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3 years out for me and weighed myself this morning.... UGH - 10lbs up. Funny, as soon as I weighed myself, I thought of this forum and this was one of the first posts I saw. I think we lose the weight, get comfortable, and "forget" the WHY and HOW we got here. Something I heard over the holidays: "Wow, I am so proud of you for keeping the weight off" - Me thinking: (as I'm drinking a high calorie cocktail).... I'm pretty much a failure at the moment.... Here's the reality - I lost the weight, got comfortable, quit tracking, eating whatever and whenever I want - Results: 10lbs weight gain. For me, the trick seems to be: Be a slave to the scale, TRACK TRACK TRACK. and get back into this forum. Tracking and weighing seems to be the only way I don't lie to myself (as if my clothes don't tell me...). Get back on the forum and remind myself daily of what I need to do vs. what I want to do. Going to try and get back to the basics: fluids and protein - skip the boredom/stress snacking and nix the alcohol. Thanks for these posts and knowing we aren't alone in this journey!

Dr Weiner resources are great as are Dr John Pilcher’s. Bounce back regain is always a possibility in the second & third year. I believe the average is about 10lb/5kgs so that could be a possibility. This regain can be from not being as vigilant, how you were eating wasn’t sustainable (too restrictive) & didn’t allow you to live & enjoy your life as you want, a change in medication, & your body & new weight set point resettling. And yes, muscle weighs more than fat so some of the regain could be from that too. (Maybe have a dexa scan to compared your fat & muscle mass.) Start by making one or two changes to your eating & then in a week or two make another change or two. You can start small. Maybe track your food to begin. Then up your protein & fluids if you’re not meeting your goals. Adjust your portions if they have become larger. Then drop some of your sugar or carbs or swap the highly processed refined carbs for low processed multi or whole grain options. Etc. Small changes are often easier to adopt & adapt to than large all encompassing changes. Doesn't matter how long it takes you to get fully back on track.

The reason for erratic weigh-ins (and the infamous three-week stall) is that in the early stages of running a sustained calorie deficit, your body does not burn much fat. Your body worked hard to store fat and considers it a precious commodity that it does not want to part with for no reason. For extra energy to make up for a lack of calories in the short term, your body first burns glycogen. 1 gram of glycogen is bound with 3 grams of water, so as you burn it for fuel, you also flush out this water weight. Only when the glycogen reserve is used up does your body turn to burning fat. The first few weeks after surgery, you were probably lucky to get in 600 calories per day. Your body was burning glycogen like crazy. When the numbers first dropped on the scale, that was almost entirely water weight. Now that you're a couple weeks out, you're allowed to have some pureed food, and you can probably get closer to your protein goals with your shakes. With a few extra calories coming in (still nowhere close to what you need every day to power your bodily functions), your body is at least reassured you are not in imminent danger of starvation. It's taking a look at your empty glycogen reserves with horror and doing its best to fill them back up with the calories you are giving it, like a squirrel storing up acorns for winter. For every gram of glycogen your body puts into the storage cupboard, you've got 3 grams of water tagging along for the ride. Meanwhile, you can rest assured that your body is also burning fat to keep your engines running. However, when you step on the scale, it can't really tell you that you've burned 4 pounds of fat and also stored 7 pounds of glycogen and water. It's just going to tell you that you've gained 3 pounds. But you've done nothing wrong. This is your body doing what evolution programmed it to do since humans lived in caves and constantly had to battle short-term food shortages. Once you've restocked that glycogen, you'll start being able to see the fat loss on the scale again, and in your measurements. As long as you keep doing what you're supposed to do, your weight will move in the right direction. But not as a straight line. Weight loss looks a lot more like a staircase with drops and plateaus, and a lot of small fluctuations that have nothing to do with fat. Try not to let it drive you crazy!

The instructions I was given were 48 hours of pre-op liquid, with total fasting beginning the evening before surgery. The longer liquid diet is to promote rapid weight-loss and shrink your liver, but some surgeons don't find this necessary, or only apply it to patients over a certain BMI. The 24-48 hours of liquid-only and/or fasting prior to surgery is just to clear your digestive tract prior to operating. Also, some surgeons don't require a puree stage and go from foods like yogurt and ricotta directly to moist proteins and fully cooked veg that you are instructed to chew for 30 seconds to a minute before swallowing (essentially pureeing them with your teeth).

I am currently on the pureed stage and it has been a struggle... I am living on yogurt, cottage cheese, scrambled eggs, soups, protein lemonade, protein pudding and protein shakes. it has been hard but I am understanding the process. I did try to cheat the process and have something I thought I could handle and well.. that did not end well... There is light at the end of the tunnel, a more food will become available to you.. I am finding the first 2 months are the hardest but you will soon find your groove and foods.. Also 13lbs is amazing.. your body has gone through to much in such a short amount of time.. give yourself grace and get excited about every little thing your body does.. Also I am sure that you are losing inches along with pounds.

In my first 3 weeks I lost 16lbs too. My BMI was way more than yours and I could eat next to nothing as I had severe swelling on my internal scar. Hang in there, do the plan. This is not a race. Give yourself at least a year to loose the weight. This surgery is more about keeping your restriction going and eating less in the future so you never get obese again. Thats my goal. Log your calories and protein. Stick with what ever your team have said. They know what they are doing.

I was sleeved 10 May, all good here, no issues. I've been lucky enough to lose every week, apart from a 10 day plateau 2 weeks after surgery. I put my success down to tracking daily and hitting my protein goal consistently. I eat really well for the most part too apart from an occasional treat. I eat carbs, I'm learning to accept that carbs aren't the devil. I don't eat bread itself much, but enjoy low carb wraps daily. Also been having a muktigrain muffin every day with peanut butter. It's 20 carbs, not terrible IMHO. I include brown rice, pasta, potato, protein is the focus of course. Of a meal carbs might make up a quarter for example. My carbs average around a hundred a day, give or take. I'm a vegetarian so the bulk of it comes from legumes and vegetables, also fruit which I eat daily.

I feel you, three weeks out and I have lost that joie de vivre, nothing taste's good, I have sn awful taste in my mouth, can't stomach purees or protein drinks, when I eat something it's painful, water tastes horrible to me, but then again this is why we lose weight I can honestly say I am not having cravings more of a repulsion, hanging in there since everyone says it gets better.

I’m in my second week of puréed diet. I also had two weeks puréed. My VSG was 12/04 and I’m looking forward to moving to soft foods next week. During the puréed, I have eaten ricotta bake; mashed potatoes; grits and eggs. Otherwise, protein shakes….

I started the eating out once a week after my honeymoon. I kept it reasonable, but it gave me something to look forward to and variety (and taste). When I started getting hungry again I took out the high calorie low protein nuts (which I added because they told me to go from 800 to 1200 calories when I wasn't even able to consume 800 yet and upped me to 100g of protein from 80) and a scoop of protein powder (high protein, low cal) and added in peanut butter toast, raison toast and another serving of ham. I don't mind eating the same thing every day when I'm at home because it's easier. If you put all your food in a spreadsheet and figure out the calories and protein per ounce, then you can switch it around easier if you need a change. Once I met my goal they told me to add 100-200 calories a day to stop my weight loss. I added in the daily cheat. I still have my spreadsheet, meal plan and measure everything, but when I eat out I can't figure the calories and protein, so I just count it as a meal and a cheat and watch my weight. My weight stayed within 1 pound of my goal weight for over a month when I was going to Halloween parties, Thanksgiving and going out with friends. I've lost another 2 pounds in the last month since I was not going out much. I'm OK with losing a little more weight for now even though I like the way I look at my goal weight because I know most people gain a little back, but I will have to maintain my weight after I get the skin removal surgery next month, so I will probably watch my weight and add in more fruits and vegetables. I'll still count the calories so I can figure out how many I need and make sure I get my protein, but at least I won't have to cram in high protein for EVERYTHING. I saw a different nutritionist when I went in earlier this month and she was surprised my regular nutritionist had told me to avoid fruit and only eat 2 servings of veggies a day. I told her I thought it was because she wanted me to get extra protein due to not being able to exercise much because of my back issues and fruit isn't a protein source. Note, if you get too much protein, your farts smell really bad.

I’m sorry to keep posting, but this is soo challenging . I had my surgery last Monday (Dec 18), I’m finally drinking 3 premier protein drinks a day (plus waters , broths, puddings) and today is Christmas Eve and I’m planning on having family visit but I feel like I lack energy —the way that you feel when you just haven’t eaten… does anyone have any recommendations?

Just keep moving, drinking water and eating protein first hand stay off the scale! Your body letting go of the weight is not just physical but mental! Give yourself some grace and be patient with the process! It will move again so stay positive and try to keep the negative thoughts away! I just came off a three week stall where I fluctuated between 3 #s to the point I thought my scale was broken!!

Hey there BQT! It’s a struggle for real. I’m not sure one can prevent the hair loss but for me, I had lost minimal hair. I was so worried it was going to come out drastically but two months post op I started seeing hair fall ( mainly on my temples and crown), which was more than my usual. My hairstylist noticed some breakage where the shedding had happened and we trimmed as needed. I take the bariatric pal multivitamin with iron. And an additional 325 mg of iron per my doctor recommendation to help with anemia. I follow Dr. Voung, a former bariatric doctor, on YouTube, and drank a green smoothie with genepro protein and try to get at least 8 ounces of water per day. My protein goals were 62 grams per day and I was maxing out at 100 to 120 grams of protein per day. This month, I’ve been slacking on protein goals ( 30-50 grams per day) However, I notice now being 7 months post op, the hair fall stopped and picked back up when I don’t get enough protein. After a month of not taking vitamins regularly I find my nails and hair to get brittle. I got a hairstylist and we do monthly treatments and trims, I use vegamour growth drops and Tress Elite oil in my scalp accompanied by scalp massages. I use Ouai shampoo and conditioner for fine hair and avoid buns and ponytails to not add stress on my edges. HTH

This /l\ sounds more reasonable and something I can live with! How long have you been doing this? When you met your goal or beforehand? I keep my calories at 800 or less (4 months post op) my protein between 75 and 80 grams - nothing crosses my lips without extra protein added including my crystal light (the only thing I allow myself with processed chemicals because I don't like plain water it makes me gag) , carbs 25 or less, no/low sugar, non-fat or no fat, no sodium, no processed additives and mostly organic etc.. Etc.. I think I'm just being overly strict and controlling with my food intake which is making me grumpy and sick of the whole thing. I will try to incorporate some of your ideas - thank you.

I hate to cook too and still struggle to get as much water in as they want. I do get the minimum 48oz/day but don't always make the 64oz they want. I was so glad to stop eating cottage cheese and yogurt! I scoured the grocery isles for food that looked good and was easy to make (Or better, didn't require making). I have to admit I got a little bit of attitude about my diet when I was ALMOST, but not quite, meeting their calorie and water goals, telling them that I was struggling, and they scolded me and raised my goals. I have a spreadsheet that calculates calories and protein from every food I get with a nutrition label and buy low fat, low sugar foods so the calorie and protein count meets my goal. I got a frown from my nutritionist when I told her I eat ham every day, but I gave her a "look" and told her my calorie and protein goals were being met and she refrained from scolding me. I buy Kentucky Legend Bonless Quarter Sliced Ham because it doesn't have lunchmeat texture and I can just weigh out my portion and eat it cold. I got another frown when I told them I eat beef jerky, but reminded them that 100g of protein is hard to do, jerkey is low calorie and high protein, and I chew it VERY well and spit out gristle. If they have to cut a ball of gristle out of my stomach, then I'll stop eating beef. I switched nuts for peanut butter toast when I started getting hungrier. I eat a lowfat sharp cheddar with crackers. Quaker makes a protein Banana Nut Instant Oatmeal. I also eat 1/2 Atkins Chicken Margherita or Healthy Choice Simply Steamers Grilled Chicken & Broccoli Alfredo (1/2 is less than my 6 oz, but it's easier to just take half and eat the other half the next day and the math is easier too). Those 2 were the best my WalMart carries for frozen food Calorie/Protein ratio that I also liked. For an added vegetable I eat 2oz canned french style green beans with 1/2 oz Velveta low fat cheese heated in the microwave. Tyson makes a fajita chicken that microwaves well if you put a dollop of water on the plate. Turkey bacon doesn't really satisfy my bacon cravings, but turkey sausage is really good. If I'm craving sweets I'll eat a Quaker Caramel Rice Cake or a few dark chocolate chips. Luckily I crave salt, not sweets, and the salt cravings have almost gone away. If I'm going to be away from home for a few hours I pack an insulated lunch bag with a serving of ham, cheese and crackers, and jerkey to take with me. If I'm going to be gone for a day or longer I pack my food in bags and a cooler. I got married a little more than 3 months after my surgery and ate what I wanted at my wedding and during the honeymoon, I just kept the servings really small and took protein with me to make sure I still got enough protein and because I needed to eat more than 3 times a day. After that, I allowed myself one meal out each week, eating my 6oz and taking the rest home. Hubby ate most of the leftovers. After I reworked my diet to include tastier, real food, I switched my protein powder to a Collagen with the added missing amino acid. It mixes best with warm or hot liquids and was approved by my nutritionist. I still use 2 scoops a day, 1 with my protein oatmeal and 1 with my sugar free hot apple cider. I met my goal weight at 7 months, just in time for a Halloween party, and I allow myself a small cheat almost every day (my nutritionist told me to add 100-200 cal per day to stop losing weight and i decided to add a tasty snack rather than rework my diet). I watch my weight to make sure I'm not overdoing it. If I eat out, that's my cheat and it replaces a meal. I order what I want and ask for a container BEFORE the food is served so I can pack away all but 6oz before I start to eat. Some cheats aren't really cheats. I've added in apples, pineapple, strawberries and mango. Breyers Carb Smart Fudge Bars have 50 calories, 3g fat, 2g sugar (0 added), and 1g protein. It's only a cheat because of the low protein/cal ratio. Pure Protein bars could be a meal substitute instead of a cheat and have 180-200 cal, 3-4.5g fat, 2-3g sugar, and 19g protein. I like the Chocolate Salted Caramel that's a little chewy and the Chocolate Mint cookie, which has more of a grainy (cookie) texture but tastes really good. At a party, I may eat a bag of chips (~150cal), or I may give in and eat a single Reese's cup (105 cal). OK, maybe a bag of chips AND a single Reese's cup, I'm weak. Dot's Seasoned Pretzels have 130cal per oz. An entire bag of buttered flavored popcorn has 150cal (DO NOT LICK THE BAG). It's nice to eat something tasty and not worry about if it has enough protein. I just had my 9 month bloodwork done, it's all fine.

I drink the "Equate High Performance" premade shakes in Caramel or Chocolate, but I've only been taking 2 ounces since 6 months post-op. I have to take my multivitamin with dairy (or whey protein) or it comes back up. Only 2oz because the multivitamin has iron so I have to limit the calcium I take for 4 hours to 200-300mg. They are probably the cheapest around and have 30g per 11oz. For flavored protein powders I used "Inspire" from BariatricEating.com. They have a couple with added calcium that I used as my calcium supplement for months and I would freeze the buttermint and peppermint to use as a sweet treat. Whey protein mixes best with cold liquids and cooks in chunks at about 140 degrees. Unflavored I also liked "Inspire" if I was mixing in cold food. For HOT FOOD AND LIQUID I use "Giant Sports Collagen Peptide Complete All Essential Amino Acids with L-Tryptophan". It mixes better with warm and hot liquids. I add it to hot tap water before I microwave my Quaker Protein Oatmeal and use with my Keurig drinks. I still use 2 scoops a day since they want me to consume 100g of protein every day due to back issues and not being able to do high intensity exercise. https://www.amazon.com/dp/B078HJXVNN/ref=sns_myd_detail_page. Note that Collagen is not a complete protein. The one I use adds the missing amino acid L-Tryptophan and my nutritionist approved me to use it as a protein supplement.

I had mine almost two weeks ago. Lots of protein drinks (breakfast and lunch) and then a low calorie low fat dinner. I start it on December 28th (day after my birthday). Surgery is January 10th.

I had my pre op class with diet instructions on Dec 13th, for me it's liquids only, the only exception is 4-5 protein shakes a day, I've been okayed to sub a cup of milk for one protein shake, though it's fairlife milk, low sugar. I can also have sugar free jello, popsicles, decaf coffee or tea, and clear broth. I mixed a scoop of isopure unflavored with a cup of chicken broth and it was very good, though take that with a caution, I've not eaten any food for a few days so maybe my taste is changing? LOL, I hope I still like it when I start eating foods again. I think there is a lot of difference between surgeons and programs, some allow a small meal, some only want 3 days of liquids.

800! 75+ protein...liquids +- 45 oz.. (I know should be more but...).

How many calories are you getting in a day. Once I got to around 800 a day and got my protein and liquids in, then I began to really pick up

Your comment about slapping stupid people made me laugh! My answer is this: If I went around slapping stupid people making stupid comments I'd be slapping people 24/7! Although, all the swinging my arms back and letting go would be good exercise and probably therapeutic Just a fair warning, I'm a major smart A** so my response is my personality... Good or bad. Just do as I do; ask to see their medical license. Explain your doctor, who has the experience, knowledge and an actual medical degree in their medical opinion feels its a necessary medical procedure, then tell them you appreciate their bedside manner, "medical expertise" and judgement! I also like to add that insurance companies don't like to pay for "the easy way out" and unnecessary procedures, they don't go around approving surgery unless its necessary! If that doesn't stop them ask them why they think its "the easy way out"? Then shoot down their preconceived stupid concepts with facts and how its the furthest from easy to lose weight. Last option, ignore them and do what you need to do for you! After all, you can lose weight and get healthy, they'll always be stupid! Lastly, it always amazes me that people question or make comments about a medically approved procedure. Do they question a vasectomy ... or a cesarean birth, how about rhinoplasty for a deviated septum to stop nasal issues...how about a root canal..after all they could take the easy way out for these procedures...

Hi all I had surgery on Aug 28 I went from 197 to now 173 which going down even 1 pound is better than going up. My goal is 160 which means I have 13 lbs to go. I have been sticking with my dietician’s initial recommendation- basically no white carbs. I was a potato head. Now if I want something with potatoes I use sweet potatoes instead. I quit rice and I was never a big bread eater. For the most part I stick with protein first and veggies. I continue to monitor sugar intake - the added sugar in food products- at home I have used Splenda for a couple years now. I don’t really snack I just eat my meals. My issue has been that I’m not hungry. My weight dropped then stalled and it wasn’t until I began to take in more protein that the pounds started coming off again. If you haven’t already I would suggest reaching out to your dietitian to reevaluate your diet and get some helpful new insights. Always be kind to yourself and give yourself grace. Celebrate every oz and inch that comes off.

Thank you for the replies. Summerseeker : "Food should not be boring. I just do not live to eat it anymore." I don't Iive to eat, I never have, but good food contributes to a good life. "Variety is the spice of life" variety I can't have. Yes, I knew this goes into this but, it doesn't make it any easier! What I was attempting to say is its boring because; 1. Unlike you I detest cooking so the thought of sitting down to think out my weeks meals sounds tedious and time consuming (even if necessary) I really wish I had the time and inclination to do it and I'm jealous of those who are willing and able.. I just don't want to add yet more measuring, weighing prepping to my day off since I do enough of that weekly in very exacting details (down to microns) 😛 Perhaps its also the lack of options..see #2; 2. With this new way of eating and my intolerance of carbs it makes my options very limited. After all there are five food groups and I've eliminated 3 of the five as it is - grains, most dairy unless you want overly processed artificial dairy and fruits. Add to that my food texture issue (symptom of ADHD) ..this leaves me with low fat beef, fish and chicken for proteins and veggies (non starchy). I do track everything I eat and drink as well although I love your way of if you get your proteins in and still want a "biscuit" and a bite of noodles you have it. Perhaps, I'm being overly controlling of my diet out of fear of regaining the weight and its causing me to feel this way. Arabesque: I understand why drinking water and peeing is important and your body should adjust to more water consumption, but, after 9 months I still go 20+ times a day - very inconvenient when I work managing a pathology lab - I have to remove a lab coat, gloves and mask, then go through decontamination processes each time I exit the lab and then upon entering resuit up and on top of that no drinks allowed in the lab - so in order to get my water in I have lunch time and when I get home OR leave the lab for my sip. So, this means working 10 hours a day it gives me a very short window to get my water in especially since I can't drink large quantities at once. I should have explained better (but my post was already long). My apologies. I guess my lack of "thirst" has developed from years of training from this job and my last. I just worry about not getting the required amount in. Anyway, its just me whinging. I'm just finding it difficult and quite frankly tiring (getting up several times a night to pee doesn't help).

Hi friends! I’m now 9 days post op. I’m in the puréed food stage and although my diet plan had this amazing sounding broccoli and cheese soup (puréed) recipe, it did not set well on my tummy. I ended up experiencing my first “dumping syndrome” last night as a result of about 3 teaspoons of that soup. I’ll say it has been a challenge to learn what my body will and will not tolerate. Just because it’s in a recipe book doesn’t always mean YOUR body can handle it. The experience I’ve had so far was that when I take a bite of something I’ll sit and let it digest a little to see how my belly feels about it. Most of the time it responds with gassy feelings, but the times where it feels PAINFUL, usually means it’s a no for me, at least for this stage. But last night the soup gave me no indication that it was going to end badly, so I had three teaspoons-to my delight as my family was eating it too-so I didn’t feel so “odd-man out” for this meal. But regardless, I’m feeling that cheeses, even smooth cheeses, for me may not be an option right now. If you’ve experienced the “dump”, what are some of the indicators you’ve had to tell you BEWARE? Also, did you feel absolutely depleted afterward? I felt like I just ran a marathon and all I wanted was rest. It was awful!

hey everyone, just a quick update, I’m now 4 days post op! Feeling way more human, been on a little walk around the village I live in, protein water is going down well and Collegan lattes. Struggling to sleep on my back but sure I’ll get used to it soon! Hope everyone else is doing ok!! Xxx