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So, I went to my primary doctor today and I will be going on to the next step Monday and get my bloodwork done. She will also be in contact with my other doctor, and I have to say I so love my primary as she told me that minus my weight that I am actually pretty healthy as in my blood pressure is not high or low; my lungs and heart sound great so unless my blood work comes back with something that we can't see she will be clearing me from her end for surgery. So one more step closer or at least a half a step.

Yes the doctor wants me to lose 10% of my weight before the surgery. Being on the national health service, I guess they want to take extra precautions to make the surgery approved by their boards and directors. 12 weeks seems a really long time, but I've had weight problems for over 30 years so in the grand scheme of things, it's no time at all. Thanks for the suggestion about ways to celebrate my birthday! I've made plans to get my nails done with a friend so that will be great!

I wonder if that uses the same technology as the little scale that I ordered on Amazon. It’s called a smart scale and it connects to an app on the phone and it logs all of your composition stats. I have heard from some of the veterans on here that those are not extremely accurate compared to their DEXA scans. Honestly, if that’s the case, I wouldn’t put too much Focus om those results anyways. It was a fairly small amount and if it’s not 100% accurate it’s possible it was not even correct for that little bit. I ended up returning the scale because I figured it would just be another thing for me to stress over every day like the weight that we shouldn’t really be measuring as often as I do. I honestly don’t see how if you’re exercising more now then you have that you would be losing muscle. I mean, I guess at some point we do need to add strength training and they warned me of that. And making sure you’re getting your protein is important they said if you increase your activity, they have me increased my protein. Did you ask about that? My surgery I have to do a little bit more. My first goal was 77 g at minimum. But at my postop appointment, I showed her my activity and she said I need to increase that to 90 minimum along with adding a bit of carbs. Remember, mine might be a little bit higher than yours because I had a different surgery, but I’m just saying I had to increase it by what 13 g because of activity. And that’s just the minimum the maximum goes well over 100.

Hi everyone. Soooo, here I am 6 months post VSG. Started at a BMI 33, reached goal at 3.5 months so kept changing goals and here I am at the 6th month mark having lost much more than anticipated and ready for maintenance (at a BMI 20 as of today, 126.7 lbs/57.6 KGs). I don’t want to bore you with too many details, other than that I bounce between a fear of becoming sickly thin (currently feeling that) and an all encompassing fear of gaining weight and going back to what I have become, it is kind of mind boggling. I read many many stories of how WLS patients gained all the weight back and then some, about them seeking revision surgeries or GLP treatments and it really freaks me out and my mind starts telling me to keep losing weight just so I don’t end up back where I started. I want to change that and start focusing on success stories. I have come across people with successful outcomes many years out but there isn’t many of them to be honest, and what I have noticed with successful WLS patients is this: - They made 360 degree changes in their lifestyles (cut all the junk, took up exercise and became very “clean” if you will). OR: - Still have fun but track their calories and weight DAILY. Very few have just lost interest in food and don’t do any of the above and remained successful. Given my history being at a low BMI and athletic my entire adulthood and only becoming overweight the past few years I can be very disciplined and committed. However I am human and I love going out to eat and trying new foods and restaurants, so for you the successful lot please enlighten me on the following: 1. What are your golden rules to successful maintenance? 2. How did you manage the mental shift (navigating fear and uncertainty) while transitioning to maintenance? I can’t seem to quiet my thoughts and anxiety around WHAT IFs? 3. How much indulgence do you actually allow yourself? I really need to strike that balance right now. Every single tip would be helpful. And to celebrate my 6 month anniversary, here’s a little before and after for y’all:

Can you get them altered? Wouldn’t be all that difficult - straight seams. If you’re not someone who sews though it will cost some money. Might be worth an inquiry to see how much. The drop in clothing size is frustrating. I barely had a chance to wear any of the smaller clothes I’d kept from the past. Either missed the window (seasonally) or barely got them out to wear when they became too big. Sigh! I bought some new expensive clothes when I thought I had stabilised which became too big within a couple of months. When your smaller the weight loss to drop a size is much smaller than when your larger.

I wanted to post a quick update. I had my birthday and definitely didn't follow my plan and the next day was my friends wedding so that day wasn't much better. But I've regained my focus and I'm back to what I should be eating. I'm still losing weight and major slip ups aside. I'm not going backwards.

Well not to scare you but I felt something in my breast about 2.5 months post op and when I got the call I was 3 months post and it was breast cancer. I think I honestly may not have found it if it hadn’t been for the weight loss though so at least now I have a fighting chance. 🤷‍♀️. I truly do hope yours is absolutely nothing but i just wanted to mention that it’s always best to get anything like that checked (as you are). I had my mammograms annually and even had my breasts checked at my Pap smear only ten days prior to feeling it myself and the Dr had missed it so I really had to go with my gut to get it checked out anyways. It was hard to believe that she wouldn’t have felt it and I figured that they were going to just laugh at me because it was supposed to be there but it wasn’t. I would probably be stage 4 instead of 3 if I had waited until my next mammogram instead of trusting my gut. Definitely don’t worry about it until you have a real reason to, but also for anyone else reading this don’t ignore it because it does happen. Just get it checked out and enjoy your life. All we can do. Maybe when you go ask the radiologist to do a self exam with you and tell you what things you feel are so you know what’s normal and what’s not. I would only trust the radiologist that has the imaging in front of them though because my gyno when I went to tell her I felt something said that she was 99% certain it was just fibrous tissue but would send me for mammogram anyways. I actually almost cancelled the appointment because she made me feel like it was a waste of time and money. Thankfully I didn’t. I finally got into the Christmas spirit when we took my five younger cousins out for a night of Christmas Lights and Hot Cocoa. That’s usually the end to our big annual Christmas crafts day with the kids but with chemo I can’t do a whole day and night of five kids right now energy wise so we just did the lights part. I usually don’t get into the spirit until I’m around the kids. My Christmas treat is the Ghirardelli peppermint chocolates. They are individually wrapped so you can easily have just one and they have it in dark chocolate. It’s definitely off plan and a splurge but you can freeze them to make it less tempting to not waste.

I've had a very up-and-down sort of week, mentally/emotionally (and weight-wise too, I guess). It started in that I'd finally gotten out of a stall, and everything stayed good for 10 days or so? And then a week with absolutely no weightloss. On the back of a stall, it just crushed my spirit. I said fine, by next week it'll be better, stay off the scale... and instead I hopped back on 2 days later to a 1.4lb gain. I think I went into a sort of zombie-state. I was still doing what I needed to (work-wise, diet-wise, exercise-wise) but it was like some kind of emotional shock: I was functioning but apathetic about pretty much everything. My brain and heart just couldn't take it, and shut down. Then the physical side. I'm sure it will surprise nobody here, but when you're behaving kind of like an automaton you don't pay enough attention to things like time, or specifically eating slowly. Cue the foamies and vomitting. I think four times in the past week. Luckily, most of the time I caught it early enough to prevent anything too intense, but yeah. I'd thought I was smart enough / experienced enough at this point to learn from my mistakes, but that one I just kept making. Afterwards, the lingering nausea kept me from eating enough -- so the protein goals were not met for five days in a row. (Until I found Greek Yogurt Cheesecake Pudding which turned things around so I was exceeding my goals) I'm doing better-ish, now? I still feel mildly dissociated, but the past couple days it's been like... life & energy slowly returning and my mood improving. The universe waited for me to be in a better mental place, and all of a sudden knocked 4 lbs off the scale this morning. Sunday, I had a great NSV that I didn't feel hit me until today -- I'm wearing a 1X for the first time in over a decade. (Top and bottom, which is another NSV because ever since my late 20s, my bottom has always required me to go one size up from whatever shirt size I was wearing) But even this NSV, I'm able to acknowledge it and told a couple people about it because I knew they'd be happy for me, but it still just all feels pretty superficial. I only seem to be able to get excited and enthused about other peoples' good news, lol.

I was told fairly recently that I need to learn to take a compliment. My lack of response to them was just a knee jerk reaction and my mind thinking... Oh now I'm worthy of your attention?? No longer invisible?? It is hard not to be a bit resentful of the polar opposite way we are treated when obese vs. a healthy weight. But it's the way of the world unfortunately. On the flip side... I agree with @MrsFitz in that some people are just reflecting back to us how we feel about ourselves. I wanted to be invisible so I felt invisible. So lift up your heads and be proud of all your hard work and how far you've come in taking back your life/health. Take those compliments. Even the backhanded ones. 😊

I'd personally let it continue. Most of us have a rebound gain after we hit bottom - 10-20 lbs is pretty common, usually during year 3. Some people even gain more. I purposely went below my goal to account for it, and I'm really glad I did, because yep - I put on 20 lbs during year 3 (have put on about 10 more since then, which I am NOT happy about...) and yep - I looked way too skinny at my lowest weight (esp in my face), but my fat shifted around after awhile and I looked much better. Then the gain started...I sure as heck don't look too skinny now!

Well I took the advice or the veterans who did or do yoga now and ordered some smaller legging because mine were rolling down. I thought I was maybe getting close to being near the next size but apparently I was already there. They looked so small that I thought there was no way but I tried this and they fit (comfortably). Also today I told a friend that I am planning to check out a craft show that is near her this weekend and asked if she wants to go for a while. Well it’s going to be hot and we are planning to meet up and do lunch first so since can’t get away with bike shorts and them and leggings are all I have right now I was on Amazon looking for shorts. Well I found some that looked good and apparently I thought that before too because it said I purchased them in 2023. So I looked In my drawer and sure enough I had two pairs of them brand new and would you believe they fit perfectly. Good thing too because I was ordering a size bigger and wouldn’t have had time to exchange them. So I guess I am reaching the stage where I can shop in my closet for a while. Ooh and my brain definitely hasn’t caught up with my weight loss because the shorts and the leggings both looked like they were going to be way too small.

My husband is thin as a rail and can only put on a few pounds back In the day by eating fry daddy for dinner and a dozen doughnuts every day. Even then he didn’t gain that much. The best way I could explain it to him how hard it is to not eat when I am hungry was to explain the opposite. I came home with five Big Macs and after he just ate I told him to eat them. I said as much as your body is telling you NOT to eat them Big Macs and it would be almost impossible for you to eat I believe that it’s just as hard for me to ignore my body when it’s screaming out for food. He isn’t superior or less lazy or a harder worker or anything else that skinny people like to think. He is just blessed with good genes. He did nothing to earn or deserve them anymore than we did anything to earn or deserve our bad ones. In retrospect maybe five was a bit of overkill but I really wanted to make a statement. But just like some of us are blessed to be naturally pretty or cute and others are less fortunate in the looks department or some of us have a higher risk for certain. Illnesses, some people are lucky enough to be thin. We may have a tiny percentage or control by dressing a certain way or make up for looks or good preventative medical care for illnesses but ultimately it just is what it is. Now there are others that work at it everyday who are a different story but my husband and it sounds like your neighbor are just blessed. i think i finally got through to him about that.

UPDATE: So I had a scope and everything looked good. My stomach size was still fairly small which surprised me. Insurance was approved and I got a surgery date. I moved the surgery 2xs due to personal conflicts and giving myself a bit more time to get mentally prepared. I confided in a friend who urged me to try the GLP medications. I dismissed it. Then I saw an online friend who also had the sleeve and I knew had regained a ton and didn't get to her goal weight in the first place. In all her recent pics she looked AMAZING. I reached out to her convinced she must have gotten the revision. Nope. She's on the GLPs. And she has surpassed her lowest weight on the sleeve and said it's like the sleeve was reset. Needless to say, I'm putting the surgery on indefinite hole and trying the injections. Thanks to all of you for your support. Thank you for this. I will update my progress and decision. I have an appointment tomorrow to discuss my options. At a minimum, I am going to get an EGD to see what's going on. I've also been trying to go back to the rules. Not drinking during meals, protein first, etc. It does help. I just need to get my focus back to thinking that way.

I’m a while out now (5.5yrs). I was one who never felt hungry. The first time I did was at about 8 months & I honestly took a while to work out what was wrong. I felt restless. Something wasn’t right and it certainly wasn’t anything like what I thought was hunger before. It wasn’t until I reflected back on my day that I realised I’d been busy and hadn’t eaten much. Then it was a couple of months again before I started to feel hunger more often. Because of my lack of hunger I ate to a routine, still do, to ensure I met my protein goals and other nutritional needs. I wasn’t someone who ate to sooth themselves in fact I tended to be the opposite and wouldn’t eat. If you are someone who always has used food as a comfort the first weeks can be a challenge as it’s a stressful time ( physically & mentally). You may be emotional too because of the hormonal flush from the estrogen stored in your fat that is released as you lose weight. Generally if you are craving a specific texture, flavour or food that is head hunger. Check your emotions: are you feeling sad, angry, bored, lost, etc.? Then it’s head hunger. Is your tummy rumbling? Again head hunger & also from excess tummy acid. (You’ll continue to produce the amount of acid you used to need for the volume of food you ate & your larger tummy. You’ll likely be prescribed a PPI to counteract the excess acid but if not ask for a script to help.) Distraction can be very useless at these times. Read, craft, go for a walk, contact a friend or family member, meditate, check this forum, etc. Often a warm drink can be helpful. I also agree with @NeonRaven8919’s advice of finding a therapist. Many find the support & strategies they can offer vey helpful. All the best.

Slightly off topic but I had to buy period underwear yesterday only because I’m about to have a hysterectomy. It was weird and I had to do a bit of reading (I’m a researcher) about the period pants because they didn’t have them back in my day (that makes me sound ancient lol but have been menopausal for 8 years or so). Also thought I should buy a pack of pads too just in case the surgeon prefers they’re used post surgery. OMG I didn’t know where to start. Couldn’t remember the brand I used to prefer and they’re are thousands of options now. Good Lord! The oestrogen flush is very common after surgery @Dchonlee and can persist until you’ve lost most of the weight you have to lose (which I know you’re nearing) but maybe get your hormone levels checked to see what they are.

I had the Gastric Banding placed in 2012. I've moved away from where I had the initial surgery to a place that didn't have a doctor comfortable with the banding procedure. I've gone several years without having it adjusted but keeping my weight maintained so I didn't think much of it, I figured it was doing it's job and so was I. I recently had severe abdominal pain after having some lunch, was rushed to the local hospital, which then had to be transferred to a hospital an hour away from home to find a doctor comfortable with the banding procedure. It turns out the band slipped some time ago and completely eroded though my stomach. I had an emergency surgery with 2 surgeons for over 4 hours. They had to remove some of my stomach and a piece of my liver that had attached itself to the scar tissue. I have months of recovery ahead of me now and could have died from this when I thought everything was working fine. If you are considering getting the band please rethink it. If you have the band and haven't been check in a while, PLEASE go the doctor and get a complete check up as soon as possible.

So I agree with everyone else and should definitely be asked of your team for clear answers. However my slight insight to the SADI is that it really limits fat absorption and what your body cannot process leaves your body rather quickly by way of BM. At least from a few people I've heard say they really cannot handle high fat or high sugar foods for that reason. So I would caution against trying to get more fat in until you have the answers from your team. *side note - (not in any way making this related to the surgery ) - but do you remember when they came out with those chips (lay's i think) with olean? the fat that couldn't be absorbed and people were complaining about bathroom runs. Oh the things we do in the name of weight loss.

Ii haven’t had my revision yet but for the sleeve I was told about 6 weeks and I could do exercise. For the revision it’s a little more complex so at the skull part group meeting we were talking about fitness and I said that I needed to do core exercises and the PA said that 6 weeks was fine for them too and the surgeon was right there and didn’t correct him so I took that for myself as it means I’m pretty much cleared at that point for most things. I think they do say to wait a bit longer for weight lifting and one girl asked about roller derby 3.5 years ago. But outside full contact stuff and weights it seems to be 6 weeks that we are healed enough to be safe from outside stuff so I would imagine all swelling and stuff would be gone by then for sure.

So after my post last week where I was .4 away from my goal, I am not 1.2lb UNDER my goal! So I am working on my macros to see what caloric threshold I should hit to stay around the same. Last week I was eating around 1100-1200calories and I still lost weight. Gonna stay around the 1200-1300 mark. Any input on this aspect would be great! I’m still working out 6 days a week (been an addiction lol) Last week my sisters, mom and I had a spa day, laid by the pool with drinks after our massages and I couldn’t believe the difference in how I looked between the summers! The drink in my hand is coconut mojito mocktail that was delicious but too sugary I had a couple sips because I didn’t want to 💩 everywhere 😂

I started watching the videos last summer when I first started the path toward surgery. I learned so much, and by now I've watched all the videos at least once. There's one on keeping the weight off for good that I go back to over and over to remind myself of the changes I need to make. I've watched all the podcasts, too. There's so much information and I feel like it's coming from a very trustworthy source. Last August, I read Pound of Cure. I did not start with the two-week metabolic reset diet, but I decided I would eat 16oz of non-starchy vegetables daily, cut back significantly on bread/crackers and cheese, switched my regular wheat pasta to chickpea pasta, and stopped drinking diet soda (my only regular source of artificial sweetener). I didn't count calories, cut back on portions, skip sweets, or do anything else that would have felt like a diet. I just made those relatively easy changes that I thought would address some of my biggest issues, and over about 6 months, I lost 13 lbs. There was never a time before when I lost so much weight by doing so little, so I'm definitely a believer that these changes work. If you're up for the challenge, the 2-week metabolic reset might be a great way to kick-start getting back on track. He explains it in his book, but there's a free PDF you can get from their website with all the pertinent info (scroll way down on the page to find the link): https://www.poundofcureweightloss.com/nutrition/.

Technically not mid-week at this point, but I decided checking in here is a good place to start after a hiatus from the site for a while. I had my sleeve surgery last summer and the weight loss has slowed down significantly, but I am now within 5lbs of my first 100lb goal! Went from a size 24/26 to a 16/18. I was recently diagnosed with premature ovarian failure (peri / menopause before the age of 40, typically genetic) after YEARS of trying to get a diagnosis from clueless OBGYNs and I think the drop in hormones is contributing to the slow crawl. I’m battling through it while doing all I can naturally to stop the negative effects that come with perimenopause and menopause (I haven’t decided on HRT yet). Once summer break is over, I have an appointment with a terrific functional medicine doc who did extensive blood work to see where my problems are at the moment. I’ll also be joining a gym and shifting my focus from aerobics to strength training. Hopefully it’ll help me lose some more stubborn weight while also maintaining bone density and sculpting my new shape a bit.

Officially 8 weeks and 2 days Post-op and honestly I'm pretty comfortable with my progress though a little disappointed with my hydration. The weight loss is steady, protein intake was a little tricky but I think I got it, and keeping up with physical activity has been smooth. Last month's first follow up with the nutritionist did get under my skin, I questioned returning to my previous vitamins vs these nasty Flinstones...and she went on and on about my calcium, iron and protein levels wouldn't be sufficient due to me not eating meat. I explained I had no problem taking additional calcium or iron IF necessary, and finding new ways to add my protein BUT I wanted to see how my bloodwork came back. She finally conceded in saying "well, you're an adult, if you want to take more vitamins that's your choice". I mean OBVIOUSLY it is my choice and her condescending tone is one of the many reasons I've never cared for nutritionist. Nevertheless, guess who's blood work is PERFECT?! In other news, I will say this ketosis stage, while extremely beneficial... it is giving me the "ick" with side effects, smells, body odor etc... I've introduced some carbs hoping things will balance out but it seems to be a slow process. Uranalysis confirmed I'm still burning ketones sooooo there's that. 🤷🏽‍♀️but when will these side effects end ? Speaking of introducing carbs... I had a small bowl (4 oz) of mac and cheese (chickpea pasta)... this is a true trigger food for me, but I ate it, I enjoyed it and I moved on... it wasn't until the next day, I was thinking wow, I really didn't "Want" another bowl... "I'm good". In the head scratching category... I overheard my co-workers having a convo about individuals on the show "My 600lb life"... DISCLAIMER: I say overheard loosely, there's 3 of us in a small room, they were speaking freely as we usually do but I had my earbuds on and wasn't a part of the beginning of the convo. While I can't say I've ever watched a full episode, I am familiar with the premise of the title as well as what "reality shows" really entail when it comes to production and I'm sure I've caught a snippet of an episode on a meme, commercial etc. They also do not know I've had a procedure. I digress, at some point in the convo, they were both giving their opinions on "how could someone let it get so bad"..." when your pants stop fitting..." "when you're out of breath walking from house to mailbox..." etc. and while I have no doubt that they did not have malicious intentions nor have I personally fit into any of these examples... I suddenly became very offended. I even thought to myself have I lost that much weight that this is how "skinny" people speak freely among you ? (The answer is no, regarding me... I've lost a good amount, but they've known me for several years...at my heaviest). I thought, are they thinking I'm really deep into my work and not paying attention ? (The answer is no, we always engage with each other based off of body language to get the others attention and they were engaging). The answer boiled down to, they were just ignorant to the reasons this could happen to someone and the fact that reality tv has a way of making people look and behave at their worse. So I chimed in with "As a fellow big girl..." and explained to them that food addiction is real, and it's real easy to forget that unlike, drugs and alcohol, people have to eat for survival/nutrition and if you are addicted to such it's easy to forget how someone can "let it get so bad", there are also health issues and medication side effects. They were both receptive and admitted that didn't even consider that thought. We went on to talk about the state of "healthy" food choices, labels, vending machines in schools and all. But I definitely walked away from that convo scratching my head because they are both thin and love to eat and not always the "healthy" stuff... so I'm thinking it didn't occur to you others JUST CAN'T do that. Anyways, it was an experience and I'm glad I had it.

How are you doing now? Have you started back to some form of movement. I know that when I had the sleeve I tried to do the treadmill and that did not stick no matter how many times I tried. To me, that was like torture. This time with my revision I am walking around the neighborhood instead. Talking with a friend on the phone who is also walking or listening to music and seeing the various houses and people is just a great deal more enjoyable for me than the treadmill even with the television on I still felt like a hamster I am still early out and I definitely wouldn’t call it a habit yet but I can tell you for sure that I do not dread it each day like I did the other and I’m really hoping that I can keep it up I know for sure that the endorphins are great for my mood and my energy I go until I fall into the bed and sleep like a baby. In fact that’s why I’m up right now, because I did so much yesterday I feel asleep at 9pm 😂 I agree somewhat about the fact that if you must choose one place to put your effort then the nutrition is definitely the most important in terms of weight loss BUT, having done this before and been less successful, I can tell you that last time I did not exercise and it felt like less of a huge life change for me as it does this time Again, I am only 5 weeks out so it’s possible that this is temporary, though I hope not because I feel fantastic with all of my choices my point is that adding in exercise, for me, makes it feel like more of a lifestyle change and after I come home all sweaty from my walk I don’t want to put any junk into my body. I am even starting to buy things that are grass fed and organic when they are available and trying to cut back on salt as well as rethinking my artificial Sweeteners (although that’s going to be the toughest for me to give up) because my body feels so good and healthy and I want to feel this way for a long long time. As others have said it doesn’t have to be a specific exercise. Just move your body more. Maybe dance lessons, or Pickleball, something like that. My library had a Belly Dance teacher at one point about a year ago and now that I’m losing a bit I am going to look into whether she is still there because that sounds kinda fun. I also did some research on the weighted hula hoop and it is cardio for most people as well as a bit of strength training so I may try that. It brings back memories of competitions with them as a kid so it could be fun. Something that my PA said at one of my pre surgery support group meetings keeps ringing in my mind that helps motivate me too he said that just 90 minutes of exercise a week in zone two heart rate (which I achieve with a brisk walk) decreases your risk of “all cause mortality” by 15%!! You can even break it into 15 minutes a day- 6 days a week (although it’s really 25 with your warm up and cool down added) but weight loss aside, a 15% decrease, thats pretty incredible. I was afraid of some of the complications from surgery that may or may not kill me and that was once like a 2% risk. So my goal is 30 minutes of exercise a day (I rounded up) and anything beyond that is just a bonus. That has seemed to work for me so far 🤞

Idk about the pain and I can’t speak personally about the goal but I have been on here for almost four years and seen several people surpass their surgeons goal for them. Do not let that discourage you. Keep doing what you are doing and let your body settle in where it is happy. They honestly shouldn’t even try to predict because every single body is different and we all respond to the surgery in different ways. On the gallbladder pain note, I would trust your gut and ask another Doctor if he just dismissed it. Only you know what your pain is. And in terms of the joint pain, maybe see what a chiropractor says. Maybe your body is off balance now because our posture is so bad to compensate for the weight and it may not have gone back on its own. Just a thought.

I'm curious if you've ever gone in for a DEXA scan to determine your body composition. I ask because I know that if you've been obese for a long time, your body architecture has changed to support that weight, and that isn't something that just goes away as you lose fat. BMI, which is problematic at best, can be skewed by formerly obese people weighing more because of extra bone and organ mass that a never obese person of similar height and build would not have. If you have a DEXA scan, you can get a much more reliable idea of how much body fat, bone mass, etc., you have and may feel a lot better about your progress. I would also take a step back and ask yourself why that number you've set is important to you. If you "only" lost 25 more lbs, you would have lost half your body weight. That's kinda crazy! You would be half the person you were before (in a good way, of course). Or if you "only" lost 10 more pounds, would it really be so bad? Would 40 lbs really make a massive difference in how you look and feel compared to where you are now? Are you putting so much pressure on yourself to reach an arbitrary number that you don't fully appreciate just how amazing your progress is? You're down 110 pounds! That's like having an entire Olympic gymnast you are no longer dragging around on your back every day. Regarding your energy levels, are you getting enough fruit and veg? If you're still really low carb and really low calorie, as I seem to remember your dietician was having you do, that might account for the lack of energy. It could be your body is needing more fuel than you're giving it and is lacking the phytonutrients that don't come in a multivitamin.