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Off to a slow start after surgery. Anyone else?
Bryteeyes replied to NickelChip's topic in Gastric Bypass Surgery Forums
Yes!! I did. My surgery was on Feb 14, and I had lost 16 pounds in the pre-op stage. After surgery, I did weigh myself and I had gained 8 lbs! I am positive it was all fluid. It took me a week to lose the water weight, so then I was at the same weight as my pre-op weight and very discouraged. I'm 16 days post op and have only lost 8lbs (plus the 8 of fluid). I reached out to my dietician and she said those with a lower starting weight (I was 240) will lose it slower. It's perfectly normal. Since starting the pureed phase, I increased my calories to 600/day and I get about 90 grams of protein. It's more steady at about 1lb every 2 days. I hope that helps you, and thanks for sharing this. I thought I was the only one. -
December Surgery Buddies!
Alex Areeda replied to AshleeHarvey's topic in PRE-Operation Weight Loss Surgery Q&A
PROGRESS UPDATE I had my gastric sleeve surgery on December 18th, 2023. I was nervous going into the procedure as I had never had any surgical procedures before, but it went relatively smooth. I was in a lot of pain while in recovery, to the point where the team had to push oxy and fentanyl simultaneously to help with the pain. Once the team was able to help me manage the pain I was in pretty good shape. It has certainly been an adjustment but it wasn't as daunting as I was expecting it to be. Its been about 2.5 months since the surgery and I've lost almost 60 pounds; I weighed in on at the hospital at 366 and yesterday weighed in at 308. My highest weight was 475lbs so all-in-all I've lost 167lbs utilizing diet, exercise and the sleeve. I found it fairly easy to comply with the post-op diet and have moved on to solid foods. I'm not hungry often but I make sure to eat at mealtimes to continue meeting my goals. I consume, on average, between 80g and 100g of protein a day and consume less than 900 calories a day. I don't consume very many carbs as a) they tend to contain more sugars and b) they tend to make me not feel very good. I do still have a bit of a sweet tooth but that has been easy to manage with the occasional chocolate chip. I've also completely kicked sugar and have switched to monk fruit sweetener with erythritol. I also dabble with keto recipes, mainly deserts as I find that some "entree" recipes contain way too much fat for my liking. My family, friends, and coworkers notice the weight loss more than I do. I'll see it a little bit here and there but not to the extent that others do. I still see myself as that 475lb guy that struggles with his weight and his health. I know that it isn't true, but that is still how I view myself. My clothes are fitting me much looser and I think I see some weight loss in my face and neck. I still have a lot of excess fat and tissue around my midsection and especially the "love handle" region. I definitely suffer from body dysmorphia as I only ever see the overweight me. My overall goal weight is 250lbs, which is only 58 pounds away which sounds crazy. That said, I would throw a party if I reach 225lbs as that is my "best case scenario" goal. I genuinely believe I will achieve both goals but there's always that part of me that doubts it. This has been the best decision I've ever made for my health and I wish I had made this choice earlier. -
Calories & Macros on Lifetime/Maintenance Diet???
Hope4NewMe replied to lauraellen80's topic in Revision Weight Loss Surgery Forums (NEW!)
My Dr was different and said to work towards eating 1 cup by 6 months and up to a cup and a half per meal with 3 meals per day at maintenance. While in the losing phase I found out that if I was under 800 calories per day I would stall and if I went over 1200 I would stop losing. So for me personally I had to sit pretty strictly right around 1000 calories per day. I was told to have the protein goal at 60-80 and they did not want me limiting carbs too much and said to aim for 100 per day. They felt that a low carb lifestyle was not something that they saw people able to maintain so they want people to practice eating a sustainable diet and still able to lose. So many different ways to do things that its very confusing. I hope you are able to find something that works for you, good luck! -
So I am 5 years and 2 months post-op RYGB. I made it beyond my goal weight of 170lb to 160lb. Technically I was as low as 145lbs because I was very sick in 2020 then again in 2022, but after getting better, I stabilized at a steady 160lb. Last July I started online streaming/socializing with people. I started snacking more because of nerves and also began drinking quite heavily because being silly tipsy in front of strangers is fun! I had NO IDEA how many calories was in alcohol. Over the course of 5 months, I gained 20lbs. Even more, I noticed that I can eat almost a "normal" plate of food the same size as my family's. I broke the rules and had started drinking fluids with my meals. I think I thought I could get away with breaking rules because I was at a stable 160lbs. Now I am FREAKING out! I hate exercise. I never did it, even with my prior weightloss. I am using a tracking app my husband's VA dietician told him to use called Fat Secret. I am trying to stick to 1600 calories, which is super hard. I feel hungry all the time now. I think I caused pouch dilation. I refuse to be heavy again. My clothes are already getting tighter than I like. I was doing research today on weight gain after years post-op. I basically am reading that I need a bariatric reset. I am going to do a 2-week "Pouch Reset Diet." It's not to make my pouch smaller, but it's to retrain my body to feel full with smaller portions again. I need to go back to the basics, and it's really hard. I also don't get DS with sweets like I used to. Don't get me wrong, I still get sick, but I noticed that my sugar tolerances have changed. It really worries me. 40% of bypass patients fail and bounce back to within 10% of their original weight pre-surgery. I will NOT be a part of that 40%. My support system at home is tricky. On one hand, my husband does support me outwardly. But he himself weighs 415lbs and isn't doing much about his weight. He watched my struggles and drustrations and outright refuses surgery for himself. He's on some stupid intermitent fasting diet, but he still eats way too large portions at meal times. My 15 y/o son is pushing 285lbs, and his only exercise is video games. For me, it's like living around all these food temptations is a struggle. It's like being an alcoholic and living at a bar. I just ordered a crap ton of protein powder so I can jump start this Pouch Reset Diet. I started to push myself on working out at least a little bit. I have a mini stair stepper and an eleptical bike. Anything is better than nothing. I am just wondering if I am alone in my struggles?
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Calories & Macros on Lifetime/Maintenance Diet???
Arabesque replied to lauraellen80's topic in Revision Weight Loss Surgery Forums (NEW!)
Oh yes, way off the mark. You’re not in maintenance yet. You’re in a weight loss stage if I read your post correctly. You have every right to ask for the details, guidelines recommendations around your food intake & options, macros, calories, & whatever else you need to make you feel comfortable & confident about what you are doing. They are supposed to be there to help you & provide you with the depth of information you need to be successful regardless of current thinking or their own beliefs. It’s then up to you how you use that information - a guide or rule. Plus you have to work out what you (your body) needs to function best & most effectively. While some plans recommend getting your calories up, it seems to begin after you are on more solid food so 2+ months. From puree I was advised to eat 1/4 - 1/3 cup of food, slowly increasing to about a cup at 6 months. I was a bare cup & maybe 900 calories at my goal at 6 months. Ate about 1200 at my lowest weight (48.2kg at 18 months) & maintain 48.5/49kg consuming about 1600 calories. My portions only became about what is considered a recommended portion size around the 2 year + mark (3-4ozs protein & 3/4 cup vegetables). Oh & I didn’t have another shake after the liquid stage either. But that’s me & what worked/s for me. You could be totally different. To me a snack is generally a couple of bites. My snacks can be a level teaspoon of peanut paste, 1/2 a protein bar, 8 grapes, 1/2 a small apple, a stick of string cheese, about 6 macadamias to give you an idea. I used to eat a tub of 20g protein yoghurt over an hour as a snack too. As @catwoman7 said we all have different caloric & nutritional needs. Age, gender, general health, weight, height, metabolism, activity levels, etc. all factor in. And yes, if you want to lose more you will have to eat less than you are eating now & you’d have to eat less to maintain the lower weight than you would to maintain a higher weight. -
6 Months post surgery, minimal to no weight loss
Arabesque replied to invisiblyhappy's topic in POST-Operation Weight Loss Surgery Q&A
I’d be making an appointment with your surgeon too. Best to rule out a medical reason for what you’re experiencing. Water can feel heavy & be difficult to drink. Try other fluids (green or herbal teas, sparkling water, home made yoghurt drink, etc.) but I’d avoid the capri suns even the no added sugar ones. Even without added sugar, juice still contain natural sugars. It also doesn’t contain all the nutrients a piece of fruit does. Consider how many oranges you need to produce a 250ml glass of orange juice. Would you eat that same number of whole oranges in one sitting? A piece of fruit is always better than a glass of juice. Generally simple carbs like rice, breads & pastas (includes all noodles) are off the menu while you are trying to lose. They are filling, can sit heavily in your tummy & stop you from being able to eat your vital protein. They also are more heavily processed & contain very few nutrients. In time you’ll e able to add complex carbs - multi & whole grains. Some plans allow a small portion of these while losing. I was allowed rolled oats. Focus on eating your protein first then your vegetables & only after those any complex carbs you may be allowed if you can. Almost 5 years out I still can’t eat bread, pasta, rice because how heavy they are in my tummy. I used to eat a lot of them before my surgery but I really don’t miss them. Yes, some people struggle with certain proteins. Chicken, steak & eggs seem most common but others can just be a no for your tummy too. Most find in time they can eat those proteins again. Do you keep your meats moist so more medium rare than medium or well done? Do you include a sauce or jus or gravy with your meats? Often foods that are too dry or coarse can cause the foamies as well as if you eat too much or too quickly. Out of curiosity do you track your food? Maybe find a dietician vs a nutritionalist & go through your tracked food diary with them to see if you’re missing something. I wondered if you’re not eating enough too or not eating enough nutrient dense foods. But certainly see your surgeon to see what may be going on or consider other options such as surgery, medication, etc. All the best. PS - While exercise has many benefits, it’s only contributes to about 10% of any weight loss you are to lose. I didn’t exercise while losing & still really don’t now. I upped my everyday activity (stairs not lifts let escalators, park further away from where I was going, etc.). About a year ago I started using resistance bands (for a little toning) & doing some stretches (flexibility & for my back) & that’s all I do. Wouldn’t burn 30 calories LOL! There are lots of online videos to guide you through using bands & other activities you can do if you struggle with your mobility. -
Calories & Macros on Lifetime/Maintenance Diet???
catwoman7 replied to lauraellen80's topic in Revision Weight Loss Surgery Forums (NEW!)
I'm nine years out and have been in maintenance for the last seven years. I eat around 1600 calories a day to maintain my current weight. The only macro I pay attention to is protein, because we learned very quickly after surgery that I malabsorption it. So I aim for 100 grams of that a day. Besides that, I just try to eat a balanced diet - protein, vegetables, a little fruit, some whole grains, an occasional handful of nuts, mostly. but if you're still trying to lose weight, 1600-ish would be too high (at least for most women). And even in maintenance, people's caloric needs are so different. There are women on here who maintain on 1200 calories and others who maintain on 2000. Depends on your metabolic level, how active you are, how muscular you are, what amount of weight you're trying to maintain (I'd have to eat a heck of a lot less if I weighed 110 lbs) - it's really just trial and error to figure out at what level you can maintain your weight. -
Calories & Macros on Lifetime/Maintenance Diet???
ChunkCat replied to lauraellen80's topic in Revision Weight Loss Surgery Forums (NEW!)
I agree with @NickelChip, this seems quite off. I've seen 800 calorie plans for bypass patients in the active weight loss phase, but most people are in the 1200 calorie range for maintenance... And your portion size will naturally increase a bit over time as you are able to eat more as your pouch heals. It won't be as much as a "matured sleeve" can eat, but it won't be a few tablespoons either. At the bariatric clinic I go to I attended nutrition class with sleeve patients and bypass patients, even though I'm a DS patient. We were all told to keep each meal to 10 grams of fat or less (general aim at 1 year out is 60 grams of total fat as per the ASMBS guidelines for a year out), and 10 grams of carbs or less, for less than 50 total grams of carbs a day, as they want us in ketosis during the active fat loss phase (this amount will double to about 100 grams of total carbs in maintenance). And protein varies for each group but bypass was to aim for 80 grams of protein a day, since they malabsorb some compared to the sleeve patients. NONE of us were given a calorie goal, only macro goals. We were ALL told to aim for 5-6 small meals a day for consistent energy, aiming for 4-5 meals if we go to bed early or get up late. So we were encouraged to eat about every 3 hours, allowing 2-3 hours between our last meal and bed. And told a fair amount of our carbs should come from high fiber, low carb vegetables and low sugar fruits, with a fiber supplement (SunFiber is amazing and non-bloating) and Miralax as needed to maintain regularity. -
6 Months post surgery, minimal to no weight loss
ChunkCat replied to invisiblyhappy's topic in POST-Operation Weight Loss Surgery Q&A
Yeah, you should have been given either macro goals, or a calorie goal, or ideally, both with the sleeve surgery. It isn't odd to not be able to digest heavy carbs like noodles, pasta, breads, and rice. And they really aren't the best things to be eating in the weight loss phase anyway. Pork can be quite dense, my stomach doesn't like it too much and it hates chicken breast. LOL When you eat things that your stomach is fine with, do you keep it down easily or does it cause vomiting and nausea? If you drink fluids other than water (like milk or a protein shake), does it cause the spitting, or is it just with plain water? -
6 Months post surgery, minimal to no weight loss
ChunkCat replied to invisiblyhappy's topic in POST-Operation Weight Loss Surgery Q&A
I'm so sorry you are experiencing this!! This isn't a you problem!! If you aren't losing sufficient weight you are either being given poor advice from your nutrition team, poor medical support from your surgeon, or it is possible your body is under significant stress for whatever reason and isn't losing weight. There are rare cases when someone with a sleeve doesn't respond but often those are people who have low starting weights. If they had a high starting weight and don't respond to the sleeve surgery, these people generally end up revised to bypass or a DS/SADI, and then lose weight, but again, that should be a convo being initiated by your surgeon as a future possibility if food modification and medications don't work. Some people take GLP-1 meds to help jumpstart their weight loss if the surgery hasn't triggered it, but again, at the 6 month mark this should be something the surgeon initiates conversation about. You shouldn't be living in fear of your appointments with them. If you aren't feeling supported you might consider getting a second opinion from another bariatric surgeon in the area not affiliated with this practice. I strongly believe in second opinions when talking things like surgery... It may sound like I'm being harsh on your team, but lets be clear. They made a nice chunk of money off of your surgery. You deserve good aftercare!! Some surgeons, like my own, believe that the best way to lose weight in the first 6 months to a year after surgery is through being in ketosis. This involves a good protein intake (60-80 grams with the sleeve) and carbs below 50 total carbs or 30 grams net carbs. You can get pee strips to test if you are in ketosis. Once in ketosis you should go through regular periods when you lose some weight, followed by periods where you lose none as your body stabilizes from the previous loss and recalibrates. If this doesn't happen, I'd definitely be communicating with the surgeon about it! What dietary advice did your team give you? Hydration is important for weight loss. If you aren't able to eat enough calories or drink enough water your body will go into starvation mode like @summerseeker mentioned. This is a huge stressor to the body!! And huge stress will cause weight loss to stop. Sleep is also crucial to weight loss, often more important than exercise. If you aren't getting regular sleep for enough hours per night, this can stall your weight loss. Physical activity of some kind is important, but it accounts for less weight loss than proper nutrition and sleep. And if you are under calories and under hydrated exercise will just further stress out your body. -
Calories & Macros on Lifetime/Maintenance Diet???
NickelChip replied to lauraellen80's topic in Revision Weight Loss Surgery Forums (NEW!)
Honestly, this seems way off-base, with the exception of 60-80 grams protein, which is completely sufficient for most people (but not all!). Your calorie estimations are much too low for the vast majority of people in maintenance mode. So rest assured, you won't be on 650 calories for life! Also, 25g carb is extremely low carb and not a lifestyle most people are eager to embrace. If a doctor insisted on 25g carb for life as the only way to succeed, I would seek out a second opinion for sure. From what I see people saying around here, 1200 to 1500 is a much more realistic calorie range for the long term, although that is for maintenance, not for weight loss or for early days after surgery. If you eat to maintain your current weight right now, that would seem to go against your goal of losing 20-50lbs more. I have two suggestions. First, check out some bariatric cookbooks because they will tell you appropriate portion sizes for maintenance as well as give you some ideas for what types of foods to be eating. My favorite is Kristin Willard's Bariatric Meal Prep Made Easy: 6 Weeks of Portion Controlled Recipes to Keep the Weight off. She's a registered dietician specializing in bariatrics and every recipe has a gorgeous color illustration. Second, take a look at the Portion Perfection brand bariatric plate. It's kind of expensive, so you may not want to buy it, but the concept is really good. Basically it's an 8 inch plate (with a one inch rim all the way around, so a 6 inch circle of eating space). There are lines and illustrations to divide up the plate and show you where to put your foods and how much. If you're a visual person, this may really help. Other than that, you may want to check out some of the nutrition videos as well as the weekly podcast done by Dr. Matthew Weiner (Pound of Cure). I find them so insightful and he and his dietician, Zoe, are very keen on plant-based nutrition, which may be perfect for you. Edited to add: Here is a link to a dietician article about post-op goals that might help: https://www.mybariatricdietitian.com/mbd-blog/portion-sizes-after-weight-loss-surgery -
Calories & Macros on Lifetime/Maintenance Diet???
lauraellen80 posted a topic in Revision Weight Loss Surgery Forums (NEW!)
I had VSG (2015) to RNY revision on January 18th due to GERD. I also had regained almost 70 pounds from my VSG post-op low weight. I've so far lost about 20 pounds since the pre-op diet & surgery. I need to lose another 20 pounds (for normal BMI) to 50 pounds (for calculated ideal body weight). I'm now on unrestricted food textures, and per my program's dietician, I'm supposed to be on my "maintenance" diet now. However, they refuse to discuss any calorie goals or macros other than protein. I'm someone who needs very clear goals and guidelines (thanks, long-undiagnosed ADHD), and I'm feeling very lost about what my diet should look like moving forward. The lifelong guidelines for my program, as I understand them: 60-80g protein per day Up to 4 oz. (1/2 cup) per meal, consisting of: Up to 3 oz. protein per meal Up to 1 oz. (total) veg, fruit, or starch per meal 3 meals per day 1 snack per day (the program guide I was given says 1-2, but per my surgeon I'm only allowed to have 1 snack per day and it has to be between lunch and dinner) - I have no guidelines for the amount I'm allowed for the snack. I assume it's not supposed to be as much food as the meals, but I don't know. Protein shakes/powders are frowned upon The only sample menu provided in my program guide is as follows: Breakfast: Egg omelet with sautéed peppers & onions Snack: Protein shake OR Greek yogurt with berries [removed per my surgeon's instructions] Lunch: Lettuce wrap with turkey and avocado/cheese [it is not clear to me if the / means avocado OR cheese, or avocado AND cheese, but I assume the former] Snack: Apple slices with 2 tablespoons nut butter OR carrots with hummus Dinner: Pesto chicken with spaghetti squash, sautéed spinach, and cherry tomatoes I plugged this menu into the Baritastic app to try and get a sense of what the calories and macros are supposed to look like. The sample menu gave no amounts other than the nut butter, so I used the 3 oz. protein + 1 oz. veg/fruit/starch rule. With the carrots & hummus snack option, here are the macros for the day: 593 calories 62g protein 32g fat 17g carbs (13g net carbs) 4g sugar 4g fiber And here are the apple & nut butter (I used natural peanut butter) macros for the day: 739 calories 67g protein 43g fat 21g carbs (16g net carbs) 8g sugar 5g fiber So from that, I'm extrapolating that I should be aiming for the following daily: 600-750 calories 60-80g protein 30-40g fat less than 25g carbs less than 10g sugar I have a few concerns... I have already been going well over those amounts at just over a month post-op. I've typically getting around 800-900 calories per day. It seems like a real struggle to get to the upper range of protein daily while sticking to the allowed amounts and without using any shakes or protein supplements. Even then, 80g seems low for a protein goal. I have never been a big meat eater (I was vegetarian through most of my teens and 20s), and I absolutely cannot stand any fish or seafood. I do eat a lot of dairy, eggs, and beans, but it seems like that's not going to do it. The standard daily fiber goal I've always heard is 25g per day. I've been getting about 12-15g per day right now, but knowing that I'm overeating and already having too many carbs means even that's not sustainable. I've struggled with post-op constipation... I have gotten to a much better place recently, but if I need to cut back to 4-5g of fiber per day to be within my other limits, I'm afraid of going backwards. That I'm limited to 1/2 cup of food per meal for the rest of my life came as a shock to me, as a revision patient. I knew that my pouch would be smaller than my sleeve, and like with my original surgery, the amount I'd be able to eat at one time would be very small initially. But with my sleeve (which was done by a different surgeon in a different program), there was definitely not the expectation that the amount I could/should eat at 1 month post-op would be the same as what I could/should be eating at 6 months or 1 year out. My bypass surgeon also told me that she left my pouch a little larger than normal so that I wouldn't lose too much additional weight, so my pouch is already larger than a regular bypass patient's. Do these amounts seem in line with other people's experiences? Or am I way off-base? -
How many 2 oz. purees per day?
nmooreonline replied to Nan CC's topic in Gastric Sleeve Surgery Forums
Just hit 3 weeks post-op today. I’m also on 2oz purée food to be SLOWLY eaten over 30 minutes. At this stage, protein shakes no longer count towards water goal of 48-64oz. I have also still been hungry and felt like I needed more substance. Met with my surgeon yesterday and he said the hunger hormones are still adjusting in my body, and it may take a few more weeks to feel less hungry. Also, I know some of the hunger is mental. Some things that have helped me are to actually take 30 minutes to eat the 2oz- which is quite difficult for me to slow down that much. I also stick to 16oz of water slowly sipped until around 8am. Protein shake slowly sipped 10am-12pm (I started adding a serving of collagen peptides to my morning protein shake (my program says collagen peptides are not a complete source of nutrition, so should not be taken as a full meal)- this has put me at more calories and protein earlier in the day. Lunch around 2pm, dinner around 5:30/6pm, another protein shake or 1oz purée a little later if needed. Goal is 60-75 grams of protein -
6 Months post surgery, minimal to no weight loss
summerseeker replied to invisiblyhappy's topic in POST-Operation Weight Loss Surgery Q&A
You will only get help and kindness here but we are not surgeons or dieticians. We can only help so much. We always recommend a visit with your team if possible. If you are not eating well and not getting enough liquids in then your body is holding every little calorie it can because you are in starvation mode. You will not loose weight, your body is in charge of this. If you can not get water down and you could a while back then you have a narrowing/ swelling in your new tummy and it needs a little easy tweak to stretch it back out. Its called a stricture. If this is something you have had from the beginning then you are forcing too much food and or drink in at once. Small sips of drinks, they can be hot, cold or frozen see which might work . Once you have mastered drinking, then pare down the foods to really soft, protein based ones again. Chew well and add sauces, it helps. Soft eggs, protein yogurt, soft cheese etc. Only eat a small amount, say 1 - 2 ounces and see if you can keep the foamies at bay. Foamies happen when your stomach rejects the food or drink it does not want that day. It may have been ok the day before but.... today, oh no you are not putting any more of that in me ... I haven't exercised as such, I was too decrepit too start with and I lack motivation now so I walk a few miles a week. Exercise doesn't really count for much weight loss unless its marathon running or such. -
why yes, i do know! lol. i was/am one of those "diligent" trackers so i have over 5 yrs of food log data to statisticize, ha! on AVERAGE: weeks 1-2: 400 cals a WEEK...this was a weird time. week 3 to about 3 mnths: 400-500 cals A DAY. months 4-6: 600-700 cals a day month 7: 800-ish cals a day at this point made efforts to increase cals and by 9 months i was at about 1700-1800 cals a day. 2-3 years post-op was 2300+ a day cuz i was exercising heavily. today im at 1800-ish a day with moderate exercise (been at this calorie level for 2-ish yrs now)
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yep, i sorta became an exercise fiend at around 3 months. i tried my hand at many things to see what i liked...i ended up sticking with yoga, zumba, dance class and running. i also did some strength training, but only the bare minimum cuz i hate it lol. i'm 5+ years out now and while i don't run 5K every day like i used to (AND go to 4-5 classes a week), i still run 1-2 times a week, go to pilates 2-3 times a week, and i have a weekly tap class. low calorie intake. hands down.
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yep. i was notorious for barely eating anything. i just didn't want to honestly. and i want to be the type of person to force my self to eat if i didn't want to (personally i think that is just as an unwanted eating habit as eating out of boredom). i did also lose more that i wanted to after reaching goal (at 7 months), but it all leveled out eventually (by 1 year). and no, i did not waste away, i did not become malnourished, i did not starve to death. while i did look pretty gaunt for a few months, that too went away despite not re-gaining any substantial amount of weight. i did have to re-learn how to eat higher calorie foods (abstaining from them during weight loss phase got ingrained into me, so it took me a few months to be mentally ok eating it again, you know?) i'm 5+ years out and there are still days when i just don't want to eat, or just forget to eat altogether. i don't worry about it too much because i know there will be a day when i just wanna eat. so long as my weight stays within my acceptable range, my pants fit, my doc is not concerned and i feel great, then i'm all good. honestly i just accept that i didn't reach my goals that particular day...so long as i reach them at least like 60-70% of the time, then i consider it a success. but i'm a bit far out now...during early weight loss phase i did try a little harder by drinking protein shakes (which i don't anymore), also i never tried to forcefully increase calories during weight loss phase though, no matter what i was eating. but during maintenance i was concerned about increasing calories...see my go-to's below: stuff i ate to increase calories in the early days of maintenance when stomach real estate was on ongoing issue: - avocaods - nuts and nuts butter - full fat dairy and cheese - beef jerky - olive oil drizzled on whatever - chicharron / pork rinds --> yeah this one would raise eyebrows cuz the crazy fat content, but i loved/love it! plus it had the added bonus of being very high in protein, ha. and it really helped to bump up my calorie intake. finally, i am also a grazer...since i can't really eat alot in one sitting, i eat a little bit every hour or so. this was really an issue for me in the early years, but now my food intake capacity has increased so it doesn't feel so much like a chore as it used to. In sum, just do your best, keep up with your labs and doc appt to make sure you medically ok, and eventually the stuff that you are worrying about now will be just that thing you used to worry about. good luck! ❤️
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Gastric sleeve after menopause
Sherry57 replied to Sherry57's topic in Gastric Sleeve Surgery Forums
Thank you everyone for sharing your experience. I am 57, do not take HRT. I track Macros (protein, carb, fat) which totals 1000 calories a day. I would consider myself fairly active (just got done with mowing/weed eating a large backyard but not someone who exercises daily but try to get on my walking pad 15 minutes a day. Since 12/27 to date I have lost between 35-40 lbs. On the edge of 3 month post op I am noticing a few more hairs on my sink when styling. I think, well here we go on the next part of this journey. Lucky I have always wore my hair short and sassy and like mentioned when wet you can see my scalp but after drying scalp is not visible. I’m don’t wish time away but wish I could get a glimpse of a year from now. lol For those monitoring macros/calories what is your average daily calories? -
Gastric sleeve after menopause
Arabesque replied to Sherry57's topic in Gastric Sleeve Surgery Forums
I did. Perimenopause & then menopause saw me gain 30kgs (15kg above my usual high weight of my fluctuation range). Tired to lose it for about 4 years but couldn't. No co morbidities. Was almost 54 & on HRT when I had my surgery. Reached goal at 6 months (a 23 BMI & my usual low weight of my range) & then lost another 11kgs over the next 11/12 months. So I lost about 135% of the weight I was hoping to lose. Haven’t weighed this since I was about 12 years old. And I have pretty much maintained my weight at almost 5 years post surgery. My rate of weight loss seemed pretty average. Didn’t exercise (don’t like it). Was a low calorie eater in comparison to many others. My hunger didn’t return for about 12 months. All my menopause symptoms disappeared while losing (still had some breakthrough symptoms though on HRT). Thank you that oestrogen hormonal flush that occurs while losing. They came back after I lost most of my weight though. Sigh! Almost 59 now, still menopausal, still on HRT. No real issues with the surgery or after. My tendency to have low blood pressure drops occasionally before occurs every day now. Had my gall bladder out at the two years mark which left me with a protein malabsorption issue. Blood work otherwise always good. Haven’t taken vitamins since 8 months out (except Vit D in winter). Have reflux but had it before surgery too just mild then. Tummy can be a little sensitive but it was before surgery too. I have episodes of the foamies but I think my oesophagus is more sensitive too. So really just some quirks that are special to me. LOL! -
My hunger or interest in eating didn’t really return for around a year. I found eating to a routine very helpful. In fact I still eat this way. I started doing it to establish good/better eating behaviours (been a meal skipper for most of my life in an attempt to control my weight) & also to ensure I was getting in calories & necessary nutrients. Not a food tracker either. Wasn't required to in my program. I do random checks for my own curiosity, to ensure I wasn’t slipping or getting complacent & to check new foods/ingredients or recipes. I more often checked portions. I know my calorie intake was low compared to others (barely 900 at 6 months & my goal) but at least I was eating regularly & nutritiously. I still have times I don’t feel hungry. Usually just a day or two but went through a period of a couple of months recently which saw me reduce my intake a little. Went from 4 meals & 3 or 4 snacks to 3 meals & same snacks. On the days or times I didn’t feel as hungry I chose something lighter to eat like yoghurt, soup or just ate some protein & didn’t care if I didn’t eat all my portion. Oh & I still take 30-45 minutes to eat most meals - used to take up to an hour. I’m also a meal repeater. I have favourites & there’s nothing wrong with that. Know how much I can have as a portion & the protein content. I used to eat scrambled eggs or rolled oats for breakfast. Now I just eat rolled oats. Similarity at lunch - 3 or 4 options I rotated through currently two options. Dinner is repeats too mostly because of left overs. I still cook much as I did before 😁. Eat that meal for 2 or 3 days & freeze the remaining portions for those nights I don’t feel like cooking (love my freezer & microwave - little reheat & sometimes cook vegetables - 5 mins total). I usually cook pretty simply too: protein & vegetables so I can easily check what I’m eating & getting nutritionally. I never had those signals many speak of regarding fullness. No sneezing, no runny nose, etc. Just my restriction if I went too far or if something sat more heavily than expected. It’s why I started asking myself if I really needed the next bite or just wanted it. It’s not unusual for me to put food on my fork & then put it down again to maybe eat a couple of minutes later. I remember the first time I felt hungry after surgery. I was about 7 months, had a busy day & then went to a function. Hadn’t eaten much & there’s was nothing suitable at the event. Was home & in bed when I realised I was vey restless. Something was wrong but didn’t know what. It took some time to realise I was hungry. I realised this was my real hunger signal. Didn’t want a specific food, flavour or texture. There was a logical reason I was hungry - I hadn’t really eaten for most of the day. Took another 3 months before I felt it again. One of the things I’ve learnt along the way is you have to do what works best for you. Because it works for someone else doesn’t mean it’s right for you. Whether that is tracking or not tracking your food, how many meals or snacks you have, how much activity you do, what foods you choose to eat, eat occasionally, or generally avoid, etc. Use other people’s experiences & routines as suggestions of things you could try if you’re stuck but if they’re wrong for you, try something else. So after a long way of getting to it, my two suggestions based on my experiences if you want to try them, are: Track your calorie intake & nutrients for a few days just to ensure you’re on track & not missing anything. Then only check new foods you introduce &/or do random checks. Try eating to a routine. Doesn’t have to be a full meal but at least something that is nutritionally dense & protein focused. Oh, yes stalls happen. Mine were short. A few days only. I tracked my weight daily which is how I saw when they occured.
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TL/DR: Worried about losing weight by not eating enough. | Looking for tips to reach protein/calorie goals when not hungry. | Looking for others' experiences with lack of hunger this far out in WL Journey. ------------------------- I meet with my nutritionist for check-ins about every 3 months. For this last one, my 9-month, she told me not to be upset if I hadn't lost, as a stall was expected. Yet, I had lost just as much as I had been. We went over what I had been eating & she wasn't concerned about content but suggested increasing variety. [I'm a meal repeater 🤷♀️] Though, she again warned me that it is now especially likely that I would stall since I hadn't yet. Since that appointment, I've still been losing weight. I know it might appear strange to worry about meeting the goals we are here to meet, but my nutritionist is big on trying to relearn the natural cues of the body. So, as they are absent, you can notice pressure in your stomach, sighing, or a runny nose as indications of fullness. As indications of hunger return, you can utilize them to increase portions within the parameters of slow eating and not exceeding controlled sizes. The thing is, I don't know that the initial increase after, you know, the literal wounds healed, I have really expanded much more. I don't really get hungry until 'early-bird dinner' time. So eating during the day is purely done out of obligation. [& if I'm being truthful, there are times when I forget entirely until after work.] So obviously, that leads me to try to have all of my calories in one 'meal' in the day, which I have to eat over a couple hours [even if it is small] if I don't want to get nauseous or actually regurgitate. [The regurgitation has improved slightly over the last couple of months. I had a very reactive stomach that required me to prolong my dependence on protein shakes. Pre-surgery, I don't think I came even close to needing to vomit since pre-school 🙁.] To be fully upfront, I have not counted a single macro or calorie or weighed a single food item during my entire journey. I've tried tracking before in my weight-loss journey, and it was not healthy mentally for me. I realize that I may be under goals rather than over them, but straightforward counting of calories is just not something that would be part of a successful journey for me. So, all of this is a longwinded way to say: - Is anyone else struggling to eat enough this far out? - What helps you to reach your protein/calorie goals when you don't really want to eat? - Any other tips/tricks/specific brand or meal suggestions?
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What am I doing wrong 1 year post op?
Arabesque replied to RaiderRhode's topic in POST-Operation Weight Loss Surgery Q&A
So this could be your body’s set point. The weight your body is happiest at & will continue to gravitate to this weight despite your efforts to lose more. Remember if you reduce your calories & increase your activity to lose more weight, you will have to continue to eat fewer calories & be more active than you are now to maintain the lower weight. And this isn’t sustainable as you’re already experiencing & your body will fight you the whole time. This becomes a head issue. You’ve lost about 100lbs. That’s an achievement. Plus you’ve built muscle which weighs more than fat too. Look back on how you were before there surgery - general health & status of your cop morbidities, mobility, ability to do the things you wanted to, self confidence, etc. What have you gained or regained with this weight loss. Don’t fear your appointment. Take in your tracked food intake (there could be something you’re missing) & your activity. Ask what else you can do. Ask if this is it for you? Ask what else you can do. Maybe raise whether the GLP-1medications would be of benefit. Do you see a dietician? Because of your intense weight training, you may need to be consuming more & by reducing your calories you have put your body into starvation mode. Even with all this, don’t give up yet. Many of us continued to lose well into our second year albeit very slowly like grams not kilograms a week or month (ounces not pounds). All the best. -
What am I doing wrong 1 year post op?
Nyxienoodles replied to RaiderRhode's topic in POST-Operation Weight Loss Surgery Q&A
I am almost one year out from VSG. I am down 100ish pounds and am hovering around 225. My goal is 170-180. I, too, am struggling with continued weight loss. I feel hungry all the time. It's probably a lot of head hunger, I've been told, but I am almost never satiated. Uughh. The guilt when I go over my daily calories kills me. 🙃 My one year appointment is coming up soon and I'm afraid I will weigh about the same as my previous appointment. You aren't alone. Just keep going. Maybe change up your diet a little bit. Maybe increase cals? In my case, I feel like my body is happy with my current weight, but I'm not, so its a struggle from here on out. Lol. -
What am I doing wrong 1 year post op?
Nyxienoodles replied to RaiderRhode's topic in POST-Operation Weight Loss Surgery Q&A
I am almost one year out from VSG. I am down 100ish pounds and am hovering around 225. My goal is 170-180. I, too, am struggling with continued weight loss. I feel hungry all the time. It's probably a lot of head hunger, I've been told, but I am almost never satiated. Uughh. The guilt when I go over my daily calories kills me. 🙃 My one year appointment is coming up soon and I'm afraid I will weigh about the same as my previous appointment. You aren't alone. Just keep going. Maybe change up your diet a little bit. Maybe increase cals? In my case, I feel like my body is happy with my current weight, but I'm not, so its a struggle from here on out. Lol. -
What am I doing wrong 1 year post op?
ms.sss replied to RaiderRhode's topic in POST-Operation Weight Loss Surgery Q&A
hiya! i remember you from a post about a year ago I remember you were concerned about the number on the scale back then and were resolved to take measurements vs weighing since you are a body builder...did you end up keeping records? you didn't mention in this post what your current weight is, but at 5'6" (assuming age 25 and weight of 266lbs) your current calorie intake is well below your BMR, even if you sat on your couch the entire day...which you aren't. so if your calorie count is indeed accurate, its not an issue with your intake. besides the number on the scale, how do you FEEL? joints better? sleep better? move better? less winded? off any meds? pull out the measuring tape and compare from your measurements last year...like a poster suggested a year ago, as a body builder, the tape will tell you the truth more than the scale will. have you taken pics of yourself this past year? can you see a diff? i know its difficult, but really try not to go down any shame spirals, stress is not a friend of health and weight loss. ask your team for advice and guidance during your appt next week. good luck! ❤️