Search the Community

PCOS is absolutely something that will make this harder. I have it, and I've had to fight for every pound lost. PCOS causes, among other things, weight gain without the real ability to lose the weight. It just holds on to it. While there's no actual "pouch reset" per se, there is the option to get back to basics with what you eat, how much, how often, and how you move your body. It's more resetting your mind and reminding your body what it's supposed to do and not do. For me PERSONALLY, on non work out days, I eat around 1100 - 1200 calories, 25-30g of carbs, 50g or less of HEALTHY fats, and 60-70g of protein. I will drink 64oz of fluids typically. On work out days, I eat 1300-1400 calories, 40-50g of carbs, 55-65g of HEALTHY fats, and 80-90g of protein. I'll drink 90oz of fluids per day, with at least 20oz being either a Propel electrolyte water or a Gatorade Zero. For work outs, I started off small in the beginning. I walked on the treadmill, rode the exercise bike, did water exercises. Once I lost my first 60 pounds or so after surgery, I started adding in walking around my neighborhood and light arm weights. When I hit 100 pounds down, I increased my arm weights to full blown weight training, added in core/strength training, and kicked up my cardio. While I still keep to my eating schedule, I change up what food I eat based on the kind of work out I do that day. And I switch it up, meaning I don't do cardio on Monday, core training on Tuesday, weight training on Wednesday, etc... I change up the order I do my work outs and what types of core exercises I do or cardio I do, etc... Keeping my body confused about what I'm doing each day makes everything I do more impactful and makes more of a difference. I also make sure to take my multivitamin every day, I take a collagen & biotin supplement, I take a fiber supplement (on top of the fiber I eat because constipation and I are old frenemies at this point), I take coq10, echinacea, and I am sugar free as much as possible (or at the very least, no sugar added, and when I need a sweetener, I use monk fruit sweetener) and salt free (if I absolutely need it, I use pink Himalayan salt). I also drink green tea every morning for my caffeine as well as because it's a mild appetite suppressant (sometimes I have one at lunch, too, if I'm just dragging at work, but that's on top of my normal fluid intake).

Your information on the SADi is mostly inaccurate. I had it in 2014 and can eat a horse every day and not gain weight (caveat that you'll need to poop out a horse everyday). There is virtually nothing off limits if I am willing to put up with gas and bloating that eating in excess will cause. I lost about 152lbs over a year or so, and after an initial regain of 25 to 30lbs, I stabilized a few years out. I eat a lot of good quality foods including potatoes but also plenty of ice cream and chocolate. The ice cream, onions, and carbonated drinks all cause gas. I've probably developed some level of tolerance after eating so much of it. The Sadi is an awesome option from my experience so I would highly recommend you seriously consider it. Also fewer vitamins and malabsorption issues.

ok, gonna throw my story on the table...take from it as you will, as a lesson to live by, a cautionary tale, or a personal justification...you choose. pre surgery i was also a weekend warrior, actually, more like a yearly quarterly warrior, lol. i had like a couple drinks every 2-3 months. probably got stupid drunk once a year or less. during weight loss phase (which lasted 7 months) i had maybe 5 partial drinks. i don't think i finished any of those drinks. my first "drink" was 3 weeks post op. I had maybe 2-3 sips of a glass of red wine. it was really weird, i swear i could feel the burning of the alcohol pass down my esophagus, through my stomach and along my intestines. my second drink was about 1 month later (christmas) and it was a very sugary soju-sake drink. again i had maybe 2-3 sips but this one resulted in my second worst dumping experience ever. *shudder*. the next 3 or so drinks were vodka or gin sodas (learned my lesson! less sugar!) ok. now its 2019, im in maintenance and i'm looking hawt and feeling awesome and me and mr. go on a couple vacations and i drink way more than i normally do. but its vacation, right? so its ok. i also took up smoking again after being smoke free for 10 years (but thats another story). now its 2020 and its effing covid, and i, like many others i know started drinking at home (i never did this before, i was always a go-out drinker) ...and now its 2024 and i drink every day. i don't get stupid drunk every day or anything (not that i'm trying to justify anything - i fondly call myself a high-functioning alcoholic), but i do drink every day. its at a point where others (i.e., my doctors and my hubs) are chastising me with the amount i drink. i know i drink too much and its probably doing a number on my health despite nothing showing up on any of my labs or whatever. i quit drinking for a month last year because my son said i couldn't stop drinking for a week. so i know i can stop (or at least slow down) if i really wanted to. trouble is i don't seem to really want to. last year, my OBGYN said i really should stop smoking AND drastically cut down the amount i drink. i told her i'm not sure i could do both, so i made her a deal and said i would stop smoking. i'm proud to say i have been smoke free for 9 months (after smoking for 4 years after quitting for 10, after smoking for 20...say that ten times fast, lol). its been surprisingly easy, but i think its because i can still drink. ANYWAY. i'm hoping to get into a mindset soon to address my drinking problem. i don't doubt my ability to reduce, but i'm not sure i will actually WANT to anytime soon. le sigh. so there you have it. i am the poster child of transfer addiction. despite all this, my weight has more or less remained unchanged (go figure). i continue to stay below goal weight this entire time. ....and i am literally typing this post out with an espresso martini in hand. dont judge me! lol. i am relatively chill about all this so even if you do judge me, i wont take it personally. p.s. oh, i should also mention that i get "affected" real quick and on very small amounts. and i also sober up real quick. this phenomenon is a purely post surgery thing. i needed lots more to get drunk before surgery....although my smaller size now may also be a factor....

My less eloquent take. I am also a foodie. I never stopped cooking for family and friends. I just pureed what I cooked and then had tiny portions of what I cooked and can now have bigger portions but nowhere near what I used to. Food is a big part of socialising. Eating out was super tricky in the early months because nobody outside my immediate family knows about my surgery, so I just avoided it. Once I could eat a starter or at least rearrange the leftover stuff to look like I'd eaten most of it, I was back in the saddle! I said I had eaten already or wasn't really hungry and nobody ever cared. Lots of thin people eat like that - I have regularly split main courses with people I've known for years who always left half their meal anyway. Small plates like tapas are absolutely ideal. And sharing plates - you can have a bite or two of everything and if other people are digging in they'll honestly not notice. And don't bother with the sides - our plans want us to concentrate on the good stuff! Most of us (especially with sleeves) can very quickly eat everything again. Don't worry, you will absolutely still be able to celebrate food whilst losing weight. Welcome to the forum and welcome to your new life.

Happy to read everyones progress! I @LisaCaryl I feel you I'm still in Cairo so haven't weighed yet... I have no idea if I've lost at all this week or stalled or gained. Ramadan is over now so it'll be back to getting lunch normally etc, but I'm not sure it'll be a joy like it used too... even though I love the food from north africa to the middle east. Also Bit freaked that I have another week until I can weigh myself. @kissabeth It's so amazing to fit back into old clothes isn't it! Well done you. And well done for making it through the interrogation. @RonHall908 I know how depressing the stalls are ... but you've already lost over 100 pounds ... thats amazing I mean thats like the average weight of a 13 year old ... you've lost the équivalant of a teenager! @NickelChip How was the eclipse?

Hi all, thought I would give an update and would love to hear how others March Buddies are doing! I’m 3weeks post op (3/18) & have a bit more energy now that I’m taking vitamins! Still progressing very slow with food. I’m on puréed foods and able to get about 2T when I do eat something. But, mainly takes me most the day to get my 2 protein shakes in & started drinking protein water as well. I’m 5’ 8” & “big boned” so my nutritionist upped my protein target to 80g. I’m Averaging 350-420 calories/day, not due to nutritionist just because I’m not able to take in much. What are the rest of you averaging? Is this normal for 3 weeks? Also, Hoping to get into a better walking routine. Confession: have not been doing a lot of walking, except when I’m shopping! I am parking farther away to get more steps in so making little adjustments. And, my scale says 22lbs lost since day of surgery! Hope you are all doing well on your journey.

The stalls keep hitting me as well. Losing weight after Gastric bypass is a lot slower than I expected. Only fast food I've ate was grilled chicken nuggest from chic-fil-A and chicken protein bowl from subway. Both last a couple meals. Instead.of trying to eat any meal. I just eat a few bites of protein and veggies. At 4-5 times a day.

April has been the month of stalls for me. I was stuck at 210.6 for 4 days, dropped to 208.8, and then stayed there for 4 days. Finally inched down to 208.4 yesterday and 208.0 today. Only losing 3 pounds in 10 days when I had been on track to lose closer to 5 is frustrating to say the least! The closer I get to being below 200, the more the universe wants to mess with me, apparently. But on an unrelated note, I drove to see the total eclipse in Vermont on Monday and it was amazing! Thank goodness for stopping to get some Vermont cheddar on the drive because healthy food options were scarce. I actually ended up eating McDonald's chicken nuggets for lunch. I managed to eat two of them, and they were okay, but I have no idea how I used to eat a box of 10 plus fries. Next time I venture out, I'm going to need to pack food for myself.

i'm 5+ years out. i love food and everything about it (many on here know this about me already). i love the cooking, baking, making, plating, shopping, researching, testing recipes of it all. i love to watch all the tv cooking shows, all the travel food shows, all the cooking/baking/grilling competition shows. i like to look at pictures of food, smell it, take pictures and videos of it, watch people eat the stuff i make for them. one of my favourite pasttimes it to read restaurant menus in their entirety...like multiple times. i am always down to go out for food and drinks at restaurants/bars with fam and friends, i am always so excited to come up with my contribution(s) to pot-luck parties. love love trying out new restaurants...i have a list of bucket list restaurants around the world i am determined to visit. ...and i love to eat. but to be more precise, i love to TASTE. so small plate venues (dim sum, tapas, izakaya, etc) and tasting menus and pot luck parties are my fave: an abundance of choice and low commitment to just a single large entree. i have will taste all the "good stuff" (easy on the side dishes as they take up too much stomach real estate) and be perfectly happy. a.k.a. JOY lol. the one difference with how i enjoy food now is i no longer feel joy with the stuffing of myself. i have vague memories of actually feeling GOOD with a distended belly bursting with something i ate. Now its the opposite. the feeling of being full is very unpleasant to me (to put it mildly). and i think this is key, now that i think of it.... long story short, joy is still on the table...its just up to you where you find it.

Hi ! I’m 7 days post op and have been home for 4 days. i had the same feeling that i suspect was brought on by a mix of adapting to being home and my « new normal » but also the fatigue from the surgery. I almost cried the first two days, and was asking myself why i’d done this to myself … but then i realised this is just the beginning, and the « strictest » of restrictions but in only a few weeks i’ll be able to eat more varied things. I also read through my eating plan and phases to make sure i’m well versed on what to eat and when and how to manage the next weeks. Being prepared kinda helps me mentally realise there is better to come. I think it’s normal to feel this way after such a major change but stay strong, i’ve been feeling better and better every day and it’s important to celebrate that to keep spirits up ! I realised if i want to be able to get to the point where i can eat real food i just need to work and concentrate on how i’m’feeling: eating slowly and concentrating on how i feel so that i’ll learn to recognise being full, when to stop etc That’s my main priority for this second week! If you need to talk don’t hesitate :)

Hello @MelP1970 and welcome into the forum. You are in a very strange and bewildering time in your recovery. You might be regretting your surgery, lots of us do. The fat cells that you are shedding so quickly at this point, contain your hormones. Fast weight loss means so many are coursing through your body now. Its like puberty all over again. I was so emotional and could not understand why. A kind soul on here put me right. It is a massive learning curve right now for you. Just relearning to drink is a full time job . You are lucky, like me, no hunger pangs. I also love to cook. Once I was physically able to cook again, I restarted feeding my family. I make my portion separately from theirs. For instance, If I make Lasagne for the fam, mine has no pasta and I use sliced baked aubergine instead. Having a wide knowledge of recipes has really helped me vary my food choices. I am 2+ years out and do not feel any loss issues because I can eat almost all the foods I could before surgery. I still have a few issues with certain foods that I adored pre surgery. For instance, I detest cooked salmon but make my own Gravadlax and it tastes divine to me. I hated eggs and now I find them delicious ! If I have carbs, its only a few spoons. I make own wholemeal, seeded bread. This means I can eat a sandwich. Its not the same as regular shop bought stodge which sits heavily in my stomach for hours and then gives me the foamies. I still enjoy eating but now a tiny amount suffices. Being thin feels better than eating huge meals. Long ago, I read that Parisienne women ate this way, a few forkfuls and they leave the rest. My immediate family are used to me eating what I can and putting the remainder in the fridge for a later snack. I have a friend that I eat out with once a week. It was hard in the beginning to find things I could eat on a menu but now I usually have a salad which to me is a joy. I love the variety and crunch. This forum has members all over the world. People post pictures in the ' Food before and after' page. I find things I have never heard of before. This leads to new recipes to cook and taste. TBH my menu has expanded now, my food is more nutrient dense and much better quality. Give yourself time to accept the changes and challenges. You will feel your normal self quite soon.

Dear Community, I am 5 days Post Operation (I live in Berlin, Germany) I believe the proper translation is the Gatsric Sleeve (75% Stomach is removed). Although things are going much better than expected post surgery more uncomfortable than pain, and I am not excessively hungry or thinking of food, I know what is to come will be a life changing situation. I feel very emotinal of the unknown and the worry about life quality with my family and friends where so much has been me as a provider of space where the love of food at gatherings brings people together and I enjoy cooking, trying new flavors and of course eating that is obvious! It has always been a part of my identity this side but this emotional element is not a fear of myself eating too little or not healthy or yummy enough because that will continue be a part of my cooking. But maybe there are a few out there who felt similar but found a great way to not lose the joy? the celebration? I would be very grateful for opinions thank you!

I've heard other ppl on the medical sites say the same thing. I'm almost 60 and have always drank with my food. My mouth is very dry after I eat. It could be the seasoning because I'm from a Cajun family and we love our seasoning. Guess I will learn to deal with it. I dont do sugar because I'm pre-diabetic. I hope it gets better.

Great responses so far- and as I hit anxious times, I find myself thinking about some of those unhealthier options too— I was/am an emotional eater- stuffing down my emotions with food— and realizing it was half the battle. When i get anxious/sad/have a feeling I have to slow myself down and ask am I really hungry? And to be completely honest, 90% of the time im not. I hope that as you heal from breakup you are able to find support to grieve and move on while also keeping up with taking care of yourself. Question- is it because you think the friends are having more fun than you? Or that they are watching you and wondering why you arent eating? I have never had anyone say anything about how much im eating— and if they ever did, I would simply say, im just not that hungry right now. But if it is that you are concerned they are watching you: i offer this quote from Schitt’s creek— Alexis discussing why David was anxious about his driver’s test: “ David, no one is thinking about you the way you are thinking about you”. That is the mantra I’ve decided to live by— no one cares what im doing! I am going to make sure i do what is best for me and have fun- and as long as it hurts no one, im golden. Best of luck to you!

I was told about the 30:30 Rule by my team. For all of the reasons stated above. It can cause fullness and washing the food out of the pouch. I am 14 months out, and I will say this is one of the cons of RYGB. I don't like it but I get it. But it is a lifestyle change for life. In February, I had a bottle of water almost 30 minutes after lunch. What happened next was dumping where I didn't eat for the rest of the day. I was still a little shaky the next morning. Luckily for me, I was going to see my primary doc that morning. All in all, it turned out fine. So now I wait at least 45 minutes to an hour before drinking again. It may not be that way for you. But is the risk worth it? Especially, the chance of stretching your pouch? Where you may have to get it revised.

what you are describing sounds like the very common behaviour in our demographic of using food for comfort. you are going through something very difficult and your go-to self-soothing/self-medicating M.O. is not comfortably available to you because of your surgery. which makes your current difficult situation even more difficult and depressing to bear. is there someone (preferably therapist) that you could reach out to work through this with you? being able to deal with difficult situations in a different (and healthy) way other than with food would be beneficial not only now but also for your future. and yes, i know, easier said, but it all starts with one step in the right direction. and recognizing you need help is a good first step. good luck ❤️

Hey all, I had my dietician appointment last week, and I am due to have my pre-op assessment this week. Bit of a long one, apologies! Full disclosure - I have ADHD and I am also suspected Dyslexic, and both of these things are making it really hard to plan and to work with numbers etc. We went through all the info of the Liver Reduction Diet (LRD) - I am starting that on the 1st May, for 2 weeks. I've been given 800 calories a day max - already made a small blunder when ordering stuff from New You Plan https://www.thenewyouplan.com/ - I ordered x14 shakes, x14 soups, x14 meals & x14 snack bars. I added up what a typical day's calories would look like with these, and it only comes to about 555 calories - so I had to order some SlimFast meal replacement powder to buff it up for another 222-odd calories. 😰 I don't know why that stressed me out so much, but because my dietician gave me a meal plan template of only 4 items, I got it stuck in my head that I couldn't add an extra shake on top of that, rather than just thinking I am allowed 800 calories per day. I also got through the guidance for the vitamins and the food stages and god...with my neurodiverse brain it is just SO much to take in and try and organise. I am anxious about ordering the right vitamins, and then making sure I am eating the right things - my instinct is always to prep, prep, prep, but I think maybe that will be running before I can walk. Any advise at this stage? 💜

I’m sorry you’re feeling this way. Break ups can be very hard. I had a bad one when I was about your age & went through a period of depression & anxiety. Ended up leaving my job & moving back home. The depression coloured everything in my life. It may be doing the same for you too & causing you to regret the surgery & a change of behaviour that has bought you many benefits (weight loss, health improvements, more active, fewer restrictions, etc,). Yes, I’m considerably older than you & that means I can look at things differently than you so I don’t mind if you think I’m talking rubbish & don’t understand. 🙂 My friends are big eaters & drinkers & the first couple of times we went out after my surgery I felt a little uncomfortable & conspicuous because I sipped one alcoholic drink for hours, took a while to eat & ordered small plates. Then I realised, I wasn’t going out with them to eat & drink, I was going out with them to spend time with them. What I ate or didn’t eat & what I drank or didn’t drink was irrelevant. It was our friendship that was important. We socialise often (though likely not as often as you). At each others’ homes, bars, fine dining restaurants, etc. My surgery & food choices haven’t stopped us or slowed us down once (oh, except when they wanted to go to an high tea with unlimited champagne - I rarely eat sweet & one glass of champagne would be ample so not worth it. We did dinner instead.) Actually one of my friends decided to have surgery the year after me though she is more flexible in her food & drinking choices than me. Another one wants to have the surgery. And the fourth in our group, has slowed her eating & is making better food & alcohol choices. Not for anything I’ve said. I guess I’ve become a bit of a role model for a healthier life. LOL! Maybe have a chat with someone, like a therapist, about how you’re feeling to help you work through this.

I have never heard if this before. What is your fluid intake over the course of a day? Are your meals especially salty or sugary? Do you have diabetes? Have you been tested for diabetes. I do get thirsty when I have had too much sugary/salty foods but I am a diabetic. When I return to taking better care of my food and fluid intake it seems to get better.

The one thing I have encountered that I didn’t expect was how difficult it is to get pain relief. I have had two female procedures done that they typically have you take like 4 otc NSAIDs before and after but Since I wasn’t allowed to have them I was told it really wasn’t necessary anyways and just to tough it out. I contacted my surgeons office who said I was far enough out I could take the NSAIDs post sleeve on these rare occasion with food and my Omeprazole. I survived without pain relief afterwards but I was just led to believe that drs would be more accommodating than I experienced. Also I had sciatic pain and panicked a little when it recurred two more times right in a row and my dr did not want to give me any pain meds The third time when it was pretty bad I asked for something and He acted like I was an addict or something and actually told me he couldn’t treat me anymore. This kinda worked out because I like the NP I see now much better but I’ve not had any issues where I need pain meds with her so I guess we shall see what happens if I ever need them again. I understand that doctors have to be careful but I had been his patient for over 5 years and never asked for anything like that before my sleeve. Honestly it was all kinda weird. It did made me worry if I ever had a chronic issue like arthritis or something that you usually treat with NSAIDS what I would do. I guess a pain management clinic would help. Or maybe there are different meds. I honestly don’t know.

hello im 23 years old and all my life ive been battling my weight it was always fluctuating. Started at 280 and now I’m down to 180 I’m 5’8 and im definitely noticing muscle definition and loose skin is bouncing back. But as of lately ive been feeling super depressed and my recent breakup was what set it off. Just recently started going out with friends and having to eat small portion completely ruins it for me i wish i can cram in just a little more to enjoy food with friends. I feel like its a chore now to make sure im hitting my daily macros and im starting to have regrets. I feel good in my own body but i feel like i could’ve done this without surgery with the love i grew for the gym. I go 3-4 times a week with a split. Is there anyway to combat this depression and regret i have i just wish i can eat a little more to socialize and im scared of losing more weight

My maximum weight was 303 lbs. I am currently 133lbs. I got my gastric by pass on May 7th 2019 in Pennsylvania. Since then I have had so many issues and I do not know where to turn to anymore. I feel the dr and I have gone through every option there is to go through and it is still not enough. Immediately after surgery I was having issues with eating. I followed all the rules took all the vitamins and meds I was supposed to. Still could not keep food down. I ended up having to take my gallbladder out in Oct of 2019. I was with a horrible person and she left me because of my issues with my stomach. I moved back to my home town of Peoria Il. I had to go on a search to find a new Dr. that would take me as a patient. I found this to be a rather horrible task as some Drs do not like to do that because they don't know all that the previous Dr did with the surgery. I finally found one and he is a great Dr. He has kept me alive. After the gallbladder surg. I was still having issues with keeping food down. This started in February 2020. The only thing i could tolerate was broth. At this point I had to take all my meds in a liquid form. Finally The dr. sent me to a gastrologist for an endoscopy. It was shown that I had some scar tissue covering the entrance to my stomach so they did a dilation. There was also an ulcer found. I was put on 2 diff acid reducing meds to get rid of it along with nausea meds. To prevent a tear they had to do this several times. I had dropped down to 118lbs. very malnourished. My health was becoming a huge concern. One of the times that they went in to dilate the Dr ended up putting a hole in my intestine. I had to have an emergency surgery for repair. I spent 2 weeks in the hosp. When I woke up in recovery i had a wound vac, drains and a feeding tube. i went home with the feeding tube. This is now Sept 2020. My new Gastric bypass dr was trying to get me healthy enough to do a revision to help me tolerate food. I had a revision scheduled for Dec. 2020. Since this was during covid I had to be tested before surgery. Yes I tested positive. The surgery was postponed until Feb. Finally i had my surgery and was hoping that this was going to be the last and all would be good. The feeding tube was removed and I had to start over from scratch with eating. Clear liquid on up. At this point I am weak and thinking the worst that it is all over for me. I kept up the fight and it kept kicking me back. I was able to eat a little better for a few months after surgery. Then it all started over again. Every time I tried to eat i threw up. I called the dr. He said probably more scar tissue and that meant more dilation like before. So that was the plan more endoscopies. There was also another ulcer found. Upped the intake of the acid reducers and still not going away. I just kept dealing with this and eating what I could. I put up with this for a long time. Then in Oct. of 2022 it got really bad again. I was in and out of the ER for pain so many times I lost track. The dr. went in to check things out and the ulcer was back. There was no Rhyme or reason for this to keep coming back. I was referred to a Thoracic Surgeon in 2023. I finally was able to get in to see him. He scheduled me for a surgery to have my vagus nerve removed. (vagus nerves produce the acid in our stomach and mine was producing to much there fore causing the ulcer to never heal. When i came home I was still not able to eat food it made me sick. I wasn't in anymore pain but still could not tolerate food except for soft foods. Then it would be next to nothing. Somedays i could eat a bit more than others. I was released to go back to work on 4*12*24. I have been to the er once again for pain and not keeping food down. I was given a gi cocktail and felt better. I called the Dr and was told when it hurts drink Mylanta. I am now to the present day and have no answers. Please tell me there is solution for this. I cannot do this forever. I don't wish this on anyone but I hope someone else has been through this and can help.

It takes more calories to run your body at a higher weight & fewer to run your body at a lower weight. So yes being able to lose at a similar calorie intake at a higher weight but then being unable to lose still eating the same at a lower weight is to be expected. It’s like reaching maintenance. Remember too,1800 calories is 1800 calories regardless if it comes from a burger & fries or three nutrient dense healthy meals. The quality of the food matters for the health benefits & ensuring your body functions most effectively. I’d hammer your surgeon & dietician for help & answers. Maybe GLP 1 meds may be of help or a revision. If my maths is correct, you’ve lost 8 stone in total? That’s great! Don’t forget to celebrate that.

No there is no norm or standard plan for before or after surgery. Much like there is no standard for how you will recover, how much weight you’ll lose, what ‘fun’ side effects you’ll experience, etc. There’s just generalisations & averages. There will be similarities across plans & differences. Like in the pre surgery eating plan. Some don’t have any. Some do three shakes a day while others do two shakes & one meal. Me I had to do keto. Same with the post surgery stages. Differences can be around how long each stage is or even what foods you can or can’t have at each stage. For example potatoes are allowed on many plans but were a big no in my plan. I do know my surgeon adjusts his plan depending on the individual patient & their specific needs & situation. My friend who saw him was on the 2 shakes one meal plan. Her friend, also same surgeon was all shakes. Our ages, starting weight & general health were different. It’s why we say it’s always best to follow the plan you were given and if you are having difficulties to contact your team to see if & how you can tweak it to better suit you & your needs & experiences.

A protein shake is really a meal replacement so you are having more than a meal or two. And no, don’t load up on junky snacks or empty calories. Look too foods that will add additional nutrients: fruit, complex carbs i.e. whole/multi grains, good fats like avocado & nuts, boiled egg, cheese stick, etc. Keep the deli/luncheon/charcuterie meats intake low too - highly processed, high salt & high fat, lower protein. Better to buy a bbq/rotisserie chicken& package it up in single serves & eat that. Give your body time to settle. It takes time for your body to work out what it needs to function effectively & for you to physically be able to eat appropriate sized portions & meals. My hunger didn’t really come back until about a year so after I reached goal at 6 months & it played a part in my continued weight loss. And it took a while to work out the calories I needed. When my weight first stabilised at around 18 months I was eating 1300 odd calories - it took me all that time to eat that much. At 4 years I was eating 1500/1600 & still maintaining much the same weight so it took that long for my body to work out what it really needed. Your lowest weight may not be your final weight either. There’s the quite common 5-10lb bounce back regain around the 2 or 3 year mark. Or lifestyle choices may mean you settle a little higher. And finally, your goal weight might not be your body’s goal weight (your new set point). My new set point was 11kg/24lbs less than my goal.