NickelChip

Doing okay here, too! Today is officially 4 months post-op and I'm feeling pretty good, although I've been very tired lately. I'm wondering if it's the heat, or if I need to get better about eating on a regular schedule. I'm prepping for vacation right now and I know the next week is going to be a little crazy when it comes to food and exercise being off track. I've stocked up on easy sources of protein for the trip, including single serve packs of roasted edamame, beef jerky, and nuts, plus protein bars. My doctor's office called today and said I could stop taking omeprazole since I have completed the 90-day prescription they gave me. Now I just have another 2 months left of the ursudiol. I can't wait for that one to be finished because it is so hard to swallow. It's too light and basically floats instead of wanting to go down. I need to remember to take my 4-month progress photos. I think I will try to take them in the morning tomorrow as I'm feeling kind of bloated with the heat today.

Oh, and if it fits into your program, try a butternut squash bisque instead of tomato to see if that is better for your stomach.

This happens to a lot of people, both bariatric and not. One reason, I think, is that we restrict ourselves early in the day to "be good." It's an old "dieting" way of thinking, like if I eat nothing all day, I will lose weight. So your body gets tired from lack of fuel and starts to send hunger signals, and you ignore them until evening comes, by which time you can't fight them off as much. Plus, now you are probably getting cravings for all sorts of junk food that will give your body a rapid energy burst because your body is sneaky like that. Eating your biggest meal in the morning or early afternoon can help reduce evening cravings, as can adding in more fiber with each meal in the form of vegetables, if you have the capacity. Try to shift your major calorie intake to early in the day so your evening meal is just a light bite to finish the day. If that doesn't help, try breaking the cycle of what triggers cravings at night. For me, watching television is a big one because of the association with old snacking habits, plus the constant food commercials. Sometimes recognizing the bad habit and naming it to yourself, like "I only think I am hungry because I am watching a commercial for a fast food restaurant right now" actually helps you overcome it.

I think the best encouragement I can offer is to help manage your expectations. WLS is a treatment with results measured in months and years, not days. For perspective, my day of surgery weight was only 6 lbs higher than yours. I am 4 months post op as of tomorrow and I hit 189 lbs...yesterday. That's 17 weeks to lose 34 pounds. And I promptly bounced up to 190 this morning. Barely eating anything has very little bearing on how much weight you will lose in the beginning. Your body is going through some stuff. Like, a lot of stuff. We don't even know the half of all the systems that are recalibrating in the first weeks and months. Calories in and calories out is just not a useful equation to describe what is happening to you right now. The weight on the scale is a single data point, but it doesn't even tell you what type of weight you have lost. Fat? Water? Muscle? No idea! And the smart scales aren't actually very smart because they give you averages, not actual measurements. I only lost 2.8 lbs the entire month of May, but I went down a dress size and a bra size during that time. Then I lost 10lbs in 2 weeks. Why? Who knows! So, for long term sanity, I suggest focusing on the things you can control and not worrying about what you can't. Focus on meeting protein and fluid targets. Add in a sustainable exercise routine (for me, that is just walking consistently every week). Do some reading and watch videos about good bariatric nutrition (I recommend The Pound of Cure videos on YouTube to start with). Collect and try new recipes as you move through the food stages. Take your measurements and a monthly progress photo. You may see the changes better in photos than you do by looking at yourself in a mirror. Basically, you are only 2 weeks into a 52-week-plus journey. You'll get there, but it will take time. And you will drive yourself crazy if you're like the kid in the backseat asking yourself "Are we there yet?" from the minute you pull out of the driveway.

Best of luck!

Okay, so it's very common to have a stall, and they can last several weeks. It's not because of anything you're doing, and aside from just stopping to assess that you are still following your plan in a reasonable way, there's nothing you can do to change it. Are you hitting your protein goals? Getting your hydration? Eating on a regular schedule and prioritizing your protein and non-starchy veggies? Sticking to a reasonable portion size by using a small saucer or luncheon plate? Avoiding empty calories in the form of sugary drinks, simple carbs, and snacking or grazing? Getting some basic movement every day, like going for a walk or using resistance bands? If no to any of these, focus on changing that issue. If yes, try not to panic. You will likely start losing again soon, but possibly slower than before because that's just how it works. In the meantime, take your measurements or try on some clothing to see if it fits differently. I recently had a month of very slow loss, just 2.8 lbs in 4 weeks with so much up and down. But my clothing fit differently and my measurements were getting smaller. All of a sudden, I lost 10 lbs in 3 weeks. I did nothing differently.

I honestly can hardly believe it. I haven't been this weight in 25 years, no matter how many diets I tried (and failed). In the first several months, you are likely to be successful even when you make mistakes, which allows you time to get your habits right for later when the magic wears off a bit and you have to maintain. You don't have to be perfect and you don't have to overdo the exercise or go to extremes for the surgery to work, which is such a relief.

Congratulations on reaching this decision! It sounds like things will move quickly for you, which is great news. Try not to let yourself dwell on surgery risks as serious complications are so very rare. Even with a surgery that lasted much longer than anticipated due to some oddities that came up after it started (I had no idea, I was asleep the whole time!), I was safe the entire time and ended up only having one additional night in the hospital out of an abundance of caution. Surgery is a game changer. I think it's helpful to make nutrition changes and start better habits in the lead-up, but the truth is, it will all be so different after, and it can be hard to plan for that because you just don't know what it will be like for you. For weeks or months, eating might feel more like a chore. There's a good chance your tastebuds will change and you may find what you crave now isn't really what you want after. Things you thought would be easier may feel harder for you, and things you thought would be hard are a total non-issue. The hardest part by far, at least for me, was the 2-week pre-op diet, and just the waiting for surgery day to come.

You're looking great, and so happy! I really hope things finally are settling down for you now and you'll have a chance to just live life a little without worrying about surgeries and complications.

So happy for you! Congratulations on the date, and on making the decision on surgery after a lot of research. I know you really have looked into it and weighed your options over the past several months, which is really good. Now that it's set, definitely take the next several weeks to get in the right headspace. You know how important that is, having been down a similar road before. And I think this time will be different for you. You know what you're up against, and I think you've given a lot of thought to where things went wrong before. That's a valuable lesson learned. This time you're getting one of the most powerful metabolic interventions available. That alone will make a huge difference in the outcome. Just remember that you're going to make mistakes, and that's okay. A mistake is not failure, and it's not a reason to give up! Keep checking in with your support people (including here!) and don't demand perfection of yourself because nobody is perfect. If you can do it right 80-90% of the time, you will be doing the very best you can expect, and it will be good enough to succeed in time. And success takes time. You'll get there.

Things have been going well! After some very slow weight loss in late April thru May, June is really looking up. With my 4-month mark just a few days away, I'm down about 61 lbs from my highest weight, which includes 35lbs since my actual surgery. I'm looking forward to hitting the "overweight not obese" milestone soon, just 5lbs to go! And 35lbs to go until I reach my weight goal! My hair thinning is just starting. My hairdresser styled it a bit shorter when I went yesterday and she'll suggest a new style if it becomes needed. But it's not too bad yet. Thankfully, I don't have any issues hitting protein and water targets. I usually have a protein shake in the morning to start the day and I put around a cup of Fairlife skim milk in my 32oz morning decaf tea, so that's 36g protein before I even have food, which I do a few hours after I get up. I can eat around 15-20g protein when it's solid food. I like Greek yogurt with berries and nuts for breakfast and often do a salad with chicken strips for lunch. Dinner is all sorts of things. The protein shake I use is Syntrax Nectar Natural in orange flavor, which vaguely reminds me of orange TANG. It feels sort of like having a glass of orange juice, enough to not be too weird in the morning before I'm fully awake. The rest of the flavors are just disgusting, although I am okay mixing a scoop of vanilla with some frozen pineapple and a splash of water or milk in a blender to make a frozen treat on a hot day. I do have about 1x a week issues with vomiting, triggered by different foods each time but usually either due to eating too fast or something being too dry. It's hard because a single bite can trigger it so it's very unforgiving. I've started carrying a small hospital-style vomit bags (found on Amazon) in my car and purse so that I won't be caught in an uncomfortable situation in public.. So far, I haven't needed them, but it makes me feel better to have it with me. I'm going on vacation next week and planning to bring along some protein bars and easy snacks like roasted edamame and beef jerky (which I found in 50-calorie packs at Dollar Tree). Once I'm home, I'm hoping to do some meal prep and try some new recipes because food is getting boring and kind of a chore. I don't really experience any hunger, so remembering to eat and making myself eat regularly is a nuisance.

@LisaCaryl I wouldn't worry about it too much yet. We're still pretty early out from surgery and according to the nurse practitioner in my office, a lot of the results at this point are in flux. My A1c went down a bit, but my cholesterol was all sorts of weird. Just keep doing what you're doing and give your body time to adjust. I doubt you're getting too much sugar or carbs at this point, but if you're doing a lot of sugar alcohols (sometimes in "low sugar" processed foods) you could maybe see about cutting those back. Otherwise, a lot of the studies for A1c and bariatric surgery are looking at results a year out or more from surgery, not a few months.

That's what I was planning, and as much as I despise them at this point, I'll bring some single-serve protein shake packets, too. Those are easy to mix in a water bottle and carry along.

Happy Monday! I'm approaching my 4-month post-op mark at the end of this week and happy to say the long stall I had in month 3 is behind me and I'm back to losing at a good clip. I had been worried that it would be a permanent slow-down, but it wasn't. This morning, I hit 60lbs lost since my highest weight, which was almost exactly a year ago when I went back to my weight management team after a long absence and seriously discussed entering the surgical program. I'm going through a patch right now where food is just not at all appealing. Maybe it's the start of the hot summer weather, or just the fact that cooking and eating such small quantities is tedious. I don't know. But nothing sounds appealing and I get a few bites into a meal and really don't care if I finish eating it or not. No real hunger, and the head hunger from the beginning has quieted down, too. At least hydration is going well. I ordered a swimsuit online for an upcoming trip to the waterpark with my kids and tried it on yesterday, size 16 US. It fit! It even looks reasonably good! I'm finally down to a weight I legitimately haven't seen in half a lifetime, and I can finally see the difference more. In the early days, I think I still had a memory of being the weight I was before, like I never fully recognized getting bigger, so losing that weight was just bringing me in line with what I believed I had looked like all along, if that makes sense. But now, at 15 pounds less than the very lowest I had ever managed to get with nutrition and exercise alone, I find myself surprised to realize my silhouette has changed and that I'm looking smaller, or that I can easily sit in a seat at a theater or a booth at a restaurant. 6 more pounds and I will be "overweight" instead of "obese" for the first time in about 25 years! The big challenge coming up is family vacation. We're doing water parks and amusement parks, and the food choices are sure to be dismal. I have no desire to eat the junk food, so my bigger concern is really that I won't get in enough healthy foods over the week. Especially fruits and veg. It's so hard to get healthy food when you travel, and I still get enough issues with my stomach that I've bought some discreet vomit bags to keep with me in case something doesn't agree with my tummy on the road.

@BlueParis depending how much milk you're using in tea and coffee, that's a decent source of protein. I don't know if you have ultra-filtered milk available in France (in US, the brand is Fairlife, like the protein shakes, but it's just milk that has been filtered to lower carbs and amp up the protein, not supplemented like the shakes). I started buying Fairlife milk and make a 1L thermal container of hot tea every morning, with between 125 and 250ml of milk in it, so my morning tea alone gives me between 7 and 13g protein. I would try adding a slice of smoked salmon to the bagel, but that's just because I love that combo. The omelet seems very healthy and the pannacotta sounds delicious. You might consider adding more beans/legumes to your rotation. I am getting so tired of meat. I've just ordered a vegan cookbook to help me discover new recipes that are based on plant proteins (not the fake meat, processed plant products but real foods). Maybe bean soups and stews, lentil curries? Your stall will break eventually, but in your case, because you're already at a "normal" BMI, it may be a lot harder and slower from here on out. Don't lose hope! After barely losing weight the entire month of May, I'm losing at the quickest pace since surgery, 9 lbs in 16 days! That's been a real surprise. I am eyeing my next milestone, which is 5.6 lbs away, the point where I will cross from an "obesity" BMI into just the "overweight" category. I have never looked so forward to being called "overweight" in my life! I'm also noticing I'm just not very interested in food. Even though I can technically eat a bit more now than in the beginning, I don't really want to. I'm not hungry and chewing is a chore. I'm sick of meat. I'm tired of thinking about protein. And while I do still enjoy going out for a meal, I am exhausted by looking at the plate and seeing 4 days' worth of food in front of me. I'll be going on a family summer vacation next week and have no idea what I'll manage to eat. We're going to amusement parks and water parks, so the typical fare will be pizza and hot dogs, which sound terrible. I'm stocking up on protein bars, which I find a bit better than shakes, though not something I want in my diet normally. But better than a hot dog! So if anyone has a favorite protein bar, especially one that won't melt in my bag on a hot day at an amusement park, please share!

@Alix2050 You're almost there! Fingers crossed you make it below 200 this week!

With almost everyone I've encountered who lost a lot of weight rapidly and may have looked "too thin" for a while, it's a temporary thing, just until the body has the chance to shift fat around to different places and even everything out, which it doesn't necessarily do during the weight loss phase. Plus, it's an initial shock when you're used to seeing someone (including yourself in the mirror) look one way and now they are very different and it's jarring. I know within a year at the most after my brother had VSG and went from 300+ lbs to around 150 lbs (which was very skinny because he's 6ft tall), his appearance went from shockingly skinny to totally normal and healthy, even though his weight didn't go up during that time. Within another year after that, he'd gained several pounds and was at a weight he maintained for several years after that. It was all just part of the process.

I have a feeling if your body is happy and healthy at 190, you will eventually end up at 190. But you may need to go lower first before you bounce back up. Or you may go lower and change your mind about where you want to end up. Maybe just focus on eating healthy foods, doing your usual exercises, and how you feel physically with health and energy right now instead of worrying about the number on the scale for the next few months? A lot of this last stage is just temporary transition that you have to let yourself get through to reach the final stopping point, wherever that happens to be for you, and I'm not sure it's all that easy to control, like flipping a start or stop switch. You'll end up in a good place eventually!

@BlueParis Oh, what a nuisance! The long stalls are so hard. I'm sure it's just that your body needs some time, but that doesn't make it any easier to deal with emotionally. Will you ever have a point where you don't have a lot of travel, or is that pretty much your normal schedule?

Great job by both you and the hubby! It's so important to have that kind of support from the people closest to you. I think the hardest thing is when you have someone in your household who either doesn't get on board or is actively working against you to keep you from success. I look back on a time in my life when that was the case and know I would not have been able to do this like I am now with the support of my family and closest friends. Way to go!

@LisaCaryl Well done on reaching one-derland!!! Ugh, I'm on a short dose of steroids right now, too. A little risky with bypass but I had no choice because I got poison ivy over 90% of my face over the weekend and it turned into a weepy, burning mess. Prednisone was my only hope as I literally couldn't leave the house looking the way I did and I was afraid it would lead to scarring. From what I've read, taking the steroids for a short period of time has minimal lasting impact on weight. Just avoid salt and drink plenty of water. Keep an eye on your tummy for any upset as it can cause irritation.

I have to be honest about my experience so far with dietitians, and with post-bariatric advice and counseling in general. If you ask 100 dietitians what we are supposed to be doing, you will get 101 different responses. And if you ask them a second time, you will probably get even more. Too much protein, not enough protein, carbs are the devil, carbs are fine, low fat, don't worry about fat, count calories, only count macros, work out more, don't exercise too much... You've lost over 100 pounds. You are 12.8 pounds from your goal at only 5 months post-op, work out 6 days a week, and look and feel great. You seem really happy. I fail to see why you should change anything if you are happy with your results, unless you think the advice will benefit you. You know your body and what works for you, and unless your dietitian is a bariatric patient, she's never been through what you are doing first hand. Take what she says with a grain of salt, except salt is bad, unless it isn't because electrolytes are good...who knows?

Yeah, it's only slowly changing here so that we can find larger sizes in regular shops. I have been a bit bigger since my mid-20s, which is when I developed a thyroid issue. So when I was working in a finance office in downtown Boston years ago, I was always one of the biggest women at a size US 16/18. I was going to a wedding and went to all the department stores in downtown on my lunch breaks, but none of them had over a size 14 in the dress departments, and when I went to the (cramped, disorganized, shoved in the very back by the hot, smelly bathrooms) "plus size" department, they had no dresses! It was like oh no, fat girls don't go to parties and only need stretchy-waist track suits and sweatshirts with rhinestone-encrusted cats on them. I was prepared to spend a pretty penny on something new, and I ended up wearing the one dress I already had in my closet. And as I got larger, I stopped caring about what my clothing looked like as long as it wasn't tight. If I found one top I liked, I would just buy it in every color and be done. Funny thing, though. Today, I put on a pair of US 16 trousers (which were tight a few weeks ago but perfect today!) and I realized I am back to the size I was in my mid-20s. But I am no longer the largest woman in the room, or even close. Our whole population is getting so much bigger. Now the department stores carry 16s, and even 18s sometimes, on the main floor, but even that tends to exclude a lot of customers. Portion sizes in restaurants are so large, and food ingredients and additives are not to be trusted even in the grocery stores. I think we have an environment that is destined to make most people overweight and unhealthy. And yet, we still discriminate against obese people.

I am going to give the tofu a try really soon. My kids hate meat and I am always looking for something they will eat!

@BlueParis I'm beginning to see why French women are known for being so thin. Your sizing compared to US sizing is designed to make you feel huge! Here it's like oh, you're a 2. You barely exist you are so tiny. If you get any smaller, we won't have any numbers for you. Well done! But in France, it's a 34! It's like well, 34 is a big number, so there's always room for "improvement". Or is it just so the shoppers from other EU countries try on the clothing in what they assume is their size and it's always tight? Because if that's the reason, I have to applaud that wicked sense of humor. And it seems as arbitrary as ours is, as the number corresponds to absolutely nothing. Men have it easy (at least in the US). They measure their waist and inseam, or neck and arm, and lo and behold, that is their size! We take all of our measurements and then get assigned a random number, and half the time it doesn't fit some part of us, and is totally different if we go to a different shop.