Help:::

[ladyT33 1]

I had my surgery 12/22 I lost 42 pounds I've had a few stalls and admittedly I've been angry. I went to the nutritionist and discussed my situation and they upped my calorie intake to 800 a day and 30 min walks. The nutritionist said I had to few calories and I was working out too much.... tht week I lost 8 pounds with the changes... Fast forward 3 weeks later I gained back 3 pounds. Someone please help me I am super discouraged wondering if I should cut my calorie intake again? I didn't ever want to see 179 on the scale again...... side bar I only have a bowel movement once a week with the help of Smooth Move tea... PLEASE HELP ME

[James Marusek 5,244]

The three most important elements after RNY gastric bypass surgery are to meet your daily Protein, Fluid and Vitamin requirements. food is secondary because your body is converting your stored fat into the energy that drives your body. Thus you lose weight.

Weight loss is achieved after surgery through meal volume control. You begin at 2 ounces (1/4 cup) per meal and gradually over the next year and a half increase the volume to 1 cup per meal. With this minuscule amount of food, it is next to impossible to meet your protein daily requirements by food alone, so therefore you need to rely on supplements such as Protein Shakes.

One thing to do now at your stage of 3 1/2 months post-op is to assess your protein intake. Your daily protein requirement is met by a combination of the amount of protein you obtain from food combined with the amount of protein from protein supplements (protein shakes, protein bars). Right after gastric bypass surgery, the volume of food you consume is minuscule (2 ounces) per meal. But as you get further along, the meal volume increases. Therefore you have a very important option available to you. As a result, you can begin to reduce your reliance on protein shakes. I went from 3 a day, down to 2, down to 1 and eventually none when I reached 1 cup per meal at a year and a half post-op.

This is important because protein shakes contain calories. If you can reduce your caloric intake, then you can end a stall. At least that was the approach that I used and it worked for me.

Your lack of bowel movements could be caused by not drinking enough fluids.

[ladyT33 1]

The three most important elements after RNY gastric bypass surgery are to meet your daily Protein, Fluid and Vitamin requirements. food is secondary because your body is converting your stored fat into the energy that drives your body. Thus you lose weight.
Weight loss is achieved after surgery through meal volume control. You begin at 2 ounces (1/4 cup) per meal and gradually over the next year and a half increase the volume to 1 cup per meal. With this minuscule amount of food, it is next to impossible to meet your Protein daily requirements by food alone, so therefore you need to rely on supplements such as Protein  shakes.
One thing to do now at your stage of 3 1/2 months post-op is to assess your protein intake. Your daily protein requirement is met by a combination of the amount of protein you obtain from food combined with the amount of protein from protein supplements (protein shakes, protein bars). Right after gastric bypass surgery, the volume of food you consume is minuscule (2 ounces) per meal. But as you get further along, the meal volume increases. Therefore you have a very important option available to you. As a result, you can begin to reduce your reliance on Protein Shakes. I went from 3 a day, down to 2, down to 1 and eventually none when I reached 1 cup per meal at a year and a half post-op.
This is important because protein shakes contain calories. If you can reduce your caloric intake, then you can end a stall. At least that was the approach that I used and it worked for me.
Your lack of bowel movements could be caused by not drinking enough fluids.

Thank you, for taking the time to reply and I will start to do everything you listed at times I feel so alone on this journey....

[James Marusek 5,244]

It can be a little overwhelming at times. I am 4 years post op RNY gastric bypass and the following two articles give you my experiences thus far.

http://www.breadandbutterscience.com/Surgery.pdf

http://www.breadandbutterscience.com/Surgery2.pdf

[Bodhi Tree 54]

It can be a little overwhelming at times. I am 4 years post op RNY gastric bypass and the following two articles give you my experiences thus far.
http://www.breadandbutterscience.com/Surgery.pdf
http://www.breadandbutterscience.com/Surgery2.pdf

This was an excellent read! Many thanks for sharing this![emoji111]

Sent from my SM-G900W8 using BariatricPal mobile app

[Jill_Me 100]

Ask the dr for Miralax. I'm a nurse so the infrequent bowel movements stuck out for me first. Haha! Seriously though, you've got to poop more often.
I use 4 ounce glass jars (from Walmart, Ball brand) to store the food I eat -- chili almost every day with Greek yogurt (instead of sour cream) and reduced fat cheese melted in it. I only get about 800 calories a day and I'm told that's not enough too, but I'm not working out very much so I'm not burning so much. Even tho it is hard I make myself eat *something* or drink part of a Protein Shake every 2.5 hours. And I'm told that upping Fluid intake can help get you off a weight loss plateau.
I'm sorry you're feeling so overwhelmed. I also had my surgery in December.
Believe me if you follow the nutritionist recommendations and get more frequent pewps you should be feeling much better and see the right weight loss rate for your body. The weight loss isn't as fast or when you're under 200 ... I'm *almost* under 200 and things have significantly slowed. You've got this.

[ladyT33 1]

Thank you, Jill_Me