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ok, so i did quick math on your macros and u are currently consuming less than 900 cals a day (i used the mid point of all your reported ranges). this calorie level (which doesn't take into account exercise) is weight loss level calories, unless you are like 4'10" tall. so its no wonder you are still losing weight. if you double your fats, you could reach up to 1300 a day, which is closer to maintenance level for some, but i suspect you'll need more based on your height and activity level. aside: i am a shrinking 5'2", and have been maintaining a range of 115-120 lbs for over 5 years at a calorie range of 1800-2300+ a day (it all depends on my activity level). currently, im on a (so far) 10-mnth long, high volume exercise kick so i average about 2100 these days. i weighed 116 this morning. further, as is my m.o., i dont eat alot of volume at once, but i eat often (i.e., im a card-carrying grazer lol)...otherwise i would not be able to reach my maintenance calorie level.

Give yourself time! When you press the brake in your car, it takes time to come to a complete stop. The same is true when you try to go from losing to maintaining. It's hard to know immediately if you are eating the right amount, especially with a significant amount of exercise like you're doing. As you are learning, you've got to EAT to fuel that level of activity and it can be stressful for us formerly fat people to eat at levels that at one time would have led to weight gain. Track things for a month or so and see where you end up. If you continue to lose, then you obviously need to eat even more. If you seem to be maintaining within a few pounds (keeping in mind normal fluctuations), you're probably where you need to be. If, heaven forbid, you do start to gain again, just ease off a tiny bit on the calories and you'll stabilize. Whatever you do, don't stress it, because you now have all the knowledge and tools to stay at the weight you want!

Hi Ladies, I’m almost 6 weeks post-op from my gastric bypass. I started at 109.5 kg, and now I’m at 98.6 kg, so I’ve lost about 10 kg. While my nurse and doctor mentioned that I could’ve lost more by now, they said it’s still not bad. Honestly, it didn’t make me feel great, but a loss is a loss, right? I find myself comparing my progress with others, mostly with sleeve patients, which I know isn’t fair. So, I’m here in the bypass forum to hear from others with success stories. Shouldn't the most weight loss happen in the first 2-3 months, and then it slows down? Right now, I’m losing around 1 kg per week, which I know is healthy, but I keep feeling like I should be losing more, and then I panic, wondering if I’m overeating. I’m on a 1200-calorie plan with 8-10 small meals a day. I haven’t been able to stick to the 10 meals, but I do my best to hit 8, and they’re all balanced. My workout routine has been almost non-existent, but I joined the gym TODAY, so that will change! I just need some reassurance that I WILL lose the weight and that I’m not going to fail like I have in the past with weight loss.

I'm going to start with my obligatory recommendation to talk to your surgical team. There is a possibility your issues are complications due to surgery, or even other potential medical conditions. It's better to be safe than sorry and talking with a medical professional can help rule out some issues. With that out of the way, I will give you my non-medical opinion just based on what you posted. Again, just based on what you wrote, it is possible that what you're experiencing is related to the volume of exercise and your low calorie intake. While it's not exactly the same, this is similar to something we call RED-S (Relative Energy Deficiency in Sport). Feel free to Google that to get an idea of what I'm talking about. Both in the case of RED-S, and what you're describing, it sounds to me like your body is telling you that you're overdoing things. I love that you're being more active, but without properly fueling your body, you can actually cause some nasty problems (again, see RED-S). Keep in mind that your body actually only improves physically during recovery, which includes both proper rest and proper nutrition. Dehydration can also exacerbate the problems your having. Plus, while dehydration can always be an issue for anyone, for someone so soon after bariatric surgery it can be really problematic. One of the most common reasons bariatric surgery patients end up back in the hospital is due to dehydration. My advice would be to give yourself a down week from the exercise, which should do a couple of things. One, it will give your body a chance to recover some, which is a good thing. Two, it will help you know if this really is due to the volume of exercise and the incredibly low calorie intake. By the way, a down week, does not need to be a week completely off, Just stepping things down 25% to 35% is enough. For example, instead of walking 5 hours, shoot for 3 or 3.5. Do the same on your swimming. Taking a down week like this around once a month is really common for even pro-level endurance athletes. I promise it's going to help and not hurt you in any way.

once you get that far out, you have to play around with different calorie ranges to figure out about how many calories you need to eat to maintain your weight, and how many to lose. That range really varies for everyone depending on sex, age, activity level, metabolic level, how muscular you are, what weight you'd like to be at, etc (e.g., you can eat more if you're fine with weighing 180 lbs as opposed to 130 lbs). I can maintain my current weight by eating about 1600 calories - although I can eat a bit more if I'm exercising a lot. To lose, I have to go below 1600. And since I'm pretty close to a normal BMI, I'd have to eat quite a bit less than 1600 to lose a somewhat noticeable amount each week (otherwise, I'm losing just a couple of ounces - and it's hard to distinguish that from normal fluctuations). There are some women on here who can eat 2000 calories to maintain, and others who can only eat 1200. It's really sort of trial and error given how far you're out from surgery. Maybe start with a range - like 1300-1500 and do that for a couple of weeks. If your weight isn't budging, drop the range down by 100 calories. Rinse and repeat until you start losing weight again. P.S. if. you're losing inches but gaining weight, it could be that you're putting on muscle. Or if you've recently started doing more and/or heavier lifting, it could be that your muscles are holding on to more water (since they need water to repair themselves). If that's what's going on, once your muscles are used to that level, your weight should start dropping again.

If you’re losing inches it sounds like you’re putting on muscle 🙂 The best way to describe it is that a lb of muscle takes up less space than a lb of fat, plus muscle burns calories for longer too so additional benefits - yay! I would suggest carrying on with what you’re doing currently and just keeping an eye by tracking your measurements until you feel comfortable in what you’re doing. Your body is getting used to your current changes in upping your calorie intake and is probably thanking you for adding additional fuel while you work out!

Hopefully by now you've had a chance to talk to your team about your concerns. I just wanted to add that your basic assumption that you need to consume more fat is somewhat flawed. Our bodies are quite efficient at converting excess calories ingested via carbs or protein into fat, so dietary fat consumption per se isn't critical. That said, there is an issue you need to be aware of. There are substances called Essential Fatty Acids (EFAs), that our bodies can't manufacture, so we're dependent on consuming them to get the recommended amounts. If this didn't come up in your convo with your team, I'd ask about EFAs specifically and see what they recommend.

What about a little olive oil for the healthy fats? Seems like my nutritionist mentioned that at one point. That would up your calories without having to eat more in terms of volume at all.

WOW! 12-14MILES?! I am toast after 3miles a day LOL but I am trying to build up slowly, its great cardio and I feel great afterwards. The whole calorie macro deficit confuses me. I feel like I eat plenty and enough to sustain my workouts that I do a day, I am not hungry after my day but super duper hungry when I wake up. Do you eat seafood and vegetarian by choice or is it because your stomach can do poultry or red meat? I know pork sits really heavy and I have eliminated that my diet completely- its not work the pain lol

JennyBeez you wrote; " grieve the convenience of high fat/sugar/calorie foods. The ability to go anywhere with friends or family for a meal and not have to worry about 'will I be able to find something I can eat?' and cruising the menu online first." Hi, I'm blonde patriot living in CDA, and I have a problem. I'm a social eater..." This is the hardest for me. I am already sick of doing the menu scans beforehand. It quickly made me realize that 99.9% of the food at restaurants is a no go due to being fried, made with sugar or extremely high in carbs and calories! Plus, if you're like I am, I detest cooking and eating out is what my husband, friends and family do - we enjoy, excuse me I use to and they still do enjoy food and the experience. It took all the joy out of get togethers for me. Plus most food I can eat tastes bland now. Now before anyone says "but you can still enjoy being with friends and family foods just a small part of that" <rolls eyes> they don't understand - it wasn't and isn't a small part of it. When we used to go out it was to eat, we'd share our choices, talk about the differences between this and that choice here and at other restaurants etc. It was one of the main reasons we got together! We had certain restaurants for celebrating birthdays, promotions, good semester grades and holidays etc. We had certain dishes - our favorites depending on what our activities for the day were. Now, I spend the first 15 mins examining the menu picking each thing apart ..does it have fat, too many calories, carbs, protein or hidden sugars will it even taste decent? Is it 300 calories or preferably less? After that I look longingly at others choices I actually want. Then comes the dreaded lets get an after dinner drink or coffee with dessert. So I get to watch that too from the sidelines. Even my husbands and my retirement has changed, we had a list of the places in the U.S. that were known for specialties such as a lobster rolls in Maine, black beans and rice in New Orleans, Philly cheese steaks in Philly, New York pizza etc., for our first year of retirement we were going to rent an RV and travel..visit those places based on our food choices and eat their specialties, they were our destinations. Then, after the first year my husband wanted to "belly up" to the shrimp and lobster bars on cruises for "days on end." Now all this has changed and I'm now resentful at myself and society. Myself because well becoming obese and society for being judgmental and valuing youth, beauty and being thin over the value of a persons worth inside! Yes, I'm thinner and healthier and most likely will live longer (no guarantees)... but...to be honest I don't want to take a walk instead of going to a restaurant as one person said and as my dietician suggests. They're NOT the same thing, one does not equal the other! No friend who wants to go out and about with the girls to shop and eat wants to substitute a walk instead. I DO know its my "new reality" and I do what I must, I'm just not happy about it. It feels as if a part of the joy has been removed, sucked out of life along with a portion of my stomach. Yes...I do try and find other things.. .but yeah well. Everything involved food, go to the beach pack a lunch (not two separate lunches one I can eat and the rest for everyone else), go shopping, go to the theater with dinner beforehand, go to the movies, go dancing - nope no alcohol or anything with calories oh joy - water!!!. Lol no one ever said hey girls lets do a girls day...and hit the gym where we can all sweat together, grunt and watch others pop veins struggling to lift a weight bar for fun! Even my poor husband has had to change, he used to be excited to bring some new food home he found at a new restaurant or even at the grocery store he'd want to share with me...nope not anymore. He just eats it before he gets home to save me and him the having to turn it down. So yes, I mourn not only the food, but the convenience, fun and get togethers. I have even noticed my friends don't call much anymore to "do" lunches because they'd always ask "where CAN you eat now"? The choices were limited or I'd have to ask the server for considerations..making it more work than fun. 300 calories or less is extremely hard to do at restaurants and my friends didn't want to put me through it anymore. So yes, I mourn. Sorry for the long whine/rant but Jenny geez brought it all up again for me.

So, there's a normal meal and then there's what you get in a restaurant or what we've been taught to think is a normal meal. At about 8 months out, I can eat a full serving of chicken breast. That's defined as being between 3-4 oz. And in the same sitting, I can also eat a serving of broccoli, which is about 1 cup. I don't tend to eat grains often, but if someone gave me a serving of brown rice, which is 1/2 cup cooked, along with the chicken and the broccoli, I could probably eat about half of that on a good day, but not touch it on a day when I have a smaller appetite. Personally, I would be more likely to substitute a second veg or a fruit. What I've just listed would be considered a "standard" meal by a nutrition expert. It has about 280 calories and 24 g protein, and provides balanced nutrition from several food groups, along with fiber. But most people would probably think it was way too small, and if you went to a restaurant, you would get 4x that much food, plus half a gallon of fat and sugar laden sauce on top. And probably cheese, just for good measure. Could I eat that? No. And hopefully I will never be able to. A sandwich is tricky because of bread. I find bread too filling. I was out this weekend at a sports stadium and had to order my lunch from a food truck. I chose the grilled chicken pita wrap and ate all of the insides but treated the pita like a plate that got thrown away at the end. I do the same with a soup and half sandwich combo from a restaurant, eating the sandwich filling and the soup but ditching the bread.

@Mspretty86 I maybe have clarified that I did not get pregnant. I just regained. I’m sure that if you were to gain a reasonable amount with a pregnancy under your teams care you could take it off between breastfeeding and diet. I was just saying that getting enough calories after you are like 6 or so months out shouldn’t be an issue that you would just have to eat more times a day. Many of us gain way more that is really necessary to support a healthy baby anyways.

Love your idea of creating this post, just 1 win at a time! So up lifting !!! Wish I saw this the past few weeks. Yesterday I work out for about 3 hours and burned over 1000 calories! Jogging in the early morning and walk to Orange Theory Fitness for my class. After lunch I went to HOTWORX for more work out. Felt so great that I took the day off and was so productive. I’ve been stuck on 201/202 lbs for a few weeks. This morning I am poppy playtime longer in 200!!!! 199.6lbs!!!! Omg I am just screaming and crying. This was my first goal I wanted to hit. I beat myself up often and was so upset I didn’t reach it 3 months ago when I was at the doctor appointment. So I started 273 lbs, on my surgery date in Jan 24 I was 250, took me 8 months to reach 200. My next appointment is in a month and I look forward to show my doctor that I am in ONEDERLAND! (Under 200lbs)

You’ll find your rhythm, it might take a while but you’ll begin to understand what works for you and what doesn’t. When I first started working out I was doing 2 hours of cardio a day. When I knew better I cut it to 50 minutes a day and lost more fat that way. I would train glutes twice a week if I could but I get too sore because I don’t eat adequately to recover and for them to grow hence the once a week. If you can train glutes twice a week and rest well between the sessions (say beginning of the week and end) and eat well then go for it, nobody minds a juicy perky booty lol. Shoulders are not large muscles so I would limit it to 3 exercises a week (shoulder press, upright rows, lateral raises) and 2 bis and tris exercises as these are smaller muscles. I didn’t meet my protein goals for over 4 months post op. At 6 months I upped my calories to 800 and at 7.5 months (now) I’m averaging around 1000 calories a day, give or take. I have some fierce restriction so my portions are very small but I eat frequently (every 1.5-2 hours when I’m not busy or distracted). On weekends I forget to eat and can go 6 hours between meals but on weekdays I try to stay consistent and eat every 1.5-2 hours. It’s very unlikely that you’ve messed up your sleeve, you’re losing weight and keeping active so it sounds you’re doing it just right. You might be surprised to find out that you might need to eat much more (1800-2000 calories) to maintain your weight! My brother was sleeved 3 years ago and to maintain his weight (mind you he’s really slim) he’s eating around 3000 calories and he’s not active lol. Not saying you should jump to 1800 calories overnight but maybe gradually start increasing your calories until you hit the sweet spot and your weight stabilizes. Track everything and keep a food journal and note down your weight changes (loss, gain, maintenance). Remember you are very active and you WILL feel more hungry than someone who isn’t. Your body is new to weightlifting and is trying to build muscle, and building muscle requires a lot of calories. At 4 months post op I started serious weight training again and I was able to up my calorie intake when I was failing prior to that, I am just much hungrier working out than when I am not. At 3 months post op I was barely getting in 200 calories a day. Don’t doubt yourself, you’ve done amazing!

Oh I have so many questions that I seen the NP like five times since surgery and I call In between 😆 The NP finally gets it that with my anxiety I just need a little more reassurance throughout such major changes. She is so helpful. I ask her about my macros and stuff. I didn’t really feel like the dietician was very knowledgeable on my surgery. The goals the NP have given me are nothing like what the dietician had said. They should be fine to answer about the more common surgeries though. And they can tell you specific foods that will work. The NP just looks at the bar charts from my food logging app and says things about my trends. If you don’t have a fitness watch, consider one of those. They have some pretty inexpensive ones on Amazon now. I got one on sale for $20 that seemed like a good one but my husband was able to get my old watch to update so I returned it. It’s really nice to be able to tell them your activity trends. And if you have an iPhone and carry it with you when you walk around you already have it on your health app. The watch will record your heart rate too though which gives you a better idea of calories burned.

My NHS offer 3 ways of completing the LRD - all shakes/meal replacements or 2 meals of replacements and 1 of food or all 3 meals actual food. All 3 ways are for 3 weeks and must average between 800-1000 calories. If you’re having food for say dinner, they say you can have a healthy ready meal of approx 300 cals plus a yoghurt of around 100 cals. As @Bypass2Freedomhas said, different providers seem to have different rules and expectations so I would contact your dietitian or Bariatric department just to double check 🙂

Yes, @Trish662 , I had the exact same situation only I’m 5’4”. I was 53 yrs old when I had surgery in August, and had a long stall in December and bloodwork came back iron anemia. It took a month of faithful iron supplements with vitamin C during my lunchtime (coffee, milk products, PPT, magnesium supplements all make taking iron at other times cancel out absorption). You will have to find a 4 hr window (nothing 2 hrs before and nothing 2 hrs after) that works for your absorption. I ate meatloaf, meatballs and ground grass fed beef with a small amount of marinara or mild salsa for lunch meals as well. At the time I could only eat 3 oz of protein due to restriction (dietitian still pushing for 4oz per meal even now). I get my 60-80 grams of protein per day in easily now! After that grueling iron work I did start loosing weight much more regularly 3-4 lbs a month and kept loosing weight until 2 years and 4 months. I had RNY so I need to stay on top of the iron absorption issue regularly. If I forget to take the iron with C for a week, I feel sluggish and 4-5 lbs shows up quickly. It takes about another week to get the weight and iron back on track (says the bloodwork and doc). You’ll feel better soon and your stall will end quickly. I take Centrum Women’s 50+ tablets in the morning with Calcuim and D3, then additional Nature Made Iron 65mg with Trader Joe Vitamin C complex at lunchtime. I found my magnesium low too so I take that at night with a probiotic, Trader Joe’s is the cheapest that doesn’t hurt my stomach or pocketbook but you will probably find something you like better. I don’t count carbs, but I find if I eat any simpler carbs like an apple or oatmeal I dump. I also throw off all my electrolytes and get wicked muscle spasms. Gatorade Zero or similar products help me stay balanced, and I stayed away from most carbs except veggies during the loosing phase. I can eat the same or more calories in fat and loose, but if it’s carbs, stall, stall, stall. You will find your sweet spot, pun intended.

He just had me work an elastic band and said to do that but I ended up not doing it. But I can walk probably for 2 minutes or so everyday and increase it to 3 minutes next week. Especially when I have to go to saranac next week for my last followup before my surgery. I kind of want to tell them I've been exercising. I don't have a smartphone my wife has one and brings it to work with her everyday but I have a computer that I can setup reminders on. I go on it every morning so it would work perfectly. If that doesn't work I do have a tablet that I can use for reminders but I'm not on my tablet very much. I mostly just go on my tablet to check my email once every few days. My team will be taking good care of me after my surgery yeah. Even if I choose not to have the surgery they want to keep me in the program because I'm overweight and eligible. But I want the surgery because it should be a good tool for losing weight. Next Wednesday is just around the corner and hopefully I'll get all of my questions and concerns answered. I think even if I'm hungry though as long as I fill up fast I don't think I will eat as much as I am now. My problem is I am NEVER full even if I eat 3k calories in one sitting. It's ridiculous. The surgery should definitely change that.

I'm almost a year and a half since my RNY (November). I've lost about 135 give or take (I bounce between 125-130lbs). I haven't lost any fat free body mass since month 3, and have actually gained 5lbs of fat free mass since May. At my 1 year, in May, my body composition said I was at 18.1% body fat which is on the low end of "lean" I did another one last week because I was feeling off (tired, muscle cramps, brittle nails, headaches) My body fat percentage was at 12.3% which translated into roughly 16 pounds of my overall weight (130 at the time of the test) being fat. Anything under 15% is "at risk". I eat, what seems like all day long, I get my calories, protein, healthy fats, fiber. I take all my supplements. All my blood work I've had this year for random things and specifically for post surgery, has been normal. Nothing, other than feeling off, pointed to this. I do have an appointment with nutrition and my bariatric team this week. But wanted to see if anyone has gone through this, heard of this... Anything? My initial thought is how my body is absorbing nutrients, but again, my labs have been normal.

Honestly, both. Your body is in a bit of shock because this is definitely not what it's use to. It's also mentally taxing on you because, as a binge eater, you're use to eat-eat-eat-feel guilty. Eat-eat-eat-feel guilty. And now that cycle is broken and your body and mind don't know what to do with it. Not to mention, your body has gotten use to functioning on a certain amount of calories and carbs everyday and it's not getting that now. It thinks it's starving to death, even though it's not. It'll take a bit to even out.

Almost 5.5yrs post sleeve and also have maintained below goal. I try to eat regularly & to a schedule. Helps me avoid unnecessary snacking and making poor choices because I’m overly hungry. I try to meet protein & fluid goals every day. I don’t track but check ingredients & nutritional content of new foods & recipes where I can and do random checks to ensure I’m not overestimating portions or calories, etc. I try to ensure I eat meat (yep I’m a carnivore), vegetables, fruit, dairy, and complex multi/whole grain carbs everyday. Add beans or lentils to various meals at times. I adopted a way of eating (not a diet) that is working for me & is sustainable. It doesn't stop me socialising or make it a challenge to make food choices. I do some sort of exercise almost every day (about 20 minutes a day total & not traditional ‘exercise’ but stretches & resistance bands). I weigh myself at least a couple of times a week. I can’t control every aspect of my life every day so I don’t beat myself up if I go off piste or decide to treat myself or can’t follow my regular schedule or can’t meet my goals or whatever. As long as it’s not the norm and a regular occurrence, I’ll be okay. And if something changes (ill health, the crap life throws at us, etc.), I’ll look at my options, make changes where I can or just work with my new reality.

A lot of early post-ops are on a virtual starvation diet which does wonders to every system in your body. This is rather expected, and something to get through for all of us. And as we all should know, when the body isn't getting adequate calories it eats fat. Yeah! And muscle. And eventually organs. Plus, your metabolism slows down. Everything that isn't critical is curtailed if not outright shut down. Things that were easily dealt with before might not be easy during starvation. Over a month, even two or three most healthy persons can cope. And typically, by three months most post-ops are upping their calories adequately. The longer we remain at starvation levels the more harm that can be caused. However, above all else, no matter what you do, carp happens. Good luck, Tek

So I get very very very hungry right before my period and the first few days of my cycle. It is so intense that I feel that there is a hole in my stomach where the food disappears 10 minutes after I’ve eaten. It is so weird and I have never experienced this pre WLS. I have clocked 1750 calories for 4 days straight and a whopping 120 grams of protein because I can’t seem to get full. Then I just lose interest in eating for the rest of my cycle, anyone else experience this? Things I’ve eaten the past few days: Galore of burgers. Double smashed cheeseburgers, a classic burger, and a spicy crispy chicken burger. Maple buffalo shrimps Up close and personal on the spicy chicken burger. So hubby was quite taken aback at how much I ordered (knowing he’ll have to eat most of it, teaser: he did) I got excited to try everything (teaser: I didn’t). I hade around 3/4 of one half of the smash cheeseburger, and a bite of the spicy chicken burger which was soooo good but then I felt so sick and regretted eating that. Hubby ate most of the shrimps, his whole burger and my half. The rest was put in the fridge. There was also a large portion of fries which I didn’t taste.

Try G. Huges...2 or none I can't remember carbs, no added sugars ..5 calories. I use it for marinating.. Or just to add flavor. I haven't had a sauce from this brand I don't like. My favorites are the teriyaki and the chili Thai dipping sauce! You can find them at Walmart...but you have to be quick they sell out fast! I add them to everything for flavor. They make: Teriyaki Bbq sauces Shrimp sauce Ketchup Thai Dipping sauce Yum yum sauce (chick filet sauce) and a lot more!

I finally gained weight!!! I'm officially at 180, and I like that. I feel better, I have more energy, and I don't feel nearly so run down and out of it. Still look super thin, but it is what it is. Now I'm going to work on maintenance since this is where I want to stay. I'm ok with 2 pounds in either direction, but I definitely don't want to drop below 178 again lol I got all the way down to 170 and it was just really bad. I literally don't work out at all anymore because I'm on my feet all day working 5 days per week. I increased my calories to 1700 per day (up from 1500), my carbs to 55 net per day (up from 40 or so), my protein to 100g per day (up from 80), my healthy fats to 80g per day (up from 50), my fiber intake to 30g (10 from supplements and the rest from food - up from 20) and upped my fluids to 120 fl oz per day (up from 90 - 100). I'll add my weekend workouts back in now (nothing crazy, just core and strength but on the lighter side, not heavy) so I don't gain too much now that I've figured out how to finally gain weight lol