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As the weeks & months pass we slowly but surely increase our intake so I wouldn’t think the low calories we consume is truely sustained as it’s continuously increasing. And it affects our metabolism in the way you’re thinking either. The recognised benefits of weight loss surgery include resetting your body’s set point, digestive hormones & metabolism. Of course the resetting is different for everyone but there is improvement fir everyone & I so love & appreciate how it did that for me. I spent years & years eating one meal a day or skipping lunch & only eating two meals a day. That is sustained low calorie in my thinking ( years not months) & yes it did wreck my metabolism. I could barely lose anything even following those 500 calorie a day diets (talking a couple of kilograms over 6 or more weeks). Similarity to @ms.sss, in the first weeks after surgery I was eating around 200 then 300 calories. By 6 months, at my goal I was barely consuming 900. My weight finally stabilised at 18 months when I was consuming around 1300. Now at 5 years post surgery, I eat about 1600 calories yet am still the same weight I was when I stabilised. And unlike @ms.sss, I’m not what anyone would describe as active. Just do a series of exercises using residence bands & stretches at varying times through out the day. I wouldn’t burn 30 calories. BMR calculators do give you an idea of what your caloric needs might be but as @ms.sss said the results are based on averages much like BMI & the calculators that suggest how much weight you may lose after surgery are. The averages only take into account some basic factors & don’t consuder your individual needs, medical & weight loss history, genetics, activity levels, muscle density, etc., etc. Actually, have you considered doing a dexa scan just to see where you are in regards to muscle & fat density now & repeating it in the future to see your progress? Weight loss can continue for 18 months to 2 years after surgery so don’t give up yet and you won’t actually know what your caloric needs are until your weight has stabilises for some time - months or a year. PS - My surgeon & dietician also didn’t advise to count calories. I just did it randomly out of my own interest & curiosity. Quality of the food I was consuming was more important.

as for whether subsisting on a very low calorie diet for a prolonged period of time affects your BMR (metabolism) in the future, there are arguments for AND against. one particular study that i found intriguing was the "Biggest Loser Study"..that found that contestants that participated in the study ALL ended up with lower BMR's than before weight loss...EXCEPT for the one contestant who ended up getting WLS. that one person's BMR did not lower like the rest after his wls, in fact, in went back up. obv, the sample size was very small, and the subjects were only observed for 6 years, but still. something to ponder. you can read the study here if you are interested: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4989512/ or, if you want an easier NYT-read of the same study, here is a link to a more reader-friendly version: https://www.nytimes.com/2016/05/02/health/biggest-loser-weight-loss.html now for a personal anecdote: i was 300 calories A WEEK for the first two weeks, then 300-400 calories a DAY for a couple months, then 500-600 the next couple months, then 700-800 until i reached goal at at 7 months. i'm 5'2" and at 7 months i was 127 lbs. fast forward almost 6 years post op and i am consuming 2200+ cals a day and i'm just under 120 lbs. however i also do quite a bit of dedicated exercise (1.5 to 2.5 hours daily), plus other active stuff i just do for fun in daily life. BUT...when i wasn't exercising as much as i am now, i was maintaining at about 1800 calories a day...so at least for me, i don't think my BMR/metabolism was negatively affected after a sustained low cal diet...if anything, i think it got better...though i probably have all the exercise to thank.

I think a maintenance level of 2100 kcal/day for someone 5'7" who's had WLS would only work for someone who was super active - or was blessed with great metabolism. A dietitian I worked with years ago told me people who've lost a lot of weight almost always need about 300 +/- fewer calories to maintain their weight than a person of the same weight and stature who's never been obese. I heard that again from a nutrition professor last summer when I was auditing a university-level course on weight loss and obesity. There's some scientific explanation behind that that I can't remember at the moment, but it's disappointing - but that's the way it is, evidently. that said, a couple of thoughts. First of all, you may or may not be done yet. After the first year, there were several times my weight loss seemed to stop and I'd think "well, I guess this is it..", and then I'd suddenly drop a couple of lbs. Also, you are very close to a normal BMI. Weight loss at that point is EXCRUCIATINGLY slow. I remember the last 20 lbs being a BEAR for me to lose. But I kept at it and finally got there.

same. and "anything i want" includes chocolate and chips and fried foods and sauces/gravvies and high-fat things and desserts and pizzas and bread, etc. etc. BUT not in copious amounts (for the most part). BUT i also eat salads and veggies and lean meats and cottage cheese and tofu and fruits, also not in copious amounts (for the most part). mind you my weight loss phase days are long behind me, but even during weight loss phase, i would occasionally have foods that were "off plan". like mentioned above, i was closer to maybe eating "what i was supposed to be eating" maybe 75-80% of the time. though my total average calories were always low regardless of what i was eating.

One of my favorite resources is Dr. Weiner's videos (as well as his book The Pound of Cure and his weekly podcast). He talks about the type of food we eat being more important than the number of calories we eat. Here is one video that I watch probably once a month just to get it into my head. But he has hundreds of videos, so I encourage you to check out all of the playlists on his channel. Having said that, there's a good chance you're in a stall as opposed to being done. Your BMI is low enough now that you're approaching "normal weight" and weight loss at that point gets really slow and difficult. But it doesn't mean you can't do it!

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?

yes - your loss will slow down considerably after the year mark (although a lot depends on your starting BMI), but I kept losing until I was 20 months out.

Your weight loss is not over until it’s over. Losing for 18 months to 2 years isn’t that uncommon. Your weight loss will naturally slow as you’re able to eat more (this is supposed to happen) & you get closer to your final weight (your new set point) & closer to consuming the number of calories your body needs to function effectively. When it happens to you depends upon those things & some other factors. I reached my goal at 6 months. Like @ms.sss, I too took a while to work out what my maintenance calories were & to be able to eat that much so also did not intentionally mean to lose more. I continued to lose for another 11 or so months. Definitely noticed slowing down at about 5 months (maybe a little before & it got slower & slower. I lost another 11kgs over those last 11 months & in the last of those months I was losing grams in a week and maybe half a kilo a month. So I lost for about 18 months in total but it was obviously where my body wanted me to be (my new set point). I ate a bare 900 calories at 6 months. Got to around 1300 at 18 months. I eat about 1600 calories a day now yet I still weigh the same as I did when my weight stabilised at 18 months.

Even if those white ones are particulary high it's the advantage of my Cerebral Palsy ... my feet and legs are so twisted that heals are actually easier than flats, they straigten out my legs and make me more stable, I fall over my own feet in most trainers and flats (except birkenstocks that I find magical!) ... at school I got a special pass to be allowed to wear heels from about 7 years old ... all the other girls were so jealous! And there are worse disadvantages to be had. Well done on the 4 pound loss... thats massive! Enjoy it to the fullest. And how wonderful to slip into a old dress again and for cherry on the top it to be loose! I hope your daughters special event went well and that you felt amazing in your dress. I shocked a friend who saw me in jeans the other day... I pulled them out of my cellar, she hadn't seen me in jeans since pre pandemic (because I no longer had any jeans that fit ... and had resorted to wearing baggy dresses) and the jeans were tight and i had to wiggle wiggle jump into them and button them up lying flat on my back.. but I managed it. Hopefully they too will be loose one day. If I take the last 30 calendar days I've lost 7.5lbs - but since my three month "surgiversary" to now seven days short of 4 month surgiversary I've not even lost 2 lbs .... and most of that was in the last 24 hours! I really hope my stall has broken. I've arrived in Hungary and after a pretty chill Paris week have a very busy week planned so I just hope I'm able to make good choices food wise and that I get back to Paris to a loss on my scales! I wish I was that brave! I think if I tried that my team would have a field day and an intern would take a video and make it into a meme or a gif in minutes and I'd never live it down! I think it may be out but it is worth seeing a sports physio to ask and to "learn" how to run without putting too much strain on your knees, they may have tips and adaptations for you. Instead of regretting yesterday be proud of today and tomorrow if you can. Keep moving!

Congratulations! I'm almost 4 months post-op from gastric bypass and my advice is to watch every video from Dr. Matthew Weiner (Pound of Cure Weight Loss) and Dr. John Pilcher on YouTube. These were by far the best resources I found, and I go back and watch many of them (especially Dr. Weiner's, and also his new podcast) all the time even now. Especially the ones on how to build lifelong behaviors to keep the weight off. One thing I did early on, right after my first bariatric appointment where I weighed in at my highest weight ever (yikes!) was order Dr. Weiner's books. There's The Pound of Cure, which gives a detailed, step by step way to make healthy changes to your diet, plus a second book explaining how bariatric surgery really works and then his bariatric cookbook (I also really like Bariatric Meal Prep Made Easy by Kristin Willard). I made several of the changes recommended by the Pound of Cure (I didn't start with the 2-week diet, just started implementing changes I thought I could manage) and over time I lost about 12 pounds, plus just felt healthier and more in control of what I was eating. One other piece of advice: don't over-buy protein supplements. So many people on this board will tell you this, and I did not heed the advice. Now my cupboard is full of protein supplements I stopped liking after surgery and will never use. I've barely needed supplements after the first month or so, honestly. I feel guilty at how much money I spent on them, but I will likely end up throwing them all away (most are opened so can't be donated). If you want to stock up on anything, an unflavored protein powder is much more likely to be useful to you in the long run than the flavored shakes. But if you're buying flavored ones, consider trying a soup flavored one because the sweet ones get old really fast, even pre-surgery. Oh, and take "before" photos! I know taking photos can be so uncomfortable, but you will want them. Choose something very form fitting to start. I went with a pair of exercise leggings and a tank top that was so tight it was like skin. I took photos about a week after my first appointment, so around my highest weight, and then on the day before surgery and at each month-marker thereafter. So far, I've worn the same clothing each time, although I may need to change that as it becomes too baggy to show the progress clearly. Take your measurements the same day you take your photos. You may struggle to see (or refuse to believe) the changes in yourself, but the photos and measurements don't lie. Even if it's painful to see the photos now, you will be so grateful to have them later. I was in shock and wanted to cry when I truly looked at my highest weight photos, but I'm so glad I took them.

@BlueParis you're looking great! I'm impressed you can stand in those shoes. I think I would end up in the hospital if I tried. And congrats on finally getting below that magical 70kg marker. I'm happy to report that after 7 weeks of very pokey weight loss in which I only lost 4 lbs total and stalled out completely for 2 of those weeks, I have now dropped 4 lbs in 4 days. I cannot begin to express how relieved I am. I know it will slow again soon enough as a pound a day isn't sustainable, but I plan to enjoy it as long as it lasts. NSV for me this week! So, I had gotten down to around 205 lbs back in 2017 through my hospital's nutrition program. Naturally, I bought some clothing back then, though unfortunately I regained steadily over the years. Because I had moved house 4 years ago, I purged most everything in my closet. This included almost all the smaller clothing, plus the remnants of my old "professional" wardrobe that was also in smaller sizes from a good 20 years ago. (I should say, I don't regret that too much as the clothing was way out of style and I never have cause to wear suits these days anyway.) But I did happen to hold onto one springy sort of dress that I guess I must have thought was too nice to get rid of, just in case it ever fit again. Well, I pulled it out of the closet the other day to wear to my daughter's special event at school and not only did it fit, it was loose. I honestly struggle to see the difference when I look at myself in the mirror sometimes, but there's no denying how clothing fits, and I know this dress never fit me loose back then like it does now.

There are so many factors that play a role in the ideal rate of loss for an individual I would ask your team this question since they have all the information about you and your history.

I had gastric bypass (RnY) in February, 2015, and while I did lose weight, and my diabetes type 2 A1C level did lower down to the mid 7's, even with the weight loss and several different medical regimens, I couldn't get it down further. My Dr. started me on Ozempic in March, 2023, and I moved up to the 2 mg level by June of that year. While I did lose a bit more weight, the big thing was that my A1C dropped down to 5.6, below pre-diabetic level (!). However, I did go through the usual gastric issues with Ozempic, but mainly a bit of Constipation. I supplemented my diet with additional Fiber capsules and one Colace capsule daily (I had taken Colace after the gastric bypass, to make the stools softer) and this seems to work just fine, and no more issues. I know it's OK to take additional fiber (I'm not exceeding the recommended dosage of 5 capsules twice daily) but wondering about the Colace, if it will cause issues long-term. My Dr. says it shouldn't, but has anyone had issues with taking it long-term? Thanks!

Ty for the links @NickelChip and yay on the weight loss! Woohoo! I have a major sweet tooth also and have made these brownies twice and think they are pretty good. My twig of a hubby likes them also 😂. I mean they’re not as good as “real” brownies but honestly you get used to it if you stay away from “real” sugar which I do. (Mainly bc I know I’ll go overboard if I try eating sugar again so I just avoid it all together.) I also try to eat and cook mostly keto/very low carb most of the time. This website has some pretty good recipes and directions for freezing and stuff. I’ve tried a few recipes from another website also that I’ll link for you. i don’t make my food separate. My hubby eats whatever I cook for me, just more of it and when my kiddos (20 and 24) were here a couple of weeks ago, they ate what I made for myself also. 😉 of course I try to make stuff I knew they wouldn’t hate 😂. Try these https://thebigmansworld.com/best-fudgy-keto-brownies/ Made these a couple of nights ago https://thebigmansworld.com/keto-stuffed-peppers/ I’ve also made this and so has my daughter and she likes it too, I’ve made it once as written and then doubled the recipe once using lean ground turkey and ground pork. https://www.eatyourselfskinny.com/chicken-egg-roll-in-a-bowl/ plus I’ve made a couple of other recipes on this last website that were good also just trying to mix stuff up…..I hate eating the same crap all the time. oh and we eat the egg roll in a bowl with cauliflower rice 😉

are u unhappy with your weight loss?

I agree with the others - we're all different, and several factors play into your rate of weight loss (most of which you have little to no control over), but that said, that sounds like a terrific rate of loss! You're losing it much faster than I did.

I put my surgery day weight in my stats instead of my highest weight because I wanted to track what I was losing since the actual surgery. But if you look at my signature, you can see what my numbers were, and they weren't pretty by any means. Everyone loses at a different weight. It depends on what we have going on with our bodies. It took me 2 years to lose 200 pounds. Some on here have lost more than that in that same time. Some have lost a lot less. We can't compare ourselves to anyone else. HAVING SAID THAT..... you lost, from your surgery date, 367 pounds - 294 pounds = 73 pounds lost. In 4 1/2 months. That's an average loss of roughly 16.5 pounds per month, or just a hair over 4 pounds per week. For reference, I lost 79 pounds by 5 months out. So you're very close to where I was. Don't lose hope or feel discouraged. You're doing well. Maybe try hitting the gym once a week and also going for a nice long walk once a week. You'll see the extra movement really helps a lot, too. Stick to your protein first, then veggies, then carbs, then healthy fats and you'll also do well. If you can't get the protein and fluids in at the amount you need, do your best. Supplement with a protein shake for now, on top of the rest of your foods because that counts for both.

right on cue, 4 months is the mark most people start losing their hair, no you wont go bald although it will feel like. and if you are lucky it will grow back curly , mine did

There isn’t really a hard & fast rule about how much weight you will lose at certain points along the way. The calculators, advice from your surgeon, dietician, etc. are all based on averages so not what you WILL lose but what you MIGHT lose. At about 5 months you’ve lost 63lbs (plus the 40lbs before your surgery). It took me about 6 months to lose 60lbs & I lost at a pretty good rate. Yes, I started at a lower weight than you & we say, the more you have to lose the faster you’ll lose in the beginning, yet again this is a generalisation based on averages. I’d say you’re doing well - congratulations! My test always was what did my surgeon say. If he was happy I was happy. (My dietician to a lesser extent.) What does your surgeon say about your weight loss to date? Focus on getting in your protein. It’s essential as is getting in your fluids. It will help you get the most from your surgery. Eat your protein first, then your vegetables & if you are able any multi/whole grains you are allowed. This helps ensure you hit your protein goal. In the first months it wasn’t unusual for me to just to eat my protein & nothing else for a meal. Drink all day - in the car, out doing chores at the shops, etc. I found drinking through the night helpful too - still do. Enjoy every one of those pounds you’ve lost. Remember there’s no time line for when you have to have lost all your weight. You’ll get there in your time & there’s only right in that.

Hello everyone its been a while since ive been on here. If you want to check out my previous posts you will see i had quite a few struggles and bouts of depression because of those struggles. But since then things have gotten a lot better. I started the program itself at a weight of 395. I had my sleeve done on 01/18/2024 (i was 367 on that day) and my current weight as of today is 294. Im just wondering if i am losing the way i should be at this point. Ive tried a few online calculators but they just confused me lol. I know for a fact im not getting all of my protein like i should be or water intake because i just get full so fast! (not that im complaining TOO much but it is annoying when something is good lol). I always take my vitamins and such thankfully ive never missed a beat on that. I have my gym membership but i havent been going as much as i should be i get in maybe 2 times a month but i will pick back up on that. Im not just sitting around the house though i have 3 kids and a spouse so relaxing isnt possible until bedtime LOL. Anyway i just wanted to know what you all think of my weight loss so far, and if you think the loss ive gotten at this point is on track. I meet with my 6 month check in next month of course but just wondering until then.

Try not to be too discouraged at your "stalled weight loss." Your body has undergone a lot of change and just needs time to catch up and adjust. If you're following the recommendations, I'm guessing the stall will only be for a week or so. That was my experience. I am 7 weeks out from my RNY, and I had a "stall" as well, which lasted about 5 days. Since that point, I have had a pattern of staying the same weight or even increasing a pound or two for 3-4 days of the week, and then having a 2-3 pound per day drop for the other days in the week. As long as I am trending down, I don't care how I get there. Also, I'm curious about your not tolerating foods past soft. I had immediate trouble when I tried to advance to meats, and had testing done which revealed a surgical stricture. My body had reacted to the surgery site by closing down too much. I had an endoscopy with dilation and am doing better. I do still have to really focus when I eat to not eat too fast or too much. When my pouch gets too full, I get chest pain, which is just me feeling that stretch of the pouch. We all will experience differences in our bodies. I think it's really important that we all listen to our bodies and learn our new subtle signals in order to have success.

Yeah, I worry that people, including 'us bariatric surgery patients' who haven't done the mental/headspace work (and I don't mean this in reference to the 2 people you know that have done the weight loss injections) that most of us try to look or are 'made to look at' at when preparing for gastric bypass will have to stay on them 'forever'. Of course, doing a sleeve or gastric bypass is a very permanent 'anatomical' decision that can, if we are not vigilant also not be successful in the long term for people who feel the surgery is the 'only fix' needed. Since all of my health issues are already under control after my gastric bypass - I NEVER had high blood pressure despite weighing almost 400 lbs and I was not a diabetic but I could tell the toll that being that heavy was taking on my body (my knees, sleep apnea, DVT's/PE's, etc.) I was leery of doing anything that would require 'forever' outside of the bypass surgery. I'm looking for a new therapist right now that specializes not only in anxiety and depression but in working with bariatric patients/weight loss as I know I can I have to be constantly vigilant with my headspace or NOTHING will work. I also am not willing to take the shots for the rest of my life for myself. For other people weighing risks versus benefits I can see this being a highly individualized and personal decision especially if weight loss surgery is not an option for them no matter the reason (leery of it, insurance won't pay, BMI not high enough, etc.). Everyone's journey is their own. The only thing I advocate is for everyone to be as informed as possible and to do their research and make the best decision for themselves. I need to do more research about long term implications of these drugs, but I haven't found much data out there (too new to have that much historical data yet). I'm within 10 lbs of when I told the clinic I'm going to that I would be tapering off and ending the weekly shots. Will try to remember to post more when I've been off the shots for more than a couple of months to talk about struggles or successes I have.

it's due to the trauma of the surgery + the ultra low calorie intake the first few months post-op. Your body has better things to do with the limited energy (i.e., calories) - like - heal itself. Hair is something that isn't at the top of its priority list. It'll grow back, though. I lost hair (although not much, fortunately) from months 5-9. In the grand scheme of things, it's kind of a minor blip on the screen. You'll probably feel that way when you get past it and have dropped a ton of weight. It's worth it in the end.

It's been 5 years since my gastric bypass. Have done fairly well in staying in my safe zone. My goal weight was 170 initially although mentally I wanted to put 150. After starting at almost 400 lbs, I wanted to see if I could even hit 170 which I did. For 2 days about 2 years ago I briefly 'dipped' down to 167! LOL. Fast forward to 9 months ago, I hit a rough patch and went up to 180'ish. I knew some folks going to a local place that compounded their own semiglutide if I understood them correctly. After asking repeated questions about whether taking this would disrupt the supply to diabetics who needed the medicine, I decided to try it. I was never one of those fortunate ones who after bariatic surgery lost the desire to eat (grehlin?). Even though I obviously had the 'restriction' kicking in due to the pouch size, I had to white-knuckle SOMETIMES during the first 6 months. Part of me feels like I cheated by introducing semiglutide but there are also people who think that weight loss surgery is the 'easy way out'. I can tell you that none of those people, in my opinion, have ever had the surgery. I actually really like the semiglutide, it removes the..trying to think of it as I saw on someone else's post, it is the first thing that has ever removed the mental 'food chatter' in my head. Sometimes I will skip weeks on the injections and I'm already making plans to taper off now that I'm down to 163. I realize I will need to be able to then try to maintain in my new 'safety zone of watching for a weight gain of more than 5 to 10 lbs over current weight. I like to nip those things in the bud. Just curious if anyone else post weight loss surgery (by years) has brought semiglutide into the picture whether to break up a stall, or to get weight gain that has started to creep up halted.

Congrats on the loss, Warren! Tomorrow is my scheduled 'peek'. Luckily the doctor doing this is a bariatric surgeon that specializes in revisions. Things at work and home are so stressful that I'm ALMOST looking forward to anesthesia simply for the temporary 'rest'...lol.... If there is nothing wrong 'there', then I'm going to have a long talk with my new 'GI' doctor. I hope this doesn't sound bad but after chasing this pain for almost 2 years, I really want them to find 'something' and hopefully minor, but I'm running out of options and I'm still completely salty on my primary doctor's response.