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Today’s win for me is finally starting to feel like I have found a bit of a balance with my life. For the past two months everything has been on hold and life has been 100% about my recovery, nutrition and fitness but I finally able to juggle my crocheting and make time for my hubby to hang out and do things. I was really not making time for crochet very often so I joined a second group so at least I am working on it twice a week but I have been working on it more than that this week. I did decide no handmade Christmas gifts this year though. I make chemo caps for the local cancer center and they are more important than my family getting new towel toppers if I have to pick one.

I have gotten it a number of times from different family members and friends who tell me I look great but to stop loosing weight etc. My boss frequently tells me I don't eat enough and getting too thin.... this from a man who when showing me the ladies he is swiping left/right on never gives a second look to someone over about 130lbs! 🙄 So I just reply, well excuse me but most of the time I eat enough (I track), just small and frequent usually plus I am going to the gym 2 or 3 times a week and upping my fitness and toning up but its none of your business anyway.

As others have said, absolutely not. Fruit, veg, and lean protein is essential to good health. I had protein shakes for the two weeks before surgery to shrink my liver, and for the first few weeks after as my insides healed. I would never want to rely on them beyond that. I can't even imagine how horrible and unfulfilling that would be. I've continued to have maybe one shake a day as a supplement when it's difficult to hit my protein goals. Tonight I'm having a protein hot chocolate from Premier Protein because it's chilly outside and a nice treat. But mostly I eat real, minimally processed foods. It's important to remember that supplements and vitamins and minerals are only able to provide the nutrients we know about, the ones scientists have discovered are directly responsible for diseases and disorders if you don't get them. But there are countless thousands of compounds in natural foods that we need and that are absent from shakes and supplements because they haven't been studied. The only way to get that is to eat a wide variety of real whole foods.

Chewing for 22 times or 22 seconds is fine. But then wait at least that long between swallowing and taking the next bite. That's how you make your meal last 20-30 minutes. Very small bites, lots of chewing, and pausing between bites to let your fullness signals have a chance to catch up. It's hard to explain how small your bites will need to be after surgery to remain comfortable and not make yourself sick early on. After surgery, I bought a set of cocktail forks and demitasse spoons. They are tiny, like something you would use for a doll. For the first three months, I ate with those. My bites were the size of a pea. Picture your golf ball size meal. Mentally cut it into 20 pieces. Or literally get yourself a 3 oz meatball and actually divide it into 20 pieces. Right now, you don't have any restriction, so it will feel crazy to do this, but after surgery, you can consume one piece per minute and you will most likely feel great. Faster and you risk feeling bad, at least for the first many months. I just made the mistake of eating about 1/2 cup of raw baby carrots too quickly because I was distracted by work, and I am filled with regret. And belly pain. I feel like I've gorged myself on Thanksgiving turkey and all the trimmings and gotten it stuck halfway down my throat. I now get to reflect for the next few hours about why that was a bad idea to not slow down. It's a learning process, even well after surgery.

I never got an advice on "mindful eating" until AFTER I was a week post-op. I had a total of 15 minutes with a therapist pre-op. I have had to go back to staying on liquids because I just can't stop eating too quickly when it's purees. Even yoghurt is too heavy. It's definitely better to get in the habit now. I still haven't mastered it.

Oh, yes. It really is so disheartening, and knowing it's normal/expected doesn't make it feel any better! To give you an idea of how my weight loss has fluctuated, here are my monthly totals so far: February: -16.4 lbs (2 week pre-op diet plus surgery on 2/21) March: -11.6 lbs April: -7.6 lbs May: -2.8 lbs June: -11.2 lbs July: -1.6 lbs August: -8.4 lbs And so far in September I'm at a whopping -0.4 lbs for the month. Let me tell you, May and July both sucked, and I honestly don't think I did anything differently in June or August to explain the variation. It just is what it is. I'd say stay off the scale, but personally, I enjoy having the daily number because I'm obsessed with having a record to look back on, so I get having to do it every morning. I'm sure you're far from done losing, even if you're at a slow point right now. Just for fun, I'm attaching a side by side comparison that I made of myself yesterday. It's a photo of me from last summer at my highest weight alongside a pic of me from my walk yesterday. When the scale stalls, making something like this cheers me up and helps me see beyond the numbers on the scale.

@NickelChip I do snack on nuts, sometimes use them for breakfast with non fat Greek yogurt with some fruit. Coffee I drink 1-2 times a week with non fat milk and no sugar syrup. Once a week I have a meal in restaurant and allow myself to have whatever I am craving with portion that I can tolerate. I do allow myself to indulge once in a while, so I don’t get crazy carvings, but to be honest I don’t even order unhealthy food when I eat out. I crave for more quality food now. You are so right that I do feel like I m in a size that is close to my goal weight . I feel like I look very close to my goal weight, but the scale says other wise. I never wanted to be skinny skinny, but just healthy in my own way. I keep imagine myself without the excess skin and think that I would be happy after that. 160-170lbs looking is where I want to be. I’ve been obsessed with researching for plastic surgeries. I do know it’s not something I should do now, I would want to wait for at least another 6 months and evaluate then.

TBH, I'm in a similar boat, I meet with the surgeon next week for my second meeting with them. We'll discuss surgery types. In my hometown all the hospitals only do two (SG and RYGB). So I don't really have a choice unless I got to hospitals out of state, and I'm concerned about getting medical care if I have complications and have to drive a 45 to an hour plus to get to the hospital, also the state south of me won't do telelhealth across the boarder, but they also don't have many in-person appointments because normal practice is telehealth. One hospital that does SG, RYGB, SADI-S, and BPD/DS basically said I was out of luck. My situation is a bit different because I am concerned about stomach cancer because it runs in my family. The idea of a remnant stomach freaks me out, at the same time my EGD found H. Pylori negative gastritis (antral and oxyntic mucosa with mild chronic inflammation). To be frank I didn't know how that impacted anything, and all the GI doc did was put me on a high does of a PPI. I don't have GERD, like most people I have heart burn from time to time and Pepcid complete works and i'm done. Surgery is hella scary, but these surgeries are amazingly safer than a lot of surgeries. I am more scared of the recovery and any complications, than dying from the surgery. At the same time, although I've fished my program's requirements save for the final exam I and waiting until this fall to have a procedure. If Tuesday I learn they was to do the RYGB I may very well back away and continue Zepbound. Not being able to scope my stomach is a fear of mine because the GI had no idea what as causing the gastritis and his report suggested that I was on my way to ulcers. So Joy. The human body is complicated. Take your time, it's your time, your life, your body. If you feel rushed tell them so, and if you're scared tell them so. It's okay to be scared, it's okay to be that annoying patient (I know I'm that patient) that asks questions and needs to feel settled. It's also okay to change your mind, and change you mind again. It's a big freaking deal. And living with obesity is also a big freaking deal. Only you can make the decision that's best for you right now. You'll be fabulous if you have the surgery, and you'll be fabulous if you defer.

That is AMAZING! Nothing beats the feeling of achieving a new PR! And it feels so good to discover that your stamina has picked up and that you are able to go for longer (whatever that is you're doing), or do things you were never able to do before. Disclaimer: it is addictive. While I worked out my whole life, including while being obese, I was never fond of running. I did all sorts of cardio (Spinning, HIIT, BodyAttack, BodyCombat, Step, you name it) but I hated running with a passion. Found it boring. Although I was able to run for 6-7 km straight I rarely ever did. Fast forward to my foot injury, I was so immobile I was in pain walking, so I did a lot of jump rope and spinning to compensate but my weight never budged. 4 months Post VSG I started getting into serious fitness again and I discovered this newfound love for running that I run every single day now. I do 5-6k once a week and 3k every day after my lifts and I LOVE it with a passion, how times change LOL. I have a feeling you will too. Although I don't know you, I am very proud of you and hope your journey is full of such pleasant surprises.

Oh, perfect timing. I’m picking up my ground turkey today to make turkey meatballs one day this week. I plan to double the recipe this time because my hubby likes them too and I intend to freeze a bunch. I think I’m going to make half with seeds and half without just in case we don’t love the crunch. Sounds good though.

I gained and lost the same 2-3 pounds over a three month stall. 😡 So, yeah it happens.

I was allowed instant oats from purée (traditional oats, so more coarse than the instant, were allowed a couple of months later). I made them with more milk than they advise (extra protein) & ate them hot. Of course it took two or three days to eat a recommended serve of the oats in the beginning and I’d just reheat them & add a little more milk the next days. After a month or so on traditional oats I’d add blueberries. Besides vegetables & fruit, the oats were the other carb I ate but only three or four times a week. Now I add two big spoons of yoghurt, a spoon of mixed seeds, a scoop of collagen (vital proteins dissolves really well), cranberries & blueberries. Still made with lots of milk and still eaten hot. Only use about 1/2 - 2/3 of the recommended serve of the raw oats. I always have leftovers but I eat them for an afternoon snack.

I agree with the others. You’re just not ready yet to eat solid foods. Your symptoms of discomfort, vomiting, hiccups, burping are evidence of that. It takes at least 6 weeks for you to heal ( all those sutures and staples holding your digestive system together) which is why we’re put on the slow, usually two week cycles, of progressing from liquids, to purées, to soft foods to regular solid foods. Even following this schedule, many have to go back a step simply because they haven’t healed enough tolerate the denser food yet. And that’s okay. You may have to do this too. There are even solid foods that some people take even longer to be able to eat without experiencing side effects. Foods like chicken breast & steak. Some foods can be too rich like eggs or they’re too dry or coarse (sauces & gravies are your friend). Your tummy is very sensitive and can react to any food (texture, flavour even smell) and this can continue for a couple of months. I used to describe my tummy as a petulant two year old who throws random tantrums. Unfortunately there’s no hard and fast rules about this. You just have to try things and see how you go simply because of our individual differences. Never give up on a food you struggle with initially though. Give it a break for a couple of weeks and then try again. Glad you’re on a PPI (sumac) which will help with the excess acid your body is still producing (it hasn’t learnt you don’t need as much yet). Will also help with the hiccups and burping. Actually many people find hiccups are a signal they’re full. Make sure you’re eating slowly (take 20-30 minutes), small bites and not eating too large a portion yet. Out of curiosity what are your portion sizes at the moment?

Hi all. Im 7 weeks post op as of today. I’m curious if anyone has hired an independent bariatric dietician… in other words, someone outside of your surgeon’s office to support you? I am not really satisfied with the level of support that I am getting from my surgeon’s office. I’d like at least a weekly or bi-weekly check in with someone and to discuss goals and things I can work towards. When I asked my surgeon’s office at my last follow up appointment if I was where I should be weight loss wise, I didn’t really get much of an answer. I asked where I should be at my three month follow-up and she couldn’t find her chart. So I never got an answer. I live in an area where I haven’t been able to find any support groups locally. I’ve located someone online with a wealth of experience in working with bariatric patients and is a certified dietitian. She works primarily online with patients. I am hesitant to move forward based on the price. Just curious if anyone has had luck with this or has any thoughts about it? I haven’t decided against it, just hesitant due to cost.

In dmv Kaiser has various phases post op for sleeve - they allow coffee & carbonated drinks 6 weeks post op for example protein is always prioritized but how is left to the patient

Thank you!! I lift heavy 3/4 days a week (legs/glutes, back/chest, arms/shoulders, strength and conditioning) and do Pilates twice a week. I also run/jog daily on the treadmill, I do HIIT once a week and I close at least 10k steps a day! That’s pretty much it! I focus on protein mainly and enjoy eating out on weekends.

I have no idea why I feel this way. I'm finally down to 1 more surgery (my hysterectomy) and then I'm totally done with hospitals. I'm healing well from my hernia surgery (even did a VERY light workout today for the first time in a month since I'm only 3 1/2 weeks out). I love my job, I'm feeling good, our rent is paid and we have plenty of food, car is running well, gas tank is full, finally stable again. Hubby and I get along great, kids and granddaughter are doing well. It's driving me nuts that I can't figure out why I feel down. Normally I'm excited about the new year. I don't get SAD (Seasonal Affective Disorder), and I was fine up until about 2 days ago. I don't suffer from depression, so it's just really bugging me. What in the world do I have to be down about???

Thank you so much. I am actually feeling a bit more positive this morning. I stepped on the scale and I dropped over two pounds to finally get into “onederland”which I kinda hoped was going to happen sometime next week but had assumed that wouldn’t happen with no activity. Well 199.6 but still under 200. So maybe that’s a sign that I need to just stay positive and that I can still handle this.

Had mine sept 18th just over two weeks and I feel great minus the nausea here and there I’m learning to do better with my food choices

I see my surgeon next week I'm seeing my GP next week so will get a referral to a dermatologist. I see my surgeon next week too so will be again bringing it up. Previous to surgeries, my allergic reactions were hayfever not hives. I've cut everything and gone back to simple diet with no spices etc and soap/fragrance free everything.

i had my preadmission class yesterday and they spoke about what we can and can't have as well. they don't do the two-week liquid diet before they just have a green and lean diet basically healthy eating that we must do before the surgery and the liquid diet 2 weeks post op. my date is 10/29 so start the diet Monday. they gave us two shakes one we have to take 12 hours before surgury time and the other 3 hours prior to surgery . the day before surgery we can have a liht breakfast and after 12 noon all liquids .

Great advice from @SpartanMaker as usual. I’d also add if you’re lifting weights you’d be building muscle which is heavier than fat. So you could have been losing some fat during this time while building muscle. May be consider having a dexa scan to measure your current muscle, fat & bone density. Then have another in a couple of months to compare. Are you still in contact with your dietician? If not maybe arrange an appointment. Because you are aware of your average daily calorie intake, I presume you’re measuring and tracking every thing you’re eating and drinking every day. I’d take this with you to the appointment and ask the dietician to go through it with you in case you are missing something not only in regards to calories but nutrients as well. If you’re a random tracker like I was and am, vigilantly track everything for a week or two before seeing the dietician. Don’t give up though. The scale may not be moving but I bet you’re fitter, stronger and generally healthier than you were before.

I’m really frustrated and need some help. My dietitian was sick this week when we were supposed to have our appt (not frustrated at her, people get sick). What I’m frustrated about is that my appt was on Tuesday and Wednesday was my 5 week out mark, so we were already pretty much a week behind. I want to start on soft foods and have tried a few, but I’m also nervous because usually the dietitian usually gives me a food plan and foods I should and should not eat. What did you guys start soft foods with so I can feel more confident trying a few more things until our next appt on next Tuesday? I have tried hard boiled eggs, lentil soup, and tuna/chicken from a can.

Great news, keep doing what you are doing. You are in the toughest few weeks with so much to re learn, go slow. Be kind to yourself, dont compare yourself to anyone else. Sermon over

Getting back to the OP's question about what do do: If they really feel they are accurately logging and are also having a hard time eating less, then the option would be to take steps to increase metabolism. Yes, GLP-1 drugs can do this, but there are other options. First, would be adding muscle mass from strength training. Estimates are that each pound of muscle increases calories burned per day by roughly 6 calories, Each pound of fat contributes ~2 calories burned per day. This latter fact surprises some people, but fat is metabolically active tissue. It's just that muscle is more metabolically active. If someone were to gain ten pounds of muscle and lose ten pounds of fat, that would lead to an increase in BMR of roughly 40 calories. That doesn't sound like much, but it adds up over time. If you also add in EPOC (Excess Post-exercise Oxygen Consumption), from the strength training needed to add muscle mass, then I'd estimate this would over time lead to ~400-450 extra calories burned in a week. That would lead to a loss of ~6 pounds in a year even while eating the exact same amount of food. If this is not a sufficient amount, then one can always reduce calories a bit as well. Alternately (I know this will sound counter-intuitive), but the OP might well want to consider UPPING their calories a bit for a while. Our bodies were designed to upregulate our metabolisms slightly when calories are available and downregulate it when calories are scarce. This means our bodies can maintain weight at a wide range of calorie intake. If we're constantly in a calorie restrictive diet, our bodies do downregulate metabolism to keep us from what it perceives as starving to death. What I'd recommend instead is going up 200-300 calories per day for about a month. After this "diet reset", drop down again to 1200-1400 for no longer than 2 months before cycling back up again. You can keep this cycle going on indefinitely. One of 2 things will happen here. Most likely the OP won't gain anything during the increased calorie intake diet reset because their metabolism will increase to compensate. However, when they start back at the ~1300 calorie range, their metabolism may not drop immediately, meaning they'll lose a little bit in the following 2 months. If they do find that they gained during the diet reset, but fail to lose when back in the diet phase, then worst case it shouldn't be more than about 2 pounds (less than 1% of body weight). This isn't likely, but even if this does happen, it will at least tell us that 1300 won't work for weight loss for them and they'll need to go lower. I'd also be remiss if I didn't come back to exercise here. I mentioned that low levels of exercise (30 minutes of cardio), really are not going to do anything toward weight loss. It's obviously going to be different for everybody, but current research seems to suggest that the tipping point is about 400 calories per day. What I mean by that is if you can burn OVER 400 calories in exercise in a day, the body can't suppress your metabolism enough in other ways to keep you from going net-negative for the day. Said differently, you'd need to do something that burns more than 400 calories before it "counts" for weight loss and the only part that counts is the part above 400 calories. Unfortunately, 400 calories is A LOT for most people. The good news is the heavier you are the more you burn, but even at 215 pounds, you'd probably have to run over 3 miles to hit 400 calories. Keep in mind, this would just be to break even, so if you're actually trying to burn more calories this way, it will take even more. I'll use myself as an example here. I'm not trying to lose weight right now, but I have found that if I run over roughly 28 miles in a week, I tend to lose weight. If I run less miles, I maintain. Do the math, and for me that's right at about the 400 calories a day mark. In my use case of one, I'm pretty close to the statistical average as shown in the research. Best of luck whatever you decide.