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How beneficial are Protein and Multivitamins to losing weight? I’m not doing either at the moment and I’m noticing that I’m not losing any weight

A typical pre-op is dependent on your insurance and your surgeon, but most require things like: A series of monthly visits with a dietitian. 3 to 6 monthly visits are fairly common A visit with a psychiatrist or psychologist. Depending on the outcome, you may need to undergo treatment for an undiagnosed eating disorder One or more education sessions typically done over a series of weeks. This is to better prepare you for both the immediate post-op diet, as well as long term expectations. These are sometimes, but not always done together with the dietitian visits. Clearance from your primary care doctor and depending on your health history, clearances from other doctors such as a cardiologist or endocrinologist. Numerous blood tests, both to look for potential problems and to set a baseline. Again depending on your health history and your surgeons preferences, you might need to have things such as an endoscopy and/or a swallow study done. Some people may even need additional imaging done such as CT or MRI scans. As a diabetic, they may require your A1C to be below a prescribed value. This is for your safety. Honestly I'm probably forgetting some stuff. If so, I'm sure others here can chime in. In terms of lifetime changes to your eating patterns, you need to make sure you're prepared to make better food choices for life. It's a sad fact, but a pretty high number of people that have weight loss surgery eventually gain the weight back. This can be avoided by learning how to make better food choices now, so you don't fall back into old habits once the stomach restriction eases off. It's often misunderstood by those not familiar with bariatric surgery that weight loss post surgery is "easy". Yes, the initial loss can be easier that it would have been otherwise, but keeping the weight off is just as hard, if not harder that it would have been had you not had the surgery. This is why learning how to eat better is so important. People that lose weight naturally and keep it off do so through repeatedly making good food choices and strict discipline. That knowledge carries over really well to long term weight maintenance. The people that fail weight loss surgery often found initial weight loss easy, but sometimes really struggle once they get to maintenance since they don't know how to eat like a "normal" person. Add in the fact that a formerly obese person trying to maintain weight typically can't eat as much food as someone that was never overweight even if they are the exact same body size, and you can see why retraining yourself here is critical. Throw in the fact that (at least in my opinion), most obese people either have an eating disorder, or at least suffer from disordered eating, and it's obvious that the surgery is just a small component to overall success. TL;DR: IMO, It's better to take your time and do it right.

Congratulations on reaching your goal (& yes being 0.2lbs off is still goal in my book). My goal weight was the lowest weight I always get to before slowly but surely bouncing back from over the years (well until the last few years when I could barely lose 5kgs let alone the weight I needed to lose to get to that goal). It was the weight I enjoyed being at and felt good at being. I just couldn’t maintain it. When I exceeded my goal weight I was actually trying to work out my maintenance but just kept losing though very slowly for another 11 months. I decided, I’ll just see where I stop while still trying to work out maintenance. Of course I know now I got to a weight that was my new set point (thank you surgery). It was the weight my body wanted to be at & had nothing to do with a weight I wanted to be at. It’s also a weight that doesn’t require me to restrict my calorie intake or exercise more than I want to or enjoy doing to maintain so yay! Instead of setting a new goal weight why not just see where your body settles. You could lose those two stone or you could lose more or less. Regardless it will be the best weight for you. You’ll naturally be slowly increasing your calorie intake and discovering the activity levels you’re comfortable with anyway & wait till you see where you end up. People can continue to lose for 18 months or more so you have time. Remember, if you force yourself to lose more than your body wants, you’ll continue to battle to maintain that lower weight.

Semaglutide (and other various GLP-1 agonists) effectiveness can be dose dependent. 4 weeks is likely not long enough to see changes especially if you are still at the starting dose. Here’s a link with some decent easy to understand info: https://www.richlandmd.com/cosmetic/semaglutide-dose-for-weight-loss/ Also these meds are used in conjunction with lifestyle modifications. According to a meta analysis reviewing multiple trials “We observed that aside from the administration of semaglutide, reduced calorie diet and increased physical activity were also part of the intervention. Hence, semaglutide alone probably will not be able to achieve an 11.85% weight loss” https://pmc.ncbi.nlm.nih.gov/articles/PMC9758543/ Take a look at your early post op diet plan and give that a try again. If you didn’t have one, I can share that mine was protein forward (80g minimum) with minimal carbs (under 50 g and mostly complex) and low fat (20g) and almost no calories from drinks unless they are protein shakes. *edited to add: These meds can cause constipation so any weight gain could be due to that You really should consider checking in with the prescribing/administering physician to ask about your progress. Best of luck!

I'm 60, but I think you may be asking the wrong question? Although safety is a potential concern at any age, this is something only your surgeon can properly determine. I can say plenty of people in their 70's have had bariatric surgery. I think the real question should be: what are you expecting to be different this time if you have a revision? Would it still be worth it to you if you once again gained all the weight back? In my opinion, the fact that you've gone back up you your pre-surgery weight means that there are other things going on here that you need to address first. If I had to guess, I'd think there are 2 things you need to address before considering revision surgery, GLP-1 meds, or even fat loss diets: Your mental health. My personal opinion is that the virtually all obese or formerly obese people suffer from an eating disorder, or at least disordered eating of some sort. If you don't address this first, you're really likely to out eat any revision surgery you may have. Your activity level. The fact is that most people that are able to successfully lose weight and keep the weight off (surgical or not), are really active. In fact, some studies show that formerly obese people have to be even more active than someone that was never heavy to maintain the same bodyweight. The reasons for that are complex, but if you don't address this, the likelihood of at least regaining a significant amount of weight are pretty high. Best of luck whatever you decide.

I put mine as the weight on the day I went to my first surgical consult, which was also my highest recorded weight. With the diet and lifestyle changes I made as part of the program, I lost about 13 lbs in the 6 months between then and the start of my pre-op diet. I lost another 13 lbs in those 2 weeks of liquid diet before surgery. But I want credit for all the weight I lost! Interestingly, Dr. Weiner recently said on a podcast that the weight lost on a pre-op diet definitely is credited to the surgery in his opinion. The reasoning was that if you go on a liquid diet, lose 13 lbs, and then try to keep that weight off without having surgery just by eating right, you are going to regain most or all of it in a matter of weeks. The fact that we lose that weight and then keep losing more weight instead of gaining is thanks to the metabolic changes of the surgery. He also told me in a live Q&A support group a while back to use my weight from before the pre-op diet as my starting weight if I wanted to plug it into a prediction calculator. I raised the concern of being a bit behind the prediction based on one of those calculators and he asked me what my weight was before the liquid diet. When we used that number instead of my surgery day weight, it tracked much better (and is still looking very accurate at 9 months out). He said if I had always been 225 lbs (my day of surgery weight) that would be one thing, but in reality, my "true" weight was somewhere between 238 and 251 in terms of what my metabolism was trying to overcome with the surgery. I feel like that's one of those big questions a lot of us have in the beginning and nobody really gives an answer on the calculator sites.

@Justarwaxx I'm sorry you are struggling right now. I can definitely relate; with Christmas and also recently having my period, I overate, especially sweets. It happens. You have to remember that you are fighting years of bad eating habits and those aren't just going to change overnight because you had surgery. I know for me it helps, that even if I have made bad eating choices, I still log my food and feel better seeing that it's still not over 2000 calories a day, which in theory means I'm still below anything that would make me gain weight. It's not helpful to shame spiral, because there is no lesson learned in shame. You are okay. And tomorrow is another day and another chance to make better choices. I hope you are feeling better now.

Hi Warren I read that you had your procedure almost a year ago. How is it going? How much weight did you loose?

One of them flits between it, but the other has consistently been underweight for a while now, I last saw her bragging about almost being 7 stone and being referred to an eating disorder clinic 🤔 So I know that it is a very unhealthy thing! I do remember my surgeon telling me it is somewhat normal to dip into the lower weight category a bit before your body will bounce back and settle on a healthier weight, so that is to be expected I guess! I can imagine how hard it must be to budge those last bits of weight, but I am sure you look absolutely fabulous and you have achieved beyond amazing results!

But you are smaller! By my calculation, you've lost ~15% of your overall bodyweight in just 3 months! That's an amazing amount of weight loss. If you were thinking you'd be at a normal weight in 3 months, that's just not even close to realistic or in fact possible considering where you started. Most people will continue to lose for at least a year, some for much, much longer. You're doing great so far and as long as you keep following the plan outlined by your team, you'll continue to lose for some time to come.

Today's win ? Returned to weight lifting after what seems like a 200 year hiatus. 🤣 Nothing extreme or crazy....very light weights with lots of reps. Injury avoidance is key concern. Other win is the overall feeling like I have things dialed in and the cruise control is activated. The positive feels from this are so welcome. The last 6 years or more have been chaotic and hellish at times. Things are slowing down and falling into place. Sure the scale is giving lower numbers every week, but the real improvement has been with the pure simplicity of returning to the initial advisements of the professionals at my bariatric center.

Congratulations on your loss. I was a savory girl Lee bariatric world and post sleeve I became a sweet girl too. Then post SAFI that went away but has started to come back. I think MAYBE it’s just our bodies wanting carbs and sweet food is usually the absolute highest in carbs so the quickest way to get them. I did not have the bypass but I don’t think your friend is correct about eating whatever you want. I know that was for sure not true for the me with the sleeve. I started at 235, lost down to 168 then gained it all back plus some to 258 and was still gaining when I started the preop diet for my revision. I have also heard plenty of regain stories on here about the bypass. Now, does it malabsorb some of your food, absolutely. So if you were like 900 pounds before it’s possible you would stay a bit smaller just because you pretty much already ate all you wanted volume and calories wise before and the malabsorption would in theory make you weight a bit less if you ate the same exact food, but it would only be a bit less anyways and who of us wants that. . As far as a more common starting weight I really don’t think so because even at our high weights we still weren’t eating absolutely all we would have liked to or we could have and if we ate any and everything we wanted, even with some calories not absorbing that’s still probably giving our bodies more than we were eating before. I do know from experience that what fuel I put into my body changed how I feel, though, so even if I could get away with eating anything I wanted cosmetically, I know that I wouldn’t feel as good as I do when I eat a balanced diet and keep up my activity. That processed junk that most of us used to eat all the time is not good for us and it doesn’t give your bodies what it needs to run efficiently. Another thing to keep in mind is that we are still pretty early out to be relaxing too much. Most people have a 10–15 pound bounce back even if they keep working at it. I don’t know about you but I’ve still got more that I want to lost. I definitely don’t want to be bouncing back!! for the sweet cravings try the sugar free popsicles again. They can trick my brain sometimes and others i Have fruit. I figure calorie wise they may be more calories but at least it’s not added sugar. I try to avoid that as much as possible because that makes me have more cravings the next day and for like a week.

Not to dis on your friend, but that's just not how this works. The ski slope chart itself may be about what your weight loss looks like for many people, but I promise you, you are losing fat the entire time. You just can't overcome basic physics. Think about it. If you eat less calories than you burn, your body has to make up that difference from somewhere. Even the leanest people on the planet have something like 40,000 plus calories of fat stores. This is what your body uses to stay alive when intake is less than output. Do the math: Your Total Daily Energy Expenditure (TDEE), is made up of your Resting Metabolic Rate (RMR), your Exercise Activity Thermogenesis (EAT), and your Non-Exercise Activity Thermogenesis (NEAT). The average normal sized person has a resting metabolic rate somewhere between 1200 and 1800 calories. It's even higher for overweight and obese people. This is just an estimate, but yours is probably somewhere around 1900-2000 based on your height and current weight. EAT obviously can vary quite a lot from basically nothing if you don't workout, to well over a thousand calories per day if you exercise a lot. NEAT is important as well. The basic idea is that very few of us are completely sedentary. We are moving around cooking, cleaning, doing chores, etc. This is what we sometimes call "Activities of Daily Living". This tends to add another 15% to 20% to your overall calories for most people. The point of me adding all that is because very few people really understand how many calories their body needs per day just to stay alive. If your body needs 3000 calories per day and you are only consuming 800, then the rest of your energy needs for the day have to come from your tissues. If we do things right, the vast majority of that will come from fat, though no matter how hard we try, some of it will come from muscle tissue. Regardless, (and here's the point of all this), there is never a period of time when eating a very low calorie diet like we do after bariatric surgery, when you just lose water weight, or stop losing fat. Early on, you will lose a lot of water weight, but what you are losing is not JUST water. Later, you may experience stalls, but that's not a period of time when you stop losing fat. Instead, you may be putting more water weight back on (this IS part of the healing process), but you're still losing fat underneath that water gain. Note that there will be other times when your weight plateaus or even goes up some. This is 100% normal and not a cause for concern. If you are following the diet plan your surgical team sent you, you WILL lose fat. It's impossible not to. This is why I said it's just not healthy to weigh yourself daily. Scales LIE. They don't measure our amount of fat loss, they just measure weight, and weight is made up of so much more than just fat.

You definitely have a serious issue, but I don't think it's your weight. Your weight isn't going to kill you, at least not at the size you are right now, but your mental health might. And it certainly is robbing you of the joy in life that you deserve to experience. That's tragic. And unfortunately, surgery or weight loss isn't a cure. Gaining weight can take a toll, both mentally and physically. I understand, because I went from 5'6" and 127 lbs at age 16 to weighing 225 lbs by age 32 and hitting 250 lbs by 49. I tried many diets. I exercised. I worked with a dietician for about 7 years and tried many medications, including Saxenda and Wegovy. I developed high blood pressure and became prediabetic. For 33 years, I gained weight, lost a bit for a while, and kept gaining more. But I also lived a fairly happy life. I got married, bought a house, had two children, started a career I enjoyed, traveled to lots of places I had always wanted to see, learned new hobbies, spent time with friends and loved ones. Was I frustrated that I had to buy clothing in the plus department? Yes. Did I sometimes look in the mirror and feel sad at how I looked? Absolutely. But that wasn't my identity and it didn't dictate what I allowed myself to do or experience. Feeling like your life is destroyed, that life is a cruel joke, and reaching a point where you do not wish to continue living is an extreme and unhealthy reaction to gaining weight. It's a huge red flag that something else is going on with your mental health. That, in my opinion, is way more pressing to take care of right now than reducing the size of your body. I had surgery because I knew it was what I needed for my health. It would clear up physical issues and help me live a longer life with more activity and less pain. I did it because I loved myself and I knew I deserved to get every ounce of joy from life that I could. But a year ago, 80 lbs heavier than now, I loved myself exactly as much as I do today. I don't love myself any more now because I'm thinner, even though I do love how I look. And I love myself now way more than I probably did when I was downright skinny in my youth. There's no magic number on the scale that makes you worth loving. You're worth that at every size, shape, and age. I'm not saying to give up on losing weight or on getting weight loss surgery. If it's important to you, you can find a way. There are some amazing and affordable self-pay surgery options available in Mexico, for example. You could start saving a little bit of money each month now if it feels worth it to you. I hope this won't happen, but if you continue to gain weight, you will eventually qualify for surgery through your health care. In the US, it's at a 35 BMI with comorbidities and at a 40 BMI based on obesity alone. I assume the standards in Canada are similar. But no matter what you do, I would encourage you to find help with your mental health and self-image. You deserve to be happy with who you are and not to have how you feel about yourself be based primarily on something as arbitrary as a number on the scale or the tag inside your jeans.

Hii hope all is well with all of you, my surgery day is 10/29 highest weight 314 2 plus years ago starting weight 286 current weight 283 my weight has been up and down from 286 to 283 and it has stayed that way for the past 3 months, I guess good thing is I haven't gained any weight. good luck to all of us in our new journey

I wish it were that simple, but it's not. We have to keep in mind that our weight is made up of a lot more than just fat. There are multiple body composition models used, but the one I recommend most people use when trying to lose fat is a 3 compartment model that consists of the following: Fat Muscle Bone I recommend this one since it's easy for most people to visualise those 3 components. Keep in mind however that roughly 70-75% of muscle mass is water. Why is that important? Because sometimes we can be fooled by the scale into thinking we're not losing fat, or that we're gaining fat when we're not. Most likely, what you're seeing is simply changes in water weight. A really common scenario is for people on low calorie diets (like most people here), to see a plateau and think that means they need exercise more and/or eat less, but when they do that, they actually gain a bit according to the scale. The reality is they didn't gain fat, they retained more water. I think it's important to keep in mind that we all have something called a Basal Metabolic Rate (BMR). This is the minimum number of calories your body needs simply to stay alive. It can be thought of as the number of calories you expend per day even if you were completely sedentary. BMR is a complicated subject, but on average, the bigger you are, the higher your BMR. Yes, it goes down as you lose fat, since fat is not completely metabolically inert, but fat loss does not have nearly the effect on BMR that losing muscle does. This is one of the main reasons bariatric patients are told to focus on protein intake because protein is needed to help prevent excessive muscle loss when dieting. More muscle = higher BMR = faster weight loss, or being able to eat more at goal weight The average BMR for women is ~1400 k/cal per day. Higher if you are taller or more muscular, lower if you are shorter and/or have lower muscle mass. Men, for obvious reasons tend to have a higher BMR that's more in the 1700 range. My point in telling you all of the above is that it's highly unlikely that someone eating 900 calories a day needs to eat even less if weight loss has stalled. Frankly, if that is the OP, then I'd actually recommend exactly the opposite: try upping your caloric intake a couple hundred k/cal per day and see what happens. I know it seems counter intuitive, but your body is not a simple machine where the calories in vs. calories out paradigm actually works. Happy to discuss more and provide additional info, but this post is already overly long. Best of luck.

I think your awareness and attitude are very commendable! Definitely a lesson for me for the future, I am also inclined to all those bad habits myself, so will have to really keep an eye on things. Some people preach the "don't weigh everyday " mantra, but this is a great example of why weighing regularly is in fact a good idea for those of us that just have to look at food and gain 10lb!! 😆 You have got this! You know what and how! 🤗

Living with Bariatric Surgery: Managing your mind and your weight: Amazon.co.uk: Ratcliffe, Denise: 9781138217126: Books This book is amazing!

Hi! Yesss. I'm making sure to get protein but it seems very hard to get to 60 grms daily. Not room for anything! I don't like feeling overfull so just small amounts 3 times a day and the rest of the time it's waterrrr. LOL! I definitely want it to just be my lifestyle, which now it totally is. I eat clean 98% of the time and mostly one ingredient foods, like just grapefruit or cucumbers. Or just some grilled chicken. Seems to be working well for me. Sugar and junk doesn't feel right in my belly. Ha, needed that to happen YEARS ago! LOL! But ah well, it's this way now and I'm grateful. Thank you for your advice. I am 51 so very aware that as I lose I'll look older but I'll just save up for a facelift in my 60s! LOL! Some of them look wonderful. Totally worth it to feel better in my last phase of this life. You only live once! I want it to be fun! My husband is supportive either way so I'm thankful for that and for him. He's been great through everything. And he's changed his eating habits along with me. Helps me a lot! And he's lost 30 lbs on his own. He's at the gym now. LOL! But I am here waiting for our grocery order to arrive. I do love leg day though. And we swim and go into the sauna when we go. Feels awesome after working out! I need to gain muscle. Men gain it so easily! I'm so jealous of that. Blah! Well anyway, so I'll see how I look in my face etc if I get pretty small. Will decide if I should gain a little. I was ok at 155 but still big around my belly. No likey. So for sure planning for normal BMI and somewhere between 124 and 134 lbs most likely. Thanks again!

My weight loss Instagram handle is the same as mine on here!

So the reality is that we can't cheat physics. I want you to remember this both now and after your surgery. While I can't make an super accurate assessment of your total kcal expenditure per day right now, I'd guess it's probably in the range of 3000 to 4000 kcal per day based on your current weight. I'd also guess that your total intake right now is around 800-1000 kcal. This means you are absolutely burning massive amounts of fat currently. So I know you're thinking if that's true, then why isn't it reflected on the scale? The short answer is scales lie. They only show total weight, but as you alluded to above, our bodies are made up of lots of "stuff" other than fat, so scale weight can vary widely just based on how hydrated you are, how much glycogen you're storing, and the weight of your stool. In short, trust the process. You'll be fine.

Congrats on hitting your protein! It can really be a challenge. As far as your weight loss timetable!is concerned, have you talked to your surgeon about it? Everyone loses weight a different rate. I know there are general averages, but your doc would be best able to help you out on this.

Sometimes we are afraid of success. Sometimes we don’t think we deserve it. Do you have a pattern self sabotage? Hope you find someone with whom to work through these issues. They are important, apart from weight loss.

Well, we are all different so take this with a grain of salt, but I was the same BMI prior to my preop diet as you are now so relatively close and I just looked back at my weight log and Iwas losing about 6 pounds per week on average in the beginning, but I also had the SADI which is quite a bit more aggressive than the sleeve or even the bypass so my loss statistically should’ve been more rapid than yours with a sleeve. Frankly, I think that you are doing very well with losing a pound a day and I wouldn’t be too shocked if it does slow down a bit. It definitely will not be a perfect line where you lose the exact same amount every day though. There may be times when you even gain a pound or three and hold it for a few days and then one day you will just drop those 3+ another pound. But if you only log your weight once a week, even if you must get on the scale every day, if you only look at the once a week or even once a month, your trend will be far more consistent. Some people only get on the scale once a week or once a month. I know I couldn’t do that but it really would be better for your mental health if you could hide your scale and just do what you’re supposed to do and trust the process.