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I had zero interest in food, If I am honest, apart from my breakfast yogurt and fruit, I could easily go without food. I have little appetite. Early on I had serious nausea issues. I cooked and discarded so much food in the early days. I gave pureed foods a wide berth. Pureed meat just was not for me. My team were sympathetic and said to just do my best. At this time I found protein yogurts and they helped me along. Eggs took me 18 months to accept. Chicken took over two years for me to manage a small piece. Pasta and potatoes are still off my menu. I have just begun to eat homemade bread again and I can manage about a Tbsp of rice. Cooked salmon is seriously off my menu. Its made me ill so many times since surgery that I have a phobia. I force myself to eat meat, Cheese is a huge favourite, especially paired with fruit. TBH, My weight is stable and my labs keep coming back ok, so I am skinny and happy. You will figure it out for yourself. Don't feel pressured by others who you think are doing 'better' than you.

Hi Lark, I was in the same position. Returning to a highly demanding job, 12hr shifts, encompassing both sitting a a computer, walking/moving and high stress, I was exhausted. I had many fears, would I manage, would I be able to eat and drink? I decided to go back after 4wks as I needed to get over that hurdle. it was tough, I work nights and days, so going back for 3nights after a month of sleeping 9hrs per night was daunting. I managed, pre-planning involved making up a box of protein drinks, 25-50g tubs of snacks, and high protein non perishables and putting it in my locker. My fluid intake was planned out, 3 x500ml bottles of water, 1x protein shake. A couple protein balls in my pocket, lentil soup for my 1am break. I think I did around 12k steps that night. So yeah come morning I was shattered. since that block of nights, I’ve also been on days, which I always struggle with anyway. There was an added problem this time, of slight reflux in the morning, which was new to me. I found a few dry crackers (10g) in my pocket helped. I can drink when sitting at my computer and if o have to run to my locker for a 5min time out and a snack I can do so. the swap from days to nights and vice versa is not easy. I am considering asking for only days for the time being, which has financial implications but might be better for my health. Do what’s right for you. I wanted returning to work over with, so I’d not worry about it. This process has been one of trial and error for me. Good luck. I wish you well o your road to health. X

I did. Perimenopause & then menopause saw me gain 30kgs (15kg above my usual high weight of my fluctuation range). Tired to lose it for about 4 years but couldn't. No co morbidities. Was almost 54 & on HRT when I had my surgery. Reached goal at 6 months (a 23 BMI & my usual low weight of my range) & then lost another 11kgs over the next 11/12 months. So I lost about 135% of the weight I was hoping to lose. Haven’t weighed this since I was about 12 years old. And I have pretty much maintained my weight at almost 5 years post surgery. My rate of weight loss seemed pretty average. Didn’t exercise (don’t like it). Was a low calorie eater in comparison to many others. My hunger didn’t return for about 12 months. All my menopause symptoms disappeared while losing (still had some breakthrough symptoms though on HRT). Thank you that oestrogen hormonal flush that occurs while losing. They came back after I lost most of my weight though. Sigh! Almost 59 now, still menopausal, still on HRT. No real issues with the surgery or after. My tendency to have low blood pressure drops occasionally before occurs every day now. Had my gall bladder out at the two years mark which left me with a protein malabsorption issue. Blood work otherwise always good. Haven’t taken vitamins since 8 months out (except Vit D in winter). Have reflux but had it before surgery too just mild then. Tummy can be a little sensitive but it was before surgery too. I have episodes of the foamies but I think my oesophagus is more sensitive too. So really just some quirks that are special to me. LOL!

My hunger or interest in eating didn’t really return for around a year. I found eating to a routine very helpful. In fact I still eat this way. I started doing it to establish good/better eating behaviours (been a meal skipper for most of my life in an attempt to control my weight) & also to ensure I was getting in calories & necessary nutrients. Not a food tracker either. Wasn't required to in my program. I do random checks for my own curiosity, to ensure I wasn’t slipping or getting complacent & to check new foods/ingredients or recipes. I more often checked portions. I know my calorie intake was low compared to others (barely 900 at 6 months & my goal) but at least I was eating regularly & nutritiously. I still have times I don’t feel hungry. Usually just a day or two but went through a period of a couple of months recently which saw me reduce my intake a little. Went from 4 meals & 3 or 4 snacks to 3 meals & same snacks. On the days or times I didn’t feel as hungry I chose something lighter to eat like yoghurt, soup or just ate some protein & didn’t care if I didn’t eat all my portion. Oh & I still take 30-45 minutes to eat most meals - used to take up to an hour. I’m also a meal repeater. I have favourites & there’s nothing wrong with that. Know how much I can have as a portion & the protein content. I used to eat scrambled eggs or rolled oats for breakfast. Now I just eat rolled oats. Similarity at lunch - 3 or 4 options I rotated through currently two options. Dinner is repeats too mostly because of left overs. I still cook much as I did before 😁. Eat that meal for 2 or 3 days & freeze the remaining portions for those nights I don’t feel like cooking (love my freezer & microwave - little reheat & sometimes cook vegetables - 5 mins total). I usually cook pretty simply too: protein & vegetables so I can easily check what I’m eating & getting nutritionally. I never had those signals many speak of regarding fullness. No sneezing, no runny nose, etc. Just my restriction if I went too far or if something sat more heavily than expected. It’s why I started asking myself if I really needed the next bite or just wanted it. It’s not unusual for me to put food on my fork & then put it down again to maybe eat a couple of minutes later. I remember the first time I felt hungry after surgery. I was about 7 months, had a busy day & then went to a function. Hadn’t eaten much & there’s was nothing suitable at the event. Was home & in bed when I realised I was vey restless. Something was wrong but didn’t know what. It took some time to realise I was hungry. I realised this was my real hunger signal. Didn’t want a specific food, flavour or texture. There was a logical reason I was hungry - I hadn’t really eaten for most of the day. Took another 3 months before I felt it again. One of the things I’ve learnt along the way is you have to do what works best for you. Because it works for someone else doesn’t mean it’s right for you. Whether that is tracking or not tracking your food, how many meals or snacks you have, how much activity you do, what foods you choose to eat, eat occasionally, or generally avoid, etc. Use other people’s experiences & routines as suggestions of things you could try if you’re stuck but if they’re wrong for you, try something else. So after a long way of getting to it, my two suggestions based on my experiences if you want to try them, are: Track your calorie intake & nutrients for a few days just to ensure you’re on track & not missing anything. Then only check new foods you introduce &/or do random checks. Try eating to a routine. Doesn’t have to be a full meal but at least something that is nutritionally dense & protein focused. Oh, yes stalls happen. Mine were short. A few days only. I tracked my weight daily which is how I saw when they occured.

The blood thinner shot does sting the first few times it's injected. It also leaves some pretty good bruising in the area of the injections. I did have some itching, but it wasn't abnormal. I was supposed to be on a 2 week post op liquid diet as well. But I was having issues with constipation, in part because of fiber not being in my diet. Even with taking Mirilax daily. So, they said I could start the puree'/soft food. I did eggs for a couple days with well mixed fat free refried beans for the fiber. Then I've been adding steamed carrots, broccoli (no stems) and a small amount of sweet potato. I'm not having an issue now. About 1 to 1 1/4 measuring cup full of food is all I can handle. To get my protein, I've been mixing Premier protein powder with a 1/2 cup of Chobani plain zero sugar yogurt.

Hey!! Glad to hear you are doing good!! Same here. I had mine on the 19th. I’m still shocked that I’m not extremely hungry BUT I feel like I could eat anything I would want. I’m just drinking protein shakes tho.

TL/DR: Worried about losing weight by not eating enough. | Looking for tips to reach protein/calorie goals when not hungry. | Looking for others' experiences with lack of hunger this far out in WL Journey. ------------------------- I meet with my nutritionist for check-ins about every 3 months. For this last one, my 9-month, she told me not to be upset if I hadn't lost, as a stall was expected. Yet, I had lost just as much as I had been. We went over what I had been eating & she wasn't concerned about content but suggested increasing variety. [I'm a meal repeater 🤷‍♀️] Though, she again warned me that it is now especially likely that I would stall since I hadn't yet. Since that appointment, I've still been losing weight. I know it might appear strange to worry about meeting the goals we are here to meet, but my nutritionist is big on trying to relearn the natural cues of the body. So, as they are absent, you can notice pressure in your stomach, sighing, or a runny nose as indications of fullness. As indications of hunger return, you can utilize them to increase portions within the parameters of slow eating and not exceeding controlled sizes. The thing is, I don't know that the initial increase after, you know, the literal wounds healed, I have really expanded much more. I don't really get hungry until 'early-bird dinner' time. So eating during the day is purely done out of obligation. [& if I'm being truthful, there are times when I forget entirely until after work.] So obviously, that leads me to try to have all of my calories in one 'meal' in the day, which I have to eat over a couple hours [even if it is small] if I don't want to get nauseous or actually regurgitate. [The regurgitation has improved slightly over the last couple of months. I had a very reactive stomach that required me to prolong my dependence on protein shakes. Pre-surgery, I don't think I came even close to needing to vomit since pre-school 🙁.] To be fully upfront, I have not counted a single macro or calorie or weighed a single food item during my entire journey. I've tried tracking before in my weight-loss journey, and it was not healthy mentally for me. I realize that I may be under goals rather than over them, but straightforward counting of calories is just not something that would be part of a successful journey for me. So, all of this is a longwinded way to say: - Is anyone else struggling to eat enough this far out? - What helps you to reach your protein/calorie goals when you don't really want to eat? - Any other tips/tricks/specific brand or meal suggestions?

Hey everyone, How are you doing one year post op?! What are your current stats. Do you have before and now photos? How much did you lose? How is your eating, fluid intake and protein intake going? I'm doing great. I lost 109 pounds. I'll attach my photo of when I decided to start this journey. My eating isn't the best. Neither is my fluid and protein intake. It's still a learning process and hopefully I'll eventually get there. I still want to lose another 30 to 50 pounds and then maintain.

Hey Bariatric family!! I’m four weeks post op and the thought of food makes me sick. Protein and water are my best friend. I have had some puréed stuff and a tiny piece of white fish. Once I eat something and put it up for “later” the thought of it disgust me. Will this go away?? Any food ideals?? Besides chili and fish?? The thought of chicken makes me want to pass out. I’m feeling good and everything is going well , just scared that this will not go away. Thanks in advance for all replies . These forums have gotten me through some of the hardest times of my life after vsg surgery.

My surgery was 2/21 and I was released from the hospital yesterday morning. There were some minor issues that caused the surgery itself to take longer, and the doctor wanted to do a swallow test before I was allowed anything to drink, so I ended up needing the extra night in the hospital. I'm not in much pain when I'm sitting or lying down, but it's tender when I'm walking around. It doesn't help that both arms hurt from IV and blood draws. Yesterday I managed about 32oz of water plus just under 2 Premier Protein shakes. Hoping the tenderness goes away soon. No hunger at all, which is just kind of weird to realize.

I have a protein malabsorption issue too (mine began after my gall was removed). I was prescribed Creons. They’re pancreatic enzymes which help with absorption. Maybe ask her doctor about those. Does she have a dietician? (Way more qualified than a nutritionalist.) They could help review your mum’s diet & make suggestions on what she could be adding or pick up if she is missing something. They may be able to offer suggestions on the vitamins she is taking too (quality, quantity, other brand suggestions, etc.) Does she track all her food? If not maybe do it for a few weeks so she has it for the dietician to review. Tracking may be a lifetime behaviour so she can keep on top of the nutrients she is consuming & ensure she’s not accidentally missing something. Many continue to track in the long term to keep themselves honest & help them maintain. Wishing your mother all the best & hope you get some advice & guidance on a definitive path forward.

this is the first time I've heard of a case like this, and I've been on this site for nine years. I malabsorb protein so from the get-go I've had to be sure to get at least 100 grams in every day, but it sounds like your mother's case is more extreme. I still have a protein shake every morning so I can be sure my intake ends up at least 100 grams by the end of the day, but it sounds like your mother may need even more than. that. Maybe her liver issues are a factor in this, too. I've taken OTC vitamins all along and have never had deficiencies - and that's true of many of us. Usually, OTC versions are fine (although you usually have to take two regular multis a day, rather than one (which is true of many of the bariatric-specific multis). She may have to get prescription-strength vitamins (I know they have prescription-strength vitamin D, for example - not sure about other vitamins). hmmm...not sure what to tell you. This sounds like a pretty rare condition, so I hope someone can help her!

Hi I don't know of many people with the protein problem but my daughter is in the same position as your mother her blood level for protein is almost non exciting her bariatric surgeon has told it is because she hS malabsorption but at the same time she is allergic to protein where as I hD the bypass and have fat malabsorption I am also 69yrs lost 70kg my daughter had the sleeve In Australia we have a group on Facebook for the over 50 people maybe she should look at and even join it hope this helps abit

I don’t personal buy it on bariatric pal, but might look into it. Before my surgery I bought some protein soup and protein pudding on Amazon. I picked the one that is bariatric friendly like low in carb, and low in sugar. The protein pudding I tried the variety pack first, but the 0 sugar one didn’t taste to my liking and I bought the one I like that have 2garm of sugar in it. The soup and pudding have extra 12-15 gram of protein. I only use it when my meals does not meet my protein requirements and it can give me a boost, or I use it when I am craving dessert. It does help a lot for me. But I had only used 2 time after surgery. I used it more when I was in my pre ob liquid diet.

My mom had gastric bypass a few months ago. Her doctor wanted her to have it because she was Type 2 diabetic and in danger of a lot of other health issues that would be solved by losing weight. She is 69 years old. Things were going well at first - she felt well, she was able to eat as needed, and was losing the weight. She is about 5'5" and I'm not sure about her current weight, but she's lost quite a bit and can now fit into like size large in women's (she was at a 2XL or 3XL before). But recently she has become very weak and has fallen several times (which is dangerous at her age). She went in to the doctor and they were initially convinced based on scans and blood work that she she had fatty liver that had advanced to cirrhosis, and they said it was Stage 3 cirrhosis (and that her only hope for survival would be a liver transplant). The doctor also told her that she was severely malnourished, comparing her to starving kids in other countries. He said that was the cause of her weakness, along with the liver issues. A biopsy was done on her liver and she's Stage 1 of fatty liver, which means she can turn it around with diet and exercise, and we're all very happy about that. However, she is still extremely malnourished. The doctor's solution was that she eat more protein. She has been focused on doing so ever since her surgery; now she is trying to up her intake even further. And despite trying to get as much protein as she can, her last blood work showed that her protein is at a 2, which is apparently really bad. So a couple of questions for you - Have you heard of anyone going through something similar to this? What did they do to improve their nutrition and overall health? (Because at this point the doctor is now recommending undoing the surgery so that she can absorb protein better, but I don't want my elderly mother to undergo surgery again.) How can she up her protein? She is already eating large amounts of protein at every meal and snacking on it throughout the day. She is also eating plenty of vegetables. I know you're not supposed to get your protein from drinking, but would that be helpful here? Just to make sure that she's getting enough? And how many grams of protein should she be eating a day? What kind of vitamins should she be taking, and at what dosage? She is very low on like Vitamin D and B, and assures me that she's taking OTC vitamins that her doctor recommended. I know that's not good enough if you have absorption issues and gastric bypass, and I also know that doctors' recommendations (especially those who don't focus on bariatrics) often recommend way below what is needed. (Her vitamin levels are bad enough that the doctor wrote her a prescription for vitamins to take once a week.) She told me she takes the Fusion brand Multivitamin every day (designed for bariatric patients) and a calcium/Vitamin D that is 1000iu twice a day. Looking at the label for the multivitamin, it seems low to me. Any and all advice/help/suggestions would be most welcome. Thank you!

Wow, sounds like we are in the same boat. it is so hard to find foods that I can tolerate. As far a protein plain chicken is what I can keep down, if food it has to many spices or flavors to it, it all comes up. anything tomato based is a huge NO, red meat, nope. most veggies are a nope. I can eat a egg, but only the white, the taste of the yolk is a nope. I do mange to get about 22 grams of protein a day, most comes from shakes Only vanilla ( 1 brand) , other flavors make my nausea kick into overdrive. Most protein shakes, protein powder make me sick. I have spent 100$s of dollars trying to find something that i can tolerate. Currant my fluid intake is about 24 ounces in 24 hours. I'm still sipping so it stays down, I also am not a sleeper, I have been a insomniac since i was 18 , so 32 years of getting at best 4 hrs a night/day. Feels like every day is different, the suspence of what is going to stay down, what smell makes me sick, or if today is the day i cant drink anything, There are times I wish i never had a surgery, but I know i needed it, to try and get healthier. but this all is just so much. Thank you for your reply, nice to feel that i am not totally alone and there are others that struggle like myself. and i would love to chat!

Fully skimmed milk with added dried milk powder or protein yogurt is a great alternative and the protein count is great. Much cheaper too. My surgeon was very against protein shakes. I added banana and / or sugar free nut butter to mine.

I was 118kg back then till 27th Jan 2024. 10 days prior to my surgery, the liquid diet plan was quite challenging but managed well. I lost 5kg at Day 10... I was discharged from the hospital 26hrs later as 12hrs after surgery i started to walk with the support of my wife. Im on support of Multi-vitamins, Calcium Citrate + D3, blood thinning injection for 1 month, and Gastric medicine for 2 months. All vitamins or medications need to be crushed from solid pills to compound or powder base before consuming. This has to be for only the first 1 month of post surgery. Being just on liquid diet, plain water for the first 2 days, 3rd & 4th day took young coconut water, 5th till 7th day took sieved apple orange beetroot carrot & celery juice (200ml every 2 hourly) and by end of Week 1 post surgery, i lost another 6kg. Week 2 post surgery, continued with liquid diet by consuming protein milk shake 100ml at 8am, 10am, 12pm, 2pm, and 6pm. At 8pm and 10pm i take same sieved juices 100ml only. By end of Week 2, i lost another 6kg. However, this is my Week 3 post surgery, continued with liquid diet by consuming protein milk shake 150ml at 8am, 10am, 8pm and 10pm. At 12pm and 6pm i boiled small piece of cabbage and cauliflower, then i air-fry a small piece of chicken breast with 4 small slices of egg-tofu. Total weight of my lunch(12pm) or dinner(6pm) meal is within 80 to 100 grams only. This will be the diet for my Week 3 & 4. I weigh myself on a weekly basis. So let’s see by next week how much i lose again…😁😁😁

Do you all buy any of bariatric pal foods? I’m about 3 days away from my 4 month post op. The bariatric foods hep me a lot to stick to my 60+ mg of protein a day still drink one shake a day because I get about 40mg protein in one shake. I usually drink around 4-6 pm so with my meals and snacks. I get the rest or more of protein through out. I too have sm stalls depending on if my right leg is swollen or I need to have a good bowel movement sorry TMI but I’m on pain management with chronic constipation. But I’m losing steady not as fast as first surgery but since I’m more sedentary then prior it’s expected but losing. Day of surgery was 304 now 272

I haven't lost any more weight. I've been going to the gym and even got a walking pad for Christmas that I use but it's just not coming off. I lift weights at the gym 2 to 3 times a week an hour at a time and do at least 2 miles 2 times a week while I'm at home. The last three weeks I cut my calories way down which sucks with how much I work out. For example I did an hour of intense weight lifting today and only consumed 1104 calories and 104 grams of protein. On average I'm only consuming 1300 calories and getting between 70 to 100 grams of protein. My food through the day consists of small meals or protein shakes from 6 am to 6 pm. Like a protein shake for breakfast, one after the gym on my lunch, some low cal soup, jerky, piece kf fruit, etc For dinner (around 7 pm) I have a majority of my calories, usually baked chicken strips or shrimp, etc with a side and then bed at 10pm.. It's just not coming off. I get I could've tried harder through the last year but man this is just tough. I can't even say I've gone down in clothes sizes any more. I just don't know. I do have a one year post op appointment on Tuesday and I'm terrified and ashamed that I have virtually nothing to show for it. What am I missing?

I'm glad it helped!! Oh yes, I forgot to mention that, moving to soft foods will help some, purees just don't have as much solidity to them. There is a huge difference between a 1/4 cup of pureed food vs 1/4 of a solid protein, even if it is a soft protein... At 8 weeks I was cleared for most foods and I think that is part of the reason why my hunger started to ease off around then. If your PPI is omeprazole it is possible it isn't working as well as you need it to, sometimes people need something like Pantoprazole or Dexilant, so if that gnawing hunger at night continues you may want to ask your doctor about it at your next appointment! ❤️

Genepro has unflavored protein powder and it dissolves pretty well into things and it doesn't really have much of a taste. It is my favorite plain protein powder. You can put it in flavored water or tea or milk or whatever... Just be sure to count the protein count on the nutrition label, don't believe the "nano absorption" bull crap they advertise. LOL

There are things like miracle noodles, heart of palm noodles, and of course most of our "fullness" should come from veggies once we are a year out. Think high volume low carb veggies like lettuce, mixed greens, cabbage, cauliflower, broccoli, as well as colorful things like bell peppers, tomatoes, onions, green beans, etc... These paired with a little fat and a decent amount of protein should help you feel fuller longer. I think it is very well possible you could be experiencing true hunger. You are MUCH taller than the average woman (if you are not a woman I apologize for the assumption) and the dietary guidelines that surgeons and nutritionists hand out are usually useless if you fall outside their standard patient. If you are exercising enough to get your heart rate up for a consistent amount of time or doing weights/strength training, you could be burning a fair number of calories too. Both of these things would make me think you may have a higher caloric need, even though you are a sleeve patient, than the average sleever would. If your surgeon's nutritionist isn't interested in customizing your true caloric need given your frame, height, and activity level, you may need to have a few sessions with someone else who is trained in bariatrics and will actually help you work through this so you can stop feeling guilt when you eat more than your surgeon wants you to. Also, have you tried the Millie's sipping broths? You can get a sample pack of their flavors on Amazon for a pretty reasonable cost. They might help ease the hunger between meals until you find a dietician to talk to.

You could be craving fat. Beef is one of the fattier meats and a low carb bibimbap dish would have been full of fat from the oil everything is sauteed in, and the egg, and the dressing. Plus Korean food often has fermented veggies which are really good for you. I crave Korean food and Japanese food a lot. I finally realized part of the reason why is because they eat a little bit of a lot of things. Banchan and Bento boxes! *swoon* Quantity doesn't satisfy me, I hate eating one thing per meal. I need a bite or two of multiple things to feel satisfied. A little fat, a little fiber, a little carb, a lot of protein...something crunchy, something sour or pungent, something a bit sweet, something creamy. I have to hit multiple of those categories to feel satisfied in a meal. So I eat a tablespoon or two of numerous things. Then I'm satisfied and happy, even if I'm not bursting at the seams full... So you might be needing more variety and a bit more fat?

Your feelings are valid @Nan CC, surgery is stressful and the idea that we have done so much for so little loss in the beginning is discouraging and depressing!! I have some thoughts to share about your experiences... 1. That hunger you are experiencing is normal. It doesn't go away for everyone. I woke up in the recovery room ravenous which pissed me off because all they kept saying is I wouldn't be hungry! And I ended up more hungry than I'd been in years!! The first two months I was hungry all the time. True hunger. I think it is because the body is panicking and trying to figure out what is going on. Plus we've been lied to, that growling sound is often not hunger, but just our system digesting and moving air and fluid through our system. After surgery our internal digestive process sounds louder to us for some reason. Maybe because we are paying more attention?? I don't know. But I had true hunger constantly. One thing that will help this is a PPI (proton pump inhibitor). Our tiny tummies are still making enough acid for a normal tummy and that can irritate it as it heals. That gnawing hunger can often come from this and gets worse at night... 2. No, you aren't supposed to automatically feel full with 1/4 cup of food. A lot do, but not all by any means. The reason for this primarily is because all the nerves that communicate fullness to us were cut during surgery. It takes at least 3 full months for those to heal enough to accurately communicate again. The 1/4 cup portion size is to keep you from inadvertently overeating and stressing your healing stomach. At about 8-10 weeks you may notice you can eat more, that's because the internal swelling has gone down. By then you should be able to start gauging your fullness signals. They are often different post op and can look like sneezing, a congested or runny nose, hiccups, pressure in your breastbone, nausea, etc... By 3-4 months out you may be eating more like 1/3 to 1/2 cup of food at a time. Not everyone progresses that way, some have high restriction all the time and have to stick to smaller portions. But the key here is to start building that relationship of listening with your body and learning that the feeling of hunger does not mean you are starving. If you are eating 1/4 cup of food 5-6 times a day, you are getting enough nutrients for your stage in the process. As @AmberFLmentioned, I suggested Millie's sipping broths (you can get a sample pack of all the flavors on Amazon) they help a LOT when you want something, the warmth and savoriness can really soothe the extreme hunger until it balances out on its own. 3. Stalls are normal and can happen early and often. I lost about 15 lbs in the first 3 weeks and then proceeded to stall for 6 weeks and gain and lose the same 4 lbs!! I was horrified and really worried my surgery wasn't going to work. I lose weight VERY slowly, my body is resistant to losing, and I have diabetes and such like you, which I think makes losing hard too. This stall was normal, even though it didn't feel normal. DS patients are known for losing dramatic amounts of weight and my surgery weight was 307, there was no good reason for the stall. But my body needed to take a break and recalibrate and heal, so it did. Finally after those 6 weeks I SLOWLY started losing again. Then at the beginning of February the weight loss finally started to pick up! A lot of people lose a ton at the beginning, I didn't. Apparently my body needed 3 months before it felt safe to start dropping weight steadily... All you can do is get good movement, good sleep (sleep is crucial to weight loss), good hydration, eat every few hours, and stay off the scale for a bit...it will break when it is ready to. 4. Hunger does eventually return to normal, or whatever is normal for you... I'm almost 4 months out and mine is back to what is normal for me. I still have to eat every 3 hours, if I don't I feel drained and irritable and my weight loss slows... I drink plenty of fluids during the day, it helped with the hunger. I feel my fullness signals clearly now, I think all that healing is finally done. I just have to eat slow enough to allow those signals to get to my brain (it takes longer than you think!). Broths, milk, coffee, tea, flavored waters, all these will ease hunger pangs, but the best cure is time and learning to heal your relationship with your hunger so you can feel it and not feel stressed about it. The great thing about eating every 3 hours is the next meal is around the corner, so I can drink something and tell my system to wait until mealtime. This helps heal the insulin resistance too by allowing your body to go through the full insulin response cycle post meal. I'm sorry this feels so hard. I hope your stall breaks soon! And I hope it helps to know you are not alone. ❤️