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I am 10 weeks out and have just been looking into my BMR. Apparently my BMR is right around 1700 calories for my weight and height. Right now I am talking in about 700-900 calories a day so way below my BMR. How does this work after having surgery? I don't think I can even get close to 1700 calories in a day. Do we not worry about BMR after surgery or should I be upping my calories? P.S. I have been losing slowly.

Hi @ttjmom. It’s a long story. Sleeve has been awesome for many, just not for me. If you care to read it, here you go... 3rd Bariatric Surgery: I realize that most people will probably gloss over this topic...because for most 1 surgery works and is enough and if you fall into this category, please know how fortunate you are. This is not my story I am 5'8. In 2007 I was 273lb's and miserable! I got a Band. Following 13 fills and unfills the best I lost was 60lb's, I never achieved restriction, and unfilled to have 2 kids. All weight returned. In an unrelated accident my port flipped, and in 2015 at 265lb's I was revised to a Gastric Sleeve (Also had my gallbladder taken out, a Haital hernia repaired and the band removed). I lost 60lb's in the first 4 months and then...stopped loosing. At 205lb's I would have been happy with my results, but then, I felt no restriction and started to regain! Fast forward almost 3 years to today...I have developed GERD pretty bad and I've regained most of what I lost back! My stomach feels hungry every hour or two, I could always eat WAY more than my sleeved friends, and once I got myself full, it would not take long for the deep primal hunger to return. I have no relief from hunger. Especially at night, I'm ravenous! I became a grazer! I felt that the Ghrelin was back with an Army to fight me! A 80% international traveling job plus unlimited access to food in the best restaurants around the globe did not help. I have felt dejected, humiliated, like a failure, angry, frustrated and the list goes on for miles, if you are still reading, you probably know how I feel. And indeed, It's not just about how I look...it's about how I feel. Horrible!! My weight is pressing, intrusive and pervasive. There is no time that I am not aware of it. I have sleep Apnea, I can't keep up with my 6 and 7 year old's and the simple things in life are hard again. Completely demoralizing... After almost 3 years, I finally said "Enough" and went back to a new Surgeon. An Endoscopy revealed it has not all been my fault. My Sleeve was cut too big to begin with! My new surgeon reveled he knows the work of the previous surgeon who apparently was not very skilled at the time and making sleeves too big to be successful. A Bougie 42 was was too big to begin with but in my case, even that was very loosely cut. To top it off, my Sleeve was mis-shapen to begin with as well, setting me up for failure and I have a Stricture in the middle, causing me to have an Hourglass shape. Top fills up, stretches, bottom is hungry, then food goes to the bottom and is still there, top is hungry, in short...a hot mess! Miraculously given the Haital Hernia, GERD, Stricture and botched initial surgery, my insurance (that does not cover Bariatrics) has approved a revision to Bypass on Aug 22nd. I've been combing the internet for Sleeve to RNY revision but such information is not as readily available as 1st timers. I am so nervous...so frightened to go through with this. Scared of Anesthesia, scared how I would do, scared of the 3 week post op liquid only phase. Scared that I will fail again, that this will not work. Some Surgeons (like the Pound of Cure guy say you can only expect to loose 10 - 25lbs on a Sleeve to RNY revision, woa?? ) But I have to try...I want to live a full and vibrant life and not just exist like an Amoeba! This is truly Project last chance. My husband is supportive, but my friends, judgmental and not supportive. and if ever I needed some advice, encouragement, support etc...it's now... Nervous but cautiously hopeful, and very much in need of your support... Ellie

Somewhere probably in the second month I tried a sliver (about 10 g) of some bread that my wife made and it was ok, but it was nothing that I had regularly at that time; our program had a fairly rapid progression allowing most anything liquid or soft for the first month and then anything else after that. Sort of related, we did use saltine crackers occasionally early on to soak up excess acid in a queasy stomach (they're basically liquid by the time they hit your stomach) but they were for that specific purpose as they don't have much nutritional value. At around four months I added it more regularly as part of a small sandwich to specifically add some complex carbohydrate into some pre-workout snacks and that worked very well, adding endurance so that I could swim well past an hour. I typically used a normal whole wheat or multigrain bread, not any of the low carb frankenfood breads. Bread is a take ir or leave it thing for me - I don't crave it or avoid it. These days I typically make a couple of small sandwiches for road food when I travel with the dogs a couple times a month - much easier to have on the way or stop at a rest stop with them than to try to work through a restaurant stop with them, particularly in the summer.

This is a nice idea. I don't know if I'll do a bunch of rewards, though my grandmother did a charm bracelet when she lost a bunch of weight. That kind of appeals to me. I might do that. I do have a couple of milestones in mind, though: when I hit 250 lbs - get myself a bike (or maybe I will wait until 220 and get myself a folding bike!) and then I train on that bike until I can do one of those bike tours around another country! no specific weight, but surely by next summer - go kayaking at the local kayak rental place because my butt won't be too big anymore somewhere under 200 - actually go to that other country Hmm. I feel like there were other things I wanted to do that had weight limits attached. (Like maybe going on a hot air balloon ride or a zipline/ropes course. Then again, even at a lower weight, I'll still be a chicken.) Honestly, though? At 250, I think I'll be able to do almost everything I want to, except for being able to fold up a bike. Any loss beyond that is just ... some non-food metaphor that means "super great and very welcome, but not strictly necessary." I might need to lose a bit more than that to feel really comfortable going to an amusement park, say, but that's usually more about size than weight. (I Googled, and Cedar Point has 1-2 adult rides with a weight limit of 220; most rides with limits are much higher.) If I ever want to go snowshoeing, weighing less would be super helpful, to get women's snowshoes. ? But, yeah. Maybe a bracelet charm every 10 pounds. That seems really nice.

My doc requires that we lose 10% of our initial weight before surgery. I'm 60% of the way to that goal, with a probable surgery date in November. (I'm also doing keto, but also trying to keep it low-fat, which makes it pretty seriously low-calorie as well. It's awful, but at least it's fast! I'll meet my surgeon's goal before the liquid diet and, assuming that's also very-low-carb, I'll probably lose another little bit from that, too.)

Had my VSG done this morning. Been in my room since 10 Am. This morning was rough for me between the pain on my right side , had extreme nausea so found a med thats works and on dilawdid on a pain pump. Feelin way better than earlier but a long way to go. I cant have anything by mouth. I vomited earlier too but I am good nowl)

69 lbs in 10 wks?!?!? Wow, great job!!!

So hard to believe it was 10 weeks ago today, we just got back from a 7 day cruise where I took baby bites of pretty much anything I wanted but I didn't overstep anything because I definitely didn't want to spend my vacation sick. I'm so happy to say I lost 4 lb on our seven day cruise which puts me at a total of 69 pounds lost in 10 weeks. I am so excited about the weight loss my surgeon seems definitely very pleased and knock on wood I haven't had any sickness I did have about a 20 to 30-minute bout with the foamies. Which was not very pleasant whatsoever and I researched it to kind of see what could have caused it. So I hope everybody is doing well good luck with everybody that's on either side of the bench and just keep up the great work. Sent from my SAMSUNG-SM-G930A using BariatricPal mobile app

-5 a paperback novel or self-help book -10 CD of your favorite artist or Google Play card

I love this idea! I tried this a long, long time ago on one of my many failed weight loss plans. (when I gave up at the 10-15 lb mark) I think I'll resurrect it just in time for my surgery tomorrow! I tend to prefer fashion, spa or skincare incentives - looks like you have plenty of those already. Travel is at the top of my list right now - we're taking our kids to Disneyland for the first time next August (ages 6 & 9) since I'll be able to fit on the rides for the first time since their adoption. Hubby and I are planning a trip to Kauai for our anniversary next December as well. I think I'll make my goals small items that I'll need for those trips. Also plan to steal some of your great ideas - especially the fitness related ones!

Thanks so much! I actually lost 10 pounds since this post!

Hi!! Sorry for answering so late. Thanks for the feedback! I have started doing all these things and lost 10 pounds so far.

I have a Fitbit and I make an effort to walk a minimum of 6000 steps per day and next week I'm going to raise that to 7000. I've been trying to raise it by 1000 steps every week. For me I've found that it's best to do this in the morning or I sit and obsess and procrastinate all day long about doing it if I don't. And I feel SO much better you have no idea. This coming from someone with Rheumatoid Arthritis who hasn't walked more than 3000 steps per day in at least 10 years.

I was always very regular. Toward the end of the mostly liquid pre-op diet, my BMs became infrequent, and hard! After surgery, I think it was 10 days before I had a movement, and it was a struggle. I started taking a stool softener/laxative combo (2/day), plus Metamucil (3/day). Today is 11 weeks out for me (wow!). I'm still not a daily "goer" anymore, but it's getting better. And it's not a chore when I go anymore. I'm still on the softener/laxative + Metamucil regimen. Hopefully that's not forever. I will admit, the more that I walk the more regular I am. Movement really is the key to movement. Hee.

I climbed 10 flights of stairs in 3 minutes without stopping. I did this twice! Afterwards I did interval training on the treadmill for 15 min with squats then 40 minutes on the weight loss interval training program level 10 for 40 min on the elliptical.

My very first, on my own concert was a doozy. A local band named Shed opened up for what's now one of my favorite groups Monster Magnet who opened up for... Korn. This was 94/95, I believe before Korn's album was actually released, tickets were $10 LOL

I’m having a band to bypass revision on September 18. Had this awful band for 10 years.

Yeah you are right about White Castle, they are v the sneaky,type of Sliders. Midwest Joke How can you,tell a White Casle fiend? Answer- They have 5 little holes in. their 😝 tongue! Now to explain to you in benighted areas. White Castle's meat patties are fashioned with 5 little hole so they cook quickly. Now they have expanded to a few. other sandwiches, onion rings and things that go well with those little chopped onion- blessed critters. They are also known as "cab driver steak" when you're driving a cab they are cheap and quick. Don't take much time away from hauling fares. How do I seem an expert on White Castle? I lived in Columbus for 10 years, about half of those within a few blocks of the 1st at the corner of N High St and W Dodridge, sad to say it is no longer, like the song "they paved paradise and put up a parking lot" but White Castle lives on. For the desperate you can buy them frozen at Kroger's and Wal-Mart. And alas where I live in Mount Vernon, 48 miles NE we DO NOT HAVE a White Castle. We go to Delaware maybe 25-29 miles WSW when we want fresh and don't want to go into Columbus.🍔

I suspect that it will not. 10 days + Aug 14 = Aug 24 < Aug 28. You will probably be given antibiotics while you are in the hospital. But you might alert your surgeon's office to make sure which is what you plan to do.

I didn’t go for almost a week post op. Between the high protein diet, the anesthesia, opiates, they’re all going to cause constipation. Stool softeners didn’t help me, I also had to use an enema. It took me 10 days post op to become regular again. Good luck

@James Marusek Weather history, pattern mathematics, why cats naturally like to be petted, the log cabin playhouse for your grandkids, how pneumonia was the real killer during the 1918-19 flu pandemic, etc. So much to enjoy on your site. I was able to relate to your battles with your insurance carrier. In all fairness, though, I eventually received help from someone from our university system (of Missouri) who was able to jump over various gatekeepers and talk directly to the higher-ups and resolve everything in a day. Also and, of course, thank you for your service.

I found this today actually because I was getting ready to reorder. https://www.southernsurgical.org/wp-content/uploads/2011/10/RYGB-VITAMIN-COMPARISON.pdf I am currently on the Celebrate 45 Multi bandwagon. 2 chewable vitamins a day + 3 chews. That's it. I decided to try the Opurity stuff, since it was on the approval list. 1 chewable multi-vitamin a day + 4 chewable calciums + 1 Vitamin C/Iron pill. A little bit more pills, but it is like half the cost. Knowing the ingredients are not from China gives me a little bit of comfort. I noted on the chart that the Flintstones scored quite badly. Maybe print this out and see what your doc says?

I experience the same thing after a couple of spoonfuls. I’m 10 days post op.

Hi! I'm having my lap-band removed September 13th and once healed I will have the sleeve done. I have been banded for 10 years and I am so nervous. I am nervous that a million things could go wrong and that I might not be able to get the sleeve. My surgeon told me that it would be a two step process so I know its not going to get done in the same day but I am just so worried I would be able to get another bariatric surgery. Before I was banded I weighed 295. My lowest weight with the band was 164. Last Summer I started having issues where my food was getting backed up in my esophagus and making me vomit. My band can no longer take fills. I actually gain weight still with fills. I now weigh 214 pounds. I was hoping maybe somebody is in the same situation as me or have done this as well and can be my support. My family is a great support but obviously they have never had a bariatric surgery before so none of us know what to expect.

Hi! I have been banded for 10 years - and September 13th my band is coming out. I am happy - yet I am sad. It's been in my body for 10 years and I have lost a lot of weight with it until this past year. When I first was banded I weighed 295, I got down to 164 and now I'm at 214. I was rapidly gaining even with fills. I had several barium swallow tests which showed food stuck up in my esophagus. My port has been bothering me as well as its right under my rib cage. Once the band is removed I will give my body time to heal and I will have the gastric sleeve. At first I was against having my band out but now I know I have to get this out as its just causing me more problems