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The emotional rollercoaster after surgery can really screw up your hunger signals. Your head hunger signals go into overdrive as your head tells you to eat to make you feel better. Not helped by surges in estrogen that is released from our fat as we lose weight messing with our emotions too. Also many nerves are cut during surgery plus the swelling & inflammation @SpartanMaker mentioned distorts messages like hunger and satiety even if they actually get through. And it’s a pretty major surgery and it knocks you about. It takes time before you don’t feel tired, weak, dizzy, doughy headed, etc. It takes a good 6+ weeks to fully heal after surgery, so these mixed signals & feeling unwell will continue for a while. Generally though, if you’re craving a specific food, flavour or texture, it’s head hunger. If you’re feeling sad, anxious, frustrated, angry, bored, etc. it’s likely head hunger. In time you’ll discover real hunger signals are different. For me I feel restless like something is wrong not that I ‘feel’ hungry. Having eaten enough can feel different too. Many sneeze, or get the hiccups. Don’t eat until you feel full or until you’ve eaten all you want. It takes 20 odd minutes for the full message to get through normally & a lot longer this soon after surgery so don’t eat until you feel full - you’ve eaten too much by then. Stop when you’ve had enough, when you don’t need any more. You’ll have lots of meals (appropriate portion sizes) you simply can’t finish because you’ve had enough and don’t need any more. I still do at 6 years out. The lightheadedness could be from being dehydrated too or from your blood pressure dropping (many experience this). Are you meeting or close to meeting your daily fluid goals? Often an electrolyte drink can help. It does get easier and you will feel better. Just give yourself time.

I thought I replied to this earlier from my phone but don't see it here. So if you see it somewhere else, tell me! LOL! Thank you for the info! I will keep that in mind. Probably when these four levels are done and the last one is easy for me I'll start going to the gym again, even alone. LOL! I had been going alone. Just gets boring and I stopped. But we don't talk or even work out near each other when we go together. I just like it. He does too. Ah well. It's ok for now. I have a goal of losing more weight by my follow up appointment, one year from surgery. Dec 2 and it's already scheduled. They said I should be around 166 but my own goal is 154. One lb less than I've ever been since Jr High. LOL! Excited to get there this year! So once more weight is off of me, I really want to begin sculpting my body as much as it'll let me. I KNOW weights are the key. And I'll really need to do a challenging level and push myself but maybe that will be easier when I'm not as heavy. Things are easier when I am lighter. Pretty shoes don't hurt me feet too. Lots to look forward to! LOL! And I should be happy to lift weights every other day for an hour, compared to carrying them with me 24/7 for 48 years. :::sigh::: Thankful for all the great advice and info I have read here. I hope you all are enjoying your Monday. Mine went well and I'm home now. I also have decided I am going to hit 10k steps 5 days a week. Right now I have 7829 just from work. So it will be easy to do on work days. But I am going to rest some on weekends. Well, try to! I get our groceries and meal prep then clean the whole kitchen and fridge on Sunday and clean house and run errands on Saturdays (last few I've worked at a client's home because they are on vacation and had some special projects needing done.) But most weekends I am off so if I'm not doing an open house, etc then I'm still busy with our home and life. Walking 10k steps a day did a world of good for me when I lost weight all those others times. I feel sure the extra weight won't come back this time because I had surgery. Sooo glad I did it. I have severe osteoarthritis in my low back on the right side and degenerative disc disease in my neck and low back and often sciatica down my right leg so some days I'm in pain worse than other days. (Ha ha, my friends and I joke. The older we get the more we share what's ailing us every day. LOL!) But overall I am ok! I have many friends with diabetes and I worry for them. I'm lucky I don't. I don't even have pre-diabetes and I stay grateful for that. My dad had it. When he passed at age 73 he had had both legs amputated and had had congestive heart failure for 25 years as well as diabetes. He went many years not addressing his diet at all. He wanted to do what he wanted to do. Bless his heart. We have learned what not to do, at least. My brother is a carnivore and is doing well. Labs are great. His weight stays managed. Everyone must do what works for them. We miss Dad and wish he was still here. He taught us many positive things in life too. But we are trying hard not to go through what he did at the end. My husband had pre-diabetes, but has made it much better with diet and exercise. I am super excited to get to my first main goal weight of 154. Then I'd really love to work to get into a healthy BMI to hopefully have smooth sailing into my 60s, 70s, and beyond. My bariatric doc said lower end is 115 lbs for my height and high end is 125. I feel that the less weight that's on me, the more years I have left to live and enjoy my family and friends. Certainly worth putting in the work! 💗

Ohh, I didn't know you had access to a gym! I might have modified this a bit because I was trying to make sure these exercises were something you could do without equipment. Here are some suggested modifications if you are using a gym: If your gym has a hip thrust machine, feel free to use that instead of doing the glute bridge. As I mentioned, hip thrusts offer a bigger range of motion, so are an even better exercise. Push Ups are probably fine as they are, but once you get to doing 10-15 knee pushups, you might also start doing the chest press machine, or doing a bench press with dumbbells. Once you get to unsupported squats, you can start adding some weight. Some gyms have hack squat machines or leg press machines and both will work great here. Another one to consider would be a goblet squat (google it). The nice thing about this one is that it will emphasize your quadriceps a bit more, which might be good since we're hitting your glutes and hamstrings pretty hard with the hip thrusts and lunges. As to rows, feel free to skip all the ones I wrote and do a seated cable row or do something called a bent-over row with dumbbells. With leg raises, do them as listed, but if you get all the way through those, then the next logical progression is to move to hanging leg raises. These can be done on a dedicated machine (sometimes called a captain's chair). The lunge exercises are probably fine as they are, but feel free to add weight (hold some dumbbells in your hands), if you get to where the versions I listed are not enough for you. As an optional thing, if you wanted to add in one additional exercise per session, I'd do a Bicep dominated exercise one day, a Tricep dominated exercise another day, and a Calf dominated exercise the 3rd day. The actual exercise selection does not matter much, so do whatever exercise you like or whatever machine your gym has. You can even do a different one every week. Again, if you're happy without this, then skip it. it's not going to make a huge difference, because we are hitting these muscles some already. Best of luck!

Very true! Thing is I love lifting using weight machines. Especially leg day! I don't like going to the gym alone and my husband and I work opposite shifts. So it's hard to get to go together. I started my new routine this morning and excited to continue it. We swim about once a week. But rained the last time we were off together. So indoor things I can do myself is most helpful to me for now. Thanks for the advice!

Hey, you’re not alone. I asked for help from my dietitian. I went to meetings with other bariatric patients. I watched videos online. I got a therapist. Obesity is a disease and if one thing isn’t working, go to your doctor and tweak something else. I found I have to weigh and measure everything. I prep my food. I’m really boring and do better when I eat mostly the same things for breakfast and lunch. I’m someone that needs to eat breakfast. I have to have a regular schedule most days. When I need to loose weight, I need to also concentrate on more aerobic activities, very low weights. What you need for you is going to be very individualistic for you. In the bariatric groups I attend or stream, one person got the DS portion done. One person uses gl-1 meds, another need’s metformin. A different person needed more yoga and Pilates and made it her career. Another person found starting her day with morning mass and volunteering in the community filled her with energy that wasn’t food. My coworker got a dog that needed lots of walks AND agility training. She got back to goal and found a stress relief and joy. So you’re going to have to do some research on yourself, because getting healthy and staying healthy is a multi pronged approach. It’s a little like finding the right combination of medical, physical, emotional, spiritual tools, and realizing the ruby red shoes on your feet can help. You can do this!

Welcome. Sorry to hear you're struggling. I want to touch on a couple of things you said since the truth may be different than what you thought? First, I want to hit on this idea of a "pouch reset". There really is no such thing. Your stomach expands and contracts normally, just like a non-surgical stomach. You can't make it appreciably smaller just by eating less for a few days or weeks. Sometimes people feel like this makes a difference because it mentally helps reset what it feels like to be full. (A lot of people overeat after a few years.) If you really want to go down this road, you certainly can, but just understand it's not going to magically reset the size of your stomach. It might help reset your brain a bit, but the effect won't last long if you go back to eating too much at a time. You can get the same effect by just reducing portion sizes. Second, I want to touch on you gaining muscle from going to the gym. There are a few things to unpack here, but let's start with the fact that scales are NOT your friend and I would strongly advise you to not use the scale as the thing you use to gauge your success. Let me give you a hypothetical situation: If I could give you a magic potion that overnight made you look just like a fitness model, but it also made you weigh 300 pounds, would you take it? I don't know what your answer is, but I'd guess that like most people, you probably would in fact drink the potion. I don't have a magic potion, but doing strength training in the gym is kind of the same thing. It just takes a lot more work and time. The point here is that muscle is a lot denser than fat, so you can in theory be even heavier than you are now, but still look a lot thinner because you've changed your body composition to favor more muscle mass. Keep in mind that most people find more muscle mass more attractive (well up to a point anyway). Also, you are NEVER going to actually lose weight from doing strength training. it's not a great way to actually burn calories, so thinking you're going to go to the gym and lose fat just isn't realistic. Cardio at the gym isn't much better, so don't think that's the secret either. It will burn more calories, but the reality is a couple of things happen when you do cardio (or resistance training) at the gym: You'll be hungrier, so you tend to eat more than you would otherwise (this might be why you're snacking more). It will seem subtle and may be almost unnoticeable, but you will move less the rest of the day because your body is trying to recover from the workout. This means you don't actually burn many, if any additional calories. Said differently, your body will do everything it can to keep you right where you're at, so it is literally slowing your metabolism down to make up for the calories you burned exercising. I'm not trying to discourage you from working out. It has a LOT of health benefits, but as a way to actually lose weight, it's not so great. Now once you get to your goal weight, working out at least 5 hours a week can REALLY help you stay at your goal weight, so keep that in mind as well. The final thing I'll add here since this post is already pretty long is that the one sure-fire way to lose fat is to eat fewer calories than you burn in a day. I know that seems fairly obvious, but people think sometimes they're special, or that it doesn't apply to them. I don't know how many calories you're eating right now, and it honestly does not matter. Right now, whether you're eating 1500 calories or 3500 calories, you're eating at maintenance for you. If you want to lose fat, then you've got to eat less. The way to do that is whatever way works for you. There is no secret diet that works for everyone. All diets can work if they have you eat less than you eat now. You've got to find not only what works for you, but what is a sustainable way of eating for the long term. Crash diets almost always fail, so I wouldn't look for something that works in the short term. What you need is something that you can do for the rest of your life. Best of luck.

Hi everyone, I had my gastric sleeve surgery on February 3rd, 2022. My lowest weight after surgery was around 59 kg, but now I’m back to 71 kg and I honestly feel stuck and frustrated. I feel like I’m doing everything I can, but nothing really works. I go to the gym, but I feel like it just builds up more muscle on my legs instead of helping me slim down — and that’s the opposite of what I want. I try to eat small portions, but sometimes I snack too much or drink calories without realizing it. I’m worried my sleeve has stretched or that I’ve slipped back into bad habits. If you’ve been in my shoes, what helped you get back on track after some weight regain? Did you do a pouch reset, change your meals, get help from a specialist? I would really appreciate any real tips, daily meal plans, or mindset tricks that worked for you. Thank you so much for taking the time to read this. It means a lot to hear from people who truly understand what this journey feels like.

Wow, congratulations on being off all your diabetes meds and insulin already at just 7 weeks out! You're so right about the liver doing its own thing overnight, I'm still learning all these quirks. My morning numbers can be all over the place even when I eat the exact same thing. It's reassuring to hear from someone who's had such amazing results with their blood sugar. I'm still on a reduced dose of Metformin but hoping to get off it completely as I continue losing weight. Can I ask what your typical breakfast looks like now? I'm always trying to find that sweet spot between getting enough protein in and not spiking my glucose.

Awesome! I am going to do these 3 times a week. Thank you so much. I hope this helps me! Amber and others have always given me good info too. And my husband just bought me some cards with instructions similar to this. He goes to the gym nearly every day and works a physical job. I just need to implement what I've been shown. I was walking and doing light weights here. But I need to commit to something more structured. I appreciate all your advice! Excited to get started! 🤩

She may have called it a DEXA scan, but it wasn't. That was definitely a BIA scanner. Here's the workout: 3 times per week, please dedicate time to do the following workout. It should take no more than 45 minutes and hopefully closer to 30. For all of the below exercises, I want you to start with the first variation of each exercise. Week 1: Do variation 1 of each exercise for 2 sets of 10 (or the max you can do if you can't do 10) In between each set, rest for ~1-3 minutes. The exact time doesn't matter that much, as long as you feel ready to begin again Week 2: Now I want you to do 3 sets of 10 or your max if you can't do 10. Week 3 (and beyond): Continue doing 3 sets, but now I want you to do the maximum number of each exercise that you can, up to 20. If it's 12. do 12. If it's 15, do 15. If you can get all the way to the point that you can do 20 of the exercise for 3 sets (a total of 60 repetitions), then stop there. Next time you do that exercise, I want you to move to the next variation listed to make it harder. Be aware that some of these may feel like big jumps, meaning you may go from being able to do 60 of version 1, to only being able to do 5 or 10 total of the next one. That's perfectly fine and to be expected. Just keep working at the new version until you can do 3 sets of 20 at that level. At that point, move on the the next version. If you get all the way through one or more of these, there are even harder variations available. Reach out and I'll give you more. That said, after doing these for 2-3 months or so, we might want to switch things up a bit? Doing the same thing over and over can get boring and we also want to fight any potential muscle imbalances by changing things up with different exercises. Be aware that you may feel sore a day or 2 after doing these exercises, especially at first. That's perfectly normal and should get a bit better over time. Here we go!: Exercise #1: Glute Bridge – Primarily works your glutes and lower back, as well as various smaller hip muscles How to progress: Standard Glute Bridge -- Both feet on Floor Single Leg Glute Bridge -- Do a single leg at a time with the other leg held straight out. Be sure to work each leg! Weighted Glute Bridge -- Time to add weight across your pelvis. How much is up to you and you can also progress here by adding more weight. Dumbbells work, but short of that, it can really be anything. Sandbag, milk jug, small child get creative! Hip Thrust. This is a very similar exercise, but allows a higher range of motion, so actually works your glutes even better. Ideally you'd also add heavier weight than you were using for the glute bridge Exercise #2: Push Up – Primarily a chest workout, however it also works the arms, shoulders, core and upper back as well. How to progress: Wall Push Ups -- It's what it sounds like, do a push up against the wall. Start by standing just over arms length away from the wall. You can change the difficulty a bit by moving further away Elevated Push Ups -- Another push up motion, but now you're using something lower to support yourself. You can also gradually move to lower and lower surfaces. For example, start with a kitchen counter, then progress to a coffee table Knee Push Ups -- Move to the ground in a basic push up position, but on your knees Regular Push Ups Exercise #3: Squat – Good leg exercise that hits the quads, hamstrings & glutes How to progress: Box Squat -- This is basically squatting down to sit on a box or chair, but DO NOT use your hands to get up or down. Ideally, the chair/box will be about the height where your legs are parallel to the ground Supported Squat -- No more box. Now you'll hang on to something for balance. Again, try to shoot for getting your upper legs parallel to the floor. Also try not to use the support to aid you in standing back up. It should be there mostly for balance Deep Supported Squat -- Now it's time to go as deep as you can, ideally with your butt hitting your calves Unsupported Squat. Time to let go of the support and do a proper squat Exercise #4: Row – Primarily a back exercise, but also can work the arms to some extent, especially the forearms. How to progress: Wall Pull -- It might be a little challenging to find a place to do this, but the idea is you'll find something sturdy like a stair rail, or something firmly attached to the wall that you can pull against. When you did the push ups against the wall, you stood further away. Here, I want you to start by standing maybe a foot or so closer to the wall so that you're leaning back when your arms are fully extended. Wall pull with a towel -- We're going to increase the difficulty by using a hand towel wrapped around your stair rail or object. You'll hold onto either end of the towel. This will allow you to lean further back. If needed, you can progress even more by moving to a bath towel instead of a hand towel. Inverted Row with Legs Bent -- Now things get even more complicated. Ideally to do this you'd have something like a suspension trainer, but it's possible to do this with a heavy wooden or metal rod suspended between 2 sturdy chairs or kitchen counters. Some city parks may also have a low bar that would be ideal for this, but you might have to look around? Inverted Row -- Same as above, but now you keep your legs straight NOTE: It may not be easy for you to find a way to do the inverted rows. If you're struggling, another option might be a "Plank Row", but this will require dumbbells. Simply progress this by adding more weight. If you go this route, you may want to go easy on the Leg Raises below or you may torch your core muscles.) Exercise #5: Lunge – Another leg exercise, but these are done one leg at a time. This will continue to work your legs, will help with balance and will engage your core as well. How to progress: Supported Rear Lunge -- I suggest just googling all these as they are easy to do, but harder to describe. In this one, find something to hang onto for support. Rear Lunge Front Foot Elevated Rear Lunge Bulgarian Split Squat Exercise #6: Leg Raise – Primarily a core workout How to progress: Lying Knee Raise -- Another one I suggest googling. These are all done from the floor Lying Knee Raise to Straight Leg Lower -- the idea here is you’ll raise your legs with your knees bent, but then straighten out your legs and slowly lower them down. Lying Leg Raise Seated Knee Tuck Good luck!

The average woman is going to be around 30%, but this obviously varies. Also, younger women will tend to have a little more and older women typically have less. Men tend to have more muscle mass, so on average, they will be anywhere from 30% to 45% based on age. Men tend to suffer more from age related sarcopenia than women, though. What I mean is that 40-45% is pretty common for a man in his 20s, but once they get to around 75, 30% is about average. Women on average go from just over 30% in their 20s, to maybe 25% over the age of 75. Keep in mind, these are just averages and it's not uncommon for people to be way under or over this. As an example, the average for my age would be about 33%, but I tend to be around 40-42% based on BIA readings (that can admittedly be off). A lot of these variations are simply genetic, but if you're active, you will tend to have more muscle mass than you otherwise might have. The 26 lbs you were told you had back before surgery does sound really low, but it could be off as well. Obviously I don't know what you had done, so I'm assuming they used something like an InBody scan, which is just a fancy BIA scale that you stand on and also hold some electrodes. If so, that number should be skeletal muscle, so it would not include your heart or other organs. Those all go into what we call Fat Free Mass, which is everything other than body fat. Quality BIA scales like InBody can be pretty accurate, but they're not perfect. The gold-standard way to measure is something called a DEXA (Dual-energy X-ray Absorptiometry), scan, but it seems unlikely you had this done? If you did, you'd probably know it. For these, you lie on a table and the scanner either passes over you, or more commonly, the table moves under the scanner. It's a lot like having an xray or a CT scan, but it scans your whole body. It's not an all or nothing type of thing! Anything is better than nothing, but light weights don't really do a lot, especially if they don't challenge you. Rather than do that, it would be much better to spend the exact same amount of time you do today, but really push how much you're doing. It needs to feel really challenging. If you feel like doing more of a proper workout, I'd be happy to provide something you could do at home to really work on building some muscle, but I'm not going to do it unless you promise me you'll actually do the workout! Deal?

I am glad to read these posts here. I'm in really bad shape when it comes to muscle. Does anyone know about how much a person should have? I read like 30% of our weight?? I was 244 and had 26 lbs of muscle. Just doesn't seem possible I can walk around and carry that. Now I'm 183.8. But probably lost more muscle too. Every time I lost and gained 60 or 100 lbs over the years, I gained way more fat. So makes sense but scares me. Had eggs and half a protein shake so far today. Haven't liked the powder much. It's ok. But tried using it in cooking. Not really good. And don't like milk much to drink it. I'm doing resistance and small weights. But I feel weak and I work alot so not much energy left to do a full work out and go all in on that right now. Can't be good to have so little muscle. My heart is a muscle! 🙁

Hey there! First off, HUGE congrats on hitting your goal weight, that's absolutely amazing! Your story really resonates with me. The whole hysterectomy throwing everything off track is so real, hormones really are no joke. I'm so glad you found the right combo with getting sleeved + Zepbound. Are you doing anything specific now to manage your constipation, or did it resolve on its own? And also did your doctor have thoughts on why Ozempic didn't work for you initially, but Zepbound did? Maybe dosing, timing, or formulation differences?

That's really interesting! I hadn't heard that specific podcast yet, but I've been following some of the emerging research on GLP-1s beyond just diabetes and weight loss. The potential psychiatric and neurological applications are fascinating. I remember seeing some early studies suggesting GLP-1 receptors in the brain might play a role in mood regulation and addiction pathways, so it makes sense they're finding benefits for depression and substance use disorders. Do you know if Dr. Weiner mentioned which specific studies he was referencing? I am going to check out that podcast, thanks for sharing!

I would say it took me 26 months to get to a weight where I was happy. A lot more than others did but I had my issues. My size and age made me very disabled, exercising was a no-no. I got here though. I am living my best life.

As you probably know, PCOS can affect metabolism. This means you may be getting a double whammy from PCOS and your height that really pushes your metabolic rate down. As I mentioned earlier, without having an expensive metabolic test done, we can't know for sure how many calories per day you burn on average. If I had to guess, I think it could be as low as about 1000 to 1200 calories per day for your Basal Metabolic Rate. This is basically the amount your body burns just keeping you alive. If we add in a bit more to account for the fact we all burn some additional calories (even if we're mostly sedentary), then that could put you around 1300 to 1500 calories per day. If you're eating ~1000 calories a day, that means at best, you'd lose about 1 pound a week, but it could easily be closer to 1 pound every 12 days or so. If you do the math (I did ), then this would put you losing right about 2.5 pounds per month or 10 pounds in 4 months, which is right where you're at. Now for the record, I didn't factor in anything for the fact that as a DS patient, you are actually also benefiting from reduced absorption. These are all made up numbers anyway, so don't get too caught up in the hard numbers here. Remember: Even if you think you're super accurate in logging food, variation in caloric content from one piece of food to the next means your calorie counts may or may not be that accurate. Don't trust manufacturer calorie counts as accurate either. They can be as much as 10% or more off. We don't actually know how many calories you burn in a day on average. My guesses are just that, guesses. Bottom line, you've got a few things working against you here, but as long as you continue to follow your surgeon's plans, there's no reason you can't lose the excess weight. It's just going to take you longer than most people. I know that sucks, but it is what it is. Knowledge is power, so hopefully you'll come away from this with a little more knowledge. That should give you a little more power over your unique situation. All the best.

Hi Lisa, I’m so sorry you’re struggling. You are not alone and there is always hope! I agree with @SpartanMaker above. I am post menopausal and that peri-menopausal and immediate post time is so tricky. There may be some other reasons for continuing weight gain and stagnant loss. As a sped teacher, I always look at crossing out medical issues first. So thyroid, PCOS, fibroids, and endometriosis should probably all be ruled out. I too am a sooth with food comforter. I had therapy that was very specific to me, related to eating disorders. My counselor helped me with body dysmorphia,and feeling good about making positive choices. For me, I had to stop tracking. I pretty much stick to keto with some veggies. I reached out to TOPS and OA for advice and most people there kind of came to the same conclusions. Many women found they needed to keep taking Metformin to help with genuine continued hunger. They were peri menopausal and we wondered if their doc didn’t snip as much stomach off as the ones from my clinic. (We compared notes.) In the end, we were all fighting for our health and there was no shame. Asking for help is the best sign that things will turn around for you too! I found an affordable therapist in psychologytoday.com It sounds like insurance might cover yours through your clinic. I had to pay out of pocket but it was well worth it.

I opted for surgery over the meds for a number of reasons including insurance coverage, med interactions and life long use of the GLP-1 meds. I did manage to lose quite a bit on my own when I woke up to the trash I was eating. A very simple tool helped me here. A phone app. It doesn't matter what you use (there are many to choose from) but actually logging everything you eat and drink even over just a week can be very eye opening. Read label too. Portions in restaurants are WAY too big. When I started keeping track and cutting back to actually serving sizes instead of overeating it helped a lot. If you start with that it will give you an opportunity to continue with researching the weight loss drugs while being aware of what you are actually eating. It is a pain to weigh and measure portions, but it makes a HUGE difference. Best of luck with your health journey!

Welcome! For me personally, body image and self-esteem issues are potentially two different things? I'm obviously not a therapist so take this with a grain of salt, but while they may be related, it seems to me that they may also not be related at all? I know a lot of us have struggled with the body image issue, me included. I think for me that's mostly just because I was so big for so long and I have not yet gotten to the place where being small is "normal" for me yet. i still will grab clothes out of my closet and think "No way I can fit in that", yet I do. I also will look at my stomach and think I don't look that different, but I went from a 44 in waist to about a 30-32 in waist, so obviously I am objectively a lot smaller. I would not, however say that I have self-esteem issues, at least I don't think so! Am I sometimes overly hard on my bodily appearance, sure. As an example, you'll never catch me going without a shirt, even though as a guy I "could" do so. I'm older, have a lot of scars from various surgeries, and still have a fair amount of loose skin that is unlikely to go away. Ain't nobody want to see that! I'm also honestly too cheap to spend the money on plastic surgery. Anyway, I just wanted to share my perspective. I suspect even if your body was perfect (and no one has a perfect body), you might still have self-esteem issues due to your past life experiences? I mention all this because I do have to wonder if you're not thinking "if only I got to a normal weight, I'd feel better about myself", but in my experience, that never works. If you are not currently seeing a therapist, it might be a great time to start?

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?

So sorry that you're struggling. Weight loss is both the simplest thing in the world, and also incredibly complicated. The good news is there is absolutely hope for you! Thinking through what you've posted. I think I want to break things apart a bit so we can address a few different things: Let's start with being an emotional eater. My personal belief is that EVERYONE that is (or at one point was), obese has an eating disorder, or at the very least suffers from disordered eating. You simply don't get that big without having an unhealthy relationship with food. I'm really glad that you are working to get help in this area. We have a saying here on this board that you should take to heart: Bariatric Surgery doesn't fix your brain. Success or failure long term is most often about addressing these mental, not physical issues. The surgery is a tool that can help you, but surgery alone won't make you lose weight. My point here is YOU ARE NOT ALONE. A lot of the folks here have the same problem regarding turning to food for emotional support. You can get control of this, but it does take time and help. Failure to lose weight. We all lose at different rates, so it's hard to judge whether or not how much you've lost is problematic. First, can you clarify some things? Your sidebar shows you having lost 128 pounds, but your post suggests it's a lot less than that? Also, your post says it's been 6 months since your surgery, but unless I'm misunderstanding something, it's only been 4 months? Even if it's only 4 months instead of 6, having lost 9 pounds would still be on the low side, but I think you need to also keep in mind that you are on the low end of the height scale. That absolutely does matter when it comes to weight loss. Smaller bodies need fewer calories per day. That's just a basic fact. I think it's important for you to understand that you can't break the laws of physics. if you eat fewer calories per day than you burn, you'll lose weight. Eat the same amount as you burn and you'll stay at the same weight. Eat more than you burn and you'll gain. I know that seems obvious, but people often look for reasons other than this as to why they might not be losing as expected. They'll say things like "my metabolism is messed up" as if that means they're allowed to break this basic rule. Perhaps their metabolism is messed up, but there's no rule that says you should be able to eat, say 1300 calories a day and still lose. Your metabolism is your metabolism and while there are ways to ramp it up, you don't get to break the laws of basic physics. Calorie counting. You mention eating 700 calories a day, but then mention snacking on top of that? Did I understand that correctly? Here's the thing. Everyone is TERRIBLE at calorie counting and if you're not counting the snacks, you're estimates of how much you're consuming will be even worse. Even if you're counting the snacks in the 700 calories, the likelihood that you're actually eating only 700 calories a day is really small. Studies have shown again and again that people drastically underestimate how much they are eating per day, even if they try to accurately weigh and measure everything. Part of it's just user error, but part of it is that the actual calorie counts of food are not nearly as simple to measure as we think they are. One final thing to keep in mind. Our bodies are made up of lots of "stuff", and this "stuff" is all part of what you weigh day-to-day. Fluctuations in how hydrated you are, your muscle mass and even stool weight can mask fat loss, so don't get too caught up in what the scale says. Simply put, the scale is NOT your friend. Let me give you an example of just how much the scale can lie: I'm a runner and if I run in hot weather, it's not that unusual for me to lose 6 to 10 pounds in the space of a couple of hours. Does that mean I lost 10 pounds of fat? Of course not. It means I lost a bunch of water due to sweat. Using a scale as the sole means you use to judge your success would be a bit like trying to use a hammer as the only tool you use to build a house. a hammer's great for some things, but there are also times when it's not.

Hello AngieNM, That is a body image issue that sometimes will rear its ugly head. We all here can tell you that we experience it. Just the other day my husband asked to see my hand. I didn't know why but he looked and said "wow, you are losing weight". I didn't believe him so I got on the scale, which I try to avoid, and sure enough, I had lost weight, lots of weight and I looked into the mirror and saw the same large body, just flabbier. I'm a member now of BariNation, which you can be too. They have Licensed Social workers, Registered dieticians, physicians and registered dieticians all that are bariatric specialists and they hold groups where you can learn, get therapy, ask questions, and a whole host of other things. Instead of waiting for a response like in this forum, you get instant gratification from having a community of people like yourself, and friends that are long lasting can be made easily. Remember that your goal was not just a weight loss surgery but a metabolic surgery that will bring you to a state of wellness. As you lose weight, you will have body image issues, and because you see yourself as the large you and do not see any differences this is because you have no real record unless you took pictures of yourself and still do to help you with your differences that you can see. It takes time, but it is worth it in the end if you can work through your feelings in groups or with private therapy about the criticism from your family that is a life long battle. All of us were criticized, mocked, teased and otherwise shamed about how we carried our weight never realizing what it was doing to us on the inside emotionally and psychologically. Join me in BariNation, get some group therapy, at least try it for a month and see how you like it. It is really worth the 40 bucks a month, just a little over a dollar a day for all kinds of therapy and peer support to help you. I wish you the very best!!

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?

I've finished my Pre-Operative Program at Bariatric and General Surgery at MedStar Washington Hospital Center. I'd previously felt unsure about the program but it's turn out to be a very good experience. Now, I'm in the window where they will request prior authorization and then at some point I'll get a surgery date and be off. For me due to scheduling the gap is going to be about 3 months. Since I have the time I'm interested in learning what could be beneficial for me to consider in this waiting period. I will continue to lose weight with the goal of losing 8 lbs a month. I will continuing exercising, and seeing my dietician. I've eve reached out to setup sessions with a bariatric therapist. I've purchased six months of chewable multi-vitamins and calcium, an assortment of protein shake flavors. But I know there's more needed so please lay your wisdom on me.

But that's kinda my point. We used to think that extra muscle mass burned a lot more calories per day than it actually does. Keep in mind too that fat is not completely metabolically inert. So on average, one pound of fat burns about two calories per day just existing, whereas one pound of muscle burns about 6 calories per day at rest. You're just not going to lose much weight from resistance training alone. Weight loss happens in the kitchen. Sculpting beautiful bodies happens in the gym.