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I Am Not Really Seeing The Weight Loss I Was Expecting
Lipman replied to Hey Man's topic in Gastric Sleeve Surgery Forums
I will add a little math to the equation here: You lost a bunch of weight pre-diet, of which, a very large portion of was water weight. Once you get past that, it can be broken down into a simple calories in - calories out (this is too simplified, but it will get the job done). I went to a website (https://www.garnethealth.org/news/basal-metabolic-rate-calculator) and made some random assumption as your gender/age/etc, and got a resting metabolic rate of just over 3100. Add on another 900 for activities during the day and you are at a nice round 4000 calories burned each day. If your intake is around 600 calories in, then you are at a 3400 calorie deficiency. A pound of fat is roughly 3600 calories, so everyday you should be losing 3400/3600 ~ .95 pounds. So just under a pound a day. That being said, water and other factors can make this fluctuate day to day. Also, all of these numbers are averages and vary from person to person. So if you are noticing less, then maybe your BMR is a little lower than 3100. I was at 307.6 the day of my surgery, and 285.1 3 weeks out or 22.5 pounds down. Since then, I have been consistenly loosing about .6 pounds per day. Not every day, but on average. Stick with the diet your doctor/nutritionist gave you and give it some time. It takes 12-18 months for all of that weight to come off. -
Food Before and After Photos
ms.sss replied to GreenTealael's topic in General Weight Loss Surgery Discussions
strawberries and ketchup chips. ya, i know, kinda weird. i was in a rush out the door and i was hungry. 188 calories. ate it all. Lesson for the day: keep healthier options around for a quick grab, lest you lunch becomes strawberries and ketchup chips. 😜 -
Can’t Get to My Goal Weight
maintenanceman replied to LoriM13's topic in Gastric Sleeve Surgery Forums
I wonder if you're eating enough? Do you know what your daily calorie intake is? If you're ravenously hungry, your body is trying to tell you something. -
yes it is tough - and I agree with everything Arabesque says. It's a struggle just to maintain my weight (eight years out). I try to eat fiber, healthy fats, and plenty of protein every day to try to keep from getting too hungry (all three are filling). I also keep sugar free popsicles, sugar free Jello, and raw vegetables around (and fruit, too - although that has more calories) so that there are "safer" things to eat if I can't control my hunger. But I know it's still a challenge.
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Plateau for too long
Arabesque replied to Miimii_Roci274's topic in POST-Operation Weight Loss Surgery Q&A
I agree with everyone. Do not reduce your calories. Everyone is supposed to slowly increase their calories as they progress until they reach a point of maintenance. I also suggest you get back in contact with your surgeon & dietician. Personally I think it’s terrible your surgeon or a colleague who does their follow-ups hasn’t seen you since month 3. (I saw my surgeon regularly to begin monthly then two monthly. From 6 months & my goal I had three monthly appointments with his colleague in their rooms. At three years I started 6 monthly appointments.) The other consideration is you may be at your body’s set point. Your goal weight is one you chose not what your body chose. Remember not everyone gets to their goal weight. The average weight loss for sleeve or bypass is about 65% of the weight they are to lose to put them in a healthier weight range. You have already exceeded the average which is fantastic. Also could you update your profile with details of your surgery weight, etc. It helps those of us who respond get a better idea of your situation & offer more appropriate advice & suggestions. -
First, congratulations on your weight loss. It’s a fabulous achievement - please remember that. The hard truth is not everyone gets to their goal weight. Your goal weight is a number you chose for various reasons significant to you but your body has it’s own goal weight - its set point. This is the weight your body is happiest at. It is a weight that’s easiest to maintain & your body will keep pulling you back to. Your set point is what makes it hard to lose weight & easy to put back on any you did lose back. The surgery lowered your set point from what it was but you can’t control what the lower level will be. Be careful as you can increase your set point again by eating to excess & making poor food choices. Yes, increasing your physical activity & building muscle will increase your hunger. The trick is to balance the hunger with the calories your body needs. Check your basal metabolic rate to give you an idea if what calories your body may need to maintain. Seeking support from a therapist may help especially with your cravings & late night hunger. Many find therapy very beneficial to support their weight loss & manage their maintenance. Therapy will help you identify what’s behind your cravings & hunger & reflect on your relationship with food. Your surgeon or team should be able to refer you to a suitable therapist (one who specialises in disordered eating & is knowledgeable of bariatric surgery). All the best. PS - I found it helpful to get the ‘bad’ food out of my house. If it’s not there I can’t eat it. I know it’s not always possible especially if you have a family but even if you got rid of the your favourites would help. Try to pick a healthier option. Want sweet try some fruit. Want salty or crunchy try roasted fava beans or chick peas. Of course even ‘good’ food eaten to excess will lead to weight gain.
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Plateau for too long
Not sure replied to Miimii_Roci274's topic in POST-Operation Weight Loss Surgery Q&A
Agree with the others, 800 is very low. Have you calculated your basal metabolic rate? Example I’m 48 years old male with a basal metabolic rate of 75 calories per hour (changes slightly daily and as you lose weight). So the math for me is 24hrs X 75 = 1800 calories per day just to breathe and live any exercise would add on top of that, I power walk daily for 10km minimum and add about 700 additional calories burnt for 2500 calories burned per day. I currently consume about 2000/day and still losing weight. Talk to your nutritionist about your caloric intake and hopefully they can give you some insight. Best of luck. -
Plateau for too long
learn2cook replied to Miimii_Roci274's topic in POST-Operation Weight Loss Surgery Q&A
Like others have said 800 calories is not much. I have mostly gone into maintenance at almost 2 years and I’m at 800-1000 calories a day. But, I was a yo-yo dieter for years, AND I’m post menopausal. I still talk regularly with my dietitian and I suggest you do too. Good news, I recently dropped another five pounds due to rectifying my low iron count in the labs. The dietitian said that the body holds onto weight if it’s missing nutrients. I’ll still strongly suggest you talk with your team to figure out what is causing the halt. -
Plateau for too long
Tomo replied to Miimii_Roci274's topic in POST-Operation Weight Loss Surgery Q&A
I'm short, not young nor do I formally workout but if I ate 800 calories a day I would be dropping serious weight and I weigh 107 +/- 5 lbs and my maintenance calories is about 1450 to 1550 cal/day. So like others, I really think you should talk to your bariatric team to discuss why you already entered maintenence with so little calories and have a dietician check your food log. 800 calories a day is already extreme, and I think going down to 400 calories a day would be even more harmful to your body long-term. -
Plateau for too long
NP_WIP replied to Miimii_Roci274's topic in POST-Operation Weight Loss Surgery Q&A
I agree that you should reach out to your surgeon for guidance since they all have different plans and ways to do things. Personally, I think you are not eating enough calories. As per my doctors guideline I was 600-800 calories at 3 months post op. Now I usually do 1000 with exercise and I have not plateau. If I have a slow week is because I did not meet my fluids a day or two of the week, or I consumed too little calories. -
Plateau for too long
Jonathan Carlson replied to Miimii_Roci274's topic in POST-Operation Weight Loss Surgery Q&A
Definitely check with a Dr before you drop below 800 calories Are you exercising at all? -
So I'm concerned, I'm 10 months post op, the first 5 and a half months I lost 70 pounds which is great but I have been the same weight for almost 5 months and I don't know if it's normal, I'm still supposed to lose another 20 pounds but I don't know if my surgery failed or what? My surgeon hasn't checked up on me since 3 months after the surgery. I've been on my own since then so I don't know, did I hit my limit? Am I not going to lose anymore weight? I've been consuming around 800 calories more or less every day now, but I'm considering to drop it to 400 to keep losing weight. Idk what to do I'm desperate, I supposedly have until August to reach my goal weight (the one set by the doctor) also I'm planning on getting tummy tuck and excess skin removal surgery and breast reduction on December but I need to reach my goal weight. What could I do, what do you recommend. Please help.
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How soon did you travel after VSG?
BigSkyLife replied to LMorales's topic in POST-Operation Weight Loss Surgery Q&A
Hey there, little late but I flew to tijuana for vsg. I flew home 3 days after my surgery. I was in the airport all day long. I did fine, but was on an all liquid diet so barely getting 200 calories a day. You'll be almost a month PO so you should be fine. Bring healthy snacks & a water bottle with you. Also, I CANNOT EXPRESS enough, wear compression socks! I always wear them when flying & for whatever reason I didn't wear them flying home & my legs, ankles & feet were so swollen it was painful & awful. Took 2 days of icing & wearing compression socks all day & elevating my feet in the recliner to get them to go down. Hope this helps! Any other questions let me know 👍 -
Food Before and After Photos
ms.sss replied to GreenTealael's topic in General Weight Loss Surgery Discussions
homemade bbq smoked brisket (this took me over 12 hrs to make the other day!!), and some leftover pita that i turned into chips by sprinkling with olive oil and seasoning then putting in the toaster oven for a bit. yesterday i had some of this brisket with some bbq sauce i found in my father-in-law's fridge, which resulted in a mild dumping episode. guess the sauce was too sugary cuz i promptly fell asleep and then barfed a little when i woke up. so today i paired it with some seasoned vinegar which seems to be more to my stomach's liking lol. 506 calories for this bowl plus an espresso martini i had beforehand. ate roughly a little more than 1/2 of what i served out. wont be adjusting the amount in MFP because i totally plan to eat the rest for dinner later. i already told the fam hands off my leftovers. only time will tell if they listen to me! -
Bariatric surgery - long term
Arabesque replied to vpsdub's topic in General Weight Loss Surgery Discussions
I had my sleeve four years ago at almost 54 so a little younger & also female. Also no diabetes or other co morbidities. I lost all my weight & more & have basically kept it off (apart from a slight hiccup with a medication absorption issue). My fluctuation weight initially was 48.5-49.5kg & is now about 49.5-50.1kgs - maybe my weight settling. I am careful with what & how much I eat. Which you would be already doing a lot with managing your diabetes. I mostly eat whole foods that are low or no processed. I’m not really active: just stretches & resistance bands - wouldn’t burn 30 calories. The changes I made to what & how I eat were sustainable & easy to manage. I don’t feel like I’m missing out or making sacrifices to maintain my weight. I also feel my choices aren’t negatively impacting how I want to live & enjoy my life. If the opposite was true & I felt I was missing out or couldn’t enjoy my life I would not be able to maintain & would have been gaining weight . But yes things do happen in life that throw a lot of that out the window: personal & professional stress, emotional traumas, health issues, etc. Our weight can resettle into its new set point (where it’s most happy) which is higher. Our initial way of eating may have been too restrictive & unsustainable to maintain a lower weight. Or we simply become a little complacent. I didn’t have any complications or issues post surgery but my tummy can be a bit fussy - quirky - & I have random episodes of the foamies for often unknown reasons. There are certain foods I can’t eat (like breads, pasta & rice sit heavily in my tummy) but it doesn’t bother me. There were foods I couldn’t tolerate before surgery or avoided because my tummy was always a bit fussy, had some sensitivities & to manage my reflux. So no big change really. -
When did you start drinking liquor post op ?
Arabesque replied to Cheesekitty7's topic in POST-Operation Weight Loss Surgery Q&A
I had a gin & tonic (well & regularly stirred to reduce the gas), which I truly sipped for hours, at about 8 weeks. Then another one about a month or so later. Honestly they didn’t taste the same & I didn’t enjoy them as much. I chose G&Ts as I was very sensitive to sweet & preferred the bitter of the tonic. I only have a drink maybe once a month or less often. Usually only one. I still take a while to drink it & sometimes I don’t finish it. I don’t know if the alcohol affects me more quickly or if I process it more quickly as I drink so little & so slowly to make a real judgement. I used to have a large glass of wine or scotch (or both) every night, sometimes one at lunch too if out. but I really don’t miss it now. My friends all drink & it doesn’t affect our dynamic if I don’t or only have one drink. More champagne for them they say! I’m more selective about what I drink - quality over quantity hence the champagne. May be remember all the empty calories your friends are drinking while the number on your scales continues to go down. -
Cravings am I over eating
Arabesque replied to Quetta89's topic in POST-Operation Weight Loss Surgery Q&A
Check with your dietician for meal ideas & guidelines about portion sizes, calories, nutrient goals, number of meals a day, etc. Then measure, weigh & track your food every meal & then make the necessary changes. If you are eating too many calories, swap out your food choices to more nutrient dense foods & foods that are lower in fats, sugars & carbs. Look to whole & low or no processed foods. If your portions are too large, reduce the sizes. Make sure you’re hitting your protein & fluid goals every day. It will always be better to eat real food than have a protein shake once your through those initial stages post surgery. I didn’t have another shake after the liquid stage. I know some people do continue to have shakes but I’m a believer in learning & establishing new & life time eating habits & food choices that work in your lifestyle as soon as possible. Shakes aren’t really sustainable in the long term & can feel like you are restricting or limiting yourself. I believe people put on weight after being on a shake diet because they relied on the shakes & didn’t learn how to make better food choices or change their eating behaviours. Fluctuations while you are losing are to be expected. Your weight loss isn’t a consistent straight line down. It will go & down & plateau. As long as the general trend is downwards you’re okay. -
Food Before and After Photos
ms.sss replied to GreenTealael's topic in General Weight Loss Surgery Discussions
a fellow BP member recently DM'd me asking how i get up to 1800 cals a day when my stomach capacity is relatively "small". This is how. I eat often eat high calorie/low volume foods. Today's evening snack: 53g of chicharron w/some dipping sauce for a nice 319 calories. Ate it all. (I also went to an AYCE lunch with the entire extended fam for father's day today that clocked up 870 calories comprised of a couple cocktails, 2 cute little peking duck "wraps" a couple spoonfuls of tofu pudding and a couple bites of strawberry shortcake...no pics tho. Aside: i hate AYCE establishments: never feel like i ate enough to warrant the price, the food is at best, just OK, and you never have everyone all sitting at the table at the same time for hearty conversation cuz they all off getting food at different times. Just my 2 cents. Further, i had an entire sausage mcMuffin and 1/2 a hash brown that i ate off an on while sitting in a hairdresser chair getting hair extensions installed over 4+ hrs this morning ...more on that later! AND, i had about 1/3 cup of the bbq brisket that i brought over to my FIL that i made the other day.) so as of right now im at 1839 calories, if i don't eat anything else today. So yeah, thats how. btw: My chicharron snack: -
Hey y'all I haven't posted in a while but I need y'all. I feel like I'm over eating. I've been eating 4 small meals a day but I stay active. I walk at least 3 miles a day and I exercise twice a day morning and before bed and my weight seems to be going up but now it goes back down. I'm sticking to my diet but my calorie intake may not be good. I need advice please help. Sent from my moto g power (2022) using BariatricPal mobile app
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we were allowed to have them on the pre-op diet (and by this I mean the two-week liquid diet my clinic required), and I don't think they made any changes to that except for the last 24 hours before surgery, when we had to clear out our system in preparation for surgery. Check with your clinic. Fifteen calories is nothing - but if they want zero calorie fluids to do the final prep for surgery, then yea - in that case I would probably avoid them.
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Too close to the ER today (long post)
catwoman7 replied to BypassTheBS's topic in Gastric Bypass Surgery Forums
I'd agree with Arabesque that it's probably too much activity too soon after surgery. Your body's still healing, and you're not taking in enough calories to support strenuous activity yet. And low blood pressure/low blood sugar are issues with some of us the first few weeks. It was probably a combination of things. about alcohol (and I know you said you weren't drinking. but just because the other commenters addressed it...), we were told to wait a year. I waited more like three years. The first time I drank it slowly and in a "safe" place since I didn't know what kind of effect it would have on me. I remember getting really buzzed really quickly on just one glass of wine - although the feeling left more quickly than it would have pre-surgery. I do drink now (eight years out), but it mostly consists of a glass or two of wine (and usually only when I'm out with friends) about once a month. But then alcoholism runs on one side of my family (two uncles), and with my addictive personality and my re-arranged digestive system, plus the fact transfer addiction isn't uncommon among bariatric patients, I never wanted to risk it. -
Too close to the ER today (long post)
BypassTheBS replied to BypassTheBS's topic in Gastric Bypass Surgery Forums
Yea the team & I do have a talk on Monday. This was a major learning lesson for me The EMT said exactly that i wasn’t getting in enough calories and the liquid IV was dehydrating me faster because of it. So they gave me some fruit snacks to get back on my feet & my friend took me for real food -
Too close to the ER today (long post)
Arabesque replied to BypassTheBS's topic in Gastric Bypass Surgery Forums
You just had a pretty major surgery & are still recovering it’s no wonder you passed out after undertaking what is quite a strenuous activity for you at this time. Though you hit your protein goal you still are eating very few calories, possibly have some low blood pressure & maybe some hypoglycaemia (sugar drop) as well. Check with your team as to their activity recommendations. Many of us are advised only gentle walking for the first weeks, slowly increasing. Take things slowly & listen to your body. While you are recovering you can’t do exactly what you did before surgery but you will again soon. Not being able to drink alcohol after surgery isn’t an absolute no @Carol97045. Sure if your post surgical plan says no alcohol for a period it time, it is best to follow that. But after that there are a few considerations around the consumption of alcohol post surgery. Empty calories & carbs is one. The habit of usually eating high fat, high sugar, high calorie, highly processed food while drinking. How your body & changed digestive system tolerates it & processes it (like feeling the effects more quickly). The most important is the possibility of addiction transfer - from food to alcohol. Does this mean you can never have alcohol again? No. What it means is you have to make your own choices around whether you do or don’t drink & if you chose to drink how much & how often based on those considerations. I drank while I was losing. Had a gin & tonic at about 8 weeks. Nursed that drink literally for hours & didn’t have another drink for another month or so. Four years out & I still only have a drink maybe once a month & usually only one. I still take a while to drink it or sometimes don’t finish it. My choice. I don’t enjoy it in the same way either. And I used to have a drink every night. And I’m far from being alone in continuing to consume alcohol. -
I'm getting so frustrated, 7 months out and almost 2 months stalled
Arabesque replied to SuziDavis's topic in Gastric Sleeve Surgery Forums
I eat more now than I did when I first stabilised. Then I ate about 1300 calories & did for about a year. I eat about 1500 now & have been pretty consistent at my weight (since we sorted out my HRT malabsorption issue) at about a kilogram more. Before surgery I could barely lose a kilo eating 900 calories so I love that the surgery boosted my metabolism. As most know I don’t ‘exercise’. Just stretches, use resistance bands & try to be more active in my everyday life. I did sit-ups for a while but had to give them up because of a retinal issue. Honestly even when I was doing 100 sit ups a day I was barely burning 30 calories so even less now. According to one of those online calculators my BMR requires an intake of about 1500 calories for someone my age, height, weight & activity level. I only discovered that a few months back & some time after I settled at my current calorie intake so the calculator was pretty much on the mark. It would be higher of course if I was younger, taller, weighed more &/or was more active & other factors too. As @ms.sss said it really does depend on the person. You just have to find out what works & is best for you. I also don’t count calories or weigh my food every day just do random checks to keep myself honest. And I haven’t had skin removal either. -
May be only 15 cals each but they are not zero calorie. The sugar alcohols can cause tummy upsets and may have a laxative effect if you have too much of them. If you are having surgery on Monday, you don't want to be having tummy upsets or worse which could cause dehydration. You don't want to be dehydrated before surgery.
