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I’m right there with you. I’m 1 month post-op and I’ve only lost 16.5lbs. 14 were in the first 11 days. I’ve only lost 2.5 lbs in the last two weeks. I’ve been on soft foods and trying to count the calories along with measuring, as I only am able to eat about 1/4 cup of food per meal. I don’t know what’s causing the slow. I barely get 600 calories. I’ve been moving quite a bit since we’re trying to move into our new home. I’m still under the target weight loss the doc gave me. Just discouraged.

The maintenance doses of Semaglutide for chronic weight management are 1.7mg and 2.4 mg. If you haven’t reached those doses yet, then that’s the goal before you can determine if it’s not working as expected (which for some people it may not work). What is your current dose? https://www.wegovy.com/taking-wegovy/dosing-schedule.html?showisi=true&&utm_source=google&utm_medium=cpc&utm_term=wegovy&utm_campaign=1_All_Shared_BR_Wegovy_Core&mkwid=s-dm_pcrid_645689011667_pkw_wegovy_pmt_p_slid__product_&pgrid=148965952281&ptaid=kwd-1296426939242&gad_source=1&gbraid=0AAAAABWNcsk_Vrk4rb9ObcxDKFUu6OZHy&gclid=Cj0KCQiA4L67BhDUARIsADWrl7HM5Z15-B65VZSJkFvcsdpvjEpsfTBEfdP0BJGzjFepWdgBossbMHgaAnCxEALw_wcB&gclsrc=aw.ds

Hello! I had the sleeve gastrectomy 9.5 months ago. I've been working on exercising and eating right, but I've been in a bit of a stall these past 5 weeks. I went down from 290 to 170 pounds, but I've been stuck at 170 for 5 weeks. I've been eating 1200-1500 calories a day and still not losing weight. I've done some research, and apparently, your body adjusts to low calories after a while of eating at that rate. At the beginning of my post-op phase, there were some complications on my end. I didn't eat ANYTHING for two months straight, not even protein shakes, and I was only hitting about 20oz of water daily (which landed me in the ER, but I'm fine now lol). I've looked online, and it says for my height, age, and weight, a good maintenance level would be 2100 calories. I'm eating well under that in a deficit and heavy weight lifting, so I don't know why my body won't drop anything. I'm worried that my body adjusted to the 0-calorie few months I had, then the 500-1000 calories three months after that. I've only started hitting my 1200-1500 calories in March when I joined the gym. I know the stall is not due to "muscle gain" because I'm not eating in a surplus, and I'm only eating 65-80 grams of protein in hopes of simply maintaining while I drop fat. I also read online that apparently people who go through rapid weight loss have even lower calorie maintenance than the average person, and that makes sense, but surely it cannot be under 1200, right? The majority of bodies need 1500 to operate. I'm so confused! When I ask my surgeon about calories, he says not to worry about them and eat healthy, which I'm doing. It's just frustrating because I want to work on building muscle, but I want to lose some more fat before that. I guess my question is, does anyone know anything about calories after surgery, and/or how many calories are you eating after surgery to help lose weight?

not sad at all! I started walking too girl! When I first got this surgery I committed to walking for 30min 5days a week during my lunch break. I did that for 6 weeks, till I started introducing weights with work out videos with Sydney Cummings, So I did my walks during lunch then came home and did my 30min weight work out, After two weeks I knew I needed to go to the gym where I had more options with weights. The top picture is my first day at the gym and then the bottom is this week. Just consistency and tbh I didn't think I would achieve what I did. I really thought in my heart of hearts I would bottom out around 190 and just be "chunky fit" and I was/am okay with that. Start slowwwwww, its not a race and with consistency you will be shocked with your success!!

Yes sounds a bit vanilla of a presentation and she certainly doesn't sound like the best example, even for someone who had no issues with the surgery or recovery as not giving a great example of how to live life after by the sounds of it. Do you have to go to many of the sessions or is it just a once off? Do you need to have the knee surgery first? I was told I had to lose weight for knee surgery but hospital said to have the weight loss surgery first for two reasons, one to still be considered a high enough BMI (like you I had/have no co-morbidities) to qualify for the state paid surgery and also to release some of the weight pressure my knees are under before going through another surgery.

Hey you! So in regards to the weight loss - I'm actually down 22 lbs since my pre-op liquid diet. I think your results make a lot of sense because the low carb has probably kicked you into ketosis, and you did that pre-op diet for longer than I did! I had also read somewhere that if you get off track post surgery to return to a liquid diet and it will likely jump start the weight loss again, so I bet you've got combined factors going with that. Congratulations! I'm sure your surgeon will be happy with your weight loss as long as you're making or getting close to making your protein and hydration goals

I'm noticing more aches and pains since I've dropped so much weight. I thought it was weird, too, so I asked my doctor and he said it can be normal with bariatric patients. Particularly those who lose a substantial amount of weight. I may go back and ask for additional testing, just to be sure. But being hyper focused on hitting or not hitting the goal number on the scale you set can really do a number on you mentally and emotionally. I'm very goal oriented when it comes to work and school, but I had to learn to let some of that go when it came to my personal life. Specifically weight loss. It took a while, but I realized that the NSVs were way more important than the number on the scale. Once I figured that out and took some of the pressure off myself, the scale actually started to move more in the direction I wanted it to lol

You GO girl! I am Happy that you are LOVING the skin your in! So many people on this journey too me express not being satisfied, they are always wanting more..some of them I be like damn how much more weight do you want to freakin loose. At some point we should be satisfied you can't mentally live like that! ...............Your winning! Movement is so important, thanks for posting this video I will check it out. I work from hm this will give me something to do when bored 😂.

Very happy this week! The London gain of 3.5lbs has gone plus another 6lbs has joined it this week so I’ve hit my 2stones loss target 😊 Hubby has documented this by taking pics and I can definitely see a difference - my backside isn’t as much as a shelf now 😉 I will post pics when I gain more confidence but they are definitely worth doing for your own records, even if you hate and despise your photos being taken. I’m sat here with my feet on a circulation booster, with my feet and calves twitching away. I’ve got it for both me and hubby in the hope that it will help both of us with our circulation and start helping me strengthen my muscles around my knees. We had a chat yesterday and agreed to rejoin our local gym. I know I won’t be able to do cardio like the treadmill etc but I certainly do need to spend some time on the resistance machines and hopefully the free weights. I want to try and get some muscle tone going and avoid masses of sagging skin if I can. I desperately miss going to the gym so I’m definitely looking forward to it. I’m due at physio next week for knee exercises so we’ve said we will begin 1st Sept (helps with keeping monthly finances straight too) Lots of NSVs this week…can now take my wedding/engagement/eternity rings off when in the bath. That certainly hasn’t happened for a long, long time. I’m finding more clothes to wear when ‘shopping in my wardrobe’. I’ve actually had to buy a BELT for my jeans 😮😮😮 I bought 3 pairs in the sales some time ago. 1pair fit fine, 1 I could just about fasten but not breathe, 1 I couldn’t fasten for love nor money. Fast forward to Saturday and it’s now 1 too big, 1 fasten easily and 1 fasten but can’t really breathe!!! Hopefully a belt will let me get some more wear out of them before they go off to the charity shop pile. It’s our wedding anniversary in September and I’ve set myself a target of wearing a dress that I wore for our wedding anniversary dinner 2 years ago. It’s a lovely dress and I felt fantastic when wearing it so hopefully it will fit again. I would like to lose another 10lbs or so before trying it on so fingers crossed 🤞🤞 Hubby knows what I’m aiming for and is all for it. Need to remember to record my food diary next week, ready for the dietitian appointment the week after. I record everything now but not the moods pre- and post- eating which they need. I’ve already recorded a dietitian diary just before I began my weight loss journey so hopefully she will be able to see the differences. Have a fantastic week everyone 🤩 Onwards and Downwards!

Only you know the answer. Simply because you know your history with weight loss & gain & you know yourself best. You have to be ready, because it’s not easy & there’s a lot of work you have to do. If you need more time, that’s fine. As @ms.sss said, you’ll be ready when you’re ready. For me, the surgery provided an opportunity & the time to really understand my relationship with food. I regularly dieted & until the last few years, I could lose weight but as soon as I stopped the diet I returned to eating the same way I always did, for the same reasons & in the same situations. And of course I’d regain the weight I lost. With the surgery & the post surgery eating plan I slowly developed a way of eating I was comfortable with. I worked out what foods were best for me & which weren’t. I became more aware of portion size. And I learnt to recognise the situations (physical, emotional or psychologically) & behaviours that influenced my eating. Because it was a slow process, it was easy to adopt & adapt to my new eating style. Something that diets never did & I never did while dieting. I realised I saw diets as restrictive & a punishment. Now, how I eat is just how I eat. All the best whatever you choose to do.

This whole thing is a science! LOL I am a worker-outer? a gym rat? a gym go-er? well you know what I mean. I work out lol I lift 4 days a week, 1 day only cardio and 1 day F45. I eat anywhere from 1300-1600 calories a day. Depending on the day. One days I do not work out I eat less around 1200 cal. I am only 6.5m out and have hit my goal weight, but there are days where I get scared that I am eating too much. From what I have learned in my very short journey is that our body needs the food in order to grow our muscles, and give us energy for our workouts. Your body will balance out, you will notice your body change now too. I noticed that when I allowed myself more calories my legs and booty got thicker which I have been trying to achieve for months but it wasn't happening lol Just track everything and if you find yourself eating A LOT of not great things then you can look back and see why there is a gain. P.S I eat a "bad thing" everyday, I am not super restrictive and deprive myself. I have learned that everything in moderation in order for me to keep this as a life long thing. Tracking has really helped me stay accountable!

@NickelChip I do snack on nuts, sometimes use them for breakfast with non fat Greek yogurt with some fruit. Coffee I drink 1-2 times a week with non fat milk and no sugar syrup. Once a week I have a meal in restaurant and allow myself to have whatever I am craving with portion that I can tolerate. I do allow myself to indulge once in a while, so I don’t get crazy carvings, but to be honest I don’t even order unhealthy food when I eat out. I crave for more quality food now. You are so right that I do feel like I m in a size that is close to my goal weight . I feel like I look very close to my goal weight, but the scale says other wise. I never wanted to be skinny skinny, but just healthy in my own way. I keep imagine myself without the excess skin and think that I would be happy after that. 160-170lbs looking is where I want to be. I’ve been obsessed with researching for plastic surgeries. I do know it’s not something I should do now, I would want to wait for at least another 6 months and evaluate then.

I had a sleeve 3/9/2021. I was a lower BMI and on meds so the surgeon thought it was a good idea for me. I lost from 235 to 168 pretty quick, stalled there for a few months and then started gaining. For the start with the sleeve it felt like more of a diet. The only thing that made it a bit more successful was the fact that I didn’t have hunger for a while but as soon as it came back, so did the weight. I went back to the surgeon at 258 this time and he said that obesity is very complex and the sleeve is just not enough of a metabolic change for some people. I revised to the SADI 8/7/2024 and at three months post op I have lost 60 pounds with about 40 left to reach my secret goal. From day one I have known that this is different this time. I am able to actually enjoy some of the healthy recipes I am trying. I am making stuff from scratch and I have energy and motivation to exercise. Don’t get me wrong. I would love to binge watch my favorite show while eating a pizza but exercise also makes me feel great when I’m done and the healthy food doesn’t taste terrible so the healthy choices are a lot easier this time. For me, recovery was a breeze with the sleeve. I asked them the moment I woke up to take me off of pain meds, and I went home the next day forgetting at one point that I even had surgery. This was because I did not have any gas pains the first time around. After the SADI, however, I did have very significant gas pains and spent five days in the hospital because I could not get off of the pain medication that they did not want to send me home on. Once I finally was able to pass gas a few times, iI was fine, went home and did not need any more pain meds, other than Tylenol. It sounds like you already went through the worst gas pain so I can’t imagine the recovery being much harder for you. It’s the same basic thing the same laparoscopic incisions. Feel like you’ve done 1000 crunches. Take the second to go from sitting to standing or sitting to lying down but once you’re up, it’s not so bad. My doctor did not operate on the stomach, some do re-sleeve it, but he felt that resleeving carried more risk than it was worth in terms of additional weight loss. I was pretty nervous about that to be honest, but I am back to my pretty normal portions already but that’s not an issue because I am eating 100% clean this time. One thing with the SADI is, it’s fairly new in medical community time frame. I have seen a lot of specialist from different fields and not one has ever heard of the SADI. I always have to tell them it’s a modified duodenal switch and they get it. So your doctors may not be aware of it meaning you really need to understand the surgery yourself to make sure that you ask the right questions for future care. Another obstacle for me has been that the nutritionist in my area at least are pretty much worthless when it comes to the SADI. I have been fortunate enough that the nurse practitioner helped me work out my macros by viewing my Fitness app and my food log app and I have worked out something that is working for me. Aside from that, I could not be happier with my choice. I was told I could do SADI or Bypass revision. My surgeon did a gastric emptying study, endoscopy, and a barium swallow test to make sure everything was OK with my sleeve and to see what I was a candidate for. He ended up leaving it up to me because either would’ve worked, but he advised that the weight loss statistically is a little more and more durable with the SADI revision. it is pretty normal to be nervous at this point in your journey, but statistically this is a relatively safe procedure and honestly, the risk are far less than the risks of all the other diseases and conditions that will pop up eventually if you don’t do anything. I hope this helps. And good luck on your surgery.

Had my dietitian appointment this morning and it went really well 🥳 I’m a healthy fat person, which was good to hear. All my tests have come back good, no issues with diabetes, high cholesterol, heart disease etc. We had a really good talk, told her about this forum and the ongoing support everyone receives, showed her my two food diaries - one pre-watching what I eat and one for now. She was very happy to read both, laughed at some of my comments regarding how I was feeling when I was eating, and congratulated me on the changes I have already made. She asked if I had a surgery in mind and why. I explained that I felt that a bypass would be more beneficial for me due to not feeling full, snacking etc, and she agreed. Thankfully she has no issues with me, and was happy to refer me to the surgeon, which was such a relief to hear. Honestly, I felt quite apprehensive and anxious this morning (thanks menopause 🤨) and was definitely snappy with hubby. I went in on my own as I didn’t want him to know what my weight was/is - does anyone else keep their weight secret from their other half? I know it’s just shame that makes me not want to tell him 😕 The dietitian thinks a reasonable target post-surgery for me is around 14stones (196lbs) but reckons I will sail past that as I am fully onboard with it all. I’m glad that she hasn’t given me an unrealistic expectation and I do feel it’s fully achievable. We discussed lowest adult weight plus weights my body had ‘stuck’ at previously. She also went through the post-surgery diet - will be 6 weeks on the purée diet due to having a bypass, and gave me the info for that. She also explained about the bounce back once the body has reached its lowest weight and that it did not signal a failure. Next steps: appointment with the surgeon, which should be September (eek, next month!!) After I’ve seen the surgeon it’s then the MDT weekly meeting for everyone to agree that I’m OK to go ahead. As long as they agree, I will get my surgery date which is looking to be either Jan or Feb next year. She’s put that I would like to see the surgeon ASAP and will take a cancellation for both his appointment and also for surgery as long as I have one day to get ready for the 3 week liver reduction diet. She warned me that I could be on the LRD over Christmas but I’ve said that it’s fine, I’m truly not bothered in the slightest. I asked about going away next September and she said everything will be done and settled down by then but not to buy holiday clothes until the last minute! Just to wait for the next stage now. I’m certainly glad I lost some weight pre-appointment though as the weight the Dr gave and the weight I was actually was a 5kg difference, and not in my favour 😮 I’m still 7kgs lower than the wrong weight given and it’s the initial referral weight they go off so I could coast now if I wanted to (but I won’t ) A relief all round!

Thank you! I actually scaled back a little lol and dropped the 4lb gain lol odd! I love working out, its just something that is fun, I have 3 kids, work full time, finishing my bachelors so the gym is my one hour of putting music in my ears and its just me, so I have fallen in love with it. I am thinking that I need to scale a little more though. this advice is great!

I didn't weigh the weighing scale but I also am not great on gauging weights or measurements myself. I am sure it is as they say, which I didn't ready (oops) I just read the reviews of people saying how light it was to put in their luggage etc.

I struggled to eat enough to slow my losing though not as much as you are. I reached goal at 6 months and was barely eating 900 calories. It took another year to get to about 1300 calories and for my weight loss to stabilise. To increase my intake I was eating all day long or it certainly felt that way. I had three meals and 5 or 6 snacks, predominately in the afternoon and evening. It took another year +/- to get to around 1600 calories which is about what I eat now to continue to pretty much maintain that initial stabilised weight.. And yes I still snack but only 3 or 4 times a day now to meet my caloric needs. So, yes, some of us do take time to get those calories up. But you are a more extreme case. If this has happened in rare other cases, what did they say what treatment was used in those cases? Can they stretch your pouch via an endoscopy or balloon? Have they suggested you incorporate those nutrient dense, high calorie smoothies like Ensure used for those with digestive and eating issues?

Yes, @Trish662 , I had the exact same situation only I’m 5’4”. I was 53 yrs old when I had surgery in August, and had a long stall in December and bloodwork came back iron anemia. It took a month of faithful iron supplements with vitamin C during my lunchtime (coffee, milk products, PPT, magnesium supplements all make taking iron at other times cancel out absorption). You will have to find a 4 hr window (nothing 2 hrs before and nothing 2 hrs after) that works for your absorption. I ate meatloaf, meatballs and ground grass fed beef with a small amount of marinara or mild salsa for lunch meals as well. At the time I could only eat 3 oz of protein due to restriction (dietitian still pushing for 4oz per meal even now). I get my 60-80 grams of protein per day in easily now! After that grueling iron work I did start loosing weight much more regularly 3-4 lbs a month and kept loosing weight until 2 years and 4 months. I had RNY so I need to stay on top of the iron absorption issue regularly. If I forget to take the iron with C for a week, I feel sluggish and 4-5 lbs shows up quickly. It takes about another week to get the weight and iron back on track (says the bloodwork and doc). You’ll feel better soon and your stall will end quickly. I take Centrum Women’s 50+ tablets in the morning with Calcuim and D3, then additional Nature Made Iron 65mg with Trader Joe Vitamin C complex at lunchtime. I found my magnesium low too so I take that at night with a probiotic, Trader Joe’s is the cheapest that doesn’t hurt my stomach or pocketbook but you will probably find something you like better. I don’t count carbs, but I find if I eat any simpler carbs like an apple or oatmeal I dump. I also throw off all my electrolytes and get wicked muscle spasms. Gatorade Zero or similar products help me stay balanced, and I stayed away from most carbs except veggies during the loosing phase. I can eat the same or more calories in fat and loose, but if it’s carbs, stall, stall, stall. You will find your sweet spot, pun intended.

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@SleeveToBypass2023 pretty much covered what you need to change so I won’t repeat that. I will add though that I got to a simlar point a little later than you when I was discouraged I didn’t reach the goal I secretly had in my mind for myself. I had stopped losing and stalled about 18 pounds shy of it for about three months then I started letting bad habits slip in and I started to gain and honestly I never stopped gaining. 3.5 years later here I am pending revision. I was also embarrassed to see my dr or even post on here and that only made things worse. I could’ve nipped it on the budd before I got to this point like you still can. Go back to your team and explain your struggles. See what they have to offer you to help get you back on track. Maybe even talk to a therapist to try to work out why you feel this way. It sounds like you really have only been off track for a little bit and you’re still early enough out that it’s not too late to turn this around. You just have to start taking steps.

I just had my sleeve surgery yesterday. It was an outpatient procedure which I was happy about as I’d rather go home than stay in the hospital overnight. All in all it went well as I was up and walking a few hours after I woke up. The only downside to the surgery (if there had to be one) was the gas pain and nausea. Although, I’ve been told not everyone experiences nausea. Just a day after my surgery and I feel fine. Taking my pain meds as needed and I’m able to keep down liquids. I’m excited to see my progress as I lost 43 pounds before my procedure date. I hope to lose another 110 pounds to be at my goal weight. Good luck to everyone getting their surgery in 2025! We can do this! Cheers!!!

I took up cycling 2 years ago just as my daily commute. I just wanted to save money and time on transport costs. I wasn't even wanting to lose weight 3 miles away so I did about 6 miles a day. Turned out I really enjoyed it and since I git an ebike, it was easier for my joints. Cycling helped me maintain some of my weight (I was still eating too much garbage so I wasn't expecting a miracle). I now just really like it. The ebike aspect makes it not feel like work either.

Just want to let people know I finally broke this horrible 2-3 months stall. I was so desperate and nutritionist said my weight was stabilizing and ask me to add starch…. It made it worse. So what did was cut going to the gym from 3-4 hours a week to 2 hour a week. Exercise too much also made me hungry all the time. Then I also went back to basic and have only protein and slowly adding vegetables and fruit. I dropped 10 lbs in 2 week. Today I am no longer in the obese category and now have BMI 29.9. I am just so very excited.

I would suggest that. I have been athletic my entire adulthood with a really good muscle tone and maintained a really healthy weight for decades until a very bad ankle sports injury that caused my weight to balloon up. At one point I was exercising 6 days a week for 2 hours, that's when my weight suddenly went up 4 kilos out of the blue and I didn't know why. A few months later I was forced to cut back to 4 days a week (1 hour each) and my weight dropped on its own. What I found out is that 4 days of 1 hour workouts suited me much better than 6 days of endless time at the gym. Now that I am below goal weight I follow the same, 4 days of workouts (2 Pilates sessions and 2 heavy weight lifting days with cardio). My body is comfortable and the weight is melting off. I workout hard, but I rest hard as well. During the first few months I lost a lot of weight rapidly and I was weak and frail, so I stopped any sorts of weight lifting. The first week I started weight lifting again I was so incredibly sore and guess what, I hit my first ever stall since surgery, not only that but my weight even went up that week and took me a good 2 weeks to break through the stall. Muscle fatigue causes inflammation that causes water retention within the muscles. Rest days are just as important as workout days. I am not saying that this will 100% work for you but might be worth giving a try. Good luck!

It sounds like we’re on a pretty similar journey! It’s definitely encouraging to know others are losing at the same rate—it keeps things in perspective. I get what you mean about the weight loss feeling slow compared to others, though. It can be frustrating at times, but progress is progress, and our bodies are doing amazing things. The fact that you’re eating significantly less than before surgery shows you’ve come a long way. And I totally get wanting to reset after the holidays. Just keep reminding yourself why you’re on this journey, and once the holiday season is over, it’ll be easier to get back into your routine. You’ve got this, and it’s okay to allow yourself some grace during the holidays. Every little choice you make is still a step forward! 💪🎄