weight gain? If I have restriction with the band, why am I not losing weight? I eat very little everyday! Not to mention, I eat health foods, very health, I might cheat 1 time a week. And that is a small amount...

This is pretty normal. Weight gain, weight loss and surgery are the ideal recipe for messing up our schedules. Throw in the onset of menopause and I never know when I am getting a period! pre-surgery I had nothing for 9 months, post-surgery it was every two weeks but now I haven't had a period for two months.

Well, my weight gain is from menopause. I'm sure of it. Again my diet is in check, I have restriction(sweet spot). I drink the green drink Dr OZ, most morning's and piece of fruit. Lunch and dinner consist of fish and veggies on a small saucer plate. Snacks consist of low cal cheese, grapes etc. I will admit I cheat a couple of times a month(small cheats). I take care of my parents weekly, watch my grand-kids 1 to 2 days a week, plus work out 2 or 3 times a week on my treadmill... Just saw my doctor this morning, he wants me to add in lite weight training. The only prescription meds I take are the biodentical hormones. No depression meds. Since nov of 2011 I have gained 22 pounds.... Good luck to All. Thanks!

I just completed my 3rd week today and I struggle to get my 400-500 calories a day. I work it ALL day and its a full time job between getting the calories AND fluid in. I too hit that 3 week slump, and I actually gained 2 pounds at my weekly weigh in. HOWEVER, despite the weight gain, I lost inches. I don't really dwell on the weight, but concentrate on the inches lost. I weigh myself weekly as part of my documentation, but inches are more important. Good luck to everyone!

Well I'm still sick. I'm hacking up green stuff now (sorry don't mean to gross anyone out). It's not bronchitis yet I know when it's bad enough to get in the doctors with it. I'm also tired because it's keeping me up at night. I'm trying not to panic about any weight gain but I'm a bit depressed that I can't work out. I contimplated going to the Y tonight but I don't know if that would really help me. Anyways gratz to Daddy for 100 pounds. Wow you lost so fast. So cool. Also JM why you wanna give up the dairy? Maybe I missed that somewhere.

I thought the same way, but, you can eat everything (with a few exceptions) that you did before, just not in the same quantities. Be careful with weight gain before surgery, my doc told me that if I gained too much weight, my liver would be inflamed and other complications could keep her from doing the surgery. Eat what you like, but do NOT over do it, hard I know, but you got this!

Barirum swallow have been done twice. Everything is normal and in place...I don't have acid reflux now, since I had an unfill... By the way acid reflux is a side effect of the lapband....after a couple years of having the band, acid reflux is the number one side effect...and weight gain happens when to much is taken out of the band... So I don't see what is so abnormal!!! I see my doctor on a regular bases..

Weight gain during surgery may be from the gas they introduced. @Little Kansas Kitty, I may be moving to Olathe soon for work. I’ll have to find a new facility for post op check-ins because I’m not flying to Cleveland for a 1 hr visit.

Hi Everyone- Private Teresita & Shore thank you again for holding down the fort - even as I type. This has been a HORRIBLE week & I have had zero time to do anything. My mother had surgery & that went fine except she pinched a nerve in her back & welll I have had to travel or spend the night over there through out the week. Than the rain & my ceilings leaking!! Holy COw! The guy is out of business & its only 8 years old. Crappy job he did. So I am dealing with workers. Than of course things in 3-----one of my dearest friend's Mother dies yesterday. So I have food to make & a wake & furneral to go to. So Please all of you keep doing what your doing & know that I am so stinking diligent during this week that I haven't messed up but one time. (over my frineds death) & even than I still haven't gained an ounce. --Why ??? Because of all of YOU!! I don't want to start rep[orting in tomorrow or Sat & have any weight gain - only loss'. Miss you all & I am back just in the BRINK right now;0)

Hi CherieLynne~~ I was, and still am doing great with my band. I had a crisis....and amid it all regained almost 40 pounds! I have a history of nausea with anesthesia. I had 3 surgeries in a year, only related to my band in the way that one of them was a TT. I also had a thyroid tumor, and an intestinal torsion. So due to surgery, I was totally and completely unfilled. I managed fine through that. Was unfilled for over a year, without weight gain. Then my DD began having some issues with her outer ear swelling, and was soon hospitalized, with the most horrendous looking ear you can imagine. Her ear was tomato red, and was so swollen you could not see an ear canal. There was an abssess, that ate all the way through her ear. They were caused because it would swell until the skin popped. The diagnosis come in with it being a cartiledge destroying disease....which is fatal, life expectancy is no more than 7-10 years. I cannot tell you the devastation. I was keeping her 4 year old, who was scared at what was happening to her Mommy, and my DD was, well, like you would expect a 26 year old to be that was just told she would never see her child grow up, and the disease would be disfiguring, disabling, then fatal. The stress caused hives.....which would not go away, so they put me on high doses of prednisone, then tried repeatedly to taper it off, only for them to return. They operated on my DD, and eventually sent her to a different hospital, where they discovered the disease was only a psuedo disease----she too has RA, and this illness mimics the disease, but is NOT fatal. Is usually no more than what she had, but hers had been mismanaged for so long, they expected it to be disfiguring, and prepared to amputate the external ear. End of the story is happy, the meds made a HUGE difference. She had a PIC line at home for 2 months. But she has not lost any of her ear, only the lymph nodes below it which surgeons removed in diagnosis. But.....I lived in the hospital, eating LOTS of ice cream, because it soothed my acid ridden stress related tummy----and also tried to soothe my soul. I have not experienced hunger since being banded. But once the prednisone began, I was ravenous again! I am off the prednisone, and have no hives. Nothing negative to show for the experience except for about 15 pounds now! I NEED to exercise to get them off, I am just lazy about it. I could lose them just as well, by getting another fill, and eating less, but I choose not to go that route. I have a small fill in----less than 1cc---in a band that will hold 4cc.'s. But I do not have tight restriction, mild is good for me, I do not PB, but I cannot eat large amounts. I can eat roughage (salad) and meat, without issue. I can eat some bread. Mostly my portions are diversely different than pre band. I think if I had more weight to lose, I would be more motivated, but I am really OK with where I am. I began in a 22/24 pants, and now wear either an 8 or 10....without elastic! LOL Everything I owned before had elastic everything! I think since your body is used to the steroids, you are used to the things they do to your body----mine was not, and the hunger was so new, and I was so scared, I fell into old habits and tried to eat my way to comfort..... You should be able to get back in the pool as soon as your incisions heal, and I would bet you will be able to add other exercise as the weight drops. So sorry my post scared you----was not meant to!!! Good Luck to you on your surgery---it was without a doubt the best thing I ever did for ME!!!

Hi Brandy I'm on paxil,didn't notice any weight gain but I do have the other side effects I was really sick when I started taking paxil,it lasted about 3 weeks lost 20lbs but soon gained that back once i was not sick.I think paxil saved my life because I now feel so normal.I think I was depressed all my life and didn't know what was wrong.I like you have generations of family depression.It spiraled out of control once I hit forty.Hang there we'll get through it.I wonder if the meds are the reason I don't feel full for so long.:thumbup:

:omg: I went to California for a week to vacation with family. Hmmm, I'm afraid to step on the scales although I earnestly tried to limit my intake of food. I am still eating portions I probably shouldn't. Can't seem to get that under control yet. Now I can eat regular type food again, so it's like an open door. I must get help, must get fill! :omg: I am anxious to get my fill. I get my first fill next week in hopes I will see some real progress. I am feeling well after the surgery with two months out. It appears all the healing is completed. Once in a while I will get kind of a odd pain on my left side but nothing that seems of real concern. It's hard being patient while the healing process is going on. You just want to see pounds start shedding. I felt fairly miserable around my thinner family members, but I am trying to remember this weight gain didn't just happen over night. I sure have blown my exercise routine, I just can't seem to get into the groove. Maybe due to a few factors like; I had the surgery, looking for a new home, vacations, my husbands illness, etc. Can we say stress! However, no excuses, just want to see what a filled band will do for me. I am in great need of limiting portions and getting some exercise. My knees and joints hurt so bad that exercise is no my strength. Hmmm, maybe this site will give me some much needed suggestions. :tired

ok..this blog may be somewhat disjointed but stuff i just want to offload somewhere.........so clearly this evening is not finding me in a happy state. I find myself feeling lonely and sad this evening. I would like to blame this on anything other than what it is..... Who among us has felt at one time or another: 1. third wheel 2. the "pretty" fat girl with the great personality 3. last single one of your friends 4. etc. etc. Now, I do know (but apparently have a hard time believing) that I am a wonderful smart, successful woman, who is beautiful and who has a lot to offer- recently been told by a few people and one bandster friend- things of the sort. I look in the mirror and see who I want to be,who I can be, but why can't I see that I am me no matter what. -there is just a better/healthier me hiding in all this somewhere. It's amazing what doing all of this stuff for preperation for surgery will do to your mind too.....I think about they why's of my weight gain, why I am not in a relationship currently, - and how I blame a statement made long ago by my dad(who said it because he cares...?? misguided as it was and hurtful all the same) "no one will want to be with you if you don't lose some weight"......digging deep here/unload,unload unload....did i say this would be disjointed? (great news though- my dad is very supportive of me through all of this and I have told him how hurtful that statement was. ) Anyway- what I look forward to most is this journey, despite the things that it may dredge up, may make me acknowledge and ultimately bring me to the point of fabulousness that is truly me. :party: I am inspired and so glad to have this forum to just share....and hopefully soon I will be able to share weight loss with you all. Ok...new day tomorrow. Going to Yoga this week, going to move ever forward. Thanks all! my rant is done :cursing:

I had the opposite problem. My drinking was one of the biggest contributors to my weight gain. I liked drinking the sugurey stuff. I gave up my habit about 1 week before starting the preop diet. It has been ruff because that is what I did on the weekends and now it seems as if there is nothing to do. Friday nights just arent the same anymore. :eek:

I could use some guidance. I know they say you shouldn’t weigh yourself often at home, but I weighed myself this morning for the first time in a week. I gained 3 pounds! I haven’t done anything different and I’m only a month postop, so I am only eating puréed and soft foods. Has this happened to anybody else? Any advice to get through this and not be totally depressed?

My PCP wasn't as negative about the band, but she seemed against it. When I approached her about it, she said she wanted me to try more diets before she would recommend I even think about getting banded. I felt like standing up, yelling at her, and saying you have had me try diets for 10 years now, and all I have accomplished is a weight gain of 100+ pounds! So to make a long story short, since I am self-pay, I went to my surgeon, am being banded on Monday, and will return to her office in December for my physical a new person. Then she can say what she wants about the band and I really won't care. Although most of us value the opion of our PCP's, sometimes we have to do for ourselves what WE feel is best. They only see us maybe a few times a year, not every second of OUR lives. Just look at what YOU have done for YOURSELF! Congrats on the loss, keep up the good work!!!!

Bariatric Eating FaceBook group seems to have great ideas regarding the weight gain 2 years post surgery.

As for the weight gain, you very well could be gaining muscle since you are in the gym 5 times a week! Hope you are able to figure out the pain and get to feeling better soon!

:thumbup:: Yours truly, has never blogged but has decided to do it to stay on track, TWO years ago, I had the lap band put into me. I lost so quick and was on track (very happy camper...lol). I went for my mamo and they told me that I had cancer..well the running around and the depression you feel is indescribable. At the time from the pressure, I started having some real health issues and my child needed me desperately to advocate for him in school. omg...it turned out that running for tests..showed that I had cancer...then the fools tried to take a biopsy and then they could not find it... then they take another xray..there is the cancer...then they get the surgeon.. he makes the hospital pre-op tests..then he gets looks at the tests...get a MRi ...great I am clastophobic...soooooo...I find an open MRI..wait again months for appointment..scared to death...and they can not get the color dye in me because my viens did not work..so the DR from that MRI came in and said..YOUR VAINS are the pits and we cannot do this...but I will personally review your xrays and have other doctors look...he at least said ..months of not knowing could kill a person..thanked him... a few days later he told the surgeon ..no way did I have cancer. MY has made me take the mamo again 6 months later...and when he saw that I was really in distress (go to his office and they can not find my mamos) he did his checking allowing sit in a chair, I think I upset him when he saw how much they had tortured me (it was the months of not knowing) BUT he knew since he had seen me so much at the hospital that I had gained some of the weight that I had so proudly LOST Well, I always did eat the little amounts but did stretch my stomach with large drinks and did NOT have the time or desire to exercise. At time during this period of life, I did forget to eat BUT worse is not to drink the water. Finally, I saw myself in a full mirror at the mall and was shocked to see me and my friend following me (:scared2:my boodie :sad: ) SSSSSSSOOOOOOOOOOOO:thumbup: I called my surgeon and went back for a fill. Thank god my lap band did not slip (tested) and already have lost five pounds. I would have gone back earlier:thumbup: BUT SIL made me feel very ashamed :thumbup: since I have been back...and filled...I realise that I did come back with some weight gain but I probably (honestly :sneaky: could have been 400 lbs) so now I am really happy and hang up on my SIL who is a nut :tongue: I am glad that I am back and can not weight to see and enjoy being without that extra fluff. I will see my Dr. Pucci on the 18th of September and pray that I will be down to 275lbs. I did invest in the QVC Dvds by Richard Simmons but will restart them today after handing out our temples telephone directories to members. I also was told to keep a log of what is going in:drool: the nutritionist said that I needed 65-70 grams of protein. Wish me a successful day :biggrin: Laura