Gained 14lbs at 5 weeks post op..what am I doing wrong

[sleeviewonder2021 2]

Hi all! I’m in a bit of a panic, I’m 5 weeks post op, my starting weight was 274lbs. My op weight was 268lbs. At 3weeks post op my weight was 236lbs and somehow my weight since I started purées then eventually solids has been on a steady incline(I’m now at 250lbs🥺) . It’s really disheartening. I’m honestly not sure if I’m not eating properly or whether something else might be wrong. I did have my TOM mid week 4 so I thought it might be hormonal and that I’m retaining Water but nothing seems to be changing.

I drink 2.5l of water a day . I eat less than 700cal a day. I get 70g of Protein in , 15g of carbs and about 10g of fat in total a day. Do I have my quantities wrong? My nutritionist hasn’t been very helpful.

Please can someone offer some advice.

[Hop_Scotch 1,632]

Barring any medical issues or severe Fluid retention are you sure your macros are right?

Per Protein and carb gram = 4 calories, fat gram = 9 calories so based on 70gms protein, 15 gms carbs and 10grams of fat I get 430 calories per day not 700cals a day.

Are you measuring / weighing everything you eat and drink in a day? Are you exercising? What exercise do you do? Have you started any medication that causes fluid retention? Are scales working properly/batteries don't need changing? Scales on a stable surface not carpet/in same location all the time? Are you weighing same time every day (first thing of a morning after you've been to the toilet is probably the best time?

What does a typical day's menu exactly look like for you including all fluids?

What guidance has your dietician or surgeon given you regarding the gain?

[Prestonandme 107]

If you are taking any medication whatsoever, get in touch with your surgeon and ask him/her to review the prescriptions in order to determine if any have weight gain as a side effect. In particular, there are several prescriptions prescribed for psychological/psychiatric issues that can cause great weight gain. There are other non-psyche meds that, while not causing weight gain, tend to inhibit losses. For example, in one interesting study, researchers found that WLS patients who took Metformin post-surgery lost much less weight and plateaued while those who didn't take it showed much more drastic weight loss.