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I appreciate that, I am going to reach out to them. I needed to b**** and moan, ask much as I hate that you went through that stall, its reassuring to know I am not alone. Seeing that scale go up is not great!

I believe in my heart I may be the only one doing this to myself...or even able to muster up the courage to talk publicly about it. I'm not getting my protein in. I'm not getting my water in. I haven't been taking my vitamins. I haven't been to the gym in over 2 weeks. I eat what I want, to the point of making myself puke with intolerable food. I gave up. I drink alcohol. I'm lazy. NO i'm not looking for pity, i'm genuinely curious to know if anyone else is or has been in my shoes.. I'm almost 5 months post-op, down 40+ pounds. Losing 1-2lbs per week SOMEHOW. If you've been here, how did you get out of this fog? I'm petrified to address this with my doctor in fear of being judged. I'm in the closet with all this. Scared/anxious i'll just regain my weight over the next year. I feel im in concrete and have ABSOLUTELY NO motivation to change habits very disappointed in myself. Disgusted really. Recently went to a gathering and seen myself in pictures and I am way bigger than i thought i was. im just all over the crazy table!

some people experience hormone-related depression for a few weeks after weight loss surgery, but weight loss surgery would not have caused bipolar disorder.

ooo Pilates okay! I haven't tried that, I will have to look into that. That's why I am doing a cardio day and an F45 day. I am not trying to loose anymore weight but I feel so good afterwards. And I am starting to get muscly so I would like to maintain. I lift heavy as well. Do you think 4 days of heavy lifting is good? I am new to this and have been working out with weights for only 4 months but the progress is pretty addicting. I am having mixed feelings about F45 I did hybrid day and it was meh, I felt like I needed more, then I did a only strength day and oh man! that felt good, so this week I am doing an only cardio day and see how that is. I am only doing 1x a week, (works better for my schedule). So this is new but I am so bored with my workouts and I feeling like I am just coasting and not getting sore or tired like I used to, which I am told that is good since I am in shape?

once you get that far out, you have to play around with different calorie ranges to figure out about how many calories you need to eat to maintain your weight, and how many to lose. That range really varies for everyone depending on sex, age, activity level, metabolic level, how muscular you are, what weight you'd like to be at, etc (e.g., you can eat more if you're fine with weighing 180 lbs as opposed to 130 lbs). I can maintain my current weight by eating about 1600 calories - although I can eat a bit more if I'm exercising a lot. To lose, I have to go below 1600. And since I'm pretty close to a normal BMI, I'd have to eat quite a bit less than 1600 to lose a somewhat noticeable amount each week (otherwise, I'm losing just a couple of ounces - and it's hard to distinguish that from normal fluctuations). There are some women on here who can eat 2000 calories to maintain, and others who can only eat 1200. It's really sort of trial and error given how far you're out from surgery. Maybe start with a range - like 1300-1500 and do that for a couple of weeks. If your weight isn't budging, drop the range down by 100 calories. Rinse and repeat until you start losing weight again. P.S. if. you're losing inches but gaining weight, it could be that you're putting on muscle. Or if you've recently started doing more and/or heavier lifting, it could be that your muscles are holding on to more water (since they need water to repair themselves). If that's what's going on, once your muscles are used to that level, your weight should start dropping again.

i know this may sound too simple, but really, you just have to eat more. If not in volume, then in calories. it doesn't have to be carbs if you can't tolerate them, but it can be fats. there are 9 calories per gram of fat..more than double the amount of calories per gram of either protein or carbohydrates. avocados (240 cals for just one medium one). macadamia nuts (204 cals for 1 oz)...if you don't like nuts, try the nut butter version. "super' full fat greek yogurt i.e., 9% M.F. (200 cals for 3/4 cup) and my personal favourite and go-to high calorie/low volume snack: chicharron! (i.e., pork rinds): 150 cals for 1oz, 9g protein, 5g fat, ZERO carbs. p.s. also, eating so little carbohydrates is probably contributing to what you say you are not liking about your appearance (i.e., looking too skinny or gaunt). most people find that re-introducing (a "normal" amount of) carbohydrates into their diets after a long hiatus rounds out their appearance again and reduces that gaunt look.

You are having a head moment. You know that you are doing everything right but your head is saying WHAAAT ! TF ! Just breathe for a moment and think. There are a few things to consider and you probably know this, Its a stall, Its water retention, you are over doing things and your body says no way or you have eaten salty foods. You have gained the pounds and you need to stay away from the scales for a few days/ a week. Its a tough ask I know, I am the worst at it. Watching the scale will screw with your mind. Keep to your plan and it will work its way right.

@AmberFL In all your exercising have you found that your arms are firming up, if they were flabby before? Just looking for some tips as they remain a problem area for me and doing arm weights at home (mix between 1.5kg and 3kg) a few days a week for some reps doesn't seem to be making any inroads. My legs are always going to be a problem area for me because of lymphedema but that just stops me wearing shorts or a short dress leaving me still with plenty of options but having to keep my arms covered all the time (because I hate my arms) is a pain.

A 3 month stall??? Holy smokes, you are definitely stronger than me. The worst I ever had was 2 months and I was climbing the walls. I was trying soooo hard to pay attention to the NSVs but 2 months of nothing moving on the scale nearly drove me to insanity. I have no idea how you handled 3 months, but I give you all the respect, props, and credit in the world for getting through it. CONGRATULATIONS on hitting the 100 pound mark. That's absolutely AWESOME!!!!! I'm really happy for you. It feels amazing, doesn't it? Not only are you solidly in ONEderland, but you're so close to your goal!! I know you'll get there. Just be ready, because the lower your bmi, the sloooower the weight comes off. It took me a full 2 years to lose my weight, so don't get discouraged if it takes a while. But you can definitely get there. You got this!!!

@RRenaeL23, I can hardly believe what a badass you are! (And I mean that in a "wow you're awesome" way.) Walking 2 miles already? That is really great and I am so happy for you. Keep up the great work! I also need to start working on my muscles - for me it's core, arms, and legs (well, now that I think about it, that's pretty much everything, right?). @Greekmom4, I have never heard of the foamies, but I certainly don't want it! Hope that doesn't come back for you. Today I had a NSV because I'm wearing a fitted sweatshirt that I love but haven't work for a long time because it was tight across my middle. Not anymore: now it's just right. My middle is still far too thick, but at least the sweatshirt doesn't showcase it, LOL. I am starting to see little indications of weight loss; just flashes, but they're there. I don't know what my body dysmorphia will do going forward. When I've lost weight before, I've just felt like everyone else looked bigger to me, I didn't look smaller. But I currently don't recognize myself in pictures because in the mirror, my mind tells me I'm not as big as I really am. (I learned at Jenny Craig that's why we should take pictures, because your mind can't bend them.) On paper, I've now lost 36 pounds from my highest pre-surgery, but I certainly don't see that much weight loss (I'm only 5 feet tall, so that's a lot on my frame). I guess that's a function of how much I have yet to lose, but also they say I'll be the last one to see it. I'm now to the regular diet phase, although there is a lot I haven't tried yet. Ground beef and turkey seem to be fine, but I tried some pork chop which was a big mistake. I think I may get much more of my protein from plant sources (beans, etc.) going forward, which is fine with me. Today we got a whole bunch of groceries to make a list of recipes I'm going to try (hubby is the cook at our house). My sister's vegetarian and sent them to me, so they're all veggie. I'm slowly learning to branch out. Since I am eating 1/2 cup at a time, I've been just having protein, but I started craving veggies and fruit. I saw something that talked about having "a few bites" of things, so I'm incorporating that. I can have up to 3/4 cup now, so I have a bit of room to add some veggies and a little fruit. TMI ALERT: I am eating more beans than I ever have, so maybe that's it, but is anyone else producing a surprising amount of gas? I thought giving up carbonation (which was a massive sacrifice for this former Diet Coke addict) would mean a lessening, but DANG.

its been a weird week! Im glad its Friday here and my work day is done in 6hours lol! a GG?! wow I am sure you have nice boobies still even with the weight loss. I think with the weight loss and breastfeeding two of my children for over a year my boobs were like ya there is no way your coming back from this. So booby surgery is a must for me lol! Hoping to have a chillax weekend! You as well and get those lashes girl!!! I am thinking about it too but I spend way too much money on myself as it is hahahah

I have to say I haven't come across a protein powder that could be sprinkled over a popsicle without clumping and being disgusting. But I did add unflavored protein powder to tomato soup in the early weeks because I got really turned off by sweet shakes early on. It gave it a similar taste and color as if you'd added a little bit of cream. I want to say I was allowed tomato soup right away (smooth, no chunks).

I'm not sure how you define "veteran", but at nine years out (and that would definitely make me a veteran!), I don't eat tiny portions. I eat about the same amount as my never-been-obese women friends who are watching their intake. So more like a "light eater". I can eat 3 oz of meat, but I'm not sure I could eat the vegetables and fruit with that. I would probably eat half the meat and the whole cup of vegetables - and save the berries for a snack. So yea - I guess less than what you listed, but not what I'd consider tiny portions. P.S. I could eat 1.5 C of yogurt. But meat is pretty dense and it really fills me up (and I actually rarely eat it - I'm mostly veg)

So I'm in the liquid phase, post op surgery and am a little over a week in and I miss food. I understand attachments to food is what got me here, but is it really wrong to miss food? I spoke with my therapist this morning and she said to be careful not to glamorize food. I'm not sure how to think about this. I told her I still want to enjoy food, or get enjoyment out of food later on. Am I wrong to feel this way? I understand it's more about fueling our bodies and of course I want the right foods to keep improving my health. But are we expected to never enjoy food again after bariatric surgery????? thoughts?? thanks

Throwing my anecdotal experience in the ring here, as well! I had a Vertical Sleeve Gastrectomy (VSG) at the end of November 2023. I was a "slower loser" the whole time, and then I hit a major stall about 6 months post-op, just bouncing around the same ~5ish pounds for months. I set up an appointment with my team for July 8th, discussed the issues I was having (mainly just being hungry and therefore eating larger portions), compared the different options, and we settled on trying out Phentermine. I did have to have a mobile heart monitor for 30 days prior to my surgery, as I had these weird heart "flutters" for YEARS and nobody could really figure out what they were (they ended up being PACs, or Premature Atrial Contractions, which apparently almost everyone has at some point and most people can't feel. I'm just unlucky! They are benign if they are not occurring in excess). My team had me do an EKG in-office that day, as well. They asked about any family history of heart issues, sudden death at early ages, etc. With a normal EKG, I was started on half of a 37.5mg tablet for 4 days, to increase to a full tablet after that if there was still residual hunger and I didn't have any major side effects. They said I'd know within those first few days if it was going to cause any issues. I did increase to the full 37.5mg after 4 days, and I've broken the stall (dropped 5lbs since July 8th, and part of that was spent at a music festival with few healthy food options), and I feel generally great! I do also have ADHD and Narcolepsy, so the stimulant properties are helpful for me. I'm feeling satisfied with much smaller portions and not experiencing cravings at all. I did have some mild insomnia the first few days, BUT I am already a night owl with a bit of insomnia due to the Narcolepsy, so it wasn't a big issue. Other comorbid conditions include depression and anxiety, which I am taking medication for, as well. The anxiety has not been exacerbated, which WAS an issue I had with previous stimulant use for Narcolepsy. Cost-wise, it ended up being roughly $7 USD with insurance. For me, trying Phentermine is definitely worth it, and I will follow up with my team later next month to see where I'm at. I had feared I was done losing after only 6 months post-op, and Phentermine has restored my hope that I can keep going to get to a healthier weight. It's important to remember that, while Phentermine will decrease your appetite, it does NOT cause you to burn any more calories than normal unless you also increase your activity. You have to decrease your portions - the Phentermine just makes it easier to do that, if it works as intended. So, your personal experience may vary, but it's worth discussing with your team if you feel stuck! EDITED TO ADD: My team said that I need to take a break from using it daily about once a month (like, not take it for a couple of days), otherwise I'll develop a tolerance and it won't work as well. This is pretty typical for stimulant medications in general.

If this experience taught me anything it was that the human body adapts - i was panicking my first week out of surgery i knew i wasn’t drinking enough broth and water and tea included. But my dietician just said you’ll see your body adapts as long as you keep sipping when you can - you do the best you can listen to your body. The internal swelling is no joke - you can feel perfectly fine on the outside but imagine the healing going on inside. You’ll actually be able to feel it go down a little each day and the restriction won’t be so harsh. I hit none of my hydration or protein goals the first few weeks 🤣 and i felt sooo bad about it but in the end it really isn’t the end of the world as long as you try to the best of your ability

Off to see The Pet Shop Boys! I’m a massive fan and it’s the final week of their world tour with a special 5 nights finale at the ROH. Whilst we’ve had a wander around Covent Garden previously, we’ve never been to the ROH so a whole new experience just for that alone 😊

I wish I had taken some 'before' pictures so that I could see the great changes. I still don't think I see the real me in the mirror at times so wish I could look at how fat (I can now say that about myself 😄) I was pre-op. I did switch to decaf for the two weeks pre-op as read it online but the hospital were giving me (disgusting) coffee the day after the op and continued to offer it to me every day I was there but my tastebuds couldn't hack it so I went with herbal tea each time. Now, a year later, coffee is no problem and have it running through my veins. I also made a batch of liquid soups for the first week and froze them in 150ml containers so that I wouldn't have to worry about it, just needed to add protein powder at the time, plus I prepped the veg for a second batch of soup and froze them so it meant I just had to put them in the slow cooker with a stock cube, no standing around peeling, chopping etc.

I didn't know there were different sizes and no idea what % of mine is gone. After a year I can still feel the restriction, unable to eat too much and rarely hungry though I can take larger sips now. Have gulped a few times totally forgetting there isn't space 😂 Eating now is more of a habit than needing to, had to force myself today to eat some lunch as just wasn't hungry at all but managed 50g cauliflower and 30g hummus. Example of what I can manage; Breakfast is a 125g or 150g yoghurt 99% of the time or sometimes a couple of small protein or banana pancakes as a treat. Lunch is usually homemade soup (150ml) or homemade dinner leftovers or half a shop bought salad (with falafal or chicken) My dinners are again 99% of the time homemade and would still be about 150ml in liquid dishes such as soup/dhals or 4 to 5oz for a bean stew/chicken dish. A while after dinner I will then have something for dessert such as two squares of 85% dark chocolate or a yogurt or a handful of nuts. In between if I can, I try to have a snack mid morning and mid afternoon. like some cottage cheese banana bread, nuts, protein bar etc. Eating out can be super annoying now when I see lots of things on a menu I would like and then realise that in all reality all I can manage is a starter but it does mean my food and dining out bills have dropped so much and if I don't finish it I usually ask to bring it home and it does another meal or three. When I go on holidays in a couple of weeks I have booked dinners out at three Michelin restaurants that have a menu you can chose from so it means for me just one course in each and it will be a bargain compared to having to usually order the 6 or 10 courses.

I’m terms of work it really does vary quite a bit person to person. I had my sleeve 3.5 years ago and physically I could’ve returned to a desk job the next day out of hospital in terms of pain but I was tired and took alot of naps. Some people that had same surgery around same time as me were in pain for a week. I think one of the main differences is whether any air gets trapped in there because that causes a lot of pain and takes a while to get it all out. I have been on these boards for a while though and honestly there are plenty of people with very little pain from day one like me and then there are also others who are in a great deal of pain for a couple weeks. I have even seen some that take a full month off. I’d say MOST fall somewhere in between. I would also keep in mind what your home demands are too. If you can’t come home and just rest then it will probably take you a little longer to be able to return to work because even when you do feel ready for work you most likely will not have your normal stamina for a little while. You most likely will need naps at night for a while after working full time. if you do a search on here for recovery time or time off work, etc. You will see lots of posts about this if you want to get a better idea.

I did feel anxiety and something that's grief-like in my early days post-op. I never did the liquid diet and was overwhelmed with how many things I thought I couldn't have. I have always enjoyed working out and always thought that not being to eat adequately will not allow me to workout intensely again. Those days are far behind me now. I eat everything and that includes sushi, burgers, tacos, rice, noodles and even dessert. I have been traveling to Europe for 2 weeks and I had gelato, pizza, pasta and bread every single day. I came back having lost weight. I walked 15k+ steps a day and enjoyed everything in moderation, I didn't eat big portions of anything, I rarely finished a whole scoop of gelato but I tasted everything and ate to satisfaction. I eat well 90-95% of the time, but I definitely don't deprive myself of anything. I eat out on weekends and I love trying new restaurants and cafes, it really doesn't have to be like that. It really comes down to how much you eat. Use your restriction to know how much to eat and when to stop. Of course I understand that the above might not be suitable for everyone, but the "all or nothing" mindset was something I struggled with pre WLS, but I find that adopting the "everything in moderation" OR "do I really want to eat that?" mindset now is really freeing and doesn't limit how I live my life. I love travel, I love food, I love culinary experiences and I am adamant to not let WLS get in the way of it. It is a tool that should be used to build good habits, which include portion control, daily movement and workouts but also freeing your mind of food fear and anxiety.

I had my one year check up with my bariatric surgeon yesterday, labs were all perfect, I was told I'm 20 percentage points down in my BMI and the surgeon said I'm exactly what the program hopes for in outcomes...etc. Etc... My questions to the doctor were the following: 1. When do I quit aching / feeling pain in my hips, shoulders and elbows I've heard so much about after losing weight?! He asked if I had this pain beforehand, I told him no its all since surgery. 2. I also asked about occasional pain that feels like gallbladder pain now (its been removed) asking if it could be a stone in my biliary tract? He said not likely its probably just "phantom pain." All fine and good but there's nothing phantom about it - it hurts like my old gallbladder attacks! 3. Lastly, I wanted to know when I get the magical much talked about energy after losing weight? He said everyone is different, and "you do seem to have an odd bunch of symptoms that should go away after surgery - not start up"! He went on to say that I might not meet my goal, saying it might be "unrealistic" yet I asked at my first meeting with him when he asked about my goal if it was unreasonable to which he said no! If I'm doing "exceptionally well" on the program then why is it now possibly "unreasonable"? He said I've got maybe 6 months more in which the surgery will continue to help me lose weight, but since its slowing down...I probably won't hit the goal (40 lbs to go). He knew the average weight lost in the 18 months following surgery, why say my goal was reasonable then? Sorry, I'm finding myself annoyed and discouraged now. So, my questions are: anyone else around a year out that is or has experienced the above issues? If so, do you still deal with it? If not, when did it go away (any of the above)? Did you after being told your goal is unreasonable and probably won't hit it, continue to lose and hit your goal or did you adjust your goal?

I actually had virgin sleeve/SADI surgery nearly 4 years ago now. I don't think SADI is an option for the "my surgery" part of the profile on this site so I listed DS as the closest. Honestly, I had a pretty easy surgery and recovery. Of course there is soreness and healing like there would be with any other surgery but I felt well enough to go back to (extremely sedentary) work in a week. Really, the worst thing for me was a sore throat from being intubated. My doctors gave me a three week eating plan to follow one week each of clear liquids, any liquids, soft solids before eating a regular diet. I followed this faithfully even though I felt like I could eat more and was a little hungry at times. Now, I eat pretty much exactly the same things that I ate before surgery, just smaller amounts. If I have a lot of sugar or simple carbohydrates, I will get gas and loose stools. It's not painful though, it's just . . . happening. Still, I usually try to avoid it but treat myself now and then. My iron got very low about two years out from surgery. I was getting lightheaded and they ran some labs to find out my iron/hemoglobin was tanking. I had to get a series of IV infusions and then take extra iron supplements. Almost two years after that now and I am able to keep my levels in the low-normal range with just the supplements. I take three doses of an adult multivitamin per day, no special bariatric formula (don't tell the admins!). Be prepared to explain your surgery to any non-bariatric doctors you deal with. Unless they are bariatric specialists, they will NOT be familiar with the different kinds of surgery and they will likely have no idea what SADI is. A lot of them generically call any weight loss surgery "bypass" (e.g. the hematologist I see for my iron tests). Get a big plastic tote and put it on the floor of your closet. When a piece of clothing is too big, take it off, put it in the tote, and don't think about it again. When the tote is full, bring it to your local women's shelter or similar. If you can, get one new piece of clothing for every two you put in the tote. Build your new wardrobe thoughtfully. My only regret is that I didn't do it 15 years earlier.

I feel like you're exactly right and your post was really well worded. I bet that's what the therapist meant as well - and boy oh boy are you on target with an 'adjustment period' being needed when you're used to turning to food for comfort! I had a couple of weepy episodes during this week quite unexpectedly when I didn't even feel hungry. Maybe it was the thought of an upcoming major surgery (I've never had major surgery) but I also think it was the sense of 'forced control' and the knowledge that I couldn't turn to chocolate or pizza to make me feel better, even if I wanted to. Maybe I was kind of 'mourning' the lost of that coping mechanism -- but I do think the fact that my taste buds are changing is going to be helpful, personally.

I had to sip for a good 6-8 weeks when I had my sleeve. I really struggled with the sleeve, and ended up with a revision to bypass a year later because of complications. I didn't have to sip at all when I had the bypass. I finished an entire 20oz bottle of water the day I had the revision in 2 hours in the hospital. When they saw that, they unhooked me from the IV because they saw I was getting enough fluids lol