catwoman7

exercise only accounts for about 20% of weight loss - and I've known of several people who've lost a bunch of weight post-op without exercising at all- so it's likely not that. If you're getting 600-900 calories a day, that should be fine. It may just be your body's particular weight loss "pattern". As long as your general trend is downward, you should be good.

first of all, pouch resets are discouraged by most dietitians. It just puts you back into "diet mentality". Just go back to basics - protein first, then non-starchy vegetables, and then, if you're still hungry, a small serving of fruit or complex carbs. And log everything you eat so you know how much and when you're eating. secondly, the vast majority of us have a rebound weight gain of 10-20 lbs after we hit our lowest weight. It's just your body settling in to a weight it's comfortable at. I used to "attend" Unjury's Zoom support groups occasionally, which often feature speakers. There was a really interesting dietitian on once who said at her clinic, they don't even consider it a regain unless the person has gained more than 15% of their lowest weight (so for you, that's 25.5 lbs). I regained about 20 lbs in year 3 (it usually occurs in year 2 or 3, after you hit your lowest weight). It really bothered me for a long time, but clearly this is where my body wants to be. I could always go lower by cutting my calories, but then, I've been sitting at this weight for quite awhile, so it evidently is not as important to me as I think it is, otherwise i'd be doing exactly that (cutting calories). I know it'd be a struggle trying to get down to my lowest weight again and staying there, because my body seems to be comfortable where it is. Do-able, but it would be a lot of work and then a challenge to stay there. I've kind of given up the ghost at this point. if after tracking you find you're taking in too many calories and are doing too much eating while you're not really hungry, then do what you need to to get back on track (the suggestions people had of going back to your clinic for support - therapy and/or dietitian is a good one). But if that's not really the case, if this is just the normal rebound that most of us experience, then know it's just that...normal - and also, expected.

if you've stopped tracking your intake, start with that. See how much you're eating. If it's too much, go back to the basics (not all the way back to liquids or purees, but the whole deal with protein first, then non-starchy vegetables, and then, if you have room, a piece of fruit or small serving of complex carbs). And yes, as sillykitty said, there are drugs that can give you a jump start to help you get back on track again, but I"d probably start first with tracking and then going back to the way you were eating the first year or two and see if that solves it.

stalls are common. Just keep following your program. If more than a month or six weeks go by with no weight loss, you can always lose more by cutting calories - if you're willing to do that. You and your body may or may not be comfortable eating less than 1000 calories a day, and that's fine. weight loss does slow down a lot the closer you get to a normal BMI. I'm trying to lose 10 lbs now, but it's REALLY hard. But then, there are only so many calories I can cut (about 200 is all). When I weighed over 300 lbs, I could cut 1000 calories a day and lose weight pretty quickly. Right now, it takes about 1600 calories for me to maintain my current weight. If I cut 1000 calories NOW, I'd only be eating 600 calories/day. That is not sustainable. Even cutting 200 cal/day is challenging, but at least it's do-able. But that also means that my weight loss is going to be very slow....only 2-3 lbs a month. as far as losing too much weight, you can always increase your calories a bit to stop the loss. So unless there's some medical problem that's causing the weight loss, you have control over whether you stop the loss or keep losing.

that's actually really late for your first plateau - most people have their first one about three weeks after surgery! But like the others said, do nothing. Just stick to your plan and stay off the scale for a few days. Stalls usually last 1-3 weeks. If you stick to your plan, it'll break and you'll be on your way again. And like sillykitty said, this won't be your last one.

it took about two months before my energy had COMPLETELY returned, but of course, it does get better and better every day. Most people are back at work after about two weeks. I didn't have trouble working (I had a desk job) - although I got pretty tired in the afternoons the first few weeks. It didn't keep me from performing, though.

I didn't lose much hair at all I barely noticed it, let alone anyone else (I didn't take anything for it - i just kept on top of my protein and vitamins). You may be lucky as well...

I followed my plan. It was tough going at times, but I did follow it. You'll be eating more-or-less normally again at some point (albeit smaller portions than you were pre-op), it's just these first few weeks and months that can be challenging. I toughed it out. I was tired of being morbidly obese and just wanted the weight GONE!

most people don't feel it on liquids - even on first surgeries. You were in the minority. What until you get to the solid food stage - you should feel it then.

I didn't really feel restriction until I moved on to regular food. It takes a while for your nerves to regenerate - plus soft foods move through your stomach faster than the solid ones. At this point, just eat according to your program because your fullness queues are probably not there yet. And once they start up, as you've been reading, they're likely to be different than they were pre-surgery. I don't feel full the way I did before surgery. Now I feel sort of a tightness or discomfort in my chest (hard to describe it). I know if I don't stop, I'm going to be sorry...

high B12 levels are rarely a cause for concern. Mine are always over 1000, and a couple of times they went over 2000. When they got to that point, my clinic just said it cut back a bit on my B12 supplementation. It wasn't that it was dangerous, it's just that taking as much as I was at the time was kind of a waste, because I was clearly getting enough. Folate is a B vitamin - those are water soluble so I'd be a little surprised if your clinic is concerned about that. I'm not sure either of those would be due to your fatty liver, but then, I'm not a medical person, so take that with a grain of salt. P.S. I just checked with Dr. Google (not the best resource, I know). It doesn't say anything about high folate being related to liver issues - more often, it's related to a B12 deficiency, which you don't have (you said your B12 level is high). It said a high B12 level CAN be related to a liver or kidney issue, but it's usually related to recent supplementation. They may just have you cut back a bit on your B12. But wait to hear what they say. I'm a long-time vet and have been hanging out on this and similar sites for about eight years. A lot of people feel better when their B12 level is above 800 - or even 1000. My clinic never said anything to me until it went over 2000 - and again, they just told me to cut back on my B12 supplement. It's always a good idea to check with your clinic, though, just in case - and if you're worried.

are you on purees now? If so, that could explain it. I'm have a "virgin" bypass, not a revision, but i didn't start feeling restriction until I moved on to solid food. Also, they likely cut some nerves when they were in there - it takes awhile for them to regenerate.

stalls usually last 1-3 weeks, so it should break soon. Just stick to your plan and stay off the scale if it's screwing with your head. It'll break and you'll be on your way again..

wow - didn't know that. I only visited that one sporadically, but it's been years. Didn't realize it'd kicked the bucket.

you could probably just take a small sip.

a lot of people feel cold all the time after surgery. For some it's temporary, for others it's permanent. Some of it is probably due to you have less "insulation" than you did before, but because that cold feeling can sometimes start within weeks of surgery (before most people have lost much weight), I suspect something about the surgery affects your inner thermostat, too. In my case, it was temporary - but some people are always freezing and have to wear extra clothes!

things do sort of move around once you hit your goal and you look less gaunt than you did at first - but I can't remember if that affected my "turkey neck" or not. Might have a bit. At any rate, between the 200+ lb weight loss and my age (I'm in my 60s), yep, I had a turkey neck. I don't know if others noticed it or not, but I sure did. I did have mine removed as part of a facelift procedure I had at about six years post-op.

you're seven months out now - from about this point and for the rest of your life, you're going to occasionally have days like this. It was a holiday - even skinny people tend to eat more than usual or have special treats on such days. The trick is to get right back to it the next day and don't let it continue on. Sounds like you have a good plan.

those diets vary so much - some surgeons don't even require pre-op diets. Check with your clinic as they're the only ones who'll know for sure what your surgeon requires.

it's probably the IV fluid. It's basically salt water, which some people retain for a few days. I've heard of people "gaining" up to 10 lbs while in the hospital! Give it a few more days - should be all out of your system by then.

I had two - one at four weeks out and one at eight weeks out (they almost always occur within the first three months post-op. They're very rare after that). My clinic sent me over to the hospital to get an EGD (the doctor who did it was not a bariatric surgeon - he was just someone on the hospital staff who does EGDs). They knock you out - you won't feel anything or know what's happening. And I felt 100% better afterward. when I had mine, I first noticed I had what seemed like acid reflux, which I thought was odd since bypass usually cures that. A couple of days later, I was having a hard time keeping food down, which is when I called my clinic. if you're able to keep fluids down, they may not get you in right away - it may be a couple of days. If you can't keep fluids down, either, then that's critical - they'll get you in ASAP. People can live without food for a few days (or longer...), but not fluids.

believe it or not, my two-week pre-surgery diet was more restrictive than yours. I was only allowed no-calorie fluids, 4-5 protein shakes, sugar free Jello, sugar free popsicles, and one cup of broth or tomato juice a day.

not all surgeons say you can't have coffee or tea. Some are fine with it. No consensus at all on this issue..

there is absolutely no consensus at all among surgeons re: the caffeine issue. Some say you can never have it again for the rest of your life. Some patients are allowed to drink it before they even leave the hospital. Still others say you have to wait one month, or three months, or six months. And then others say it's OK as long as you limit it to 1-2 cups a day. My take on this is that it's not the worst thing you can do. Follow your plan from here on out just so, if asked, you can say you followed the plan - but don't worry about the slip up.

I thought the water thing would be really hard, but I got used to it pretty quickly. Taking vitamins hasn't been a big deal, either. It seems overwhelming at first, but after awhile I was on auto-pilot. I take a small handful with breakfast and another small handful in the late afternoon, then my iron before I go to bed. I'm a bypass patient, so you'll likely take fewer vitamins than I do since you're considering VSG. so those two fears are really not anything to be concerned about. The regain one is, though. Losing the weight isn't all that difficult as long as you follow your clinic's plan. It's the continual work it takes to keep the weight off. You really do have to monitor yourself for life - otherwise, if bad habits start creeping back in, your weight will start to go up again. I struggle with it every day - but, it's worth it to me. I never, ever want to be morbidly obese again. P.S. I should add that I was NEVER able to keep weight off for long before surgery. Now, it's a challenge, but do-able. I've managed to keep it off for six years. I have much better habits now, I exercise regularly, and my stomach can't hold as much. Eating over 2000 cal/day is painful for me now (and I rarely do it). Before surgery, 2000 kcal would have been a "diet" level for me.