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@wendywitch7, at 6 months post op, i was at about 700-800 calories a day. BUT i am also 7 inches shorter than you, AND i weighed about 130 lbs at the 6 months post-op mark (started at 235 lbs, so that was a loss of just over 100lbs in 6 months). i was losing about 2 to 2.5 lbs a week pretty much steadily starting month 3 postop until i about a month after reaching goal (i dropped the most weight the first 2 months after surgery)...then i dropped a couple more lbs after that and stabilized at my current weight since then.

Ideally, maintenance is achieved when you are living the lifestyle (in terms of intake and movement) that you can foreseeably do for the "rest if your life"...even more ideally, is if you can adjust your lifestyle as your circumstances change... when u get to goal weight, you can start upping ur calories until weight loss stops. you may find you go under ur goal weight by a bit, but more likely than not, you will regain a few lbs until you stabilize (at, below, or over goal weight...u won't know until u know, unfortunately). lots of us on here worried about losing too much weight...unless u have medical conditions, this worry doesn't last long lol. i got to about 20 lbs below goal weight at my lowest. regained about 10 of those extra lbs within a year. and while i thought i was too small when i was at actual goal, i don't think that anymore, even weighing 10 lbs less. long story short, if u can leave the worry at the door, do it. Unless u are sick or your med team is worried, just enjoy the ride! you look awesome, you look like u must awesome. bask in your awesomeness!

Well I read that like 26% of sleeve patients end up revising whether it’s because of GERD, inadequate weight loss or regain. My surgeon said that it’s less risky and it’s a very good surgery that works fine for many people but it’s just not enough of a metabolic change for some. I honestly think he leaned towards it because my BMi was low (for this surgery at least). I was barely 35BMI but I tried telling him that was only because I was literally dieting my whole life and even then I didn’t eat that bad. I just ate a lot of food. I’m sure he hears that a lot but I think I just needed the bigger change from a more drastic surgery. From day one with my sleeve I felt like I was on a diet. I never did find healthy foods that I enjoyed, I ate chicken breast and one of the three veggies that I liked and downthe road I ate a tiny portion of something not so good for me (nothing terrible but not good either). I also never felt the spurt of energy that I felt this time so I never got into the exercise. It just wasn’t the whole lifestyle change. It was like any other diet when my hunger came back and my portions got bigger but it was healthy food at first. Then I started gaining and it just made me so depressed I was trying so hard and I was gaining already. I went to my surgeon and asked about bypass and he said he didn’t think it was a good option for me. I still don’t understand why he said that and later changed his mind. Anyways, after that I stopped following up with my team, stopped posting on here and I never went to in person groups. All of my friends and familY had already told me how big I was before thinking it was safe to say because I was thinner then so as I continued to gain I knew what they were thinking of me so my confidence just plummeted and that just snowballed into my gaining all of my weight back and then I just said forget it I guess this is just my life and I didn’t even try anymore. Finally one day my doctor said that I should really go ask him why it is that he doesn’t think it’s a good idea because they felt I was a good candidate and he said he would do it and asked me if I ever heard of the SADI. He sent me home to do research on that surgery and come back and tell him which one I wanted. I said I think the SADI and he said he needed tests to make sure I was a good candidate. He did an endoscopy, a barium swallow study and a gastric emptying test and then he said I was good and put me on the schedule. Then at the last minute they figured out I needed the nutritionist visit and the psyc eval that they didn’t think I needed so I did those in a hurry and started my preop diet. This time I told everyone about my surgery. Even though I have terrible fears that I will regain again I know that I need them cheering me on to keep me going as well. I started the In person support groups before I even had my surgery and I started posting here again as well. I have done so much more with finding healthy foods that I don’t dread and adding exercise so I can have things other than chicken breast macro wise as well. I also know this time that even if I don’t reach my goal weight or my secret goal weight that I already feel so much better and hopefully I can keep that In mind and not get caught up trying to do this just to be skinny because that isn’t the most important thing. Last time I reached the first goal I had set for myself but I never did reach the goal that I secretly wanted to get to. But I was only 18 pounds away and I let that make me feel like a failure. I would give anything to be that weight now. I just lost perspective I guess. Being healthy is really why I did it then and now and I’m already on the road to being a lot healthier so if I do lose more that’s really just icing on the cake. I just have to remember that and I think I will be okay.

Hey! I'm SO glad your pain is better managed now than it was a few days ago! I totally hear you about the passing gas (and btw I need to go back to tagging multiple people in a reply, feel like I spammed this board >. ) I'm nervous about taking too much stool softener because I know with the SADI loose stools can be a thing but at the same time with all these danged protein shakes I'm just not sure the colace 2x day is doing enough. I hope bowel movements level out for me soon; I've gone from one extreme to the other once already and don't want to do it again lol -- We made it to the other side, though! I'm so happy for you and hope your recovery continues to go smoothly. I'm interested in the binder thing people keep talking about - I wonder if they didn't do that with me because I had the SADI/SIPS instead. (For those not familiar with the SADI/SIPS, it's basically just starting with the sleeve and the surgery they most commonly do to revise it by shortening the intestinal tract beneath in place of the Gastric Bypass right off the start - I chose it because I wanted to eventually be able to take NSAIDS and there's a thread here that discusses the SADI/SIPS more. My surgery was still laparoscopic and recovery has been about the same from what I see, just fewer points of connection internally to heal) I'm also excited for all the rest of you folks with upcoming surgeries! I don't want to spam anymore but did want to say to @Singingbarista and @AndreaJD that the insights you've offered were super helpful, especially in terms of 'telling others' about the surgery. That's GREAT advice - to say you've been working with a dietician and weight loss clinic. You're so right; it shouldn't matter what others think but women especially have long been taught to seek approval. It's just another thing to relearn and the amount of support on this forum has been absolutely fantastic. I finally got a delivery of Premier shakes this evening in flavors OTHER than chocolate, French vanilla, and Mocha and oh my goodness it's SO nice to taste something strawberry-ish! I didn't want to keep responding to each post independently but to those who had very little notice about the surgery date - that's for sure a mixed blessing! Less time to prepare, but less time to be nervous about it, I guess? Sometimes it's easier to just plunge in (as long as you feel educated and ready!) To all of you going through the liquid diets, especially if you feel hungry during it - I'd suggest you might really want to consider trying some of the 30g protein shakes. I was very worried that I would be hungry but those are surprisingly filling, especially if you drink a lot of sugar free flavored water / Gatorade / Powerade of some kind. And don't forget you can enjoy sugar free popsicles, flavored warm broths, fat free cottage cheese, sugar free pudding, sugar free jell-o, and sugar free yogurt (usually - I mean, obviously follow the guidelines you were given by your surgical team!) The pudding can be made with protein shakes to help with your protein intake instead of milk, and if you match the flavors it's actually quite tasty and filling.

100% with you! I mean technically, there's no "normal" weight loss in the sense that all our bodies are different to begin with, all of us have different health complications or diet restrictions, etc -- but I think you're doing really well if it helps! I'm 2 months post-op myself and have had two 'short' stalls of about a week each time. I think at the time, one of the members in the forums mentioned that the stalls are basically your body doing a bit of a reset/reboot to find a new equilibrium before moving forwards again. Don't get discouraged! Keep at it, or maybe juggle a few of your meals/proteins around to see if a small change can kick you out of the stall. (For example, I was really reliant on greek yogurt and lowfat cottage cheese well past my puree stage. I avoided them for a few days after I noticed a stall, and ate more plant based protein and fish in the meantime -- and I honestly feel like my body responded like "oh, some new puzzle to figure out!" and shocked me out of my stall. I'm not saying change everything up but if there's a meal or a protein that you're really leaning on right now, maybe switch it up a bit and see what happens.)

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.

Absolutely this, if your head will allow it. Tek is wise. But - as a fellow traveller who wanted to know what *everyone* here had lost at *every* stage in order to compare my loss to theirs and angst a bit (head thing!!!) you are doing so very well. My stats are available on request but you've lost 8 BMI points in the matter of a few months. You've got this 😍 I have now relaxed a bit, 2.5 years post surgery. I do still like to compare myself to others though because I'm that type of human. Totally in awe (and I really really mean that) of all the people who can walk their own road glancing neither right nor left. That's the absolute dream and the path to Nirvana.

It may seem counterintuitive, but you may actually need more calories. At least, I've read that many times in other threads. Make sure you are feeling satisfied when you eat and not cutting back on calories just to keep them low if you still feel you need more. I know that as time goes on, we're supposed to be in the 1000-1200 range, and that sometimes our bodies can slow the weight loss if we feel we are facing starvation. Check with your dietician about that if you can. Having said that, I think expectations for how fast we will lose are sometimes skewed by results from outliers, either those who lose very fast or those who start at very high weights. I've lost 48 lbs since I started this journey, but only 22 lbs of it is post-surgery. Basically, yeah, I think just keep doing what you're doing and trust the process.

I dont know what it is exactly. I work a lot and I study. I’m a nurse. I got into a fight with my mom and the guy I like isn’t interested in getting into a serious relationship. It’s a lot to deal with. I feel just lonely because I go through all of these new moments by myself, no one truly understands what this surgery has changed in my life. My body and the relationship I have with food is constantly transforming with time. I was using a weight loss drug that included an antidepressant, so I think it could be related. But I’ve always been depressed in my life, it’s just that I feel lonely going through all of these new changes. Losing weight isn’t easy, but people never really understand how much effort you have to put in, even if you have a tool like the surgery. I try to follow my diet as much as I can, but sometime let myself have some meals/snacks that I like. I’m stressed because I don’t know if I’m eating too much. My mind never shuts up, and it’s so exhausting. im just writing my thoughts, thank you for you answer

Thank you for validating what I was feeling on the treadmill. I was trying to watch tv which was not directly in front of me too because it’s angled from the corner of the room but the treadmill was too close to it (kinda hard to explain) anyways, it did hurt my stomach worse so I had to quit. Also, mine can’t really go 2.0 mph. Anything less than 3.0 and it sputters…..is that the right word? I thought maybe it was my weight because I remember I was close to the high weight for it last time before I had surgery but that would make it 250 and I’m 228 now and it worked then at 335. In any case it’s really hard to keep my balance when that’s going on so I upped the speed and that didn’t hurt at first but caught up to me. I just don’t understand the bar that you cannot reach, lol, that thing makes no sense to me as I’m wishing I had something to grab and keep my balance. Awesome job sticking to just your protein and nothing more at the hospital. Especially when bored and worried about him and probably tired and all the things that would make us want to eat before all of this. Congratulations on getting cleared for soft foods. I started mine yesterday and it was so nice to be able to chew something. On that website that was suggested the fitness coach said she told her patients to do two bites of protein and one of veggie and I sorta stuck to that. I still obviously have to supplement with shakes that way but I would anyways so I figured it’s good for me to get into that habit. Hopefully my team will agree that is a good strategy. I’m not sure how early you get up but my time varies so I set alarms beginning at 9AM for my vitamins. I have been getting up at 8 and that works great I drink my protein shake and take my multi vitamin and stool softener by 9. Then the three calcium’s are 12, 3 and 6. Then at 9 I take my magnesium and stool softener. Basically every 3 hours I take something. I also added reminders in the Baritastic App so I can check it off each time which helps me to not question if I just turned off the alarm or if I actually took it. I’m really hoping they don’t add anything else or I will have to wake up in the middle of the night to take vitamins 😆 Congratulations on your non scale victory. I’m sure that others can see your 30 pound loss. It’s sometimes difficult for us to see in the mirror. It’s called body dysmorphia. People chat about it all the time in here who have lost 100 pounds and don’t see it. Three things that may help are side by side photos, taking measurements and if you look on Amazon they have a replica of one or five pounds of fat. You can visualize SIX of them big five pounders and see that IS ALOT!! it’s great that you are evaluating your hungry feeling to see if they are from the actual need for nutrition. When the hunger came back for me post sleeve that’s when things started to go wrong for me. I started giving into those feelings and I hadn’t changed my diet enough so the larger portions and more frequent meals and snacks added up quicker than if it was healthy foods. That’s why this time every healthy meal I make and actually like is a huge win for me as something to put into my Arsenal for when I am feeling hunger again. it sounds like you are really starting to get back into your groove. I’m so glad to hear it. Keep allowing yourself to take them little naps if you need them. It takes a while to get back to 100%’ from any major surgery. Never mind on the reduced calories we are taking in.

I'm also exhausted. I'm in Athens and it's raining and cold and grey. I'm just so done with the cold and rain. I feel it'll never stop. I'm so cold and tired the whole time. Really struggling with the weather being so grim (that said so is everyone I know - this year in Europe has been especially bad), mainly because I'm just so cold and tired and being cold and wet the whole time makes things 10 x worse. But yeah, I wrote it before but the weather is really doing a number on me. I might try and see a shrink soon if my mood re the weather doesn't lift because I'm nearing tears every time I see the weather forecast. I'm sorry you're having a hard month @NickelChip - I hope your blood tests shed some light on why the loss has slowed for you. @RonHall908 Well done on loosing the inches and all the fat % !!! Actually reassured to hear you're also exhausted because as I've written, I'm really really struggling with being so exhausted and having constant brain fog.

I will definitely get onto the team and surgeon! Start weight before surgery was 21.9 , 20.9 after LRD before surgery. Lowest after surgery 17 stone, currently at 19. After surgery total loss was 3 stone 9lbs which I think isn’t great surgery was feb 2022 got to 17 stone august 2022. Then gained now stalled at 19 stone for nearly a year.

I'm the same height as you but not the same starting weight. I lost less than half what you have in the first 6 months - around 60lbs - not including my looooonnnnng pre-op diet. I continued to lose consistently for around 2 years, although the second year was a total of 11lbs (I think) so when I got close to my new set weight I was losing a pound a month, that's major fun but still a loss, LOL. From memory I would have been eating around 800 calories a day at 6 months so 900-1000 sounds completely spot on. Sounds like you're doing absolutely amazingly.

I think I’m entering my ‘stall’ period now. Having had numerous attempts at weight loss in the past, I know my body sulks between week 3 and week 7. I’m just beginning week 5 so the timing is bang on. My weight has gone up 1.5lbs from my lowest weight this week but it happens so I will just keep on keeping on. Once my body has got over its sulk the weight should start coming off once again. A couple of NSV this week. I don’t know about anyone else but my clothing sizes can be a bit all over the place. One size of clothing can have 3 meanings for me, depending on what it’s made of. So, for example, there’s the ‘I’m kidding myself’ sizing - plenty of give, elasticated, stretchy material. It may say 22 but I know it’s really a 24+. There’s then the ‘huh, it’s not too bad’ sizing - some give, not that stretchy, a definitely generous 22, and then there’s the ‘unforgiving’ sizing - no give, no stretch, no elasticated waist etc, a definite 22. For long enough I’ve been at the ‘I’m kidding myself’ stage but I went shopping in my wardrobe and found a couple of tops with no give, a definite 22. Tried both on - they fit!! And they didn’t look like sausage skin!! Very happy dance around the bedroom! I also went out of my comfort zone at the weekend and bought myself a size 22 no-stretch denim maxi skirt. I can fasten it, just, but don’t rate my chances of sitting down and/or breathing in it 😮‍💨 However, I’m keeping it as I know I will fit in to it comfortably at some point. We’re off to London for a few nights in 3 weeks or so, so fingers crossed it may fit a little better by then 🤞🤞 Meds have finally been sorted and delivered, had my Oximetry test last week so hopefully that’s gone well. No Bariatric appointments this week but I have my endoscopy next week plus knee X-rays for my arthritis. Food wise things are going OK. My new favourite thing is Lindhals Stracciatella Kvarg protein yoghurt - oh, I could eat barrels of the stuff! I’ve also tried the Warburtons Protein Power bread as a change to the whole meal. It’s definitely nice as a change but doesn’t want to make me eat lots and lots of it, which is a definite plus! Hope everyone has a great week… Onwards and Downwards!

Hello again everyone! I'll start by saying I'm sorry it takes me so long to post my responses. This is because while I do skim posts from my phone, especially when I see an email that has me tagged I find it so much easier to type and properly respond from my desktop computer. So - If I 'Like' a post' just know I'll likely later mention something in one of my long summarized posts, like this one! Yesterday was exhausting for me; I slept poorly Tuesday night due to heartburn and tenderness on the left hand side. I did get a few things done yesterday, though, including making it to Walmart finally to get my returns processed. I'm not sure why I thought I'd need extra bandages and such after my surgery, but I didn't. That said, after reviewing the cost of canned soups and canned chicken, I decided just to buy a rotisserie chicken! Honestly, that's proven to be easier and more economical because after deboning it there is plenty of flavorful chicken to either puree into chicken salad or puree with chicken broth and some canned peas/carrots as a kind of 'no noodle' soup! I also had a ridiculous epiphany this morning - cooking and straining our fruits BEFORE mixing them with yogurt or ricotta works WAY BETTER! This should have been obvious but in my addled mind I've been either 'peeling' the strawberries, or like this morning I thought I'd put the whole blueberry yogurt smoothie through the metal screen to strain and hey - that worked POORLY! Lol - silly the illogical things we do at times, eh? Or maybe it's just me, idk! Oh - I ALSO realized yesterday evening, when I had basically zero energy nor desire to mess with dinner but still was far short of my protein goal that I hadn't started taking the Collagen yet that I bought to help my hair, skin, and nails. Lo and behold when I scoped it out (I ordered Nature Target Multi-Collagen Peptides from Amazon) that one scoop DOES have 9g of Protein! I truly felt like I was cheating the system when I poured a scoop in about 4oz of Gatorade Zero, Orange and called that my dinner. I'm not sure what caused me to sleep better last night - the fact that I held/hugged a pillow ( Thank you again @draikaina8503 for mentioning the pillow your nursing staff gave you!) against my left side during most movements throughout the day, the fact that I was extremely tired, the relief from hearing from my doctor's office, or just time and healing in general) but I DID sleep well and today has gone more smoothly for me. As of today I'm 17 days post op, about a 1/4 of the way into my two weeks of puree diet. @ShoppGirl - I haven't noticed about white spots on the tongue after different types of protein drinks because I've been really aware of any 'filmy texture' so rinse my mouth after each meal, but I do feel like the Ensure is thicker and takes more effort for me to rinse after drinking. Thanks for mentioning the Protein Water! I'm going to look into that to see if it will help me meet my protein goal of 60g/day. @draikaina8503 - I haven't noticed much as far as skin sensitivity goes although my bruises from where they stuck me have taken an AGE to heal! I've been worried about you and hope that the incident with your doggo didn't leave you with any lasting damage (I may see a post about that later as I read). Are you taking Collagen Peptides by chance? I noticed one of the Youtubers who documented their own surgery journey dealt with breakouts afterward while taking Collagen and wondered if maybe it was impurities being purged from their skin as a result of the Collagen itself. If not I'd definitely mention it to your surgeon and double check (not that I think you'd miss anything since you seem VERY thorough) that some ingredient you're intolerant to hasn't snuck its way into your routine. Update: Oh good, I'm glad you got some reassurance from your physician's office. Wow - congratulations on the return to school! The start date is rolling right up, isn't it?! Yeah, timing - eesh - I feel ya! Best of luck in finding a comfortable position in which to do your course work, and the energy to tackle everything at once! So far though it looks like you're nailing it and no reason to think that success won't keep right on coming! Oh - and yeah, I guess I AM blessed to have been given this little bottle of Hibiclens! I had noticed that there was one of those tubs in my hospital room when I got ready to check out and there was another bottle of it in there as well as a couple of 'No rinse' shampoo caps. I snagged everything out of it - figured if my insurance was paying for it, I was gonna grab it for possible later use! I wish I could hand you this extra bottle, honestly! @Pepper_No_Salt - Wow; goodness! Yeah; honestly it sounds like you're doing way too much! I'm only just now starting to feel up to helping load the dishwasher, and today I managed to slowly sort through the clothing in my chest of drawers for size/quality of condition. Even then, I had to have my fella open the drawers for me because it's older and they stick a bit, plus pulling anything makes me tender, much less bending and pulling at the same time! I can't IMAGINE trying to tackle everything you just listed at this stage. I know we all heal at different rates but my surgeon's office told me yesterday that the pain *I* have been mainly experiencing, a pulling/tugging on my left side, can take up to a month or two to recover from. She said to remember that despite how the surface appears to have healed that there is a LOT of repair and healing happening internally. She also said that as frustrating as it is to just try to be patient with myself because the body is adjusting in a lot of ways between not getting hardly any carbs, learning to get its energy from different sources, i.e. stored fat, processing our intake of protein/water differently, and literally healing multiple organs (for me, SADI, intestines and stomach from the sleeve portion) and that takes a lot out of a person. @Justarwaxx - Oh my goodness, that sounds VERY anxiety inducing! This is your body and your journey, I absolutely suggest contacting your surgeon's office to see if they can send you some kind of guideline on what to be doing at your different stages. Also, I will be honest - that sounds like a lot of calories to be intaking during your liquid diet and I can't help but wonder if you're drinking maybe the wrong particular protein shake? I don't say that because I think you SHOULD worry about calories specifically but you DO need to worry about sugar intake. I got tripped up because my surgeon's team gave me a booklet guide for the whole process and I'm not supposed to drink any protein shakes that have less than 15g of Protein and more than 5g of sugar. The protein shakes are deceptive as heck, though! Example: The off brand Equate ones I got are Max Protein with 30g of Protein and less than 1g of sugar, and one time I accidentally bought their Protein Plus which had 20g of sugar in each one! They tasted great - but at the cost of all that sugar it was a hard pass! Also if you are drinking regular Gatorade or Powerade I could see that being a factor; I'm on Zero Sugar for my non-protein beverages. I can totally see how you'd feel at a loss - I spent 10 months working up to my surgery (because I had to quit smoking, etc) and I still feel like I'm winging it. If your surgeon's team didn't mention it, I will - there is an app called Baritastic that is free on the Google Play Store. You can scan the items you intake or search them on the 'Food Log' and it usually pulls up the correct information and lets you put what percent of the listed serving size you consumed. I do suggest checking at least one time to make sure it's pulling up the correct information that matches the Nutrition Facts listed on the item. After that it will be recorded in your 'Recent' list and you can just choose it easily that way. Baritastic also has a built in Timer for 30 minutes you can use to track when you stop drinking and can start drinking after a meal - once you're past the liquid stage and move on to meals that's pretty important across the board as far as I know. The 'No drinking 30 minutes before, during, or after a meal' is important because due to the adjusted size of your stomach it can only fit a certain amount, and you could get overly full of water before or after a meal otherwise, leading to you being sick to your stomach or feeling miserable overall. Honestly, I've been setting a timer when I sit down at my computer as well so I don't get absorbed in what I'm doing and sit for too long. That's been helpful! Best of healing and well wishes to you all - Oh, finally updated my ticker but bummed I can't put 'SADI' as my surgery type. Oh well! Adding: The Finch App continues to help me navigate these waters, big time. I open my free Finch app (Also on the Google Play App store) more often then I open Facebook or any social media. Taking care of that silly cute cartoon bird and getting rewarded for taking care of MY personal business is such a benefit to someone like me who is almost certainly ADHD/Autistic at some level. I even use it to remind me to log my food/liquid intake in Baritastic. OH and I did make solid contact with the testing center I've been on a wait list with - looks like I'll at least be able to get in to a counselor soon, though I'm still on the wait list for actual Autism testing. Ok - that's all for now!

So far I keep getting mixed information about the two procedures in terms of malabsorption. Do they both cause the same amount of malabsorption or does the MGB cause more malabsorption?? I remember my surgeon saying that life long supplementation is only needed for duodenal switch!!! And all other surgeries only need supplementation for the first couple of years only! Also read somewhere that RNY is really restrictive only. And 78% of the fat , 100% of the Protein and 100% of the carbs are still absorbed. And the huge loss of weight is only caused by restricting the calorie intake. That's why there is always a chance of regain several years later. Sent from my iPhone using the BariatricPal App

I think a lot of us fall into numbers - we are bound to at least at some point. Unfortunately I don't ever think there is a doctor/scientific answer to really calculate it. It's almost the same as why we all have so many different programs - not only our bodies are different, but every doctor has a different take in their "expert opinion". I just had my 1 year post-op visit on Monday, and my surgeon definitely counts my weight loss total from the date I had my consult visit January 2023. I have always kept 2 running totals from before my pre-op diet to the day of surgery weight. Personally I feel like all pounds count and it's an accomplishment to see those numbers go down both before and after the surgery.

I think the OP means into the 60kg range (basically under 150lbs!) not in their 60's age wise!!! But I agree the weight loss is phenomenal and inspiring! well done @Megan Black

For the first 3 months after surgery, I used Nature's Bounty Hair, skin, and nails gummies w/ collagen & biotin. It's somewhere between $9-$11 at Walmart. I took 2 in the morning and 2 at night. After the 3 month mark, when I was making homemade smoothies, greens drinks and sometimes protein shakes, I started using Codeage multi collagen peptides platinum powder that I would mix into my drinks. It has collagen, biotin, hyaluronic acid, keratin, vitamin c, niacin, and vitamin B6. It's $35 and you get it online at Walmart, Target, Amazon, etc... This one is my absolute FAVORITE. It's completely flavorless, very fine and not grainy at all. I also use the digestive enzymes w/ pre and pro biotics supplements from Codeage, as well.

I had bypass surgery April 4. I've been getting my recommended water and was put on a clear diet when I was discharged from the hospital. This means I can be drinking clear protein shakes, broth, etc. I haven't eaten anything or drank anything containing calories since leaving the hospital. I'm afraid to eat. Not because I think I'll get sick but because I went through with this surgery to lose weight and I'm afraid any food will prevent weight loss. I didn't have this feeling before surgery. Is this normal?

@LindsayT Looking amazing! Did you track your monthly weight loss totals? I'm really curious what the progression looked like for you. And has it finally slowed/stopped? I know you were nervous about losing too much.

Since my surgery in 2017 I've lost my weight loss powers. I'm a mere mortal when it comes to weight loss. That being said I do the following: 1- Weekly weigh in and log it in 2- Stop eating at 7PM and start again at 7AM (I usually go to 9AM) 3- Eat the same thing every day. For me, Breakfast greek yogurt and hard boiled egg, cup of coffee Lunch, tuna fish, sardines or salmon from a can (no additives such as mayo) dinner broiled or baked seafood with a salad. I will also eat a costco protein bar if I need it. 4-Excercise, for me 3x at gym nothing too strenous just 30-45 on treadmill 5 degree incline with a brisk 3.5 mile speed walk Very Very difficult to stay within 5-10 pounds of goal weight then try to get back down. Vigilance and sorry to say obsession are my keys. It's a struggle every day.

I am so glad to hear that you are doing so well. Congrats on your loss but even bigger congrats on the “normal” on your blood test for diabetes. That’s amazing!! May I ask if your Surgery was a virgin surgery or revision?

I'm actually amazed. Lost 90 lbs, down to fighting weight based on weigh-in at gym using one of those machines that measures body fat + weigh- in at doctor's with clothes on a day later. Went from 40 waist to 33 (American size), can now fit into clothes I could not wear for quite a while, work out 4 times a week at a serious gym, most sessions with a highly experienced trainer. I haven't done one sit up yet- it's about balance, step up, step down, with kettle bell, 12 reps, 5 sets, squats with a dumbbell, 12 reps, 5 sets, then next exercise, etc. I do my warm up 1/2 hour in advance of the trainer session so I don't waste time--it's all exercise when I work with the trainer. I drink a 30 gram protein drink before and another after, so I'm finally building some muscle on what is now a diminutive appearing frame. I can't quite press my body weight yet, but I will. I have long hair for a guy, and yeah, it was coming out when washing it (not every day, more like every 4 days unless I get sweaty) but that seems to have finally stopped. I have no cravings for foods that I cannot have because I get sick if I eat a slice of pizza with toppings or eat more indigestible foods. So I just stay away from them. I have developed a fondness for medium rare lamb chops and roasted potatoes with rosemary salt. My wife is a good cook but we still eat at restaurants and I'm careful. I found out that alcohol just doesn't work- a beer is too filling and carbonated, for some reason wine doesn't taste good; I'm a high proof whiskey man and it doesn't metabolize. I'm on my ass with far less than what I could normally consume, so I just stopped altogether. (Good because I have Barrett's and alcohol is inflammatory). Punchline- this surgery really turned me around. Trade-offs to be sure, but I feel so much better and look far younger. I can walk fast and not get winded as easily. I'm in my 70th year and don't look like a geezer-- more like a ruffian in rude health. I had targeted 185 as a goal weight and reached that but I still have a small roll of fat around my middle. I figure that I can continue to lose a little more given the surgery stats, and tighten up my core as my work-out regime continues. I'm gonna start swimming this summer-- where I am in Texas it is 3 months of summer and 9 months of hell. Hell is just starting here. The really hardcore stuff is pilates. I used to do that with a women's class and they kicked my butt. I'm planning to advance to that as well. I think the "whole picture" outlook is optimal for me- I don't check the scale at home, I do my thing and get routine blood work done. Though I have a few health issues which come with age, I'm in pretty decent shape now, physically and mentally. Thanks to all you kind folks for your advice and support.

The more I read up on nutrition, the more I'm becoming convinced that calorie restriction is not the way to approach weight loss. It actually sets us up for failure and yo-yo dieting. You need to reset your metabolic set point by choosing the right foods and listening to your body for signs of when to stop eating as opposed to counting numbers. When I reached my highest weight last summer, I found the Pound of Cure book by Dr. Matthew Weiner, and this greatly changed my thinking. I started following his program and lost 13lbs slowly and steadily, and without counting a single calorie or macro. Of course, surgery has helped tremendously, but the months I was just following Pound of Cure guidelines, I never felt hungry or deprived. His YouTube channel has hundreds of videos to help get you started. The book is really cheap on Amazon, and there are no soecial products or supplements you have to buy. Just healthy, real food. Anyway, my advice would be to start there and see if it helps.