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Most surgeons and dietitians agree that "pouch resets" are just crash diets. They don't actually reset your pouch (and nothing will, its an organ, its doing what its supposed to and doesn't need to be "reset") or do anything for long term weight loss. What WILL help, is tracking what you eat and staying in a calorie deficit, hitting your protein goal, ensuring you are getting in plenty of water and staying hydrated, and moving your body regularly. Go back to the habits that helped you lose the weight to begin with. Additionally, some amount of regain is completely normal. Most WLS patients find that their lowest weight isn't their healthiest weight long term. If possible, maybe check in with your surgeon's office and get their insight as well.

Welcome, RDC. What procedure(s) did you undergo? What was your starting weight, lowest weight, and thus, what percentage are you talking about when you say you gained back 20 pounds? If you lost 200 and regained 10%, it is a very different scenario from losing a total of 25 and regaining 20. Most people on this board are extremely knowledgeable and willing to help, but you have to give the basic information for their responses to be helpful.

Regain happens! It's good you are addressing it now, and have relatively little weight to lose. I suggest looking into some of the new drugs that are being used off label for weight loss, like Mounjaro and Ozempic Good luck!

Don’t know how authentic mine is but the pistachios certainly make it yummy. (Nicer than the almond one they make.)

Definition of "stall" varies pretty widely, but generally 3+ weeks with no loss is a stall. So if you haven't seen the scale move in a few days, that's really not a stall at all, especially so early out when you are still very much healing from surgery. And in fact, many surgeons and dietitians HIGHLY recommend not weighing daily, as your weight absolutely WILL fluctuate from day to day. And, as others have said, the 3 week "stall" is pretty notorious. Stick to your plan, consider weighing once a week instead of daily, and just give it time.

I found B12 supplements were critical a couple months post op. First I got them from my WLS surgeon during follow ups. Then I switched to sublingual pills once a week

First, there is no amount of weight one "should" lose by now. Everyone is different. If you are on plan you are doing great. Focus on your plan not on your scale. Get rid of your scale, it will make like much easier. On to plan. Again, each of our plans are different. Some are better or worse but it's probably more important to learn the discipline of following a plan than the particulars of the plan. By 3 months I was at my "forever" plan, which was 3 meals per day consisting of 3oz protein, 1oz veggies. I can't always manage the whole meal. If I can't get past one or two bites I may try again in an hour or so. I dump on sugar and fats, so I learned pretty quickly to avoid those. Otherwise I could eat anything. Some foods, like most snack foods, anything potato, I could eat easily and in volume. For the first two or three years I avoided such foods completely until I could master moderation, which for me was a new concept. Surgery doesn't deal with 100% of our issues. What goes into our mouths is still a choice. @liveaboard15 I've commented before that your pictured food would be a perfect meal and it looks delicious. The great aspect of them is that even if one is eating the chicken (as an example) for 4 or 5 meals in a row, adding and changing the sauce can still create quite a variety of flavors. BBQ, Asian, Italian, Italian, Curry... Yum. Good luck, Tek

What do you mean by "try" to stick to your diet? I ask because I also have PCOS & one of my fears is it interfering with the last 45lbs I want to lose. Do you follow your program diet for the most part or have a few cheat meals?

fill out your profile if you can. what was your starting weight, surgery weight... height. what surgery did you get? How is your eating? what does a normal day of food look like?

Not even sips but it's natural from the beginning. Meaning that physically in the beginning, you'll eat so little that any additional water will make you feel uncomfortable anyway. Before you know it, it becomes habit. It still makes me so uncomfortable that even now I wait over an hour after I eat before drinking anything. I understand your concerns about vitamins too. If you hate swallowing pills, many of us have been using patches successfully. You'll have to see what works best for you. In the end, the weightloss will be worth with it and you will see how very little you eat, and will want to keep your body healthy by taking supplements. For months, I ate less than 800 calories. Even years later, many of us still do not eat enough to be well nourished. I totally get the fast food with our significant others as a bond but it is totally doable. My mister doesn't care what I order but I think he feels more comfortable as long as I order something. So let's say Taco bell ... I order a side of black beans with onions (50 cal). I don't think it is what I eat but that I have a meal with him regardless what it is. IF he ever insisted on me eating what I used to eat, then there is something really wrong with the relationship in the first place.