LeCiel

Hello, I guess I can day I feel great. I'm still hurting in my stomach, but it's getting better. I weighed 338 pounds the first visit to the weight loss management center Oct.19th, 2022. Surgery was January 9th, 2023. As of January 28th, 2023, my weight is 297 pounds. Still have some work to do. The good thing about all of this is that I'm walking, standing, and sleeping more than I've done in more than 15 years. I don't post a lot but I will try to do better.  

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Surgery tomorrow!

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It’s going okay. Just the meds like injections of blood thinners are crazy but everything else is okay. How about you? How are you recovering?

I know exactly what you mean. My problem now is that for many years I suffered from Anorexia Nervosa and Purging Disorder, before “getting better” — and developing BED instead. So my comfort zone is basically being hungry OR being full. The in-between is completely new to me and something I’m working on feeling comfortable with. I’m not physically hungry anymore (at one week post surgery) but making myself eat — without eating too much — while not hungry is extremely difficult emotionally.

I know exactly what you mean. My problem now is that for many years I suffered from Anorexia Nervosa and Purging Disorder, before “getting better” — and developing BED instead. So my comfort zone is basically being hungry OR being full. The in-between is completely new to me and something I’m working on feeling comfortable with. I’m not physically hungry anymore (at one week post surgery) but making myself eat — without eating too much — while not hungry is extremely difficult emotionally.

Omg, did I just wander into a year-old thread and respond to old posts? I’m sorry, I’m on the mobile app and must have clicked on the 2022 thread instead of the 2023 one. 😂

Maybe finding a good therapist & a dietician will help your cousin get back on track. They can be very helpful during this process - supporting her through the emotional turmoil & sorting out her dietary concerns & issues. Also speaking with her surgeon (via Skype or similar) or asking them for a referral to another surgeon close to her now may be helpful too.
There is no need to go back to the very low calorie, shake diet. This was in place for a specific period of time to support healing. Sure people lose weight on very low calorie shake diets but they are not sustainable & regain is usually inevitable. Eating in a way that was more like what she was doing when she well into her weight loss (say the 6 or 12 month mark) would be more beneficial: observing portions, Protein & fluid goals, & eating a range of vegetables, fruit, dairy, & small amounts of low processed multi/whole grains.
As @catwoman7 said a bounce back regain of 10-20lbs is very common in the 2nd/3rd years so her regain could be just that. Also I wonder if she was given reasonable expectations as to what her weight loss could be after surgery? The average weight loss after sleeve or bypass is about 65%+/- of the weight you have to lose to put you in the healthy BMI weight range. (Yes, the healthy BMI range is not always the best weight range for someone & yes, some people do exceed the average result.) She may be beating herself up with somewhat unrealistic goals ( though I understand her desire to lose more). This video may be of assistance to help your cousin look at her achievement of losing 175lbs in a different way: a success.

Something isn't adding up here. If she's getting in 109g Protein, that's 436 calories right there. If she's only taking in 662 calories, then her protein would be about 65% of that. Maybe some misinterpretation of what MFP is reading? I can see that they might "recommend" 35% protein for her low calories - a typical normal diet might be 15-20%, and a bariatric weight loss diet might well be 50-60% (or more, at the beginning when we are eating little else other than protein.)
60-80g would be a typical recommendation for a woman with a sleeve, as there is no significant malabsorption involved, though some go higher than that as a means of avoiding "carbs", or under the false assumption that the extra will help avoid loss of muscle mass (it will to the point that one is actually working to build muscle mass, but the only thing the excess does, other than make expensive urine, is to avoid deficiency, but one doesn't need much extra to avoid that - the typical bariatric recommendations will cover it.)
It does sound like a bariatric RD would be a good person to consult, and if she is truly only getting 6-700 calories and still struggling, then there may be some other metabolic issue going on, and some other appropriate specialist may be in order. But a good RD would be a great start in getting a good baseline of what is really happening dietwise. Starting at 400 lb, a sleeve is often somewhat marginal for getting to normal, particularly for a woman of that size (how tall is she - that's a factor as well in determining an appropriate goal and understanding metabolic issues.)
You say that she recently moved cross country - where is she now - that can be a help in finding new specialists. It might be that the VSG is indeed marginal for her needs, and she really needs something stronger. A DS is a straightforward conversion from the VSG (as it uses the sleeve as its basis) and is typically the strongest metabolic tool of the mainstream procedures, so that is also a longer term consideration.

Hello everyone my Gastric sleeve surgery was January 19th. I was super nervous and anxious. Dealing with slight soreness and some surgical pain. I'm @ the 30g of Protein range and roughly 50L of fluids. This two week phase is going to be tough. I'm glad to see that there's a place where we can look for support when needed.

Stop putting yourself under pressure. You won't magically stop losing weight after a certain time span.
You stop losing weight when you're in a caloric equilibrium and you start losing again when you're in a caloric deficit (even years out).

NO ! You haven't wasted anything ! You have GAINED experience, you have gained the knowledge that IF you eat certain foods, you won't lose weight. One of the biggest issues for many people, myself included isn't losing the weight... if I really set my mind to it.... it is keeping it off. I am a dozen years post surgery. Look at where I started and where I am now. About 4 years ago I decided to take some gained weight off.... again... and to stop every so often and maintain THAT weight for a while. BLEW MY OWN MIND !!! I could eat more, or eat treats and maintain my weight each time. Two years ago I got down to about 172 - 173 and decided to stay there and only panic if I got to 177. I kept a 40 pound weight loss for 2 years. AFTER losing 120 pounds 12 to 10 years ago. A while back... a few months I decided that I would just try to get back from an average of 175 to maybe that 172. Took my time, made some small changes. Gained 2 pounds during the 8 days of Chanukkah with some latkes and jelly donuts. And family dinners. Not a problem. Went back to what I was doing before our holiday and lost the two pounds ... (again) and didn't beat myself up over it. As soon as I stopped eating the holiday foods, the two pounds came off and another couple pounds after that...
For me, it is all about getting into the right head space and weighing daily, watching what I eat, and balance. Friends dropped off dinner for my adult daughter and I tonight.... line caught, home made fresh FRIED fish. And french fries. (REALLY ?!) The fish was delicious. I ate 4 fries. And a piece of fish. I have fish for lunch tomorrow, and dinner..... and my daughter has fish and fries for days... I am the same weight now as I was in college... in 1977. From my heaviest weight I am almost half of myself.
NEVER ever say that you cannot. Take a break from being so hard on yourself. Take a week and maintain where you are now. Then go back to where you need to be. You can do this.

"journey"
"3 week stall"
"only x lbs" (in a dismissive way in referring to lbs lost)
and, similar to @Tomo, i have a pet peeve about the ANGST folks unnecessarily put upon themselves when comparing their own results to others without CONTEXT.
Yes, Sally may drop 30 lbs the first month because she started off at 350 lbs, vs Jane who lost "only" 10 and started off at 200. And yes, Joe, who is also 350 lbs lost 50 lbs, but he is like 8 inches shorter than Sally and is a dude. and there is brenda who lost 5 lbs cuz she has a medical condition and hasn't yet learned how to adjust her lifestyle around it.
we all have the same goal: to lose weight. in the grand scheme of things, it doesn't matter sh*t if i lost faster/slower more/less than some random stranger on the internet.
*rant over*