eJean

Thank you so much! All the reading before surgery can’t prepare you for the actual process. But you’ve help to relax my brain about it. ?

I’m right there with you. I’m 1 month post-op and I’ve only lost 16.5lbs. 14 were in the first 11 days. I’ve only lost 2.5 lbs in the last two weeks. I’ve been on soft foods and trying to count the calories along with measuring, as I only am able to eat about 1/4 cup of food per meal. I don’t know what’s causing the slow. I barely get 600 calories. I’ve been moving quite a bit since we’re trying to move into our new home. I’m still under the target weight loss the doc gave me. Just discouraged.

this is pretty much it.
i lost weight at a consistent rate until i made efforts to stop (i lost roughly 10 lbs a month from months 2-7...and while months 1&2 had larger drops, they were not indicative of my average rate of loss).
i lost another 10-15 lbs after that over about 4-5 months trying to figure out how much exactly i needed to eat to keep me at a constant weight without gaining nor losing (which honestly is harder than losing weight man)
i finally sorta stabilized at 115-120 for the next 4 years.
basically i stopped losing weight when i started eating enough calories to sustain me and my lifestyle choices.
now here's kicker: i am now 6 years post op and recently lost about 10 lbs in 2-ish months, again because i was/am eating less than i am expending. so i guess i'm saying it doesn't matter how far out you are, you can still lose weight if you are at a caloric deficit for YOU and YOUR lifestyle.
...and the only (easy) way you can really determine if you are in fact in a caloric deficit is if you track your intake and compare to your weight/body composition (which you'll have to track too) over time.
but i get it, this is not for everyone...just offering a strategy that has worked for ME all these years.

Ooh and just be sure not to do what I did after my sleeve. I got all the way down to 18 pounds from my goal and I felt like such a failure that I let it derail me. Hopefully you will keep losing and don’t stop trying BUT, also have in the back of your mind that you have already done incredible and are far more healthy than you were even if you don’t reach this arbitrary number. I have a girl in my in person bariatric support group who did the same thing over TWO POUNDS. Our brains are very powerful and it’s great to strive for a goal but also be flexible and not crazy like I was and think it was a total waste and throw it all away. After I gained it all back plus some I would have done anything to be 168 or 178 again. Granted the sleeve was not appropriate for me and I probably wouldn’t have maintained at the 178 I bounced back to for long anyways, but I’m just saying that I gave up far too easily. Just a word of caution from someone who made that mistake.

I’m right there with you. I’m 1 month post-op and I’ve only lost 16.5lbs. 14 were in the first 11 days. I’ve only lost 2.5 lbs in the last two weeks. I’ve been on soft foods and trying to count the calories along with measuring, as I only am able to eat about 1/4 cup of food per meal. I don’t know what’s causing the slow. I barely get 600 calories. I’ve been moving quite a bit since we’re trying to move into our new home. I’m still under the target weight loss the doc gave me. Just discouraged.

Yes, it could be the beginning of a stall but remember all the weight loss rates you read about and weekly/monthly weight loss goal you may be given are all based on averages @eJean. For everyone who meets those averages there’s someone who exceeds it and someone who doesn’t meet it and that’s okay. There’s nothing wrong with having lost 16.5lbs in your first month. Don’t ‘only’ it. You’ve lost more than a stone in a month. Amazing!
I remember my weight loss slowed so much around months 5 & 6 I was losing grams/ounces a week @Bypass2Freedom. I never thought I would hit my goal - it was hellish frustrating to be so close yet so far in my mind. Yet I did and then continued to lose 11kgs more for another 11 months at various rates. So don’t give up. Do remember though that if you reduce your calorie intake to reduce your weight more you will have to continue to eat less than you are now to maintain the lower weight. You never know the weight you will stabilise at and you can maintain. You can stay your oath or make some adjustments and see what happens. Oh, and don’t forget you can still experience stalks along the way nit just at the beginning.
PS Check out a basal metabolic rate calculator. They’re not perfect much like a BMI calculator but might give you an idea of whether you are eating less than you need to maintain your current weight & the activity you are doing. If you are consuming less than they say you need you should keep losing.

This sounds like the three week stall. Totally normal! Your body burns glycogen for energy, and during extreme calorie restriction, you burn a lot of it. Glycogen is stored in the body along with water, so each gram of glycogen you burn for fuel also releases 3 grams of water, which you flush out. This is why you lose weight so quickly the first few weeks, not because you are burning all of that weight just from fat stores. After the first few weeks, you start to be able to eat some solid foods along with your protein shakes. This gives your body a chance to replenish the glycogen you burned, which is vital for survival. But it means that for every gram of glycogen you store, you also store about 3 grams of water. Your body is continuing to burn fat during this time, but you won't see it on the scale because it kind of zeroes out with the whole glycogen/water storage thing going on. After a week or two, your body will be back to normal in terms of glycogen reserves and you should start to see your weight decrease again at a moderate pace. I really wish doctors would explain this to patients before surgery because it's just basic science, and people totally freak out when they are eating nothing and not seeing the number on the scale go down. I think doctors forget that their patients have failed at about a million attempts at weight loss prior to surgery and we are naturally prone to believing we are failing again. But you're not!
Also, counting calories at this stage is pointless. You're in a massive calorie deficit. It's impossible not to be unless you are doing something terribly wrong against every bit of medical advice. Focus on protein and water but don't stress over calories until you get to a point many motnhs from surgery where there may be a legitimate possibility that you are overeating.

Thank you so much! All the reading before surgery can’t prepare you for the actual process. But you’ve help to relax my brain about it. ?

Thank you so much! All the reading before surgery can’t prepare you for the actual process. But you’ve help to relax my brain about it. ?

First, congratulations on your surgery. No, it’s not uncommon to start having doubts, worries, be a bit emotional about things. This is a big thing. Something you have never gone edits so and have absolutely nothing to base these new experiences and emotional reactions you’re having upon.
With a sleeve, about 75% of your tummy is removed. This differs person to person & depends upon the size of your tummy. Larger tummy, more is removed. I actually got an internal photo of my tummy being removed (it’s not framed up on my wall ?).
It is impossible for you to regain if you’re following your plan and the volume of food/calories you’re consuming. A very common occurrence, which almost every one experiences, is called the three week stall. Around the three week mark (could be earlier or later than then) your weight loss will stall. It may last from 1-3 weeks. It’s very normal & just your body taking a moment to adjust to the changes and reassess your new needs (metabolic rate, digestive hormones, etc.). You will start losing again.
Because there is no hard and fast rule as to your rate of loss, surgeons don’t tend to set weight loss goals - interim or final. There are just lots of averages around how much you may lose and how long it may take. Your surgeon may have spoken to you about how much weight you may lose by a certain time but it’s no guarantee of what will happen but just an idea of what might happen. They may ask how much you’d like to lose and then advise if it is possible or not. Whether it is possible or not is based on stats (averages).
Don’t worry about not meeting your fluid or protein goals in the first weeks. It’s not easy in the beginning. As long as you’re making an effort and aren’t too far off. You’ll notice you get closer and closer and some days will be easier & others will be a real struggle. A quarter cup of food seems like nothing to begin but is again not unusual. My advice was 1/4 - 1/3 cup from purée to about a cup at 6 months. If you’re struggling eating soft food you may need to go back a stage for a few days & that ‘s okay. Sometimes we’re ( our tummies) just aren’t ready & healed enough yet to tolerate the more & more dense food as you progress to each new stage. Often weeks 3 & 4 are purées and then soft foods in weeks 5 & 6 but plans do differ.
Trust me, it does get better and easier in time.

My PA that I followed up with gave me a chart with a wide range of weights and said I’d be good if I stuck between the green weights and red weights?. So far I’ve been lucky with all the foods I’ve tried. But some days my body only wants liquid. Like today!

I’m nearing the 3weeks myself. I had an issue with puréed food for a few days when I first started the puréed diet. I had to go a few bites every 2 hours and compensate it with 1 1/2 oz of protein shake. Now my system is saying it’s fine it’s even had non puréed (but highly chewed) chilli just fine. I suggest trying around. I still can’t handle chicken very well but I can beef and fish. Remember every body is different. Do not be afraid to ask your team the question either. My doctor didn’t tell me the actual amount they removed either just an estimate of 2/3rds before the surgery.

I’ve been having the same problem. I started putting 1 tsp of psyllium husk in my protein shake. It thickens it up a bit but after about three days I had relief. I stopped for a couple days and got plugged up again. Just a thought?

Woooooooow

Hi all. I am six weeks post-op from VSG and met with my doctor's team today. I have lost 22 pounds since surgery, which the team is very happy with. There was no concern about my progress at all and they said due to my weight on surgery date being 231, that I should put my expectations at 170 for my final maintenance goal.
I was asked the usual questions and asked if I am hungry between meals and I said yes. I am finding myself hungry about 2.5 hours after (some) meals. When I said I was getting hungry, I was told it was gastritis, not hunger. I said "do they feel the same?" because it sure feels like hunger to me. It's my stomach making noises, and feeling hungry in my actual stomach. It's not head-hunger because I KNOW what that is. I do understand that eating can get rid of gastritis discomfort just like it can obviously make you feel like you are no longer hungry. I do acknowledge that it's possible this is gastritis, but wondering if it really is. (?)
Per my doctor's orders: My current meals are 1 oz protein and 2 tbsp veg or fruit for 3 meals per day. Absolutely No Snacks are allowed. Today I was told I can move down to just one protein shake per day. Up until today, the only "snacks" that I was permitted were protein shakes.
I am trying to follow the rules here, but got home and I feel so confused and even though I asked questions in the office, I have all kinds of things swirling in my head. I want to be successful, but feeling a little lost here. I know everyone's program is a little different, but wondering about the following:
1. How the heck do we know this is gastritis and NOT hunger? And, if it was hunger, do we just ignore it? (They have increased my PPI medications for now to see if it solves the "gastritis". ) If it's hunger and the increase in acid reducing medications doesn't help, am I just living with being hungry all the time? (YES I am seriously asking this because I honestly don't know what the expectation is). Unfortunately I am not one of the lucky ones who lost their feelings of hunger. I have not had any heartburn at all.
2. I don't know if any of this matters, but I swim laps pretty intensely 5 days per week for 1-1.5 hours. I suspect that part of the reason I am feeling hungry is due to the swimming. I could be wrong, but curious if anyone else thinks it has something to do with it. Prior to surgery, I was always hungrier on days that I swim.
3. My protein goal is 80 grams per day. With one single shake @ 33 grams of protein and a total of 3 oz of protein during the day with 6 tbsp of veggies, how am I supposed to meet this protein goal? My calculations tell me it's not possible.
I'm still early as I just transitioned today to "regular diet" from soft diet. So, I am still trying to figure things out and how everything will work moving forward. Your kind replies are appreciated.

Thank you. I understand the reasoning for it, it just threw me off when she said it was forever. I even had to ask because I thought I misunderstood her, but nope, she confirmed they’re asking us to avoid the 4 c’s of drinking and to eat deconstructed, protein first. That makes perfect sense to follow the plan while losing and hopefully through that time, build a better relationship with food and learn to choose healthier options along the way. I appreciate the feedback and advice.

Wow awesome!

Great job keep up the good work.