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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....

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.

F 52, 5'9.5", SW 255 26 lbs, with 2 week liquid diet 36 219 202 186 Almost 5 months post op, 174. RNY Gastric Bypass 1/3/24

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.

Hello. Things are not good but I did break down and I see a therapist is 2 weeks.

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.

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.

From the usa 2 week liquid diet -very strict 1. 32 oz water/sugar free calorie free liquids 2. Clear broth 1x a day 3. 3 protein shakes 6 ounces total of 340 calories combined That's all I am allowed.

WOW!!!!!!!! I bet you had times where you thought this would never happen, but here you are! Congratulations! I feel like these big milestones can mess with your head sometimes. Like, I hit 201.6 lbs 12 days ago and was just certain I'd be under 200 in no time... and I'm still waiting! I instantly bounced back to 203, made it to 201.0 after almost a week, stalled for a few days... At least I dipped to 200.8 this morning. But to finally see that 199... that has to feel so good. When was the last time you weighed this little? For me, the last time I was below 200 was when I was 28 (22 years ago!).

I don't think you are going bald, just going through what so many of us have had to cope with. I had long thick straight hair pre-op and thought I was doing really well when I got to month four with no hair loss and then it was like a horror movie for two months. Clumps would come out if I washed my hair, I would cry in the shower when I saw what was in the drain and my hand after just a light touch wash. I kept my hair tied back and washed just once a week during the two months but you could tell where I had been by following the trail of fallen hair, I seriously shed more than my cat! I was so self conscious about it as had bald patches but thankfully others couldn't tell it was mostly underneath. I ended up cutting my hair up to chin length so it was not as obvious. After six months the hair loss stopped and now it is about regrowth, it is nearly as annoying though not in anyway upsetting. I have been getting my hair cut every couple of months so that my existing hair is as close in length to the new hair (which is coming in with a curl) and I have to put mascara in my hair if I go out in public as there are baby hairs sticking up all over the place, looks like static hair. I took special bariatric vitamins for hair for three months, no idea if it helped but I was prepared to try anything. I also got a couple of wigs but ended up not needed them. For washing my hair I used a really soft shampoo made from oat milk. Basically I just want to let you know that what you are going through is normal after the surgery, you couldn't have prevented it, it just happens to most patients as the body is coping with the weight loss and it will get better.

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.

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!

Cucumber, lettuce, carrots, boiled beetroot, leeks, baked squash, roast cauliflower. Early out I had to get my veg in by making different vegetable soups and blitzing it. I had a cup as one of my 6 tiny meals a day. Any soup with added cheese was a particular favourite. Broccoli and stilton, onion and cheddar, carrot and cilantro { see I have been on this forum for so long that I am now using the American } lentil and vegetable and Gazpacho are still my favs. Raw veg other than lettuce tend to fill me for too long. I had some carrot batons this week and I was burping all evening, very unpleasant

Dang it! Back up to 200 today. I could see the digital scale contemplating telling me 199.8, but it decided nope. I've had days with tons of exercise. Days with no exercise. Days with over 1000 calories. Days with barely 500 calories because what I ate made me sick. None of it does anything to move the weight. I get on the scale daily because I like to see the graph as a visual. But I'd like it better if the number went down. On the bright side, my blood work all looks pretty good. A bit low in Vitamin A, zinc, and prealbumin, but so far no one has said I should change anything. @LisaCaryl I love the NSV with the jeans! What a nice surprise, even if you did get stuck wearing them to your group. I have one more week of school runs and after school activities before my kids are out for the summer. At that point, I am going to make a weekly meal plan and try out some new recipes from the bariatric cookbooks that are gathering dust because I've been too busy. I've also found a workout video to try with my pilates bar resistance band set, so that's going to happen this week, at least once.

So i am on this low carb high Protein liquid 3 week pre op protein diet and ive hit the hardest day ever..like.. day 3.5 For some reason its always the hardest days on day 3 and 4 of any low carb diet i have ever done... so i couldnt take it anymore. I needed to chew somthing! So i chose a dill pickle. Do you think its alright to have a dill pickle or two.. i knew if i didnt eat a dill pickle..then it would be somthing i really really really should not eat...like somthing high fat high carb... Im just trying to get through the next two days and then i know i will be okay.

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

Congrats!!! The first 2-3 weeks seriously suck. After that, it gets easier and you really start to learn your new body. Just prioritize walking, getting in your fluids, and getting in your protein. Don't rush things, stick to your meal plan, and trust the process. Weight loss stalls are NORMAL and to be expected. Watch for NSVs (Non Scale Victories) when the scale isn't moving. You got this!!

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.

Oh…I had hubby taking my ‘before journey’ pictures last week and I hated them so much. I don’t know about anyone else but I never really look at myself from the neck down in any mirrors at home. I know I’m fat, I just don’t need the constant reminders! I don’t try things on in a shop, just order online and hope for the best (does it fit? Yep, that will do) This time I actually looked at the photos and oh boy, it was awful. BUT I just have to keep reminding myself that I will NEVER get that big again. Hubby will take more photos if my weight decreases before the surgery, just so I have something to look back on and compare. We have to keep finding the positives!

Your body is healing & the tiredness & lethargy as a result is very common. If your body wants you to rest or nap, do rest or nap. It takes about 8 weeks to fully heal from the surgery but you will notice slow improvements in regards to how tired you are as the weeks pass. You may find there are times in the future while you are losing you experience drops in energy. This too is pretty common & again be a bit easy on yourself & your energy levels will rise again when your body is ready. I often wish I could still justify an afternoon nana nap. LOL!

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.....

☝️i'm one of these. with a dash of some major changes...specifically my regular exercise regime. though i have to say that what i was doing when the first year or so of maintenance is very different from what i am doing now. i was still pretty strict about carbs and desserts and drinking calories that first year and a bit after reaching goal. as the years went on, i became less strict about WHAT i was eating, but still continued to keep an eye and stick to the TOTAL NUMBER OF CALORIES i needed to maintain...this amount changed up and down depending on my activity level, and i made sure to make changes as needed. i love going out and socializing and eating and drinking, and i've discovered that i can do all that and still maintain my current weight. i love to try new restaurants and tick off all the michelin star venues i could possibly go to before i die. and i am forever grateful for my wls and its restriction that has conditioned me to not overindulge...just have a taste to try and i am satisfied. (i am also forever greatful for whatever powers that be that have me loving exercise lol) with that said, let me attempt to provide my answers to your questions. NOTE: starting weight 235 lbs, 5'2" female, 46 yrs old at surgery. i lost 108 lbs in 7 months (plus my 2 wk pre-op diet) to reach goal. i am now 5 years, 8 months post op, and weighed 118.2 lbs this morning. 1. What are your golden rules to successful maintenance? - be flexible, be willing and able to change and make adjustments. weigh daily, always be aware of your calorie intake (i.e., track). EXERCISE: it makes you look and feel good. don't give into the angst...nobody is perfect...including YOU. i realize this is not for everyone, it takes a certain type of personality to be ok with this...i just happen to be one of them. 2. How did you manage the mental shift (navigating fear and uncertainty) while transitioning to maintenance? I can’t seem to quiet my thoughts and anxiety around WHAT IFs? - TIME. as time goes by you will gain experience and knowledge and hopefully learn to trust yourself. 3. How much indulgence do you actually allow yourself? - any time i want. hard to put a number or amount on this because it varies day by day, week by week. but i probably eat SOMETHING or other that most "dedicated" wls-ers would consider "bad" every day. (ASIDE: i personally don't think anything is "bad" just stuff higher in calories than others, with varying macro-makeups.

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!

Two days out. Nausea is the worst thing. Pretty persistent. No pain whatsoever. The restriction mimics the first days of the VSG surgery. Barely sips of water today. I'll follow a clear liquid diet for 3 days, purees until 2 weeks out, and then soft foods until I can tolerate solids. Definitely wondering if I made decision. The nausea feels like I have lump in my stomach- the kind of feeling you know you'd feel better if you just gagged yourself. I did get 3 different nausea treatments, but had an allergic reaction. So Im trying benedryl (for the all over hives) and emetrol intsead. Not as effective, but its def more tolerable

Last year I had given my daughter a bunch of jeans that were too small for me. I just got to take them back!! She brought me 10 pairs of jeans and 3 pairs I got to send back because they were too big!! The ones I got to keep were size 9’s. I didn’t want to go buy clothes yet because I’m still 9lbs from my goal weight and 19lbs from my surgeons goal weight. Very much in need of toning my stomach though. I keep hearing my surgeons words in my head over and over “skinny fat””skinny fat” if you don’t exercise you’ll look “skinny fat” ugh, this is my stomach right now. Never mind I’ve had 4 babies and that last one I had when I was 38 so my abdomen has not been bikini ready in a lifetime. So small win for me, I fit in a size 9 jeans, big loss…out of the jeans is not as pretty. Time to really get to toning and exercising and move onto the next steps in getting healthy. I haven’t stepped on the scale in a few days. Eating wise I have not been sick in over a week. All my vitamin levels are where they should be. Things are finally falling into place.