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I guess I shouldn't respond late at night like I did above because I left out some common mistakes people make when logging calories: Mindless eating: either failing to log those little nibbles here and there (including when tasting food during prep), or trying to log it, but guessing after the fact as to how much they actually ate. Not understanding that raw vs cooked food can have vastly different calories. A classic example: The USDA says 100 grams of raw chicken has ~106 to 120 calories per 100 grams. The problem is that when cooked, 100 grams of this same chicken is ~165 calories. The primary reason is due to water lost during the cooking process. This is not an issue if you properly portion out how much of the chicken breast you ate, but if you are using the raw calories and weighing it when cooked, you'd actually be eating a lot more calories than you think. This is a big one: not counting liquid calories. for reasons I don't fully understand, a lot of people just either ignore or don't log liquid calories. That juice they drank for breakfast? Didn't log it. The milk in their coffee? Nope, not logged. That energy drink they had in the afternoon? Not logged either. I think you get the idea. If you haven't figured it out yet, I'm not a huge fan of logging calories since it's really hard to do correctly and even when done to the best of our ability, it's still often wrong. I think, as it may be in your case, it also can become a crutch. There is no cheating physics here. If you eat more calories than you burn in a day, you'll gain weight and if you eat less, you'll lose. As I hope you'll see from what I've posted, in all likelihood, you're eating more than you think. Let's just for the sake of argument say you're really great at logging and you really are just eating 1200-1400 kcal a day. The only other explanation would be an exceptionally low BMR. This would really suck if it's true, but if we assume it is true, then that would still mean you're eating too much. Either way, you have to eat less than you're eating now if you want to lose.

Good morning. I'm not discounting anything SpartanMaker posted above. However, I was in the exact same boat as you. I was eating 1200-1400 calories, religiously measured/counted everything, plenty of water, I played with my macros till I was blue in the face and for 10 months I did not lose and I did not gain. I'm a nurse so I probably have more background in nutrition than most, so I'm confident in how I was eating was appropriate and what most providers would "recommend". In February I went to my two year follow up. My labs were perfect, my vitals on point and I had not lost one ounce since the last visit nearly a year prior. After having a long conversation with my bariatric provider, the only change since the losing stopped was I was pretty much into full menopause. We discussed options and ideas on how to "overcome" the hormone influencing my insulin processes that was affecting my metabalism hurdle I may possibly be facing. She said based on her research zepbound might be a great option as it also can help in reducing "hot flashes" which I was having twice a day, everyday. Long story short, even with my insurance, zepbound would have been around $700 a month, so I choose to do the my budget friendly compound tirzepatide route (the compound equivalent to zepbound) with my provider's blessing. I have been on the weekly injections for 6 weeks and have already been able to shed 19#. I have not ate any differently, no change in my physical activity AND the hot flashes are gone. I'm not suggesting this would be the answer you need, but it's been a game changer for my journey. Good luck ❤️

Hi Warren I read that you had your procedure almost a year ago. How is it going? How much weight did you loose?

So if I'm understanding your post correctly, you've been eating 1200-1400 kcal per day yet your weight has been stable at ~215 pounds. This either means: Your total daily energy expenditure (TDEE) is also around 1200-1400 calories per day, OR You're eating a lot more calories than you think. Let's explore each of these in more detail. Based on your height and weight, your TDEE should probably be 1800 to 2200 calories per day. Just your BMR or Basal Metabolic Rate (the number of calories your body burns per day just to keep you alive), should be ~1500-1800 calories per day. There are lots of reasons this could be lower, but for your TDEE to be 1300, you'd have to have a BMR in the neighborhood of ~900 calories per day or as much as HALF of what we'd expect. This would be exceptionally low considering your size. BMRs that low tend to only be seen in elderly frail women. To be clear, without having a metabolic test, we can't know for sure, but this does seem unlikely. A more logical reason for this discrepancy is that you're actually eating a lot more than you think. Calorie overestimation is extremely common (unlike extremely low BMRs), thus I lean toward this as an explanation. I have seen some suggestions stating that the magnitude of this may be as high as 40-50% underestimated. In other words, someone could think they're eating 1500 calories, but they are actually eating 2200+. So where do people go wrong? Misreading/misunderstanding nutrition labels. It's not uncommon for people to confuse a serving with a container of food. Sometimes, manufacturers will list a serving of something, but what you're actually eating may be 2 or more servings. Accepting as fact the calorie counts on nutrition labels. In the US, calorie counts on nutrition labels can be off by as much as 10% before manufacturers would be expected to adjust the calorie count. Keep in mind, though that manufacturers are self policing here and really don't have a lot on incentive to make sure these are correct. Many people simply guess at serving sizes, especially if it's a meal they made themselves. This can lead to wildly inaccurate calorie counts Also very common when they are making meals themselves is to just look up a calorie count for a similar food, but this also can be really inaccurate. Lots of people guess at amounts, thus you may think you're getting say 1 cup of a food, when it's actually 1.5 cups. Speaking of measuring by cups, this also is wildly inaccurate. To properly measure calories, you really need to weigh EVERYTHING you eat IN GRAMS. Any other method just isn't very accurate. I also wanted to touch briefly on your comment on exercise. While I think it's great that you're exercising, this really has nothing to do with weight loss. Lot;s of studies show that increasing energy expenditure through lower levels of exercise like you're getting typically leads to lowering your energy expenditure elsewhere throughout the day. This means you really have no increased calories burned and shouldn't think this means it's okay to eat more as a result.

It's been a while since I've been active on here, but I'm really struggling. Any advice or encouragement would be a huge help. 😥 Almost right at my year mark post-op, I stopped losing weight. My doctor said that I should still be losing 1-2 pounds a week. Around this time I was eating 1400-1500 calories, so they recommended I scale back to 1200. I try to eat whole, unprocessed foods about 80% of the time, I still track what I eat, count my calories, prioritize protein, and exercise 4-5 times a week for 30 minutes (usually cardio, but I do resistance train, just not faithfully). I am eating 1200-1400 calories a day, and I'm struggling so bad. My weight sits somewhere between 211 - 219, depending on water retention, my cycle, travel, stress, etc, and it really hasn't changed since I saw my doctor last. I would love to try the GLP-1 class drugs to see if that could help, but my insurance doesn't cover it, so that's not an option. I'm really depressed over this, which I know doesn't help things. I feel like I've worked so hard, and I've just barely gotten halfway there. Now I'm terrified I'll start gaining weight again, and I've caught myself obsessing over my eating to the point it's feeling disordered and mentally unhealthy. Has anyone else had this struggle? If so, what helped you - either with losing more weight, or just coping with being at a plateau? 😭

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

I dealt with the same thing and honestly, it messed with my confidence at first. I looked into surgical options eventually and found Mommy Makeover Seattle, which wasn't just for moms—it included procedures like body lifts that helped tighten up things after major weight loss. That gave me a boost. Until then, being upfront with dates helped a lot—people were way more understanding than I expected.

I lost my weight throughout 2022. I had three distinct phases of hair loss, each a few months apart, and each lasting several weeks. It has taken until now for my hair to fully recover, but it has. I feel your pain, it's really demoralising. Trying shorter cuts can help while you wait for it to grow back. I know lots of people swear by various supplements, and treatments onto the scalp/hair itself, but I'm not sure there's much evidence that they work.

Hi I am sorry to here that. its always disappointing when we can't have our first choice. Unless you already have GERD, there is little difference in the end results of sleeve v the bypass. Both need lots of work on our part and the weight loss is what we are comitted to doing.

"Weight loss surgery makes good relationships better and bad relationships worse." This can apply to the relationship we have with ourselves. This all happened pretty quickly, maybe all you need is a little time to get used to you. Do you have someone you can talk with about this? Perhaps a couple sessions with a therapist might help. Ending a relationship can throw us off balance and cause us to question ourselves. To me it always seems like something get through, though I guess it can be a time of self discovery. I'm too old for self discovery! Good luck, Tek

I am about 6 weeks out from my arm lift. I was cleared Friday to resume normal activities. Today I was at the gym lifting weights, though not yet quite as much as presurgery. Do everything they tell you and recovery should be a breeze!

I am sorry to hear this and we are here for support. A lot of times weight loss surgery may not affect the relationship, but I will say weight loss surgery does change us in many aspects. We are not the same people that we once were we evolve, we grow and have different outlooks on life. We have mindset shifts. Sadly, sometimes we outgrow people. We have different things that we want that we did not want prior to surgery, so I don't know a lot of factors can go into these relationship that we have with significant others and other people, I find that after the weight loss surgery my whole dynamic of who I want for a partner has changed. Bariatric life is hard and the work that we do is really really hard allow your self time and grace and then realize that you're a bad ass and that you're gonna hold your head up high and continue on. I am sending you light during this transition. ❤️

My boyfriend and I broke up over the weekend, and I just wanted to reach out to my bari-family for support 😓 I remember reading loads about how after surgery lots of people found that their relationships broke down for one reason or another, and the statistics around this being quite shocking. Whilst I don't contribute my break-up to my surgery/weight loss, I am struggling at the moment with the emotional side of things following it all. Rather than emotional eating, I am finding that I have 0 appetite at all, I just don't want to eat, I don't want to do my exercise, ugh. But I am also scared of just doing nothing. I don't know guys, I am rambling, but either way , just wanted to reach out to see how others have dealt with this in their own lives. ❤️

I've lost a significant amount of weight and feel more energetic and confident. The procedure was straightforward, and the recovery time was minimal. I appreciate that it doesn't permanently alter my anatomy, unlike traditional gastric bypass.

Can not believe it has been 9 years! Current weight: 180

i haven't been logging my food regularly for quite a while now as i felt like i could manage on maintenance autopilot. anyway, looks like i need to tweek my diet as i've been unsuccessful in bringing my weight back up to an acceptable level for months now. its kinda challenging as i've been eating out 90% of our meals all these said months, and its hard to guess the calories content of restaurant meals. gotta try tho. so here we go! my first tracked meal in a reaaallly long time: cottage cheese, blueberries, black pepper and anchovies (dont judge me! lol) 193 calories (easy to log cuz i made it, ha!)

okay, breath. There isn’t a number or hard rules about what we’re all supposed to have lost by a certain time - 2 months or any other time frame. There are averages around rate of loss, how much you’ll lose, how long it will take, etc. But, as is expected with all averages, there will be those who do more than the average and those who do less. And there’s nothing wrong with that. All the averages should do is give you are idea of what MIGHT happen not what WILL happen. Too many factors influence your rate of loss and how much you will lose: gender, age, pre existing medical conditions, mobility, starting weight, and so on. Some surgeons may have some expectations but unless you aren’t losing anything in the first months (except during a stall) you have nothing to worry about & can breath easily. Actually all of us have to go through trying to work all this out further ourselves. Simply because we are different and what might work for someone may not work for you. Always start with the plan given to you by your surgeon and dietician and then after the first couple of months, start developing your own plan and way of eating to continue your lose and then maintain. Do some research (be critical in your analysis of your research, avoid fads and influencer talk), talk to your dietician, your doctor, ask for advice here and try things out and see how you go. You’ll make mistakes along the way and that’s okay. Losing about 2lbs a week is nothing to be concerned about. 2lbs a week is generally thought to be a good rate of loss for anyone (surgery, medication or doing it alone). I always say celebrate every pound you lose. Congratulations on your weight loss so far.

I just checked and at 2 months, I was down 20.6 lbs from the day of surgery. There's really not a hard and fast rule for how much you'll lose. Everyone is different and it depends on your starting point and how much you lost pre-op, too. I had some months when I lost a lot and other months where I hardly lost anything, but overall it moved steadily downward. My weight loss has stalled for the past month or so, now that I am more than a year out. The only guidelines I was given was 60g minimum of protein per day and 64oz water. I am now almost 14 months post-op and I've gone from 225 lbs on surgery day (251 was my highest, which was 6 months pre-op) to anywhere from 162-165lbs. My exercise consists of walking and that's it. I'd like to lose another 10 lbs but I'm also pretty fine with where I am as long as I don't gain (which is why I do hope to lose a bit more). I've gone from a size 22 to a size 12. I think I could still lose a bit more if I focused on cutting out some bad habits that have crept in with sweets/simple carbs, and if I increased my daily exercise to something a little more challenging than a walk. I don't count calories and I don't really track macros at this point, either. I just try to eat reasonable meals that focus on protein and veggies, and not snack too much or eat junk food too often. A typical day is either spinach frittata, Kodiak protein oatmeal, or a Greek yogurt for breakfast, plus a serving of mixed fruit (strawberries, cantaloupe, blueberries, grapes. Lunch is a good size spinach salad with 3oz chicken and some black beans. Dinner might be a bowl of homemade chicken, bean, and veggie soup, chili, or maybe some grilled meat and veggies. Sometimes I eat chickpea pasta with marinara and meatballs but other types of pasta and breads don't settle well. For snacks, I like string cheese and an apple, or some mixed nuts or roasted edamame. I have to be careful of overindulging in things like popcorn, candy, and cookies because they are too easy to eat without getting full (and sadly I don't get dumping from them). Red meat fills me up very quickly. The hardest thing for me now is dealing with the head hunger that makes me want to reach for food if I am bored or stressed. Getting the stuff out of the house completely is the only strategy that really works for me with that. My only real advice is don't drive yourself crazy. Just do your best each day and pay attention to your body. That's more important than counting calories. You're not on a diet! You need to figure out what you can sustain for the rest of your life, while paying attention now to the basics (protein and water, plus vitamins) to keep up your health.

I’m still trying to navigate my way thru this transition and it’s harder everyday. I just feel stuck that’s why I’m trying to get others input and try to “find my way”. It gets frustrating when I see other people losing alot of weight off the bat .. I’ve lost 20 lbs in the last two months and feel that’s not sufficient but then again is there a general number we’re supposed to be down by month 2 ? Ugh I drive myself nuts with that and I’m tryin to get my mindset right but I end up freaking out and stressing over it.

I know nothing of Herbalife so I am half informed. I know that any gain in this early stage is of benefit. Its tough to drink enough never mind eat our protein quota. I would say - go with what works for you until you can manage something better.

Obviously you need to decide what's right for you. I was in the same boat as you in that they discovered inflammation during my EGD. I had already been leaning toward RYGB anyway, but that sealed the deal as far as I was concerned. My doctor stressed that even though I wasn't having issues with GERD, there was a strong possibility I'd develop issues if I insisted on SG. As far as risk is concerned, all surgeries carry some risk and since RYGB is a more complex surgery, you are correct that some studies show a marginally higher risk profile. Interestingly, other studies show no difference. Keep in mind that obese people are all going to have a higher surgical risk for ANY procedure than a normal sized person. Other factors that increase risk are things like heart disease, diabetes, smoking, etc. Also, surgical experience and the quality of the facilities play a huge role in overall risk. My point is that cross sectional studies showing risk are not equivalent to YOUR risks of surgery. In terms of "convertability", I think my opinion is somewhat the opposite of yours. Technically, RYGB is completely reversible, since unlike SG, nothing is removed from your body. This to me was a huge plus in my decision making process. When we look at revisions, keep in mind that revision of SG due to GERD is pretty common and those revision surgeries basically revise the patient to gastric bypass to alleviate the GERD. I can't speak to your malabsorption concerns since first of all, malabsorption in and of itself is potentially a good thing for weight loss. i can see a concern for malnutrition, but I was willing to commit to a lifetime of vitamin and calcium supplementation. I also try hard to eat a fairly healthy diet, thus also upping the chances that I have no issues with malnutrition. If you are not willing to commit you those things then yes, this may be an issue for you. Keep in mind that while it's less common, SG patients can also suffer from malnutrition. It's actually recommended that all bariatric surgery patients use supplements and eat a healthy diet and I think as long as you do those things, neither surgery is going to be an issue. Best of luck whatever you decide.

Your surgeon (or their team) should provide you with a list of the liquids you can consume during the pre surgery stage. If they haven’t yet, ask for a list so you can start to prepare. There are variations between surgeons as to what you can and can’t have at this stage. For example some are three meals of protein shakes a day & that’s all. Others are four shakes. Some are two shakes plus one meal of a lean protein & vegetables. Some are not shakes but milk. Mine was keto. So you can see we can’t really tell you what your surgeon may require for this diet or require specifically for you ( your current weight, pre existing health concerns, etc.) But as a help, start weaning yourself off caffeine, carbs and sugars now because when you start the pre surgical diet the withdrawals from those foods can be pretty tough (headaches, lethargy, irritability, poor concentration, etc.) It usually passes after five or so days but that first week wasn’t called hell week for nothing by my surgeon’s patients. All the best.

@@AmberFL I get between 1700 and 1900 calories per day right now, it's working well for me. I'm having a surgery tomorrow though and won't be able to work out for a least 3 -4 weeks and will likely try to cut my calories to 1400 per day to avoid weight gain in that time. We'll see how well that goes, lol.

Did you get a date yet for your arm lift? My wings, even after seven/eight months of weight work, in the pictures I had to submit to the Dept of Health here.