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The ONLY thing you have to do to lose weight is eat fewer calories than you burn. If you do that you will lose weight. There are lots of tools we can use to help us in this regard, like tracking, meal prep, tweaking macros, eating more high quality foods vs. junk food, and a lot more, but at the end of the day, it's calorie consumption that will make or break a diet. For some people tracking is critically important because if they don't track, they overeat badly. Everyone has a bad tendency to way underestimate the number of calories we eat in a day, so especially for people that tend to snack a lot, or eat a super varied diet (which is not a bad thing!), then tracking at least sometimes is pretty helpful to make sure they don't overeat. Like you, I just can't track reliably. It's not so much that I forget to do so, as much as I find it incredibly time consuming and boring, thus I just don't do it. Would I love to be able to track calories consistently? Sure. Really honing in on my daily calorie intake appeals to my analytical mind. I know I'll never be able to do it though. At this point, what I try to do is "spot check" my calorie consumption here and there. Sometimes I might make it a whole day and sometimes I just evaluate a single meal. This helps remind me to keep things in check.

Great ideas above but if that doesn’t work for you or for others reading this later, What if you were to just divide your alloyed macros or calories into meals/snacks. Like if you were allowed 1200 a day you do meals around 300 calories and 3 100 calorie snacks. For macros just don’t routinely eat any food over X grams of fat or added sugar. You can break it up differently. I did a protein shake for breakfast so I could have what felt like a little more substantial lunch and dinner. It should’ve be as hard forever. Once you figure out a handful meals that are within this plan you most likely will just sorta remember what meals work. I know I did and I live my life by alarms and reminders. Sometimes I joke that if my alarm didn’t tell me to wake up one day I just may not…ever. That’s how reliant I am on them. Anyways, I have a handful of my common meals that I know will work if I don’t have time to think about things. And if I’m having a less ideal lunch then I already know it’s chicken breast of fish for dinner with a veggie. Every meal for me has protein unless it’s a real odd day out and then I do my best to make up for it with a Greek yogurt or shake for snack. Another option would be to do the guess work the night before and pre plan what you eat the next day. You can play around with options and log it all into Baritastic or another calorie tracker app and know if it fits you plan and then just eat what’s on your list the next day. That may actually take a little stress out of it as well just having the decisions already made the day before. The meal prep mentioned before seems like a great way to achieve this as well. I know that I have single serve meals like that in the freezer. My regular and chicken chili are really great because they can even be defrosted in the microwave so they are good for days with zero planning or time.

This makes the most sense to me. I will eat whatever is in the refrigerator already prepared. If it requires me to “put it together” after a stressful whatever that day, I am less likely to make the correct choice. It’s weird to say but I can eat the same thing over and over and over and over again. It’s easier to just eat leftover leftovers than to have to make another decision. I’ve been trying to meal prep on Sundays for hubby so he can have healthy lunches for work but his food plan and mine don’t always mesh. I did make a plan for this week and so far it has been easy to follow because most everything is cooked for breakfast and lunches and he sometimes cooks the dinner, especially if it is something that I can’t tolerate(tuna, anything spicy, bbq anything, Asian & Mexican are all hard for me. I love it but it doesn’t love me right now). I guess I just never equated making my meal plan at the beginning of the week can also be my tracker. I thought I had to do both and I was failing miserably in my mind… I am at least following my meal plan 75-80% of what I had originally wrote down. I don’t work tomorrow, so I think I will plan out the weekend and next week… then cook and put it in my single serving containers.

I am here to add my vote for meal planning. I also have ADHD tendencies and I LOATHE food tracking. In the early days after surgery when I absolutely had to make sure I got in my protein and water, I managed to track by keeping a physical tracking notebook next to me at all times. I had to see the book to remember to do it. I stopped tracking around 5 months when I was consistently hitting my goals. Now that I am almost a year out, my weight loss has slowed (as expected) and I am finding it too easy to make poor choices if I don't plan ahead. I forced myself to actually track for a couple days and was shocked by how many calories I could eat and what I was choosing even when I "thought" I had been pretty reasonable. So, instead of tracking, which I am still terrible at, I've started meal planning and prepping ahead. For breakfast and lunch, I came up with a selection of maybe three or four choices I liked that have around 20g protein and entered them into my meal tracking app. For example, a spinach frittata for breakfast that I can slice into several servings, fruit cups that I make ahead for the week, single-serve packets of protein oatmeal or a protein bar for those days when I have to grab and go. For lunch, I make homemade chicken veg soup and also salad jars. I also like to make a batch of turkey chili to have on hand, which I store in single-serve containers. I also came up with a few snacks I like such as Greek yogurt with blueberries, or an apple with cheese. I also entered in my typical favorite 6 or 7 homemade dinners as recipes or meals in the app so I could easily add them to my day with one click. Before my shopping day, I try to plan my meals for the coming week. If I see my calories going too high or my protein not being enough, or whatever, on any given day, I can adjust accordingly. On a day that I eat oatmeal, I make sure my other choices are less carb heavy. If I have eggs for breakfast, I might plan to have a carb at dinner. I have the tab easy to get to on my computer, but printing it out each day would also work, as would entering each meal as a reminder in your phone's task list or calendar app. It is so much easier for me to look at my menu and follow it than it is for me to decide what to eat every day in the moment. It also means that if I can eat what I plan most of the time, I can have a restaurant meal or a dessert a few times a month without worrying about it or trying to track it. And since I tend to package up most of my make-ahead meals in single-serve containers, it's pretty easy to grab something to take along if I'm going to be out and don't want to have to hunt for food on the go and risk being off plan. The worst days for me are when everything in the house is an ingredient instead of a meal. That's exhausting and inevitably leads to snacking or poor choices. I find I need to set a regular day of the week for shopping when I can also have time to prep some items right away, before the food even goes in the fridge. I have the most success for the week when all my produce enters the fridge already washed, sliced, and portioned into fruit cups and salad jars, and when I can kick off a batch of chili in the slow cooker, a frittata in the oven, and a batch of taco meat to store for later in the week all at once. Freezing complete single-serve meals is another great strategy for those busy days when you might otherwise get off track. Like any habit, it takes a while to establish and may not be 100% perfect all the time, but I definitely find this helping me.

Well, you know yourself best, but my impression is that strict, regimented meal planning would be a better fit for you. What I mean is that it's not the tracking of the food every single day that will make the difference here. It's making a simple, defined menu plan that you stick to. Determine ahead of time EXACTLY what you're going to eat every day, and set reminders to eat on a schedule so you don't go too long without eating. Again, just my thoughts based on what you've said so far.

I am a tracker and I have ADHD so I have to meal prep and I track most my food (breakfast, lunch and snacks) for the week once I am done meal prepping. This is kinda crazy I know, I use mynetdiary, I have it on my phone and you can access it on a desktop which is important for me so I can look at it while at work. This leaves me my calories for the day so I know around what I can eat for dinner and a dessert if I want (which I always do like a sweet treat to end my night LOL) I am a little over a year out and I feel like tracking keeps me focused, I am not comfortable not tracking yet, its something that keeps me focused. I even track on the very high days. Like on my birthday, I tracked it was NOT pretty but I tracked it.

I feel like I need to track because I’ve only lost 40 lbs in a year since my surgery. Though I did have some significant issues about 4 months after surgery. Things are going much better now and I feel like I “need” to “do” something. This was a lot of pain, effort and mental anguish/anxiety to go through and my final result be just 40 lbs. LOL I do know clothes are fitting better. Wearing smaller sizes. But I also know that I will forget to keep tabs on myself because I become blind to things that are not built in/hardcore habits for me. I think because I have the issue with object impermanence that I need to be super aware of what I am doing/eating or else all this effort was just an exercise in futility. Does this make sense? EDIT: I also forget to eat or wait too long to eat. Food has never played a vital role of importance in my brain in my life … it’s more like a fire… I don’t notice it when it is out or smoldering. I do notice it when it’s become a full blown issue that needs to be corrected. Like I don’t remember I need to eat until I start getting shaky or jittery because I’ve let my blood sugar drop too low. This has been an issue my entire life. So I need a way to stay on top of my food / eating habits, etc so I can be more balanced in my approach. This is my thinking anyway. Maybe it’s not right… I don’t know

My first question is why are you feeling like you need to track your food? I know some people find it helpful, but in your case, it sounds like it's just causing more stress than it's worth?

It was a big shock to me that I wouldn't loose every day/week after my surgery. I also asked on here and the answer was, You will have stall weeks and the further out you are the longer they will last. You can't break them by diet or exercise, you just have to be patient. I eventually got used to it. The fact that you have a different type of tool will not make a difference. You are eating a very reduced amount of food, 800 calories. You are in a huge deficit, remember that. Weight loss is inevitable. Like everything else in life, it does not happen as we dream it to be. It is highly annoying though. As long as you are tracking your food and drink and are moving more every week then you can't fail.

I am really struggling with tracking my food. I have tried many different trackers, both digital and paper but I just can’t seem to stick to it. I have ADHD, time blindness and object impermanence (out of sight out of mind). The crazy thing is that even when I eat, I do not think “Oh I need to write this down” never. It just doesn’t occur to me. I recently switched to clear acrylic tumblers because I still wasn’t meeting my water goals. I bought (2) 40 ounce tumblers so I only have to refill it once. This has been working for me. The goal is 64 ounces of water per day so if I don’t completely finish the refill as long as I get below 1/2 on the second round I am good. Switching to the acrylic tumblers helped with my out-of-sight-out-of-mind issues so now I can see exactly how much water is in the tumbler as opposed to others where I had no idea… it’s just a bottle… wonder how much is in it? LOL I have a huge aversion to meticulous counting. I bought Japanese-style condiment dishes to use as plates/bowls to control portion sizes. They hold approximately 3 oz of food. I also purchased multiple sets of pretty “toddler” flatware that matched my regular flatware… it’s just smaller…. This controls my “bite size”. So, how I do go about hacking my brain to be able to track food? Because even if I do remember to do it at the end of the day, it is inevitable that I will miss something or not remember exactly how much I ate. The memory clarity/issues are a daily struggle. I struggle using digital apps with my all or nothing brain. I have an iPhone and iPad and use native apps like Reminders, Notes and Calendar to move through the day. I really don’t want one.more.app.to.keep.up.with… but I am willing to try if someone has found something that works for spicy brains. Does anybody else struggle with this? How did you work through it?

Hi, sorry I have been absent. I was sleeved a week ago today. I stayed in hospital two nights and didn't have any real problems. Liquids went down pretty easily and I got 1litre in on the first day and the drip was taken off that afternoon. They left the cannula in and it started bleeding - it was in my elbow bend and I think I did something when I bent my arm too quickly - so they took that out too, which was great! I tidied up my room, put on clean clothes and took it easy. I even got let out for a couple of hours to visit my father-in-law in the public hospital next door. He is nearly 90 and the end is coming - they thought it was close on Tuesday although he has picked up a bit since then. Slept intermittently the first night and rang the bell for pain killers a few times. The second night I slept fine - but they woke me up for obs at 11:30pm and 5:30am! Ugh! Then I went back to sleep after the 5:30am ones and my surgeon woke me at 6:30am! I gave up after that My husband turned up 9ish so I got up and showered, dressed and packed and was sent on my way with Palexia (opioid painkiller) and a reflux medication. We went to visit FIL for an hour or so then got an Uber to our short stay apartment. I had to go to Sydney for surgery - I live in Canberra - and the doctor said I should stay in Sydney for four more days. So that was Thursday, day 2 post op. I didn't do anything else that day. Friday was ok, I'm not having any trouble consuming liquids although plain water is the hardest - it gives me a temporary lump in my chest and sometimes hiccups. One thing that really bothered me on Wednesday and Thursday was that when I lay down to sleep at night I felt like I had a tennis ball in my chest. I had to sit up for a while. The surgeon said it is common with the surgery and I also had a small hiatus hernia repaired and it can be part of that too. I found that not taking tablets and drinking water immediately before lying down was best but I haven't had it since. Saturday I hit a wall mentally. I think it was a lot to do with being away from home - I always feel a bit "wrong" away from home but usually I'm travelling which means (a) fun (b) eating and drinking what I like and of course post surgery none of that was happening. I went for a short walk with my husband in Hyde Park Saturday evening and it helped a tiny bit. I felt really depressed and like I'd done the wrong thing and that I'd never lose weight etc etc. Because I'm autistic I had a couple of autistic meltdowns at my poor husband who copes with them quite well. So unfair, he was doing his best to look after me. Sunday I said I didn't want to do anything but after a while I said to him we should go for a walk. Unfortunately it was hot and humid in Sydney (Canberra has an inland elevated dry climate so I don't do humidity well), but we went out for two hours. I had to sit down a lot - no energy plus the humidity ugh - so it was slow and I only did about 5,000 steps but it was a good thing to do. We walked through Hyde Park, down to the Art Gallery, through the domain, up to Macquarie Street, round to Circular Quay. It was Australia Day so there were heaps of people out, which made me nervous about someone walking into me and hurting my incisions. We had lunch at the Quay - fish and chips for him and a banana smoothie for me - I ate the tip of a chip with aioli but I chewed it to death first, and chewed some fish and spat it out (I know, gross). We caught the light rail back up to Town Hall and went "home". He went back to visit his Dad and I watched YouTube videos and even edited one of my own (I have YouTube channel on, don't laugh after what I said about being away from home, travel). Monday we packed up and came home. The relief of being home! I still felt a bit funny bit it wasn't too bad and last night I gave the kitchen and butler's pantry a really good clean so I was obviously feeling a lot better. Our cats (6) sit all over the bench and leave hair and dirt so after a week of being away it was pretty grubby. Plus my husband cooked me some soup and he is messy to say the least. Today I'm back at my desk getting on top of things and having that shower in my own bathroom was unbelievably good. I'm shaky and weak this morning so sipping on an Optifast shake. I've been tracking food in My Fitness Pal. I was craving hummus for lunch yesterday - I saw it in the Qantas Lounge on the way to the plane haha - so when we went shopping for food I bought a tub and ate half of it for lunch. Then I tracked it and the calories are unbelievable! I thought it was mainly chick peas but the half a small tub was about 850 calories so I won't be doing that again. Michael is going to make me some and put only a tiny bit of oil in it so it should be a lot lower in calories hopefully. I hope all this is of some use to others about to undergo this procedure! Or else I've just been rambling to no purpose I think I can start puree today but tbh I've been eating thicker stuff like hummus and yogurt already.

From various bariatric groups that I'm in, I hear that the people who regained weight who luckily regained control of their situation, They stated that they shifted their mindset and went back to things that Worked from the beginning. some said they quit night time snacking. Some went back to tracking their food, some stopped over eating, some stopped eating out and went back to cooking their own food and meal prepping, so it looked like they were just getting back to the basics that helped them lose the weight at first. Movement was a big aspect as well. They started back walking Or running.

That’s awesome. When I got my implants done years ago I was young and invincible and they never even told me that I should be concerned about a leak. Now I’m hearing from the breast surgeon and cosmetic doctor that I will need to get routine MRI’s. Maybe there are more forthcoming with that information because I pretty much have no choice but to get the cancer out and most women are going to do reconstruction afterwards as opposed to “going flat” whereas the doctors may lose money if they scare you out of a purely cosmetic procedure. I’m not trying to scare you. I just wanted to be sure they made you aware that most silicone implants do require replacement after a certain number of years and some require routine scans to check for leaks. That lady in my craft group said hers were in there for almost 35 years and she is pretty sure they have been slowly leaking for a while causing her issues. She said she had no idea. Her doctor didn’t tell her either that she needed to scan for leaks. 🤷‍♀️

@ShoppGirl I am a super Type A, and research Nazi before I do anything LOL I have looked into all the risks, it took me entire year to even make the appointment with my doc for the sleeve and then I have been looking into a breast augmentation for a couple of years. The risks were what scared me, but yes I got the gummy bear implants so the risks are lower than saline for a leak. I will absolutely give you all my tips and tricks when your down and out as well! And yes, I have been having fun shopping and trying on tops that shows off the girls LOLOLOL @SpartanMaker I will definitely check in, I am taking everything into account of all the advice. When I do workout I am easily eating 2100-2400 and I stayed on the lower end of my end, but the range gives more flexibility. I know when I was so strict on my calorie goal that I set for myself I was over obsessing with it and I was falling into the other side of the spectrum of a really toxic relationship with food which was to avoid it and not eat. I am trying to find that happy medium, its taking time but I am getting there! I am hoping that on Friday for my appt it will be 1month post op and he gives me the go to at least do cardio! fingers crossed!

There are things I could suggest to help you get back to your goal weight, but my fear is that until you address the reason you regained weight, you're just going be back on the diet yo-yo. My suggestion would be to seek out a mental health professional that specializes in eating disorders. I'm not saying you definitely have an eating disorder (that would be up to them to diagnose), but it would appear on the surface that you may at a minimum suffer from disordered eating. I'm basing that on your post that seems to indicate that you may be self-soothing with food. Once you've got that under control, my next recommendation would be to seek out a Registered Dietitian to help you with a sustainable diet. There is no shame in seeking help from professionals and they will be in a better position to assist you than anyone here that can just give general advice.

@SpartanMaker PS= plastic surgery, being non-active my weight has gone up but the macros you suggested I started yesterday and I felt satisfied with focusing on Whole Foods, mostly protein and it worked out. My issue is that working out I felt leaner, and didn’t have bloat, even if I didn’t have a “perfect” day or “binged” on some sweets. I felt like I created a terrible habit and now I am trying to get back in the mindset where I was when I started this journey. You have given me awesome advice! Thank you for giving me some of your wealth of knowledge! @ShoppGirl im sure some of it is inflammation, I notice that if I wait to weigh myself later in the morning I’m weigh less than right in the morning. I figured that the implants weighed a couple of pounds but dang seeing me be 5-7lbs heavier is messing with my head. At first I told myself it’s okay if I gained a little I was getting too thin, now I’m like AHHHH nooooo I can’t. No one truly knows these feelings and mental strain this is if they were not obese at one time. I try not to talk about these feelings to anyone but this platform because I always get “you look fine, why are you worried, your overthinking” thank you for chiming in, I appreciate your intake!!

I never* used them. My plan called for 3 meals per day, each containing 20+ grams of protein through meat (usually). Days 1 - 30 post-op were the same plan pureed. Day 31 forward not pureed any longer. How much protein, of what sort, and how often, is very much a personal decision in consultation with your medical team. Good luck, Tek * Never in normal times. However, when I was binge running, ramping up for marathons, my plan increased from 3 meals per day, to 4, then 5, then 6, then 6 + a protein drink. I fealt like I was eating all day long. I hated it.

I am another fan of eating mostly food made from scratch as soon as you can post op, but honestly if you can't meet your protein goals that way then shakes are one convenient way to do it that doesn't require much mindwork or second guessing!

Some programs want their patients to avoid them as soon as possible - within the first few months - on the premise that they don't want their patients drinking calories and would rather they work with solid food instead. Most programs don't care, but there is some merit to the liquid vs. solid argument, at least for a time. Many, OTOH, as we see above, still use them long term, often as a convenience. I still use them - my own blend, as with most things - as an exercise recovery drink after the gym. My wife uses some of the powder in the regular smoothie that she makes (20 years post op) in which she also includes some of the added supplements that she still needs (for her DS,) So, if you can get away without them and still get the requisite protein, and object to drinking them, then great - you can do away with them. If you like them and they still provide some benefit or convenience, there's little reason not to continue using them.

I’m certainly not trying to be argumentative either. The reason that I went out of my way to state that it was from AI to begin with is so that the OP would be aware of that fact and take it as they may. Then I added that I was able to see the original articles and they could too if they did the research themselves and I suggested that they ask their doctor if it applies to them specifically. Also if you’re speaking specifically about the part that was talking about their rule of thumb for number of calories per pound, that was not from AI at all. That was from hss.edu and I referenced that above so that one can find and read the article for themselves and determine if it is applicable. It was all intended as food for thought and something to look into. Not medical advice as I am not a doctor Personally, if I have a question I gather data from a lot of sources to include chats and AI summaries as well as medical journal articles or friends and then I ask a professional to decipher the medical jargon, tell me what out of the chat and less reputable sites or word of mouth is true and what applies to my specific situation. In my opinion though, what it boils down to is that our metabolism while recovering from surgery or something else is going to be different than the same person when they were feeling fine just trying to lose weight and we should at least be aware of that and ask the right people the right questions if we care about weight, muscle loss, recovery time etc. I can only ever speak accurately about my personal opinion or experience and that experience is that the oncology dietitians’ advice worked for me and it was basically if you’re craving a cookie then no, don’t have it but if you’re craving fruit or vegetables or something otherwise nutritious then your body probably needs them and you should listen to that when your recovering from something. Basically don’t just be counting calories and starving yourself during recovery, nourish your healing body. Of course my situation is different so that’s why you should always consult with your doctor.

Not trying to be argumentative here, but this seems like a bit of a strange comment considering that Google literally states that "AI Overviews use generative AI, which is a type of artificial intelligence that learns patterns and structures from the data it is trained on and uses that to create something new." Personally, I think it's important to treat anything AI Overview produces with a significant bit of skepticism. I don't doubt that this particular response was generated primarily from other sources since that's literally how AI works. That said, there's an old adage in computer science that goes "Garbage in, garbage out". This is just as true today with AI as it was in the dawn of the computer age. I absolutely agree, but there are 2 things we need to take into consideration. The first is to what extent we burn additional calories. There is data in the scientific literature showing that RMR (not total calories burned), increases anywhere from 15% to 50% during the acute recovery phase. Whether it's near 15% or 50% depends a lot on what one is recovering from. I'm sure you'd agree that having a grade 1 muscle strain is not nearly as taxing on the body as chemotherapy or, say recovering from extensive burns. Add in the fact that most people have no clue what their RMR is and it can be very difficult to estimate the exact amount of additional calories burned. (Plus, the farther along the recovery process you are, the lower the increase in RMR.) The second confounding factor here is whether one actually needs to eat back those calories or not. Just because one is burning more calories does not mean one also has to eat all those calories back. This unfortunately is not clear at all in the scientific literature so we're sort of on our own here. My personal belief is that if your calorie needs have gone up a lot because you're recovering from a significant injury/illness AND you are at or below maintenance, then it's probably more important to eat more because you have less stored fat to fall back on. On the other hand, If you still have excess fat stores and/or are recovering from a more minor injury/illness, then you probably don't need to consume as many calories as you might otherwise. I also tend to believe that eating good quality foods is probably more important here than just eating more calories. 1000 extra calories of junk food is not going to help nearly as much as 250 calories of whole foods. The problem is, most of us are just not going to be able to accurately calculate any of this. This is why I'm recommending caution and only jumping up a lot in calories if major fatigue is an issue.

Well, it wasn’t exactly an AI generated recommendation. It was an AI generated summary of all the articles that applied to the question I asked Google. So basically One of the articles them gave that recommendation is below and you can read the full article of course and determine whether it’s a reputable source and applies to you. I agree with not going by a cookie cutter approach regardless of where it came from. Especially the Internet, but it logically does make sense to me so it would definitely be worth talking to your doctor about and asking for a specific plan for you. I know for me, my body is fighting cancer and processing chemo right now which both increase metabolism. Currently I’m logging like 1000-1500 cal more a day and still losing (albeit a little slower to appease my doctors). It changes your metabolism when your body is fighting something and it does burn more calories during times like this. How many that would be something your surgeon may be able to help you with a refer you to someone who can. I am very fortunate that I am at a big fancy breast center and they have an oncology dietitian that is helping me throughout all of my different treatments that I have in store for me over the next year to keep me on track for both that and my bariatric journey. i think the most important part would be to just be mindful of the fact that healing does require adequate nutrition and not to be at too much of a calorie deficit because yes, we will heal like we did from our bariatric surgery but that doesn’t necessarily mean it was the ideal circumstance or that we we’re healing as fast as we could have. I know you are itching to get out and back to your activity asap as I would be and good nutrition is very important for faster healing. I’m not saying that means you need to eat as much as you were eating when you were working out like crazy, but if it was me, I would focus primarily on fueling my body to get better faster, without gaining of course, and really focus on the weight loss once I was back on track (it won’t be that long). I mean if you can lose a bit great but if your body is screaming out for nutritious food it’s probable that there is a reason. The nutritionist that I am working with would not give me a specific calorie amount instead she told me to still try to avoid cookies and chips, but to eat when my body was craving nutritious food and she checks in with me every week to see how I am doing and make tweaks Does your surgeon have a nurse practitioner that you could talk to if you give them a call? Or was your dietician from pre surgery very helpful (mine was worthless 😂). Maybe you would get a more in-depth response from them than your surgeon who’s always super busy.

@AmberFL I must have missed that you are recovering from surgery. While I probably wouldn't recommend a significant fat loss diet while healing, I'd also be a bit cautious about using Google AI recommendations. The idea that you need 15-20 calories per pound of current body weight to heal just doesn't pass the smell test. If this were true, none of us would have properly healed from our bariatric surgery. Keep in mind that 15-20 pounds for you right now would be roughly 2500 to 3400 calories. At your starting weight, that would have been about 4500 to almost 6000 calories a day! Looking through the scientific literature, I couldn't find a single reference that this level of calories was needed to promote healing after surgery. There were some references to additional calories being helpful in the event of significant wounds, thus your calorie needs may be somewhat higher for more involved surgeries vs simple ones. I apologise, but I have no idea what "PS surgery" is, so that doesn't really help narrow things down. I think my recommendation would be to base this more on feel. If you are feeling really rundown, that's probably a good indication you may need to up your calories. You're always going to feel somewhat tired after any major surgery, so I'm talking about feeling excessively tired. If you do feel the need to add more, my recommendations above regarding macros still stand. We do know that wound healing requires adequate protein (thus 1.6g/kg is a good minimum target). We also want to make sure you're getting adequate essential fats, so shooting for a minimum of 50g is still good advice. If you are more like 70 to 80g, especially when not on a fat loss diet, that's just fine. I wouldn't necessarily recommend going much higher that that on fats because if you do, if will mean you would likely be subtracting calories from carbs. Good whole food sources of carbs like whole grains, vegetables and fruit have tons of nutritive value that you really shouldn't be skipping right now. In short, protein first, essential fats next, and carbs for the rest of the diet.

Okay so I was curious to know exactly how much more our bodies burn while we are healing so I asked Google and this is copied from AI response. Basically if we need more calories to maintain as your healing you really may be good by just cutting back a tad on the extra Carbs since your carbs were much higher due to a very high level of activity, which you’re not sustaining but honestly if I was you I would Just wait until your through this to worry about losing you could take even longer to get back on track if you try to lose now “Yes, your body burns more calories during the healing process after surgery. This is because your body's metabolism increases to help heal the incisions, fight pain, and prevent infection. Explanation Hyper-metabolic state After surgery, your body enters a hyper-metabolic state, which means your metabolism increases. This causes your body to break down muscle protein, fat tissue, and neurotransmitters to provide energy for healing. Calorie needs During the healing process, you should consume more calories than normal. A general rule of thumb is to consume 15–20 calories per pound of body weight. Protein needs In addition to calories, you also need more protein during the healing process. Protein is a key building block of the body and is necessary for tissue growth and repair. Hydration Drinking plenty of fluids, mostly water, helps deliver nutrients to the wound site. What to eat Eat a balanced diet with a wide variety of foods Eat nutrient-rich foods like fruits, vegetables, lean fish and chicken, grains, beans, and nuts Take a multi-vitamin/mineral supplement if you don't get enough nutrients” This is from HSS.com “How many calories should I be consuming since I will be inactive? Now is NOT the time for weight loss! When people are immobilized, they worry about gaining weight. However, you should NOT decrease your calorie intake because you will be inactive. In fact, your calorie needs are now greater than usual because your body requires energy from nutritious foods to fuel the healing process. You will need to consume about 15-20 calories per pound (using your current body weight). If your overall energy and protein needs are not met, body tissues such as muscles and ligaments will begin to break down. This will compromise healing and may prolong your recovery period”

I agree if you’re meeting your protein goals you don’t need to continue with them. You can keep some on hand for emergencies if you want. Personally, I stopped them as soon as week 3 & purées began. They were disgusting! I added a high protein yoghurt to my diet which was more palatable to me. I wasn’t hitting my protein goal yet but I was close and my surgeon & dietician were okay with it. I had never intended to rely on protein shakes or powders. My plan was to get all I needed nutritionally from real food. PS: You can also make a smoothie with the yoghurt by blending a tub with milk and you can add a powdered flavour or even protein powder for additional protein if you want.