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@Spinoza is correct. It is easy to do because you can’t tell you’ve had enough yet. Besides the staples & sutures holding your tummy & digestive system together, a lot of nerves were cut. So signals we used to rely on aren’t working or aren’t working properly yet so those messages just aren’t getting through. It takes a good 8 weeks to be fully healed. So it may not be until you’re into your third month before you start to feel signals again. Oh, and your signals may be different to what they were. And, no you won’t have stretched your tummy or impacted your weight loss by doing this this one time. And you would know if you had damaged your tummy. Just tread carefully & slowly & follow your plan to protect your healing tummy & support your recovery.

I know it’s hard, it’s almost inbuilt, but try to avoid comparing yourself to others. Our weight loss experiences can be so different & comparing only leads to frustration, annoyance & sometimes depression. There will always be those who lose faster or those who lose more slowly than others. There isn’t a time frame in which you must lose your weight. You’ll get there in your time. Weight loss is erratic. Better to watch the general trend not the daily fluctuations. If the general trend is downwards you’re golden. Yay! As I always say: celebrate every pound you lose. P.S, @BlondePatriotInCDA - Ten pounds a month is still averaging about 2lbs a week which is generally accepted as a good rate of weight loss. And you’ve lost 80lbs! Worth being happy about.

I think in general terms shorter cuts hide hair loss better - IF you do experience significant loss. I lost a lot of hair, in three distinct waves. Plus my hair grows (and regrows) abnormally slowly. I'm 28 months post surgery and my last phase of regrowth is just about below my ears now. I've had to cut my hair shorter than I normally would for about 18 months but I think I'll finally be back to my usual below shoulder length soon. Have to say it's been an opportunity to experiment that I would never have had otherwise! Maybe try new stuff if you need to?

Thanks for your really honest post. I can see this happening to me and others years after surgery - there are just so many pressures to eat and drink things that aren't good. It sounds like you're ready for a change and to lose some of that regain if possible. I agree that there will be headwork as well as diet work to do. Arabesque's post is super sensible and I hope you can take all of that on board. I would just add, returning to the basics of protein first, veg second for a few weeks might let you see a loss again. Maybe set a time limit of 4 weeks adhering strictly to that and see how you progress? I like a glass or two of wine at weekends but if you can cut out alcohol completely (empty calories) then do. If not, then minimise. Think about why you need to have a few drinks in order to socialise online and think about what joy that socialising brings to your life (Vs the joy of being at your ideal weight). When you start losing weight again hopefully this will reinforce your new choices.

I totally sympathise. But honestly this sounds completely within normal limits. There's no way you're going to have this surgery, stick to your programme, and not lose a heap of weight. It's just that the loss isn't linear. There are times when you lose half a pound a day (early!) and times when you lose a quarter of a pound a week. And all manner of gains and plateaus and whatever in the middle of that. And you'll be eating much the same and exercising much the same so there's no rhyme or reason to it! I hope you don't get hung up on this - you've already proven that you are losing inches. I truly hope you get to where you want to be asap.

Yes! In fact, my entire weight loss since surgery has been slooooow. I don't recommend kicking the scale - it hurts 😋 I even talked to my bariatric "team" who just didn't seem concerned. It only added to my anger..to go through all this to lose 4" lbs a month 3 months in and still at 6 months! Where did my honeymoon period go?? Only 80 lbs since starting the pre surgery weight loss portion... 80 lbs in 9 months, that's less than 10 each month! 😠 So yeah, I understand your frustration. I at this point wouldn't be to worried, you retain lots of fluids for several weeks following surgery, plus the standard response you'll read on here is the "your body is going through a lot and could be doing a self check reset reevaluating" at this point. I'd give it at least a month and as long as you're hitting nutritional goals and nothing feels off you'll be fine - (sigh) slow or not..its a downward trend. 😀

I would wait, too. Not everyone loses hair. Plus some (like me) lose so little that it's not noticeable.

I wouldn’t worry yet but wait until you start to lose your hair. You don’t know how much you will shed. You may not have to do a thing. You usually start to shed around month 4 so your hair wouldn’t have grown much in those 4 months (about 2 inches) and you may not need to do a thing. I had long thick hair & cut it in stages. Cut a few inches off after a month because it was looking a little thin at the ends (well thin for me but not for most). I then went to just above my shoulders the next month when I’d lost some more. I didn’t lose a lot but short hair is always bouncier & looks thicker than long which is why I cut it.

When hair thins after surgery, is loss more noticeable with shorter or longer hair? I’ve had a pixie style cut for years and just started growing it out. Now I’m wondering if I should keep the pixie cut until after the thinning stage? Surgery is next week so I have some time to let it grow

PROGRESS UPDATE I had my gastric sleeve surgery on December 18th, 2023. I was nervous going into the procedure as I had never had any surgical procedures before, but it went relatively smooth. I was in a lot of pain while in recovery, to the point where the team had to push oxy and fentanyl simultaneously to help with the pain. Once the team was able to help me manage the pain I was in pretty good shape. It has certainly been an adjustment but it wasn't as daunting as I was expecting it to be. Its been about 2.5 months since the surgery and I've lost almost 60 pounds; I weighed in on at the hospital at 366 and yesterday weighed in at 308. My highest weight was 475lbs so all-in-all I've lost 167lbs utilizing diet, exercise and the sleeve. I found it fairly easy to comply with the post-op diet and have moved on to solid foods. I'm not hungry often but I make sure to eat at mealtimes to continue meeting my goals. I consume, on average, between 80g and 100g of protein a day and consume less than 900 calories a day. I don't consume very many carbs as a) they tend to contain more sugars and b) they tend to make me not feel very good. I do still have a bit of a sweet tooth but that has been easy to manage with the occasional chocolate chip. I've also completely kicked sugar and have switched to monk fruit sweetener with erythritol. I also dabble with keto recipes, mainly deserts as I find that some "entree" recipes contain way too much fat for my liking. My family, friends, and coworkers notice the weight loss more than I do. I'll see it a little bit here and there but not to the extent that others do. I still see myself as that 475lb guy that struggles with his weight and his health. I know that it isn't true, but that is still how I view myself. My clothes are fitting me much looser and I think I see some weight loss in my face and neck. I still have a lot of excess fat and tissue around my midsection and especially the "love handle" region. I definitely suffer from body dysmorphia as I only ever see the overweight me. My overall goal weight is 250lbs, which is only 58 pounds away which sounds crazy. That said, I would throw a party if I reach 225lbs as that is my "best case scenario" goal. I genuinely believe I will achieve both goals but there's always that part of me that doubts it. This has been the best decision I've ever made for my health and I wish I had made this choice earlier.

Love, love, love this advice!! I can personally tell you that you are 100% correct. I was not drinking enough water (i was relying on Coke Zero) which i know actually dehydrates you. I also got into the bad habit of staying up way too late on my phone while watching Netflix so I was not getting enough sleep. My weigh loss stalled. I have now been drinking a lot more water and making sure i get between 7.5- 8 hours of sleep a night. By doing this i have broken the very long stall/very slow weight loss!! I know this is common knowledge about getting enough water/sleep, I just got into very bad habits for a while. I had my surgery 4/12/23 and have lost 82 lbs so i am doing good, but i knew i could do better!

Hello Everyone, I am a little past, 3 weeks post op and I am currently on Soft Food Phase. For dinner, I ate a couple of meatballs, broccoli and cauliflower rice. The total weighed 5 ounces on the scale. I didn't finish the meal though. For some reason, today I thought 5 oz was okay; but when I looked at my notes my md wanted me to eat 3-4 oz per meal. I made a mistake and am scared my pouch may stretch or I might sabotage my weight loss! Moving forward I plan to follow the guidelines, but my question is , is there a possibility that I stretched my pouch? Will this sabotage my weight loss? Should I contact my md?

Weight regain happens. You’re not the only one you had or will experience it. We get over confident or complacent & poor choices slip in. We go back to old behaviours of using food (or alcohol) to comfort us or sooth us in times of stress or emotional upsets. It’s why what you need to do is reset your head not your tummy. Remember how we always said doing the head work is a very important aspect of our weight loss & maintenance. A pouch reset won’t reduce the size of your tummy (not that your’s would be stretched) nor do anything to get to the root of your eating & change your behaviours. Stretching your tummy is pretty difficult. It would take a concentrated to eat excessive portions multiple times a day for a prolonged length of time to do it. You’ve made the first two steps already by acknowledging & recognising the what & why behind your regain & by starting to track your food again. Best advice then is to go back to how you were eating (food choices, portion sizes, eating behaviours, meeting protein & fluid goals) when you were nearing your stabilised weight. Would you consider going back to your dietician to help you get back on track? Did you see a therapist when you had your surgery? Maybe get in contact again for the regain & also the drinking. We have to be careful with addiction transfer after surgery. It can be a slippery slope. All the best. You got this.

Lap band surgery 2004, nothing but pain & discomfort, no weight loss. Especially port sight hurt, lots of throwing up. After several attempts for help I started to just “live with it”. Married a wonderful man about 2 years ago, he said No your quality of life is more important. Went to doctors with me and he detailed everything (stuff I didn’t think to mention). I was referred to an excellent gastric surgeon. After tests and imaging, he said “the band needs to be removed and a bypass RNY performed. I was scheduled within a week, no waiting time. Best thing I ever did! The band was cutting into my liver, and other issues. I had a bit of discomfort but no pain meds other than Tylenol. I had this done May 15,2023, I have lost 70 pounds and feel great. Wear a size 4-6 jeans. I hope this helps someone. I think the band is the worst choice!

Oh yes, way off the mark. You’re not in maintenance yet. You’re in a weight loss stage if I read your post correctly. You have every right to ask for the details, guidelines recommendations around your food intake & options, macros, calories, & whatever else you need to make you feel comfortable & confident about what you are doing. They are supposed to be there to help you & provide you with the depth of information you need to be successful regardless of current thinking or their own beliefs. It’s then up to you how you use that information - a guide or rule. Plus you have to work out what you (your body) needs to function best & most effectively. While some plans recommend getting your calories up, it seems to begin after you are on more solid food so 2+ months. From puree I was advised to eat 1/4 - 1/3 cup of food, slowly increasing to about a cup at 6 months. I was a bare cup & maybe 900 calories at my goal at 6 months. Ate about 1200 at my lowest weight (48.2kg at 18 months) & maintain 48.5/49kg consuming about 1600 calories. My portions only became about what is considered a recommended portion size around the 2 year + mark (3-4ozs protein & 3/4 cup vegetables). Oh & I didn’t have another shake after the liquid stage either. But that’s me & what worked/s for me. You could be totally different. To me a snack is generally a couple of bites. My snacks can be a level teaspoon of peanut paste, 1/2 a protein bar, 8 grapes, 1/2 a small apple, a stick of string cheese, about 6 macadamias to give you an idea. I used to eat a tub of 20g protein yoghurt over an hour as a snack too. As @catwoman7 said we all have different caloric & nutritional needs. Age, gender, general health, weight, height, metabolism, activity levels, etc. all factor in. And yes, if you want to lose more you will have to eat less than you are eating now & you’d have to eat less to maintain the lower weight than you would to maintain a higher weight.

I’d be making an appointment with your surgeon too. Best to rule out a medical reason for what you’re experiencing. Water can feel heavy & be difficult to drink. Try other fluids (green or herbal teas, sparkling water, home made yoghurt drink, etc.) but I’d avoid the capri suns even the no added sugar ones. Even without added sugar, juice still contain natural sugars. It also doesn’t contain all the nutrients a piece of fruit does. Consider how many oranges you need to produce a 250ml glass of orange juice. Would you eat that same number of whole oranges in one sitting? A piece of fruit is always better than a glass of juice. Generally simple carbs like rice, breads & pastas (includes all noodles) are off the menu while you are trying to lose. They are filling, can sit heavily in your tummy & stop you from being able to eat your vital protein. They also are more heavily processed & contain very few nutrients. In time you’ll e able to add complex carbs - multi & whole grains. Some plans allow a small portion of these while losing. I was allowed rolled oats. Focus on eating your protein first then your vegetables & only after those any complex carbs you may be allowed if you can. Almost 5 years out I still can’t eat bread, pasta, rice because how heavy they are in my tummy. I used to eat a lot of them before my surgery but I really don’t miss them. Yes, some people struggle with certain proteins. Chicken, steak & eggs seem most common but others can just be a no for your tummy too. Most find in time they can eat those proteins again. Do you keep your meats moist so more medium rare than medium or well done? Do you include a sauce or jus or gravy with your meats? Often foods that are too dry or coarse can cause the foamies as well as if you eat too much or too quickly. Out of curiosity do you track your food? Maybe find a dietician vs a nutritionalist & go through your tracked food diary with them to see if you’re missing something. I wondered if you’re not eating enough too or not eating enough nutrient dense foods. But certainly see your surgeon to see what may be going on or consider other options such as surgery, medication, etc. All the best. PS - While exercise has many benefits, it’s only contributes to about 10% of any weight loss you are to lose. I didn’t exercise while losing & still really don’t now. I upped my everyday activity (stairs not lifts let escalators, park further away from where I was going, etc.). About a year ago I started using resistance bands (for a little toning) & doing some stretches (flexibility & for my back) & that’s all I do. Wouldn’t burn 30 calories LOL! There are lots of online videos to guide you through using bands & other activities you can do if you struggle with your mobility.

I agree with @NickelChip, this seems quite off. I've seen 800 calorie plans for bypass patients in the active weight loss phase, but most people are in the 1200 calorie range for maintenance... And your portion size will naturally increase a bit over time as you are able to eat more as your pouch heals. It won't be as much as a "matured sleeve" can eat, but it won't be a few tablespoons either. At the bariatric clinic I go to I attended nutrition class with sleeve patients and bypass patients, even though I'm a DS patient. We were all told to keep each meal to 10 grams of fat or less (general aim at 1 year out is 60 grams of total fat as per the ASMBS guidelines for a year out), and 10 grams of carbs or less, for less than 50 total grams of carbs a day, as they want us in ketosis during the active fat loss phase (this amount will double to about 100 grams of total carbs in maintenance). And protein varies for each group but bypass was to aim for 80 grams of protein a day, since they malabsorb some compared to the sleeve patients. NONE of us were given a calorie goal, only macro goals. We were ALL told to aim for 5-6 small meals a day for consistent energy, aiming for 4-5 meals if we go to bed early or get up late. So we were encouraged to eat about every 3 hours, allowing 2-3 hours between our last meal and bed. And told a fair amount of our carbs should come from high fiber, low carb vegetables and low sugar fruits, with a fiber supplement (SunFiber is amazing and non-bloating) and Miralax as needed to maintain regularity.

Yeah, you should have been given either macro goals, or a calorie goal, or ideally, both with the sleeve surgery. It isn't odd to not be able to digest heavy carbs like noodles, pasta, breads, and rice. And they really aren't the best things to be eating in the weight loss phase anyway. Pork can be quite dense, my stomach doesn't like it too much and it hates chicken breast. LOL When you eat things that your stomach is fine with, do you keep it down easily or does it cause vomiting and nausea? If you drink fluids other than water (like milk or a protein shake), does it cause the spitting, or is it just with plain water?

I'm so sorry you are experiencing this!! This isn't a you problem!! If you aren't losing sufficient weight you are either being given poor advice from your nutrition team, poor medical support from your surgeon, or it is possible your body is under significant stress for whatever reason and isn't losing weight. There are rare cases when someone with a sleeve doesn't respond but often those are people who have low starting weights. If they had a high starting weight and don't respond to the sleeve surgery, these people generally end up revised to bypass or a DS/SADI, and then lose weight, but again, that should be a convo being initiated by your surgeon as a future possibility if food modification and medications don't work. Some people take GLP-1 meds to help jumpstart their weight loss if the surgery hasn't triggered it, but again, at the 6 month mark this should be something the surgeon initiates conversation about. You shouldn't be living in fear of your appointments with them. If you aren't feeling supported you might consider getting a second opinion from another bariatric surgeon in the area not affiliated with this practice. I strongly believe in second opinions when talking things like surgery... It may sound like I'm being harsh on your team, but lets be clear. They made a nice chunk of money off of your surgery. You deserve good aftercare!! Some surgeons, like my own, believe that the best way to lose weight in the first 6 months to a year after surgery is through being in ketosis. This involves a good protein intake (60-80 grams with the sleeve) and carbs below 50 total carbs or 30 grams net carbs. You can get pee strips to test if you are in ketosis. Once in ketosis you should go through regular periods when you lose some weight, followed by periods where you lose none as your body stabilizes from the previous loss and recalibrates. If this doesn't happen, I'd definitely be communicating with the surgeon about it! What dietary advice did your team give you? Hydration is important for weight loss. If you aren't able to eat enough calories or drink enough water your body will go into starvation mode like @summerseeker mentioned. This is a huge stressor to the body!! And huge stress will cause weight loss to stop. Sleep is also crucial to weight loss, often more important than exercise. If you aren't getting regular sleep for enough hours per night, this can stall your weight loss. Physical activity of some kind is important, but it accounts for less weight loss than proper nutrition and sleep. And if you are under calories and under hydrated exercise will just further stress out your body.

Honestly, this seems way off-base, with the exception of 60-80 grams protein, which is completely sufficient for most people (but not all!). Your calorie estimations are much too low for the vast majority of people in maintenance mode. So rest assured, you won't be on 650 calories for life! Also, 25g carb is extremely low carb and not a lifestyle most people are eager to embrace. If a doctor insisted on 25g carb for life as the only way to succeed, I would seek out a second opinion for sure. From what I see people saying around here, 1200 to 1500 is a much more realistic calorie range for the long term, although that is for maintenance, not for weight loss or for early days after surgery. If you eat to maintain your current weight right now, that would seem to go against your goal of losing 20-50lbs more. I have two suggestions. First, check out some bariatric cookbooks because they will tell you appropriate portion sizes for maintenance as well as give you some ideas for what types of foods to be eating. My favorite is Kristin Willard's Bariatric Meal Prep Made Easy: 6 Weeks of Portion Controlled Recipes to Keep the Weight off. She's a registered dietician specializing in bariatrics and every recipe has a gorgeous color illustration. Second, take a look at the Portion Perfection brand bariatric plate. It's kind of expensive, so you may not want to buy it, but the concept is really good. Basically it's an 8 inch plate (with a one inch rim all the way around, so a 6 inch circle of eating space). There are lines and illustrations to divide up the plate and show you where to put your foods and how much. If you're a visual person, this may really help. Other than that, you may want to check out some of the nutrition videos as well as the weekly podcast done by Dr. Matthew Weiner (Pound of Cure). I find them so insightful and he and his dietician, Zoe, are very keen on plant-based nutrition, which may be perfect for you. Edited to add: Here is a link to a dietician article about post-op goals that might help: https://www.mybariatricdietitian.com/mbd-blog/portion-sizes-after-weight-loss-surgery

Hello Irene, Welcome in here and congratulations on your surgery date. You will find a March 2024 group on here that you can join. Don't read anything on the net. Scare stories are not needed. This surgery is very safe. This forum is a safe place. Stick to your teams advice, There is not a single person on here who has the same regime as you, pre or post op. Don't buy loads of things you think you may need. Our tastes buds change after surgery because of Ketosis. Just buy a few of a selection of protein shakes. You may want to buy pain meds if you are not in the UK. You will not need much at the hospital. Go in clothes that you can go home in. Take a Chapstick and some Biotin. Some people take a phone charger with a long lead. You might want to use a recliner chair for sleeping, if you have one. I didn't and had to sleep upright in bed for a while and a recliner would have been easier. I had a bed wedge and lots of pillows. If you have a pre op diet they are tough for the first 4 or 5 days but its worth it in the end. You will have a weight loss stall at 2-3 weeks. You have not done anything wrong. You may get over emotional and / or get the regrets at this time. Our hormones are in the fat cells and releasing them in such a hurry makes our hormones go on a wild ride.

You will only get help and kindness here but we are not surgeons or dieticians. We can only help so much. We always recommend a visit with your team if possible. If you are not eating well and not getting enough liquids in then your body is holding every little calorie it can because you are in starvation mode. You will not loose weight, your body is in charge of this. If you can not get water down and you could a while back then you have a narrowing/ swelling in your new tummy and it needs a little easy tweak to stretch it back out. Its called a stricture. If this is something you have had from the beginning then you are forcing too much food and or drink in at once. Small sips of drinks, they can be hot, cold or frozen see which might work . Once you have mastered drinking, then pare down the foods to really soft, protein based ones again. Chew well and add sauces, it helps. Soft eggs, protein yogurt, soft cheese etc. Only eat a small amount, say 1 - 2 ounces and see if you can keep the foamies at bay. Foamies happen when your stomach rejects the food or drink it does not want that day. It may have been ok the day before but.... today, oh no you are not putting any more of that in me ... I haven't exercised as such, I was too decrepit too start with and I lack motivation now so I walk a few miles a week. Exercise doesn't really count for much weight loss unless its marathon running or such.

So I am six months past surgery. My initial operation was August 21, 2023. I was 328 on the day of, and 376 at my highest before surgery. I lost 20 pounds by 2 weeks after the surgery, and have not lost weight since. I had weighed 305 since then. I noticed my weight creeping up on the scale now, and I'm at 309 again. I will say, however, I have gone from wearing a 4x to wearing a 1x in shirt sizes, though have only gone down two sizes in pants 28 to 24. I am struggling with drinking water. I feel starving. I've noticed myself wanting to eat every few hours. Then when I eat I vomit, or feel nauseous and spend a good amount of time nearly throwing up. Whenever I drink water I get that pre-vomit spit thing that happens and my mouth just makes spit for like 30 minutes and I feel awful. I think lack of physical activity has kept me held back in terms of the stagnant weight, I spend most of my days in bed or sitting in a chair at a desk. Is there anything that has helped anyone, any slight tricks to fix me? I don't want to hide and say I'm doing all the things right I'm doing great anymore, I know I'm not doing the best and I am looking to find support in getting there.

Thank you for sharing @n3turner3 your experiences & perspectives on the weight loss & maintenance adventure - excellent advice. How wonderful too you have such a supportive spouse & family who have been by your side through out - it can make such a difference Congratulations on your weight loss & achievements. All the best with the ‘unlimited possibilities’ in your future.

OMG I love your hair color as well. You look so much younger. Great job with the weight loss. I am going for the same hair color as well after losing my weight. You are a great inspiration.