I had my VSG on 10/14. I started working out with a trainer 4 months before surgery. I lost 55+lbs prior to my surgery. I am very concerned about minimizing lean muscle loss.
Bottom line? Muscle will be lost initially. Building muscle while on a caloric deficit is not happening.
What I've done is the following:
1. Be diligent about Protein intake.
2. Continue resistance training as tolerated, post surgery.
3. I met with my urologist to optimize my testosterone levels for my current weight. (I was already on TRT). He put me on HCG injections.
4. When I'm reach my goal weight, I'll try mini bulking and cutting episodes. Mass builder shakes with concentrated calories are available. If needed, they can be used, sparingly.
I'm not quite a month out yet, but I'm getting really close to where I need to be, weight wise. I really am getting a little nervous about losing too much weight.
I'm keeping up with my trainer and nutritionist to maximize results and manage my angst.
My goal is 100 gms protein every day, minimum once I heal a little more.