Pckeys

I've lost 98lbs, and my birthday is in one week. I am almost 8 months post op (will be on 9/6), so maybe I can get 100 for my birthday? It'd be so awesome!
I also had a HUGE NSV today- the pants I was wearing in my before picture were a size 28, and I can fit SUPER comfortably into a size 18 as of today! (Almost need a 16 now; definitely gonna get a belt for the first time in my life soon).

This is very often the result of the vagus nerve being over-stimulated after eating to limit. The vagus nerve runs very close to the sleeve and is responsible for all sorts of things from hiccups to the vomiting reflex, sneezing and so on. Can also cause a vasovagal response (fainting). Try cutting back slightly on the amount you eat and see if the symptoms lessen.

Well said, I'd also argue that the OP has likely already reached this magical 19-24.99 range when factoring in the extra weight of any lose skin they may have. BMI is also a pretty poor metric, I think it's a little silly to be so stringently exacting with such an inaccurate measurement to begin with. If people want to be splitting hairs over whats a healthy body composition, you'd need a DEXA scan

true - before I had a DEXA scan about three years ago, I thought I had another 15 lbs or so to go. Nope. My body fat was 22% - normal, but on the low end of the normal range for a female. The technician - and my PCP - both said I was done losing weight. That "fat" I saw was just extra skin.

Well said, I'd also argue that the OP has likely already reached this magical 19-24.99 range when factoring in the extra weight of any lose skin they may have. BMI is also a pretty poor metric, I think it's a little silly to be so stringently exacting with such an inaccurate measurement to begin with. If people want to be splitting hairs over whats a healthy body composition, you'd need a DEXA scan

btw - no one on here has argued with the fact that a normal BMI is between 19-24.99. Anyone halfway aware knows that. We are trying to reassure someone who made it to a 25.5 BMI that she's not a failure. Far from it - she's a huge success. The fact is that the average loss for a WLS patient is about 70% of excess weight. And depending on which research study you read, only 10-15% of us make it to a normal BMI. So she's done better than at least 85% of people who've had weight loss surgery.

evidently that poster doesn't know many of us. Several of us "several degreed" people are on here... Not sure how this really matters, though.

You only have to read about half the posts here to realise that is very common to stall in weight loss in the early weeks.
Typically people have lost weight immediately prior to the surgery, they sometimes lose a fair bit of weight within a couple of weeks of surgery, there is inflammation, Fluid retention, progression through the food stages....all this and possibly more plays a part in stalls early on.
Given your lowish weight on surgery date, you've actually lost a fair bit of weight in the short time since surgery.
Assuming you are following all your post op guidelines you will be fine, weight loss will pick up again when your body has adjusted a little bit.
Note that going forward, as you commenced from a fairly low weight base, your weight loss is likely to be slow and lower than those who started with more weight.

All of the studies on this, many done from 2012 to as recently as feb this year, show a better preservation of REE with very low carb on calorie restriction (regardless of the calories) when compared to moderate/higher carb intake with equal calories. I'd also bet your nutritionist will spout the traditional rubbish for the conventional "SAD" guidelines (which are ludicrous)... the "permanently" lowered REE is a myth too
If you're interested, do a search for REE preserved on VLCKD ... you'll get plenty of results.. read the studies, not the stupid magazine summaries that often miss the point entirely.... another interesting take-away with these studies is the lead time to adapt. The preservation of REE was best expressed with people who are already Keto adapted (that is people whose bodies are already able to use ketones as a fuel). Dosnt take long.
and of course, permanently elevated insulin levels with frequent meals throughout the day with carbs will always shut off fat burning... I dont understand why people dont get that. Insulin is the fat storing hormone

Jason Fung and Peter Attia and many others in the field have spoken extensively about this over the past few years. Both have used fasting as part of treatment options for 1000s of patients for metabolic diseases such as obesity/diabetes/kidney disease/alzheimers etc..
Patients that lost considerable weight over short periods of time DID NOT have lose skin when using longer fasts (3 days or more) as part of their strategy... this did not include "time restricted feeding" like 16/8 which is generally not long enough to reach needed levels of autophagy.
I should add, once the nutrient sensing pathways for autophagy is understood, it is very easy to see why this happens.

I find it fascinating that those that shed comparable amounts of weight at that same rate as WLS patients by extended fasting (3 - 5 days or more) have NO lose skin. Jason Fung, Peter Attia, Satchin Panda ( the godfathers of true fasting) put this down to autophagy.

I'd also add that it's entirely possible the OP is carrying around some excess weight in lose skin which has nothing to do with health outcomes/BMI etc.. this can be as much as 15 - 30 pounds!

I'd also add that it's entirely possible the OP is carrying around some excess weight in lose skin which has nothing to do with health outcomes/BMI etc.. this can be as much as 15 - 30 pounds!

of course she should be allowed - but only 10-15% of bariatric patients make it to a normal BMI, so she's already one of the few who pulled that off.
also, that range you gave - it depends on age, too. I don't know how old she is, but a lot of doctors these days like their older adult patients at a 23-27 BMI. Older folks in that range have the lowest mortality rate.

I don't know where you are weight-wise now, but if that 30 lbs you mentioned you still want to lose will get you to a normal BMI, then yea - the last 20 or 30 lbs are a BEAR to lose.
it's not unusual for people to fill up fast on dense Protein (like chicken), but be able to inhale snacky things like there's no tomorrow. That's why they recommend we focus on dense protein and low cal, highly nutritious things like fruits and vegetables. And that's what people should be focusing on anyway if they want to stay healthy, regardless of weight or surgery status.
if you aren't tracking your intake, I'd start doing it. I still track everything I eat at five years out. I've learned I can maintain my weight if I stay between 1500-1700 calories a day (and that range it going to vary for everyone - you may be able to eat more or less - but if you're still trying to lose weight, then probably less....). It's really easy to go over your range and start gaining weight if you're not paying attention. The only time since surgery that I didn't track (other than a day or two here and there) was when I spent a month abroad last fall. I didn't THINK I was eating too much but....TA DA!....I came back a few pounds heavier than when I left. Easy to do.
if you want to continue to lose weight, you'll have to focus on dense Proteins and vegetables. They're filling and will give you the most nutritional bang for the buck. And maybe small servings of fruit, too (I could eat fruit with no problem - but some people limit it because of the sugar). If you focus on those things but STILL aren't losing weight, then you'll have to cut back on total calories, too. I didn't consistently go over 1000 per day until I was about a year out.
btw....I do keep some "safe" things around for snack attacks when I get them - SF Jello, SF popsicles, Light & Fit yogurt, baby carrots, celery, costco roasted seaweed, lots of different types of tea, lots of safe and fun things to drink, like flavored waters.
I know it's really hard sometimes - but it's the only way to lose weight - or avoid gaining it. It's a daily struggle...

That is hilarious, I thought I was the only one who did that. I did that for years to keep my German Shepherd from getting at stuff... till I moved to a place that had a different door on the oven that he worked out how to open...

That is hilarious, I thought I was the only one who did that. I did that for years to keep my German Shepherd from getting at stuff... till I moved to a place that had a different door on the oven that he worked out how to open...

I just passed my intermediate goal weight of 208 lbs. I'm celebrating this milestone today. My final goal weight is set at a realistic 190 lbs. The intermediate goal of 208 pounds is significant since that is my lowest weight in over 20 years. Also, with a BMI under 30, it is the weight I am no longer obese. I am classified as overweight.
Results came so fast. I weighed 300 lbs. at the beginning of the year. It has only been 2 1/2 months since my revision SADI-S surgery. I cleaned out my closet since I couldn't wear any of my clothes anymore.
Finding nutritious food I love to eat has made this so easy. Nearly all my meals have been prepared at home. I created a set of original recipes. Today's lunch was ground turkey meat tacos. dinner will be stir fry cashew chicken.
Two factors that motivated me to make these changes are resolved with my weight loss. My blood pressure is now always at a healthy level. Pain in my hip joint has diminished by over 90%.

Not counting the first couple months (when I barely ate anything), I was <800 cals a day, and <25g NET carbs a day. I basically only ate non-starchy vegetables and Protein, mostly in the form of grilled chicken breast (or a protein shake)

this has less to do with weight loss than it does a drop in baseline insulin levels. It happens exactly as you describe when some people start a Keto diet too... when you drop high GI carbs, your baseline insulin drops, your kidneys start excreting sodium instead of holding onto it and your blood pressure drops. Since you're not eating anything at the moment, you're in the same early stages of psuedo ketosis
If you return to carbs during/after weight loss, your high BP may well return (although weightloss will certainly help), but it is the high fasting insulin - which causes the kidneys to re-uptake sodium - which will contribute to hypertension.
If you're on BP meds, you'll want to watch this over then ext 2 months.. many of us get off the meds within the first month of so.

Bupropion has a half-life of up to 30 hours.. with that in mind you can probably go a day or two without a full dose until you are able to get them down again. I was able to do full pills 3 days post op... I couldn't do crushed pills at anytime, tasted bloody horrible. As noted above, should be fine with cutting them up into smaller pieces first.

sounds great... the 2 options that seem most cost effective are DHL eCommerce and DHL eCommerce Plus. One provides tracking to delivery point whereas the other provides tracking only on entry to destination country and is then handed over to that countries national postal service.

Welcome and good luck. Let us know how things go

Welcome and good luck. Let us know how things go

this is a brilliant breakdown of the recommendations. You can take these values and add 15%-20% for sleeve (since we absorb slightly less) > https://examine.com/nutrition/how-much-protein-do-you-need/