NickelChip

I was curious what causes the 3-week stall, and this is what I found out in doing a little digging. When we experience calorie deprivation, whether a diet or after surgery or just not having the usual amount to eat for a bit, our bodies first turn to our store of glycogen to keep things running. Glycogen is a form of stored sugar, and for each gram of glycogen in the body, it's bound to 3 grams of Water. So, if you burn a gram of glycogen for energy, you lose 3 additional grams of water as a bonus. Your body will always burn glycogen before it burns fat because that's how we've evolved to handle brief food shortages. Which means most of the weight you lose right after surgery is not actually fat, but water (and that's fine!).
But after a few weeks, your body is low on glycogen and you still haven't hunted down a wooly mammoth to eat, so now it starts burning fat to keep running. At the same time, it does what it can to replenish those glycogen stores with whatever calories you have coming in, because it's a little worried you won't survive the next famine. Glycogen makes me think of the $100 cash my mom always kept stashed in her sock drawer for an emergency. If she used any of it, as soon as she got more cash, she replenished that first before putting anything in her wallet.
Remember, each gram of glycogen comes with 3 grams of water. So you might burn 4 grams of fat, but also replenish 1 gram of glycogen (along with the 3 grams of water that tag along for the ride), and the scale shows you the same weight. Now you feel like nothing has happened and start to panic. But you still lost fat, which is the goal. And once your body does what it needs to do to replenish that glycogen, it'll start showing on the scale again.
I really wish doctors would explain this process to patients before surgery! Some mention plateaus in general, but they rarely explain what causes them, and the 3 week stall is the type of thing they really should explain in detail so we know what's going on because it's basically a given.

I was curious what causes the 3-week stall, and this is what I found out in doing a little digging. When we experience calorie deprivation, whether a diet or after surgery or just not having the usual amount to eat for a bit, our bodies first turn to our store of glycogen to keep things running. Glycogen is a form of stored sugar, and for each gram of glycogen in the body, it's bound to 3 grams of Water. So, if you burn a gram of glycogen for energy, you lose 3 additional grams of water as a bonus. Your body will always burn glycogen before it burns fat because that's how we've evolved to handle brief food shortages. Which means most of the weight you lose right after surgery is not actually fat, but water (and that's fine!).
But after a few weeks, your body is low on glycogen and you still haven't hunted down a wooly mammoth to eat, so now it starts burning fat to keep running. At the same time, it does what it can to replenish those glycogen stores with whatever calories you have coming in, because it's a little worried you won't survive the next famine. Glycogen makes me think of the $100 cash my mom always kept stashed in her sock drawer for an emergency. If she used any of it, as soon as she got more cash, she replenished that first before putting anything in her wallet.
Remember, each gram of glycogen comes with 3 grams of water. So you might burn 4 grams of fat, but also replenish 1 gram of glycogen (along with the 3 grams of water that tag along for the ride), and the scale shows you the same weight. Now you feel like nothing has happened and start to panic. But you still lost fat, which is the goal. And once your body does what it needs to do to replenish that glycogen, it'll start showing on the scale again.
I really wish doctors would explain this process to patients before surgery! Some mention plateaus in general, but they rarely explain what causes them, and the 3 week stall is the type of thing they really should explain in detail so we know what's going on because it's basically a given.

You should be a doctor ,NickelChip ! LOL You explained that so clearly and easy to understand . That's something everyone should keep in mind when those darn stalls strike . Thanks for looking that up for us

major complications are really rare. I think it looks like they're more common than they actually are because people who have them get on this and other sites to ask for support and advice about them. People who have no issues don't generally broadcast that fact. They just go on with their lives.
I did have a complication - a stricture. The PA at my clinic said that's the most common complication of bypass (well, other than dumping, which affects about 30% of us and can be prevented by not eating a bunch of sugar or fat at one sitting, which none of us should be doing ANYWAY). Strictures, the most common complication according to him, happen to 5% of bypass patients. I wouldn't call something that happens to 5% of patients "common", but that gives you an idea of how "common" complications are. And strictures, like most other complications, are minor and can be easily fixed. They did an upper endoscopy, stretched it out, and I was good to go.
I honestly don't know anyone who regretted having weight loss surgery, and I've volunteered for my clinic, been very active on national internet forums, and attended national conferences. Yes, the first few weeks can be tough and a lot of people have "buyer's remorse" during that time, but once they get beyond that initial phase, when they can eat more, have fewer food restrictions, feel fine, and have kind of figured out this whole deal, you're not going to find many people who regret it. Personally, it's the best decision I've ever made. My life is completely different than it was 200 lbs ago, and I wouldn't go back there for ANYTHING. I would have this surgery every year if I had to! I'm in my mid-60s and had my surgery over eight years ago - I could kick myself for not doing it sooner!

I weigh more than you so that's not relevant, but I had the DS surgery 3 weeks ago. You want to talk about rewiring your intestines for weight loss?? Yeah, did that. I had a moment of panic after the surgery when it really truly hit me that I'd permanently altered my body and couldn't predict how it would look 30 years down the road. And then I internally slapped myself and reminded myself that how my life was looking pre-surgery in 30 years was death or disability even worse than what I have now, and that NO ONE can say what their life is going to look like in the next 30 years, or even in the next year. Life doesn't work that way. Nothing comes with guarantees. I was very afraid of the complications a DS can have. But I decided complications from diabetes and high blood pressure and high cholesterol were worse. You may not have these now but you may very well have them in the next 10 years. I was perfectly fine until I was 37.
I have had no major complications so far, just some nausea. My tastebuds have changed and it turns out avocado no longer tastes good to me and I can't taste sweet spices like cinnamon and nutmeg. I'm told that will balance out in time, its the hormones playing with my tastebuds like a pregnant woman. For two weeks my stomach did these twisty cartwheels inside me every time I drank or ate something, but that eased too, as I knew it would. I had family and friends rather skeptical of doing this surgery, especially because I am that 1% person who always gets the rare complications from things. But turns out so far I've had a rather boring recovery and I hope that continues to be the case, but if it doesn't, I'll deal with it. Because I no longer want to live the yo-yo life of trying desperately to normalize my weight on my own. I have lost 21 lbs in 3 weeks post surgery! I didn't think this would work for me but it is working...
Yes, for the first few weeks getting that Water in feels like a huge chore. But eventually you find your groove... Same with Protein. And as my dietician reminded me today, they are GOALS, not absolutes that have to be perfect on the first day. I couldn't get down Protein Drinks for the first two weeks.
In the end you will do what is right for you at this time. If you don't do the surgery now you will do it later down the road and be one of the people who wishes they'd done it sooner. I wish I'd known about this option in my 20s, I would have lived a very different life.

No human being goes into elective surgery without the jitters. We are choosing this and its a biggy. Its a leap into the unknown. We can all tell you that its so very worth it but will you believe us ? If you can not do this surgery now - you will regret it and return to it at a later date.
I can not say for other forums but this one. People come on here because they have an issue. They want advice and mostly its an easy fix. These people never come back again, they go on to lead skinny, happy lives. So you see people do not post that they are doing well, we know we are.
The tiny fraction of people who are struggling and have written about it are your red flags. You are not seeing the invisible 99% who have little to no problems.
Make the correct decision for you. Your time may not be now, Its your body and your life. However its one of the safest surgeries going.

I told myself I could do it on my own too. I lost those same 45+ pounds over and over and over again through the years along with attaining a sluggish metabolism through low calorie dieting. Your body will constantly fight to get back to that higher abnormal weight setpoint we made for ourselves. It's exhausting. Regaining the weight always involved a few more pounds and eventually co morbidities. You might not have any now, but you will. Not trying to be negative but realistic. Also, as I got older, maintaining all the added exercise to try to keep it off became unattainable.
WLS is way more than just food restriction. The surgery resets that setpoint, so you are no longer working against your own bodies stubbornness to stay at a higher bodyfat %. Don't pass on doing it based on fear. I would be more scared not to do it, knowing what I know now. GL.

I too lost & gained for years. I think most of us did. Like deaths & taxes I could guarantee if I lost weight I would gain it all over again & it would start within weeks. I have never been able to maintain a low weight for as long as I have since my surgery & certainly not a weight this low. Yes, my new set point, faster metabolism & smaller tummy helps but the time the surgery gave me while I was losing was the greatest benefit. It was during this time that I changed my relationship with food & changed the how, what & why I ate. I had never done this before with all the diets I’d been on.(I was almost 54 when I had my surgery so I’d been on a lot of diets.) Not being interested in eating or hungry meant I wasn’t constantly thinking about eating & what I was missing out on while dieting. I used felt any diet i was on was a punishment for having gained weight again. Now, while there are some foods I don’t eat anymore or rarely do it’s not a punishment or I’m missing out. It’s not a diet just how/what I eat & I’m healthier & happier for it.

Yes, you’ll often find stories of people struggling or having issues on forums, social media, etc, As @summerseeker said they often come to such sites looking for support or advice. Complications can occur with any surgery but they are very low with bariatric surgery & much lower than with other very commonly performed surgeries (appendectomies are higher than sleeve). The complications & risks of developing co morbidities are much, much greater & debilitating. Yes there are chances of post surgical issues like dumping, foamies, strictures, etc. but they aren’t really that common & are pretty simple to manage or remedy. Like strictures are rare & can be easily repaired with a simple surgery. Dumping & foamies can be managed with dietary choices. I have some issues with the foamies but I just consider them a quirk of my tummy & I had a pretty quirky tummy before surgery so this isn’t even a minor deal. I’d rather have a quirky tummy than be obese, constantly battling my weight & beating myself up about it.
Have a chat with your surgeon & ask them for the stats about the surgery itself, any long or short term issues & what can be done to manage or remedy them & their experiences. Ask as many questions as you need. You won’t be the first to come to them with concerns or trepidations.
The ultimate decision can only be yours & I wish you the best of luck what ever you choose to do.

Since you've been doing your homework, you probably already know that your chance for any complication is just under 6% and your chance for a serious complication is about 2.5% with the RNY. On the flip side, you have about a 74% chance of curing your sleep apnea and a decent likelihood of reaching a BMI in the healthy range.
I am scheduled for surgery next month, so I can't tell you about my experience with it yet. What I can tell you is why I am choosing it after almost 7 years in my hospital's non-surgical weight loss program. I am 5'6 and 49 years old, with 2 teen/tween daughters. At the start of 2017, I was 249 pounds and on blood pressure meds, no other co-morbidities. My primary care doctor referred to me to the weight management center. They said aim for 1500 calories per day, 30 minutes of exercise 5 days per week, and check in with them every month. I was motivated and started tracking my food and exercise. I went in for nutrition, psych, and medical meetings as directed. The weight came off. I was thrilled! I got down to 202 in 6 months. I was so close to being under 200, and I was certain I could easily get to at least under a BMI of 30 to no longer be "obese." Piece of cake! Or rather, some suitably healthy cake alternative. Like apples, maybe?
And then I stalled for months. I never hit that magical 199 on the scale. I kept doing everything the same and my weight didn't budge. I ate a little less. I exercised a little more. I gained 5 lbs. I gained a few more. I became discouraged. Life happened. I would lose 10 lbs, gain 8, lose 5, gain 15... I tried various meds but couldn't afford them longterm. I lost health insurance for a year and couldn't afford to go to my regular check-ins, which I know were partially responsible for keeping me at least a little motivated even when the scale didn't cooperate. I got health insurance again, and went for my physical. My blood pressure had worsened and now I was prediabetic. My doctor urged me to go back to weight management. I had to wait 3 months for an appointment, and despite wanting to lose some weight in the interim (so the doctor there wouldn't be disappointed in me), I weighed in at 251, which tipped me over to 40 BMI. That was the most I ever weighed. When the doctor recommended I consider weight loss surgery, I knew that was the answer for me.
One thing I learned in all this is people can lose weight, even a lot of it. The likelihood of keeping it off longterm without meds or surgery is around 10%. Between a 2.5% risk of a serious complication or a 90% chance of being obese and on blood pressure meds the rest of my life, and risking diabetes, I prefer to take my chances with the surgery. It's not the losing weight that worries me, but the keeping it off that I don't think will happen without it.

I had bone broths but not much else. My stomach was just too sensitive. My surgeon told me to focus on fluids until the nausea eased and whey stopped making me feel sick. He said our body has about 3 weeks of stores for Protein and Fluid is more crucial in the beginning since it's what keeps you out of the ER! He was confident my stomach would adjust. He was right! I met my fluid goals every day. I could do milk by the end of the first week so I drank lactose free Fairlife milk. I finally got the protein working when my Dad suggested I Water it down to thin it out. I've read it here before but in that post surgery haze I forgot! Watering it down worked perfectly until I could handle it full strength... I could do clear Proteins before I could do milky ones. I still can't do Jello though. 😂

60lbs down since the start and 52 since the day of my surgery. 13 inches off my waist and 10 off my apron belly. Feeling more confident. Still a way to go

Since you've been doing your homework, you probably already know that your chance for any complication is just under 6% and your chance for a serious complication is about 2.5% with the RNY. On the flip side, you have about a 74% chance of curing your sleep apnea and a decent likelihood of reaching a BMI in the healthy range.
I am scheduled for surgery next month, so I can't tell you about my experience with it yet. What I can tell you is why I am choosing it after almost 7 years in my hospital's non-surgical weight loss program. I am 5'6 and 49 years old, with 2 teen/tween daughters. At the start of 2017, I was 249 pounds and on blood pressure meds, no other co-morbidities. My primary care doctor referred to me to the weight management center. They said aim for 1500 calories per day, 30 minutes of exercise 5 days per week, and check in with them every month. I was motivated and started tracking my food and exercise. I went in for nutrition, psych, and medical meetings as directed. The weight came off. I was thrilled! I got down to 202 in 6 months. I was so close to being under 200, and I was certain I could easily get to at least under a BMI of 30 to no longer be "obese." Piece of cake! Or rather, some suitably healthy cake alternative. Like apples, maybe?
And then I stalled for months. I never hit that magical 199 on the scale. I kept doing everything the same and my weight didn't budge. I ate a little less. I exercised a little more. I gained 5 lbs. I gained a few more. I became discouraged. Life happened. I would lose 10 lbs, gain 8, lose 5, gain 15... I tried various meds but couldn't afford them longterm. I lost health insurance for a year and couldn't afford to go to my regular check-ins, which I know were partially responsible for keeping me at least a little motivated even when the scale didn't cooperate. I got health insurance again, and went for my physical. My blood pressure had worsened and now I was prediabetic. My doctor urged me to go back to weight management. I had to wait 3 months for an appointment, and despite wanting to lose some weight in the interim (so the doctor there wouldn't be disappointed in me), I weighed in at 251, which tipped me over to 40 BMI. That was the most I ever weighed. When the doctor recommended I consider weight loss surgery, I knew that was the answer for me.
One thing I learned in all this is people can lose weight, even a lot of it. The likelihood of keeping it off longterm without meds or surgery is around 10%. Between a 2.5% risk of a serious complication or a 90% chance of being obese and on blood pressure meds the rest of my life, and risking diabetes, I prefer to take my chances with the surgery. It's not the losing weight that worries me, but the keeping it off that I don't think will happen without it.

I just wanted to say first that I have the same surgery date!
I've been trying all sorts of brands ahead of time and I can tell you that I am not a fan of a lot of the Protein Shakes out there because I can't stand sucralose or aspartame. Also, apparently vanilla is a no-go no matter what brand it is. But here is what I have found that I liked, which are either whey Protein isolate or vegan protein:
Syntrax Nectar Naturals, especially the peach flavor (whey)
Wicked Protein in the cherry limeade and ice pop flavors (whey)
Truvani, especially the pumpkin spice flavor (but I don't care for how long their shipping took) (vegan)
Ka'Chava, especially the chai, but this one is tricky because it exceeds the fat content allowed by my doctor, so I will do half a serving of this plus half a serving unflavored protein to make a shake that is within guidelines (vegan)
Vega Real food smoothie in wildberry bliss (vegan)
I've also tried and can recommend:
Kettle and Fire Bone Broth in beef, expensive but really tasty and soothing.
Unjury chicken Soup, way better than other brands I tried, but maybe not enough to buy more than the sample.
I also have samples of several flavors from Unjury to try, and I've ordered Bare Bones bone broth instant powder, which has a Black Friday deal going on right now on Amazon.
I only have to do two days of liquid diet, which is really good on the one hand, but sucks a little that it starts ON CHRISTMAS. For that day, I have ordered a container of Premier Protein Good Night Cozy Cocoa as a treat, which I may try with a drop of peppermint oil.
And now that I've read this, I feel like I may have gone overboard with the Protein Powder taste testing...

Since you've been doing your homework, you probably already know that your chance for any complication is just under 6% and your chance for a serious complication is about 2.5% with the RNY. On the flip side, you have about a 74% chance of curing your sleep apnea and a decent likelihood of reaching a BMI in the healthy range.
I am scheduled for surgery next month, so I can't tell you about my experience with it yet. What I can tell you is why I am choosing it after almost 7 years in my hospital's non-surgical weight loss program. I am 5'6 and 49 years old, with 2 teen/tween daughters. At the start of 2017, I was 249 pounds and on blood pressure meds, no other co-morbidities. My primary care doctor referred to me to the weight management center. They said aim for 1500 calories per day, 30 minutes of exercise 5 days per week, and check in with them every month. I was motivated and started tracking my food and exercise. I went in for nutrition, psych, and medical meetings as directed. The weight came off. I was thrilled! I got down to 202 in 6 months. I was so close to being under 200, and I was certain I could easily get to at least under a BMI of 30 to no longer be "obese." Piece of cake! Or rather, some suitably healthy cake alternative. Like apples, maybe?
And then I stalled for months. I never hit that magical 199 on the scale. I kept doing everything the same and my weight didn't budge. I ate a little less. I exercised a little more. I gained 5 lbs. I gained a few more. I became discouraged. Life happened. I would lose 10 lbs, gain 8, lose 5, gain 15... I tried various meds but couldn't afford them longterm. I lost health insurance for a year and couldn't afford to go to my regular check-ins, which I know were partially responsible for keeping me at least a little motivated even when the scale didn't cooperate. I got health insurance again, and went for my physical. My blood pressure had worsened and now I was prediabetic. My doctor urged me to go back to weight management. I had to wait 3 months for an appointment, and despite wanting to lose some weight in the interim (so the doctor there wouldn't be disappointed in me), I weighed in at 251, which tipped me over to 40 BMI. That was the most I ever weighed. When the doctor recommended I consider weight loss surgery, I knew that was the answer for me.
One thing I learned in all this is people can lose weight, even a lot of it. The likelihood of keeping it off longterm without meds or surgery is around 10%. Between a 2.5% risk of a serious complication or a 90% chance of being obese and on blood pressure meds the rest of my life, and risking diabetes, I prefer to take my chances with the surgery. It's not the losing weight that worries me, but the keeping it off that I don't think will happen without it.

Since you've been doing your homework, you probably already know that your chance for any complication is just under 6% and your chance for a serious complication is about 2.5% with the RNY. On the flip side, you have about a 74% chance of curing your sleep apnea and a decent likelihood of reaching a BMI in the healthy range.
I am scheduled for surgery next month, so I can't tell you about my experience with it yet. What I can tell you is why I am choosing it after almost 7 years in my hospital's non-surgical weight loss program. I am 5'6 and 49 years old, with 2 teen/tween daughters. At the start of 2017, I was 249 pounds and on blood pressure meds, no other co-morbidities. My primary care doctor referred to me to the weight management center. They said aim for 1500 calories per day, 30 minutes of exercise 5 days per week, and check in with them every month. I was motivated and started tracking my food and exercise. I went in for nutrition, psych, and medical meetings as directed. The weight came off. I was thrilled! I got down to 202 in 6 months. I was so close to being under 200, and I was certain I could easily get to at least under a BMI of 30 to no longer be "obese." Piece of cake! Or rather, some suitably healthy cake alternative. Like apples, maybe?
And then I stalled for months. I never hit that magical 199 on the scale. I kept doing everything the same and my weight didn't budge. I ate a little less. I exercised a little more. I gained 5 lbs. I gained a few more. I became discouraged. Life happened. I would lose 10 lbs, gain 8, lose 5, gain 15... I tried various meds but couldn't afford them longterm. I lost health insurance for a year and couldn't afford to go to my regular check-ins, which I know were partially responsible for keeping me at least a little motivated even when the scale didn't cooperate. I got health insurance again, and went for my physical. My blood pressure had worsened and now I was prediabetic. My doctor urged me to go back to weight management. I had to wait 3 months for an appointment, and despite wanting to lose some weight in the interim (so the doctor there wouldn't be disappointed in me), I weighed in at 251, which tipped me over to 40 BMI. That was the most I ever weighed. When the doctor recommended I consider weight loss surgery, I knew that was the answer for me.
One thing I learned in all this is people can lose weight, even a lot of it. The likelihood of keeping it off longterm without meds or surgery is around 10%. Between a 2.5% risk of a serious complication or a 90% chance of being obese and on blood pressure meds the rest of my life, and risking diabetes, I prefer to take my chances with the surgery. It's not the losing weight that worries me, but the keeping it off that I don't think will happen without it.

Since you've been doing your homework, you probably already know that your chance for any complication is just under 6% and your chance for a serious complication is about 2.5% with the RNY. On the flip side, you have about a 74% chance of curing your sleep apnea and a decent likelihood of reaching a BMI in the healthy range.
I am scheduled for surgery next month, so I can't tell you about my experience with it yet. What I can tell you is why I am choosing it after almost 7 years in my hospital's non-surgical weight loss program. I am 5'6 and 49 years old, with 2 teen/tween daughters. At the start of 2017, I was 249 pounds and on blood pressure meds, no other co-morbidities. My primary care doctor referred to me to the weight management center. They said aim for 1500 calories per day, 30 minutes of exercise 5 days per week, and check in with them every month. I was motivated and started tracking my food and exercise. I went in for nutrition, psych, and medical meetings as directed. The weight came off. I was thrilled! I got down to 202 in 6 months. I was so close to being under 200, and I was certain I could easily get to at least under a BMI of 30 to no longer be "obese." Piece of cake! Or rather, some suitably healthy cake alternative. Like apples, maybe?
And then I stalled for months. I never hit that magical 199 on the scale. I kept doing everything the same and my weight didn't budge. I ate a little less. I exercised a little more. I gained 5 lbs. I gained a few more. I became discouraged. Life happened. I would lose 10 lbs, gain 8, lose 5, gain 15... I tried various meds but couldn't afford them longterm. I lost health insurance for a year and couldn't afford to go to my regular check-ins, which I know were partially responsible for keeping me at least a little motivated even when the scale didn't cooperate. I got health insurance again, and went for my physical. My blood pressure had worsened and now I was prediabetic. My doctor urged me to go back to weight management. I had to wait 3 months for an appointment, and despite wanting to lose some weight in the interim (so the doctor there wouldn't be disappointed in me), I weighed in at 251, which tipped me over to 40 BMI. That was the most I ever weighed. When the doctor recommended I consider weight loss surgery, I knew that was the answer for me.
One thing I learned in all this is people can lose weight, even a lot of it. The likelihood of keeping it off longterm without meds or surgery is around 10%. Between a 2.5% risk of a serious complication or a 90% chance of being obese and on blood pressure meds the rest of my life, and risking diabetes, I prefer to take my chances with the surgery. It's not the losing weight that worries me, but the keeping it off that I don't think will happen without it.

I don't know if the OP was a troll but I think the post has merits for the reflections it has created. My partner sees a therapist that specializes in eating disorders. She seems to be rather WLS negative because she sees patients that struggle with it and regret it. But in talking about it I realized for most of these people the regrets are driven by unrealistic expectations or having food addiction issues they've never dealt with--they weren't prepared to say goodbye to their relationship with food like Babyspoons points out. The surgery is hard on our minds and if our head game isn't strong it will take us down!

Unrealistic expectations are so damaging to one's long term happiness. I don't know if it is the individual's issue, or a combo of that and surgeons painting a fairytale picture, but I had pretty frank discussions with my surgeon and GP about what I could expect from the surgery. I don't expect to lose 50 lbs in this first month. I don't expect to ultimately get down to 130lbs. I've set a reasonable goal for myself and we all agree it is attainable if everything works right. Not everything works right all the time. But I picked the surgery that had the highest chance of giving me what I really wanted---a loss of my co-morbidities. I decided that if I could kiss my diabetes and high blood pressure and high cholesterol goodbye, it would be worth the surgery even if I don't lose all the weight.

Of course I want to lose the weight, but I'm a pragmatic person and I had to really dig deep and decide how I'd feel if I never meet my weight loss goal. I didn't want to be stuck with regrets, I hate regrets. But I think most people don't do this internal work pre-surgery so they are left trying to reckon with it all post surgery when expectations don't meet reality. I think there is a lesson in that for all of us...

I think this is like being pregnant and then hearing about someone who had to deliver her own baby on the side of a road during a blizzard. Does that happen? Sure. Is it statistically likely to happen to you? Probably not. But when nearly every person on the planet has social media, you will definitely find a terrible story if you try. Or even if you don't try, because that stuff is clickbait gold and it will find you. Turn off the TikTok and breathe.

In 1956, I might follow these guidelines to eat like this:
Breakfast:
1 bowl oatmeal, 1 glass milk, 1 serving berries
Lunch:
A sandwich consisting of 2 slices bread, a serving of sliced meat, and a slice of cheese, plus an apple
Dinner:
A serving of meat, a potato, and a green vegetable, plus a dinner roll with a little bit of butter
But you get to the 1980s and we're being told that's not nearly enough food. Eat more and be healthy!

In 1956, I might follow these guidelines to eat like this:
Breakfast:
1 bowl oatmeal, 1 glass milk, 1 serving berries
Lunch:
A sandwich consisting of 2 slices bread, a serving of sliced meat, and a slice of cheese, plus an apple
Dinner:
A serving of meat, a potato, and a green vegetable, plus a dinner roll with a little bit of butter
But you get to the 1980s and we're being told that's not nearly enough food. Eat more and be healthy!

In 1956, I might follow these guidelines to eat like this:
Breakfast:
1 bowl oatmeal, 1 glass milk, 1 serving berries
Lunch:
A sandwich consisting of 2 slices bread, a serving of sliced meat, and a slice of cheese, plus an apple
Dinner:
A serving of meat, a potato, and a green vegetable, plus a dinner roll with a little bit of butter
But you get to the 1980s and we're being told that's not nearly enough food. Eat more and be healthy!

I think it's partially the ingredients. The amount of added sugar has skyrocketed. Also portion sizes have become so large, and what we get in restaurants influences how much we serve ourselves at home.
I found this great article that shows the USDA illustrated guidelines starting from the early 1900s. In 1956, people were told 2 servings milk, 2 servings meat/egg/beans, 4 servings of veg and fruit, and 4 servings of bread/cereal. I can picture those amounts in my head and it feels reasonable. By 1992, we were being told a minimum of 6 bread and 5 veg/fruit, with upper limits provided that would make it "okay" to have 11 bread, 9 veg/fruit, 3 milk, and 3 meat/bean. If you assume 3 meals per day and take the upper limits, just imagine having 3-4 bread/grains, plus 3 veg/fruits, plus 1 meat, and 1 milk for every meal, every single day! And the government experts are telling you that's a great idea!

As a kid in the 1970s and 1980s, I remember that "cereal" meant Cap'n Crunch (peanut butter flavor if you were lucky, or that one with the fruity "berries" if mom wasn't paying attention while shopping), and a sandwich was a slice of Oscar Mayer Bologna between two pieces of Wonder bread (with French's yellow mustard and a side of Fritos, of course). And I couldn't have told you what a "serving" of any of them was, aside from whatever fit in my bowl or on the plate. It was easy to make all the wrong choices and think you were doing okay. I really wish we'd been taught the difference between healthy food choices and unhealthy ones. Although it is far from perfect, the newer My Plate guidelines are at least better, and easier for kids to visualize. And yeah, the idea that a piece of fresh fruit is the same as a candy bar "because sugar" is insanity.

Just wanted to update and say we are all soooo close!! 18 days until my LSD starts and 32 days until surgery. Eeeekkk!

I had my eye exam today and I was really hoping my prescription would be the same so I could hold off buying new glasses until after I've lost some weight. Unfortunately, based on the blurriness I've been getting when driving, I had a feeling it wouldn't turn out that way, and I was right. It was enough of a change that I couldn't get away with waiting. The whole time I was trying on new frames, I kept asking myself, "What will these look like if my face isn't so round?" It's hard enough choosing glasses as it is!