NickelChip

I love all of this so much! Hooray!

@BlueParis We're going back and forth here in Massachusetts, with one day beautiful and sunny, followed by 3 days of rain. It's the time of year when you need to have every single type of clothing in your closet and you might wear them all on one day. But I'm so happy to get outside for walks any day when it isn't actively raining. @Briss72 I hope your leg infection clears up soon. That sounds so painful. It's funny, between last night and tonight cooking dinner, I already have enough little containers for the rest of the week for myself. I guess the next few nights I can make the stuff my kids like that I can't really eat since I'm all set. I have to say, the frozen squash "noodles" with marinara and turkey meatball (yes, just managed one) was so good tonight that I don't know why I ever ate it with spaghetti before.

@gracesmommy2 Thanks for the suggestion! I've just ordered a 10-pack of the sea salt flavor. I love anything that is small and protein packed.

Oh my gosh, you're almost there! Just over a week to go! Are you allowed tomato or butternut squash soup? I found these blended with unflavored protein were so much better than the powdered "soups."

Okay, so I would not say these taste good (like at all) but the protein shots with the 30g protein in 3oz size are convenient. The mango, in my opinion, is marginally better than lemonade. Not good, just...better. But the bottles are very small, so you can pop them in a bag and not have to worry about mixing powders on the go. I always put a few in my bag if I'm going to be away from the house for the day or overnight. Also, I see they sell Procare dark chocolate calcium bars. These are legit tasty and a great way to get your calcium while also getting "dessert." I have one almost every night. I also recommend the Syntrax Nectar variety bag, one packet eack of 15 protein shake flavors. Again, for that on the go convenience.

I totally get it. My brother had surgery about 15 years ago and his first few months were dramatic. He was losing so much weight daily, and went on to get from 310lbs to 150lbs in the first year or so (he's since regained to about 230lbs). But when I am tempted to compare myself to him negatively, I have to remember he was a guy (they lose 20% more on average) and in his early 30s at the time. I'm female and 50! Plus, his starting BMI was 6 points higher than mine. All that can make a difference. And even with friends who may seem a lot more like you (similar size and age), there are things you can't see like how much inflammation or water weight a person had, or how much muscle. But yeah, it's hard. Especially as most of us had tried and failed so many times, having a few good months and then coming to a halt and regaining everything plus some, time and time again. When you are a slower loser, it messes with your mind and plays up your fears. But I definitely second the idea of measurements. In the past 3 weeks, I have barely budged on the scale, losing only about 3 pounds and doing a lot of bouncing up and down. But I took my measurements and I've lost almost an inch in my bust, over an inch in my waist, and an inch and a half in my hips. At the start of April, I was wearing a size 20w in jeans (albeit roomy, but they stayed up). Yesterday, I had on a 16w and they were comfortable, not even skin tight! I haven't worn a 16 in years! So if the scale is messing with you, see if you have a piece of clothing from your skinnier days that you could try on. You might be amazed.

Thanks, @RonHall908! I should probably say, the 48lbs lost stretches back to last summer when I was at my highest ever weight and started incorporating the Pound of Cure guidelines into my daily routine. I lost 13lbs just with that over about 6 months, and then I lost about 13lbs more during the 2-week pre-op diet. So 26 of it was pre-op and 22 is post-op. Which kind of feels weird. I thought the surgery would ramp things up, but it feels like it slowed things down! I know there's a lot more going on metabolism-wise that will make it easier in the long run to lose more and keep the weight off, but it still can do your head in sometimes trying to balance expectations and reality. This is also the weight where I plateaued during my last serious weight loss attempt, right around losing 20% of my starting body weight. I know that research shows that most people can lose 5-10% of their body weight, but once you get to the 15 to 20% mark your body usually rebels. I assume that may be what's happening here as everything has to readjust, and the surgery changes will eventually make it possible to push past that plateau where I couldn't do it before. Fingers crossed!

Totally agree with @RonHall908. I didn't like photos, but I made sure to take some at my highest weight for reference because I wanted a record of it to look back on. And I'll go ahead and share this little comparison I made for my "half-way there" milestone:

I swear, if this stall doesn't break soon... I did some research and found that indeed, 3 months is a common time for a stall to hit. It's just frustrating to see that nice downward trend come to a halt, especially when the "experts" tell you the first 3 months are the fastest weight loss. It really is a marathon, isn't it? Here's what my weight has been doing the past 30 days:

I am also a slow loser and was diagnosed with PCOS in my 20s. I'm also 50, so perimenopause probably comes into play, too. While I've lost 48 lbs in the past 9 months, only 22 of that is post-surgery (almost 3 months). It's frustrating for sure. First, though, 13 lbs in a month is great, even if you hoped for more. And it really shows in your photos. Second, your body retains fluid for several weeks after surgery, so it's hard to say what's really going on. But most importantly, this is a journey that will take 12-18 months. You're only 1 month in. And while your doctor can talk about trajectories and averages, each person is unique. Each body does what it wants to do when it wants to do it. Try not to focus on the scale (hard, I know). Focus on your health, developing good lifelong habits, and nonscale victories like loose clothing, getting off a medication, or improved lab results. Just because you started off slow doesn't mean you won't make it to a place that makes you happy.

That's a good strategy! The reusable containers can get very expensive, several dollars a piece. So why not get them and the food, too? I miss salad. At nearly 3 months post-bypass, I just don't have the capacity for a salad, and I worry about the raw veg as I'm still having issues if I don't chew my food down to a paste and take very small bites. But someday, I hope I can eat salad again! Right now, 2-3 oz of meat and a little bit of cooked veg is all I can manage.

Okay, so I've done other meal prep services before but hadn't heard of this one. The salads look lovely, but holy moly, the price tag is a shock! Not to say I wouldn't do it if I had the means, but have you considered just ordering reusable cups of this size from Amazon and meal prepping once a week? Given how simple their ingredients are, you could probably recreate these easily, and for a fraction of the cost. Plus less waste, which is my big complaint with all the meal service companies. So much trash. In fact, since each of their items tells you exactly what's in it, I may have to try this approach out myself in a few months when I can more easily tolerate raw veg. I love the idea of salads on the go.

Yeah, I wondered because my dietician gave me this same goal at my 4 week post-op appointment. She recommended 80g protein and that for now, protein should be about 40% of my calories, which means a goal of 800 calories per day. But she definitely said the goal would be shifting over time. I have an appointment with her next Wednesday and I'm curious what she'll say about my targets now that I'll be almost at the 3-month mark. For what it's worth, I've only lost 22lbs since surgery, so mine has been really slow going. If I hear anything interesting from my dietician next week, I'll let you know.

At 9 months out, 800 calories per day seems extremely restrictive. Has your dietician explained why you are supposed to be at such a low amount? Most sources I've seen that provide calorie ranges suggest 1000-1200 calories per day by that point (1000 calories by 6 months, gradually increasing to 1200 by 1 year post-op). If your body thinks you are starving, it will lower your metabolism and cling to every ounce of fat, and weight loss will slow or stop. Is it possible your body requires more nourishment than what you are giving it?

In case you would find this helpful, Dr. Weiner's bariatric practice in Tucson, AZ has started a virtual nutrition support program that is open to anyone, no matter where you live or where you had surgery. You get unlimited access to monthly classes and support groups for $50 a month, and members can book a personal appointment with the dietician, Zoe, for $20 per session. Since you don't have anyone you can rely on from your surgeon's office, maybe this would be a useful resource. Here's their link: https://www.poundofcureweightloss.com/nutrition-counseling-memberships/

Now that sounds amazing.

The concern I would have (though I am not a dietician) is that slim fast bars and protein shakes are more "food-like substances" than actual food. Processed foods, even "diet" ones, can cause metabolism issues, and this feels almost punishing. Maybe you could try to find more satisfying, healthier options? You might try scrambling 2 eggs blended with some cottage cheese and a big handful of frozen chopped spinach for breakfast with a small serving of fruit, and a big salad of mixed veg topped with rotisserie chicken, black beans, and fresh salsa for lunch. Make sure the meat or chicken is being served with plenty of non-starchy veg, too. And don't ignore a good night's sleep and plenty of hydration. If you take prescription meds, check if any of them have weight gain as a side effect. I do agree that surgery is most likely going to be needed as soon as you can get it sorted because losing and maintaining that amount of weight is almost impossible without the metabolic changes that come with surgery.

Every program is different, so you need to reach out to your surgeon's office for their rules. I was allowed tomato soup and I added unflavored Syntrax Nectar Medical protein powder. I also enjoyed the Bariatric Fusion chicken soup flavored "shake". Celebrate makes one, too, and Unjury has a really nice beef one. A warning, though. I didn't like them at all a few days post-surgery as they tasted like chemicals to me. But pre-op, they were a godsend.

The more I read up on nutrition, the more I'm becoming convinced that calorie restriction is not the way to approach weight loss. It actually sets us up for failure and yo-yo dieting. You need to reset your metabolic set point by choosing the right foods and listening to your body for signs of when to stop eating as opposed to counting numbers. When I reached my highest weight last summer, I found the Pound of Cure book by Dr. Matthew Weiner, and this greatly changed my thinking. I started following his program and lost 13lbs slowly and steadily, and without counting a single calorie or macro. Of course, surgery has helped tremendously, but the months I was just following Pound of Cure guidelines, I never felt hungry or deprived. His YouTube channel has hundreds of videos to help get you started. The book is really cheap on Amazon, and there are no soecial products or supplements you have to buy. Just healthy, real food. Anyway, my advice would be to start there and see if it helps.

Traveling is hard. I used to travel a lot for work and by the end of a week of restaurant meals, I would be craving fruit and veg so much because I could never seem to get enough of that. I have found ordering simple chicken dishes in restaurants with a veg side and skipping the starch has been the best way to get something well-balanced when away from home, and that won't upset my stomach. Can you stop at a grocery store to get Greek or Icelandic yogurt and fresh berries when on the road? I'm not sure how common it is to have a small refrigerator in your hotel room in the places you're going, but a serving of unsweetened yogurt with fruit and a sprinkle of sliced almonds is a great start to the day that requires no cooking or blending. You could also try raw veg and hummus (if you are able to tolerate raw veg). Does your job require going out to dinner with clients? If not, you might see if you can travel with a small electric hot pot to heat your own meals in your hotel room. Maybe bring small containers of your favorite spices to make simple go-to meals on the road. A few times I recall staying in hotels that had true kitchens and being able to buy groceries when I arrived. That was such a relief. It's funny that when you start traveling for work, you think it will be such a treat to go out to eat all the time, and after you do it for a while, it's not fun at all. Congratulations on making it 12 weeks with no alcohol! That's a great accomplishment. I had a single sip of a friend's cocktail this weekend and I have to say, it didn't taste good to me anymore. Maybe it was just a bad cocktail, but hopefully my tastebuds have changed for that. Sadly, I was not cured of my sweet tooth from the surgery. It was such a disappointment when chocolate was just as delicious as before.

From the research I've done, your lifelong maintenance is less about counting calories and more about eating mindfully while choosing nutrient dense, natural foods. This is one of the best videos I have watched on the subject:

It may seem counterintuitive, but you may actually need more calories. At least, I've read that many times in other threads. Make sure you are feeling satisfied when you eat and not cutting back on calories just to keep them low if you still feel you need more. I know that as time goes on, we're supposed to be in the 1000-1200 range, and that sometimes our bodies can slow the weight loss if we feel we are facing starvation. Check with your dietician about that if you can. Having said that, I think expectations for how fast we will lose are sometimes skewed by results from outliers, either those who lose very fast or those who start at very high weights. I've lost 48 lbs since I started this journey, but only 22 lbs of it is post-surgery. Basically, yeah, I think just keep doing what you're doing and trust the process.

@BlueParis Excellent job on the daily steps! I'm happy to say the scale finally shifted today to 203.0, so I can officially say I am halfway between my highest weight (which was last summer) and my goal weight. 48lbs lost and 48lbs to go! This is also now officially the lowest weight I've been in over 20 years. I bobbed above 200 lbs a few times in my 20s, but mostly was steady at around 190-195lbs, until I started dating my (soon to be ex) husband. I was 28 at the time, and we went out to a lot of restaurants, ordering starters, desserts, and cocktails along with meals. By the time my 29th birthday rolled around, I was over 200lbs and I never saw the 190s again. I kind of feel like all of these pounds I've lost so far are like symbolically shedding the bad years I went through in my 30s and 40s and getting back to being myself and reclaiming my life as I start a new decade.

WOW!!!!! That is such a fantastic milestone to hit, and you look amazing! What an incredible transformation. I hope you're really proud of how far you've come!