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So, I'm 6 months post Sleeve. I'm 86 pounds down from surgery day, and about 116 pounds from my max weight. Body dysmorphia is a real thing I've experienced where I forget on the day to day how far I've come, but when co workers or friends see me they are super excited and happy for me. One picture is me back in January, wearing a denim vest that is 4xl and barely fits, and size 58 jeans... Now(2 weeks ago) down to a loose 2xl shirt, and a size 44 shorts. I almost cried like a month ago when I was able to buy clothes off the rack at Target for the first time since 2006. PS. Someone please teach me how to take a selfie lol IMG_3342.heic

I hope everyone was successful during their holidays! I actually lose a couple pounds this week, so huge win, when this would be the time I gain weight (from Halloween to Christmas).

So a month and a half ago I started working 12 hour shifts overnight 3-4 days per week. Everyone said by now my body would adapt, but that hasn't happened. Instead, as time goes on, I'm getting more and more fatigued. I sleep all day and wake up feeling like I haven't slept at all. My joints hurt all the time. I talked to my doctor and my nutritionist and they said to get more rest, eat more dark leafy greens, increase my protein, and maybe drink some coffee. I've done all that and it's been no help at all. Then I was told "maybe you shouldn't do overnights" but that's not an option. It's a requirement for my job. Energy drinks don't work on me (I'm not caffeine sensitive so no matter how much I drink of it, I don't get any kind of a boost) and b-12 doesn't do anything for me, either. I'm at a loss now and I was hoping some of you might have some suggestions. Thanks in advance!!!

I get that, I said that for about two weeks and amazingly I turned the corner a few days ago. Yes, I'm still hungry but I am forcing my self to drink more protein drinks (cafe mocha) in-between meals and lots more water. I found both has helped me considerably and I am used to getting hungry so it's not as bad now. How are you feeling now?

Last night I felt the need for a walk so even though it was -2c / 28f I decided to go around the block and post my Christmas cards. Didn't plan to post them until at the office next week (and they won't be collected by post any earlier) but it was great to get out for a 1.5km brisk walk. In the olden pre-op days I would have ignored the feeling and just stayed on the sofa with popcorn and tv. I had also earlier walked to and from the dentist, normally I would have taken a bus so that was another few km done in the day.

I need an overhaul. My weight loss has been so slow but I have been losing inches like crazy, I know it is possible and I see the changes, but it irritates me so bad not seeing the scale move. Maybe I should set some serious NSV to achieve. I have exactly 150 days til my birthday and I think I am gonna give this whole surgery thing an overhaul and see where it takes me. I will be honest, I have been low-key skating buy because I got discouraged right after my first stall..... I refuse to quite and I am gonna give it all I got right now.

So I'm finding doing this EXTREMELY difficult. I don't think I will EVER be able to take small enough bites and will EVER be able to make my meals small enough so i have decided against the surgery and have decided to try losing weight on my own. I have lost almost 20 pounds so far in the 3 months since I've started so I think I can lose the 150 pounds I want to lose eventually I've been losing about 1/4 pound every 3 weeks about lately but hey any weight loss is weight loss and I technically have all the time in the world the lose the 150 pounds I want to lose.

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!

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!

Yes, plans can be quite different but I agree with @ShoppGirl’s suggestion to check with your team. I was told 1/4 - 1/3 cup for a meal from purée increasing slowly to a cup of food by the 6 month mark. 7ozs pureed turkey dinner coupled with the sweet potato & cobbler & you’ve way exceeded my 6 month portion recommendation. And to add to her warning also, a lot of nerves were cut and or damaged during the surgery so messages like being full/had enough or eaten too much at going to get through or will be distorted. It’s why sticking to portion size recommendations are very important: to ensure you don’t damage your digestive system or impact your healing and recovery. It takes 6-8 weeks to fully heal.

It’s home made with filtered pulp for me and it’s only stevia. It turned out quite nice. I just got moved to puréed food today at my one week post op vist and am doing fine with eating 1/4th cup of chicken salad finely shredded and then really well chewed. Sits heavy though.

I wish it were that simple, but it's not. We have to keep in mind that our weight is made up of a lot more than just fat. There are multiple body composition models used, but the one I recommend most people use when trying to lose fat is a 3 compartment model that consists of the following: Fat Muscle Bone I recommend this one since it's easy for most people to visualise those 3 components. Keep in mind however that roughly 70-75% of muscle mass is water. Why is that important? Because sometimes we can be fooled by the scale into thinking we're not losing fat, or that we're gaining fat when we're not. Most likely, what you're seeing is simply changes in water weight. A really common scenario is for people on low calorie diets (like most people here), to see a plateau and think that means they need exercise more and/or eat less, but when they do that, they actually gain a bit according to the scale. The reality is they didn't gain fat, they retained more water. I think it's important to keep in mind that we all have something called a Basal Metabolic Rate (BMR). This is the minimum number of calories your body needs simply to stay alive. It can be thought of as the number of calories you expend per day even if you were completely sedentary. BMR is a complicated subject, but on average, the bigger you are, the higher your BMR. Yes, it goes down as you lose fat, since fat is not completely metabolically inert, but fat loss does not have nearly the effect on BMR that losing muscle does. This is one of the main reasons bariatric patients are told to focus on protein intake because protein is needed to help prevent excessive muscle loss when dieting. More muscle = higher BMR = faster weight loss, or being able to eat more at goal weight The average BMR for women is ~1400 k/cal per day. Higher if you are taller or more muscular, lower if you are shorter and/or have lower muscle mass. Men, for obvious reasons tend to have a higher BMR that's more in the 1700 range. My point in telling you all of the above is that it's highly unlikely that someone eating 900 calories a day needs to eat even less if weight loss has stalled. Frankly, if that is the OP, then I'd actually recommend exactly the opposite: try upping your caloric intake a couple hundred k/cal per day and see what happens. I know it seems counter intuitive, but your body is not a simple machine where the calories in vs. calories out paradigm actually works. Happy to discuss more and provide additional info, but this post is already overly long. Best of luck.

I can’t wait to see all of the dishes being made this week!

Hey @MrsFitz are you doing ok? Maybe I have missed a post or two (had laptop issues, the stress trying to find a new place to live) but I don't think I have been any posts from you the last couple of weeks so I just wanted to check in.

I’m going to eat a little of everything. I am just going I pay for it for like a week because when I do carbs my body craves carbs. Just have to pay the price I guess.

I had some ladies in a group I belong to that are in weight watchers who sorta turned their nose up at first mention of weight loss surgery. I took it as a challenge to educate them. In all fairness they get to see me each week and hear about my nutrition and activity choices but I’m pretty sure they now realize they didn’t have all the facts before and recently started being some of my biggest cheerleaders. I guess you won’t be afforded the time to change their minds about it this one visit but maybe it will help some to know that their ignorance is most likely just lack of education and that upon seeing how hard you work at it, they may change their perspective eventually as well

You're only two weeks out, so it's absolutely fine to take things slow. It's also fine not to hit the targets that have been set for you this early on. Just do your best. I actually did okay for the first few weeks, but at one point around week 4, my stomach just didn't want certain solid foods and I started having vomiting. My doctor had me go back to liquids for another two weeks. It was no fun at the time, but it eventually went away. Your body will adjust over time and you'll go back to mostly normal. I really liked creamy tomato soup with plain protein powder mixed in during the soft phase. Also, refried beans with some melted cheese were delicious. Think of food as more of a "nice to have" thing right now, knowing you are getting what you need from your protein and vitamin supplements. It's okay just to have a bite or two, or to have the same things for a few days in a row and not get a lot of variety. The first few months you're retraining yourself with eating and your body is going to be doing all sorts of weird things until it recovers.

lol no, not at all i am just a ridiculous exercise addict these days. started in the summer and now i just can't seem to stop...i actually feel BAD (mentally and physically) if i don't do SOMETHING every day. i am paying the price though...my body just feels worn out every day now when i'm at rest. the only thing that makes the pain and achiness go away is more exercise. its a vicious cycle honestly. the weight loss is not on purpose. i got myself braces in September, and my total annoyance of having to clean my teeth after every single time that i eat something, has effectively stopped me from snacking. so i'm eating less overall and its showing on the scale (and my abs! lol). i started adding an afternoon protein shake about 2 weeks ago and gained back 2-ish lbs....(two weeks ago i was down 13 lbs, today i'm down just down 11 lbs since september) BUT...i have to say that i actually kinda like that i lost that bit of weight (how's that for body image issues?!?!). but i also know i need to eat more for health's sake.

You’re not going to feel the restriction until you are much further along in your healing (takes around 6-8 weeks) & eating solid foods. A lot of nerves are cut or damaged during the surgery so messages simply aren’t getting through or are distorted if they do. The staged return to eating is to protect your recovery and to ensure you don’t damage your healing digestive system (think of all those sutures and staples holding your tummy together- I believe it’s around 12inches of sutures+staples with a sleeve. You should only progress your stages if your surgeon advises you to. It’s also one of the reasons why we’re advised to eat slowly and are given portion sizes we should stick to. Also remember that liquids go through the tummy much more quickly than solid food so you don’t really get full in the same way as you know sipping your shakes slowly. Purées go through a little more quickly but nothing like solid foods.

Went Jean shopping yesterday and my biggest struggle was everything looked good and with my size I had so many options. Then went to VS and was picking out size small panties and they are sexy. TMI but I wore a sexy piece for the mister and I felt really sexy in my skin. It was the best freaking feeling! Attached are the very first pair of pants I bought after WLS because my 20s were way too baggy. I don’t always do amazing with my choices in food- a struggle we all will forever be a struggle for me, but damn! I did this work, I put in work at the gym, I meal prep every damn week, and I track. I am humble bragging that I am proud of myself!

I'm glad I got, but it was tener for a few weeks. After that, I just got used to sleeping on my back. It became a habit.

The top pick last week, the bottome pick July 2024 a week after I started the pre op diet.

I put mine as the weight on the day I went to my first surgical consult, which was also my highest recorded weight. With the diet and lifestyle changes I made as part of the program, I lost about 13 lbs in the 6 months between then and the start of my pre-op diet. I lost another 13 lbs in those 2 weeks of liquid diet before surgery. But I want credit for all the weight I lost! Interestingly, Dr. Weiner recently said on a podcast that the weight lost on a pre-op diet definitely is credited to the surgery in his opinion. The reasoning was that if you go on a liquid diet, lose 13 lbs, and then try to keep that weight off without having surgery just by eating right, you are going to regain most or all of it in a matter of weeks. The fact that we lose that weight and then keep losing more weight instead of gaining is thanks to the metabolic changes of the surgery. He also told me in a live Q&A support group a while back to use my weight from before the pre-op diet as my starting weight if I wanted to plug it into a prediction calculator. I raised the concern of being a bit behind the prediction based on one of those calculators and he asked me what my weight was before the liquid diet. When we used that number instead of my surgery day weight, it tracked much better (and is still looking very accurate at 9 months out). He said if I had always been 225 lbs (my day of surgery weight) that would be one thing, but in reality, my "true" weight was somewhere between 238 and 251 in terms of what my metabolism was trying to overcome with the surgery. I feel like that's one of those big questions a lot of us have in the beginning and nobody really gives an answer on the calculator sites.

i use the weight i was on my first day of my 2 week pre-op diet (235 lbs which happened to be my highest weight recorded). p.s. my weight when i had my very first consultation 2 years prior to that was lower...i think it was like 220 or something. there is a statistic where you can input your weight on day of surgery, but it's just not included in the summary under your name in the side bar.... @Alex Brecher...maybe we can include "weight on surgery day" in the side bar info?

I went with mine the day of the op as it was higher than when I started the process - I enjoyed the few weeks before my surgery 😉