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I tried tagging my surgeon Dr Pablo Fok Russell. He's not in the list. Im currently waiting to be wheeled to surgery. I'm so far extremely impressed. I lost a lot more weight then expected on my pre-op diet. I was allowed salad with a protein choice, 13 almonds and protein shakes. Everyone is very friendly. I had an EKG, bloodwork & xray done as soon as I arrived. The bloodwork was back in an hour! I met everyone. I like everyone. Two women on my flight rode with me here. They are getting some sort of plastic surgery. One already had a facelift already. Looked good too! I liked riding with people who were familiar. The driver was really informative. Now I'm waiting to be wheeled back!

Not only did we have surgery at about the same time, but we started at a pretty close weight and have lost the same amount (I had to google how many lbs was 21 kg; It's 46 lbs, which is where I'm at) so we seem to be losing weight at about the same rate. I definitely have noticed the weight coming off but it does suck sometimes to lose weight slower than other people. I'm glad your dr was supportive of how things have been going. I feel like Christmas has been harder than Halloween and Thanksgiving as far as making healthy choices. I think Halloween, I still wasn't eating completely normal so it helped me avoid candy. Thanksgiving, I don't really like pie so that helped. But Christmas, there have been all types of goodies around (including the baked goods I made for my neighbors) that its easy to take a piece of a cookie or a little chocolate and not think much of it. I for sure eating less than I would have in the past and only taking a 1/3 or 1/2 of a cookie still feels like a win, but I hope I can kick this habit after Christmas, because I don't want to get too comfortable again with grabbing sweets when I'm craving one.

Hi guys I just thought I would check in with you all and tell you of my progress, trials and tribulations! I'm nearly 6 weeks post-op and I am still adjusting to my new life. I am doing very well all things considered, except that one of my surgical sites reopened and is not healing properly, don't worry I am having medical support from the doctor and nurse, I just feel a bit down with it to be honest. I'm type 2 diabetic and my glucose levels have stabilized which is awesome! I lost 2 stone 1lb in just under a month which is amazing, I did stay the same last week which was disappointing but I guess my body needs time to catch up! I'm struggling mentally with self-imposed restrictions and triggering situations like food shopping etc and I wondered if you guys could help me gain some clarity I am one of the unlucky ones that still experiences real hunger and it is definitely not head hunger. I need to eat around every 2 hours, I am getting all my protein in and my fluids and I'm eating around 700 cals a day. My problem is that when I feel real hunger I panic and I don't know why! I have had lots of therapy and I am in a very good place now after many years of struggles with my mental health. I guess I was expecting not to feel hungry like most other people, and that was the case until about 3 weeks ago! The self imposed restriction is calorie counting! I am conflicted about whether I should be counting the calories in non starchy veg such as sprouts, cucumber tomatoes, gherkins, beetroot etc and fruit such as blueberries, strawberries, raspberries and satsumas. Should I be counting calories at all? I'm eating around 700 cals a day at the moment. I am committed to eating healthy and do not crave junk food anymore which is awesome! I go for whole foods mainly and low carbs. Previously when I have given myself restrictions before I have done great for a few months then fallen off the wagon. I know it is different this time as I have a new tool, but it's taking my brain a while to catch up! I know that I am at the early stages at the moment and still learning my fullness cues and practising a fair amount of control, I used to eat mindlessly, now I think about everything that goes in my mouth. What do you guys think of this? I also worry that my weight loss will stall and I know it's only been a week so far and its not a stall until 3 to 4 weeks, but I have seen it so many times on lots of forums and it worries me a bit to be honest. I know that no one really knows how their weight loss is going to go as everyone is unique and I need to stop overthinking things but its so hard when I have done it all my life! Did any of you guys have similar worries or concerns in the early stages and did it resolve itself? Any advice would be great! Thanks in advance x

7 years out this November (I can’t believe it’s been that long!) 1. The surgery did all of the work. I didn’t wake up hungry, I didn’t feel like I could eat more than recommended. I didn’t have any (initial) complications that slowed the weight loss process. 2. I was really strict and followed every rule pre and post op. I was super serious because I absolutely needed this to work. My motivation remains for medical reasons first and aesthetics second. 3. I limited calories from liquids. 4. I am finally ready to admit that I have a narrow palate. I don’t like most food and definitely not most fast food but in a pinch I will eat it *some* things. I cook the vast majority of my meals and most are very boring by foodie standards. 5. I was converted from VSG to RNY at my goal weight (GERD etc) and I’m sure the durability of RNY has made a difference in maintaining. 6. I was given a higher BMI range by my surgeon and thank goodness because getting any lower would have been a real struggle without added benefits. 7. I invested in plastics. I shouldn’t make sense or a difference but I didn’t want to mess up the work I had done plus removed skin and fat cells are gone forever. 8. I address the smallest regains IMMEDIATELY adjusting behavior and intake. I’m not ashamed of it or ignore it, I weigh often to stay accountable to myself. 9. I found what works for me and focused on that, adjusting as needed. I try very, very hard not to compare myself with anyone else. I never attached self worth or morality to weight (gained or lost). I think it helped immensely that no one ever bothered me about weight. I realize it maybe a different story if this wasn’t the case. 10. I check in yearly with my bariatric team.

further to the above, given your lifting regimen, i wouldn't rely too much on the number on the scale vs your body measurements. you look like you gained quite a bit of muscle mass over the past few months (and will likely create more!) and we all know muscle is denser than fat so.... along with scale weight, i personally go by how my clothes fit...so long as i don't have to buy bigger clothes, im good, ha! (although my tshirts seem tighter these days, but i know its because my back and shoulders are getting bigger...not sure yet how i feel about that...lol)

banded in 2012. That's what I wanted to hear if it ain't broke why fix it. Have you gone to dr any time just to get it checked since 2006? I'm hesitant to go to a doctor, since lap bands aren't popular anymore they will try to get me to remove band and get a different procedure. For the most part, I'm happy with the band, once we became friends, it's all good in the hood. I just want to get the band checked to make sure it hasn't slipped. No health issues, some weight gain, but that's because I eat crap sometimes.

I finally broke the 2 month plateau a few days ago and the weight had been dropping tremendously. Today my BMI is 29.9 and I am no longer in the obese category!!!!!!!!

^ This. Post bariatric surgery eating is really hard! Never let anyone tell you that bariatric surgery is "the easy way out"! Regarding your protein intake, let's start with an understanding of why a protein-first diet is recommended post-surgery: Primarily, we are hoping to stave off something called muscle catabolism. This is when your body basically breaks down your own muscles. This happens mostly but not entirely to meet your daily essential amino acid needs. If we eat enough protein, this significantly reduces the amount of muscle mass your body will burn. That's important because the more muscle you have, the higher your metabolism, meaning you'll burn more calories even at rest. Most scientific literature suggests that 60 grams per day of protein is sufficient to meet your essential amino acid needs and thus hold off the bulk of the muscle catabolism that happens while on a weight loss diet. Note that some muscle catabolism is inevitable and no amount of protein intake is going to prevent that. The second reason protein is important is because protein is filling and relatively slow to digest. Studies have shown that eating more protein than the 60 grams per day minimum can help you feel more full. That basically will result in reduced overall calorie consumption. For this, amounts between 1.6 grams to 2.2 grams per day per kilogram of ideal body weight have been shown to be effective. For example, if 60 kg was your ideal body weight. protein intake between 96 and 132 grams would be suggested. I'm not sure what your surgical team told you, but since you're already getting over the 60 grams per day minimum, I'd say you're doing fantastic! As you get further out from surgery, you'll probably want to consume more, but keep in mind that all it's really doing is keeping you full longer. It's not going to sabotage your weight loss due to excess muscle loss. TL;DR: You're going fine on protein, don't sweat it.

Ah 2 weeks ago I did an inbody test and today I did it again to just see if I am going in the right direction. Well, I've lost "weight" but I think i only lost water and muscles I'm down 1 kg muslce and actually gained 300g fat! Ahhhhhh why does everything have to be complicated? The coach in the gym told ne to up my protien and take PT classes to focus on building strength and muscles but is she right or is she just trying to sell her services? I'll sit n discuss with my team on the 15th and decide what to do. On another note, I tried the power stretch class today and I stretched muscles didn't know existed hahaha it was amazing but tiring like I burnt almost 400 cals. P.s. attaching my 2 weeks and today inbody results

Its not a physical thing, but the most important thing to have is patience. Patience with yourself and patience in the process. Trust the program/process and follow your doctors guidelines. Lastly, give yourself some grace, the weight didn't come on overnight and it won't come off overnight. You will have doubts and mistakes - don't be too hard on yourself, just take it a step at a time and get back up and on the program again. Other than that, there have been numerous forum posts covering your question. You will find tons of advice on actual items etc., if you put in a search for your answers! Congrats on your upcoming surgery and welcome to the forums and a healthier way of life!

The doctor responded to my question in writing a few weeks ago that there is no good answer because there is no way to know, but saw the value of having access to my stomach to monitor, i don't think she had a chance then to review the EGD pathology report and now suddenly I have a meeting with her. The program coordinator couldn't explain to me why it was so early. 15 years ago I had a bladder cancer scare, and the urologist reacted the same way after they got a pathology report. In that instance they had access to my bladder and did a scope and did not find anything really abnormal. I know the risk is rare, and I look forward to learning about the alternative ways to monitor. And I hope you're correct. RYGB in general would be something I'll have to warm up to because of the increased complications associated with it. The great news is there is a lot of data on it, and surgeons are very familiar. Sinceit's not novel, and if I move I will surely find a doctor familiar with it vs SADI-S or even BPD/DS. For example in my area very few surgeons do either of those two. My insurance doesn't cover SADI-S or OAGB. My preferred surgery is SG. If I'm not a good candidate for it, then I'm glad I'm waiting because I need to do some deep thinking. Dumping sounds terrible. Arthritis runs in my family, and at time even at my age my knuckles and joint hurt. Nevertheless the nephrologist advises against NSAID but they are not off limits with RYGB they would be mostly off limits. I'm not SG or bust really, but I just had a relative share they have precancerous cells in their stomach. That two of my father's siblings with either stomach cancer or precancerous cells. It is a little too close to home. I may be, however, more at risk of dying by slipping in the bath tub, or driving on the highway than getting stomach cancer in my remnant stomach. So I have to be realistic. If I do nothing and get kicked off of Zepbound my weight will return, and my heart will enlarge, and I could die of heart failure or a stroke (in the last 5 years 3 close family members had strokes, and my grandfather die of a stroke years ago). Those are conditions I have now. The enlarging heart may not get worse, but it likely will. My cardiologist is why I aggressively started losing weight to lose 40 lbs since my bariatric first appointment weight-in in February. I've now been taken off one of my four hypertension meds, but I'm still on three. My other concern about RYGB is how will it impact my ability to take sustained released meds. all this I'll talk to my surgeon about in my meeting Tuesday. I've been considering bariatric surgery since 2018, and i put it off. 2022 after a few health scares and being diagnosed with mild but concerning LVH I started seeing a dietician and working out. Later I battled shame to start Wegovy in 2023 and worked with an obesity specialist's practice. In 2005 due to insurance I switched to Zepbound. After my cardiology follow up in January I went for my first bariatric consult. I briefly considered ESG, but after researching decided against it and insurance doesn't cover it. I witched Weightloss clinics and aggressively started tracking and living in a calorie deficit. I'm under no illusions about being able to keep this weight off w/o surgery long term. I don't know if the co pays next year will be even higher already $500 $360 with a coupon, or if my financial situation will change. ifI do nothing, the I'm not sure if I'll make it to my mid sixties if I go back to 315-320. So I have to do something, the question is what.

Hi y'all, I am new to this forum and just want to first acknowledge and commend the courage and strength y'all have in utilizing this fortunate tool in your journey to a healthier life. I am at a crossroads. I am a 6'2", 275lb, 39-year-old man with VSG scheduled for Jan. 16, 2025, and I am having serious doubts--some caused by my health practitioners (chiropractor and non-WSL-related psychiatrist). I am on five different maintenance pills for blood pressure and cholesterol. My highest weight was 330lb. I lost 50 lbs in 2022 for a wedding, gained 30 in 2023 and lost 25 lbs from October 31st, 2024 until now (extreme crash diet). The total down is 55. My ideal weight is 210-225, provided that weight encompasses an active lifestyle and dedicated weight training. Here is the rub: I am scared of the surgery, and that fear has really kicked my butt to get healthy. My liver no longer shows NAFLD or alcohol damage with enzymes in the normal range. That is surprising because I was (honestly) an incredible "alcoholic" from 2013-2023. It may be hubris, but I am in no way concerned about addiction transfer as I have fully recovered from alcoholism following a wegovy and booze and supplement mix that caused acute pancreatitis. Blood pressure and cholesterol are under control. Sleep apnea sucks. Mental health is good to great. Banned currently from GLP-1 ( aforementioned acute pancreatitis). I have kicked all the typical vices. Despite all that, I am cleared for surgery, and the surgeon thinks I am an ideal candidate because of the lower risk of chronic pancreatitis following the knife. My surgeon is located in America, and my insurance is on board. Meanwhile, I have had little trouble maintaining a 1600- to 1000-calorie fat-burning diet, especially since a surgery date made it a very, very real concept. My primary motivation for pursuing VSG was for my family and my 2-year-old daughter, coupled with a debilitating (but now manageable) back injury that left me sedentary for nearly 2 years, and, of course, to address my comorbidities. Now that my back is "okay," I can exercise 3 to 5 times weekly. But if I don't lose weight, spinal degradation and likely further stenosis around the sciatic nerve will continue. I was supposed to have surgery earlier in the Spring of 2024 but bailed because of a month-long family holiday to Asia and then a summer of the in-laws staying with us. Also, we are trying to get pregnant again, but my wife's self-imposed window is closing as she soon turns 40. So, what do I do? Given that my ideal weight is approximately 65 lbs away, would you pursue VSG? Would you delay it while trying to conceive (this is a big one)? Am I getting stuck on too many variables? Would VSG make global travel a different experience? Or do I buckle up and charge ahead? Should I try giving the "natural" way a shot for one more year? I have unflinching support from my family and parents to go for it, and I have little doubt that I would excel in a post-op life. But I am worried about travel, a change in taste, and, generally, pain. Pain makes me an unpleasant person at times. But I dread ballooning up to qualify for insurance if the "natural" way fails my goals. None of this was a concern until a surgery date made it real. I appreciate you reading this and thank you in advance for any comments, long or short. A simple "Go" or "No Go" would be appreciated. I am actively planning for the surgery and, regardless, look forward to the two-week pre-op diet challenge. However, I could see myself bailing like two days before. Digital prayers for all! Is anybody ever too young for a midlife crisis?

@SpartanMaker funny you mentioned your run and how you had to play the why in your head -this morning I woke up at 4am. as I always do. and kept pushing the snooze button, but I knew I had to go the gym and do lower body weight lifting- I knew in order to progress how I am trying to shape my body I needed to do it. So I got up, and did it. As I was working out, I told myself your here, put your game face on and just effing doing it. Probably one of the best lower body workouts I have done in a long time. I am constantly repeating it in my head- glad I could help!

So glad you have such a wonderful and supportive surgeon @ShoppGirl. Sounds like he has your back and wants to help you reach all your goals for your health and your weight loss. Hope you continue to not experience any of the awful side effects of your chemo.

Yes, in today's society, being thin is generally considered a good thing, so statements that indicate that you look thin are usually intended as compliments. Some people make exaggerated statements like this ("You're so thin that you look like you are wasting away!") with the intent to highlight what they consider a positive attribute (thinness). I got compliments while I was losing weight but still obese, "If you lose any more weight, you'll blow away in a gust of wind!" In some cases, people who genuinely care about you could be concerned that you are ill, especially if they don't know you had weight loss surgery, but if this is the case, they will usually approach you in a more private and sensitive manner, not just an offhand comment in public.

@BigSue is right on the mark. I will also add that not everyone reaches their goal. And that’s okay. The win is you’ve lost weight and are healthier than you were. Remember that your goal weight is an arbitrary number you chose not the weight your body settles at & is happiest at as your new set point the surgery has gifted you. The point people’s weight stabilises at is different person to person. You do tend to lose the most in the first 6-12 months but people can lose for another year. Not everyone but some do. It took about 17months for my weight to finally stabilise. Though I reached goal at 6 months I kept losing for another 11months & at a very slow rate. (Took 6 months to lose 31kg then 11 months to lose the final 11kg.) Your rate of loss will get slower and slower as you near your final stabilised weight. It could be ounces a week or even a month near the end. So you may not have finished losing yet. But do check your calorie intake. If you’re maintaining at the calories you’re consuming now you’ll have to eat less to lose more. And you will have to eat fewer calories than you are now if you want to maintain at a lower weight than you are now. Another consideration is you’ve likely built up a lot of muscle with the activity you do. Muscle does way a little more than fat and it will change your physical shape somewhat too which may explain some of the clothing size discrepancies you’re noticed. There are lots of averages and generalisations around weight loss (how fast, how much, when things will happen, how many calories you need, how much activity, etc.). We’re too different for the sane hard and fast rules to apply to everyone, You just have to find what works and is right for you, your lifestyle and your body. PS: Another average, but exercise only accounts for about 10% of the weight you are to lose. Better to look at exercise for the benefits it brings to your cardiac health, muscle strength, flexibility, bone density, etc. & not so much for weight loss.

I actually did tell my GP it was actually his idea. I am 440 pounds and was 435 ish when he recommended the gastric sleeve surgery. He did make my next evaluation in Janurary because he's expecting my weight loss surgeon to do the surgery sometime in November if I pass my evaluation. I'm all the way ready and just have the evaluation left to do hopefully all goes well this afternoon! Still a little nervous but I'm feeling MUCH better than i was several days ago. But anyway my GP did mention that if i got the surgery in November that I'd need to get labs done for Janurary. So I'm assuming he's going to adjust my meds then and my psychiatrist knows I'm getting surgery too although I told him I was getting it done in Spring because that was the plan then. I moved it back to November because my GP recommended i do so. I'm still gaining weight so he wants me to have the surgery as soon as possible.

Adding to the things that may not be accurate: BMI. BMI is an average that was reduced to a simple algorithm: BMI = weight (kg) / [height (m)]^2. In words: weight * (height * height). This calculation is intended to be a rough estimate to start with not the end all be all it has become. Such a calculation is closer to "correct" at the middle or average height and weight. Tall people skew to a lower BMI, short people skew to a higher BMI. The taller / shorter we are the more the BMI skews lower / higher. Body type also can skew higher or lower BMI. Not all of our bodies are built the same yet the BMI assumes they are. The more muscle we have the more the BMI doesn't work right. Body builders show the extreme of this effect. Arnold at his younger best would weigh in at a very high BMI. But us humans can build enough muscle to screw with our BMI. BMI is a rough starting place. Once you have the number, it doesn't really matter. How we feel, our health both physical and mental, how our eating and exercise are feeling. These are the real measures. Whew, done with BMI. But the post goes on. Then another part of this whole thing is Goal Weight. Simply, It may be wrong. If we're aiming for a certain BMI or BMI range the BMI discussion above should cause us to think. If it's a weight we were when we were young(er), our body has changed since then. If it's a weight our surgeon or medical team created it is another number intended as an idea that has been turned into a goal to measure us by. If it's based on those on-line calculators they give the average progress and result of someone with our demographics: We as individuals are not average. Goals are not written in stone. As a target to aim for when you start the process, it's fine. As you progress things change. Our bodies may tell us the original goal is unrealistic. If our body is happy and healthy at a different weight perhaps we should listen. The thing with goals, we are over the moon when we lose 10, 20, 50 pounds more than goal. Look how unconcerned we are about missing our goals by 10, 20, or 50 pounds. Why is missing goal by 10, 20, 50 pounds the other way so devestating? We misjudged our goals both ways. Ultimately, it's where our bodies that decided where to stop. If we have goals, we should continually evaluate them and change them as necessary. We have more information about our process now than we did when we started. More now than last week. Be honest. Be realistic. Good luck, Tek

not american, so no thanksgiving pics to share, but here are some thingsn i've prepared/eaten the last week or so (NOTE: i'm currently in an effort to gain weight - the horrors! lol - so my food choices may be a little off-the-bariatirc-norm...) 1) bbq pork and seasoned rice one-pot-rice-cooker-meal. my portion: 266 cals...ate almost all of it 2) homemade chilli topped with cilantro and feta cheese, home focaccia and sliced avocado sprinkled with sumac: 599 calories for whats shown. ate everything except the foccacia (too chewy for me!!...mr ate it instead) 3) more of my homemade chili, some cheddar cheese, more cilantro, and some Tostido's Hint of Lime Tortilla chips (my fave!!!) 276 cals...ate it all! 4) homemade guacamole with the above mentioned focaccia that i slow toasted to make crisps with cheddar & cilantro & sour cream: 370 cals...ate all except 2 the focaccia crisps. 5) homemade crispy pork belly...omg THE. BEST. CRISPY. PORK. BELLY. EV-AH!!! this pic is of the entire slab. i had roughly 1/2 cup volume of it. ate it all!! 250 calories! 6) junky snacks: - 2 walkers mini shortbread cookies + 1 chocolate : 123 calories - 2 walkers mini shortbread cookies + 3 sour keys candies 103 calories yep, ate all it ta-da!

Just checking you had your surgery in May so you’re 8 months out? Mmmm 800 may be a little low for you given your height and gender though that is a conversation to be had with your dietician with consideration of your needs and activity. I’m a lot shorter than you, female, likely older & wasn’t very active when losing and I was eating about 900 at 6 months and at my goal & I kept losing. Even now I maintain at my weight eating about 1600 calories. Though if you’re not hungry do you need more calories at this time?? I do disagree with your dietician saying if you increase your intake you will gain as you will continue to lose weight eating more calories if you’re still in a deficit (i.e. eating fewer calories than your body needs to function). It may slow down your rate of loss though. Yes, this time of year can be difficult with so much food and so many treats. It really does come down to making the best choices you can when you have little or no control of the food available. Consider portion size. Can you swap out anything? Try to balance your intake across all your meals during the day. Keep focus on your protein first then vegetables. Avoid carbs and limit what sweet treats you may indulge in. And if you’re not hungry you don’t have to eat because everyone else is. If you’re contributing a dish, make something you can eat without compromising your plan. Remember this is not everyday but just this time of the year so don’t beat yourself up if you do go off plan though try to get back to your regular eating style/plan as soon as possible. I’m 5.6 yrs out and I still follow these guidelines in these types of situations. After four Christmas gatherings with full on meals over a couple of days, food to prepare & leftovers to eat, I am glad to be back in my own home, with my own food choices and my own eating routines. I weighed myself this morning and I only put on 300g (0.6lb) over Christmas & being away a week so the guidelines do help to keep things under control. PS What are the shots you mentioned?

Well here’s one I never thought I’d post. I just found out I’m pregnant 11 months post op. (Happy) accident (failed BC) But I’m really worried about how it’ll affect me weight wise, I was doing so well I’ve hit my goal and was 3kg away from hitting the goal I’d set for my 1 year post up next month Anyone been through this ? How did you navigate pregnancy after a sleeve ?

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

I was going to say the peri-menopausal syndrome has struck again. I had to switch to 50mg DHEA while the hormones were swinging around. I had my various doctor’s blessing. It is a hormone therapy treatment so please talk with your physician. Formal Hormone replacement therapy would have been better but alas, insurance. Now I’ve weaned off to 25mg at age 57. I live just fine on 900-1200 kcals at 5’4” and I’m not frail, I weight lift and have a super active job, and walk 20-30 minutes a day. Each of us is different. Soups make me very full, and salads when I can’t stand the hungries.

Hello, I just started Mounjaro!! I'm on Week 3 of 2.5mg and the appetite suppression is no joke! My doctor put me on this after stalling out at 80 pounds lost post op. Surgery March 2021, stopped losing March 2022 (but haven't gained). I'd like to hear about anyone else's experience so far, the weight loss has been slow, but I'm hopefully because the scale is finally moving again!!

Ooh, I'm here too, and it's been very interesting. I've started drinking a protein decaf coffee again to add a cup of fairlife skim milk to my day. I know that some of us need to be very careful about carbs, I need more carbs to support my exercise which is basic strength, walking, and the 2x weekly run. I add an extra apple, gluten free pretzels, and popcorn (which is totally ok for me in my known portions). I also add a few days of cashews, easy to eat and high nutrient density. I would say if you aren't going to track calories (and why would you if that isn't your favorite) then it would be helpful to add a specific snack/food etc and have that extra every day for a few weeks and see where that gets you. If you continue to drop weight, increase it, if not, you have likely found your maintenance diet. The thing that has been most eye opening for me is the fact that I can occasionally go over and not see any consequences for one day of overdoing it. In the past that would have been hell to take off again, now it just seems to regulate like a normal person. I had surgery 1/24 and have been at my same weight since 11/24. I'm not fighting to stay here, I'm struggling with some head hunger vs real hunger, that was to be expected, but otherwise it's been such a different reality from presurgery.