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It’s been a strange kind of week. I haven’t gone wildly off plan but I have definitely struggled with focus. Nothing has gone wrong, I’m not upset about anything or fed up. I just think that having the dietitian appointment and everything going OK with that sort of had me taking my foot off the accelerator a little. Then the shock of getting my appointment with the surgeon has played with my head somewhat? “I honestly don’t know” is the answer right now. I think, as others have pointed out, that this whole WLS journey became very real this week and there’s a bit of panic going on. Me and hubby have had lots of conversations this week too, about how the future may look what with the LRD to come, immediate post-surgery things to deal with and then long term. Hubby admitted that he knows he’s going to find how little I will be able to eat a struggle but takes comfort in the fact that others have done, and continue to do, the exact same thing and survive plus the Bariatric team at our hospital seem really switched on so he knows I’m in good hands. It’s a learning curve for him too, with more lessons to come! Thankfully the hospital team does welcome questions from family members because they know it can be difficult for them too. I’m not worried about anything specific, just more a case of the practicalities of things. I always do better when I have planned things, even if it’s just in my head, because it’s feeling like I have some control! I’ve ordered a mini food processor to hel with the purée part of the journey to come, so that should be here by the end of the week. Hubby has been looking at different sized ice cube trays for freezing individual portions of purée plus looking at recipes etc. I think he feels a bit ‘in limbo’ at the moment, which I do understand. Anyway, went to see Fatboy Slim on Saturday. I felt good in what I was wearing: Size smaller sparkly black jeans (with lots of stretch, obviously 😉) It was a nice confidence boost anyway! However, the gig was outside and it was freezing cold - that a UK summer for you 🙄 I had a blanket plus a wrap but it got too cold and my hips and knees just had enough, especially with being locked in one position while sitting on the scooter. We left before the end because I honestly couldn’t handle the cold anymore. Disappointing, yes but it happens. On the drive home the heavens opened and it rained so I didn’t feel too bad after that. It took me ages to get warm though. Had a hot shower, extra blanket on the bed, plus pyjamas but I couldn’t warm up. Hubby eventually made me a hot water bottle and I managed to slowly thaw out. We’ve said no more outdoor things for now, especially as the weather is so unpredictable here. Nothing else to report. I will knuckle back down and re-focus. I’ve had a weekend of pizza and alcohol so that’s my wander off-plan done with! Oh, my new weighing scales are in agreement with the dietitian’s scales, which surprised me! The dietitian suggested that I took a photo of her printout from when she had weighed me. I have no idea what everything means but she did underline a couple of things like the visceral fat number, metabolic age etc etc and my new scales match those numbers exactly 😮 So thank you @FifiLux for your suggestion 🥰 I just need to make sure that the weight numbers on the new, shiny scales start reducing again… Wishing everyone a successful, happy week regardless of where you are on your weight loss journey 😎 Onwards and downwards everybody!

Did you have complications or something that caused you to have to stay three days?

Homemade Almond Croissant Oat Bake No 'afters' but three more for the coming days, shown on a small side plate Icing sugar I could have done a better job of sprinkling on top, will know for next time plus I did not include sliced almonds as a topping (as I had forgotten I had already eaten them!) https://thehappypear.ie/plant-based-and-vegan-recipes/almond-corissant-baked-oats/

Agreed we need both! BTW I did not do cardio after my leg days this week! Hoping for a bigger peach 🤣

It's my 3 month anniversary since the surgery. Not much weight loss this month, but with Christmas I did a lot better than I though I would. I managed to lose about a pound and been gaining and losing that pound all month. But considering that this time last year I would have gained a lot more, I'm happy so far. In three months though, I've managed to go from a size 24 UK to a size 16 UK. What a difference three months has made.

It’s interesting how things vary @DaisyChainOz my pre-op diet only has one stage. It’s three OptiFast products, any non-starchy vegetable, no sugar, no carb, 1 tsp oil, 100g protein.

Hi guys I just thought I would check in with you all and tell you of my progress, trials and tribulations! I'm nearly 6 weeks post-op and I am still adjusting to my new life. I am doing very well all things considered, except that one of my surgical sites reopened and is not healing properly, don't worry I am having medical support from the doctor and nurse, I just feel a bit down with it to be honest. I'm type 2 diabetic and my glucose levels have stabilized which is awesome! I lost 2 stone 1lb in just under a month which is amazing, I did stay the same last week which was disappointing but I guess my body needs time to catch up! I'm struggling mentally with self-imposed restrictions and triggering situations like food shopping etc and I wondered if you guys could help me gain some clarity I am one of the unlucky ones that still experiences real hunger and it is definitely not head hunger. I need to eat around every 2 hours, I am getting all my protein in and my fluids and I'm eating around 700 cals a day. My problem is that when I feel real hunger I panic and I don't know why! I have had lots of therapy and I am in a very good place now after many years of struggles with my mental health. I guess I was expecting not to feel hungry like most other people, and that was the case until about 3 weeks ago! The self imposed restriction is calorie counting! I am conflicted about whether I should be counting the calories in non starchy veg such as sprouts, cucumber tomatoes, gherkins, beetroot etc and fruit such as blueberries, strawberries, raspberries and satsumas. Should I be counting calories at all? I'm eating around 700 cals a day at the moment. I am committed to eating healthy and do not crave junk food anymore which is awesome! I go for whole foods mainly and low carbs. Previously when I have given myself restrictions before I have done great for a few months then fallen off the wagon. I know it is different this time as I have a new tool, but it's taking my brain a while to catch up! I know that I am at the early stages at the moment and still learning my fullness cues and practising a fair amount of control, I used to eat mindlessly, now I think about everything that goes in my mouth. What do you guys think of this? I also worry that my weight loss will stall and I know it's only been a week so far and its not a stall until 3 to 4 weeks, but I have seen it so many times on lots of forums and it worries me a bit to be honest. I know that no one really knows how their weight loss is going to go as everyone is unique and I need to stop overthinking things but its so hard when I have done it all my life! Did any of you guys have similar worries or concerns in the early stages and did it resolve itself? Any advice would be great! Thanks in advance x

the pain will go away i had severe side pain on my left side like when you drink a lot of water and then go on a run that stitch pain. but at 5 weeks mine was gone completely.

Yes, @Trish662 , I had the exact same situation only I’m 5’4”. I was 53 yrs old when I had surgery in August, and had a long stall in December and bloodwork came back iron anemia. It took a month of faithful iron supplements with vitamin C during my lunchtime (coffee, milk products, PPT, magnesium supplements all make taking iron at other times cancel out absorption). You will have to find a 4 hr window (nothing 2 hrs before and nothing 2 hrs after) that works for your absorption. I ate meatloaf, meatballs and ground grass fed beef with a small amount of marinara or mild salsa for lunch meals as well. At the time I could only eat 3 oz of protein due to restriction (dietitian still pushing for 4oz per meal even now). I get my 60-80 grams of protein per day in easily now! After that grueling iron work I did start loosing weight much more regularly 3-4 lbs a month and kept loosing weight until 2 years and 4 months. I had RNY so I need to stay on top of the iron absorption issue regularly. If I forget to take the iron with C for a week, I feel sluggish and 4-5 lbs shows up quickly. It takes about another week to get the weight and iron back on track (says the bloodwork and doc). You’ll feel better soon and your stall will end quickly. I take Centrum Women’s 50+ tablets in the morning with Calcuim and D3, then additional Nature Made Iron 65mg with Trader Joe Vitamin C complex at lunchtime. I found my magnesium low too so I take that at night with a probiotic, Trader Joe’s is the cheapest that doesn’t hurt my stomach or pocketbook but you will probably find something you like better. I don’t count carbs, but I find if I eat any simpler carbs like an apple or oatmeal I dump. I also throw off all my electrolytes and get wicked muscle spasms. Gatorade Zero or similar products help me stay balanced, and I stayed away from most carbs except veggies during the loosing phase. I can eat the same or more calories in fat and loose, but if it’s carbs, stall, stall, stall. You will find your sweet spot, pun intended.

Quick update … I’m on day 10 post op and the 3 symptoms have nearly gone away completely. I have my 2-week appointment next week with my surgeon so I’ll mention it but I feel so much better! The cravings are still there but I do get full quickly however, staying full, only seems to last like an hour and a half or so. I do think when I start eating more solid food I’ll stay fuller longer vs all the puréed mushy food.

Three months out and launched first modeling gig for winter outer gear with new thinner arms and tummy. Hands still a bit swelled to me on unedited proofs - BUT company photographer seemed pleased with our shoot.

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 take a medication that I've been taking for years and it's small enough that I was allowed to swallow that one whole at first. The medication the gave me for post-op care and nutrition were given to me in liquid form or I was to use the pill grinder that they sent me home with. The multivitamin they gave me was evil though. The only times I've thrown up post-op was those damn vitamins. They were huge liquid capsules that I was told I need to break open and swallow the fluid inside *shudders from the memories* until I was able to eat solid foods. After the first two times I threw up taking them, I called my surgical team and they told me it was ok to wait until I could swallow them. I tried again at 4 weeks and swallowed it whole and it was fine unless I swallow it on an empty stomach, which is tricky because all the pills at first felt like a meal in and of themselves. Once you have your surgery, your surgical team will be able to be more specific about what they recommend FOR YOU as everyone's mileage may vary. I was given three different recommendations in case, one wasn't available when I went to refill or what have you.

It's ok to be nervous and anxious. It's major lifestyle change. But the time will fly by and you will be really glad you did this. I'm three months post-op today and the time has really flown (so have the lbs).

I wondered if it was scar tissue too. But yes check with your medical team. PS : After my three surgeries (sleeve then gall then hysterectomy) all using my poor belly button it’s almost sealed shut. i can barely get a cotton bud in it to clean it. 😁

A content warning first... this post is about poop. I have been on the protein shake version of the LRD for 9 days, and while my... bowel had already slowed down today I suffered extremely painful constipation to a point I have never experienced before. I'm actually historically very regular, if anything I tend to have the opposite problem, so maybe I am more surprised by this than I should be. I was trying to... pass the really hard, dry, dark stool for hours, and there was bleeing involved at some point. I am wondering if anybody else has experienced this, and if they changed their LRD strategy because of it. I can't imagine this continuing for three weeks. I wanted to add that I am taking Rybelsus but I had tolerated it very well until now - however constipation is a known side effect so I thought it was worth adding. I have been on it since November, but my doctor increased my dose about the same time I started the LRD. I have contacted the coordinator for my surgery, but other than making sure I wasn't dehydrated I didn't really get much useful advice. Anybody had a similar experience?

I just want to share my excitement, I got my reminder text for my breast augmentation and lift appointment next week! In 3 short weeks I will have new bewbs. Mostly I am excited about having more confidence in myself and my shirts looking like they fit and not baggy off my chest.

This sounds like the three week stall. Totally normal! Your body burns glycogen for energy, and during extreme calorie restriction, you burn a lot of it. Glycogen is stored in the body along with water, so each gram of glycogen you burn for fuel also releases 3 grams of water, which you flush out. This is why you lose weight so quickly the first few weeks, not because you are burning all of that weight just from fat stores. After the first few weeks, you start to be able to eat some solid foods along with your protein shakes. This gives your body a chance to replenish the glycogen you burned, which is vital for survival. But it means that for every gram of glycogen you store, you also store about 3 grams of water. Your body is continuing to burn fat during this time, but you won't see it on the scale because it kind of zeroes out with the whole glycogen/water storage thing going on. After a week or two, your body will be back to normal in terms of glycogen reserves and you should start to see your weight decrease again at a moderate pace. I really wish doctors would explain this to patients before surgery because it's just basic science, and people totally freak out when they are eating nothing and not seeing the number on the scale go down. I think doctors forget that their patients have failed at about a million attempts at weight loss prior to surgery and we are naturally prone to believing we are failing again. But you're not! Also, counting calories at this stage is pointless. You're in a massive calorie deficit. It's impossible not to be unless you are doing something terribly wrong against every bit of medical advice. Focus on protein and water but don't stress over calories until you get to a point many motnhs from surgery where there may be a legitimate possibility that you are overeating.

I have the exact opposite problem. I'm 3 weeks post op with the sleeve. I always feel like I have to burp but I can't. It's very uncomfortable.

Honestly the variation in post op dietary advice never ceases to amaze me. I had very few rules - 2 weeks liquid, 2 weeks puree were I think the only guidance I was given. I got most of my information here! I am an outlier in that I adored the puree phase. My first proper food, not yucky protein shakes, for about 2 months. My pre-op 800 calorie a day diet had to be extended when my surgery date was cancelled and I had to be in a state of preparation for a cancellation (that took weeks!) I made family dinner and then just pureed that in a blender with extra gravy. No fibrous veg but I had everything else. I hope you can make it through.

Well, we are all different so take this with a grain of salt, but I was the same BMI prior to my preop diet as you are now so relatively close and I just looked back at my weight log and Iwas losing about 6 pounds per week on average in the beginning, but I also had the SADI which is quite a bit more aggressive than the sleeve or even the bypass so my loss statistically should’ve been more rapid than yours with a sleeve. Frankly, I think that you are doing very well with losing a pound a day and I wouldn’t be too shocked if it does slow down a bit. It definitely will not be a perfect line where you lose the exact same amount every day though. There may be times when you even gain a pound or three and hold it for a few days and then one day you will just drop those 3+ another pound. But if you only log your weight once a week, even if you must get on the scale every day, if you only look at the once a week or even once a month, your trend will be far more consistent. Some people only get on the scale once a week or once a month. I know I couldn’t do that but it really would be better for your mental health if you could hide your scale and just do what you’re supposed to do and trust the process.

@FifiLux is right. Never compare yourself with others. It will only mess with your head. I can guarantee the one thing you can depend upon is that you will do this in your way & is best for you & your body. Whether it be how much you lose, the rate at which you lose, how long it takes, when you experience stalls & how long they last, when you can tolerate certain foods and what foods you can’t tolerate, etc. and there’s nothing wrong with any of that. There’ll be similarities with other & differences & averages which give you an idea of what you might experience that’s all. You’ve lost 13lbs. That’s amazing, Stick to your plan & remember to celebrate every pound you lose.

so a quick google states that a weight loss "stall" or "plateau" is 4 CONSECUTIVE WEEKS of no weight gain NOR loss while on a CONSISTENT calorie intake. basically, this means netting the SAME average amount of calories (intake less expenditure) for 4 weeks and staying at the same weight for said 4 weeks. this generally means that you have reached an equilibrium with your intake (calories) and your expenditure (activity). which means you either have to reduce your intake or increase your expenditure to restart a downward trend. the inverse of this is also true: increase your intake or decrease your expenditure, and you will GAIN weight. sooooo...if you are below 4 weeks of the scale not moving (in conjunction of your measurements not reducing), then stay the course...you are in a stall. if you are ABOVE 4 weeks of the scale (and measurements) not moving, then this would indicate the time to start re-evaluating your lifestyle IF you want to lose more...you are in a plateau. if you are happy with your current lifestyle, and just don't want nor need to make changes, then is a matter of accepting yourself as you are now. ain't nothing wrong with that! not everyone gets to their arbitrary goal weight. and those that do, the majority don't even stay there. find the weight that you are cool with expending the effort to maintain. it's different for everybody. good luck! ❤️

Hi all. I am six weeks post-op from VSG and met with my doctor's team today. I have lost 22 pounds since surgery, which the team is very happy with. There was no concern about my progress at all and they said due to my weight on surgery date being 231, that I should put my expectations at 170 for my final maintenance goal. I was asked the usual questions and asked if I am hungry between meals and I said yes. I am finding myself hungry about 2.5 hours after (some) meals. When I said I was getting hungry, I was told it was gastritis, not hunger. I said "do they feel the same?" because it sure feels like hunger to me. It's my stomach making noises, and feeling hungry in my actual stomach. It's not head-hunger because I KNOW what that is. I do understand that eating can get rid of gastritis discomfort just like it can obviously make you feel like you are no longer hungry. I do acknowledge that it's possible this is gastritis, but wondering if it really is. (?) Per my doctor's orders: My current meals are 1 oz protein and 2 tbsp veg or fruit for 3 meals per day. Absolutely No Snacks are allowed. Today I was told I can move down to just one protein shake per day. Up until today, the only "snacks" that I was permitted were protein shakes. I am trying to follow the rules here, but got home and I feel so confused and even though I asked questions in the office, I have all kinds of things swirling in my head. I want to be successful, but feeling a little lost here. I know everyone's program is a little different, but wondering about the following: 1. How the heck do we know this is gastritis and NOT hunger? And, if it was hunger, do we just ignore it? (They have increased my PPI medications for now to see if it solves the "gastritis". ) If it's hunger and the increase in acid reducing medications doesn't help, am I just living with being hungry all the time? (YES I am seriously asking this because I honestly don't know what the expectation is). Unfortunately I am not one of the lucky ones who lost their feelings of hunger. I have not had any heartburn at all. 2. I don't know if any of this matters, but I swim laps pretty intensely 5 days per week for 1-1.5 hours. I suspect that part of the reason I am feeling hungry is due to the swimming. I could be wrong, but curious if anyone else thinks it has something to do with it. Prior to surgery, I was always hungrier on days that I swim. 3. My protein goal is 80 grams per day. With one single shake @ 33 grams of protein and a total of 3 oz of protein during the day with 6 tbsp of veggies, how am I supposed to meet this protein goal? My calculations tell me it's not possible. I'm still early as I just transitioned today to "regular diet" from soft diet. So, I am still trying to figure things out and how everything will work moving forward. Your kind replies are appreciated.

Hi. I got my band in 2017. No major issues except occasional stuck food. Def no reflux! I had my gall bladder removed on Jan 22 2025 and about a week later started having TERRIBLE reflux, keeping me up at night and prescribed Prilosec / tums aren't helping. Also my band feels TIGHT!!! tighter than it ever has. I'm actually getting some fluid out this week which will hopefully help with both problems but any advice would be much appreciated! Thank you so much!