SteveT74

Great job for your too!!! You're almost in onederland!! That's awesome!!!

Me today (one month surgiversay) (sorry, just took it in the office bathroom):



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Guys, the liquid phase is only intended for early on because your new baby sleeve is swollen. My surgeon doesn't do it all post op. I went straight to puree/soft foods. Don't stay in liquid phase because you're afraid you're going to gain weight. It doesn't work like that. I am losing at a faster rate now than I did after surgery and I am eating between 750-1000 calories a day. This is not about pure calorie restriction. Once you get to solid foods, that's when you see the real benefit of the sleeve. I had some chicken breast last night and I was stuffed after 4.5oz!!! I could eat much more in the puree/soft stage in terms of volume. Just follow your surgeon's guidelines and eat the prescribed diet. You will lose weight if you follow instructions. If you go off on your own because your now scared of eating real food, you are going to have nutritional problems and you're also going to find that your weight loss will stall more often.

Coexister, Sophia and everyone else feeling down and crappy, I know VSG doesn't solve all your problems, but it is at least helping to resolve some of the really important ones. If you have been dealing with obesity for a while, it's not going to cure everything overnight. It's not a magic pill or anything like that. If you had depression before surgery, you'll continue to have it afterwards. That's another issue to deal with. You're not alone!! We all have our crosses to bare.
I just celebrated my one month surgiversary yesterday and I am thrilled with my results. I feel and look much better today than I did a month ago--and much better than when I started this process last March (night and day). However, a life of obesity still leaves a toll. I am also facing more surgery down the road. At the end of May, I fell on some of my toddler's toys and had a grade three sprain of my left ankle. I can't say for certain, but I am sure the fact that I was around 90 pounds overweight probably made would would have been just a mild sprain into something more serious--but that's life. The fact is, I tore the damn thing to shreds--totally rupturing multiple ligaments and partially tearing my Achilles tendon . Of course, lucky me, the NSAID's that I was taking for the ankle gave me some lovely ulcers. I am going to need to have surgery to repair my ankle and will then have to go through a fun filled 6 months of physical therapy. My ortho wanted to do the surgery in September, but I put off because I wanted to do the VSG. I thought my recovery would be a lot easier and more successful if I wasn't 80-90 pounds overweight. Maybe I won't need a much time in PT??? I was also in a car accident a year ago and tore ligaments in my neck and shoulder. I still have pain and numbness from that injury along with some pretty horrendous headaches. I may need surgery on that at some point, but I am just going to live with it for now since the doctor can't guaranty that surgery would actually improve things much. I also have issues in my homelife--dealing with my wife's depression and other fun issues, like a high stress job (all of which helped to contribute to my obesity).
The bottom line is that no one who suffers with obesity to point that they are willing to have 80% of their stomach removed is walking into the operating room without a long list of issues and ailments. Whether it's physical issues or mental issues, we all ended up on the operating table because we have a variety of different problems we are working to resolve. We're all in that same boat with you, I am just choosing to look at the glass half full. Your problems whether they are physical or psychological are problems that can be fixed or improved with some more time. That's a good thing---but you need to be patient. In terms of paying the bills for all of this "goodness", well--join the club as well. I am sure half the people on this forum have plenty of bills that have to get paid---I just saw my credit card bill and nearly threw up. In the end, it's only money though. Health is way more important and I'll figure out how to pay the bills somehow. Staying up all night worrying about isn't going to make my checking account grow--so, it's just another thing to add to the pile of sh!t that I have limited control over.

I added a p.s. in my response to you above--but then you posted this. I am all for the green smoothies like the ones Dr. V talks about on YouTube. Also, if you're not able to eat 750 or more calories in real food a day, it would be hard to meet your Protein goals without the shakes (so shake away!). For better or worse, I can definitely eat 800-1000 calories a day at this point and was just cleared for solid foods without restrictions (except for raw veg) at this point.
Since today is my one month surgiversary, it's a good day to answer this question. On 12/17 (surgery day), I weighed 232.5 and this morning I weighed in at 210.2. That's a 22.3 pound loss in exactly one month (or an average 5.5 pounds per week). Of course, I had a one week stall when I hit 222 and another 4 day stall when it hit 214--so it's all bits and spurts. However, during this same time period I also gained 4.5 pounds of lean muscle (according to my BIA scale). My body fat percentage has dropped from 28.6% on 12/17 to 23.2% today. and my waist is down six inches!! I went from size 42 dress slacks to size 36 in one month!!!! I actually am wearing a fitted shirt today!!!! I didn't think I would ever wear a fitted shirt again in my life!!! More importantly, I really feel great!!

Hey Lolo, I am jettisoning shakes (to a point)! While they are really important for getting your protein in right after surgery (when it hurts to eat anything), they are still processed foods. Most of them are made up of some combination of soy or whey protein, which is ok--but this processed protein triggers a significant insulin response. I am able to meet my protein goals with whole foods as part of my regular intake, so the shakes are no longer necessary for me. That said, I still have my shakes handy. If I am having a day where I might be missing the mark on protein--or right after a workout (if I don't have time to eat), I may have half a premier shake. However, to the extent I can avoid them, I will. I was doing this on instinct, but my surgeon actually recommended that I cut them out at my one month follow up yesterday--so, great minds must think alike. I told him what and how I have been eating and he's totally on board. Apparently, he's been eating Keto for a few years.
P.S.--when I say I am jettisoning shakes, I mean the premier shakes and muscle milk stuff etc. If you're doing healthy shakes with kale, etc. in a blender, those are great. I am not having those personally at this point, but not for any particular reason. Maybe I'll go that route in the future.
It's hard to do a true Keto diet after WLS. If you're doing Keto correctly, you're eating close to 1,500-2,000 calories a day with 60% or more of those calories coming from good fats (hopefully). With that many calories, you can still meat your protein goals. Also, people who are successful on Keto also mix in intermittent fasting, where they will skip breakfast and go 18-20 hours without eating and have maybe 4-6 hour window of opportunity to eat. That won't work for someone with a sleeve (at least within the first few years following surgery). We can't consume that many healthy calories, so we need to make sure we are hitting our protein goals first. We can then consume the rest of our calories in the form of healthy fats. On most day since surgery, my macro will look something like 45-55% protein, 45-55% fat and 10% or less carbs. One month post-op, I am eating between 750-1000 calories per day of protein and good fat foods. Good fats will get your calorie count up, but neither sleeve nor keto require real calorie counting. I just keep track of calories to make sure I am not going off the rails and to set a limit (I don't want too much of a good thing, if ya know what I mean).
I have been doing a little intermittent fasting--but not as long as most Keto adherents. I am usually asleep by 9:30 and I am up somewhere between 4:30 and 5am to hit the gym. I don't eat before my work out (you burn 20% more fat doing cardio in a fasted state in the morning). I may skip breakfast altogether and wait until lunch to eat (or I might have a small high protein snack after my workout, if I am really hungry--which I am usually not). I consume most of my calories between 12pm and 7:30pm. I also make sure to him my Water goals--which is important no matter what diet/lifestyle you follow.
This is as close to Keto as I can safely get at this stage in my recovery. It's working for me. I feel great and blood sugar is great for the first time in years. I am still only 3 weeks into "Keto" or should I say "Bariatric Keto", but it's awesome so far. Since I have been in ketosis (which happens to a lot of WLS patients anyway shortly after surgery), I am losing weight at a very rapid pace (for me). I have loads of energy now. I do feel hunger, but I am satisfied quickly. I enjoy the foods I am eating a LOT. Moreover, the diet I have been following is doctor approved for me. I had my one month follow up yesterday with my surgeon and I went over my diet and workout regimen with him. He cleared me for all activity and had no issues with my diet choices at all. Cutting out processed foods and carbs and eating a high protein,, high fat (good fat) diet melds is like rocket fuel for your VSG in his opinion (with the modifications I described).
I am not sure what you mean? In terms of age, I am 44. I am doing full 60 minute spin classes 5 days a week (with 2 in a row on Wednesdays (5am and 6am classes). I am probably overdoing it, but I feel really good after my classes. I have also just been cleared by doctor for all activity--no restrictions. So, I am going to start weight training again, starting tomorrow morning.

Honestly, any complaints you read on here, with few exceptions are nitpicks. I am sooooooo glad I had the surgery!!! It was the best decision I ever made!!! Yeah, there are some sucky parts to the process, but the rewards outweigh the sucky parts by such a huge margin that it's really a no brainer. If you're at 360, you have more to fear remaining at your current weight than you do having the surgery. Just do it!!!! Honestly, the surgery was a piece of cake.

Guys, the liquid phase is only intended for early on because your new baby sleeve is swollen. My surgeon doesn't do it all post op. I went straight to puree/soft foods. Don't stay in liquid phase because you're afraid you're going to gain weight. It doesn't work like that. I am losing at a faster rate now than I did after surgery and I am eating between 750-1000 calories a day. This is not about pure calorie restriction. Once you get to solid foods, that's when you see the real benefit of the sleeve. I had some chicken breast last night and I was stuffed after 4.5oz!!! I could eat much more in the puree/soft stage in terms of volume. Just follow your surgeon's guidelines and eat the prescribed diet. You will lose weight if you follow instructions. If you go off on your own because your now scared of eating real food, you are going to have nutritional problems and you're also going to find that your weight loss will stall more often.

Hey guys, I am joining this Keto party. I just had my vsg done on 12/17 and I was just approved for solid foods this week. My surgeons starts his patients on purees/softs immediately upon discharge, so I was pretty much eating a low carb high Protein diet from day 2 post surgery. The post-op diet was close enough to Keto or OG Atkins, that I decided to get on the Keto train (particularly after my first stall). Honestly, I think it's putting my weight loss into turbo boost. I am hitting all of my hydration and protein goals with ease, with the balance of my calories coming in the form of healthy fats like avocado, extra-virgin olive oil, fish oils, ghee etc. I have cut out all vegetable oils, canola oils and products made with these. I am not eating any processed foods. I don't technically have a true Keto macro because I can't possibly eat enough calories to get my protein in and have 70% of my calories come from fat. What I am able to do though is use the 800-100 calories I can consume in a day to get to 55% protein, 40% fat and 5% carbs. My net carbs are always under 20g at the end of the day. I did go through the keto flu, which lasted about 3 or so crappy days. It was worth it though--because the weight is pouring off at a prodigious pace. In fact, my surgeon thought my one month follow up was my two month follow up because he was looking at my numbers and lost track of the surgery date!!! So, I am going to credit a good half of my weight loss to following a keto style diet.
It may be a little different you guys with bypasses, but keto and VSG go together like Peanut Butter and jelly. Although I needed to lose 80 pounds, I started on this WLS journey because I was diagnosed with T2DM last year. I am sure VSG is really helping me with the T2DM, but what I noticed is that once I started following a keto style diet, my blood sugar stopped spiking after meals. I used to get spikes into the 180's, now 40-60 minutes after eating, my blood sugar may go up to 115 or 120. I used to wake up with BG levels at 140-160. After surgery and following the standard diet, that dropped down into 115-125. Now adding in the keto-style diet, my waking BG levels are now between 72 and 95 every morning!!!! I am no longer taking any meds for my T2DM.
In addition to the VSG and keto-style diet, I have significantly upped my exercise levels. I am at the gym 5am every morning for spin class, elliptical machine or treadmill. Now, I am adding in weight training. I get about 2 hours of serious exercise every day. I work out in a fasted state (no Breakfast before my workout) and I feel great. Loads of energy. Studies have shown that doing cardio in the morning in a fasted state burns 20% more fat that doing the same cardio workout after a meal. The same may not hold true for weight training... so maybe a Protein Shake before or immediately after the weight training part of my workout??? I still need to fine tune this.
As for keto sticks, I know some have poo pooed them. However, they are a good indicator to tell you if you're in ketosis in the very beginning of the diet. After you are fat adjusted to the keto way of life, you won't/shouldn't be seeing any ketosis by-products in your urine. If you're using the sticks, it doesn't matter how pink or purple they turn. If you're showing any ketones in your urine (well, it not really ketones, but a related compound), you're in ketosis. You're either in ketosis or your not (it's like you can't be a little bit pregnant). I personally wouldn't spend the $50 or $60 to buy a blood test--after a few weeks, you can just tell when you're in ketosis. I have knocked myself out a couple of times by eating too much protein to quickly (protein shake) or by making a dietary mistake (hummus), but once you have been in a consistent state of ketosis, it's not hard to get back in. You do it by dieting and, if you work out hard, you'll deplete your glycogen stores quickly and that will put you right back into to ketosis.
Also, if the reason you're knocked out of ketosis is because you ate too much protein, that's not really the end of the world as far as I am concerned. Protein can be converted to glycogen through a process called gluconeogenesis; however, this is not an easy process for your body to do and requires a lot of energy. Even at rest, your body will burn at least 20% more energy to convert protein into glycogen than it would carbohydrates--so it's not an efficient process. It's easier to convert fat into ketones, once your body is fat adjusted. Either way, you're buring more calories and will be a net winner in terms of weight loss.

Hey guys, I am joining this Keto party. I just had my vsg done on 12/17 and I was just approved for solid foods this week. My surgeons starts his patients on purees/softs immediately upon discharge, so I was pretty much eating a low carb high Protein diet from day 2 post surgery. The post-op diet was close enough to Keto or OG Atkins, that I decided to get on the Keto train (particularly after my first stall). Honestly, I think it's putting my weight loss into turbo boost. I am hitting all of my hydration and protein goals with ease, with the balance of my calories coming in the form of healthy fats like avocado, extra-virgin olive oil, fish oils, ghee etc. I have cut out all vegetable oils, canola oils and products made with these. I am not eating any processed foods. I don't technically have a true Keto macro because I can't possibly eat enough calories to get my protein in and have 70% of my calories come from fat. What I am able to do though is use the 800-100 calories I can consume in a day to get to 55% protein, 40% fat and 5% carbs. My net carbs are always under 20g at the end of the day. I did go through the keto flu, which lasted about 3 or so crappy days. It was worth it though--because the weight is pouring off at a prodigious pace. In fact, my surgeon thought my one month follow up was my two month follow up because he was looking at my numbers and lost track of the surgery date!!! So, I am going to credit a good half of my weight loss to following a keto style diet.
It may be a little different you guys with bypasses, but keto and VSG go together like Peanut Butter and jelly. Although I needed to lose 80 pounds, I started on this WLS journey because I was diagnosed with T2DM last year. I am sure VSG is really helping me with the T2DM, but what I noticed is that once I started following a keto style diet, my blood sugar stopped spiking after meals. I used to get spikes into the 180's, now 40-60 minutes after eating, my blood sugar may go up to 115 or 120. I used to wake up with BG levels at 140-160. After surgery and following the standard diet, that dropped down into 115-125. Now adding in the keto-style diet, my waking BG levels are now between 72 and 95 every morning!!!! I am no longer taking any meds for my T2DM.
In addition to the VSG and keto-style diet, I have significantly upped my exercise levels. I am at the gym 5am every morning for spin class, elliptical machine or treadmill. Now, I am adding in weight training. I get about 2 hours of serious exercise every day. I work out in a fasted state (no Breakfast before my workout) and I feel great. Loads of energy. Studies have shown that doing cardio in the morning in a fasted state burns 20% more fat that doing the same cardio workout after a meal. The same may not hold true for weight training... so maybe a Protein Shake before or immediately after the weight training part of my workout??? I still need to fine tune this.
As for keto sticks, I know some have poo pooed them. However, they are a good indicator to tell you if you're in ketosis in the very beginning of the diet. After you are fat adjusted to the keto way of life, you won't/shouldn't be seeing any ketosis by-products in your urine. If you're using the sticks, it doesn't matter how pink or purple they turn. If you're showing any ketones in your urine (well, it not really ketones, but a related compound), you're in ketosis. You're either in ketosis or your not (it's like you can't be a little bit pregnant). I personally wouldn't spend the $50 or $60 to buy a blood test--after a few weeks, you can just tell when you're in ketosis. I have knocked myself out a couple of times by eating too much protein to quickly (protein shake) or by making a dietary mistake (hummus), but once you have been in a consistent state of ketosis, it's not hard to get back in. You do it by dieting and, if you work out hard, you'll deplete your glycogen stores quickly and that will put you right back into to ketosis.
Also, if the reason you're knocked out of ketosis is because you ate too much protein, that's not really the end of the world as far as I am concerned. Protein can be converted to glycogen through a process called gluconeogenesis; however, this is not an easy process for your body to do and requires a lot of energy. Even at rest, your body will burn at least 20% more energy to convert protein into glycogen than it would carbohydrates--so it's not an efficient process. It's easier to convert fat into ketones, once your body is fat adjusted. Either way, you're buring more calories and will be a net winner in terms of weight loss.

No it really isn't "super high fat" in the original derivation. Atkins in his original derivation had food plans that averaged between 55-75% fat. That's a "skewed" percentage cuz whenever you take 1 macro down, the others go up. It didn't equate to gobs of fat like today's modern "Dave Asprey" world where you add butter to coffee, live on fat bombs, etc. The modern LCHF which is now just called "Keto" is a minimum of 70-75% fat. So yeah, much much higher fat.
And agreed it. It's only ever been "protein adequate" and can be very low carb, but can also go as high as 50-70g of carb whole, non-netted. I can eat 50g of carb with most coming from low glycemic veg and leafy veg and I will still be in ketosis all the live long day. Swearsies!!!
Also, I think the definition or experience of Keto differs greatly based on surgery type and amount of bypass (how much of the intestine that handles fat and sugar was actually re-routed). With VSG, you have no malabsorptive problem. So you can handle the extra fat very efficiently.
I swear. I've studied this for about 18 years and read almost every book on the subject from the leaders in the fields.
Congrats on losing your regain and doing so well!!!!

Ketosis by definition is pretty much HIGH fat, MOD Protein and VERY LOW carbs. It goes against much what we are told as bariatric patients. That said...
YES I LOVE KETO!!! I have been strict Keto for over a year and maintain these daily macros: 85% fat, 5% carb and protein takes care of itself. Keto can be a little tricky if you 'dump' from fat- it takes a little while for your system to adjust- but once you're there, it's great.
I had a 40 lb regain from my lowest and used Keto to lose the regain successfully in about 6 months time. I am 4.5 years post VSG and did the whole 'bariatric' type low carb, low fat thing for the first year. I have found that for the regain, Keto worked really awesome and my body LOVES being in ketosis. I have boundless energy, seriously clear brain function, etc. There are SO MANY metabolic benefits that can be researched in the NIH database.
You will get mixed reviews, but for someone who is longterm post op, it is a great option. I'm all about following your surgeon's guidelines during loss phase, but after a couple years most of us are 'done' with our surgeons. Keto is such an awesome tool to use along with bariatric surgery.
Feel free to PM if you have questions!

There are good surgeons all over the world and you can get a great surgery in many countries. The issue is follow up. If you have a complication sometime down the road, do you have a doctor near you that can care for you and understands the procedure you had?? I know of plenty of people who went to Mexico for their surgery and it's worked out great. The sleeve is a pretty simple procedure as far as the actual surgery is concerned, so it might be something doable abroad--just do your homework so you sure you're working a doctor and hospital with a good reputation and lots of experience. However, when you start getting into more complicated procedures like a duodenal switch, I wouldn't go far from home.

Coexister, Sophia and everyone else feeling down and crappy, I know VSG doesn't solve all your problems, but it is at least helping to resolve some of the really important ones. If you have been dealing with obesity for a while, it's not going to cure everything overnight. It's not a magic pill or anything like that. If you had depression before surgery, you'll continue to have it afterwards. That's another issue to deal with. You're not alone!! We all have our crosses to bare.
I just celebrated my one month surgiversary yesterday and I am thrilled with my results. I feel and look much better today than I did a month ago--and much better than when I started this process last March (night and day). However, a life of obesity still leaves a toll. I am also facing more surgery down the road. At the end of May, I fell on some of my toddler's toys and had a grade three sprain of my left ankle. I can't say for certain, but I am sure the fact that I was around 90 pounds overweight probably made would would have been just a mild sprain into something more serious--but that's life. The fact is, I tore the damn thing to shreds--totally rupturing multiple ligaments and partially tearing my Achilles tendon . Of course, lucky me, the NSAID's that I was taking for the ankle gave me some lovely ulcers. I am going to need to have surgery to repair my ankle and will then have to go through a fun filled 6 months of physical therapy. My ortho wanted to do the surgery in September, but I put off because I wanted to do the VSG. I thought my recovery would be a lot easier and more successful if I wasn't 80-90 pounds overweight. Maybe I won't need a much time in PT??? I was also in a car accident a year ago and tore ligaments in my neck and shoulder. I still have pain and numbness from that injury along with some pretty horrendous headaches. I may need surgery on that at some point, but I am just going to live with it for now since the doctor can't guaranty that surgery would actually improve things much. I also have issues in my homelife--dealing with my wife's depression and other fun issues, like a high stress job (all of which helped to contribute to my obesity).
The bottom line is that no one who suffers with obesity to point that they are willing to have 80% of their stomach removed is walking into the operating room without a long list of issues and ailments. Whether it's physical issues or mental issues, we all ended up on the operating table because we have a variety of different problems we are working to resolve. We're all in that same boat with you, I am just choosing to look at the glass half full. Your problems whether they are physical or psychological are problems that can be fixed or improved with some more time. That's a good thing---but you need to be patient. In terms of paying the bills for all of this "goodness", well--join the club as well. I am sure half the people on this forum have plenty of bills that have to get paid---I just saw my credit card bill and nearly threw up. In the end, it's only money though. Health is way more important and I'll figure out how to pay the bills somehow. Staying up all night worrying about isn't going to make my checking account grow--so, it's just another thing to add to the pile of sh!t that I have limited control over.

If you have had serious issues with major unipolar depression and/or bi-polar depression in the past, this can be a challenging time for you because your hormones are all out of whack which can trigger lots of feelings (good an bad). One of the problems with being obese is that fat cells produce and store estrogen. As you burn those cells off, the estrogen is being released into your blood stream. This will throw off your hormonal balance in a major way. [This effects both men and women btw]. It will cause mood swings and can make you downright irritable--like super PMS.
If you're unhappy with your p.doc in general, by all means get a new one. If, however, this is just a concern about your current mood, try to get an appointment as soon as possible, but don't look to change docs right now if he or she has been doing a good job for you in general. It's hard to find a good p.doc and there aren't many (or any) p.docs that specialize in treating bariatric patients (we aren't really all that different from any other patient once our bodies adapt to the new physiology). You should, however, go to your bariatric support group meetings. My practice has them twice a month. It's a great way to meet other people that are going through the same things you're going through (or have been them already). Try to get that appointment to see your p.doc, but if he or she has been doing a good job for you so far, don't run out and change. New docs often like to change up meds and that can really add fuel to the fire.
This hormonal spike is going to be a short term issue (a few months at the most)--not a life long thing. So, you are only talking about dealing with unusual emotions for a little while--and then you get back to being yourself (with all the usual issues that you had before surgery, but with less weight to carry around). If have issues with major depression and you feel yourself slipping into a downward spiral, you might also look into seeing a doctor or clinic that could give you ketamine infusion. That would definitely take the edge off while you go through the adjustment phase. My wife suffers with major depression (has for years) and she gets ketamine treatments every 3-4 weeks depending on what's going on. It's not a cure all, but it makes a huge difference!!!

Hey y'all! Anyone and everyone is welcome to jump in and join us.
This is the Intermittent Fasting DAily Menu/Results/Accountability Thread. It's where a few of us (or many) are going to log in and encourage each other while we experiment with our own IF plans. You can list or talk about anything--not just your food. I look forward to adding in HIIT (High Intensity Interval Training) and core exercises to my walking plan while practicing IF. So expect to hear about that too. hehe I expect some of us will talk about the known IF side-effects like insomnia, circadian rhythm disturbance, etc. It's all good! Let's hack this IF mofo! mkay?
There is not any 1 specific IF plan--there are so many to choose from, so this is a BYOIFP (bring-your-own-IF-plan) and join the fun! This is the thread where we'll post our daily menus and maybe some piccys at times! We can discuss progress, issues we might notice, look at how we may want to refine our own personal plans. I do think you should be healed from surgery and have your doctor's and RD's blessings to try something like this and you should do a ton of research and reading about Intermittent Fasting.
IF isn't only about weight loss, it's about taking specific measures to limit either quantities, calories, macros, or sometimes only consciously altering eating windows/schedules in order to effect metabolic change and reduce inflammation and improve health markers.
Ok, let's do this thang!!!

I am sure everyone of us eats too fast at times. It happens--and it sucks. At least twice in the past two weeks I ate to fast and then had to run to the garbage pale or toilet to throw up. Only usually not much in the way of food comes up, but the foamies--ugh. It can suck for an hour or so for me. It's not always predictable either. I can eat to fast at one meal and feel totally fine--but a few meals later the same pace will have me bent over the toilet. What can ya do??? You can practice all you want, but unless you have 45 minutes to an hour to eat every meal (which I certainly don't!), you just have to take it in stride. Break up your meals, so you have a few small meals instead of two or three big ones. Make sure you weigh out your food (which becomes more important when you're eating solids [I was just approved for solids]). This will help ensure you're not eating too much volume.
For me, the biggest issue isn't with overeating--it's freakin' Constipation. Eating too fast is my fault and the consequences last an hour or so, but the constipation can last a couple of days!! Even so, I'll take all the issues and then some because the weight loss results are totally worth it!!!

I just hit 209.4 today. So, yes--twins at that!

Me today (one month surgiversay) (sorry, just took it in the office bathroom):



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First off, stalls are totally normal. You just lost 27 pounds--you're body needs time to adjust. It's normal for your weight loss to take a one week pause along the way (sometimes even longer). Also, don't cut back on your calories. Stick to your diet plan--even with the stall. Remember, this isn't a calorie counting diet. It's a healthy eating diet, provided you hit your Protein goals and drink your water!!! You don't want to eat too little or you'll have issues with your metabolism. When you hit a stall it may sometimes help to eat more calories--in the form of health fats (avocado, extra-virgin olive oil, Ghee etc.) and good Proteins. Stay away from carbs if you can--they are the devil's food!!!

First off, stalls are totally normal. You just lost 27 pounds--you're body needs time to adjust. It's normal for your weight loss to take a one week pause along the way (sometimes even longer). Also, don't cut back on your calories. Stick to your diet plan--even with the stall. Remember, this isn't a calorie counting diet. It's a healthy eating diet, provided you hit your Protein goals and drink your water!!! You don't want to eat too little or you'll have issues with your metabolism. When you hit a stall it may sometimes help to eat more calories--in the form of health fats (avocado, extra-virgin olive oil, Ghee etc.) and good Proteins. Stay away from carbs if you can--they are the devil's food!!!

Awesome job!!!! You look terrific!!! Keep up the great work!!!!

Me today (one month surgiversay) (sorry, just took it in the office bathroom):



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Me today (one month surgiversay) (sorry, just took it in the office bathroom):



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I added a p.s. in my response to you above--but then you posted this. I am all for the green smoothies like the ones Dr. V talks about on YouTube. Also, if you're not able to eat 750 or more calories in real food a day, it would be hard to meet your Protein goals without the shakes (so shake away!). For better or worse, I can definitely eat 800-1000 calories a day at this point and was just cleared for solid foods without restrictions (except for raw veg) at this point.
Since today is my one month surgiversary, it's a good day to answer this question. On 12/17 (surgery day), I weighed 232.5 and this morning I weighed in at 210.2. That's a 22.3 pound loss in exactly one month (or an average 5.5 pounds per week). Of course, I had a one week stall when I hit 222 and another 4 day stall when it hit 214--so it's all bits and spurts. However, during this same time period I also gained 4.5 pounds of lean muscle (according to my BIA scale). My body fat percentage has dropped from 28.6% on 12/17 to 23.2% today. and my waist is down six inches!! I went from size 42 dress slacks to size 36 in one month!!!! I actually am wearing a fitted shirt today!!!! I didn't think I would ever wear a fitted shirt again in my life!!! More importantly, I really feel great!!