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Balloon, much like lap band, is not very common these days so you may not get many responses to your query from people with a balloon. Unlike weight loss surgeries, the balloon won’t stop your hunger. It just makes you feel full more quickly as it takes up space in your tummy. But even with weight loss surgery, your hunger does come back so we all have to examine our motivations for eating, discover the difference between head and real hunger, change our relationship with food, etc. For example, could your hunger be head hunger? That is, is your hunger coming from you (consciously or subconsciously) looking to sooth/comfort yourself because of the emotional roller coaster and stress you’re likely feeling from having the balloon inserted and the changes you are having to make. This is very common occurrence. But yes, contact your doctor to ensure everything is working as it should. May be enquire about seeking some counselling to support you through the head work aspect of weight loss. Many find it very helpful. PS - Out of curiosity why did you go down the path of having a balloon inserted versus a sleeve or bypass or one of the other weight loss surgeries? Was it because the balloon can be removed whist the other surgeries are pretty much irreversible?

Contact your surgeon's office for advice. For your peace of mind you need to know whats, what. I don't know nothing about balloon weight loss but some bariatric patients have hunger from the outset and some need secondary surgery. Some people feel hunger when they need some form of stomach medication to cope with the ammount of acid in their stomach. Excess acid can make you feel hungry

Thought I would pop in. I had my sleeve done January 2010. When I started my weight loss I I weighed over 300 pounds. 5 ft 2 ; I wouldn’t even go to my doctor at 320. I lost weight before I started officially. So here I am. 68 years old and I have lost the last 10 pounds I had been fighting with over the last two years. I AM LESS THAN HALF MYSELF. I weigh 150. And have for the last 5 months. I wear a size 12 jeans ! And bought size Medium tops. I have never worn a size 12 . Still working full time and take care of my adult daughter who has disabilities. Organic vegetable gardening - and raise hens for eggs. It doesn’t matter how long it takes to be healthy and to have a doctor tell you “ at your age and having excess skin and where you started … you do not need to lose more weight. You are good where you are. “. I know. My bmi could be lower but I am good where I am. Who knew that even existed.

This is probably the weirdest one yet. But I'm certain it's because of my weight loss. In my dreams, I've never been able to run. I always go faster by doing like a wheelbarrow type walk on my hands. But yesterday, I was dreaming and I was full on running. I think it's a mental thing to show I'm finally free of the weight and the expectations. But in actual physical milestones, I'm on the 5th hole in my watchband instead of the third when I had the surgery, and the 4th about 2 months ago.

I am doing well thank you! On purees now, which is great after weeks of liquid, feeling good, learning my limits and healing nicely! I have not lost a lot of weight for a week, but am taking that in my stride, desperately close to.my first mini goal, but not quite there yet! Overall going very well, I can see the differences already, clothes are starting to hang off me! 😁 Thanks for asking, how are you doing?

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.

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.

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.

Don’t be discouraged at the stall. I had surgery on 12/18/23 at 219. A year and 1 month later I am at 180 and have been here for 6 months. Sometimes I dip into the 170’s but I bounce back to my current set point of 180… Currently… I am ok with that because I can see the changes in how I look and how my clothes fit. I have struggled with eating the proper amounts of protein since having a set back in March 2024. I am struggling really hard with acid reflux and getting enough sleep. It is getting better and I am willing to put my weight loss on hold while I try to get this under control and avoid a corrective surgery. Give yourself some grace. This is hard to do. 💖 Just try to stay positive, be focused and talk to your care provider. Ask lots of questions, don’t leave until you feel like you truly understand which direction to go next when they help you lay out a new plan. … and take notes because it’s hard to remember everything they say during the appointment.

That is AMAZING! Nothing beats the feeling of achieving a new PR! And it feels so good to discover that your stamina has picked up and that you are able to go for longer (whatever that is you're doing), or do things you were never able to do before. Disclaimer: it is addictive. While I worked out my whole life, including while being obese, I was never fond of running. I did all sorts of cardio (Spinning, HIIT, BodyAttack, BodyCombat, Step, you name it) but I hated running with a passion. Found it boring. Although I was able to run for 6-7 km straight I rarely ever did. Fast forward to my foot injury, I was so immobile I was in pain walking, so I did a lot of jump rope and spinning to compensate but my weight never budged. 4 months Post VSG I started getting into serious fitness again and I discovered this newfound love for running that I run every single day now. I do 5-6k once a week and 3k every day after my lifts and I LOVE it with a passion, how times change LOL. I have a feeling you will too. Although I don't know you, I am very proud of you and hope your journey is full of such pleasant surprises.

One thing my doctor told me too when I inquired about a similar issue (tho for me it didnt stall until 3 weeks out), was that pre-surgery there was that very intense liver shrinking diet. A few weeks after surgery, the liver will start to build back up to a more normal size, which can cause a slight weight increase or stall. There are many other factors to the stalls, but this was just one aspect I had never considered. It all seems pretty normal! I'm at 7 weeks post surgery now, and down a full pants size, but actual weight loss since date of surgery is only about 17 lbs. I'm so happy I made this change in my life. This is going to be the best year ever!!

I'm going to go ahead and add another comment because I can just about anticipate the next comment (since I've heard it a lot): "I don't care about all that, I just want the scale to go down!" Let's try a little thought experiment here: If I could wave a magic wand and you would instantly look just like a fitness model, be super athletic and healthy and you'd be able to rock that size 0 (or whatever), dress. Would you want me to wave that wand? What if I told you you'd secretly still weigh whatever you weigh today? You'd still look and feel fantastic, but the scale would stay right where it is now. Still interested? I"ll wager almost everyone here would take me up on that deal. The possible exception might be the folks here that already look like fitness models. (You know who you are!) Why? Because ultimately we want to lose weight to look and/or feel a certain way, not strictly to be a certain arbitrary weight that at the end of the day really means nothing. Scales are just a really poor way of measuring fat loss, at least in the short term, so it's best we don't make them out to be more than they are.

Not to dis on your friend, but that's just not how this works. The ski slope chart itself may be about what your weight loss looks like for many people, but I promise you, you are losing fat the entire time. You just can't overcome basic physics. Think about it. If you eat less calories than you burn, your body has to make up that difference from somewhere. Even the leanest people on the planet have something like 40,000 plus calories of fat stores. This is what your body uses to stay alive when intake is less than output. Do the math: Your Total Daily Energy Expenditure (TDEE), is made up of your Resting Metabolic Rate (RMR), your Exercise Activity Thermogenesis (EAT), and your Non-Exercise Activity Thermogenesis (NEAT). The average normal sized person has a resting metabolic rate somewhere between 1200 and 1800 calories. It's even higher for overweight and obese people. This is just an estimate, but yours is probably somewhere around 1900-2000 based on your height and current weight. EAT obviously can vary quite a lot from basically nothing if you don't workout, to well over a thousand calories per day if you exercise a lot. NEAT is important as well. The basic idea is that very few of us are completely sedentary. We are moving around cooking, cleaning, doing chores, etc. This is what we sometimes call "Activities of Daily Living". This tends to add another 15% to 20% to your overall calories for most people. The point of me adding all that is because very few people really understand how many calories their body needs per day just to stay alive. If your body needs 3000 calories per day and you are only consuming 800, then the rest of your energy needs for the day have to come from your tissues. If we do things right, the vast majority of that will come from fat, though no matter how hard we try, some of it will come from muscle tissue. Regardless, (and here's the point of all this), there is never a period of time when eating a very low calorie diet like we do after bariatric surgery, when you just lose water weight, or stop losing fat. Early on, you will lose a lot of water weight, but what you are losing is not JUST water. Later, you may experience stalls, but that's not a period of time when you stop losing fat. Instead, you may be putting more water weight back on (this IS part of the healing process), but you're still losing fat underneath that water gain. Note that there will be other times when your weight plateaus or even goes up some. This is 100% normal and not a cause for concern. If you are following the diet plan your surgical team sent you, you WILL lose fat. It's impossible not to. This is why I said it's just not healthy to weigh yourself daily. Scales LIE. They don't measure our amount of fat loss, they just measure weight, and weight is made up of so much more than just fat.

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.

On 1/22/25 I had surgery initially to bring my remnant stomach down from my chest and they said while they were in there, they'd repair a hernia.. It was done robotically, so I anticipated the dreaded CO2 shoulder pain. I was up & walking, doing what they recommended & was discharged the next day.. After about 48 hours, it had subsided but had occasional twinges.. Unfortunately, I wasn't informed that I would need to be on straight liquids, but I had a Roux-en-y in 2008..so piece of cake. What wasn't so simple was taking my various pills & having one get stuck 3 days post-op. I had no choice but to throw it up. Apparently that caused swelling, so I ended up in the ED... After about 10 hours, the swelling reduced & I was able to swallow again. After a few days of taking bare necessities, I flew home to CO. I will be doing my 2 week surgical follow-up via tele-health. However, I am now 10 days post op & I am having intermittent what I assumed was CO2 shoulder pain. It is excruciating and extends up my neck & radiates into my ear. I couldn't figure out why I was suddenly having shoulder pain again as the CO2 should be out of my system by now. After reading about everyone else's experiences, at least I know I'm not crazy but hope that the stress and swelling after the pill incident didn't mess things up. Needless to say, I will be calling my surgeon first thing in the morning. BTW.. Even though I had some complications after my bariatric surgery in 08..I would do it ALL over again. No regrets.. I was 333 pounds the day off my surgery and 169 today.. And here's something only a bariatric patient will appreciate.. At 5'8", I was no longer considered OBESE, just overweight.. That is until osteoporosis hit and I am now 5'3, still 169 but back to being obese.. It sucks cuz I have maintained my weight between 167-169 for over 15 years but I can't control the fact that I shrunk 5 inches in the past 6 years.. The joy of getting older 😁 Thanks to everyone for sharing and saving my sanity..

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.

167 was my lowest weight and I was determined to keep going, then life happened. I started a new, stressful job, bought a house, moved within a month, and then my dog died in my arms all within a year. To say I'm disgusted with myself is an understatement. Being someone who considers themselves a perfectionist, this is really dragging me down. On top of all this good stuff, my body dysmorphia is unreal. I see my current self in pictures or in the mirror and I see my 300lb. self. Even though I'm in medium clothes when I used to be in 2-3X, I can't get myself to see the change. I didn't have the surgery for vanity. It was successful in helping me come off of diabetes and high blood pressure meds. But now that my life feels like it's finally getting back to a normal rhythm (besides having a 6-month old puppy), I am ready to get back on track and get back down to a reasonable weight. I can see the gain in my face, and it's killing my confidence (if I ever had any). I've talked to my gastric bypass team - I know what to do, but I'm having a hard time getting back on track. I'm trying baby steps, but I'm looking for other tricks and tips for getting there. Any and all feedback is appreciated. Best

@AmberFL Thanks for the additional detail! I agree with @ShoppGirl that localized swelling and postoperative edema may be causing a lot of your gain. I do also totally understand the concerns, though! I recently had a procedure done on my proximal hamstring to treat a partial tear. While not nearly on the same scale as your plastic surgery, I wasn't able to workout at all for a full month and even now almost 2 months later, I'm still having to ramp back up really slowly. For example, I'm still not allowed to do any lower body strength training and my running mileage is only at about 50% of where it was before the procedure. Like you, I also saw my weight go up during this time. Even though I knew edema was the likely initial cause, it still messes with your head. This was especially true for me because my workouts are frankly a form of therapy for me. It felt like a double blow. It really sounds like you've got the diet mostly dialed in for now. I suspect one of 2 things will happen as you heal. The most likely eventuality is that your swelling and edema goes down and you find you're happy with where you're at weight wise. If so, be sure to up your calories as your workouts resume. If you find that you are a little heavier than your ideal, then no worries. Once you are working out again, the easiest solution would to only eat back about 50%-75% of your workout calories. This will be slower, but is super sustainable, compared to a drastic cut in calories that would get you leaner quickly, but is also a lot more likely to cause some rebound weight gain. I also noticed something you said in an earlier post and I wanted to commend you for it. You mentioned something about maintaining around 1700-2000 calories. This is something a lot of people don't understand, but you can successfully maintain across a range of calories. Many people think they've got to be EXACTLY at a certain number to maintain. That's just not true. The reason is that most people will subconsciously be a little more active when the calories are higher and a little less when they are lower. Please check in every few weeks and let us know how it's going? I'm sure you'll do great, be we are always here to help if needed.

I totally get that a five pound gain messes with your head. My weight fluctuates by like 10 pounds through out each cycle with the chemo. I shoots up almost immediately on treatment day and then goes up and down until it gets mostly out of my system. Since I am still in the honeymoon period from my surgery and don’t really even want to eat apart from cravings it is sooooo hard to not just starve myself when I see the numbers go up. I know it’s not the exact same as your situation but I imagine the mental shock of the number is very similar. Hang in there. You should be able to get back to the majority of your routine soon and be back to your old self before you know it. I will probably be on here asking what worked for you this summer and fall because Im having a bilateral mastectomy with expanders in early May and then a reconstruction with implants planned after radiation. Although I’m trying to get in for a consult with that Dr to find out about that fat transfer option. Im not sure if its new or not but the surgeon I met with did not offer that option. Did your surgeon tell you to get routine MRI’s to monitor for leaks. (You said you got silicone, right?). I’m sure your surgeon went over the risks with implants in general but there is something I just learned about the other day from a lady at my craft group called Breast Implant Illness that’s worth looking into. It’s not a formal medical diagnosis but it’s a collection of issues that people commonly have after implants that often go away immediately once they are removed. There is the surgeon in Florida that she is going to that people go to from all around the world just to have their implants removed and he can do this procedure if you want them replaced where they transfer a fat from another area of your body. I am trying to get into him to see if it’s possible for me to have that instead of an implant for my reconstruction. They are very selective with who they give appointments to, though. I guess his surgeries are booked like a year out Anyways, not to scare you but there are also lots of more researched issues that a silicone leak can cause as well to include a very rare type of cancer even. I am not sure how much your surgeon went over all of that with you but to me it’s definitely worth being aware of and monitoring routinely. Your surgeon should be able to tell you how often to scan and what to watch for just to be safe. Best of luck with your recovery and I can’t wait to hear about your being all healed up and getting to finally take them girls out on the town. 😂

@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!!

You know, @AmberFL, part of your gain could just be inflammation from your surgery. Has your weight gone down any?? I would say that the implants are probably only like a pound or two themselves, but mostly I bet it’s inflammation. Not sure why I didn’t think of that before.

@ShoppGirl I hear you. Yes I saw the articles from HSS and a few others that quoted that amount, but I've found that sometimes things like this often become an echochamber, even among doctors and other healthcare professionals that should know better. All it takes for this to become the "standard", is for a 50 year old medical textbook or two to print this (based on old data or beliefs), and an entire generation of doctors come to accept it. Look no further than BMI as an example of a well meaning, but ultimately wrong calculation becoming the standard by which we judge obesity and you can see how this sort of thing may not be based on science, but on "generally accepted knowledge". Back to the subject at hand. We do know that RMR can and does increase during recovery, but the amount is not always the same and is highly dependent on both the injury/illness, as well as the individual themselves. As a general rule of thumb when talking about athletes like @AmberFL, the number of calories needed during recovery is typically a little higher than maintenance, but quite a bit lower than what they might have needed when working out. That said, we also need to recognize that Non-Exercise Energy Thermogenesis (NEAT) can vary by many hundreds of calories between individuals. This is important, because even though RMR may increase, it's logical to assume people will have a concomitant reduction in NEAT when ill or injured. The net effect of that may mean the calorie balance may not really change that much if at all. Here's an example: Let's use a 3 factor calorie model, meaning RMR, NEAT & Exercise. (I'm going to ignore TEF for now since it won't make a lot of difference here). Let's assume an RMR is 1500, since this is around the average for all humans. Let's also assume a NEAT of 600 for a total calorie burn before exercise of ~2100. I've selected this since it also is fairly close to the median. Obviously these are just averages and every individual will be different. At an RMR of 1500, if we use as an example a 25% increase due to illness/injury, that would mean the new RMR would be as much as 375 calories more. We would expect NEAT to drop in most people when ill or injured because they tend to sit/lie down a lot more, walk less, etc. Especially in people that have a high NEAT amount to begin with, a drop of 375 calories per day or more is easily within normal ranges when they don't feel good. The net result in our "average" person here is that while their RMR went up, their NEAT went down by the same amount, thus completely negating any need for additional calories. At the end of the day, like you pointed out, we all have to decide for ourselves what we believe and what we think is right. I'm certainly not opposed to anyone consulting with their doctor regarding nutritional needs, as long as you recognise that most doctors get, at best, a single course in nutrition in medical school. Many get even less. I'd tend to suggest a Registered Dietitian instead, especially when dealing with chronic or acute injury or illness. Full disclosure, my background in this area is in nutritional needs for athletes, not people that are unwell. The flip side of this is that I find there are very few RDs that have the requisite knowledge to properly coach athletes, since so much of their training goes into how to help with weight loss, or assist with the nutritional needs of diabetics, cancer patients and the like. We also know that there are some really lousy RDs out there as well, so caveat emptor. (Otherwise, why would we see some of them trying to get very active bariatric patients to stay on an 800kcal/d diet.). Any RD that does that is, i'm sorry to say, an idiot. I'll close by saying that I don't doubt you in the least that you needed to up your calories by a significant amount due to cancer and chemo. I'm sure you recognise that's really in a different league to what most people are going through when recovering from an injury/illness or even surgical procedure. In your case, you have both the fact that cancer cells are effectively using calories that should go toward healthy tissue, as well as the fact that chemo is incredibly destructive to the rest of your body. Best of luck.

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.

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.