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We started off about the same weight, and at month 4 (I just checked my spreadsheet), I'd lost 52 lbs, so not much more than you. It seems to be pretty common to lose about 10 lbs a month for the first few months (although some people have a big drop the first month (I did not), which is likely a lot of water weight - before settling in at a slower rate of loss). After the first six months or so, I dropped down to maybe five lbs a month - and after I passed the year mark, there were some months when I only lost about two lbs. It took me about two years to reach goal. If you stick to your plan, the weight will come off, whether fast or slow. There are so many factors that influence your rate of loss - age, gender, body build, how muscular you are, your metabolic rate, how active you are, whether or not you lost weight before surgery, starting BMI, etc. The only things you really have any control over are how closely you stick to your food plan and how active you are, so if you do well with those two things, the weight WILL come off. I ended up losing over 200 lbs, so definitely don't lose hope! P.S. of course, if your scale actually weighs differently than the one at the doctor's office, well then there's that, too...

Clean Simple Eats is really good. You can get the variety pack- adding them into Greek yogurt helps because that tang balances out the sweetness in my opinion. Isopure is great and very low carb, Premier protein is good. Latte one with decaf coffee makes an excellent cold brew. Making shakes and adding them are "ok" just have to be careful they can end up being high in calories and not super filling. You can do unsweetened almond milk, scoop of powder, 1/4 of banana, 1/4C of Greek yogurt, handful of spinach if you wanted to keep is low cal, and high protein. But are you trying to protein shakes/ powders due to the stage you are in your journey? I am 16months post op and am able to get all my protein from food. (I am able to eat probably more food than the average post op patient)

I am doing a trial session of hypoxi (https://www.hypoxi.com/en/) on Saturday as I am hoping it will help with the bad lipoedema in my calves and ankles which I feel kind of takes away from all the weight loss and how well I have done over the last almost two years as I still can't wear anything that does not cover it all up as I am so self conscious about and it depresses me a bit as I can't see that I will ever reach my dream of being able to wear calf high boots. I haven't been given a price list yet, as Saturday is a trial, but I am sure it will be very costly so don't want to get sucked into a gimmick and I was wondering if anyone else has done sessions to help with toning (not necessarily lipoedema related) and if you have any feedback? The one immediate good thing I can see from what I have read is that I won't have a problem following their nutrition guidelines which is not to have high fat or high carb foods a couple of hours before a session and or for a few hours after a session.

Today's win ? Returned to weight lifting after what seems like a 200 year hiatus. 🤣 Nothing extreme or crazy....very light weights with lots of reps. Injury avoidance is key concern. Other win is the overall feeling like I have things dialed in and the cruise control is activated. The positive feels from this are so welcome. The last 6 years or more have been chaotic and hellish at times. Things are slowing down and falling into place. Sure the scale is giving lower numbers every week, but the real improvement has been with the pure simplicity of returning to the initial advisements of the professionals at my bariatric center.

Well done @AmberFL! I know it sounds trite, but "you are what you eat" is LITERALLY true. The food that you consume doesn't just "fuel" our bodies, it's literally the building blocks of our actual cells. You are in fact wholly made up of everything you've eaten, so it only makes sense that the better the quality of your food, the better off you'll be.

Just adding to my accountability post! Had a reality check recently. As I was going over food log I noticed that I was letting too much processed stuff creep into my routine – protein bars, powders, low-carb bread, cookies (not just 1) fast food (small amounts but still) – and my gut wasn’t having it. I had to get honest with myself about what I was actually eating. So, I hit the reset button and went back to whole, real foods. I even started making my own sourdough again, and let me tell you, the bloat is basically gone, my energy is up, and that annoying food noise is finally quieting down. The scale is moving down, but more importantly, I just feel so much better!

I realize this is an older thread...but it is still near the top of page and I suppose the "most recent" of it's type ? A pile of stuff has occurred in my life since I was active here on B,Pals. My 10th year sleeve anniversary is coming up later this year. Lost a ton of unwanted weight as a result of the sleeve. Daily trips to gym were the norm. no longer drank beer, but found that sugar free mixers and high grade tequilas and vodkas made for some FUN fuel for many adventures. Storm clouds loomed heavily over my marriage. Some unresolved issues resurfaced in a big ugly way. It appeared divorce was most probable. The storm finally broke....my ship hadn't crashed on the rocks... my wife still my first mate, ally, friend and lover....marriage was stronger than ever. 6 years ago she received a diagnosis for stage 4 breast cancer. Immediately stopped drinking when that diagnosis was delivered. 4 years ago she succumbed to the evil hell of cancer. She fought it with superhuman strength and courage. I will live the rest of my years in awe of her bravery and grit. It has been an incredibly tough go of it since. Her unshakable faith stoked my own faith. That is what I leaned on heavily....and will continue to do so. Early last month, the anniversary of her death was approaching. I was filled with this feeling of guilt in addition to the ever present loss & grief. The guilt was spurned by the realization that I had taken zero steps towards what she had told me to do...afterwards. She was clear that she wanted me to live. I was going to work every day and that was the extent of it. I'd maintained zero friendships and seldom contact my family, other than our son. The hurricane damage had been repaired on the house, yet I'd done nothing towards moving stuff back into the rooms that were repaired. Was living off take out and drive through garbage because I couldn't bring myself to cook...painful memories of meals made & shared together. ENOUGH. That was the word that hung heavy in the air. I could almost hear it as if she'd spoken it loudly. ENOUGH, GREG...IT IS TIME TO MAN-UP I began taking inventory right then. I vowed to not let another year go by with me still living in a bubble...not treading water, but sinking. I have remained alcohol free since quitting those six years. Clear headed and no monsters to address there. Good. Doctors appointment for annual checkup had revealed several things....top of which was my blood panel looked like trash...precisely because that is what my diet consisted of....pure trash. There had been some weight regain...but nothing that I felt like would be too difficult to lose....if I would get my arse in gear and make the lifestyle changes needed. Things were going okay on my job, simply because I'd let it be my focus...the only thing I rallied for. Spent way too much time there. Immediately scheduled some vacation time off and road tripped to visit family Visited my wife's grave....our gravesite and did so with a different feel....loss and missing her....but, feeling more stable for the first time since losing her. She'd forced me to sit down, months before passing, and listen to her on a certain subject matter that I was avoiding. told me to live...how to live....wanted me to continue on with all aspects of life and was very descriptive. She would make ongoing instruction in the months ahead. I couldn't speak in reply...just nod that I understood. She was so brave that she could accept things and love me enough to coach me how to live....afterwards. I was too much of a coward to discuss it....just sat there and listened and acknowledged. She would KICK my arse if she saw the state of low I'd been to. One day, perhaps, I will be able to show her that I heard her and rallied. That time will be at the end of my days, however. Until then, there is much life to live. RESETTING THE SLEEVE WAS EASY: I simply swapped over to strict keto. After two weeks I felt much better....after a month I no longer wanted the crap foods and I no longer wanted big meals. The smaller meals reset things for me. There is a noticeable restriction and feeling of full that occurs now. I haven't finished a meal in a month...unless it was a 1/2 sized meal. Sipping water all day...cutting off prior to meals and 30 mins after. Zero sugar intake an damn few non-fiber carbs. Supplementing with vitamins, iron, potassium and calcium. Moving more....but still not ready for the gym and all the people. Slowly feeling emotionally more "awake". Keto, with an eye on the overall daily calorie intake is how I live now. I don't see changing that. By the time that 10th surgery anniversary arrives, I suspect I will be at my all time lowest weight since college. The sleeve is still there. It just needed me to treat it right and not override it with trash food.

Awesome, my surgery was on the 12th of May and I'm doing great too. Not too much pain, I'm on a liquid diet, but it is full liquid, so no real food for me yet, just drinks. So far I have not had Nausea or vomiting either. I'm still swollen, so I'm not stepping on the scale for a while. I'm doing a lot of walking, and resting, and drinking plenty of fluids to stay healthy as possible. I am surprised how little pain I have had, just achy but no cramps or sharp pain at all. Glad to have BariNation on my side, they are an online support group that I pay to be a member of, and love the support of my online friends, and those that I keep in contact with by phone, and someday will meet. They have nutritionists and social workers, and Bariatric Pal is one of their co-sponsors, which is nice. Might want to check them out. Glad you are doing well, keep up the great work, and don't look at the weight, do other measures. Hope you took lots of pictures of you before, you won't regret that!!

Amazing. Thank you so much. I just did my monthly inbody test and I've lose 4 kgs of fat and gained 2 kgs of muscles so I must be doing something right haha. And it made me excited to push through because I only lost 900g of "weight" so ya I should throw out the scale. I do want to build habits which I can sustain forever. So that's why my workouts and food are very normal and not special food for right now! Let's see how it goes!

I had lap band 21 years ago. Through the years I lost 120 lbs. 60 of those the last three years after I retired from teaching. My band has slipped and food is sitting in my esophagus. So it has stretched out, and my reflux is bad and I have to have the band removed. I am freaking out that I will gain the weight back. It has been part of me for so long that I feel funny having it removed. But I also don't want to have esophagus problems and can't keep getting up in the middle of the night with terrible reflux. Has anyone gone through this? Did you gain your weight back? Any hints and suggestions? Thanks. Deanna

I feel you on the going backwards thing, honestly, I'm at a point where I'm like, I should just start selling feet pics haha, kidding I will work on rewriting my budget and not buy as many protein drinks, the money for the drinks will be used for more solid pick, my friend has a Costco membership, and said she'd take me, I can buy some frozen foods in bulk to keep frozen for easy meals, I will see what recipes I can do and hopefully after a few weeks, I will be in a much better spot, thanks for the food ideas

Yes, eggs are pretty pricey, I have decided to rework my budget this weekend, I know I can make it work if I do some changes, I will try not to rely on the protein drinks too much and hopefully with a few reworks, I can get more solid foods in me

Thank you for your concern, I actually am set with vitamin for the next 6 months, so I will plan their budget when I start running out on the supply, I unfortunately have seen the affects of not taking vitamins has done to people so I don't want to let it get to that point. I will use this weekend to work on my budget again, if I don't rely on the protein drinks, then I can use the money from the drinks to buy more slid foods, I may need to rework my schedule too, get up 30 mins earlier if it means getting a solid breakfast perhaps, I will probably take a hot minute before I can get a new routine, but I will try to make it work

Unfortunately so many are struggling financially these days all over the world. Cost of living is skyrocketing everywhere & we have to do what we can to survive. I swear I go backwards every week. I am with @SpartanMaker in regards to meal prepping ahead. I love my freezer & my microwave. My freezer is filled with food I have cooked and frozen in single serve portions. I did this from early out from surgery. At most all I have to do is reheat the meal and zap some vegetables or make a quick salad. I can have a nutritiously cooked meal in 5 minutes or so. Easy peasy. As most workplaces have a microwave, grab a meal from the freezer & reheat it at work for lunch. For example pre cook some chicken tenders and freeze, then in the morning grab the chicken tender and pop it in a container with a few cherry tomatoes, some lettuce leaves, a few slices of cucumber, … done. I loved mince dishes because you can add lots of vegetables: meat balls, savoury mince, taco filling, etc. so you can eat as a complete meal or add to a taco shell or wrap if you want/can. And soup is great too for the same reason (protein & vegetables in one). And yes home cooked foods are often less expensive. For example I made pea & ham soup last weekend. I made around 18 portions (I wasn’t interning to make that much but 🤷🏻‍♀️) and it cost me $18.80 Aust (split peas, frozen peas, pearl barley, an onion and a ham hock) so about a $1 a serve.

I applaud you for working hard to make ends meet. You can only do so much in your situation, so you may not have a ton of choices, but I too am somewhat concerned about the quality of your diet. Protein shakes are not a bad choice sometimes, but you do seem to be relying on them more than you ideally should. Leaning on shakes so much, I'm specifically concerned about whether or not you're getting enough essential fats in your diet and if you are meeting your basic vitamin and mineral needs. I do hope you're taking a vitamin supplement? I know when things are tight, things like vitamins can be one of the first things to go. If you're not taking a vitamin, I'd encourage you to try to find a way to fit them into the budget since your current diet is so lacking. While a bariatric vitamin would be best, if that's just not in the budget, even a regular drug store vitamin would be better than nothing. An alternative might be to see if you can find meal replacement shakes that fit your budget instead of so many plain protein shakes. My experience is that protein shakes can be more expensive than regular food. I know time is also an issue for you, but If you could find the time on the weekends to meal prep two meals a day instead of one, that might help a lot. Alternately, are there some real food options you could consider for breakfast?

I mainly rely on shakes because it's much easier, I work 2 jobs and I'm up and out by 6:40am, getting home by 10:30pm/11pm, its just easier to grab a shake while I'm driving to my jobs, I do have a more stable meals during the weekends and if I can, meal prep so I can have some food for my lunch break, I know that I need to eat more but some night I get home so exhausted, I only have enough energy to drag myself to bed, with my budget I can prepare for about 6 days, but those are usually for the work week Maybe not the best explanation, and maybe I could make an effort to cook more but I have 2 jobs for a reason, I'm broke and I budget out all my expenses to the cent

Congrats, you've done an awesome job so far! I'm going to tell you now; transitioning to maintenance is HARD. It's scary to start eating more, it's hard to know how much to eat, and it can be challenging for some to eat all the food they actually should be eating. I would also STRONGLY, STRONGLY encourage to to work up to at least 1 hour of cardio 3 days a week and 1 hour of strength training 2 days a week if you are not already doing this level of exercise or more. The data is crystal clear here. Those individuals that get at least the amount of exercise I listed are significantly more likely to be able to maintain their weight loss. Scientists don't entirely know why this level of exercise is needed (it's almost double what someone that was never obese needs to maintain weight), but the most likely explanation at this point has to do with the fact that exercise affects your body in a couple of ways: Regular exercise changes the way the brain regulates hunger and metabolism. Simply put, most of us got as big as we did pre-surgery because our brains weren't good at telling us when to stop eating. Exercise seems to help change the way your brain understands and interprets these signals. Exercise also lowers stress and systemic inflammation, two huge triggers for overeating. Best of luck!

It always makes me a bit sad when medical professionals that should know better tell you what you can expect from surgery based on averages. Please know, there are no limits on weight loss after bariatric surgery of any kind, thus saying that you'll only get to 300 is in my opinion doing you a huge disservice. Whether you get to 300, 200, or beyond is all up to you and your behaviors post surgery. As you leaned the first time around, bariatric surgery does not fix your brain, so I would strongly encourage you to work with a mental health professional to understand your eating behaviors and how to address your unhealthy relationship with food. It would really be a shame to go through with a revision to bypass, and end up back at 400 again. As far as dumping, some people dump, and others don't. For some, dumping can be a blessing in disguise because it forces them to eat better. Most people that dump tend to dump on either simple sugars and/or fats. The vast majority of people that do have an issue with dumping can manage it well with diet modifications alone. For those that need it, there are some medications that can help, and in the worst cases, there are even surgeries that can help dramatically. My advice would be to not continue to put your life at risk by staying at your current weight simply because you're worried about something that may not even happen.

I personally do not like the protein powders, they just don't mix well enough for me to enjoy them, they are gritty and not smooth, but that may be me because I can't shake them well enough I do have Unjury protein powder and clear isoprotein to add to my soft foods. I will use them now and again, but mostly I use the Premier Protein shakes, they have a variety of flavors and 30 grams of protein. I also have Protein20 which is a clear protein and the flavors are not great but I use them to take my meds since they must be crushed or opened capsules, they taste nasty, the Protein water has 15 grams of protein, and I mix my Benefiber in there, and take my meds with them, and count it as being part of my medication regimen. Maybe others have ideas? My urge to you is to try whatever you can, I did. It is expensive to do all the tries but everyone's taste is different, and sometimes you just have to "suffer through it" until the stuff is used up. I only bought 4 shakes at a time, and my drinks, it was hit and miss, and I hit on the protein tea, but missed on the protein 02 that I use for my meds. I have tried my Unjury Chocolate with water and with Fairlife milk and both ways tastes gritty to me. I prefer the pre-made protein shakes over the powders. Good luck, when is your surgery day?

I do think I had/have an addiction to using food for dealing with negative emotions. It took a lot of therapy. I recently had some bad news, and found myself ruminating on where I could take a walk outside. So, I’m glad I seem to have transferred to exercise, but I enjoy making music too (not very good, just fun). So, there is help. I loosely follow a 12 step for over eaters and surrender to a higher power. After surgery the “food noise” is gone, and I choose to waste my negative brain space by envisioning exploring outside. My actual time outside is 5-60 minutes, nothing that is destructive. The transfer is more about ruminating. That’s just what works for me. Addiction is tricky and strong, and very individual. Peace.

I a vertical gastric sleeve in 2006. I weighed about 400 at the time and got down to 250, then plateaud at 285 for 10 years. I was happy with that. In the last 10 years, I've gained it all back and am at 400 lbs again. I am close to my pre-op visit to discuss the revision. The weight loss nurse I am working with said this time, my weight loss might not be as significant. I said I was shooting for 300 lbs, and she said that was doable. I'd be happy with that. What I want to know is what type of revisions you've had, and how your experience is different after a revision than with your first surgery. Also, I am concerned if I have the bypass or the DS about dumping. I didn't have that with the first surgery. I could manage if it was occasional and I could control it by the types of foods I eat, but I have heard it can become a constant, lifelong problem.

I’ve been here for 6 years now and I’ve see a variety of protein goal recommendations so I don’t believe there is a right number or a wrong number only what you & your team thinks is best for you. For example I was told 60g was my goal from the beginning. Certainly in the first months when we’re healing and not eating large portions focussing on protein is very important. Now at 9 months, you’re eating more and a greater variety of foods ensuring you’re getting in a balance of all your nutrients is just as important like @spartanmaker mentioned. Maybe this is why your dietician has reduced your protein goal or did they mean 65g is more a minimum goal??? As for should you count calories or other macros, my feeling is you have to do what you feel most comfortable with. Another case of you doing what is best for you & much like what you said about exercising. Focussing on counting calories messes with me so I’ve always done just random checks of calories & portions. I probably was & still am more concerned with specific food choices and ensuring I was consuming some complex carbs, fruit and vegetables every day, reducing added sugars. Though I know others who value the accountability of calorie and macro counting and feel doing so keeps them on track - what’s best for them. @SpartanMaker has given you some fabulous information for you to consider &/or adopt or for more rigorous conversations with your team.

Usually people experience their first stall at around the 3 week mark +/- and they can last 1-3 weeks. However this isn’t a hard and fast rule. There are some who experience small stalls of only a few days. I was one who wouldn’t see any loss on the scales for only a handful of days and then would drop again. I noticed this simply because I weighed myself daily and recorded my loss. As you weigh once a week you may have missed a brief plateau at around that three week mark and you are having a larger more average length stall now. Your friends may not have noticed stalls if they weighed once a week or less frequently. The only thing you can rely on is regardless of how often you stall or how long there last they will break. Just stick to your plan & everything will be fine when your body is ready to start losing again. Is there a reason you are only eating one real meal a day and your other meals are shakes? At almost three months post surgery most of your nutrients should be coming from real food not shakes. A shake should only be to supplement your protein intake or as an occasional convenient meal alternative (work commitments, travel, etc.). I also wonder if that could impact your weight loss and the length of your plateau. Personally I never had another shake after the first 2 week liquid stage & was eating real food meals from week 3 post surgery. By around week 8 I was eating all meats (fish, beef, chicken, pork, lamb) & 1 or 2 vegetables for lunch and dinner and eggs or oatmeal for breakfast. This is when you should be introducing better food choices and eating habits for the long term. This would be worth a conversation with your dietician & surgeon.

Again, If what you're doing is working, then I don't see anything that needs changing. If you're in the range of 100-115 grams per day, then you're already eating what I'd call protein forward diet and about where I'd typically recommend for most people. Keep in mind what I mentioned, calories are king. You only lose weight when you eat fewer calories than you burn. Thus if you did want to add more protein, you'd have to do so at the expense of other nutrients. When eating as few calories as you are right now, dropping any more on carbs & fat could have negative effects on health. It's important to get sufficient essential fatty acids since your body can't make these (that's why there called "essential". Technically you can live without carbs since your body can manufacture glycogen from fats and protein, but the problem is that if you reduce these even further, you're going to also have to reduce your intake of fruits and veggies and these convey a lot of other benefits to you nutritionally. Here's what I'd ask your nutritionist about. The most up to date clinical practice guidelines from AACE/TOS/ASMBS/OMA/ASA say to focus on protein intake of 1.2g/kg of bodyweight. https://www.soard.org/article/S1550-7289(08)00163-9/fulltext I recognize that you are not from the USA, but I dare say these organizations have a significant level of money and experience going into these recommendations since obesity is rampant in the USA. For what it's worth, some recent data I saw showed that the USA does far more bariatric surgeries than any other country. In fact, it was roughly the same number of bariatric surgeries as the next 10 countries combined. An impressive but sad statistic. Protein is highly satiating compared to carbs & fats, plus protein takes longer to digest, meaning you'll be full longer. Being full longer equals less cravings and better dietary compliance. Protein has a small but meaningful effect on overall energy balance because on average, for every 100 calories of protein you eat, you burn about 20 calories just to digest it. This is way more than carbs or fats which range from 0 to 3 for fats and 5 or 10 for carbs depending of fiber content. This means the more protein you eat, the better your overall energy balance compared to eating the exact same calorie amount of other foods. Granted, this isn't a lot, but it all adds up. Higher levels of dietary protein help you preserve more muscle mass as you lose weight. (It helps prevent muscle catabolism which is a real risk when eating a very low calorie diet.) Because muscle is more metabolically active than fat, the more muscle mass you preserve as you lose weight, the more calories you'll burn, even at rest. Studies suggest anything above about 1.2g/kg (95% CI), is sufficient for most people to stave off catabolism, which is probably where the dietary guidelines linked above came from. You mentioned something about body recomposition, so I want to touch on that briefly. I LOVE the idea, but you need to understand it's extremely hard (bordering on impossible), to add muscle mass while on a very low calorie diet like you're eating right now. For most people, you actually need to be eating a significant surplus to add muscle mass, so I honestly wouldn't even try until you get closer to your goal weight. If you do decide to add mass, then yes, higher protein amounts than what you're eating now would be recommended (Roughly 2g - 2.5g per kg of bodyweight). This also would require a dedicated hypertrophy training plan though, and that's a bit out of scope for our discussion here. Best of luck.

Thank you so much for this detailed reply — I truly appreciate the time and care you put into it. It really helped ease some of the anxiety I’ve been carrying. You’re right, I’m losing around 1kg a month and logically I know that’s great… but emotionally I keep feeling like I should be doing more. So reading that I’m exactly where I should be was super reassuring. I also loved what you said about exercise — I know it’s not the biggest driver of weight loss, but for me, it plays a huge role in how I feel. I actually want to focus more on losing fat and toning up now, not just dropping scale weight. I’m starting to realize that body composition matters more than the number. As for protein, yeah — I was surprised when my dietitian suggested lowering it to 65g. I’ve been aiming for 100–115g all along. I have another appointment on the 20th, so I’ll definitely bring this up again and see what’s behind that recommendation. Right now, I’m not using apps like MyFitnessPal. I track my food using ChatGPT (kind of like a food journal), and I weigh things in grams to stay accurate. But I’m a bit unsure how to move forward — like, should I only track protein and not worry too much about calories? Or try to follow macros more closely? I do eat clean, mostly home-cooked meals, but I also have occasional snacks and off-plan moments (nothing crazy, just not perfect). I know I need to tighten things up again, especially with workouts — I’ve been slacking a bit lately. Again, thank you for the perspective and advice. It means a lot to hear this from someone who's been through it herself. Would love to know your thoughts on whether focusing on protein alone is enough, or if I should be tracking more closely.