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Hi Team! I realize that stalls are inevitable, but I am having some trouble determining if I am in a stall that I need to just wait out, or if I need to change something up. Background: I just hit 8 months post-op. Stats are in my info box. I have been sitting at 174 pounds for three weeks. I had been losing a pound or more per week at around 900 calories per day, Protein at 100G and carbs under 100 g. That is around the time I hired a personal trainer, upped my weight training (free weights now and four days a week), my steps, and my calories (1200 or so per day). The increase in calories was at the recommendation of the trainer, who also recommended increasing carbs to 138 (most days I don't get above 110). I know the level weight is not due to increase in muscle mass---too soon. So....what are your thoughts? Stick with calories or go back down to 900-1000? Thank you in advance for any reassurance or guidance. (And I emailed my surgery team three days ago...waiting to hear back).

I'm currently 3 weeks post-op from gastric sleeve surgery and am struggling BIG time with the diet. The pureed foods aren't doing it for me as the texture is not right...Has anyone else struggled with this? If so, please let me know what worked for you...I've always resorted to food when I'm feeling low and now I can't...I have snacked on no-no foods already and I'm petrified of returning old habits. I've gained 2-3 pounds in the last week and that's incredibly discouraging. I know it could possibly be water retention as my intake hasn't been a full 64oz per day. I know I'm not getting enough protein as well...I'm ready to resort back to a full liquid diet in hopes to lose weight over the next couple weeks...any suggestions would be incredibly helpful!

I agree check with your team regarding if you can count it towards your protein goal. Generally it’s no because it doesn’t contain all the necessary amino acids though I believe there are some brands that add these additional amino acids. If you’re just taking it for general skin & hair health it won’t hurt. It won’t stop any of the hair loss though. That hair was going to fall out anyway as part of your natural hair shedding cycle. It’s just accelerated as a result of the surgery, anaesthesia & weight loss. Some people swear by taking supplements to stop the loss but they usually say it stopped after about 4+/- months exactly the same time frame as those who take nothing so … I took a collagen & silica supplement (powder) for a few months towards the end of my first year. Honestly, I can’t say if it did or didn’t do anything. Don’t know whether the quality of my skin & hair was a result of the collagen or just my weight stabilising & eating nutritious foods.

I'm only a week post-op so I don't have much experience with this particular conversation -- but I've struggled with weight all my life and have had a few periods of great weight loss. And those conversations were never great, either. Honestly, I feel like the majority of people just want you to reveal "the magic solution" to them -- whether because they want an easy solution themselves, or just want to write you off as having "cheated" for your success. They don't want to hear about the tough, ongoing, lifetime of work you're putting in. Some people -- those who deeply care and connect with you -- that won't be the case. But those people that care, won't get too pushy if you set a boundary. And that's really what I wanted to talk about: setting healthy boundaries. It's nobody's business how you achieved this. Decide how much you're comfortable sharing, and allow yourself to set a clear boundary. There's absolutely nothing wrong with giving a bland "oh, you know, lifestyle changes" as an answer, and if they push further let them know "Honestly, I'm not comfortable talking about it. I'm healthy and happy though." Anyone who tries to push past your boundaries? Deserves the stink eye, and maybe a LOUDER repetition of exactly what you told them. At most. (But most people feel too awkward to push, I think. If they don’t, well, they don't really deserve you to be polite back. Get sassy. Ask them what part of your statement needs clarification. Ask them something extremely probing and personal back. Tell them to look up the definition of 'boundaries,' 'respect,' or 'pushiness.' Ask if they're a Taurus. Hiss at them 'Alien Abduction' and walk away. Most importantly, take care of your own emotional and mental health first -- because nobody else will prioritize it for you. 🤍

What version of the truth you choose to tell is up to you IMO. If you refer to the gall bladder thing as a stomach surgery and you said your “stomach surgery” is why your losing- frankly that’s not a lie because the WLS was a stomach surgery too. In terms of claiming it’s due to all the changes you are making that’s absolutely true. I made the changes three years ago and guess what. I changed back to old eating habits and I have gained it all back. I still have a sleeve but I am obese again. So that surgery did not do the work to lose the weight. I did. And the second I stopped doing my part I started gaining and ended up right back where I started. My point is it is what you are doing that is making all the difference in your weight. The surgery is just a tool. No one tells a carpenter he is taking shortcuts if he uses a drill instead of a screwdriver. So why does society assume we shouldn’t take advantage of the best tools money can buy to set us up to succeed. I am willing to bet that they all buy the latest and greatest gadgets they can afford to make things easier on themselves. And realistically it’s not even like it makes it that much easier. It just makes it possible instead of impossible!! IMO taking the lazy or easy way out would be to never try anything. We have tried everything. To include facing some pretty scary complications not everyone would face to achieve their goals. Nothing about this is easy and people who think it is are just ignorant. You just have to decide what your comfortable sharing. It’s no one’s business unless you want them to know. Honestly if someone was really going to think I was doing drugs I would just think to myself that they never really knew me anyways so what reason do I have to care what they think about me. You are facing enough with your upcoming surgery. I say Focus on yourself and your health.

I have been struggling with how to tell my family and friends about my surgery. It's not even because they would judge me, it's kind of the opposite. My brother was super skinny until about late high school and then struggled with weight gain and loss for years. Then 6 yrs ago he got the gastric sleeve and after seeing the results, my parents immediately looked at me and said I should do the same. I have always been bigger and curvier than everyone in our family, which is hard to ignore when you're an Asian girl (I'm not stereotyping here. They are all under 5'5 and the largest cup size is a B). While it has hurt me, it also pushed me to find a version of myself that I can accept and be happy with. Oddly enough my existing health problems (which are mostly the known side effects that occur from wls) stem from a blood disorder from birth and I don't suffer from the common issues from obesity like diabetes, high blood pressure, high cholesterol, etc. Having dealt with a number of specialists and doctors over the years without any real solutions, I eventually decided to consider bariatric surgery this year. I planned on telling them about it after I had recovered, but it has been rough and I am still undergoing further tests and treatment. My brother gained a lot of his weight back while my sister has pushed herself and lost weight- both about the same amount that I have lost in a few months. I don't want either to feel shame or resentment towards me, not that I can control that. It looks like I may have to go back into the hospital a 3rd time and get my gall bladder removed. How awful would it be if I lied and said that is the reason behind my weight loss? My family knows that I have been dealing with stomach problems and pain for years. I'm also losing weight much faster than the doctors expected due to this, in addition to nausea, and we're trying to figure how to slow it down. I HATE attention and it's getting harder to try and hide how different I look. Any advice or motivational speech from anyone would be greatly appreciated! 🙂

I lost 70+ lbs. before I had my surgery. I've been eating healthy for a while now. But, it starting going into overdrive back in October. As of my weight today I've lost 25 pounds since my surgery. I had a 10 day stall and started to worry a bit because it was the time between my surgery and when I started soft foods. My surgeon and Dietician told me that would happen. I expected it, but it still had me second guessing at the time. One thing I've taken from all of the stories everyone has, nobody loses the same. I keep that in mind and then realize I'm only 7 weeks post op. I try to walk a 1-2 miles at least two days a week or more. I would like to walk more, but I have a torn meniscus that's going to require a full knee replacement (bone on bone). So, I'm limited without being in a lot of pain. On the days I don't walk, I use my rowing machine or I do some resistance training with a band or light weights. Thanks for your advice and story of what you've been through. I hope you're able to get where you want to be and I wish you the best!

My son’s wedding was today and I managed to eat with everyone without getting sick. I’ve struggled with not taking one more bite when I feel a bit full. I think maybe I’m learning finally. I’ve had to set a timer after eating to not take a drink too soon. I never realized what a set habit it is to drink while eating. I am able to eat solids now as long as I take small bites and chew a lot. I don’t know that my stall has broken yet. I went down almost two lbs but nothing else yet. Trying to not get discouraged over that. I didn’t measure before hand so I can’t say if I’m losing inches at least. I was just too discouraged at my weight before surgery to measure anything. I will say even with the little bit of progress I’ve made since surgery I was comfortable in my dress at my son’s wedding. I’m sure when I see pictures from it I will be my worst critic but for tonight I feel pretty so I’ll take it.

I'm so glad you tried the muffins and liked them!! I really enjoyed mine, they kept well in the fridge and warmed up really well with a quick zap in the microwave. Regarding the nutritional needs of a SADI patient. We don't really know, honestly. The SADI is too new to have some of the longer term studies that have been done on the sleeve, bypass, and DS. But it is commonly thought by most surgeons that the dietary needs of a SADI are more than with the bypass because SADI patients are thought to malabsorb more than a bypass patient. And their needs are most likely a little less than a traditional DS. That said, I attended nutrition classes with all the different surgeries in one group, so we had to learn everybody's requirements!! Most good surgeons recommend that SADI patients follow the dietary requirements of a DS patient to be on the safe side. That means 80-120 grams of protein, less than 50 TOTAL carbs while in the active weight loss phase (the dietician said "net carbs" is not an official measurement, but if you want to follow net carbs you'd need to keep under 30 net carbs since they get counted differently, most DS patients introduce a bit more complex carbs into their diets once they reach maintenance weight) and the fat grams recommended by the ASMBS is 60 grams of fat by 1 year post op. However, SADI and DS patients malabsorb a good amount of fat, so veterans of the surgeries will tell you that you need more fat than that. I seem to feel best around 80-100 grams of fat a day, but there are veterans of the DS surgeries that eat closer to 150 grams, or whatever alleviates their constipation and eases their symptoms of low fat like dry eyes and dry skin. According to most studies, a DS patient only absorbs about 20-30% of the fat they consume, around 60% of the protein they consume, 60-80% of the complex carbs, and every single calorie of simple carbs!! That's why simple carbs are so important to restrict post surgery (besides the digestive drama), you can eat your way around any surgery with simple carbs... And this is why counting calories is pretty useless for DS and SADI patients. We don't yet know exactly what the percentage of absorptions is for SADI patients as they haven't done a breakdown study (as far as I know) but it is safe to assume SADI patients absorb a little more fat and protein than a traditional DS patient would. The best way to find your own perfect macros post surgery IMO is to aim for 80-120 grams of protein and then watch your protein labs. They will tell you if you need more protein or if you can back off a little. And for me at least, I find my skin, hair and eyes are highly sensitive to when I have too little fat in my diet.

Oh, that's interesting. So many sources say you start out much faster and then slow down at 3 months and again at 6 months, but it's encouraging to know that isn't the only way it can happen. My highest weight is what I show as my starting weight in my stats, but I lost about 13 lbs from nutrition changes while waiting for surgery, and another 15 lbs from the pre-op diet, so in the 5 weeks since surgery, I'm only down 12 lbs, with a one week stall at the 3-week mark, like clockwork. Patience is not one of my virtues.

@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.

I believe that post came at the exact time I needed to hear it. Thank you. I am in a craft group and for some random reason they were talking about someone they knew that had bariatric surgery and how they gained it back. I told them I had the sleeve and I gained it back. That was kinda my way of testing the waters to see if I could confide in them I am considering it again. Well that went over okay so I did and that’s when All the advice came of how I should try to lose it with this diet and that. I know that I can lose weight. I have lost probably over 1000 pounds in my life. It’s the keeping it off part I cannot do!! Recently, I have been doing low carb trying out recipes that I think I can eat post op and I have lost a couple pounds. That’s when the little voice creeps in asking if I should try it the old fashioned way just one more time. Knowing good and well it will just be another year of dropping a few pounds then gaining that back plus some more soon after.

Not jiving in my mind. I was ALWAYS thin and active. Once I got pregnant with my son, my PCOS really kicked in. I gained almost 100 pounds and only lost 35 after I had him. Nothing I did worked, but back then, doctors didn't know much about PCOS (this was April of 1998). I worked out, ate fairly healthy, did a lot of swimming, and still nothing worked. Because of my PCOS, I then had 10 losses (and gained weight with each pregnancy). I was diagnosed with PCOS in 2005 as well as insulin resistance. I was put on Metformin, which helped me drop down from 322 pounds to 301 pounds. I got pregnant with my daughter and had her in Sept 2006. At that point, I was 355 pounds. I stayed on Metformin, worked out, improved my eating even more than before, and went down to 340 pounds. And never lost another pound. At all. I also was never able to get pregnant again. Through the years, my weight ballooned up to my highest weight of 421 pounds. I ended up getting type 2 diabetes, high cholesterol, high blood pressure, painful joints, mobility issues (needed a cane to get around), and I was wearing size 28/30 (4x/5x), size 10 rings, 22"-24" necklaces, no bracelets (none fit me). I exercised so much for so many years, but the PCOS really did a number on me and stopped me from getting healthy. After a while, you start to feel defeated and give up. Why kill myself dieting, working out, doing everything right to, at best not lose weight, or at worst keep gaining?

I'm so sorry you are feeling this way but I can empathize with the anxiety. I suffer from both anxiety & panic disorder. It was pretty well controlled until about 2 weeks before surgery & it slowly progressed. The week after my surgery my anxiety was in a full blown upheaval! I have a question for you, I was on medication for depression & anxiety before surgery & was warned that psych meds specifically can be absorbed less after gastric bypass surgery. They say a lot of these medications are absorbed in the small intestine. The psychiatrist that did my evaluation said if you don't feel quite right after surgery to NOT just write it off as not feeling good because you just had surgery. He said don't panic, just be mindful that if the feelings don't go away your medication doses may need to be adjusted. This is exactly what happened to me. My feelings & mood continued to escalate until I just didn't feel like myself at all. I reached out to my provider & she switched my medication. Thankfully, I can already tell a difference but these medications take a while to fully kick in which is so hard when, mentally, you really just want to feel like yourself again. All of that being said, after surgery it is not uncommon to feel anxious & even depressed due to all of the medications, especially pain meds & anesthesia meds. Feeling overwhelmed or even depressed after bariatric surgery is not uncommon either but I think some, maybe a lot of us, just assume we're going to be in a better head space after surgery because we'll be losing weight & finally be on the path we've been longing for for so long & thus, when we feel anxious or depressed it completely catches us off guard. Personally, I think we should be required to do a certain amount of counseling before we have this surgery with someone who specializes in bariatric counseling. Not just a few appointments to fill out questionnaires & be approved for it. This surgery is SO huge & life altering in so many ways. Just my opinion. I hope you are feeling much better real soon!❤️🙏❤️

Well you are being such a trooper I’ll tell you. I hope you get it worked out real soon. Probably stuff you already know about the low carb if you’ve had a sensitivity to gluten. I just going to say that I learned that fajitas and Italian sausage witb peppers and onions which I like both (minus the rice of course) are relatively low carb. And cauli rice isn’t bad as long as it’s mixed in something witb flavor. Night before last I learned that crustless quiche is super easy to make and In the muffin tin it’s perfect little portions. Last night I made a low carb Italian bake that was Italian sausage with spinach and cheeses (the recipe called for mushrooms but I substituted onions). That one I’m not sure about the fat though. It wasn’t listed but for 6 servings it has two cups of mozz cheese, a quarter cup Parmesan and 16 oz of ricotta. I’m waiting to hear from my surgeon what my post op fat requirements will be and I need to work that out and see if it’s on plan. That recipe worked out to 373 calories but I didn’t calculate the fat before I tossed all the packages. Tonight I had leftovers of the Italian bake that is probably too fatty and I baked instead of cooking . I made low carb banana muffins that another poster shared with me and they are pretty yummy. They use almond flour and allulose to cut the carbs. They are surprisingly tasty. Basically I am not really a big cook and I did not experiment with healthy dishes last time around. I Just tried to commit to eating like you have to now (meat and veggies) but for life and I couldn’t do it. I got board and I found things that were within the allowed calories while the portions were small but once I could eat more they actually added up too fast. This time I’m just trying ti find at least A handful of things that are actually tasty to me that will work when I finally get back to regular foods. Something to look forward to while I’m in the weight loss stage. And it’s kinda weird but I’m not hating the cooking as much as I used to. It’s kinda like knowing that it’s actually something good for my body makes it a little less of a chore to me.

Anxiety is awful. I used to stress out majorly due to my career, but even having been retired for ten years, I still have problems sleeping. I work out like an animal, now that I've lost most of my excess weight, and keep myself mentally engaged in a lot of things, but I still suffer from insomnia. My one doc, who I've used since the mid-90's, still has me on diazapam (addictive, but at some point for me, it just doesn't work so I stop and clean out) and Mirtazapine, which definitely puts me down most of the time. Only problem with the latter is that I don't wake up til 11am. Not good if I'm attempting to live a normal life. But, he's against sleeping pills and I get it. The other things, like Melatonin, just make me woozy. I'm in way better health as a result of the surgery and working out constantly. I'm consuming lots of protein through drinks plus food. I feel good. The lack of sleep can definitely ruin your day. I don't know what the current thinking is in the medical community. I trust my guy but still, it kinda sucks to have to medicate to get sleep. I'm real big on integrative medicine. Maybe there's an answer there. Dunno. Nice to see you folks!!!!

HI all! How do you navigate eating out? Life is busy I do well during the day but at night if I do not cook for the fam then its take out. I try and make good decisions. The other day we had Mexican food. I got a grilled chicken taco, added black beans, light sour cream and some guac. Put some pico de gallo on it and only ate the insides and only half, saved the other half for lunch. If we get burgers, I will only eat the meat with mustard and the lettuce and tomato. ect... I was watching a video someone posted and it was saying that the #1 failure of WLS is chasing restriction, I do not eat till I am stuffed, but I do eat till I am satisified. If I get a craving I just grab a otter pop or 2. I am not sure if I am supposed to steer clear of all this? I am losing weight and its literally melting off, so I figured this is ok.

You have done really well with your weight loss and I understand your worry of messing up. I do too, which is why I calorie and protein count every little morsel that passes my lips. I still struggle to eat enough protein Your meal looks fine portion wise but it looks to me like you have lots of oily dressing on the salad, but I am a million miles away and wear very thick varifocals. If you are in maintenance , this seems fine to me.

To tell you the truth i stopped weighting my food a long time ago since i never bring food to work (There's a Healthy Food Buffet at work) i usually just eat until im full. For example, this was yesterday's lunch:

Good morning! I'm 10 months and 19 days Post Op (Gastric Bypass) after the 8 Month i started eating more than 8oz per meal to feel satisfied, I'm literally eating almost a normal plate of food and now I'm worried that my pouch stretched. Is this normal? Right now I'm not gaining weight (thankfully) but I'm scared i might mess my surgery up later on. Thanks in advance for your replies!

@ms.sss said exactly what I was going too. Done all those things too. I still have facial droop, nasolabial folds & jowls though my skin is more even in texture, tone & colour so still a win in my book. Unfortunately, the skin on your face has stretched just like the skin on your body. However, once your weight stabilisers, if it hasn’t yet, you will notice your body & face sort of resettles & you may notice you look a little better & brighter in the face. I’ve accepted this is how I look I mean I am almost 59 & I’ve earned this face. I take great pleasure in seeing the real shape of my face, having a jaw line, cheekbones & not having really droopy eyelids. I’m still vain enough though to keep up the Botox, filler, SecretRF (same as Morpheus8) & retinol, vitamin C, serums, & other aspects of my skin care routine. lol!

These things can & do happen. Constipation is often an ongoing issue for many of us at least until we’re eating a broader range of food like vegetables & fruit. Try adding a soluble fibre to a drink, shake, soup, yoghurt, or similar to help. I used to take a stool softener if I hadn’t gone for three days to keep on top of it. Remember too you’re not actually eating that much so you don’t have much to actually poop out especially in the first couple of months. So don’t expect to go every day. Meeting or being close to your daily fluid goal is extremely important because of dehydration. Sip, sip, sip. I still drink during the night to ensure I reach mine. (Have a drink whenever I wake.) Your throat can be swollen for a little while after the surgery though it does generally pass in a couple of days. Do mention it to your surgeon when you go for your check up if it’s soon otherwise give them a call. Try drinks at different temperatures in the meantime. Many of us found warm or hot drinks more soothing than cool or cold drinks. And again sip slowly. Also remember we all heal & recover in our own way & time. This is a pretty major surgery & some take a little longer or can experience some challenges with certain aspects like hitting fluid or protein goals, or experience a little more surgical pain, have more gas pain, take a little longer to get their strength back, tolerate or not tolerate certain flavours, textures, smells, etc. Like your weight loss, your recovery may be a bit erratic. Easier today, but tomorrow not as much, then the next day is okay. Look back over a week to better see your progress. You can be sure that it does get better & easier in time. All the best.