Hop_Scotch

Taking your supplements? Drinking plenty of fluids? You may be focussing more on protein intake right now, but do you know an estimate on how many calories you are consuming daily?

You have a lowish start weight by the looks - 206lb or 206lb+ 22lb? Not sure which, but either way, with a lowish start weight your 22lb loss is pretty good...it isn't low or slow. Lowish start weights generally results in lower losses even with weight loss surgery. Seems to me that you are doing great!

We have no context as to why you think it should be more? How tall are you? How much did you lose in pre-op stage? What was surgery day weight? I think we sometimes set unrealistic expectations of ourselves and regardless of what info I asked for above, I think 10lb two weeks post op is excellent, be kind to yourself.

The additonal cost is likely to do with the band removal and any surgical fixes that are required. Which state are you in? Cost may vary a lot between states and not all the additional costs may be related to the revision surgery but the post op program. Some post op programs are full on, others not. For me my post op program was appts with the surgeon (5mins phone as I am in another state), other programs may have dieticians, behavioural coaches, therapists, exercise physiologists scheduled appointments

Breakfast is usually a couple of eggs or a high protein porridge, occasionally a yoghurt or nut bar.

11 days out? I would say its possibly a little too soon for potato but if they are on your post op guidelines for this stage, you may want to try again in a few days. I can't remember all that well 11 days out, but my starting point was the serving size in my guidelines...typically the more liquid, the more pureed the more I could drink/eat before restriction kicked in. It wasn't until I was on solid foods that the restrictions really kicked in. I do remember sometimes not always finishing off what I had served.

Well done on your total weight loss so far. You probably being little unrealistic given a couple of things. Firstly you are in recovery mode, your body has inflammation, you are possibly still have some fluid retention due to the iv fluids and inflammation. Secondly you lost a lot of weight in pre-op. There is a reason some doctors say don't weigh yourself in the first few weeks or even the first month. If you are following your post op guidelines re food and fluid intake you will be fine, the scales will reflect your efforts soon.

60% is an average, some will lose more, some will lose less. Some are happy with less and don't need to strive with more, for some less is their natural set point, for others they are happier with more and their natural set point is lower. Something to consider is 'best weight' - last thing anyone wants is to set a low point that they need to struggle with everyday to achieve, but even worse to maintain

The covid vaccine will likely trigger an immune response or even a low grade fever. What you are trying to avoid is confusion as to what is causing a medical issue or fever (is it an infection from surgery vs vaccine response)...so I would think at least two to three weeks but best to confirm with doctor as you have said. I have had the first pfizer dose no issues other than an ache in the arm that lasted less than 24 hours.

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?

Not a common thing in Australia, but if it were I probably wouldn't use for the children's menu - those items are typically full of saturated fats and sugar (unless a fairly healthy restaurant) and i probably wouldn't use it during covid times as restaurants are struggling and I wouldn't expect a reduced price because of a reduced portion. I typically order the best I can from the standard menu, if I enjoy it I will take the remainder home to use as left overs, if I don't enjoy it, I will generally off load to whomever puts up their hand at the table or just leave it be. The worse I left was a very dry chicken.

I think a large majority of us have the potential to be or have been, know it alls, be bombastic, be blunt or have our messages be read in a manner that it wasn't intended. We usually just blind or ignorant to the way the reader receives the intended messages in our posts. This includes me and I have no doubt if you looked through my posts some people may (or do) think what a know it all, how bombastic is she etc etc. Some of us are also too sensitive or easily offended when we read something we don't agree with or misunderstand or misread posts. All this is the nature of social media, it is what it is.

Your surgeon expects you to lose 30lb a month with a start weight of 227lb? That is ridiculous, talk about setting up a patient for disappointment and sense of failure.

These questions may help - some are targatted for surgeons, but there are questions in there that are relevant to your dietician https://njbariatricsurgeons.com/10-questions-to-ask-your-bariatric-surgeon/ Some of these may be relevant to you: https://medlineplus.gov/ency/patientinstructions/000259.htm

I haven't told anyone about my VSG, though one person did know about my ESG (I am assuming my trust wasn't misplaced and she hasn't told anyone). I certainly don't feel guilty about not sharing with all and sundry. There will be some who should say why hide it, be an advocate for weight loss surgery etc but at the end of the day, you have to do what is best for you and your own well being/mental health.

I think the citrate is better absorbed for people using acid reducing medication, plus more easily absorbed on an empty stomach. The carbonate should be taken with food as its better absorbed that way.

Many have eperienced this. Its a stall, they can initially appear anywhere from week one up to who knows. Most of the initial stalls are experienced between week two up to about week six and can last anyway up to a week to three weeks or so. Keep following your post op plan, and the scales will reflect your efforts again soon. By the way it would be helpful if you filled in our profile...Surgery type, surgery date weight, current weight, height etc - it provide context to questions etc.

Stlll doing keto and IF? Did the dietician go over your daily food intake? Did they make any suggestions? Anything else that may be masking scale weight loss? Fluid retention? Been excercising a lot lately? Do you know if you are losing inches/centimetres? If you aren't already may be useful to use body measurements they can be motivating when the scales aren't going down.

At seven days post op I wouldn't be doing aerobic walking videos yet. Give yourself a bit of time to heal. If you want to walk now, walk laps of the house or garden (or the streets if not in lockdown) at a low to moderate pace, at this point in time think low impact and no jarring of the body.

You will lose some weight on the pre-op diet, you may not need to start the actual pre-op diet sooner, but it would be to your benefit to return to making better choices and eating less. Or if you need to go basic: lean proteins, low starch veges, legumes, seasonal fruit etc. But at the end of the day, do what is doable and sustainable for you.

Is there a reason you can't take them? If lactose intolerant perhaps use a plant based protein shake. Do you have much longer to go before you start pureed foods? If only a few days speak to your dietician or surgeon see if they are happy for you to progress to pureed foods a little early.

What else are you eating? If nothing else or much else than 10gms of protein , I'd say that has a lot to do with your feeling hungry.

Okay..it is possible that your stomach is producing too much acid for the little amount of food/liquid you are consuming. I had to take nexium for a month following my sleeve surgery. Maybe have a chat with your doctor or surgeon see if they recommend taking something in the short term to reduce stomach acid. If that is the issue hopefully it helps.

You could be physically hungry but are you on anything to help reduce stomach acid? If not, stomach acid can make you feel like you are hungry.

Your body is burning/using fat for energy.