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Stalls are common & a necessary part of your weight loss. It’s when your body stops & assess the changes you’ve made & resets things like digestive hormones, metabolism, etc. based on your changes & new needs. Think of it as your body taking a breath to understand the stress you’ve been putting it through. Once it understands what you now need, your weight loss will start again. Stick to your plan, don’t stress your body more. Your stall will break when your body is ready. They usually last between 1-3 weeks but it can be longer. Can be difficult to compare what others are doing or achieving at a certain point in time. I was barely eating 900 calories at 6 months. Barely touched a carb except what was in vegetables & fruit & barely any sugar (still average less than 10g added sugar a day often only 5g). Most are eating way more than that. With your calorie intake you will still lose weight but I agree, your dietician is your best help.

The dizziness is likely orthostatic hypotension or in simple terms drops in blood pressure with postural changes - getting up after sitting or lying down. You can get it reaching up too. It’s pretty common in the first weeks after surgery & I think aggravated by the low calorie intake but for most it’s temporary. (I had a tendency to it before surgery & now I have it everyday.) Keep your fluids up. Add a little more salt to your diet if possible. Get up slowly, in stages & wait before moving. When I do move I generally try to keep near a chair, table,wall, etc. so I can grab it & ground myself if my vision narrows. Even been known to grab a person too - LOL. Depending upon how much weight you’ve lost so far, your upper body pain could be from your body finding it’s new centre of gravity. Your body used to hold itself in a certain way to compensate for the weight you carried. Now it doesn’t have to & your muscles at relearning how to hold yourself when standing, walking, etc. And yes it’s pretty common & can be experienced at different time while you’re losing.

I am wondering if anyone with a diagnosis of chronic fatigue syndrome has had bariatric surgery. I am curious as I am contemplating surgery and if it helped or made symptoms of chronic fatigue worse

I can't speak on this from personal experience as I went through my own insurance, but a friend of mine did hers several years back on Healthfirst Medicaid. She had to do 6 months of nutritionist meetings however she was already doing those prior to seeking out surgery. So between that and her other health issues (which is why they needed her to drop weight quicker), she was approved pretty quickly. She got the thumbs up that she was a good candidate in May and got her official approval in July and had surgery in September. I think it depends on how quickly you get the required appointments completed which aside from nutritionist meetings could be gastro, pulmonary, cardiologist and for sure psych, pcp and bloodwork.

My moment is when my knees and feet were hurting just getting out bed, and not having the energy to play with my children who are 6yrs old and 18m- even when they ask I gas out too quick. I want to be able to coach my kids sports; I was athletic played all through HS and in shape then after having kids just let myself go. I am embarrassed for my husband because he deserves a wife that loves herself enough to take care of herself. He has never been negative and was shocked that I wanted to go this route because he doesn't think that I need to, but he doesn't have weight issues. I want to get back in shape lose some weight and be there for my kids and husband! Plus it never hurts to look and feel good!

Stalls are nearly a guarantee at some point. I wouldn't worry too much about it at this stage. Your body is just adjusting. I am currently 6 and a half months post op and had a few stalls last about a week or two and then a loss. I was the same weight for 2 weeks and then lost almost 5lbs, then stayed at that weight for 3 weeks and just lost 4lbs. Different things might affect it - could be as simple as sodium intake or not having a BM or your body just trying to adjust for the changes. Not too much you can really do to break a stall. Your body will move when it's ready. I do not specifically track carbs either, but I typically go by net carbs when I check stats. Honestly protein takes top priority and everything else just falls in line. I do track via Baritastic app so I have an idea about fat and carb intake, but I don't focus on those numbers. I am not of the mindset of all or nothing, so nothing is cut out completely, I just look for the healthiest alternatives and don't have them often because they aren't worth the precious space. A typical day lands around 50 or less net carbs. Let us know if the carb count change up helped for you.

As you lose more weight, its important to track the percentage of weight loss rather than only the number on the scale itself. We all have a base weight with all of our bones and internal organs that won't change (if we're healthy) and the muscle and excess fat on top of that are the variable amounts. For example, using big/round numbers for easy math, not for actual healthy goals - If SW is 300lbs and GW is 100lbs, then the total excess weight one would need to lose is 200lbs. If that person goes from 300lbs to 200lbs (100 lbs total loss), that is 50% of excess weight lost. If the person is now at 150lb and still trying to go to 100lb (50lb excess remaining), then a 50% loss would only be 25lbs. While its not the exact same amount of effort, you can use this to frame it in your mind that roughly the amount of effort to lose that first (300 - 100) matches the effort needed for the 25lb loss from a 150lb current weight. Again, these aren't precise or necessarily healthy weight numbers I gave, I was just trying to paint the picture to help reframe things to prevent being unnecessarily negative to yourself. You are still doing great! Also, don't forget that muscle weighs more than fat (I think it is roughly 1.5x heavier than fat for a given amount). As you build more muscle from exercise, you will gain weight, but it will be healthy weight. That's why it is important to also focus on more non scale victories later in the process, since the number on the scale isn't everything as you approach the finish line!

It could definitely be the muscle gains offsetting the fat lost numbers on the scale, which is why the scale number isn't everything. Correct me if I am wrong, but I believe muscle weighs about 1.5x as much as fat, so as you approach your target weight you very well could be continuing to get healthier despite the number staying the same or slightly gaining. That's why the NSV's become more important after the initial loss! It's also worth considering how much excess skin may be present. If its a significant amount, you could estimate the weight of that and subtract it from what you see on the scale to get a better idea and avoid discouragement. In that case, the excess fat is gone, and all that's left is the number.

It's probably the strength training, you will still lose the weight doing strength training, but slower than if you did cardio. Strength training, however is perfect for building muscle, which will ultimately change your metabolism for the better, it just takes time. You are likely building muscle and and losing fat at the same time, but due to the muscle increase the scale numbers are showing no weight change. Consider getting a scale that measures fat and muscle as well as weight. Are your clothes getting looser? if so that is your sign that you are in fact, building muscle. I was running into this problem as well when I had to meet weight goals pre-surgery because I prefer weight training to cardio. So I would stop doing weights and start doing cardio and the weight started coming off faster. After my surgery, I will be going back to weights.

Do not go by the fitbit, I used to have one and it counts your resting metabolic rate, meaning the 3k calories its showing you burned include your breathing and your bodily functions not your calories burned by exercise. It also will randomly record an exercise or activity if you move your hand too much etc. I was advised by my dietician to increase my carb and protein since I was doing HIIT or strength training 4-5 times a week, so now I try to do 80g of protein with a shake. I do for carbs sweet potato, quinoa, protein bread or wrap, oatmeal (fiber) and cream of wheat. I tend to weight more or less the same when I train hard since there is water retention for muscle repair, so make sure you are drinking above the recommended 64oz to avoid this. It also helps to look at your weight total per month, not by week or weigh in when you are training, and to start taking your measurements to help see how your body is changing.

just wanted to add that strength training doesn't burn many calories (although it's great for your muscles!). Cardio does burn calories, but you have to do a lot of it to really torch them. At my current weight, it takes about an hour of fairly intense cardio (biking, Zumba) for me to burn just 300 calories (although I agree with the others that the calorie counters and machines as well as fitness "watches" are really just estimates)

I’d question the fitbit too. You’d have to run for around four hours to burn 3000 calories & lift weights for about 8 hours. https://www.stylecraze.com/articles/how-to-burn-3000-calories-a-day/ Remember, exercise contributes to only about 10% of any weight you want to lose. Many benefits to exercising of course but don’t make it your focus for weight loss. I didn’t ‘exercise’ & I lost all my weight & more but that was because my body’s new set point was a weight lower than my goal. But I am an outlier & beat the average stats of losing about 65% of the weight you are to lose with a sleeve. I agree with @learn2cook’s suggestion to speak with your dietician & your surgeon may help too. All the best.

My friend has NOT had any weight loss surgery.

First congratulations on your life changes and healthy goal achievements! I very much enjoy working out and being active too. Just don’t trust whole heartedly what sport devices say word for word. They are really tracking trends and general steps. They tend to overstate actual calories burned. They also don’t account for older-than-50 bodies that burn calories far more efficiently. Several things could be at play so you will still have to do your detective work. Try talking with your dietitian or nutritionist. You may need more protein. You might be triggering your body into starvation mode too, and need to slightly increase your food intake. Make sure you aren’t coming down with a cold that increases inflammation like Covid. Are you getting 7 hours of sleep per night regularly? Is your bloodwork good? Taking probiotics? I stalled at the same time and found my bloodwork was off. But, I also talked with my surgeon who “walks his talk.” He suggested switching up my workouts. I used to live for the weightlifting high, but only lift 2 days a week now. I do more outdoor activities like rowing, biking, and hiking. Walking with poles burns far more calories. I’ve rediscovered walking with all my daily water in a backpack ups my morning walk too. Two years out I’m still finding my balance of food to exercise and still loosing weight. You’ll find it too.

First congratulations on your life changes and healthy goal achievements! I very much enjoy working out and being active too. Just don’t trust whole heartedly what sport devices say word for word. They are really tracking trends and general steps. They tend to overstate actual calories burned. They also don’t account for older-than-50 bodies that burn calories far more efficiently. Several things could be at play so you will still have to do your detective work. Try talking with your dietitian or nutritionist. You may need more protein. You might be triggering your body into starvation mode too, and need to slightly increase your food intake. Make sure you aren’t coming down with a cold that increases inflammation like Covid. Are you getting 7 hours of sleep per night regularly? Is your bloodwork good? Taking probiotics? I stalled at the same time and found my bloodwork was off. But, I also talked with my surgeon who “walks his talk.” He suggested switching up my workouts. I used to live for the weightlifting high, but only lift 2 days a week now. I do more outdoor activities like rowing, biking, and hiking. Walking with poles burns far more calories. I’ve rediscovered walking with all my daily water in a backpack ups my morning walk too. Two years out I’m still finding my balance of food to exercise and still loosing weight. You’ll find it too.

weight loss does slow down the further out you go. There were some months after the one year mark that I only lost one or two pounds. BUT...it kept going, and finally stopped at 20 months out. So it's likely you're not done losing yet.

It was 100% worth it for me. Easier recovery for me as well. I feel normal, normal as in pre any WLS but with the added benefits of smaller meals. Hard to explain. No side effects except the common constipation which is easy to treat daily with a tsp of miralax in my coffee. Severe gerd was hell to live with day in day out, night in night out, year in year out. I finally got tired of acid coming up through my nose when I was finally asleep. In the end, no ppi helped no matter what I took. I was told right away not to expect much weight loss. "Perhaps 40 lbs" . If your previous WLS was done properly, the weight loss will usually be much slower after a revision. I did it for the relief of the gerd. I really had no choice.

BTW this is what BSBCNC said to me. They just seem like they auto deny and don't even check records as we have been so compliant and have plenty of evidence. It sucks because I don't even live in NC - I only have this because I work remoltely for a company in NC and live in CA.. We are gearing up for the peer 2 peer now but here is what was said: Revision of a primary bariatric surgery to a gastric bypass is covered when you meet one of the following scenarios: (1) You have regained weight after your original surgery. In this case, you must continue to meet basic criteria for weight loss surgery, including nutritional and psychological assessments, and you must have documentation of compliance visits (including compliance with nutrition and exercise recommendations) after your previous weight loss surgery (2) You have severe reflux disease that has not been responsive to optimal medical management (maximum medication therapy, diet alteration with the assistance with a nutritionist, and change in activity and positioning). Failure of medical management must be documented, and studies to support persistent untreatable reflux must be submitted. Review of your provided records reveals that you have regained weight after your previous surgery; however, we have not been provided with compliance records from your prior post-surgical visits. Additionally, it does not appear you have undergone optimal medical management for your reflux or that studies show severe signs of reflux.

I was sleeved in March, and as of last week, I have officially lost 81. I started at 309, I'm currently 228, and I've noticed my progress has slowed down a lot. I'm anxious that I won't keep losing weight, because I'm only halfway to where I want to be. It sucks because I know I should be celebrating all of my hard work, but I'm scared I'll be stuck where I'm at and that my progress is over. I'm still tracking my calories, and I'm averaging about 1200-1300 a day. I walk at least 30 minutes a day, strength train 2 times a week, and I try to stay active on the weekend (5 mile hike & 1.5 hours kayaking yesterday). I struggled for so long to lose weight, and I'm scared I'll go back to struggling now.

Hey all, I have a bit of a dilemma. According to the FitBit watch I wear everyday, I burn on average around 3000 calories a day. I eat no more than 1,300 calories however, and drink my 2 litres of water but I'm unable to lose any more weight? I've been at this plateau for about 3 months now (which is annoying because I'm a stone away from my goal weight), either staying at exactly the same weight or adding 2/3 pounds a week and it's so frustrating. I can't find any info on why this may be the case, so I thought I would ask you guys to see if you could shed any light? If I'm burning more than I'm eating, surely I could be losing weight instead of gaining? I know muscle weighs more than fat and that it could just be me gaining the muscle I've been trying to build from strength training, but it's incredibly disheartening. The only time I seem to lose weight now is if I go on a 3-5 day liquid diet, but I shouldn't have to rely on doing that every week to lose weight, surely? More info below for context: - 8 months post op - A stone away from my goal weight - I consume as much protein as I physically can a day (between 40-70g a day) vitamins and water - I work out 4 to 5 days a week, mostly strength training with a bit of cardio - I'll probably have carbs 2/3 times a week. Sweet potatoes mostly. Perhaps a sandwich if I'm out.

A lot of things played into it, but honestly, it was when the doctor asked me if I would be interested in it. For background, I'm turning 50 next year, so yes, that milestone is in my head as part of it. My younger brother had VSG 15 years ago, and ever since then, I wished I could do it because he had such a great outcome. But at the time my BMI was 34, so I didn't qualify, even with high blood pressure. As my weight increased, my doctor referred me to the hospital's weight loss center. They started me on a non-surgical program, and it worked a bit for a while. And then it didn't, and I gained everything back plus some. I even tried Wegovy for a while, but I could never get it long enough to see if it would work because of the shortages, plus the discounts dried up and the out of pocket was crazy. But this past summer, my weight peaked at the highest it had ever been, tied with the day I left the hospital after delivering my second child. My BMI had reached 40. My body ached, my feet ached. I was bloated all the time. Nothing fit. My heart kept doing a worrying fluttery thing. I had to increase my blood pressure medication. With the pandemic, I had stopped going to the weight management center. My doctor told me to go back. This time, they asked if I would be interested in considering surgery, and I jumped at the chance. It was like the second the question was asked, I knew it was time. If they'd asked earlier, I probably would've done it then. But for such a long time I didn't qualify, and then I probably did but everyone seemed to think I should still keep trying on my own. When I found out my out of pocket costs would only be around $3k, I nearly fainted. I assumed it would be so expensive. My brother was self-pay and it was 10k. Instead, it's the same as two months of Wegovy! Now I'm just counting the weeks until my Dec 27th surgery date.

I had a sleeve 23 months ago and I honestly I think I have only just stopped losing now. It was half a pound a month or less for about the last 4-6 months, but still a downwards trajectory. Just really really slow! Totally believe that my body has found its new 'set weight'. In the last 10 months I've lost 10lbs. That was faster earlier in the year and then really slowed down, obviously. In the 13 months before that I lost 130lbs. 💪 Best of luck to you OP - you still have loads of time to hit your goal weight!

Welcome to the forum OP. I wish you all the luck on your weight loss journey 😍

I usually eat whatever I feel like. Today I had coffee with half cup of 1% milk and collagen powder (breakfast). For lunch, I had a 120g slice of bacon, egg, onion quiche (homemade). For snacks, my go-tos are crispy grapes and strawberries. I eat all types of fruit, and often changes depending how I feel. Like yesterday, I had some of a fresh cacao fruit. Other days, I love frozen durian. Not sure what I'll have for dinner, thinking of two black bean tacos (I like the black bean fiesta) but I may make some oxtail soup with veggies. It's good for prepping several little bowls for later meals. Before maintenance, during stalls, I would cut back my calorie intake on my weekly average till it breaks. To help, I use a lot of konjac noodles because they are basically calorie and carbohydrate free. In maintenance, if I gain a couple pounds, I do the same to get to my accepted weight range. I have no secrets, it's boring, I watch my calories. I have to unfortunately. My exercise is to live an active lifestyle by constantly moving wherever I am, but I don't ever do a formal exercise plan because I can't exercise my way out when I eat too much lol (As the saying goes) and it makes me more hungry anyway. I move for health, not to lose weight.

Can we pretend this is an Overeaters Anonymous meeting and it's my turn to stand up front and bare my soul?...especially since I never had the balls to set foot in a live meeting during my 35 years of having a BMI score higher than my IQ. There's donuts in the back...JOKE😁 It's been almost a year since my sleeve surgery and I couldn't be happier with the physical results. I was 60 years old, 5'4" and weighed close to 210 when I finally made an appointment with a bariatric surgeon. I'm now 61 and 134 pounds...I'm still 5'4" though. The past few days I've been in deep thought mode and was just hoping to use this forum to vent and hopefully get some feedback, positive or negative. Dining out: It's going to happen. It was probably part of your life pre-surgery, so it's naive of you to think it won't be a part of your life post-surgery. So maybe it's just me and my family (obese mother) and significant other (F, normal weight), but the minute the menu appears, I get a barrage of "Oh..they have plenty of appetizers and small portions you can order. Be careful, etc. Did you see the vegetable plate?" OK, so I know my significant other and my mom love me and are probably just concerned about my health and eating habits post-op, and if I'm being overly sensitive, just tell me and I'll shut up, but when they say things like that, it's not helping! If anything, something deep in my primordial starving "fat" brain wants to order the biggest thing on the menu and attempt to eat it. When it happened yesterday at lunch, I calmly and nicely asked both of them if they could refrain from offering me ordering advice, as I assured them, thinking about the ordering process and the actual eating of said meal in a healthy manner was the number one priority on my mind pretty much 24/7. They didn't seem to take it too well. Which leads me to my next thought... I might be stereotyping, but I'm willing to bet that a lot of us here were never/are not selfish people. I'm sure there are pages of psychological data written about the personality traits of the chronically obese and the myriad reasons we ended up as we did. My point is, after bariatric surgery, you might have to become a little selfish. You may need to put yourself first, sometimes to the detriment of others. Obviously, it helps if you can do this in a nice manner, but with certain people and situations in your life post-surgery, you might just have to be a selfish a*****e. If your new lifestyle (diet, whatever you want to call it), exercise regimen, food habits, etc don't quite mesh with those around you, too bad. This is your last chance at success and you need to make YOU the priority. I walk a lot now...and it takes a lot of time. Some of that is time I used to spend with other people...now it's not always like that. Some have mentioned it. I don't care. I always invite them to walk with me but I'm not going to not walk because they want to do something else or don't feel like walking. When I think about some of the healthiest people I have known in my life, they were/are quite selfish when it comes to exercise. One of my friends has been to the gym every morning from 5:30-7:30 for 35 years. He never misses. It's not an option. That's amazing to me because despite the genetics of obesity, there's no question that having some type of exercise regimen helps at some level. Did I ever have that level of commitment? Only to stopping at Whataburger several times a week. So as much as I read pre-surgery and even with the psychological profiling the doctor did, I never read much or heard anyone talk about some of the changes I needed to make mentally to make this work. It seems like most of the pre-surgery discussion is about how to eat before and after the surgery and most of the psychological discussion is about not letting one addiction (food) be supplanted by another (drugs, alcohol, etc). The crux of this dissertation, if you're still reading, is that there couldn't be more truth to the phrase bantered around here...."They operated on your stomach, not your brain". Prepare yourself for some mental challenges that being thinner does not make any easier. I must look a lot better because everyone tells me so...but I don't always feel better. Some of the same issues I've dealt with all my life, totally unrelated to weight, are still around. It's not that I expected them to disappear, but I think at some level, deep down, many of us think/thought, "Oh, if only I weren't so fat, I wouldn't have to deal with this problem [insert the problem/issue of your choosing]". Maybe I was just being naive or stupid, or both, but even being "thin" comes with plenty of challenges. I know these are "first world" problems and I'm not trying to sound like a complaining, spoiled brat. I just wanted to let off some steam here in the hopes that I'm not alone. Thanks for listening.