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I found this statement interesting. Can you define what real hunger is for you? What I mean is what are you actually feeling? I'm not claiming to be an expert, but I sometimes think we overuse this concept of "head hunger" vs. "real hunger". I know I've been guilty of that as much as anyone, but i think we should keep in mind that much of what people call real hunger is also "in our heads". A better way of differentiating hunger signals may be to call them homeostatic hunger and hedonic hunger since these happen somewhat differently. While this is oversimplified, homeostatic hunger starts as a signal from our stomach by way of production of ghrelin, which in turn activates AgRP neurons in the hypothalamus. Simply put, it may originate when the stomach is empty, but it's our brains that tell us it's time to eat again. This is not something we actively control. It's the bodies way of trying to keep you from starving to death. Hedonic hunger on the other hand is your body seeking pleasure from food. We like to say this is the one we want to control if weight loss is the goal, under the assumption that overall calorie intake will be less if we don't "give in" to cravings. Here's the thing, though. While scientists don't fully understand what's happening, we do know that dopamine and endocannabinoid receptors are being activated in our brains. Interestingly, just seeing or smelling certain foods can trigger these same processes. I wanted to explain this because it wouldn't be wrong to say all hunger is head hunger. The good news there is we also can be in control of both types of hunger, since they are both "in our heads". In terms of your specific situation, I think it would be rare to already be experiencing a lot of homeostatic hunger this early after surgery. On the other hand, it's probably not unheard of. For me personally, I was really bad at understanding what true hunger felt like. As a former obese person, I hated feeling hungry and would rather feel the overstuffed feeling in my guts since at least then my brain would quiet down. I'm not saying I've got it mastered, but I'm beginning to understand that when I'm truly hungry, I have other things going on like feeling weak, feeling irritated, and/or having brain fog. The strong urge to eat that i sometimes feel without those symptoms is probably more just my brain trying hard to either seek pleasure, or keep me from starving to death.

Do you measure yourself too? Is it plausible that with your workouts, you've started gaining more muscle than what you're losing in fat? Has you been bowel-regular, and your sodium hasn't increased? I'm nowhere near my goal yet, but I've heard / read that a lot of people gain back 10-15 after they 'stop' losing, whether they're purposefully going into maintenance or their body has told them to go into maintenance lol. It could also just be one final stall that your body is giving you as you near your goal weight. Try not to worry too much? I know it's hard -- and it probably feels even harder since you're so close to where you want to be. I doubt you're doing anything wrong, every post I see you make or reply too, you always seem to really be on the ball about things. As someone else on here recently said, give yourself some grace. And keep on keeping-on! ❤️

Just to update for anyone reading this after the fact my weight loss did slow down quite a bit. It’s been 12 more days and I have only lost three more pounds. And the last one isn’t sure it wants to really leave me 🤣 Anyways, thanks for your reassurances and I hope you are all doing well.

You say above that "granted, they are right." Respectfully, your friends and family are 100% wrong and don't have a clue what they're talking about. Obesity is not caused by a simple lack of willpower. If it were as simple as eating right and getting some exercise, none of us would be here right now. You didn't supply your height and weight details, but based on the list of ailments you've mentioned, I'm guessing you have a significant amount of weight to lose, like well over 100 pounds. It's very hard to lose more than a small percentage of your body weight and keep it off. About 95% of people who lose weight through calorie restriction and going to the gym regain the weight. Not because of a lack of willpower, but because there are complex systems in our bodies that work hard to keep us at a weight our bodies have decided is right for us. Unfortunately, in those of us with obesity, that desirable weight has been set much too high. Fighting against that is extremely difficult. That's not to say that surgery will fix your issues with food. It won't. You will still have to do all the work on your mental and physical health to lose the weight and keep it off. You will have to eat right. And exercise. And work on your food addiction by modifying your behavior, hopefully with the help of a professional therapist. You'll need to track your food intake for months if not for life, and there will probably be foods that you will never be able to eat again, either because they make you ill or because they trigger bad behaviors that you need to avoid. You'll have to learn a whole new way of cooking and eating. You'll have to be careful of transfer addictions. Sometimes you will feel left out when everyone else can eat things and you can't. You'll have to defend your choices to people who have no idea what they're talking about and no filter on their opinions. Surgery is frickin' difficult. But, it's effective. It changes your hormonal balance to make your body want to be at a healthier weight. If you follow the rules, you will lose weight and keep it off. Your physical health will improve. Your body will feel better. But you do have to follow the rules, and the rules are challenging. You have to be ready for it, and even when you think you're ready, it's common to make mistakes and to struggle sometimes. You'll need a support system and the confidence that you've made the right choice for the long term even when it sucks in the present moment. If you decide surgery is right for you, you will need to believe in yourself enough to look your family and friends in the eyes and invite them to either support your decision and help you, or else they can feel free to shove their negativity into the orifice of their choosing. This is your life, your body, and it's your right to decide what you need to live the best way you possibly can. No one else has to wake up with the pain you feel in your joints, hip, and back. No one else has to struggle through the day and have their options limited because of their size and health. No one else has a say in what you do to improve your situation. But I will tell you this. There are probably some people in your life who will not think this is true. They will not appreciate you stepping out of your role as the obedient one and standing up for yourself and not doing what they want you to do. They will feel threatened. They will not like it when you lose weight, and they will say mean and nasty things about how you cheated and took the easy way, because if you succeed at this, they will feel like it takes something away from them. They are the ones with the problem, not you. They may try to sabotage your efforts and make you feel bad about yourself. Again, they are the ones who are wrong. But that doesn't make it easier in the moment. So make sure you have people to talk to who support you. I wish you the best of luck. You're young and you deserve to have an awesome and long life full of good health and happiness. Don't let anyone else take away your chance at that. Finally, here is a video that I highly recommend to help with your decision:

Found this tip a while ago when searching for someone else who was ahead of me on their weight loss but finally got to where I could try it for myself. Since we all know that there is such a huge space between the extended sizes my shirts are very loose yet the next size down is still snug on me so I tried this tip. You turn the shirt inside out (or just do it while wearing but your working on the inside) and grab a small section and use a rubber band to create a gather on the inside sorta like a pony tail. It does shorten the length in that one spot a bit and you have to play with the placement but it really works. I still have a larger bust so it helps to snug the waist area so I still look like I have a shape. Not certain if I explained that very well but hopefully you get the gist and it helps you too.

I had the sleeve 3.5 years ago and I remember testing the waters pretty early out too. Not saying that it was that which caused me to go off course and gain it back but it’s definitely a slippery slope for some of us. Just be careful ❤️ .

I wasn’t going to discuss this on these boards since I don’t want to turn the discussion away from weight loss. I figured I would talk cancer at the cancer support group and weight related stuff here, but I am quickly realizing that it’s very much intertwined. I had my revision surgery to SADI on 8/7/2024 and I felt something on my breast in the shower in September. I went to gyno, got sent to get a diagnostic mammogram and ultrasound and then biopsies and it came back as cancer 11/6/2024 (about 4 months post op). A few days later I was with the breast surgeon and was told it was triple negative and it’s very aggressive so the process is a little different for me in that it’s all very fast moving but it’s pretty much the same collection of treatments for most cancer I believe. I am currently two rounds into chemotherapy and just started immunotherapy and also doing appointments for all kinds of scans and imaging as well as meeting the rest of my doctors and setting up my future treatments which will be double mastectomy, then radiation and then maybe oral chemo. Basically I have not sat down since I learned the diagnosis and I have had to learn a tremendous amount very fast to make some pretty heavy decisions very quickly to keep the ball rolling. It’s been a whirlwind From a bariatric standpoint things have been incredibly challenging. For one my appointments are all over Florida. I have a medical oncologist, a breast surgeon, a cosmetic breast surgeon, a radiation oncologist, and a second opinion oncologist and now a gynocologist in the mix but that’s pretty specific to me. So far and I have had to have imaging done at 3 different places as well since it’s all been so rushed it’s just about who can get me in the soonest and then since these places aren’t connected I have to wait around for records and discs and carry them all to each of my appointment to make sure everyone has everything I have been traveling non stop with little time to prepare things so prioritizing my nutrition and exercise has been a huge challenge just in terms of time. There are just not enough hours in the day!! Then there is the chemo, the shot that builds up your white blood cells, and the immunotherapy infusion which also take time (2-3 different appointments depending on how it works out that week) but also all of this effects my cravings and energy. First there is the fact that I have to be on steroids which we all know are the enemy of weight loss but also the fact that eating is different. I consider myself very fortunate that food doesn’t taste bad to me and nausea is not an issue like it is for so many but it’s still not the same. I crave something very specific. I taste it and it’s good but I eat three bites and don’t want it anymore. My refrigerator is a leftover graveyard lol. In terms of energy I am on the strongest treatment regimen the oncologist says so fatigue sorta goes with the territory. I have been walking everyday still except for the biopsy day and my chemo port surgery day and I have done my yoga when my schedule permits but I have not done my cardio class because I think I sweat too much considering how dehydrating the chemo already is. Also I can’t touch community stuff for 24 hours after chemo without possibly exposing others to the chemo drug and we use balls, bars, discs, etc. Also more recently there is the fact that I have lost about 85% of my hair and I get too hot to wear a hat. I think once I’m bald it will actually look better and I am going to try really hard to just get over that but right now I don’t look like I have cancer. It just looks like a botched hair cut to me so I’m living in hats. The good news is it’s going very fast. It started falling out last week and it’s almost gone already so by next week I think I will just be bald. Well, yesterday I did totally forget to exercise with all that I had going on and I’m feeling guilty today now that I remembered but I know that’s silly. I am just hoping that as treatment goes on I am able to keep up my exercise. All the doctors say it’s good to keep pushing myself just not too hard. Exercise and good nutrition are going to make this alot easier on me. Back to food again. Not sure if it’s just the stress of the whole situation or the fact that chemo puts you into early menopause but Thursday was a particularly bad day. My moods were erratic to say the least and I had a bunch of blood drawn after having nothing but a protein shake all day so at 7pm I was pretty much famished by the time we stopped to eat. Olive Garden was the most convenient option and I planned soup and salad but when I got in there that went out the window. I went totally off plan. Again I feel guilty but these darn steroids and all the crazy emotions are making it so much harder to make the better choices when it’s staring at me tempting me I did still get my protein for the day though if there is any good in that What’s really hard about this is that even with the pasta and bread I am actually still losing weight so for my previously obese brain it’s tempting to not just enjoy that while it lasts. But I know that the processed crap is not good for my body, especially right now. I don’t feel as good since I have not been exercising as much and I’ve been eating off plan. I don’t sleep as well at night and I seem to crave more and more junk as well as have less energy throughout the day. thankfully my program has provided to me free of charge an oncology dietician, but I am her first patient who is actively still in weight loss phase undergoing chemo. She had agreed to check in with me once a week since this is new for both of us and she seems amazing so far. She suggested that I do not lose more than two to three pounds a week which was my average before the chemo. Because the chemo has apparently sped up my metabolism she says that I need to increase calories but to add healthy ones which is extremely difficult because adding calories goes against all we just learned and over 2000 calories of healthy food is a very large volume of food that my body is just not wanting right now (I was eating around 900-1000 before this and already felt like I was eating all day. And remember that most of these meals are on the road these days so I have to eat what I can fit in a cooler or stop somewhere on the side of the highway most times. Not easy to find clean healthy food on the road. Enough stating the obvious that it’s tough, here’s what I actually have to offer so far in terms of advice. First thing when I wake up in the morning I have a protein shake which is a really good head start to the day and if I am lucky enough to still be around a couple of hours later I have a second breakfast instead of waiting until there’s time to eat on whatever adventure the day brings. That helps with the protein if I don’t have time to stop at all. Although recently the shakes haven’t gone down so well so I just wake up and have scrambled eggs with 2% cheese and whatever leftover veggies are on hand.. If I know I won’t have time for that I also have some boiled eggs In the fridge that I can eat real fast or slice up with some cheese and take on the go. I carry in my cooler a high protein yogurt drink, chomps pepperoni flavored turkey jerky and baby bell light or mozzarella sticks. It helps to put the ice pack in a ziplock with these items if you live where it gets hot. I also carry a bag with high protein snacks quest protein chips, kind minis, cliff minis, pistachio nuts, nut butter packets, quest cheddar cheese crackers, granola to add to yogurt, etc Freezer meals!! Omg. I was doing these before my diagnosis and they were super convenient then and have been a lifesaver now. I have tex med chili, chicken chili, turkey meatballs, turkey taco meat, grilled chicken, meatloaf, etc in the freezer and it’s all measured and weighed out so that I can pop in the fridge the night before or even jet defrost in microwave if need be. When I have time to cook I do double batches so I can keep my freezer stock replenished. I have a note in my phone notes that it titled In freezer and I just keep adding to it what I freeze and how many portions are in there so if I’m not home I can check my freezer stock. I also do a version of meal prep with chick fila as well I like their market and southwest salads (I get the market one without the blue cheese) I buy one of each with two extra chicken fillets and take them home and I make four salads out of that. I take off all the toppings with a bit of lettuce and put into a smaller container to make a market salad and do the same with the southwest. Then I put the leftover lettuce with the chicken into another container and I have fresh shredded Parmesan in snack ziplocks and ceaser dressing also in ziplocks (sorta less pleasant looking but I figure less risk if bacteria than them tiny containers which are hard to get really clean since I am immunocompromised and infection is so dangerous right now) i cut off a corner and squeeze it out like an icing bag. I just use half of the packets of dressing with the market and southwest salads and then toss the rest. I have the ziplock containers that have the twist top lids and these are easy to toss into the cooler when they do not open at all I still log my macros in Baritastic this has really been helpful for me to be honest about what I’m eating with my oncology dietician so she can keep me on track . It also lets you log your activity, weight, inches lost and set notifications for vitamins and stuff. I added a reminder to put on my fitness watch and to take my regular meds too I also carry my water with me and I set alarms again to drink. You have to wear a mask and for me that seems to make me drink like a quarter as much as I do without one so I have to have reminders again. Vitamins need alarms too. Chemo brain is a real thing and when your days is never the same it’s hard to have a routine anyways so I actually have alarms for just about everything in life right now. I made different tones for water, vitamins and appointments and I have a checklist to go over before I leave the house to make sure I did and packed everything. My friend and family also have reminders for me in their phones for the real important stuff and they call or text to make sure I haven’t forgotten. I just found out that two of the programs I belong too offer virtual yoga sessions. I haven’t tried it yet because they are at set times as well but I added them to my calendar as recurring appts just like the live one so I can attend whichever one I have time for. Someone else suggested you tube for videos but I haven’t tried that either. Yoga by the way is my only sense of calm throughout all of this so I HIGHLY recommend it. That and meditation I know that both of these sound a little fruity before you give them a good fair try and meditation takes a lot of practice before it really Did anything for me but I swear my mind runs non stop with anxiety and worry and for that one hour I’m in yoga or the few minutes I’m meditating it is at peace. It’s amazing!! So I am a little over a month into this and I’ve got a good year and a half to go if all goes well so I’m sure I will have more to add to this but I just wanted to pop In and share what my experience has been juggling a new cancer diagnosis while pretty early out from bariatric surgery. I hope this helps someone. Even if it’s less advice and more to let you know that you are not alone in the struggle.

Adding another voice to the chorus that you don’t have to go to the gym if it’s not your thing… Diet plays a much bigger role in weight loss than exercise, so that should be your focus. Depending on where you are with your diet progression, this may not be the time to be doing intense workouts, anyway, since you may not be able to eat enough to fuel a serious gym session. Exercise is definitely beneficial to your health and important for maintaining weight loss, so the instinct to start now is a good one, but it doesn’t have to be miserable. Try to find something you don’t hate. Just walking is great exercise. Start an episode of your favorite podcast and walk until it’s over. Check out some YouTube videos that you can do for free in the privacy of your home. Someone on this very forum recommended Leslie Sansone videos and now I pass that recommendation along to anyone who hates “going to the gym” and/or doesn’t know where to start. FWIW, I didn’t go to the gym even once for over 3 years after my surgery. I lost the weight working out at home, walking and doing free workout videos. It’s only been in the past year that I started taking fitness classes, and although I am a self-proclaimed exercise hater, I must admit that I’ve come around. By the way, although I’ve discovered that a lot of stereotypes about gym members being mean to people who are overweight and/or out of shape are wrong, it is a heck of a lot easier to work up the will to go to the gym when you are already in decent shape from, say, home workouts, so maybe put the idea of going to the gym on hold for a while and see how you feel once you’ve gotten some results from working out at home.

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.

Two weeks is the usual length of the pre surgery diet. But there are difference in what format the diet actually takes. Some are all liquid like yours (can be shakes or milk based drinks or other liquids) or two shake meals & one meal. Mine was keto. It, as @ShoppGirl said, can be influenced by your staring weight & how much weight they want you to lose to reduce the size of your liver before the surgery. It may be your general health status. It can also just be your surgeon’s preference. My two friends & I were each on a different pre surgery diet but all were two weeks long (2 of us had the same surgeon .) Each of us were in different places (health, weight) when we began.

So I will definitely say that I am so oblivious LOL I stay in my own world so I really don't know, however I do have a great deterrent from men talking to me....my kids! LOL My boyfriend has actually had a hard time with my weight loss...there was a good point where he felt uncomfortable being intimate. He said that the change happened so fast that I felt and looked so different he felt like he was cheating on the old me. He also preferred me fluffy, met me at 240lbs size 16, then I blew up to 297lbs size 20 after I had our baby, and now I am 160 ish at a size 2-4, but he also understood I did this surgery for my health. I am getting my boobies done 12/30 so I k now that will be another hurdle I think, then I most likely will be getting more obvious blunt attention that both of us will have to get used to. Our relationship is strong and our communication is really good so we will be okay but its been a process lol

Outdoors I am in Texas and the sweat is good and helps with weight loss I'm about to get a gym membership so I can get mentally prepared before winter 😩😩😩

the two they usually measure for are ALT and AST. But not all clinics test for those, so not everyone knows their values (actually, my bariatric clinic doesn't test for them, either - I'd gone to my primary care provider for some reason or another (it's been eight or nine years, so I don't remember why) and she did some panel that included liver values. She freaked about it, but my bariatric clinic knew what was going on - and again, they were back down to normal once I was about a year out).. They go up because rapid weight loss is really hard on the liver.

The SADI is a modified version of the DS where when they bypass a portion of the bowels they only need “Single Anastmosis,” which means connection and is the first two letters of the acronym SADI, instead of two anastomosis that the DS uses. They are both almost a combination or the sleeve and bypass to simplify it. They combine the sleeved stomach for restriction with the bypassed intestine for malabsorption. In terms of least to most aggressive it’s sleeve, bypass, SADI, then DS. The SADI is fairly new and is considered to be a relatively safe option with that single connection lessening the risk for leaks by at least half and overall risks are less than the DS considering the weight loss is not a lot less. Like the DS it can be done in one surgery or in two steps beginning with a sleeve first and then completing the bypass portion In a second operation later (often after a patient loses enough weight to make the bypass portion safe or as in my case if they do not lose adequate weight or experience regain after the sleeve). You may also see the SADI referred to as the modified switch or SIPS surgery. And the -S in SADI-S just means with sleeve as in when the two components are done at the same time in one operation.

Had an appt with my Dietician and I am so irritated, like so bothered! I told her that I weight train 6x a week on top of cardio 6x a week. Went over how much I ate and what type of foods and she told me I am eating too much protein, and I need to stop drinking my proffee in the morning only have decaf coffee. She said I need to eat under 100g of protein even though I am weight training. I could not respond, I am not trying to be thin my goal is to get fit and shapely which is why I weight train. My multivitamins I have to adjust which I knew I needed to. I feel so discouraged by what she said, she told me that the 1000 cal is "ok". I asked what that meant, she said I am on the higher scale of what I should eat at 5months post op, I told her but I workout for an hour plus a day? If I ate less I would pass out from exhaustion. My post surgeon team completely left me to figure this all out on my own. I was supposed to have a 6 week and 3 month group appt which she asked why I didn't attend....I told her because your team never called me to set them up and I didn't know that was even a thing. So I have been on my own since week 2. I thought I was kicking ass and taking names, now I am so bummed. Just venting

I joined the ranks back in 2021(plastics) and I love it here! I’m a small B cup, sometimes A if my weight fluctuates but I'm very happy with it. I will eventually get BA (I was supposed to in 2021) but I want to remain a B cup if possible. Prior to WLS I was a H cup so this is life on easy street for me.

Ive been following your story. I think i dont fully realize the extent of how much this is out of our control. Im 3 months post and im already close to my goal. My fear is that after a year ill be down further than i want and ill look sick😔😖. One can only hope that itll stop at a decent weight

Thank you for saying that! I worry that I eat too much, I too, eat every 1.5-2hrs small meals and my days are long. I also feel like all I do is think about food, and think about my next work out instead of enjoying what I look like. I think its become an unhealthy obsession. My cravings for sweets are coming back full force. Last night I ended up drinking a zero sugar Nestle hot chocolate 2tb for 25 cal with unsweetened almond milk and hot water so iI would refrain from eating Ben & Jerrys ice cream that's in the freezer. I have found myself with a TBL measuring spoon eating 1 or 2 different flavors. Then I freak out and weigh myself. Or the kids are eating M&M's ill grab 1 or 2. My restriction is not fierce even though I wish it was! I have only overate 1x and I haven't felt that feeling again and never want to, which is why I stick to small meals. No more than 3-4oz total. I was at 1000 cal for a couple of months it wasn't till recently I creeped up to 1300 but my body seems to be happier here. Last couple of days I have been eating 1450-1500 and still lost a lb. I do track everything even my little bites, licks and tastes but ya know they aren't super accurate. *sigh* I am an overthinker and this is not the first time I have lost 100lbs (did it with Weight Watchers in my 20's before having kids) and I gained my weight back after a year so I can't get out of my own head.

It is so good to hear an update from you. I am so frustrated for you that you had to go through a stall because of conflicting information but at least you’re on track now. I am on a pretty similar plan my breakfast every morning is a proffee which is a caramel shake with iced coffee on top. Then I eat every three hours so luncheon dinner with two high protein snacks. this actually works well for me to remember all of my vitamins too because I have to take vitamins at five different times a day. that’s so exciting to hear about the clothes fitting and you were so lucky but you have someone to borrow. I think for me my most exciting moment was clearing out some of the things that are way too big for me now. I was actually thinking of asking my team if we could do a clothing exchange at the support group meeting. for the wheats, if you don’t have any look on marketplace consider discount stores as well. I checked several thrift stores for mine, and apparently they sell them separately because I found them in several stores but only one. I ended up finding some at a discount store for 599 for the set. Alternatively, check your library, city, and county websites for classes that use weights. Mine has all the weights there for you to use. And the group classes are really fun, Inexpensive and there’s no commitment. At mine it’s a really cool environment too. It’s nothing like a gym. The women are just average women that are there to get healthy. Nothing competitive whatsoever everyone choose each other on to beat their own personal best or just totally mines their own business. They even gave me my first class free to see if I liked it. I’m sure I mentioned that I started with yoga. I never in 1 million years would’ve considered myself someone who would survive one yoga class never mind love it. Of course I’m horrible and can’t do half of but it’s still a workout and I am getting more flexible and my balance is getting a bit better because of it anyways, congratulations on your loss and finding your groove. Keep doing what you’re doing and keep us posted.

Soooooo is it possible that with the weight change that our immune system slows down or loses effectiveness? I had an ingrown hair near my groin. Ive had them before but THIS?! It turned into an abnormally LARGE abcess within the matter of days. I went to the er. The doctors were in shock & asked me how i was managing. Anyway a nurse had to hold me as they lanced it. I screamed & cried. I also now have a weird irritation in my throat. Doctor said its probably due to the rapid weight change 😮‍💨

Oh my goodness, I find it so hard to shop for clothing in stores right now because I can't tell by looking whether something will fit. I order a lot of clothing online, and for that I find the measurement chart helpful because those don't lie the way numbered sizes do. For going into winter, I've bought 3 pairs of jeans, some skirts, and several sweaters. I'm keeping the summer clothing until next year but not sure how much of it will fit by then. I'm less than 20 lbs away from my goal weight now, so that will maybe be one more size down? I guess we'll see! For now, I have been buying cheaper options, but I look forward to buying some nicer brands once I hit maintenance.

@Hey Man - I feel your pain here. As others have stated, it's really a mental game. I'm dealing with it myself and HAVE opted to go for the "pouch reset" - or as I call it ... the "OUCH" reset. Going back to the basics seems to put me in a better mental state and reminds me constantly of what it took to lose the weight initially and what I have to do. Personally, if I try and make small changes one at a time, I find myself cheating and going back to deluding myself (I just ate a small bowl of chili, I just ate one slider, I just ate a scoop of ice cream, etc -) whereas if I go full bariatric - track, weigh, ONLY meals (vs snacks) make fluids a priority; it's actually easier for me mentally.

No it just cuts out a lot of the fat but keeps the protein. I am in the weight loss case so I’m paying attention to fat and carbs. I also had my gallbladder out with my surgery so I have to slowly add fat back in to see how my body reacts. It also cuts the cholesterol which I was borderline high before my surgery. I will eventually work my way back to “skinny omelettes,” which is one whole egg and a few egg whites for a normal sized omelette. I really like to have cheese in my omelette. So I shred my own from a 2% block cheese (which is more flavorful so I use less) and do the egg whites to make up for the fat in the yolk. As long as my body allows it, I will work my way back to regular eggs eventually I’m sure, because I prefer them taste wise.

...but how do you FEEL? (it sounds like your med team is not so very concerned..?) put aside outside (non-medical-professional) comments and opinions, and even your own assessment of what you see in the mirror... do you FEEL good? do you have energy? can you go about your day physically unhindered or diminished? if yes, you are probably best served by working on the mental self work vs the physical stuff. easy to say, i know. you've done awesome, and in my insignificant opinion, you don't look sickly nor bony to me in your (clothed) pics. but i just suggested to block out others comments so ignore me! lol good luck! p.s. again, in my insignificant (non-medical) opinion: for someone your current height, weight, and reported activity level, 1600-18000 cals at 35g of carbs is weight loss level cals/macros. 🤷🏻‍♀️

My minister at church very concernedly asked if I was ok obviously worried I was sick. A neighbour, after congratulating me on how good I Iooked, ‘suggested’ I not lose anymore. My uncle commented I looked like death. I had people I’d known for decades not recognise me & then make a fuss even though I was only obese in the last 5 or 6 years & was often a healthy weight in the years they knew me. And so on. We talk about our body dysmorphia but I believe others experience it in how they see us. They have an image of us being obese and they find it very difficult to accept us not being obese. So you get told you’re too thin, wasting away, you’ve lost too much, you must be sick, or just plain rude and unkind comments. Some of those are from people who are jealous or bitter b**ches. Some are from people who feel more comfortable seeing you as obese and want you to stay in the fat friend box. And yes, some come from people who want to be supportive but can’t express it in a way that doesn’t come out wrong (critical or hurtful). In time you won ‘t get those type of comments. Eventually, people start to see you for how you are now as their perception changes. I haven’t had anything said to me for about 3 years now (well except for my sister-in-law’s cow of a mother last Christmas but I hadn’t seen her since before my surgery).