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I have a cousin that had gastric sleeve 5 years ago. She's since gained weight back. But, she also didn't follow the guidelines that were set for her after the first year from surgery. I had gastric bypass in February. The past 6-7 weeks or so I feel like I'm hungry more often than I should be. At least that's what it feels like. Though, I do workout a lot. So, im certain that's most of the issue. Learning that my body is telling me to fuel is different from eating before. When I ate for any other reason other than just fueling what my body needs. Going from living to eat, to eating to live is a process. I hope you get the answers your looking for.

So happy for you! Congratulations on the date, and on making the decision on surgery after a lot of research. I know you really have looked into it and weighed your options over the past several months, which is really good. Now that it's set, definitely take the next several weeks to get in the right headspace. You know how important that is, having been down a similar road before. And I think this time will be different for you. You know what you're up against, and I think you've given a lot of thought to where things went wrong before. That's a valuable lesson learned. This time you're getting one of the most powerful metabolic interventions available. That alone will make a huge difference in the outcome. Just remember that you're going to make mistakes, and that's okay. A mistake is not failure, and it's not a reason to give up! Keep checking in with your support people (including here!) and don't demand perfection of yourself because nobody is perfect. If you can do it right 80-90% of the time, you will be doing the very best you can expect, and it will be good enough to succeed in time. And success takes time. You'll get there.

So I finally reached out my bariatric team and they said my post op appts "slipped through the cracks", So instead of having a 3 and 6 month appt I am have one next week (at 5months ish) that will combine my 3 and 6 month post op appt. ANYWAYS to my point! I got my blood work and everything is normal range! my A1C even went down from 5.6 to 5.3 which is pretty groovy! Also my iron is normal for the first time in my life! However my B12 is 1116 which from what I read optimal results are >500 for bariatric patients? So does that mean I am doubly good? My Vitamin D is at 119 and toxic levels are over 100. So my assumption is I could probably cut back on those vitamins lol. I feel great! I am down to 185 as of last week. Hair is still shedding but tis life. Thanks for coming to my ted talk!

Thanks guys my stall is actually has moved a bit iam now down to 194 but I think its due to the fact that everything has been making me nauseous lately. I know i have not been meeting any of my protein goals and my vitamin intake has sucked. That being said I am not doing so well energy wise but I am trying to switch up my meals to try and get more protein in other ways.

Hi everyone! Just got my surgery date of August 12th. Suddenly it's all so real. So it looks like we'll all be surgery buddies!! I am really excited, scared, hopeful, and anxious. But at this point, I just want it done. I started my liver shrink diet yesterday. It's going great except that protein shakes really don't agree with me. I found one that is not so bad, but when you're drinking 3 a day (that was my doctor's minimum) it's a lot. My husband is super supportive although he doesn't like the idea of me having this surgery because he doesn't understand why I can't just lose weight and keep it off. (I bet you all do, though!) The good news is that he is a great guy and he's been with me every step, which is good because he's the cook at our house. I had my pre-anesthesia call today and I have my last appointment before surgery with the Physician's Assistant on Friday. Two weeks to go from today. I have done a lot of things to get ready. Since I work from home, I got a treadmill and an adjustable desk, so I can get up and walk on my treadmill during meetings. My goal is to walk 30 minutes 3 times a day (I'm up to 2 mph so that's 3 treadmill miles, although I know it's easier to walk on a treadmill than on the street). I don't always get 3 in, but it's SO much more exercise than I have gotten in years. I want to be in the best shape I can for surgery and recovery. I also got a bullet blender, tiny silverware, an electronic food scale, new measuring cups and spoons, and tiny storage containers to put pre-measured portions in so I can grab n' go. (Amazon makes it TOO easy to spend money!) I have read The Big Book on Gastric Bypass and I got several bariatric cookbooks so I can plan meals that meet the post-op requirements. I think the biggest part of all this for me is the idea of eating differently for the rest of my life. I have failed SO many diets (or they've failed me...) that it's really difficult to think I will really be able to lose my excess weight for good. I know that it is all up to me, and I am really hoping that having a tiny stomach and the new, shorter path for food digestion will be the key I've been looking for. I think it will be, because if I have a reason why I must eat small portions of nutritious foods and cannot eat sugar, that will make it much easier. Before, I could always say, "Oh, screw it, I'll just try again tomorrow" and give in to "mind hunger". That is why, like many of you have said, I will definitely need your support, and the support of my surgeon's clinic, to be successful in the long run. Thank you all for sharing your experiences and may we all be celebrating our successes together soon!

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

I had the Sleeve 3.5 years ago and I’m pending revision to SADI or bypass (Bypass if he gets in there a can’t do SADI for some reason). From what I have seen on these boards the post op pain level for the sleeve and bypass is pretty similar year still different from person to person. I think the main difference between someone with an easy vs tough recovery depends on whether any air gets trapped in there and causes gas pain. I was really fortunate with the sleeve that I didn’t have any gas pain at all and my recovery was quite easy. I was up a couple hours after being back to my room Bugging then nurses with questions about my urine output 🤣 At one point I even questioned whether they had somehow forgotten to do the surgery. I did feel like I had done about 1000 crunches. And I had to use the bed rails to assist in sitting up for the first day but if I was just lying or standing I felt normal. I even said I didn’t need pain meds right away. They said they suggested they wean me down because I was already on some and may not know it if I’m in pain. I went home the next day on just Tylenol but with a pain script just in case. I did feel fatigued for a while so I took naps daily and I waited the full two weeks before I did much as instructed but I FELT like I could do most things if I had tried. It is an adjustment to remember all the vitamins and figure out what to drink or “eat” and when but I set alarms on my phone and that helped quite a bit. I actually just created alarms for every half hour and then toggled them on as needed to plan my day. You are a step ahead of the game that you are already here and established where you can get support and ask questions if you have any I didn’t find this site until a couple of days before so I was still figuring out how the thing even worked while working through the rest of it. The people here are incredibly helpful to answer questions, cheer you on or just let you vent if you have a bad day. The main thing to keep in mind is your goals and your reasons why you are doing the surgery and that will get you through it. If you ask everyone if they have any regrets about Weight loss Surgery the most common response it that they only wish they had done it sooner. After a few months you should be in your new groove, just losing weight and noticing that you can already do things you haven’t been able to do. If you haven’t already, Check out the “weirdest non scale victories” thread on this site. It sorta turned to just normal non scale victories but it’s pretty inspiring

Does anyone have vitamin suggestions? I am 5 weeks out from surgery. I used bariatric fusion soft chews and the bar is so high now cause it is honestly like candy. I thought of subscribing to it and getting 4 packs at a time but it isn't the best pricing, although if needed I will do it for sure. I initially got them for the first month so I wasn't dealing with massive tablets right away. This week I implemented tablets again and OMG I regret it immediately. I had the WORST nausea since getting this procedure. I was so close to vomiting, my heart was accelerating, and I was shaking. I took it with yogurt in the morning. I haven't had anything happen to me when it comes to my stomach even the first few days after surgery. I am avoiding tablets and capsules for now. My doctor also told me to not use gummies due to the sugar. I am open to gummies if they are sugar free. I would like to eventually buy in bulk but wanted to explore my options before I commit to the soft chews. Does anyone also have suggestions for calcium citrate? Those tablets are even worse! I used caltrate chewables but was reminded it was the wrong one! Let me know what you think folks!

This is not as easy as people think the weight really does not just fall off. I have been having to work for every tiny scale victory lately and if I don’t eat and drink right it creeps up the wrong direction just a bit. I‘’m sorry you’re at a stall too. I know how frustrating it can be. All I can say is that you have made so much progress in the last few months and you look amazing!! You are out there climbing cliffs!! No way would you have been doing that last year. This time next year all this stalls will be a memory and we will all have made it through it. Just keep doing what you’re doing and the scale will move again soon. ❤️

Hi, I had surgery a week ago. Since then I’ve had this fear my stomach is going to stretch out by drinking too much water or food. I’m so scared that I’m barely eating and drinking. I’m spacing out my liquid diet by 30 minute intervals. I’m I worried too much? Did anyone else feel like this at first?

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!

read as much as you can (hanging out on this forum should be very helpful!) and start trying to eat a really healthy diet - lean proteins, fruits & veggies, whole grains. You may or may not be required to lose weight before the surgery, but I was - I think 20 lbs or something (it's been over nine years for me, so I can't remember the exact number). I worked with a dietitian for six months (actually required by my issurance) and she had me eating 2300 calories/day in addition to focusing on types of food (same ones I mentioned - lean proteins, fruits & veggies, whole grains). I ended up losing more like 50 lbs rather than just the 20! Also, some programs (but not all) require you to give up caffeine for the for the first few weeks or months after surgery, so she also had me gradually wean myself off of it (replacing regular coffee with decaf a little at a time until I was on total decaf). She also got me exercising - slowly at first (I think I started with walking - but I eventually added swimming, too). All this really prepared me for post-surgery life, and I think made it all much easier.

This usually means you lost some fat and gained some muscle mass. Which is a good thing! yay muscles! over the last several months (due to my increased exercise regime i assume) my 7 day running weight average has increased by about 3 lbs, but my pants are falling off me again like those fun early weeks immediately after WLS (and my pants are already pretty small to begin with omg). but i also think this is a good thing though:...yay shopping for new pants! lol do you take your body measurements regularly? sometimes looking over historical body measurements over time paint a better picture than the number on the scale....

Food from the last week- lemon vegetable orzo and garlic cheese breadsticks (ate it all) Sheppard’s pie, roasted red pepper ranch cucumber salad, and fresh pineapple (ate it all) Not quite a frittata but spinach, bell pepper, chili powder caramelized onions, mushrooms, garlic, sharp white cheddar, with rosemary sea salt and saffron infused eggs alongside a slice of brioche toast (ate it all… I think?) The blue cup has light mocha iced coffee in it- drank all that. steakhouse seasoned burgers- mine was on a Hawaiian roll with roasted red pepper mayo, pepper jack cheese, Vidalia onions, banana peppers, and pickles (lettuce and tomato on the side) alongside Parmesan ranch smashed red potatoes. (Obviously didn’t eat it all) Im still not counting calories right now but down another lb so I’m not worried about it.

As the weeks & months pass we slowly but surely increase our intake so I wouldn’t think the low calories we consume is truely sustained as it’s continuously increasing. And it affects our metabolism in the way you’re thinking either. The recognised benefits of weight loss surgery include resetting your body’s set point, digestive hormones & metabolism. Of course the resetting is different for everyone but there is improvement fir everyone & I so love & appreciate how it did that for me. I spent years & years eating one meal a day or skipping lunch & only eating two meals a day. That is sustained low calorie in my thinking ( years not months) & yes it did wreck my metabolism. I could barely lose anything even following those 500 calorie a day diets (talking a couple of kilograms over 6 or more weeks). Similarity to @ms.sss, in the first weeks after surgery I was eating around 200 then 300 calories. By 6 months, at my goal I was barely consuming 900. My weight finally stabilised at 18 months when I was consuming around 1300. Now at 5 years post surgery, I eat about 1600 calories yet am still the same weight I was when I stabilised. And unlike @ms.sss, I’m not what anyone would describe as active. Just do a series of exercises using residence bands & stretches at varying times through out the day. I wouldn’t burn 30 calories. BMR calculators do give you an idea of what your caloric needs might be but as @ms.sss said the results are based on averages much like BMI & the calculators that suggest how much weight you may lose after surgery are. The averages only take into account some basic factors & don’t consuder your individual needs, medical & weight loss history, genetics, activity levels, muscle density, etc., etc. Actually, have you considered doing a dexa scan just to see where you are in regards to muscle & fat density now & repeating it in the future to see your progress? Weight loss can continue for 18 months to 2 years after surgery so don’t give up yet and you won’t actually know what your caloric needs are until your weight has stabilises for some time - months or a year. PS - My surgeon & dietician also didn’t advise to count calories. I just did it randomly out of my own interest & curiosity. Quality of the food I was consuming was more important.

The stalls aren't fun. But I've been reassured by the baritastic dietician and doctor that it is part of the process. It's just a tough thing to swallow when the number don't move. Sounds like you need a little rest from traveling. But, I understand work. The past month my sleeping habits have gone sideways. I'm constantly waking up at night. I wear a bipap for sleep apnea. Also have a smart watch that help tracks sleep. My REM sleep has been less than 45 mins a night.

I started my bariatric journey in October 2023. In the picture I'll post is a recent picture @ 236 lbs. the other is me last July at 363+ lbs. From October to my surgery date Feb 7th 2024 I lost 79 lbs. Around 15 of that was after the two week liquid diet leading up to surgery day. I've lost 48 lbs. since surgery. Which doesn't seem like it, since I have had stalls. Despite having a torn meniscus since last June. I workout nearly everyday. Walking when tolerable, but usually on a stationary bike along with lifting light weights. Nothing crazy. I feel like I lose inches far better than I lose pounds. For the first time since 2003-04 I can wear a large shirt without all the XXXX's on it. This was definitely worth it. But, I also feel lucky. I've not had any big issues.

I slept in a recliner for a little over 2 weeks, and then got a wedge pillow for my bed to transition. I also slept with a pillow next to me for a while to discourage rolling in my most-common direction. XD Like others have said, your taste buds can be really all over the place after the surgery. I found a brand on Amazon called ProtiDiet -- their chicken protein soup was a godsend in my early weeks. I still like it now tbh. My team allowed sugarfree puddings during my liquid stage, and stirring some unflavoured protein powder into the pudding (after it was already set! wait until it sets!) got me through some rougher moments. See if you can find smaller samples of protein shakes (premade or powdered) until you find one you can keep down. After my surgery, anything with stevia caused me to vomit, and erythritol made me nauseous but not nearly as bad. Even now, I can really only handle sucralose/splenda and aspartame sweeteners (or monk fruit in low doses). You might be reacting to the sweetening agent in your protein shake. Also, most care programs I've seen seem to prefer whey protein to all others (for good reasons!), but some people develop lactose intolerance Post-OP -- so something else to maybe look into? I'm lactose intolerant and had trouble with whey at first but my body got used to it after about a week. We're buds now.

Hello long time no speak! I had my vsg 4 years ago . With the typical stalls of loosing weight. As I approached my goal weight . The scale keeps going down. To the point I’m now underweight . Was told not to loose any more. Blood test all come back great. She did order an upper GI . Why? I have no pain or heartburn. i can eat and eat and eat. Half cup or less at an time even wake up in my sleep to eat. I feel as if my body is starving . I’m sure I’ll get the back lash but I know I’m not the only one suffering. If you happen to see a form on here please let me know. I don’t want bad eating habits like chips . Pop . Candy . But I am to keep the scale from moving in the negative 😢

I'm the same way, one little off step for me is a slippery mountain. Knowing this I am very regimented, I have a schedule/routine for taking my vitamins etc., it becomes muscle memory for me that way. One "just this time" and I start sliding full clip. Unfortunately, it IS a full time job, but as the saying goes the best for your future is to be your own boss - you never get rich working for others. Work towards your health and future. This is how I put myself on a routine: 1. Purchased a "Hidrate Spark" (water bottle that lights up to remind me to drink with an app to track and also remind me) annoying but it helps. 2. Purchased a 4 times a day 7 days a week vitamin container that I have set up with reminders on my phone I put right next to my coffeemaker. I used Velcro to attach it to my phone case. Its always with me. 3. A picture of myself on my frig/cabinets at my heaviest to remind me why. 4. Remove ALL temptations from the house. My husband wants junk food he goes out. Lastly, I hate hate working out so I purchased a weight vest and weight gloves which I wear all the time as I'm cleaning, walking etc. I also, IF I want a "treat" (Yasso Greek yogurt ice cream bar) or a no sugar fudgcicle I do some squats, leg lifts before I treat myself etc.. Just remember its baby steps, if I deny myself all at once I become resentful and angry. So, start with one improvement and do it consistently until you no longer have to remind yourself or you do it regularly then add the next health improvement to your routine. If I can do it, YOU can do it. I come from an entire family of smackers and grazers who are all thin - I recognize its a battle, unfortunately now its a lifetime battle and I finally decided being thin is soooooooo much better than being fat so I strap on my warrior armor and do what I have to do. Ask yourself what YOU want out of life and win the battle - period!

I am almost 12 weeks post-OP and have only once felt 'hungry' -- and have yet to feel full. No matter how slow and mindfully I eat, I have to rely on portion sizes to tell me when to stop. My care team says I'm lucky for now, but that it won't last -- sometime in the first year it'll come back. Note: I can certainly feel other things though. I can tell within a five minute window if something is going to give me trouble from the dryness / etc. There's a feeling low in my chest that feels dry and clogged. Certain foods also sit heavier in my stomach -- starchier/heavier vegetables like cauliflower, sweet potato, etc. But they still don't make me feel full, more like hyper-attentive lol.

Things have been going well! After some very slow weight loss in late April thru May, June is really looking up. With my 4-month mark just a few days away, I'm down about 61 lbs from my highest weight, which includes 35lbs since my actual surgery. I'm looking forward to hitting the "overweight not obese" milestone soon, just 5lbs to go! And 35lbs to go until I reach my weight goal! My hair thinning is just starting. My hairdresser styled it a bit shorter when I went yesterday and she'll suggest a new style if it becomes needed. But it's not too bad yet. Thankfully, I don't have any issues hitting protein and water targets. I usually have a protein shake in the morning to start the day and I put around a cup of Fairlife skim milk in my 32oz morning decaf tea, so that's 36g protein before I even have food, which I do a few hours after I get up. I can eat around 15-20g protein when it's solid food. I like Greek yogurt with berries and nuts for breakfast and often do a salad with chicken strips for lunch. Dinner is all sorts of things. The protein shake I use is Syntrax Nectar Natural in orange flavor, which vaguely reminds me of orange TANG. It feels sort of like having a glass of orange juice, enough to not be too weird in the morning before I'm fully awake. The rest of the flavors are just disgusting, although I am okay mixing a scoop of vanilla with some frozen pineapple and a splash of water or milk in a blender to make a frozen treat on a hot day. I do have about 1x a week issues with vomiting, triggered by different foods each time but usually either due to eating too fast or something being too dry. It's hard because a single bite can trigger it so it's very unforgiving. I've started carrying a small hospital-style vomit bags (found on Amazon) in my car and purse so that I won't be caught in an uncomfortable situation in public.. So far, I haven't needed them, but it makes me feel better to have it with me. I'm going on vacation next week and planning to bring along some protein bars and easy snacks like roasted edamame and beef jerky (which I found in 50-calorie packs at Dollar Tree). Once I'm home, I'm hoping to do some meal prep and try some new recipes because food is getting boring and kind of a chore. I don't really experience any hunger, so remembering to eat and making myself eat regularly is a nuisance.

as for whether subsisting on a very low calorie diet for a prolonged period of time affects your BMR (metabolism) in the future, there are arguments for AND against. one particular study that i found intriguing was the "Biggest Loser Study"..that found that contestants that participated in the study ALL ended up with lower BMR's than before weight loss...EXCEPT for the one contestant who ended up getting WLS. that one person's BMR did not lower like the rest after his wls, in fact, in went back up. obv, the sample size was very small, and the subjects were only observed for 6 years, but still. something to ponder. you can read the study here if you are interested: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4989512/ or, if you want an easier NYT-read of the same study, here is a link to a more reader-friendly version: https://www.nytimes.com/2016/05/02/health/biggest-loser-weight-loss.html now for a personal anecdote: i was 300 calories A WEEK for the first two weeks, then 300-400 calories a DAY for a couple months, then 500-600 the next couple months, then 700-800 until i reached goal at at 7 months. i'm 5'2" and at 7 months i was 127 lbs. fast forward almost 6 years post op and i am consuming 2200+ cals a day and i'm just under 120 lbs. however i also do quite a bit of dedicated exercise (1.5 to 2.5 hours daily), plus other active stuff i just do for fun in daily life. BUT...when i wasn't exercising as much as i am now, i was maintaining at about 1800 calories a day...so at least for me, i don't think my BMR/metabolism was negatively affected after a sustained low cal diet...if anything, i think it got better...though i probably have all the exercise to thank.

Sigh.....I need to figure out how to maintain and not lose more weight. Wanted to stop at 190....but now I can't figure out how to stop losing!!!! Never in a million years did I think I would ever have this problem. I can't add more carbs because I'm SUPER sensitive to them and too many make me REALLY sick. I tried adding more calories, but because I work out 4-5 days per week, it's actually causing me to lose still. So weird. I tried eating more small meals and snacks more often, but honestly, I already have 3 meals and 2 snacks per day, and eating more just makes me sick to my stomach because I'm trying to force myself to eat when I'm not hungry. Any help or advice would be greatly appreciated. I know my secret goal was 180, but I actually like how I look and feel at 190, so I'm not really looking to go lower. Yet here I am....going lower.....

"- Still have fun but track their calories and weight DAILY." This is me too. 1. What are your golden rules to successful maintenance? I've found that sticking to a monthly calorie average rather than a daily one gives me the flexibility I need. If I go over my limit for a week, I know I have time to balance it out. This approach prevents me from being too harsh on myself for one bad day. For instance, my goal for June is to maintain a daily average of 1550 calories.This method has been crucial for my success. In the past, focusing on daily or weekly limits led to self-criticism and was counterproductive. It took some time, but I’ve learned that this is a life long game. By being kinder to myself. I've made much more progress. Even naturally thin people overeat occasionally; the difference is they don't punish themselves or give up. 2. How did you manage the mental shift (navigating fear and uncertainty) while transitioning to maintenance? The shift for me came pretty naturally. I eased into it slow. I remember in the beginning that if I lost a pound or so that month I would adjust my calorie intake, small increments so I wouldn't get used to too high of calories. It's always a slippery slope when you have a history of overeating. I adjusted it month to month, until I got to the point that my weight was stable month to month. 3. How much indulgence do you actually allow yourself? I don't have any absolutes. I do try to eat healthy 80/20. I try to eat 5-8 servings a day of fruits and vegetables.