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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!

I had sleeve surgery July 2023; 1. What was the best part of surgery for you? Everyday things, like my backside no longer taking up more than one seat on the bus, being able to comfortably close belt on plane seat, being able to walk with a bounce in my step, I now love clothes shopping etc. 2. What was the worst part of surgery for you? Severe complications from the day after the surgery which went on for months 3. Did you have any complications (minor or major) during or after your surgery? Yes, suffered from severe pancreatitis, had a leak in my stomach (twice), allergic reaction to medication given to me in hospital, blood infection. Ended up spending three months in hospital over a period of four months. Had to have another procedure last month also. 4. How has adjusting to your new life been for you? Life after so many months in hospital meant it took a few months to get energy back and was on a sick cert so not able to do anything but rest. Now almost 11 months later I feel great for the most part. Have found it difficult at times to cope with the food choices but now that I am on regular food I just have to try and stick to the smaller portions, eating slower and only an occasional alcoholic drink. I don't let anything stop me now, always carry a protein bar with me just in case I end up some place where the food isn't suitable. 5. How long did it take you to feel comfortable eating food? Months as I was on a feeding tube in the hospital and then the times they took me off it I had to go back to liquids and start the reintroduction phase all over again. Since February really that I am comfortable and now I am even trying foods I never ate before (I had homemade egg muffins today - used to hate eggs). 6. Is there anything you can’t eat anymore that you used to enjoy? I used to consider popcorn a food group in its own right and ate way way too much of it so now just have had it a couple of times. I love potatoes but try to stay away from them. But these are my choices, not a case that I can't tolerate them anymore 7. What was your recovery like? Any vomiting or dumping syndrome? Vomiting a lot when ill, couldn't even hold down water, but as part of eating only a few times and I know that it was because I ate too quickly. No dumping syndrome. 8. How long did it take you to feel semi-normal after surgery? 10 months 9. Did you experience higher energy level post surgery? Yes but only now 10. Did surgery affect your mental health? Yes, I fully believe I suffered PTSD as a result of the complications 11. Do you regret it? Would you recommend it? I regretted it for approx 9 months post op and was very annoyed with myself for deciding to have the op but that was only because of the complications and crap-fest I went through. Now I am through the worst of it I am starting to feel better about it all, I no longer blame myself (but haven't really forgiven the doctor yet) and I would recommend it if it is something you need in order to achieve a healthy long life.

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 was looking at my weight scale app and so far for this year, 2024 I've lost 23.2 lbs total or 5.8 lbs a month from January 1st to May 1st; 5 months - 23 pounds! That's my total weight loss for months 4 - 9 post op. I understand everyone loses at different rates, but isn't this too slow for only being 4-9 months post op? I'm almost at only a pound a week! I was under the impression that about 2 lbs a week is normal at 9 months - 12 months. Then after 12 months po1 pound a week is normal... I could also understand if I were eating more calories, I'm sticking to 800 max a day - what I've been told to stick to by my dietician, 80grams protein, under 50 net carbs, under 20 sugar grams... Anyone have any ideas, comments etc!? I don't mean to complain, but heck I was hoping to lose more than a pound a week following surgery at this point in time, Most can accomplish that without surgery! Again, anyone have the same problem at this point in their timeline? But if so, did they continue to lose or am I getting to that point my body says I'm done? Anybody?

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.

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).

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.

@BlueParis Still stalled I had my 3-month appointment yesterday. It seems I'm on track based on the numbers my doctor wants to see, which is losing at least 10% of your day-of-surgery weight at the 3-month mark. For me, that would be 22.3 lbs, and I've lost 22.4 lbs. So, I just have to trust the process, I guess. I have to go in Friday morning to have blood drawn for iron and B-12 check, and I need to redo my TSH (thyroid) from my physical earlier this week because Biotin messes up the results! So I have to stop my multivitamin and my biotin supplement for 72 hours before retesting. And @Noelle74it's so true that the weight does not just "fall off." Maybe the first few weeks, but after that? It's a struggle. Lots of ups and downs. Lots of frustration. I think a lot of trial and error, too, until you find what works for you. My plan is to just keep tracking protein and water, as directed by my dietician, for the next month. I have a vacation at the end of June. If I get back from that and don't like my progress, I will try limiting carbs to under 50g per day until my 6-month check-up at the end of August. If I'm worried at that point, I will talk to doctor about adding GLP-1. But hopefully there will be no cause for concern. My next thing is to learn how to use my resistance bands! That's my goal for the coming week.

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.

1. What was the best part of surgery for you? The jumpstart to weight loss was obviously amazing, but I was surprised how quickly my usual body pain & aches stopped bothering me. My knee problems have basically vanished, and the lower back pain I had gotten so used to living with has gotten so much better. I can breath easier when doing things that used to have me out of breath -- going up 2 flights of stairs, for example. 2. What was the worst part of surgery for you? The pre-OP shakes -- I'm lactose intolerant and have trouble with stevia, and there were no shakes my care team could find for me that didn't have one-or-both things, so I spent a good 8-9 days barely keeping anything down. The surgery itself went off without a problem, and the pain wasn't as bad as I thought -- other than the car ride home! If you get WLS, bring a pillow to clutch to you afterwards!! 3. Did you have any complications (minor or major) during or after your surgery? Nothing during, nor after -- but I'm only 10wks post-OP tomorrow. 4. How has adjusting to your new life been for you? I too am on SSRIs for long-time depression & anxiety. Most days have been awesome and cheery. Even during the initial aches and pains of recovery, just knowing that things were going to start changing for the better improved my mental state. I still have bad moments / days but once I started seeing all the improvements to my life it makes it easier to push through. It certainly helps to have a good support system -- people in my life, but also honestly this forum. TBH I was in a #$%& mood all day and feeling lethargic, but logging in here I know that everyone here understands and it just makes me feel more settled. 5. How long did it take you to feel comfortable eating food? I am currently having a ton of problems with chicken breast. I hate 'dark meat' poultry, but tried chicken thighs recently and it's not too bad but still leaves me with a heavy feeling in my stomach -- still better than the stuck feeling in my chest that the white meat gave. I feel like no matter what I put on it or how I cook it, it's just clearly a No for now. That said, for the most part everything else has gone down well as long as I eat slowly, and make choices consistent with my care team's plan / schedule. Going from puree to soft foods was probably the hardest for me physically, because it felt so different in my stomach. 6. Is there anything you can’t eat anymore that you used to enjoy? It's early on for me, but the changes in my body's hormones seems to have stopped most of my cravings. When I'm having a rough time emotionally, I still have momentary yearnings for old 'comfort foods' but honestly just the thought of some of them will turn me off within a few minutes. (For some reason if I think about fatty oils too long, I just get nauseated). And many of my old comfort foods have just updated into healthier things I can eat. Instead of my mum's Dutch mashed potatoes, I have a smaller bowl of healthier mashed potatoes (or cauliflower, or heart of palm) with a scoop of bone broth powder to up the protein. Instead of spaghetti and meatballs, I have homemade meatballs and extra sauce -- or a ricotta bake instead of lasagna. 7. What was your recovery like? Any vomiting or dumping syndrome? I've had one instance of dumping syndrome so far, and it was 100% my own fault. I knew what the culprit was immediately (white-flour leftover tortilla and more difficult chicken breast). I won't lie, I seriously wanted to die for probably an hour, and then slept the rest of the day away. It's horrid. I'm hoping that I've learned enough to take better care / caution and avoid any more instances. Other than that, recovery has been pretty smooth. All my incisions healed up without issue, the gas pain only lasted a few weeks and then there was just a strange tightness / mild soreness on one side of my body for the first 5-6 weeks. 8. How long did it take you to feel semi-normal after surgery? I want to say 2-3 weeks. Around the time I started eating puree (week 3), my energy levels started bouncing back much more rapidly -- which let me walk more easily. 9. Did you experience higher energy level post surgery? 100% yes. NGL, sometimes I feel like skipping even though it's not suitable for someone my age, LOL. I feel like I've been more efficient at work post-OP just because of the energy improvement, and physically I notice the increased stamina every time I go on an errand or for a walk with my dog. (I tire her out now!) 10. Did surgery affect your mental health? For the better. Some of it is because the energy and the physical improvements make me feel better about myself in general, but part of it is kind of a trickle-down effect. I spend more time making good, healthy choices for myself, spend more time being mindful whether it's while I'm eating, or making a grocery list, cooking, etc. It's so much time spent on self-improvement and self-care. So I have less time to worry about what other people's secret thoughts or judgments might be and take people more at face value. I have less time to waste on people that bring toxicity to my life or can't respect my boundaries. It's like this microcosm of self-care made by investing my energy in my current journey has expanded it's hooks into the rest of my life. I feel like for the first time in my life, I am actually one of my top priorities. 11. Do you regret it? Would you recommend it? I had moments of regret during dumping syndrome, for sure. But as soon as I recovered from that one bout, I was still happy I'd done the surgery. I think it definitely forces us to take ownership of our own health and making the best decisions we can towards that. I would recommend it to anyone who has struggled with weight loss and can honestly look at their life and see themselves living in this framework for the rest of their lives. By all accounts it seems to be incredibly important to keep it all up -- the vitamins and supplements, the healthy choices and portion sizes, etc. I would NOT recommend it for anyone looking for a magic pill. This takes work, will continue to take work.

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.

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.

This is something that never stops. You have to watch what you eat, how much you eat, how often you eat. You have to move your body more. Prioritize protein first, then veggies, then carbs, then healthy fats. Fluid intake never stops. You have to get 64oz at least. Avoid the slider foods, avoid grazing. Cut the salt. And switch to sugar free and no sugar added sweets if you really can't stay away from them (I have never been a big sweets person. I'm not even a huge fan of chocolate). This is something I would thing your surgeon and nutritionist would have gone over with you before you had the surgery. This isn't a magic cure all. It's a tool to use to get your weight and health where it needs to be.

I’m a believer in slowly incorporating better eating habits & food choices back into your day. Aim to work towards how & what you were eating in those first few years after your surgery. To begin may be start tracking your food to see what may need to be adjusted. Then work on hitting those protein & fluid goals & portion sizes. After a couple of weeks change something else like reducing your snacks or change up a cooking style. Work through what ‘rules’ you have become complacent about making a change or two every couple of weeks. Making changes this way is much easier to adopt and adapt to.Also don’t think of them as ‘rules’. That sounds restrictive, inflexible and limiting. How you eat should complement your lifestyle, be sustainable & flexible. Maybe get in touch with a therapist to talk through what may be happening that may be influencing some of your food choices & habits. Maybe get in touch with a dietician too just to check your on the right track again. All the best.

Hi Everyone, I'm a 45year old male who is 2.5 years post RNY. I have always been bad at my protein, calorie and water intake. Started to drink multiple coffees a day. Typical male never remembered to take vitamins or supplements on a regular basis. I have never really tracked anything AND I am now seeing the results. After my initial 120lb weightless, I have regained approx. 40 lbs in the past 8 months. I have very dry skin and scalp and my teeth are starting to chip very easy. I am now starting back with my Daily Multi-Vitamin and Calcium Citrate. I really think an app on my phone OR maybe picking up an apple watch would help me with keeping track of intake. Does anyone have any suggestions?? Thanks, 😊

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.

@Noelle74 What an amazing transformation! You look terrific! @RonHall908 That's good info about the protein after workout. Not that I exercise hard enough to need to worry about it, but if I ever decide to... @BlueParis Amazing cliff hike! I'm jealous of the beach time, although it's finally warming up this week so I guess summer really is around the corner @gracesmommy2 I have a feeling the hair loss will be coming for me, too. Mine is so thin, and I remember it being shocking a few months after having my kids that it would come out in handfuls. I actually bought a bunch of headbands recently to help hide it if it thins. I'm heading to my annual physical today and my 3-month appointment tomorrow. Looking forward to what the doctor has to say about progress and any changes I should make. I weighed in at 200.6 lbs today. Will I ever get below 200?!?!? I swear this is the hardest milestone. I hit 201 lbs 13 days ago and was so certain I would be under 200 by now.

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Hi, all. I am just over a month out and losing okay. I've lost 27 pounds. I'm having trouble advancing to the soft foods, in particular meats. I must have a repeat upper GI and possible endoscopy to see what could be going on. My doctor said he's worried about either an esophageal stricture at the stomach or an ulceration. Fun times. I'm sooo tired of protein shakes! I guess that shakes in some quantity will be a part of my life for a while though. I'm so glad to hear that you, Pamela and Lorna Nicole are doing well.

I have a sleeve and as the others have said, yes, you will be able to eat a larger portion than what you do after surgery but that’s what’s supposed to happen. It’s how we are able to consume the calories & nutrients we need to maintain our lower weight. However, the larger portion is more like what a recommended portion size is nothing like you may have eaten before surgery. You’ll be looking at about 3-4ozs of a protein & around a cup of vegetables. You’ll be able to eat a lot of the same foods & old favourites as you used to. The difference is how frequently you have them & how much you eat when you do. You may even make healthier choices around the ingredients or cooking methods. Like instead of battered or crumbed fish & chips you have grilled fish & salad or air fried or baked vegetable chips, Instead of a burger on a bun have a bun less burger or a lettuce wrapped one or just eat half of the bun. There aren’t foods I can’t eat just foods I choose not to, choose to eat small portions of or eat infrequently & I feel better for it. Your stomach is a muscle and there is the potential to stretch it again but you’d have make a concentrated effort & eat large portions, many times a day over a long period of time like you did in the first place. It’s not easy & can cause a lot of discomfort (even vomit) to force yourself to eat that volume of food. Why would you want to though? Second the advice to watch the videos of Matt Weiner & John Pilcher.

I’ve managed to move the scale about 3lbs this week. Not much but since it wasn’t moving at all I’ll take it. I am down several Jean sizes though and the other day I put a shirt on that looked ridiculous it was so big. My hair has started shedding pretty bad so I’m really watching my protein intake and not missing any vitamins. Hoping it slows down soon before it becomes noticeable. It’s usually pretty thick so I have a little to spare. I think maybe I’ve managed to get rid of a chin or two also lol. Here’s a current picture I don’t have many from right before surgery but the one where I look like I might pop is at my granddaughters birthday present last July courtesy of my daughter 🤦‍♀️🤦‍♀️🤦‍♀️

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.

New here! I wish i found this community sooner, but I'm glad to be here now. My Sleeve surgery was March 19th. Currently 2 months PO. I am still struggling with my liquid intake, averaging about 32-40oz daily (on a good day). I saw someone mentioned protein waters - ordered! (Thanks for that). I've been drinking Liquid IV which has been helping with my Dehydration, but I've been scared of going into ketosis 😫. Hair loss - no thanks! Finally can handle Fairlife shakes, but that's also been rough at times, watering them down has helped. Eating is better, not as painful. 38lbs down✨️🥰