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Sorry, one more point I should have made above: I'm not a fan of calorie counting for the very reason you're struggling. You seem to be stating: "I'm only eating 700 calories a day, why am I not losing?" As I mentioned, we all are horrible at knowing how many calories we're really consuming. The issue is actually even bigger than that. Remember, you have to eat less than you burn to lose weight. Since you most likely are overestimating your intake (we all do it), that's an obvious issue. The EVEN BIGGER ISSUE is that you only have one side of the equation. You have a rough idea of intake (even if you measure poorly), but actually have no idea whatsoever know how many calories you really burn per day. There is no reliable way to measure that unless you have a rather expensive metabolic test done. Sure, there are online calculators, but these are only good at determining rough amounts and they can be off by hundreds of calories per day. I won't lie. As a person of small stature, you have it a lot harder than most because the margins for error will be smaller. What I mean is that we know you personally need fewer calories per day just based on your height. Beyond that, it also means the number of calories you have to "play with" are also a lot less than a taller person would have. Let's look at a couple of examples to illustrate this point: Person A needs 2500 calories to maintain their current weight. This means they can cut their calories down to 1000 and all other things being equal, they can in theory lose ~3 pounds of fat a week. Person B only needs 1200 calories to maintain their current weight. They obviously don't have the "room" to cut by 1500 calories a day, and even 1000 is unrealistic, so they'd have to reduce by 500 at most, taking them to around 700 calories a day. This person will only lose about a pound of fat a week, even though they are eating less calories per week than person A. It seems unfair, but it is what it is. Person B is going to have a harder time being compliant with dieting (since they have to eat so little food), and is also going to lose a lot slower. Guess which one you are?

This is my first post here. I am Lisa. I am 42. I am six months post surgery (Duodenal Switch) and I have some questions. Did anyone just NOT lose the weight afterwards? I had to do a diet three months prior to surgery and I lost about twenty pounds doing that. However since surgery in February, I have only lost 9.2 pounds. Yes, you read that right. I am so frustrated. Even in the first two weeks post surgery where I religiously followed my liquid diet, I GAINED weight. From what my doctor told me, most people lose during that period. I have tried to follow my plan of 700 calories and no snacking since then but I haven't done the greatest at it. The PA and I have discovered I may have a eating disorder. I eat when I am not hungry. Sometimes when I feel full (never to the point of getting sick). I am an emotional eater. I eat my feelings so they are sending me to a therapist to try to help with that. I know most people would say "well that is why you aren't losing" but the thing is, MOST DAYS I follow my plan pretty well and I am still not losing. Especially not like I want to. I had hopes of losing big numbers and being way closer to my goal by now. Can someone please tell me there is still hope for me? Is there someone who has been there and went on to have a success story?

Agreed we need both! BTW I did not do cardio after my leg days this week! Hoping for a bigger peach 🤣

I found pilates great as my first exercise to do regularly post sleeve. I did it once or twice a week for six months and it helped build up my strength. I would have stayed going but the place closed down and I joined a gym instead (can't afford both) .

In the summer, I'm a huge fan of "bowls" for lunch/dinner. Take a base of your choice like rice, brown rice, farro, quinoa, etc, add whatever veggies you like and then your protein of choice. If desired, you can also add some sort of sauce/dressing. The nice thing is you can easily meal-prep these and even vary the ingredients slightly in every single bowl just by having a few different base/veggie/protein choices available. It's also easy to adjust them to your tastes, as well as change the proportions to fit your macros. Also, for the most part you don't even need to heat these up. I eat them cold (or more often at room temp), all the time. I'm also a big fan of soup (yes even in summer), because it helps me rehydrate (due to the salt and fluid), as well as get some food in me after my workouts. I totally realize that for many people, the thought of something warm post workout seems odd, but it works for me. As to the amount of protein you're eating, I think that's okay (and not likely dangerous), but honestly is a bit higher than you actually need. I know in some gym circles, they push as much as 4 grams per kg of body weight, but there's not a lot of evidence that even strength athletes need more than about 1.6 to 2 grams per kg. Keep in mind that your body can't store excess protein, thus what it doesn't use for muscle repair just goes to waste or gets stored as fat if you're eating in a surplus. Another consideration as @WendyJane mentions is that your ability to metabolize protein is limited. While I think the rate at which it can be metabolized is actually variable and likely somewhat dependent on overall bodyweight (some studies suggest it's around 0.3 to 0.4 g/kg/bw), the net effect is that it may actually be a lot less than 50 grams for most people. For this reason, it would be ideal to actually plan on eating about five meals a day, rather than the traditional three. Further, keep in mind that the ability to metabolize protein IS NOT the same as the rate at which your body can induce muscle protein synthesis (i.e. use protein to repair repair your muscles). That rate may be as low at just a few grams per hour! That said, there's not a lot of evidence that high amounts of protein hurt the kidneys in healthy people. Yes, certainly if you have kidney disease, you should follow your doctor’s advice and limit your protein intake. For everyone else, the danger is pretty limited (or even nonexistent). I would say that if your higher protein intake is coming exclusively, or almost exclusively from meat (especially red meat), this is a lot more likely to potentially cause renal problems. Now keep in mind that when we look at whether or not a high protein diet can cause kidney issues, scientists always look at EXCESS protein. In other words, it's not the total protein intake that matters. It's the amount in excess of your needs. As someone involved in strength training, you do need additional protein to repair your muscles. As I pointed out, your actual needs may be less than you think. Like a lot of things, it's best to not assume that more is always better. Obviously some protein is essential, additional amounts can be beneficial for some people, but there are potential downsides to eating more than you actually need. Certainly your call, but you might try dropping that down to ~125 to 140 grams. This will open up some options to get some additional veggies or whole grains in you that will help with athletic performance, while still supporting your goals regarding body recomposition. FYI, my statements about protein needs for athletes is based on the latest Nutrition and Athletic Performance position statement from the American College of Sports Medicine. Sorry for yet another long post. I geek out on this stuff and just wanted to share.

@AmberFL thanks for this it's very helpful! Girl I'm over her cussing saying 🤬to myself that I am not getting no other work done 🤣. I think I mean it to. He done a phenomenal job with the auxiliary fat removal and my breast, but I'm like over it! We shall see what goes on in the weeks to come.

I think I'm going through what they call postop blues or postop depression. This is week three and my left side, which was my smaller boob and smaller side is perfectly fine but the right side where he had to manipulate it more and do my under arm fat is giving me hell. Well, I guess one good thing is I'm not turning to food. In fact I really don't feel like eating and it's really bumming me out. I think because I can't really work out and do the things that I normally do around the house, I think that's what it really is. It's annoying the **** out of me to be honest. And I really also hadn't had any surgeries in my life that requires a lot of downtime so this is new for me as well. With my bariatric sleeve hell I was up walking in the very next day. I think I walked like 3 miles and I walked pretty much every day ever since then and that was a year and a half ago so yeah.

Lemme see here....what order to roll with....I'll start with the No-Can-Do List. Gonna sound cornball...but then again....cornball is my wheelhouse, lol. Okay...here is the Top 5 that come to mind over my morning coffee: skydiving. hell to the NO. Added to that anything that involves heights. It wouldn't be cool for them to see me pass out from terror......although I did have a great conversation with a gal yesterday afternoon who has professional live saving medical skillz. So....she could probably take me to death's door....and bring me back. But no planes, roller coasters, wall climbing or the like. Wind tunnel is about the best I can consider.... Years ago she took me out for margaritas...took my arse out. We found solace as two souls in marriages that were struggling, no sharks. I grew up near the coast...snorkeling and scuba diving frequently.... continued it through college. At some point in my mid-20's I began to have sinus troubles equalizing the pressure when diving...made for painful surface intervals between dives. My Uncle had been through the same a few years prior. He tried surgical remedy....but it didn't help. My late wife, her brother, his wife and some other friends all took their diving certification stuff....and then for various reasons,...each of them dropped out of the class. I'd resigned myself to give the sinus surgery a chance....surgeon was also a diver and he felt like success was most probable. During my years diving I've been close....crazy close....to sharks a plenty. It was all good as I was most often near rocks, reefs, shipwreck structure, etc. Cover was close, if needed. The exposure and sketchy periods were when getting to the bottom & when resurfacing....there I sometimes felt like bait on a hook. Since then I have had some close calls when I was simply swimming on a beach day.....going for a swim to cool off from the sun. One time I had my early teenage son with us....We saw a sand bar a couple hundred yards off shore.,...there were surfers out there. He was deadset on making it out there. I finally caved in and told him we could go but he had to listen to me...currents and such. He agreed and out we went....all was well until it wasn't. I found out the scary way that baitfish were schooling in spots between the sand bar and the shallows. We were swimming amidst the schooling baitfish....joining them on the freakin menu. I saw one, two then three sets of dorsal fins surface in between waves. Then one came too close....got my son's attention and lied to him....told him to get in close with me and we were headed back to shore because I was cramping. He was pissed, but he did what he was told and then gave me a dose of ribbing later on...."Dad you wanna hand me a drink.....oh no...don't do it....you'll cramp up", "Dad....you want me to take the cooler back to the car....don't want you cramping up", etc. My favorite kind of vacation is to sandy places. Don't want to become baitfish again, though....ever. Never thought it would be an issue until recent weeks. Met a gal who is a diver....kept my shark aversions quiet, lol No yoga....period. Could be the greatest thing ever.....but I'm sidestepping. Same could be said of other types of group excursive. I'm a no-class sorta dude. Not going to line up and get into some torture. I prefer to do my torture in solo....lick my wounds and gain the benefits results. I have to protect my shout out knees and right shoulder and keep pre-habbing them until I can get schedules aligned to have joint replacements done. My geriatric-bariatric sorta gym stuff would likely have younger womenz laughing their butts off. So yeah....the gym is where I need to go it alone....for now, at least. Nothing illegal...or at least keep it mostly legal. I'm not robbing banks...but if she asked really nicely and had a killer smile....I may be her getaway driver and lookout. Snakes are off limits. So if they are into snakes as pets.....it is gonna take a HEAP of Dr. Phil-esqe counseling to make that something I can ease up on. My time in the woods has me averse to snakes. The part of Georgia where I live has many varieties of rattlesnakes, copperheads, moccasins, etc, etc. I've had some sketchy moments with 'em all and I went to guns every time. Probably wouldn't go over well with a date who had pet snakes. ......................................... Note that karaoke is now off the list. I'm averse to it. Averse as all hell......but developments yesterday have me sliding that one off my radar. I met someone who sings. I mean, sings at a high level, in formal events, etc. When the subject came up in conversation I was coy....thinking, "here we go with the freakin karaoke silliness"....but I kept my mouth zipped as she was discussing things she enjoyed....music...making music via singing wasn't a hobby....but a passion. My coy arse ...when asked about likes...simply said something cornball regarding singing. "Well...it is highly ironic that we have met...you being a singer, and all." Winked and nodded...knowingly (even though I no nothingsss...strong is my ignorance). She bit and wanted to know more. I deflected and said something about having a small bit of singing experience.....at a professional level....but didn't want to bore her with details....wanted to find out more about her. So it went for a few minutes until she went back to my singing and pressed the matter. "Well, young lady....here is the cosmic irony on this matter....you are clearly impassioned & talented with your voice.....so very odd that we would meet.....you see...you are now looking at the WORST singer on the face of the Earth.....or at least in this county.....I suck.....I've even been paid to NOT sing....had dollar bills tossed at me to put the mic down.....so there it is....I am in awe of your courage to stand up and rock your voice......I am in awe and I'm hardcore untrainable in that area". She laughed and took it all in stride. "So what can you be trained to do....." Mr Cornball here replied with something dumb like, "For starters, I am housebroken...errr mostly housebroken. I can bark...or not bark...roll over, shake and play dead, fetch....you know, stuff like that". She laughed again...but not laughing in the way of "somebody come save me from this nerd....somebody, anybody". Humored laughing....dare I hope, acceptance laughter....is that even a thing ? When I say we laughed....I mean throughout the afternoon and eventing we laughed. Either this gal is challenged or she was actually amused at my dipshyt self. I was intrigued of everything she volunteered about her life, likes, loves, views. @GreenTealael had recently stated major bigtime advice that was THE SURE 'NUFF TRUTH. it pertained to core values being integral to compatibility. Not realizing it was occurring, this lady and I spent hours yesterday covering so much ground that it was unreal. By dawns light this morning I am still shaking my head in amazement. Without me realizing it had occurred....we'd checked off a pile core belief simpaticoisms....yep that is now a word. Simpatico-isms. I was open and honest and simply went with it. Each topic was a new discovery of our views and feels about stuff. Been down this road a good bit lately....and there were always stumbling issues or categories where divergent views may be a red flag. I'm not talking about politics or stuff like that. I couldn't give a rip about that. I appreciate different viewpoints. I mean the bigger issues... Here are some of the hurdles or outright roadblocks that I've had recently in this bachelor living...and this is with even short term fun: No married women. As tempting as a couple have made it...No-Can-Do. I am NOT about to go there. DO NO HARM is the hill I will die on....regardless of the temptation. No coworkers...or at least within my work "zone". There is an engineer and another administrator in another "zone" where some interesting recent conversations have occurred. Even then, I waded much more cautiously than other situations. My sobriety will not be compromised. Long story...shortened version: haven't had a drop since February 2019. Quit for practical reasons to be a responsible caregiver 24/7. Considered myself a casual drinker...social drinker.....but in the years since I saw where I'd used alcohol as a crutch...a tool...a mechanism to distance myself from work stress....or marital stress... I later acknowledged it was a simply delaying those stress & ultimately combining them. So, after my wife passed in 2021...I maintained the sobriety...realizing it was in my best interest. Since then I have benefited hugely from it. I can go out with a girl and am A-Okay with her having a drink or three....I'll have my coffee, water and am just fine. I won't open a bottle or pop a top again, though. Matters of the soul. Didn't seem like this would be an issue for initial attraction and such. But I found that even in casual contact it can and does surface and diametrically opposing views are a non-starter....even if physical attraction is main the component the main draw. Back to yesterday's first meet with lil' Miss Singer....it--was--wonderful. Wunnerfull....I didn't want to be pushy,....or forward....but....wow. So refreshing, I was thirsty for more....and it was shared, clearly. She even stated such....boldly. Stepped up and put it out there....interest demonstrated. She made the first commit. I had been keeping my desires reserved...she was... different. I was having different feels and did not want to rush into anything. This was someone that, yes, major physical attraction is there...but all my no-can-do stuff were non-issues...taken in stride....acceptance. She probably has guys hitting on her all the time and I didn't want to be another schuck trying to come on to her. I mean...I DID want to...but there seemed to be "more than that" taking shape. Everything was.....different. Yeah, I know I said that already...having difficulty finding correct verbiage to accurately describe. Your ever had the thought that you'd love to go back in time and slap the cowboy shyt outa your past self..and do so at a most specific moment and change the outcome and improve the trajectory of past self ???? Yesterday at some point after an hour or so...it was almost as if I felt a hand on my shoulder....a warning hand...it was telling me to slow the roll...be real....look at the bigger picture....and boy howdy, there is a strong hint there is possibly healthy structure for a bigger picture. The hand on the shoulder clenched down more than once....the physical desires needed to be reminded of the cosmic slap that was needed. Dumb as it may sound.....and for whatever reason I can be grateful for....I was calm and didn't blow it....wasn't "that dude". It was rewarded with hours more talking, laughing, disclosing, supporting, etc, etc. --------------------------- So.... we have an actual, real deal, no kiddin' super official date next week...Wednesday. We had to plot through our work schedules to figure it out...but it is set. A date. Not a hook up.

You're actually not doing bad at all. You're averaging 11 pounds lost per month. That's above average. Typical weight loss is 1-2 pounds per week (4-8 pounds per month). So don't worry about the number on the scale. You're actually doing quite well.

Hello SammyGold, Welcome to the Bariatric Forum. I was on a GLP-1 since 2013 without knowing it was a GLP-1, and it changed over time. I was prescribed it by my endocrinologist for my diabetes. What I did once I started on Mounjaro was to lose about 70 pounds, and changed my eating habits to protein and veggies. That's all I ate. More Veggies than protein. I have a bad hip and decided I would take the next step and get the Roux-en-Y Gastric Bypass Bariatric Surgery. While I am only 7 weeks out since surgery, I have seen a huge difference on the scale, and in the size clothes that I can wear already. My face doesn't even look like my picture anymore. I had to lose weight and get my BMI down so I can get a new hip, and I'll be getting that in August, I have exceeded the goal, and plan to keep on going. With the GLP-1s that I was on, I never experienced nausea, but that is a huge side effect for many. It has to be the right dose for you, so look carefully at the different meds, and find out what your insurance covers before you ask for a specific medication from your provider/doctor. Insurance companies are getting ridiculous about weight loss drugs and surgery. They deny due to the cost of the medications. 6 months worth of GLP-1s can cost what it would if you had a gastric bypass surgery!! So contact your insurance company to find out what they cover for weight loss. That is my big take away!

Welcome to the Bariatric Group! Diabetes is a strange critter. With diabetes, you have to remember that your liver will push out glycogen and convert it to glucose overnight, that is why you have differing numbers with the same breakfast. It is also dependent on what you ate the night before. I still get strange numbers, but I'm off all of my medications and insulin for diabetes and I'm only 7 weeks out from surgery. I haven't taken any meds or insulin since the day before my surgery. The highest I have been is 137, and I don't go below 83 mg/dl. I got rid of my Dexcom 7s to a needy friend, and will be giving my syringes and unopened bottles of insulin to my endocrinologist who I see next week on Thursday. Already, it has been quite a ride. From the hormones flying about, to not having to inject insulin and reduced medications, I'm moving better, walking a lot and recently was released to go back to the gym where I swim, cycle and lift weights. I can't imagine my life any different now, best decision I've ever made. Ask me in a year how I feel. LOL

Welcome Magicman, Here is where you will get a lot of answers to your questions that you may have. Feel free to ask anything and everything. I know that knowledge is power, and you want to be powerful going into the Metabolic Surgery/Bariatric Surgery. The last time I took my insulin and meds for my diabetes was the day before my surgery. I have not been over 137 mg/dl since that time and got rid of my Dexcom 7's to a needy friend since I don't need them anymore. I see my endocrinologist next week, and I already know that my A1C is 5.1 which is a lot better than it was before. I basically don't have the A1C to be called a diabetic, but it is in remission for sure. I just need to keep on the program and not regain weight. I'm only 7 weeks out from surgery, but already I have to buy a smaller swim suit and clothes, my pants keep falling down. I'm feeling better and know I'm healthier. Welcome to the Bariatric Club, you found a good spot for support and question asking!!

same, lady, same. traditional strength training was never for me...i forced myself to do it (the bare minimum) for a few years because i "knew" it was good for me, but i really, really disliked it. surprise surprise, it didn't last. i stopped a about 3 years ago. as mentioned above, there are other ways to build strength (and sexy muscles!): i personally do yoga (every day, often 2 or even 3 times a day), pilates (twice a week) and rock climbing (once or twice a week) you don't have to be a traditional gym gal to get fit/strong/healthy (but it does produce results!)...find something u like and do that. you'll more likely stick with it, which is better than doing nothing:) p.s. funny story - sorta related, sorta not - yesterday i saw an older couple "power walking" in my neighbourhood. i use quotes here because the were really just walking at a really slow pace, but were swinging their hips and pumping their arms with vigour! anyway i was all awwwww, they are exercising together so they will live longer together. then i noticed the man was holding a cigarette, lol. now, he could be on the couch smoking that cigarette, but at least he's walking! so yeah, better than nothing, ha. p.p.s. i was a smoker for decades, then not, then again for a few years, then not once more since 2023. i used to have a cigarette after my daily 5K runs...best thing ever, honestly. i half-joked that all my running was cancelling out the smoking. so yeah, again, better than nothing!

I had problems meeting my protein goals and honestly fluid. I’d get close. I ended up doing water enemas to make up the difference so I didn’t end up needing it fluids the first week. (Yeah, gross I know). I had issues getting the non-premixed protein shakes down after surgery and then eventually any protein shakes. I went from loving sugar to despising it. Literally thought I was prepped and bought tons of crap that I just couldn’t stand after surgery Since you can walk at discharge I ended up going shopping daily for whatever my body said it wanted. Fairlife milk is a godsend. Yes, it’s just milk…. But with added whey protein so it pretty much tastes the same, or darn close. Runny eggs… soufle… custards without sugar, I ended up loving this wanna be 7 layer dip type meal with mashed beans, sour cream, avocado and hot sauce. Tomato basil soup with goat cheese (Campbell made with milk rather than water, basil (paste from a squeeze bottle) and a chunk of goat cheese swirled in after melting. Those ended up being my jam until I could add in tuna packets with various flavors (they make a ton now) and shredded chicken (then blended on pulse and mixed with avocado so it didn’t get dry stuck). Getting used to 1 can of soup being 4-6 meals was a bit of a shock. I had a ton of tiny meals in the fridge and would just sit down every 2 hours with some protein thing and slowly get it in. Then wait 30 min and set water timers. If I wasn’t “caught up” to where I should be by the end of 2 hours… I’d then sit and have to focus it down till I got it in. Don’t leave water till last minute, you can’t chug.

I'm glad you don't have the 12 week milk diet. It was difficult and I slipped up occasionally, but it was helpful for losing weight and shrinking the liver. Because of the 12 week diet, I lost 12.9 kg (28lbs) in those three months. My NHS trust just flat out said "no ozempic" At the time, it was because it hadn't quite been approved for the NHS But I wouldn't have wanted that anyway as it would mean injections for the rest of my life and a lot of people have endless diarhoea on those meds. I had one session with an NHS psychologist and one group session. I don't really know about what tiers I had. I asked for a referral for the weight loss team, then I had an information session which was via zoom where each the nurse, dietician and psychologist gave some advice about the programme. Then I had an individual session with each one. Once I was approved, I had fortnightly appointments with the medical team to check how my weight loss was going with the milk diet, pre surgery vitals and then the surgery itself. I had a one month and 6 month follow up with the surgical nurse. Next month, I have a phone call with the psychologist. It sounds to me like you are getting a lot more psychological support than I did, which I think is great. It really makes a big difference.

Welcome! I'm not sure what surgery you are considering, but as food for thought, Gastric Bypass does have significantly better rates of type 2 diabetes remission: https://www.facs.org/media-center/press-releases/2024/gastric-bypass-improves-long-term-diabetes-remission-even-after-weight-recurrence/ I personally went off all my diabetes meds about 2 weeks after surgery.

CONGRATS!!!! so proud of u and u look fantastic!!! yesss they say u will gain abit now then it will stop at the perfect weight as u say 120 lbs is a safe spot and then u learn to maintain .. it iwll take time adjusting but u can do it!!! as long as u eat good whole food and MOVE MOVE MOVE then u r sorted.. believe it or not i am not even at my goal weight and apparently i am eating at my maintenance and its so annoying. if i undereat, then i am dead hungry!!! so i am about to hire a coach to help me and hopefully start losing again... i can still eat the same but i should burn more ahhh and obviously being consistent, i am perfect 5 days a week and i indulge on the weekend. so i need to reduce my cals for sure.. its so weird how much i can. anyways i am well aware of what needs to be done and tahts step 1

One other thing I should have added is to schedule in a deload week every 4 to 6 weeks. For the deload week, I want you to do ONE of the following: Just do the 4 core exercises and skip the accessory exercises Reduce the working weight. In other words if you were doing a particular lift at 100kg, you might do this particular exercise at 70 or 75 kg instead. Do the same for all the exercises Keep the weight the same, but reduce the number of sets to two instead of three for each exercise The main reason for this is to program in some additional rest since it's actually when resting that you grow and get stronger. It's totally up to you which one of the approaches above to use. Pick whatever sounds best to you.

Update: healing well. Started scar laser therapy last week. Still in compression but I got a cute short sleeve dress I can't wait to wear on my summer vacation. I will probably be in compression for the rest of the summer just because the swelling gets so crazy in the extreme heat where I live. I am excited and loving the results so far. It feels so great to not feel my arms shake and move around while doing things daily. Going down stairs, running, stirring while cooking, all feels different. Also I am a violinist and I no longer feel my arms shake and move while I play. I am so happy about that.

It's really hard to properly design a workout program remotely since a lot of the things I would normally recommend would require some instruction. I also have no idea what sort of equipment you have available. That said, I'll try my best. Workout Splits: You really need to hit all the major muscle groups at least twice a week and preferably three times. Currently you're not doing this since you're doing an upper/lower split and training twice a week. That means most of your muscles are only getting hit once a week which is not sufficient for growth. If you can only lift twice a week, each of those days needs to be a full body routine. If you want to continue doing upper/lower splits, you'd need to lift 4 days a week (2 upper & 2 lower). There are other ways to break up workouts such as a Full/Upper/Lower, but those are really considered to be more advanced techniques so not really needed at this point. Out of all the possible options, I'd probably suggest Full Body on Mon/Wed/Fri as the most sensible. You'll get the best hypertrophy from that as a newer lifter. Exercise Selection & Programming: I'm going to base my suggestions off the premise that you'll be doing a full body workout as suggested. I also mostly picked from the exercises you were already doing because there's nothing wrong with those exercises and I assume you already know how to do them. Day 1: Lat Pulldown -- 3 x 8-10 @ 70-75% of 1RM with 1-2 RIR Leg Press -- 3 x 8-10 @ 70-75% of 1RM with 1-2 RIR Chest Press -- 3 x 8-10 @ 70-75% of 1RM with 1-2 RIR Hip Thrust -- 3 x 8-10 @ 70-75% of 1RM with 1-2 RIR Bicep Curls -- 3 x 12-15 @ 65-70% of 1RM with 2 RIR Calf Raises -- 3 x 12-15 @ 65-70% of 1RM with 2 RIR Tricep Pulldowns -- 3 x 12-15 @ 65-70% of 1RM with 2 RIR Day 2: Upright Row (Cable or machine) -- 3 x 8-10 @ 70-75% of 1RM with 1-2 RIR Hack Squat (or Leg Press if not available) - 3 x 8-10 @ 70-75% of 1RM with 1-2 RIR Incline Chest Press (flat is also fine if this is not an option. I mostly picked this because it will hit the upper pecs a bit more, as well as pull in the shoulders) -- 3 x 8-10 @ 70-75% of 1RM with 1-2 RIR Smith Machine Elevated Reverse Lunge (if needed, Hip Thrusts will be fine as well but single leg work is great for a lot of reasons) -- 3 x 8-10 @ 70-75% of 1RM with 1-2 RIR Machine or Cable Fly -- 3 x 12-15 @ 65-70% of 1RM with 2 RIR Pallof Press (Cable or Bands) -- 3 x 12-15 @ 65-70% of 1RM with 2 RIR Kickbacks (Machine or Cable) -- 3 x 12-15 @ 65-70% of 1RM with 2 RIR Notes: Make sure you introduce this workout plan SLOWLY. For the first two weeks, only do exercises 1-4 on each day. It's also fine to do a bit lighter weight than what I listed for those first 2 weeks. Make sure you're warming up properly. One of the biggest mistakes newer lifters make is not understanding how to warm up for lifting. Do some light cardio for 5-10 minutes, then do some dynamic stretching. Also, before starting your work sets, do one set at ~20% of 1RM, one set at about 40%-50%, and then maybe another at about 55-60%. This means you'll end up doing five to six sets total for each exercise. I'd probably suggest 20-40-60% for the first 4 exercise, and 20-50% for the last 3 exercises. The numbers like 75% of 1RM mean to do the exercise at that percentage of your 1 rep maximum. In other words, you need to determine what the maximum amount you can lift is and then do the math to determine how much weight you should be lifting for that exercise. RIR means Reps In Reserve. If it says 1-2 RIR, the idea is you need to be going until you think you can only do 1 or 2 more without failing. This is important because we don't want to go all the way to failure most of the time. Doing so creates a lot of load on our central nervous system and makes recovery more challenging. You'll notice that I changed the # of reps, % of 1RM and RIR for the last few exercises. This is because these are what we call "accessory exercises" and are somewhat less important. I want you to focus on the first 4 exercises the most. I didn't prescribe rest intervals on purpose. Between sets, just take a few minutes to let your body recover. If you find you can't get through the next set, try resting longer next time. Because there are day 1 and day 2 exercises, but 3 days a week you'll be lifting, you need to simply alternate. This means week 1, you'd do Day 1 on Monday, Day 2 on Wednesday and Day 1 again on Friday. The next week, you'd do Day 2 on Monday & Friday and Day 1 on Wednesday. it's important that you continue to push yourself in terms of the weight you are doing. We call this progressive overload. If the exercises start to feel easier, you need to increase the weight. If you don't, you'll stop growing. Rest is CRITICAL, so I'd suggest skipping the Les Mills classes. I just don't think you can properly do the above exercises at the weight you should be doing them at, and then turn around and participate in a class like that. I'd expect you to be worn out after the above sessions, and if you're not, then you're not lifting heavy enough. Don't do this for more than ~3 months. At that point, you need to change things up again. No lifting program is perfect and all of them will have some areas that could be done better. Further, some people respond better to certain exercises and not others. This is why having a trainer is honestly the best way since they can judge how well you are responding to certain things . We change things every now and again to even out imbalances, as well as make sure you are not stagnating. If you just don't like any of the exercise selections, there are always alternatives because regardless of what social media may have led you to believe, there's no such thing as "the best" exercise for any specific body part. This means if you find that one of these just isn't working, or you just can't stand doing it, we can change it. If you do stop the Les Mills classes, you may need to up the cardio work. I'd ideally like to see a minimum of 3 hours a week (3 one hour sessions), though don't try to jump to that amount right away. It would also be good to mix up the type of cardio you're doing, While uphill walking on a treadmill is good for you, it's pretty one dimensional. I'm obviously a big fan of running, but if that's not something you want to do, maybe biking or the elliptical would be good choices? Rucking would also be something for you to look into as there are lots of benefits to getting outside the gym for at least some of your exercise hours. As you can see, I could probably go on for a lot longer here, but this is enough for now. Best of luck and let me know if you have questions.

I'm 55 and just had the sleeve done 3 weeks ago. I'm doing ok. Its been rough but I'm turning the corner. Since surgery I lost 10 lbs. Before surgery I lost 32 lbs. Due to loosing so much before surgery it's going to take a little longer to loose the rest the Dr said. I'm hoping to loose another 30 lbs.

Being 3 weeks out, you do probably still have swelling from the surgery inside your body, and thus you need to sip and eat carefully. Not sure what diet stage you are on, but certainly you have a post-op visit coming up, I would definitely bring it up to the team and see if they want to do further testing. Three weeks out is still newly fresh post-op, and things should get better in time, but certainly bring it to your teams attention if it persists.

I have the exact opposite problem. I'm 3 weeks post op with the sleeve. I always feel like I have to burp but I can't. It's very uncomfortable.