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I'm 10 months post op and have been in a stall for months and I've been contemplating starting a semiglutide. I've never not been hungry, nor have I been able to stop the constant food drum beat in my head even a few weeks post surgery so I fully understand the "white knuckling" it part. I've spoken to my surgeons office dietician and the psychologist at the clinic who actually was the one who suggested it after I told her the "food chatter" is so bad that its become my walking cadence "I am still hungry" over and over. I spoke with the psychologist because I wanted help with my anger, anger over the fact I went through all this to get healthy, stop the constantly thinking of food ...I've done and have been doing my part: I'm still "hungry" and no matter how much protein (80 grams) I eat, sticking to my 800 calories, drinking my water....my brain says eat. I'm tired of the constant battle. I'm angry because I'm doing everything I'm supposed to do...and yet I'm right back to the diet mind games I have to do ...work out instead of eating, clean the house..hoping the chatter will be blocked off or side tracked....etc.. I'm tired of this battle..I don't mind IF the weight is coming off, its a battle with results but it hasn't been for two plus months now the same two pounds over and over. So I understand what you're saying wanting it to help..and why you tried it! I'm glad to hear its worked for you! I have an appointment with my GP in 2 weeks to request the prescription as recommended by the psychologist and dietician. We shall see because there is NO way I can afford to pay $1000 A month. How long before did it shut off the brain chatter? At this point if it can stop that I can quit being angry...and continue to do the right things ..healthy things without the wondering why and if its worth it!

My surgeons office cared about protein, fluids, carbs, and healthy fats for the first 6 months. Then they said to watch calories, but not really before then. They said to keep calories between 700 - 900 on non work out days and 1000 - 1100 on work out days. I did that for a while, but now I have that increased a bit since I'm farther out and do heavier work outs and have a job where I'm on the go all the time (clinical medical assistant at an infectious disease office).

My sister who was sleeved on Aug 30th and now myself who was sleeved on Dec 28th both have trouble sleeping. I am used to being exhausted and sleep a good 8 hours a night, but since surgery, I wake after 5 hours and just can't go back to sleep. If I do get up for awhile and go back to bed I can get in another 2-3 hours. I am back to work now so I don't have the time to do back to bed. Does this ever change? Does anyone out there have a remedy? I blame it on all the Protein so I've been trying to get my daily requirements in before 2:00, but it didn't work last night. Bingo, 3:00 am and I am up for the day. Help!!!!!!!!!!!

It happened to me with BOTH surgeries. Started around month 3 after my sleeve and my once really thick hair shed so much it thinned out to the point that I needed to cut my hair and change how I styled it so you couldn't see how much it thinned out. It finally stopped at 9 months, but then at 13 months out I had my revision, and it started again at 2 months out. Here I am 11 months out from the revision and it finally stopped. I got another hair cut and this time decided no more straightening my hair, and now the shorter length and the waves and curls really help hide the additional thinning. Honestly, biotin doesn't promote hair growth or prevent shedding. It just makes the existing hair soft, shiny, and somewhat healthier. The protein is what makes the biggest difference since hair needs it but can't produce it. There really isn't anything that will prevent or lessen the shedding. It just is what it is and has to run its course. I would use volumizing hair care products, have a shorter hair length, possibly style it differently, and just wait it out. That's really all you can do.

The exercise specialist said to eat something 20-30 minutes before a workout. I started a serving greek yogurt with PBfit2 chocolate and one scoop of protein as the pre workout snack. After a workout I just drink a premade protein shake. She explained by getting protein in post workout it will keep your body from using muscle as fuel, it will use the protein you take in. As I continue to workout, I'll snack before and after my workouts. I've been going a little longer with my cardio. 45 minutes to an hour on a stationary bike. Nothing to crazy, I try to keep my heart rate in the 90's.

Will the packaged snacks be fine once in awhile as a quick go to when out and about though? They’re easy to buy and package up for work mainly. my protein shake is my go to for a breakfast drink that I have when I take my handful of vitamins and medication I require to take. Once a day. any veggie and fruit recommendations? I’m very picky and mainly will eat raw carrots with hummus or ranch, peas and broccoli with a cooked meal, apples, halo oranges, sf fruit cups like the peaches and pairs, bananas, grapes for snacks.

Hi lovelies, Hope you are all well. Need your thoughts please. Had my VSG 5.5 months ago and these were my stats: Weight: 198/90 KGs Height: 168/5'5-5'6? I started at a BMI of 33, which I understand was on the lower side. Since surgery I have lost weight quite rapidly and I suspect its due to always being at a BMI of 22 my entire adulthood, I ate well, worked out and remained fit even after two pregnancies. My weight issues started 5 years back and then followed by a very bad ankle injury that affected my mobility that I reached my highest weight of 198. I understand that that where my body feels most comfortable at and its decided to take the chance to lose the pounds and run with it. My original goal was 154, and I got there very quickly then I changed my goal many times and settled on 127 which I am currently very close to. My surgeon seems to be a little apprehensive and has told me to try to slow it down and as per him it is very rare that he sees such rapid weight loss on a lower BMI patient. His original comment at 2 months was that the weight I had lost in 2 months was supposed to be my target at 6 months. Last time I saw him he asked me to up my calories to 1500 (currently at almost 800 on weekdays give or take, 600 on weekends because I apparently don't have much of an appetite on weekends). He ordered some bloodwork which I still haven't gone in for. I feel like my health is good, other than hair fall and the customary dizziness when getting up I am in fantastic health, I workout hard, I make good food choices and I prioritize my Protein. I also look great if you ask me. My fear is I am losing too much too fast, and from what I hear and see, you don't quite stop losing until at least 12 months post op, which - according to my projections and calculations - will leave me at 110/50 KGs at 12 months out. That is way too low I fear and I do not want to look like a skeleton. Also I feel I have a huge restriction and I can't eat more than a few bites at a time, drinking Water has become an aversion, I have to drink BCAA and sugar free iced tea to hydrate and tiny sips of water every hour or so. Other than that I eat very well, except I can't eat enough to maintain due to restriction. I am a little worried of my what will happen as the days pass and where I will end up. I don't want to get sick or too frail to work out and lift weights. I want to look good and feel good and I am not sure where my weight loss is heading but I am quite worried at this point. I also get comments on how I have lost half my body weight from people which is quite inaccurate lol but it's a complete shock when I meet someone who I haven't seen in some time, even my colleagues seem to think I'm looking too skinny. Sorry for typing so much, I thought it would be better if you have the full picture so its easier to respond. For anybody who's experience this, any thoughts?

Also, grapes are sugar bombs and bananas are higher in sugar and carbs. I would limit those. I love strawberries, blueberries, and apples. You only need 60-70g of protein on non work out days and up to 90g on workouts. No need to go as high as you are. I like meat and cheese cubes for a snack, almonds, sugar free jello, and if I really want to splurge then keto brownies. The packaged snacks should be a RARE treat since they have a lot of other unhealthy things in them. Better to have fruit and other compliant snacks. Meal prepping is your friend.

Today marks 1 month since my surgery. Little back history for me, my start weight in March during diet for surgery: 280#. My surgery day: 269#. Today, I'm at 256#. I started and am currently still at at class 3 obesity. Posting before and after pictures. I read and hear so many positive stories on how others lost 30+ pounds their first month. I should be happy with the fact I am losing weight but super slowly. I'm considered a "slow loser" apparently. I'm down 13 pounds in 1 month. I go 5-6 days plateaued same weight before I drop another pound. It's quite annoying. I've been drinking/drinking protein shakes, yogurt, cottage cheese and when I'm not working, I drink between 64-96 oz of water. When I'm working (I work as a warehouse worker and does get to heavy lifting at times), I can hardly down 16 oz of water. When I work, I get excited thinking, "I'm burning so many calories, I'm bound to finally lose that pound!" Just to be disappointed. I weigh daily, I have a separate nutritionist outside of the place I got my surgery as the nutritionist there hasn't helped much, doesn't respond or pay much attention when I try talking to them. So, I found a different one. I tried not weighing in each day, went a week, only to still be disappointed with the same weight. I do occasionally lick unhealthy items or chew and spit out just to get some flavor again. It's not often. Something different about me is I have a lot of muscle naturally. I also have PCOS. I've read PCOS can stall weight loss. I do for sure see changes in my stomach, not so much in my face or my arms...but why can't I be happy about this? Is this like a depression thing others have gone through? I'd love some others opinions, stories, how you're feeling right now.

You have to get back to basics. Remember why you did the surgery and go from there. Are you moving your body and exercising? How much are you eating and how often? If you're having coffees, have them plain black with the ready made protein shakes added in. You always want to prioritize protein, then veggies, then carbs, then healthy fats. Fluid intake is an absolute MUST. Since caffeine dehydrates you, you need to increase your other fluids to compensate for it. Watch your grazing and slider foods, salt and sugar intake, and watch the bad carb intake (you don't have to completely eliminate them but definitely limit them).

Ok I'm the QUEEN of stalls lol So here's what I can say. Take from it what you will. Cold hands and feet: I have that, and for me, it's due to weight loss AND low iron. I'm anemic, so I take a bariatric vitamin w/ iron and an additional iron supplement w/ vit c and it keeps my iron levels at the lowest part of normal. When it dips down, my hands and feet are like literal ice cubes. Breaking a long stall: So I tend to gain 3-5 pounds when a stall hits and then lose the same 1-3 pounds over and over until it breaks (and I lose like 6 or 7 pounds all at once). My stalls can last anywhere from several weeks to 3 months. It SUX. When I have a stall, I change up my work out routine to confuse my body. If you do the same things in the same order every day, your body gets used to it and gets complacent and the work out becomes less affective. So I add new things, take things out, add or take away reps, etc. I pay extra close attention to what I eat and when. On work out days, my fluids, protein, calories, and carbs MUST be higher because if not, my body thinks it's starving and holds on to everything. I prioritize fluids, protein, and low carb above all else, but I still make sure that I'm at a calorie deficit while getting in enough to prevent my body from thinking its starving. I also only weigh myself once per week and pay special attention to NSVs, because even when the scale isn't doing what you want, your body still is. Fat gets redistributed, you slim down, that's when you see you drop sizes in clothes, rings, etc... When I work out, I keep my calories at around 1300 - 1400 depending on what work outs I do. I drink an electrolyte drink (Propel or gatorade zero) and an additional 64oz of fluids at LEAST. I keep my protein at 80-90g, my carbs at 40-50g, and healthy fats at 40-50g. When I'm not working out, I keep my calories at around 1000 - 1150, my fluids at around 64oz, my protein between 60-70g, my carbs between 20-30g, and my healthy fats between 20-30g. We need less when we aren't working out. We need more when we are. Just keep at a deficit while still providing more when working out. And make sure you change up the work outs. Right now, your body is really confused. You have to be patient with it, but at the same time, show it who's boss and shake things up to get it going again. You still have time to get where you want to be. Make sure you're not grazing through the day, be mindful what you're eating, when, and how often. Go back to your bariatric diet basics if you need to. You got this.

this early out, most of us don't get calorie guidelines. You're eating far too little to really worry about calories. Most of us just get protein and fluid goals (and some get carb goals, if their clinic's plan calls for ultra-low carbs - mine did not). I didn't start considering calories until I was a few months out and could eat enough that there was a risk of consuming too many calories.

I got a Ninja Creami in December and now I eat delicious, low-calorie ice cream every single day! A lot of people use protein shakes to make protein ice cream with the Creami, but I get enough protein from other food, so I focus on low-calorie. If you’re an ice cream lover, the Creami is worth its weight in gold.

I'm actually amazed. Lost 90 lbs, down to fighting weight based on weigh-in at gym using one of those machines that measures body fat + weigh- in at doctor's with clothes on a day later. Went from 40 waist to 33 (American size), can now fit into clothes I could not wear for quite a while, work out 4 times a week at a serious gym, most sessions with a highly experienced trainer. I haven't done one sit up yet- it's about balance, step up, step down, with kettle bell, 12 reps, 5 sets, squats with a dumbbell, 12 reps, 5 sets, then next exercise, etc. I do my warm up 1/2 hour in advance of the trainer session so I don't waste time--it's all exercise when I work with the trainer. I drink a 30 gram protein drink before and another after, so I'm finally building some muscle on what is now a diminutive appearing frame. I can't quite press my body weight yet, but I will. I have long hair for a guy, and yeah, it was coming out when washing it (not every day, more like every 4 days unless I get sweaty) but that seems to have finally stopped. I have no cravings for foods that I cannot have because I get sick if I eat a slice of pizza with toppings or eat more indigestible foods. So I just stay away from them. I have developed a fondness for medium rare lamb chops and roasted potatoes with rosemary salt. My wife is a good cook but we still eat at restaurants and I'm careful. I found out that alcohol just doesn't work- a beer is too filling and carbonated, for some reason wine doesn't taste good; I'm a high proof whiskey man and it doesn't metabolize. I'm on my ass with far less than what I could normally consume, so I just stopped altogether. (Good because I have Barrett's and alcohol is inflammatory). Punchline- this surgery really turned me around. Trade-offs to be sure, but I feel so much better and look far younger. I can walk fast and not get winded as easily. I'm in my 70th year and don't look like a geezer-- more like a ruffian in rude health. I had targeted 185 as a goal weight and reached that but I still have a small roll of fat around my middle. I figure that I can continue to lose a little more given the surgery stats, and tighten up my core as my work-out regime continues. I'm gonna start swimming this summer-- where I am in Texas it is 3 months of summer and 9 months of hell. Hell is just starting here. The really hardcore stuff is pilates. I used to do that with a women's class and they kicked my butt. I'm planning to advance to that as well. I think the "whole picture" outlook is optimal for me- I don't check the scale at home, I do my thing and get routine blood work done. Though I have a few health issues which come with age, I'm in pretty decent shape now, physically and mentally. Thanks to all you kind folks for your advice and support.

Hydration and protein are absolutely key right now. I hate plain water, so I get the sugar free flavored water powders to add to them. I also love Propel electrolyte water (my favorite flavors are watermelon, mango, and pineapple peach), I drink protein gatorade zero, and I love the Premier and Fairlife protein shakes (not the chocolate, but I do like the other flavors). I hated the broth, too, but when I absolutely HAD to have it, I made sure it was bone broth versus regular broth, so I was getting more protein.

Not everyone is given calorie goals. I wasn’t. There are some discussions about calories & a push to concentrate more on the quality of food you are eating. 500 calories is 500 calories regardless of wherever it’s a meal of steamed fish & vegetables or a burger & fries. However the nutrient difference is significant. However, if you would feel more comfortable with some caloric guidelines for as you progress, you have every right to ask for them. Beware though you may not be able to meet the caloric goals for a while & that’s okay. As long as you’re hitting those protein & fluid goals & slowly incorporating some vegetables you’ll be fine. I was given portion size guidelines: 1/4 - 1/3 of a cup from purée slowly increasing to a cup at 6 months slowly increasing again to be about accepted recommended portion sizes. So for example 3-4ozs of protein & a cup of vegetables which is where you likely will be around maintenance. Your advice may be different but our needs are likely different too. But it may be a starting point until you get a more definitive response from your dietician. PS Congratulations on your surgery.

After 3 weeks of weight stall the scale finally moved some. I think the exercise specialist pointed out a flaw. I would eat something 2 hours before working out, she told me to eat something with a good protein and carb mix 20-30 minutes before my workout. also told me to drink a protein shake after the workout. I've done that the past two weeks. After a 3 week stall I'm not certain if it was that little change or the fact that it was going to have to move anyway. But, at least it moved. Hope everyone else has some scale or non-scale victories.

I agree that you may not need a calorie goal especially this early on. My office did not have a strict rule on calories but I was like you and wanted that structure so they told me that they recommended 600 calories by month 2 and 800 calories by month 3 and then 1000 by month 6. Not to go over 1000 until goal weight after that. Protein was always the most important but I was encouraged to eat some carbs too. You have to watch yourself later on though and set your own guidelines. Probably around month 3 you will start to see how you lose or not lose with the calories you take in. I found out that if I was under 800 I would stall and if I ate over 1200 I would stop losing. Other people can't eat over 800 and still lose and some, especially those that exercise a lot can't eat less that 1200 or stall. So your calorie needs may be different but I hope this helps. Good luck!

@BlueParis I think the hardest part about this process is accepting that the weight loss happens over a full year, or sometimes even more! The stalls make it feel like it will never happen, even though it will. Just not as fast as we want. But you'll get where you want to be eventually if you keep doing the right things. I've been thinking about it and one of the things I think makes it hard for me right now is that part of my brain never really accepted or acknowledged the size I was when I reached my highest weight. I look at myself in the mirror now and even though I haven't been this weight in 25 years and the last time I was close to it was 7 years ago, in my head, this is what I looked like all along, so I don't see the difference. I'll admit, I saw a photo of myself from last summer and was shocked at my size. Did I really look like that? But I look at myself now and all I feel is the frustration I had in my mid-20s of "when will I lose this weight" because it feels like the last 50 lbs never even happened. I'm just back to a place where I recognize what I'm seeing in the mirror instead of pretending it's not there. @RonHall908 I'm also struggling with sleep. I started tracking with my Fitbit and I don't get what I thought I did. I go to bed around 10:30 and I don't have to be up until 7:00, so I always thought I was getting plenty, at least 7 hours and close to 8, but in reality, I wake up at 5:00 this time of year because of the sun coming up. In the past 3 weeks since I started tracking, I've averaged 6h7m and only hit 7h twice. For comparison, my tracker says I've had an average of 1h9m of REM and 1h13m deep sleep, with 45m awake and 3h44m light sleep. For the most part, I'm energetic. I get over an hour of walking in almost every day, with 38m in the moderate zone according to my tracker. I don't drink any caffeine. But I do have about 30 minutes between 2:30 and 3:00pm when I can barely keep my eyes open. After that, I tend to have a second wind and am wide awake by the time 9pm rolls around so going to bed earlier isn't a great option. I try to relax and read, but I still don't fall asleep until close to 11pm, and I can easily stay up until after midnight if I don't stop myself. Maybe this is just what my body wants?

I had surgery 3/22/2024 and have only been able to drink a few ounces an hour. This morning I woke up hungry and drank a 12 oz Protein Drink with 35 minutes, I have NOT been able to do that since before surgery. Have I inadvertently stretched my stomach? My eating yesterday was still only 3-4 oz per meal and Water in between. I really don’t want to mess up this surgery. I am 8 weeks post op and I thought my stomach could only hold 4 oz - but the drink is 12 oz.

It’s how we measure total cholesterol & is measured in millimoles per litre. Healthy is considered 3.9 - 5.5. 5.5 - 6.5 is considered borderline. So I’m in the lower end of the borderline range now @GreenTealael. When it first went back to 5 I thought the same thing @catwoman7, my body just settling back into its norm. But now… Thinking it maybe the dairy I eat now which is way more than I had before surgery (before 3 or 4 serves a week now 2 or 3 a day a day). Meat is a little less. Butter is less. Cook more in air fryer or bake in the oven. May be I’m missing something, Or it could be the creons I take to aid my absorption of protein. They maybe changing my fat absorption??? Or it could be not having a gall bladder??? I seem to have more questions now.

Have you tried clear protein drinks? They have several brands out there. I liked the premiere protein fruit punch. I suggest trying a larger convenience store to see what they have so you can buy just one of things to try.

A bariatric therapist is absolutely worth any time and money invested. Also reach out to the nutritionist at your surgeon's office. Make sure you move your body everyday. Prioritize protein and fluids (try limiting slider foods and junk as much as possible). If you must snack (beyond the allotted ones in the diet your nutritionist gave you) make sure they are healthy but tasty. Look at the calories you're burning vs consuming. Watch your carbs and fats. Watch how much sugar and salt you consume. It's really all about getting back to basics. And there's no easy way to change your mindset, you kind of just have to really want the results more than you want to undo the progress you made. Then you have to retrain your brain.

As you know, I had the sleeve to bypass revision. They do make your pouch a little smaller, but it will stretch out a little as time goes on. I noticed I have more of a hard stop with the bypass versus the sleeve, and I definitely have to make sure I chew thoroughly and eat slowly way more with the bypass. You can lose weight with a revision, but not nearly as much and not nearly as fast as with the original surgery. You also have to take accountability for what you eat and how much. If you're eating slider foods and stuff not compliant with your diet, if you're grazing all through the day, if you're not watching your salt, sugar, protein, carb, and fluid intake.....no surgery is going to fix the problem.

I eat Yasso bars.. I highly recommend them. They're Greek yogurt, decent protein and have 100 calories and taste just like ice cream - mint chip and fudge brownie are delicious. I also have a iCreami and make "ice cream" protein shakes. But if all else fails - fudgcicles at 40 calories low sugar.