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Eating while out of the house is the absolute hardest for me. I literally have to go through all the things in my head to tell myself it’s okay to waste. It’s not my fault that some people are struggling to get food and I am not going to change it by eating more myself. And it’s not wasting money by doing what’s better for my health which is to only eat my one portion. It’s so sad that these things have been drilled into my head from a small child that some other kids don’t have food to fill their bellies at night so I have to clear my plate or it’s just wasteful to order something and not finish it, etc. I have to convince myself just about every time that it’s okay to be wasteful because it’s not really wasteful if we are enjoying ourselves without overindulging. That’s just us living our best lives. Now if I can find someone to split with or take it home and freeze it or something I will but if not, I’m not going to choose to go without or to eat it all out of guilt anymore. I really hope you enjoyed your friend’s birthday celebration. Your making me want to do a weekend away for mine this year. Mines not a big one or anything but I guess every year should be a special one. I did convince my husband the other day to go away for Christmas next year so hopefully I will get to see snow!! He never wants to go anywhere so that will be a lot of fun I think. Something to look forward to. I’m not sure whether I will still be in radiation treatments at that point or not so it may have to be a less active trip but if I physically can I really want to go snow tubing at least and snow boarding if I’m really feeling good. Last year for my birthday my friend got me a gift card for a store that is a ways away from us and we still haven’t had a chance to go. I think I’m gonna suggest that we actually make time to go and make a weekend out of it.

It's definitely the holiday foods too, but I managed to survive Thanksgiving without feeling as hungry. So it could be hunger returning, holiday food and stomach acid going haywire. My stomach is constantly doing something. I just feel like a burp waiting to happen lately. Even with an empty stomach.

I got my hunger back just after the third month so maybe it’s that? I like to think like a scientist so I would do experiments with using the medication vs not. I would also ask my doctor if they could substitute a prescription. I would also look into the possibility of special holiday foods being a little too persuasive. Winter holidays and parties trip me up every year. I now go onward with a plan that this year seems to work. I survey the food, pick one or two bites so I won’t feel deprived. I also eat my normal healthy choices before going. Good luck finding what works for you. (I put peppermint lip gloss under my nose for a pie sale. It worked!)

It is still super early on for you, but it seems like you are doing a great job; both with your protein intake and your weight loss. We all lose weight at different speeds, but it's about not adding foods in too fast to let your body heal and making sure you are getting all the protein and vitamins you need to keep your body healthy. Keep making good choices and enjoy the journey!

Sorry I have been MIA guys! I was out of town for a long weekend for a friend's 40th birthday celebration this past weekend and work was crazy before that, trying to prepare to be out. @Justarwaxx I hope everything went well with your surgeon. I feel like I have been losing weight slower than most too so I get your pain and feeling of unrealistic expectations put on you. Just remember that your still losing and your journey is exactly that... YOURS and it's yours alone. @ShoppGirl I'm so sorry to hear about your struggles with cancer; I hope the treatments are working and going well! We appreciate you letting us in and sharing your story. It's great that that you are mostly feeling okay. I'm sure it has to be hard balancing managing your health in multiple ways at the same time. I'm glad we have this community to help support you! I went a little overboard with eating this weekend because there was so much food and alcohol; I think I did okay at meals but there was a lot of snacking. I am used to having my husband with me when I go out, because he is willing to split everything thing with me, though I had one friend that would do it sometimes. I didn't gain weight, but I also didn't lose any weight. I am trying to be super good today to help me get back on track and back in my normal eating routine.

I wouldn’t even listen to that surgeon if you feel good and you’re still losing and you’re doing your activity honestly he’s just putting you in as if you’re a statistic. I really hate it when doctors do that. It’s like either. They think you’re lying about what you’re eating or they just assume that one thing works for everyone at the exact same rate. i’m doing OK I posted in another thread that I do have some medical stuff going on. I was recently diagnosed with breast cancer so I have been juggling my weight loss and fitness along with a whole lot of doctors appointments and scans and chemo. Surprisingly I think that it is my yoga and my walking that have kept me sane. I did stop doing my cardio class because they told me that the chemotherapy is extremely dehydrating and it was important to not get myself to warm like to avoid being out in the sun for a long time or anything like that and as I already mentioned on here before I sweat quite a bit When I work out. I am fighting the urge to have carbs since Thanksgiving, but part of that I believe is the steroids I get with my chemo. They told me it wouldn’t be an issue because I would be nauseous anyways and I wouldn’t be able to eat much but I haven’t been nauseous one day so far knock on wood. The chemotherapy actually seems to have increased my metabolism to wear, even though I am eating little things off plan and exercising a bit less I am still losing weight. They assigned me an oncology dietitian who told me that she does not want me to lose more than I was losing before the chemo, which is about 2 to 3 pounds a week. At first I dropped like 6 pounds and we were pretty worried but I honestly think it was just water weight or something. anyways, it’s been a challenge as I’m sure it has been for everyone to juggle whatever life events. Everyone else is dealing with, but I’m getting through it. My habits of packing food like turkey, jerky and cheese sticks and protein shakes or yogurt smoothies, and taking with me and freezing things have been my lifesavers. I don’t always exactly want to eat that and I’m giving myself a little bit of grace right now because of my circumstance but trying not to be too forgiving at the same time. I am actually doing my walk right now because I was out of town for a doctors appointment today and then I went and did a wig fitting because I’ve lost my hair for most of it anyways and I literally just walked in the door and ate my salad that I picked up on the way home for my dinner. I’ve got to get this done and get to bed early because I have yoga first thing in the morning. I am honestly just so thankful that I started this weight loss journey when I did and that my nutrition and fitness are in such a better place because I really truly feel like that is helping me already and it will continue to help me get through all of this anyways, I really hope everyone else is doing OK as well. It’s a crazy roller coaster for sure but we’ve got this!!

Yikes but good luck! I really think that if you want to have some then make sure you're aware of the quantity. Like make sure you choose one option and have 1 cookie or like half or 2 options.. we really must build some kind of system so we can sustain it FOREVER. R we never going to have cookies? I've been indulging very small portions of things I want and trying to be mindful about it. That i will try that cake but only half a spoon. Or whatever it is.. so do what works for you! As long as you're not isolating yourself... Otherwise, how r u doing? Health wise? Food after thanksgiving and ur walks? I don't have any events coming up so I'm all clear till my bday i guess 2nd Feb.. I do have an app on 23rd with my surgeon office and I am nervous about what he says about my weight loss l, last time he said he expected more so I hope he's ok with my loss. I can't handle disappointment and more anxiety.. Also keep writing on this group so we don't lost track of what needs to be done. We are in this together ❤️

Only you know the answer as you have to be ready, mentally, physically and emotionally, for the surgery and the changes you will have to make to be successful with the surgery in the long term. I was healthy, no comorbidities at all yet I knew at my weight and age (almost 54) the chance of them developing was very high. I also knew I could lose weight myself as I had many, many times before (though it’s much harder as a menopausal woman) but I also knew I could put it all back on again which I always did. The decision was easy. Woke up one morning and said enough. Made an appointment with my GP and 6 weeks later I had my surgery (no or very few hoops to jump through in Australia if you meet the criteria). Yes, the first couple of months aren’t easy: restricted diet, temporarily changed tastebuds and interesting discussions with yourself around food, eating, hunger, etc. (the head work we talk about begins). Pain was gone after 4 days though if you have surgical gas pain it can linger a week or so. You’ll discover and decide how & what you want to eat in the long term to maintain and that may be different from others. It’s all about what works for you & your lifestyle. Many people still eat ‘unhealthy’ food but it’s all about the portion they eat and how often they eat it. Everyone travels & then it often comes down to making the best choices you can and not beating yourself up if you do indulge while away. I just came back from a short girls trip and ate an obscene amount of cheese & drank more than I usually do. I’m okay about it and got back on my usual path when I got home. Like @NickelChip there are things I avoid. Bread, rice, pasta sits heavily in my tummy too. Foods can be super sweet so I generally avoid sweet things (I do indulge at odd times like at Christmas). I don’t find it hard to avoid or reduce my intake of those foods I struggle to eat or choose not to eat rarely. I don’t want to waste the opportunity I’ve been given. And yes, I’d do it again in a heart beat. All the best whatever you choose to do.

Personally? Yes, I would have the surgery. Why? Because losing weight is only half the battle. Obesity is a disease. The vast majority of people will gain back all the weight they lose through diet and exercise alone within 5 years. Weight loss surgery changes your metabolism so that it works with you instead of against you. I knew from too many attempts to lose in the past that I would not be one of the lucky ones to lose and maintain on my own. Every time I lost weight, I gained it back, plus a few pounds. To address a few of your fears, I can say from my experience that my pain lasted about 5 days. I never took anything stronger than Tylenol once I was discharged from the hospital. My tastes have changed in that I now find certain foods are less pleasant to eat. More than a small piece of bread gives me an unpleasant heavy feeling in my belly. Very fatty foods will make my heart race a bit so I avoid them. Certain sweets like cake frosting and cheaper milk chocolates seem much too sweet and I don't want more than a bite or two. The adjustment period in terms of learning what you can eat lasts about 3 months, at least it did for me. Even after the first month, I was able to eat in restaurants. I just chose to split a meal with a companion and stuck with simply prepared items like a grilled chicken salad. I've gone on road trips, spent a few weeks away from home in hotels, and did just fine. I eat mostly healthy foods, I don't count calories, I get reasonable exercise but don't go out of my way for it. And at 50 years old and not quite 10 months out from surgery, after a lifetime of struggling with my weight, I am back to the size I was my first year of college and still slowly losing. I would do it again in a heartbeat.

Well if you’re only eating one salad every two days and buying another on the third you are probably eating too little calories and your body is in starvation mode which sometimes you can actually gain. BUT, if you were to eat THAT same salad a couple of times a day and had breakfast too you would probably be eating too many calories to lose. Salad is very deceiving. They can actually have more calories than a bacon cheeseburger meal if you just add the good tasting stuff without measuring and counting and nutrition wise you aren’t getting a whole lot of what you need in a tiny portion of one salad as prepared. If I was you I would talk to a dietician about what choices are healthier options and how much protein you need. What you’re eating even though it’s a salad which sounds good is not the most nutritious option. First start by measuring and tracking what you’re having in an app. You would be surprised what you learn about what you eat by doing that. Most prepared salads have more than a serving of things like full fat cheese and croutons and the dressing packets they give you is far more than one serving as well. it sounds kinda silly but if you bring home your favorite salad and take the time to deconstruct it just once you can measure each thing and figure out exactly what’s in it (assuming they make it the same way each time). It’s always best to make your salad at home if possible so you can use lean or reduced fat protein and lower calorie dressings and choose healthier toppings but if you have to get it while your out you can use less of the dressing and ask for them to go light on the cheese and skip the croutons. Also, opt for grilled chicken and if possible ask for an extra fillet of chicken or two and add that to your leftover lettuce for your next meals. I do that at chic fila all the time. I make two meals out of a salad by getting a second fillet of chicken and making a grilled chicken Cesar salad with my leftover lettuce. But your focus will always need to be protein first since you do have a tiny stomach. Ask your doctor your personal goal but You should get probably be getting around 3-4oz of lean protein a meal and then fruit and veggies and then the lettuce is a filler if you have room. I prefer to bring my salad home so I can take off all the toppings and add just a tiny bit of lettuce and put that into a container. I prefer the toppings to the lettuce anyways. Also a good way to use less dressing is to mix any salad in a bowl like you would do ceaser salad and you get a bit on all the lettuce using less than you would if you just pour it over. And try to avoid the sodas like mentioned above. If you must eat and don’t enjoy water, try to find a drink mix that you like and keep a box of drink packets in your car to grab when you go in. Order water and mix in your drink packet. It’s way less calories and it’s cheaper. Note that the drink packets do have artificial sweeteners and there is evidence they aren’t the best for you either so plain water is best but they do have some made with stevia which my dietician says is the best option if I must have them. Tru lemon is one of the better ones. So many of us think we are making good choices when we are eating a salad or soup but they are not all created equal. And just eating a tiny portion of a less nutritious food isn’t the best option because you may lose weight this way but you’re not getting all the vitamins and protein your body needs. If you don’t get enough protein you may actually just be losing muscle mass and as we get older that is really hard to build back up. If you aren’t doing strength training this can be really bad. Measuring and putting things Into the Baritastic app and really looking at how much protein is In something and how much fat and carbs are in there as well as added sugars has really helped me to learn what foods are more nutritious choices. I think my protein goal with my sleeve was 60 grams minimum and with the SADI revision it is 90 grams. I was told that protein was the very most important thing but you also need to get fruits and veggies for the vitamins. And check your labs regularly to make sure you are getting what you need. I hope this helps.

My cousin hosts an annual cookie day and it’s this weekend. I decided a few months ago that I wasn’t going to go all day and make cookies. I am just going to pop by and say hello but that was enough for this year. It’s all about baking and that’s not my thing anyways but it’s for the kids so in terms of food there is nothing I can eat and there will be drinking too. There will probably be about 15 kinds of cookies (a few dozen of each) plus the sugar cookies the kids decorate all just sitting out on big tables and the whole house always smells so good. I know they are going to tell me to have a cookie and to take some home with me. Wish me luck not giving into temptation. Anyone else have a particular event that they are nervous about this season??

One thing I forgot to mention is that I also decided to just tell the women at my yoga class a vague version of what I am going through. Not because I am seeking attention or pity as some people may believe but because the doctors told me that with the first phase of chemo I need that I would no doubt be losing my hair and not to even torture myself trying cold caps because they wouldn’t work for me. I didn’t want to have to miss any days trying to hide that when it was inevitable that they would find out anyways. I can’t wear a wig to yoga without dying of heat stroke even if I can find one that doesn’t irritate my head and won’t fall off doing downward dog. Also, I have to wear a mask until class starts and I’m at my mat and far enough away from people. Also, with the chemo i do get a little dizzy at times and physically I have to take a tiny break once in a while which doesn’t go unnoticed I’m sure. I just decided that I have no clue what is going to happen with my body in days to come but I’m going when I can and doing as much as I can. I’m not missing something that is good for my health, weight loss journey and that I really enjoy just to try and keep something a secret. I have spent enough of my life hiding because of my weight and I have finally broken free of that. I’m not going back in that dark place ever again. I am usually a pretty private person so it was a big choice for me with sharing about the bariatric surgery and now with the cancer, but so far I am happy with my decisions for both. I just told them that I don’t want them to make a big deal about it that we are there to relax and do yoga, but I just didn’t want to feel awkward wondering what they must be thinking so I was just getting it out there. It was partly because I did the same with my revision surgery and it has worked out positively for me. With the sleeve I didn’t tell anyone outside of my best friends and that wasn’t successful so with the SADI i decided to try something different. I told the women in my crochet group and the one craft group because I have known them almost two years now (but not the one I joined more recently). They do ask how I’m doing or congratulate me on my weight-loss and ask what I’m eating and about my exercise, I briefly answer but then I will say enough about me we are here to craft and ask what they are working on today and that seems to work pretty well. So with yoga, now, I hope I can just walk in with my hat or wig and take it off before class begins and do my thing and when I take more an more breaks they will just ignore me. I’m sure it will feel really weird for me the first time when I’m bald because it was when i had to go really short and I was thinning with a head band covering most of the bald spots but everyone already knows about the elephant in the room now and hopefully we can just focus on YOGA. Food for thought for those with the decision about cancer and for those on the fence about whether to tell about their bariatric journey as well because people who see you once or twice a week notice things and they are probably wondering. It has worked for me to just rip off the bandaid and move on.

This sounds so frustrating. Could you track everything you eat, even for one week (on my fitness pal or similar) and get a handle on what you're actually taking in? Do be careful about drinking calories - so easy to do with sweet tea etc. Totally empty. I do that with alcohol sometimes 😟 NickelChip is absolutely right - it might be really helpful to eat more whole and freshly prepared foods. Protein first (it really honestly does fill your sleeve up), veg second and carbs (including coating on chicken, etc) a very long way behind.

I wasn’t going to discuss this on these boards since I don’t want to turn the discussion away from weight loss. I figured I would talk cancer at the cancer support group and weight related stuff here, but I am quickly realizing that it’s very much intertwined. I had my revision surgery to SADI on 8/7/2024 and I felt something on my breast in the shower in September. I went to gyno, got sent to get a diagnostic mammogram and ultrasound and then biopsies and it came back as cancer 11/6/2024 (about 4 months post op). A few days later I was with the breast surgeon and was told it was triple negative and it’s very aggressive so the process is a little different for me in that it’s all very fast moving but it’s pretty much the same collection of treatments for most cancer I believe. I am currently two rounds into chemotherapy and just started immunotherapy and also doing appointments for all kinds of scans and imaging as well as meeting the rest of my doctors and setting up my future treatments which will be double mastectomy, then radiation and then maybe oral chemo. Basically I have not sat down since I learned the diagnosis and I have had to learn a tremendous amount very fast to make some pretty heavy decisions very quickly to keep the ball rolling. It’s been a whirlwind From a bariatric standpoint things have been incredibly challenging. For one my appointments are all over Florida. I have a medical oncologist, a breast surgeon, a cosmetic breast surgeon, a radiation oncologist, and a second opinion oncologist and now a gynocologist in the mix but that’s pretty specific to me. So far and I have had to have imaging done at 3 different places as well since it’s all been so rushed it’s just about who can get me in the soonest and then since these places aren’t connected I have to wait around for records and discs and carry them all to each of my appointment to make sure everyone has everything I have been traveling non stop with little time to prepare things so prioritizing my nutrition and exercise has been a huge challenge just in terms of time. There are just not enough hours in the day!! Then there is the chemo, the shot that builds up your white blood cells, and the immunotherapy infusion which also take time (2-3 different appointments depending on how it works out that week) but also all of this effects my cravings and energy. First there is the fact that I have to be on steroids which we all know are the enemy of weight loss but also the fact that eating is different. I consider myself very fortunate that food doesn’t taste bad to me and nausea is not an issue like it is for so many but it’s still not the same. I crave something very specific. I taste it and it’s good but I eat three bites and don’t want it anymore. My refrigerator is a leftover graveyard lol. In terms of energy I am on the strongest treatment regimen the oncologist says so fatigue sorta goes with the territory. I have been walking everyday still except for the biopsy day and my chemo port surgery day and I have done my yoga when my schedule permits but I have not done my cardio class because I think I sweat too much considering how dehydrating the chemo already is. Also I can’t touch community stuff for 24 hours after chemo without possibly exposing others to the chemo drug and we use balls, bars, discs, etc. Also more recently there is the fact that I have lost about 85% of my hair and I get too hot to wear a hat. I think once I’m bald it will actually look better and I am going to try really hard to just get over that but right now I don’t look like I have cancer. It just looks like a botched hair cut to me so I’m living in hats. The good news is it’s going very fast. It started falling out last week and it’s almost gone already so by next week I think I will just be bald. Well, yesterday I did totally forget to exercise with all that I had going on and I’m feeling guilty today now that I remembered but I know that’s silly. I am just hoping that as treatment goes on I am able to keep up my exercise. All the doctors say it’s good to keep pushing myself just not too hard. Exercise and good nutrition are going to make this alot easier on me. Back to food again. Not sure if it’s just the stress of the whole situation or the fact that chemo puts you into early menopause but Thursday was a particularly bad day. My moods were erratic to say the least and I had a bunch of blood drawn after having nothing but a protein shake all day so at 7pm I was pretty much famished by the time we stopped to eat. Olive Garden was the most convenient option and I planned soup and salad but when I got in there that went out the window. I went totally off plan. Again I feel guilty but these darn steroids and all the crazy emotions are making it so much harder to make the better choices when it’s staring at me tempting me I did still get my protein for the day though if there is any good in that What’s really hard about this is that even with the pasta and bread I am actually still losing weight so for my previously obese brain it’s tempting to not just enjoy that while it lasts. But I know that the processed crap is not good for my body, especially right now. I don’t feel as good since I have not been exercising as much and I’ve been eating off plan. I don’t sleep as well at night and I seem to crave more and more junk as well as have less energy throughout the day. thankfully my program has provided to me free of charge an oncology dietician, but I am her first patient who is actively still in weight loss phase undergoing chemo. She had agreed to check in with me once a week since this is new for both of us and she seems amazing so far. She suggested that I do not lose more than two to three pounds a week which was my average before the chemo. Because the chemo has apparently sped up my metabolism she says that I need to increase calories but to add healthy ones which is extremely difficult because adding calories goes against all we just learned and over 2000 calories of healthy food is a very large volume of food that my body is just not wanting right now (I was eating around 900-1000 before this and already felt like I was eating all day. And remember that most of these meals are on the road these days so I have to eat what I can fit in a cooler or stop somewhere on the side of the highway most times. Not easy to find clean healthy food on the road. Enough stating the obvious that it’s tough, here’s what I actually have to offer so far in terms of advice. First thing when I wake up in the morning I have a protein shake which is a really good head start to the day and if I am lucky enough to still be around a couple of hours later I have a second breakfast instead of waiting until there’s time to eat on whatever adventure the day brings. That helps with the protein if I don’t have time to stop at all. Although recently the shakes haven’t gone down so well so I just wake up and have scrambled eggs with 2% cheese and whatever leftover veggies are on hand.. If I know I won’t have time for that I also have some boiled eggs In the fridge that I can eat real fast or slice up with some cheese and take on the go. I carry in my cooler a high protein yogurt drink, chomps pepperoni flavored turkey jerky and baby bell light or mozzarella sticks. It helps to put the ice pack in a ziplock with these items if you live where it gets hot. I also carry a bag with high protein snacks quest protein chips, kind minis, cliff minis, pistachio nuts, nut butter packets, quest cheddar cheese crackers, granola to add to yogurt, etc Freezer meals!! Omg. I was doing these before my diagnosis and they were super convenient then and have been a lifesaver now. I have tex med chili, chicken chili, turkey meatballs, turkey taco meat, grilled chicken, meatloaf, etc in the freezer and it’s all measured and weighed out so that I can pop in the fridge the night before or even jet defrost in microwave if need be. When I have time to cook I do double batches so I can keep my freezer stock replenished. I have a note in my phone notes that it titled In freezer and I just keep adding to it what I freeze and how many portions are in there so if I’m not home I can check my freezer stock. I also do a version of meal prep with chick fila as well I like their market and southwest salads (I get the market one without the blue cheese) I buy one of each with two extra chicken fillets and take them home and I make four salads out of that. I take off all the toppings with a bit of lettuce and put into a smaller container to make a market salad and do the same with the southwest. Then I put the leftover lettuce with the chicken into another container and I have fresh shredded Parmesan in snack ziplocks and ceaser dressing also in ziplocks (sorta less pleasant looking but I figure less risk if bacteria than them tiny containers which are hard to get really clean since I am immunocompromised and infection is so dangerous right now) i cut off a corner and squeeze it out like an icing bag. I just use half of the packets of dressing with the market and southwest salads and then toss the rest. I have the ziplock containers that have the twist top lids and these are easy to toss into the cooler when they do not open at all I still log my macros in Baritastic this has really been helpful for me to be honest about what I’m eating with my oncology dietician so she can keep me on track . It also lets you log your activity, weight, inches lost and set notifications for vitamins and stuff. I added a reminder to put on my fitness watch and to take my regular meds too I also carry my water with me and I set alarms again to drink. You have to wear a mask and for me that seems to make me drink like a quarter as much as I do without one so I have to have reminders again. Vitamins need alarms too. Chemo brain is a real thing and when your days is never the same it’s hard to have a routine anyways so I actually have alarms for just about everything in life right now. I made different tones for water, vitamins and appointments and I have a checklist to go over before I leave the house to make sure I did and packed everything. My friend and family also have reminders for me in their phones for the real important stuff and they call or text to make sure I haven’t forgotten. I just found out that two of the programs I belong too offer virtual yoga sessions. I haven’t tried it yet because they are at set times as well but I added them to my calendar as recurring appts just like the live one so I can attend whichever one I have time for. Someone else suggested you tube for videos but I haven’t tried that either. Yoga by the way is my only sense of calm throughout all of this so I HIGHLY recommend it. That and meditation I know that both of these sound a little fruity before you give them a good fair try and meditation takes a lot of practice before it really Did anything for me but I swear my mind runs non stop with anxiety and worry and for that one hour I’m in yoga or the few minutes I’m meditating it is at peace. It’s amazing!! So I am a little over a month into this and I’ve got a good year and a half to go if all goes well so I’m sure I will have more to add to this but I just wanted to pop In and share what my experience has been juggling a new cancer diagnosis while pretty early out from bariatric surgery. I hope this helps someone. Even if it’s less advice and more to let you know that you are not alone in the struggle.

That doesn't sound like enough food, or a very healthy choice, to be honest. Crispy chicken is fried. Sweet tea is nutritionally the same as soda and can provide a shocking number of empty calories. You aren't getting enough protein and if you're only eating once a day, that's probably messing up your metabolism. Just based on what my dietician has told me, I suggest three meals per day, a minimum of 60g protein per day, 64 oz water, and little to no sugar or simple carbs. You might try cottage cheese with fresh berries for breakfast, a spinach salad with 3oz grilled chicken for lunch, and 3oz baked salmon with steamed broccoli for dinner. Maybe add in a serving of raw almonds for a snack. Make sure you weigh all your portions.

This sounds like the three week stall. Totally normal! Your body burns glycogen for energy, and during extreme calorie restriction, you burn a lot of it. Glycogen is stored in the body along with water, so each gram of glycogen you burn for fuel also releases 3 grams of water, which you flush out. This is why you lose weight so quickly the first few weeks, not because you are burning all of that weight just from fat stores. After the first few weeks, you start to be able to eat some solid foods along with your protein shakes. This gives your body a chance to replenish the glycogen you burned, which is vital for survival. But it means that for every gram of glycogen you store, you also store about 3 grams of water. Your body is continuing to burn fat during this time, but you won't see it on the scale because it kind of zeroes out with the whole glycogen/water storage thing going on. After a week or two, your body will be back to normal in terms of glycogen reserves and you should start to see your weight decrease again at a moderate pace. I really wish doctors would explain this to patients before surgery because it's just basic science, and people totally freak out when they are eating nothing and not seeing the number on the scale go down. I think doctors forget that their patients have failed at about a million attempts at weight loss prior to surgery and we are naturally prone to believing we are failing again. But you're not! Also, counting calories at this stage is pointless. You're in a massive calorie deficit. It's impossible not to be unless you are doing something terribly wrong against every bit of medical advice. Focus on protein and water but don't stress over calories until you get to a point many motnhs from surgery where there may be a legitimate possibility that you are overeating.

I’m right there with you. I’m 1 month post-op and I’ve only lost 16.5lbs. 14 were in the first 11 days. I’ve only lost 2.5 lbs in the last two weeks. I’ve been on soft foods and trying to count the calories along with measuring, as I only am able to eat about 1/4 cup of food per meal. I don’t know what’s causing the slow. I barely get 600 calories. I’ve been moving quite a bit since we’re trying to move into our new home. I’m still under the target weight loss the doc gave me. Just discouraged.

One thing I've learned through experience is that it's hard to predict what will happen next. My weight loss slowed significantly in July but then I dropped a lot in August and September, but slowed again in October and even more in November. A lot of it not really because of any major changes in my behavior, either. There's a lot going on that you can't really see throughout this whole process. I notice, for example, that my body shape changes when my weight is steady. I do try to be honest with myself. Sometimes, I know for certain I have been doing everything correctly and am not losing. That's fine. Sometimes, I lose weight and I know I did so despite making some poor choices. I try to be aware of that because it will not be as easy as time goes on (it already isn't for me!). I know that if I have things in the house, I will be tempted by them, but I rarely would leave the house to go buy something I didn't already have just because it sounded good. If I buy cookies, I may end up eating four of them instead of the two I said I would eat. If I don't buy them, I will eat zero. So, after the holidays, not buying or making the stuff is my main strategy. For me, it's all about figuring out how I want to live. I want to be healthy, but I don't want to be miserable. I'm working on being more intentional with what I eat and how I exercise. My goal now that my appetite and capacity have kind of settled into a fairly predictable pattern, is to strengthen my routines around food prepping and setting regular meal times. If I can stick to that most of the time, have a solid list of things I make on a regular basis and keep in the house ready to go in an instant, and things I do NOT keep anywhere near me, I won't feel like I need to worry about the occasional indulgences. Because skipping all holiday snacks or treats, or never ordering a dessert or a special cocktail, isn't a way I want to live! But I also don't want to lose track and let myself indulge all year because I forgot to set limits.

Could you please give us some more details Age, weight, weight lost in three months, activity levels and lastly foods eaten, the portion sizes or daily calories. Thanks

You can keep losing weight any time as long as you're in a calorie deficit. It's easiest to lose weight early on because (1) your restriction is strongest, so eating at a deficit is practically automatic, and (2) you have the most excess weight, and the more excess weight you have, the easier it is to lose. As you lose weight and become smaller, the calories you burn just by existing (breathing, circulating blood, digesting food, moving around) get lower. If you weigh 200 pounds and eat 1200 calories per day, you'll lose weight a lot faster than if you weigh 150 pounds and eat 1200 calories per day. You can still lose weight, but you may have to be a lot more conscientious about your food intake instead of just relying on your surgery to prevent you from overeating.

I realized later that the combination of being around so much food and the emotional aspect of the gathering made it harder to control myself. It taught me the importance of setting boundaries with portions and being mindful of emotional triggers tied to food. Since then, I’ve tried to prepare for these situations by eating something healthy beforehand or focusing more on the social aspect rather than the food.

You know what. I was doing so well and feeling so good with my nutrition and exercise. Then Thanksgiving and some medical stuff happened and I have been allowing some bad foods to slip in and i Am starting to notice I’m waking up more at night and waking up feeling fatigued. It’s honestly not worth it. The food that nourishes your body is such a good way to think of it because bad food is like cheap gas it just doesn’t make our bodies run very well and can cause engine failure. Ha. I think I just thought of that. Or I heard it somewhere and just think I did. Anyways, good for you with your nutrition. It is pretty amazing to realize the difference between a lifelong diet and a lifestyle change

In addition to @Hop_Scotch’s suggestion of stomach acid being the cause, you could also be experiencing head hunger. The surgery and all the changes are very stressful on you physically, mentally and emotionally. Many of us always turned to food in these stressful times but of course food can’t be the answer now. However your brain hasn’t got the message and is telling you you’re hungry so you’ll eat to comfort yourself. And the more you don’t eat to comfort yourself, the more your brain says hungry so eat. Ask your surgeon for some PPIs (Nexium, prilosec, etc.) to combat the excess stomach acid your body is still producing which is causing the burning & growling. PS - What are the three meals you are eating each day? Usually the first two weeks are liquids only so shakes, bone broths, strained cream soups, strained consommés are your ‘meals.’.

5’3” and was 200lbs when I made my decision. For me, it’s been the best decision. But only you know what’s best for you in regards to your weight and your overall health now & in the future. I was healthy without any co morbidities before my surgery but I knew carrying the weight I was meant health issues were in my future. Only you know if you can continue on your current weight loss journey and fully adopt your new behaviours around food, eating, etc. (Congrats on the changes you have made.) Of course after surgery you have to adopt new behaviours as well, but the surgery gives you benefits (some temporary) to support you as your losing & helps gets you through the period when you’re adapting to the changes. BMI shouldn’t be used as a hard and fast rule as to what is a healthy weight range but merely as an idea of what might be good for you. (The science/studies behind the development of the BMI metrics is flawed and did not take in many factors like ethnicity, muscle mass, your frame/build, age, etc.). You’re right, everyone carries their weight differently (I carried it all over) and what’s a comfortable weight for one may not be for someone else. Some people feel happier at a higher weight whilst others don’t. Some here have got to a lower weight but happily settle at a higher weight. I thought my goal of 132lbs was fine for me and achievable. I had always been happy at that weight. I ended up less than that (108) and I feel great at this weight. Discovered I actually am quite finely built and so I look slim/tiny but not bony. And I still have an hourglass shape though the ratio is much smaller than before (lol!). Usually, your approval for surgery is based upon your starting weight (before your classes not your weight after you’ve completed them. So your starting weight would make you eligible in most cases, Why not meet with the surgeon, see what they suggest. Ask too if you can delay your decision & for how long so you can see how you continue on your own. I know I haven’t answered your questions & have only given you some more things to consider but I hope they help you decide your next steps. All the best whatever you choose to do.

Congratulations to everyone for what you've achieved and what we know you can achieve! I'm 61 and had my surgery August 20, 2024. The weight has been coming off and I've been exercising regularly (Orange Theory Fitness), taking walks, walking the dog, line dancing. The pre-and-post surgery fast can be a challenge but I think it prepares you for next stages. I'm still eating about 2oz/meal. I'm definitely in an exploratory stage as far as playing around with foods and understanding when is too much. I returned to a habit of snacking before bed by eating a small piece of cheese or an ounce of nuts... that was definitely the wrong idea. I paid for that by feeling very uncomfortable. I kicked that habit to the curb quickly. So I'm working on eating dinner earlier and making applesauce the snack. I'm open to ideas. We've got this!