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I'll do my best to help, but I'm going to have to start by asking some questions: When you say the weight is "barely coming off", can you be more specific? How much in the last week, two weeks, last month? Can you clarify what your goal weight really is? In your profile, you're showing that you're currently at 78kg and your goal is 75kg. That's only about 6-7 pounds, not the 33-44 you listed. I'm thinking you probably have a new goal and have not updated your profile, but it's important to understand what you really are trying to do. When you say you are "eating pretty well", can you give some examples of what a typical day looks like? What is your daily caloric goal? What about protein, fat and carbs? How are you determining your what you caloric and macronutrient intake should be? How are you tracking your intake? Do you weigh everything in grams before it goes into your mouth? Let me explain why I'm asking these questions. Typically when people are struggling with weight loss, we see a few common issues: Unrealistic expectations. Especially if weight loss early on after surgery was easy, people tend to think it will continue that way until they reach goal weight. Unfortunately, that's not how this works. The heavier we are, the more we'll lose at first. The closer we get to goal, the harder it becomes. It can take months just to lose a few pounds if you are already pretty lean. You also have to really have your nutrition dialed in at that point.. I won't get too deep into the physiology here, but there are multiple reasons for this and it's 100% normal for this to happen. My point is that you may be right where you need to be. It's hard to know just that just based on what you posted above. Eating more than you think. Study after study shows that almost everyone thinks they eat less than they really do, even those that log their food using calorie tracking apps. It's sometimes simple things like those little tastes while preparing a meal, or that handful of nuts they forgot to log. Others, they just guess at calories because accurate tracking is really hard. Burning less than you think. Most people have absolutely no idea how many calories they actually burn in a day. We often use estimates based on height and weight, but these can be off by may hundreds of calories depending on age, lifestyle, percent body fat, etc. Further, your calorie burn isn't the same all the time. It can vary by hundreds of calories per day even before you consider exercise. Speaking of exercise, we drastically overestimate the impact of exercise calories. For the vast majority of people, the calories they burn in a day don't actually change all that much due to exercise. Blaming things outside your control. It's natural for people look for causes for problems. If we take ownership of the problem, we can then take steps to correct it. It's when we place the blame on something we perceive to be outside our control that we can run into serious problems. Let me give you an example here. We can't escape simple physics. If you burn more calories in a day than you consume, you'll lose weight. Eat more than you burn and you gain weight. If I take responsibility for this, then it means I need to eat less or burn more to lose weight. I realize that's easier said than done, but without first taking responsibility for the problem, I'd have no hope of fixing the issue. If on the other hand, I were to say "I have a slow metabolism", I'd essentially be saying this issue is outside my control, even though the solution is the same as before: eat less than you burn. Thinking a particular diet/macronutrient is more important than calories. I noticed you hinted at that in your post. Calories are king here. Specific diets that emphasize one or more macronutrients can help, but they never trump calories. I can go into more detail later, but this post is already getting overly long so I think I'll stop here. Please provide some additional detail and I may be able to provide better guidance.

6 week update: Down to 252. So officially 10 pounds down. I feel good. Clothing is fitting better. Snacking habit broken. More energy from eating better foods.

I use Quest brand Milk Shake Protein replacements with 45 grams of protein. I also get 30 grams of protein from various flavors of Premier Protein, these are both meal replacements. Be careful with anything bought in a store, make sure it has 3g or less of fat and 3 g or less of sugar, and make sure that they have NO added sugars. Gotta read the labels. I agree with SpartanMaker, you need to be very careful when looking for what you need in the guidelines you shared. That's page 19, I wonder if there are other dietary guidelines within your packet. Wishing you the best.

The meal replacement shakes I liked the best were Bariatric Fusion brand in the cappuccino flavor for breakfast and the chicken soup flavor (made with warm water) for lunch and dinner. A caveat is that I hated both of these when I tasted them the first time. I almost got rid of them. Especially the chicken soup. But after about 3 days on the liquid diet, the soup was the best thing I ever tasted. I was so tired of artifical sweetness. I also can't say enough nice things about Syntrax Nectar Naturals orange flavor protein shake (but this is not a meal replacement shake, just a protein supplement). I quickly tired of the meal replacement shakes within the first month post-op, but I drank an orange protein shake every morning for about 6 months. I had very little appetite in the mornings but specifically the lightness of the orange texture/flavor made me feel like I was having a glass of juice. It's similar to drinking Tang, if you ever had that back in the day. Or maybe like Sunny-D. Not quite orange juice, but kind of a treat. I tried the other flavors and they weren't as good in my opinion, but I would probably still drink the orange one if I needed a supplement.

Is it just me, or is it really odd they'd tell you what not to use, but didn't tell you what you should be using? Surely they must have some suggestions that fit what they want here? As far as I know, all meal replacement shakes contain added vitamins as that's sort of the point. They also contain added carbs and fats that most protein shakes don't have. I'd say the vast majority of people here were told to just use protein shakes. That's typically for a few reasons: First, especially if you also take a vitamin supplement, you're not going to suffer any long term harm using protein shakes instead of meal replacement shakes for a few weeks. Second, most meal replacement shakes are lower in protein than a typical protein shake. We want as much protein as possible to help prevent the breakdown of muscle tissue when dieting. Third, most bariatric doctors don't actually want you consuming very many carbs, since one of the main goals of the pre-surgical diet is to shrink your liver to make the surgery safer. The best way to do that is a very low carb diet. (The liver is one of the main ways your body stores glycogen, so by depleting it of glycogen (carbs), it will get smaller, even if no other changes take place.) TL;DR: Ask your team what they want you to use.

I have a tentative surgery date of June 17th so I'll be starting my 2 week liver shrink / pre-op diet the first week of June. My nutritionist said I will have to drink meal replacement shakes for breakfast, lunch, & supper. I have Premier Protein powder at home, but he said that is not a meal REPLACEMENT, it's just a high protein shake. What meal replacement shakes do you recommend? Which ones tastes the best? I don't think I can drink the ones that have a heavy vitamin taste.

I am going to ask you a question that I also ask myself when I have periods of consuming things I know I should not have. How did it get in your house? It's one thing to be in a place where temptation strikes. Maybe you go to a wedding and you are handed a glass of champagne. Maybe you go to your friend's birthday party and you take a piece of cake because everyone else has one. Okay, fine. This is not likely to be an ongoing issue unless your social calendar is booked constantly (in which case you need a plan). (But also, not fine because you are at 8 weeks out and your stomach is like a delicate baby that you are feeding trash. More like fine a year from now.) But if you are on day 6 of drinking wine while watching TV at night, all snug on your sofa... why is there wine in your house? Did you buy it? Did someone else bring it in? Is it left over from something? The easiest way not to drink alcohol casually is to have no alcohol in the house. The easiest way not to eat chips, or chocolate, or ice cream is... to not have it around. Get rid of it. I know a lot of us have issues with "wasting" food or drink. What I've come to realize only slowly is that there is no difference between me eating junk I don't need that is not good for me and putting it down the garbage disposal. Except in the second scenario, I don't gain weight. After Easter, I bought a big bag of jelly beans on clearance. They weren't very good. Even so, I kept eating them. I put them in the cupboard and kept getting a handful every time I walked past. And then I would eat a few and say these are really not very good. And then I would KEEP EATING THEM! Finally, after I did this several times, I stopped and asked myself what I was doing. Why was I eating these? Why did I buy them? And my only answer was because I was bored, and a little stressed, and they were there. Also, I like jelly beans. Only I didn't like them. So, I threw them away. An almost full bag, in the garbage. I know! The waste! But I didn't need them, I didn't like them, and they were making me crave all sorts of other sweets. I just kept thinking about the fact they were there. It made me want them. When they were gone, I could no longer eat them, and I didn't care enough to go buy more. For the first year, I did most of my grocery shopping through curbside pick up. I planned what to buy based on a menu plan, and that's all I got. No impulse buys. No clearance bins. No getting a dozen bags of something bad for me because it was on sale. I gave away all my alcohol or poured it down the drain. I threw away the junk food and organized my pantry so I could find things at a glance. I made a list of healthy things that were easy to eat or take along because I know I will always eat what's easy and not what's difficult. I meal prep for the week so that I don't have to cook and prep every single day and I have no excuse to eat out. I'll also be honest that the hardest times for me were before surgery when I was trying to follow a nutrition plan but had a lot of hunger and cravings, and from around 9 months out when weight loss had slowed and my appetite was becoming more noticeable and my weight loss naturally slowed. The fact that you're feeling like this at 8 weeks is concerning because this is the time when your ability to stay motivated should be highest (constant reinforcement when you step on the scale and lose weight almost every day), and your ability to eat is the least. Don't let this drag on without addressing it. Talk to your team. Because it's only going to get harder. Maybe you're bored. Or scared of change. Or you don't believe the surgery will work and you're turning it into a self fulfilling prophecy because that's easier emotionally than trying and failing. Or you just can't help yourself when the food or alcohol is in the house because you're addicted. Whatever it is, the best day to fix it is today. And ask your family and friends for help. Be accountable to others and to yourself. Because you can fix this, but if you don't, you won't reach your goal.

Hi lovelies, I hope you’re all doing well? You were all so supportive with the question I asked a few weeks ago that I thought I would come here and see if you have any advice for me now! As of tomorrow I am eight weeks out from the gastric bypass procedure. I have lost quite a bit of weight (2 stone) which I’m absolutely delighted about (and people are starting to notice which has been a really good feeling). However, I must have THE most stubborn self sabotaging streak because I have started to drink alcohol again (and not just on special occasions) as well as not following the food rules and not exercising. I can’t understand why I’m being like this because my family are so happy that I’ve done this and have been so supportive, and my friends (even though they don’t know about the operation are really starting to notice) so WHY am I doing this to myself? I just wondered if you guys knew of a reason I may have hit the wall so early (I really do not want to fail) and especially if you have any advice, book recommendations apps or anything that I might be able to do to help me get back on track and find my way again. Really appreciated as always thank you xx

My surgery is on Monday the 12th, I am excited and nervous as well, but I have a huge community to help me. You will be going through grief of loss or the grief of having to follow a regimen diet. I attend a group every day, just to grab nuggets of information and knowledge. I am a member of Barination, and they have certified licensed and professional mental health care providers, dieticians and nutrition specialists and lots of discussions with physicians and groups or teams from around the country. I would strongly urge you to visit them and see what they are all about. You can find lots of YouTube videos from Barination that are free for all to view. They have one that is on what to expect as a pre-op and immediate post-op patient. Once a Bariatric patient, always a bariatric patient. I wish you well on your surgery on the 9th. Keep us up to date how you are doing and we can provide you with knowledge and understanding of the feelings you are feeling. Start that feelings journal now and write anything that is in your mind, and re-read them for learning and keep them to look back a year out to see where you were before, and where you are a year out. I started that 2 weeks ago and I have come to realize that I still have that head hunger. I'm not hungry but bored, so I think about food to fill the void. That is head hunger. It is a real thing, so as you begin the liquid diet, remember that the #1 problem or complication you will have is dehydration so sip, sip, sip!! If you have protein water, that will help you feel more full than just drinking water. Hope I helped a little bit, hang in there, this is a life-long journey.

Been back on the bariatric / keto train for a month now. Feeling much better already. Getting sugar out of my life has been a relief. Took me a couple weeks to get through the cravings. Once gone, they've stayed gone.

In honor of spring, I made Vietnamese Spring Rolls with Peanut Dipping Sauce tonight: These take a lot of work to make, but they are quite tasty. I at ~1 3/4 rolls. For contrast, my wife had four.

Just jumping in to say that 60lbs in 3 months is a tremendous amount of weight to lose! Have you ever lost that much in three months before? Or at all? Pre-surgery, I could never lose more than about 40lbs before I plateaued and then slowly started to regain. But, I understand you have a long way left to go, so it probably feels like you'll never get there. Focus on building the good habits now, like you are. If you can, go for a daily walk. That may be plenty of exercise for now if you are currently sedentary. But protein, vegetables, and fruits are great choices. Also, take photos of yourself to see the progress. I swear that even at over a year out and within 10 lbs of a normal BMI, I still FEEL obese sometimes. And then I see a recent photo of myself and I am shocked to see a normal weight woman who kinda looks like me. How can I see myself so wrong in my own head? In the first year, I took a progress photo every month on the 21st so I could compare. I'm so glad I did.

Welll.... got my brachio. On post op day 4. Feeling pretty good. It's still very swollen. Here's post op day 3 photo. I can't wait to be healed and wearing t shirt. I have to wear this compression top for 2 weeks straight then for 12 hours a day for 4 more weeks or so.

Hey y’all! I was sleeved on 04/28 so I’m one week out, however, I’ve been having some dark brown discharge (not super heavy) but it started 2-3 days post op. I’m wondering if it’s surgery related which would be weird right ? But I had my period 4/19 so wondering if it’s just delayed discharge from that. Pretty much wondering if this has happened to anyone else?

I and on my pre op diet right now. I drink a shake in the morning and a snack in the afternoon and a pure protein meal for dinner. After surgery, it’s pure liquid for 3 weeks, which doesn’t seem too bad. The Premier shakes keep me pretty good for a while. It’s honestly not been too bad.

My 3 week liver reduction diet consisted of Proti brand foods/shakes. Don't really recommend! Breakfast consisted of a proti packet, which was usually oatmeal. Then a proti packet for an am snack. For lunch it was a another Proti packet, and a second option of either 1/2 cup of cottage cheese, 2 eggs, 2 oz of lean meat, or a 2nd packet of Proti. Mid day snack, Proti. For dinner, it was 2 oz of lean meat, a starch and a fruit. Additionally, I could have all of the veggies I wanted, as well as sugar free jello, popsicles. Proti shakes are only decent if you're able to mix them with a milk frother and add ice. The soup noodles had a weird texture, so I always picked them out. The oatmeals were just ok. The blueberry pancakes I was not a fan of. Tomorrow starts my clear liquid diet and surgery on Wednesday. Excited to be on the other side of this.

My meal prepped breakfast for the week! Quinoa, egg whites, blackberries and walnuts with a side of ham. 262 cal, 25g carb, 20g protein 9g fat, 4g fiber

Hi, my operation is on the 25th may, I started the liver reduction diet today and dreading it. My local NHS hospital has given me a very small list of food to have for 3 weeks and not a lot of information. I finished a weight loss injection last week because it wasn't agreeing with me so my appetite is coming back too 🤣 such bad timing haha. How did people's surgeries go recently?

It wasn’t too hard. My appetite wasn’t 100% gone like with the sleeve but given that I was already on the low-carb for a couple weeks before and the changes it made it was quite a bit easier to stick to it. In fact, it was night and day. The surgery was so much better for me. It actually made metabolic changes that got me up and exercising and that made me feel good. I was eating 100% clean for four months. Then I had some other medical issues that have sort of just put me in the stall mode but I am going to get back to it. I’m actually not allowed to eat like I was eating. I have to maintain my weight because I am in chemo, but I’m still exercising through chemo and before surgery, I was like 100% sedentary so the surgery definitely made some changes, not just to the stomach or the intestines, but to my metabolism to make me start up my exercise again, multiple times when I’ve had to stop because I was in the hospital for 10 days with pneumonia and then I had to stop because of different scans that they didn’t allow me to exercise for a couple of days and then I had to stop because I developed hyperthyroid, and my pulse was dangerously high for a couple weeks and every time I have started up again with my exercise so it’s kind of insane because without the surgery there’s no way I could’ve done that. I really hope it’s the same for you. I mean minus the chemo, of course, but that it changes your metabolism and that it works for you for me I could tell from very early out that it was gonna work this time. I lost 75 pounds and the first four months and I was so motivated that I kept exercising and eating clean through my first month after a cancer diagnosis going to all of the doctors and PET scans and all of that stuff even traveling all around the state I still stayed on my plan. Then with chemo, they didn’t want me staying at a calorie deficit so that threw things off a little bit but I have maintained the 90 pound loss and tomorrow is actually my last chemo treatment so hopefully I will be allowed to start losing again, but we’ll see. According to my bariatric team I need to continue eating enough for radiation, but I’m gonna see what the radiation doctor says. Anyways, I’m not talking about the cancer thing for any reason other than to say there’s no way I could’ve maintained any kind of loss before the surgery because I would’ve been eating for comfort. For a situation like this and definitely used it as an excuse to not exercise. And I have had a couple of days where I’ve eaten for comfort and I’ve used it for an excuse to not exercise, but unlike before when that meant everything was out the window for good I’ve gotten right back on track. Best of luck to you. For me it has been a life changer.

So glad to hear you are doing well. Yea when the cravings come back it sucks. I have been doing okay. Tomorrow is my last day of the infused chemo. Surgery on 3 weeks then radiation in five. I will be on the immunotherapy another year and maybe oral chemo depending on the pathology from surgery. 🤞 I don’t need the chemo because that may mean I’m immunocompromised still and I’m so sick of the isolation of trying not to get sick and miss treatment. I got a tiny little cold that made me septic and spent 10 days in hospital which made me miss two weeks of chemo so I’ve had to be super careful to not get sick again and all along they have told me once I get to radiation I won’t have to be so careful. I mean sick would mean I would miss treatment but only for a day or two while I had a fever or felt really crummy and it wouldn’t be life or death. Anyways, I only read about the oral chemo on the patient portal tonight so I will ask Dr more about it this Friday when we chat. Maybe it’s not a big deal. I have pretty much maintained my weight till recently. I’ve gained a few pounds. I’m still on the heavy steroids and the immunotherapy caused thyrotoxicosis I think it’s called. I was hyper thyroid to start but then like 3 weeks later it went back to normal and then to hypo thyroid and apparently it usually stays that way. I reached out to my bariatric team and asked him if I could start on with Govee to help get me off of some of these processed carbs and he acted like I was being crazy to be worried about my weight at a time like this. I said I’m not trying to lose weight. I know I’m not supposed to and I haven’t Since December when I started the Chemo, but I don’t think that if you’re so concerned about me, maintaining my weight to fuel my body and help myself recover that the foods I’m eating in order to sustain an overweight body weight are really helping me recover from anything. I said all I want to do is be able to stop eating the garbage and start eating healthy nutrition again and I would be willing to log all my food again and check in with you to make sure I’m not losing too fast or anything, but he says no way not until I get the all clear cancer free from my oncologist. But I’m helping my oncologist can reach out to him and tell him that I’m not gonna get that for another year and if I wait that long, I’ll probably be as big as a house again without any help. Or I may just have to go through an endocrinologist or my family doctor or something. Anyway, anyways, trying to not worry about it too much but I didn’t appreciate that. He acted like I have some kind of eating disorder or something and I have like a death wish. I mean, I wasn’t saying that I wanna take something that’s gonna make me starve myself to death. I was just saying that I want to change what I’m eating and eat healthy obviously if the medicine made it where I couldn’t eat anything. I would stop taking it. I’m not insane. 🤣 but it is very discouraging to see the numbers on the scale go up even if it’s only 5 pounds.

It’s been 19 years me and my band have been together and I have lost over 200 pounds today. I weigh 239 pounds and that’s a far reach from 430. However, I recently learned that erosion is a medical term for hole in your stomach Caused by the band so it had to be removed. It’s been three weeks now and the pain, the discomfort, the inability to tolerate food as upon me again and it reminds me of the days when I first got home from surgery. I guess now I just need to learn to not eat for a while maybe I’ll lose another 20 pounds. Either way my band is gone. I’m alive and well healthy blessed and have much more life. God loves me. Louie

I would've had no trouble with a Disney trip 5 weeks post op.....other than hearing "it is small world after all" 17,000 times.

'1) 30oz Yeti cups 2) a talking scale. I kid you not....I am 9 years out...my scale has a female voice and I love hearing her tell the news every morning. 3) a fluffy pillow to take with you to surgery. Use it to hold pressure against your abdomen on the ride home...and whenever you need it those first couple days/week. When standing or walking...that pillow helps. I learned this trick during 3 abdominal hernia surgeries.

I was fortunate in that my first sips of water that were allowed after surgery were so dang welcome...and the satisfaction of having those sips carried over in the weeks ahead. Always having a water bottle close at hand is a good habit to get in. It seems to be a widely held practice by people in general.

@MrBeeswax I feel that no matter which surgery you receive when we suffer from the disease of obesity and we detour from eating properly then we're gonna experience weight gain. Obesity bodies are different than regular bodies who metabolize food normally. We who suffer from obesity have a metabolic disease, so when we get surgery and start back creeping in those "comfort and emotional eating foods" that we KNOW our body loves to store FAT with such as chips, cakes, cookies, unhealthy CARBS, refined sugars, just SUGARs period in access then we're gonna regain unfortunately we have a horrible disease that requires very proper planning for success. I lost a lot of weight really fast with VSG and I credit my success to 1.Meal prepping for success 2. Being organized 3. Movement. i honestly don't think the type of surgery matters. its that HAND TO MOUTH MOVEMENT what are we putting in our mouths 😂