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Weight gain 3 weeks after surgery
Spinoza replied to heather26's topic in POST-Operation Weight Loss Surgery Q&A
Oh yes I get the comparing yourself to others. That is REALLY HARD. I say celebrate the 18lbs in 2 weeks (when have you ever lost even close to that on any diet?), get to know how the three week stall hits almost all of us (and can last a few weeks) and then settle into your programme and enjoy the big losses to come. 3lbs gain in a month is nothing to worry about - honestly. I am really surprised that you're allowed bread at such an early stage. My plan was protein then veg and no carbs for many months. When I did start earing bread it sat in my stomach like a lump of lead - so did pasta and rice. Less so 2 years on but I honestly only use them like a weapon in certain situations - not for daily consumption even now. I wish you all the best -
unless you're the size of someone on "My 600 lb Life", 14 lbs in three weeks is pretty normal. Most of us "average" WLS patients lose somewhere in the 15-25 lb range the first MONTH, so you'll end up somewhere in that range. as for stalling at three weeks post op, do a search on it on this site. I just did. There are literally 17,501 posts on it. Happens to almost everyone. To get through it, stick to your plan and back what off on weighing yourself. Maybe weigh just once or twice a week until it breaks. And it WILL break, as long as you stick to your plan. Usually lasts 1-3 weeks. And it'll likely be the first of many stalls.....
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could be water retention from your period or it could also be the infamous "three-week stall" that most of us experience (it's not always the third week - it could be week 2 or 4 or 5 - but most of us have our first stall pretty early after surgery. It usually lasts 1-3 weeks. Best thing to do is stick to your program and stay off the scale for awhile...it'll break and you'll be on your way again...)
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October 2023 surgery buddies
ukkodiak replied to Shotputqueen's topic in PRE-Operation Weight Loss Surgery Q&A
Hi guys. Been a few weeks since I've posted here. Feeling a bit frustrated and puzzled right now. So my first six weeks weight loss was great. I lost 48 pounds in six weeks since my RNY on October 9th. However, since then I've pretty much stalled out and only lost 3 pounds in the past three weeks. I noticed my weight seemed to stall once my surgeon cleared me for solid foods. So far I've been very blessed with my recovery. I've never experienced a single episode of nausea or dumping syndrome no matter what I eat. Not one episode from day of surgery up til now. Pork, beef, carbs, fat. Nothing seems to negatively affect me. But what really puzzles me is I seem to be able to eat much more than I should. For example, I can drink an 11ounce (330mL) Ensure in about a minute or two. Also if I don't strictly measure out my food portions, I'll easily eat more than I should, again with no nausea I should expect with overeating. I'm paranoid of stretching my new pouch out. When I brought this up with my surgeon during my follow-up, he looked puzzled as well but basically just dismissed it, saying we'll discuss it at next follow up if nothing changes. Sometimes I wonder if he actually reduced my stomach to the size of an egg like they said it would be post-op. I definitely cannot eat near the volume I could pre-op, but I feel like I'm able to eat way too much. Such as 8 entire grilled chicken nuggets in about 10 minutes time. Otherwise, I feel great. No complications whatsoever. I really hoping I haven't gone through all this time and money for nothing. My surgeon told me at my followup that I can expect weight loss to level out between 9-12 months post-op. And I can expect to lose half my total weight loss at 3 months. Have about another 75 lbs to go for my goal weight, so I feel like I'm on the clock here. Has anyone else out there experienced anything like this? -
Things have changed a whole lot since my surgery in 2010! The diet plan I had to follow was one Ensure Protein [and I am know it was not the 30gr/carton variety] and water. That was it. On the hour, 2 oz of protein then 2 oz of water every 15 minutes. I even bought a set of eight pretty 2 oz shot glasses that my husband would use for my meals. At the top of the hour, he brought me one with protein and three with water. Start over at the top of the hour and continue until you went to bed. Slider foods, those that are pureed like mashed potatoes, canned refried beans, tuna with mayo, hot cereals, etc were for weeks 4-6 back then. Of course every practice has their own requirements and so much has changed. To up your protein, add some to your cereals or your yogurt. They make flavorless proteins. Find the protein that you can tolerate. Also, you can look into the clear liquid proteins that are out there. Many companies make them. Stalls are your body's way of trying to figure out just what you are trying to do to it. It naturally does not want you to starve to death so it will hold onto those pounds for as long as it can. Then, you will suddenly lose two pounds overnight, lose for a while and then begin another stall. This is the first of many stalls - just keep doing what you are supposed to be doing and don't let that stall get to you. Yes, that is hard, the "not letting it get to you" part. Remember that your surgery is just another tool in your toolbox and not a magic bullet. For the constipation, which is really common after this surgery because of the high protein intake, I would add Miralax to your water or any liquid or hot cereal. One capful mixed in 8 oz of water, for example. You won't know it is there. I now mix one capful of Miralax with my morning decaf coffee. You could also add stool softener as well. If after adding those, and not getting relief, absolutely speak with your surgeon. There are prescription meds out there that can help.
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Bouncing weight loss for past week??
NickelChip replied to CuteAsDuck's topic in Gastric Bypass Surgery Forums
The reason for erratic weigh-ins (and the infamous three-week stall) is that in the early stages of running a sustained calorie deficit, your body does not burn much fat. Your body worked hard to store fat and considers it a precious commodity that it does not want to part with for no reason. For extra energy to make up for a lack of calories in the short term, your body first burns glycogen. 1 gram of glycogen is bound with 3 grams of water, so as you burn it for fuel, you also flush out this water weight. Only when the glycogen reserve is used up does your body turn to burning fat. The first few weeks after surgery, you were probably lucky to get in 600 calories per day. Your body was burning glycogen like crazy. When the numbers first dropped on the scale, that was almost entirely water weight. Now that you're a couple weeks out, you're allowed to have some pureed food, and you can probably get closer to your protein goals with your shakes. With a few extra calories coming in (still nowhere close to what you need every day to power your bodily functions), your body is at least reassured you are not in imminent danger of starvation. It's taking a look at your empty glycogen reserves with horror and doing its best to fill them back up with the calories you are giving it, like a squirrel storing up acorns for winter. For every gram of glycogen your body puts into the storage cupboard, you've got 3 grams of water tagging along for the ride. Meanwhile, you can rest assured that your body is also burning fat to keep your engines running. However, when you step on the scale, it can't really tell you that you've burned 4 pounds of fat and also stored 7 pounds of glycogen and water. It's just going to tell you that you've gained 3 pounds. But you've done nothing wrong. This is your body doing what evolution programmed it to do since humans lived in caves and constantly had to battle short-term food shortages. Once you've restocked that glycogen, you'll start being able to see the fat loss on the scale again, and in your measurements. As long as you keep doing what you're supposed to do, your weight will move in the right direction. But not as a straight line. Weight loss looks a lot more like a staircase with drops and plateaus, and a lot of small fluctuations that have nothing to do with fat. Try not to let it drive you crazy! -
Concerns about Weight loss
catwoman7 replied to Heatherhei's topic in POST-Operation Weight Loss Surgery Q&A
here are the 15K+ posts (and no, I am NOT kidding) from members who've experienced the infamous "three-week stall" (i.e, just about everyone...): https://www.bariatricpal.com/search/?q=three-week stall -
I lost the same amount (16 lbs) the first month and ended up losing 235 lbs (I've gained back a few since then). Most of us seem to lose somewhere in the 15-25 lb range the first month post-op, so you're in the right range. If you're getting your expectations from "My 600 lb Life", remember that those people start at over 600 lbs - that's way above where the average WLS patient starts from, and starting BMI is one of the factors that determines what your rate of weight loss is (other factors are age, gender, how much of your body weight is muscle, whether or not you lost a lot of weight prior to surgery, metabolism rate, other genetic factors, etc). The only two factors that play into the rate of weight loss that you have much control over are how closely you're sticking to your clinic's food plan, and how active you are. If you're doing well with those, you'll lose the weight, whether fast or slow. the other thing you may be dealing with is the "three-week stall" that most of us experience. It's not always the third week post-op - sometimes it's the second or fourth or fifth week post-op, but it's most commonly during the third week, hence the name. It's basically the first major stall after WLS. Most of us go through this. It generally lasts 1-3 weeks. I had mine during weeks 2 and 3 (so two weeks). I lost virtually nothing during this time, but once week 4 started, I dropped like 6-8 lbs within just a couple of days. so anyway, long way of saying, there's no reason to feel defeated. Sounds like everything is pretty normal...
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Stalling after 12 days ?
catwoman7 replied to Cheesekitty7's topic in POST-Operation Weight Loss Surgery Q&A
very normal. It's the infamous three-week stall visiting you a little early. The vast majority of us experience that. It usually lasts 1-3 weeks. It's usually the third week (hence the name), but not always. Mine was weeks 2 and 3. Once it broke I dropped like six lbs practically overnight. the standard advice is follow your plan and stay off the scale. It WILL break and you'll be on your way again. -
May 2023 surgeries
allisonparrett replied to WVJess2Less's topic in PRE-Operation Weight Loss Surgery Q&A
Guys I am at week 5 and I am still stalled I don’t know what I am doing wrong!!! I am a total of 45 pounds down and have been stuck at 359/360 for 2 and a half weeks. I exercise everyday walk or swim. I am hitting water and protein goal trying to get my calories to at least 700 in that process but happier if they go over since they want me close to 1000 I don’t know what else to do. I have been pretty good at not weighing my self everyday now but still!!!! How long did your three week stall last -
I didn't have a three week stall, but I'm about six months post-op now and have been teetering on 2 pounds. HOWEVER, measurements do not lie. From last month I've lost another two inches off my waist. I'm struggling mentally with progress/body/eating right now, so the inches lost are a huge help to see, but I totally feel you with the stall pain.
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8 months post op Questions
Arabesque replied to Heatherhei's topic in POST-Operation Weight Loss Surgery Q&A
The reason I answered the way I did was because of the large number of posts from people who are frustrated, disappointed, angry or think they are failing because they compare themselves with others, set unrealistic goals or timelines, think they are losing slowly, don’t reach their goal, etc. I didn’t want you to fall into the comparison trap too. I had a lower starting weight so had less to lose than you do. Am shorter & likely older. I also had a sleeve. I lost my goal of 31kg (68lbs) at 6 months. (Lost another 11odd kilos over the next 11 months bringing my total to a loss of about 92lbs.) At 8 months I’d lost 37kg (81lbs). So comparing my stats with @ms.sss & @summerseeker you can see how different loss can be over the same time period - a range of more than 2 stone which can be two or three dress sizes as an example. I may have lost more by month 8 if I wasn’t consciously increasing my calories to try to stop my loss. I may have lost less if I had more or longer stalls or lost nothing if my body decided that my goal weight was my new set point & best weight. PS: My total loss made me an outlier. The average weight loss is about 65% of the weight you’re to lose to put you in a healthier range for both bypass & sleeve. I lost 135%. I had a couple of very short stalls, less than a week in length, so my rate of loss was fairly steady, gradually slowing, with just little hiccups along the way. -
New to Revision (Sleeve to Bypass) Seeking Advice
RickM replied to CarmenG's topic in Revision Weight Loss Surgery Forums (NEW!)
The good news is that this seems to be fairly normal - our weight loss when we start a major effort, surgical or not, tends to be front loaded - lots of initial loss, mostly water weight, and then slows down. Plus you are just getting in.to the "three week stall" window where weight loss typically slows or stops for a bit while the body absorbs what has happened to it, and then resumes (though usually at a slower rate.) The not so good news is that as a revision, weightloss is typically slower and less than with the original surgery. My simple minded thought on this is that originally, our stomachs will hold 32-64 oz, but now after your original WLS and whatever stretch and adaptation it goes through over the years, it might hold 4-6 oz, yet you have adapted to that (learned how to eat around your sleeve/pouch) and still regained. So things will be slower. And, the biggest loss tends to be around surgery time when we are stuck with the highly restrictive pre- and post-op dieting. Additionally, the RNY is metabolically similar to your original VSG, so it doesn't provide a big change over what you had - so it is much slower going the second time around. (The DS, duodenal switch, is stronger metabolically than either of the others, so does work somewhat better on regain, but few surgeons offer it, or mention it.) Those who I have seen who have done really well with revision weight loss are those who take the "I'm not going to let that happen again" attitude and really knuckle under and get, and stay with, the program. -
Let me start by saying I know stalls are normal. I know it won't drop off over night. I know this is a process, and I must trust it. But I can't help thinking that I might be doing something wrong here?? I am 7-8 weeks post op, and since my three week stall 😞 I will lose half a pound, then stay that weight for a week or longer, then loose half a pound, then stay that weight. This has been happening for over a month, and it is so frustrating! I haven't seen anyone else have something similar to this happen. The only thing on my plan that I haven't completely 100% followed is working out consistently. I walk as much as I can, daily, but haven't gotten to really do weights or anything because I have no idea what I am doing in the gym (meeting with a free consultation to get a better grip on what they have and what is what at the gym tonight) Could not weight lifting really cause this though?
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Hang in there! This is a great video describing what is going on: The TLDR Version: In the first three weeks, you are losing more weight than is possible given your calorie deficiency, that is extra water around your body. You actually become dehydrated in those first few weeks until your body regulates itself and starts to store some more water to get you out of that dehydrated state. That usually happens around week 3, so you stall. You are STILL losing fat, you are just retaining more (needed) water than the fat you are losing that week.
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Stalls are very common & you can have several of them while you are losing. When they occur & how long they last can be quite different though yes the first tends to occur around week three & the usually last 1-3 weeks. It’s the time your buddy uses to reset your digestive hormones & enzymes, metabolic rate, etc in response to your weight loss & new needs. Your stomach is a muscle that stretches & contracts but it will take years of overeating to stretch it out to where it doesn’t contract as effectively & is larger. As for portion sizes, it’s best to check with your dietician for their recommendations for your needs. Some people are given caloric goals as well as goals for all macros. I was only given protein & fluid goals & told 1/4 to 1/3 of a cup from purée slowly increasing to a cup by about 6 months (my goal weight). The majority of that portion should be protein. I was only eating a bare 900 calories at 6 months but many are advised to eat more than that from months 2 or 3. You’ll discover your own portion sizes too i.e. the portion your tummy will tolerate of specific foods at a sitting. Some foods sit more heavily in your tummy or take longer to digest & are more filling so you’ll eat less of them. Some are digested more quickly so unless you are aware of your portion it can be easy to eat more than you need.
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I Am Not Really Seeing The Weight Loss I Was Expecting
catwoman7 replied to Hey Man's topic in Gastric Sleeve Surgery Forums
What were you expecting to lose? If you're looking for 30+ lbs the first month, that's pretty rare unless you're the size of someone on "My 600 lb Life". For most of us "average" WLS patients, that much loss the first month is pretty unusual. Most of us lose somewhere in the 15-25 lb range. Plus most people don't lose much the first week because of the "gain" from the IV fluids you get in the hospital (which of course is just water) - and then there's the infamous "three-week stall" that many of us experience, where you can go a couple of weeks (usually 1-3) without any loss, because your body is kind of recalibrating after the surgery - so you may be experiencing that as well. you're not going to lose the weight any faster than if you ate the same thing without surgery. With the extreme calorie deficit we have the first few months out, you'd probably lose about the same regardless if you had surgery or not. The difference is, it's much more easy to sustain that deficit with the surgery. Most people probably could not go for months on end eating something like 800 calories. But with the surgery, you can. Your hunger is suppressed, your stomach is tiny, etc. The most I could ever lose before surgery was about 50-60 lbs. With this, I lost over 200, and have kept it off for eight years. No way could I have done that without the surgery.- 33 replies
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it's the three-week stall - right on time! stick to your plan, stay off the scale, and it'll break. Does every time...
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Weight stall 7 days PO
catwoman7 replied to bellaarrazcaeta's topic in POST-Operation Weight Loss Surgery Q&A
you've probably hit the infamous "three week stall" (most people have this early stall. It's usually the third week after surgery, hence the name, but it can happen any time within the first six weeks or so). Mine was weeks 2 and 3. Just stick to your plan, stay off the scale, and know that it'll break and you'll be on your way again. No need to do anything different. -
I understand your frustration. When I was about one week post op, I hit my first stall. ONE WEEK! I only had water, some broth and that’s it. So why the heck wasn’t I losing weight?? To make matters worse, my hubby, who ate take out twice that week, lost three pounds. WHAT!? I was totally insulted… and I started to think it was my body again. Always trying to keep me fat. Years of struggle and here I am eating 400 cals a day and not losing anything?? One week later, a small movement. But every time I changed food stages, another stall. That was four stalls in six weeks. Very frustrating. I knew my BMR was 1400, so staying around 600-800 calories with high protein and low carb would HAVE to work. It’s not the program as much as it is the science. a couple things I’ve noticed… 1. If I’m sick or have an allergy episode, I will stall or even gain 2. if I drink Gatorade or artificial sweeteners of any kind, I will stall 3. if I don’t have regular daily bowel movements, I will stall. This one is so hard to deal with. 4. If I don’t get enough sleep, I will stall. 5. When I started eating higher protein than recommended (90 recommended, I have 110), I will lose. Even if the carbs go up slightly. 6. If I eat too many processed foods in a day, like protein bars, drinks or snacks, I will stall. 7. If I don’t get enough pure water, I will stall. You might have some sensitivities like these or others…. Really examen what you’re taking in, not just the calories and fat. It’s a puzzle you gotta figure out for yourself. It’s hard work. But I believe you can do it. Just vent and get back in there! 😃
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where did you hear that the average is 5-15 lbs a week? NO ONE loses that fast. Maybe 5 lbs a week the first MONTH (and it wouldn't be five lbs each and every week - most of us experience the dreaded "three week stall" - but a 15-25 lb loss the first month seems to be pretty average, unless you're the size of someone on "My 600 lb Life". After that drop the first month, you'll settle to into a slower rate for a few months, maybe 10 lbs a month, give or take, for the next few months - and then it'll slow even further. so I don't know where you heard that figure, but it's not accurate. You need to adjust your expectations or you're going to be frustrated and disappointed. As long as you comply with your clinic's plan, the weight will come off. Don't stress over this and more importantly, don't burn yourself out - you don't want to crash and burn. Just follow the plan. Depending on your starting point, it can take a year or more to get to goal - it took me 20 months. You want to jeopardize your health.
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Whew what an up and down 24 hours it's been...
Yesterday I was pretty confident that I was finally through my first stall (after 3 full weeks!) and I was feeling good about getting 5km of walking in using my Nordic walking poles.
I also have mastered some of my pills... ursodiol and calcium citrate have become my nemesis, because they are both large-ish pills and they get stuck on the way down and trigger vomiting... three times a day each! Turns out I can split my ursodiol in half, and take two smaller pills to get it down, and I can crush my calcium citrate and take it with a bit of apple sauce. Victory!
But then I did something pretty stupid and tried to eat half a smokie at dinner. I thought it would work because I have had kielbasa successfully, and I was using mustard as a bit of meat lube, as Fluffy calls it. Yeah... not smart. I spent more than three hours dealing with slimies, foamies, and general vomiting. Ugh! It was awful. The only highlight of the evening was that my Roughriders won their game.
This morning, I was up and out for my walk by 6am, got in my 5km (although I'm feeling it a bit... sore legs), and managed my morning Rxs without issue. Even had a great poop! (who knew I could get so excited about that?) and I was down 1.2lb from yesterday! Woohoo!
My plan for the day is to take it easy food-wise. Had some greek yoghurt with protein powder for breakfast and am planning on some egg salad for lunch. Giving my poor pouch a break from all the heaving yesterday. Here's hoping to have my first vomit free day in over 3 weeks.
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Well, long time no see.
It's been a rough couple of weeks. I should have been expecting the other shoe to drop after having it so easy for the first three weeks post op. I was getting my water and protein easily, had no pain, nausea, or vomiting.
But as soon as the soft foods really started in earnest I started having problems. Pain, foamies, slimeys, vomiting galore. There doesn't seem to be a rhyme or reason to it. Something that I ate easily yesterday causes pain and vomiting after the first bite today. Sometimes it's my pills, other times they go down easy. I just don't get it.
I'm trying to stay positive. I know this is a season in my life, and things will eventually even out. I'm just so tired of being afraid to eat, not knowing what kind of response my body will have. I'm mostly hitting my protein target, thanks in large part to protein shakes (which I hate, but look at as medicine). I missed my water targets by a lot over the weekend, due mostly to feeling awful, which I know is a terrible cycle... throw up, don't feel like drinking anything, get dehydrated, get constipated, feel like crap, repeat.
The three-week stall is also still here. I thought I had busted through it, but I've been bouncing between 216-219 for the last two and a half weeks, which is a contributing factor to my mood and frustration level. And add in wee-lings who are going crazy with end of the school year insanity, friends with busy schedules who I haven't been able to see in weeks, and I'm an unhappy girl.
Things will turn around. I know they will. Just not feeling it at this moment.
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Thanks @FluffyChix! I know the stall will break, it has to eventually given I'm only consuming 700ish calories a day and I am trying to be active every day. I confess it's hard to be motivated to go for a walk though when I feel like crap.
Cold water seems to be better for me right now... icy anything makes my tummy happy. It's when my water gets to room temp that it is harder to get down. But I am committed to getting my water in. It's so funny, before surgery I never had a problem with water. Today I decided that I won't count my 'other fluids' as part of my water total... they have to be over and above my target.
I'm looking forward to lowering my reliance on the shakes. I really don't like them. I got clearance with my RD to cut back on them, provided I can hit at least 80g of protein without them. But I haven't been able to manage that just yet. I'm hoping in the next few weeks, provided I can get real foods to go down and stay down.
Thanks for the encouragement!
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FluffyChix reacted to this
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80 grams without protein shakes at your stage feels very ambitious IMHO? Are you sure she didn't mean 80g including protein drinks and food sources?
We all heal so uniquely!
Don't rush advancing. I know it's hard not to, but your tum will heal easier if you just listen to it and what it will and won't allow for the day.
Gosh I so get the motivation of the scale!!! ((hugs)) With one reading I can determine my mood for the day. LOL. Then I wait a bit and have a nice poop.
haha Mood restored. I'm ever just one solid poop away from a good mood. hehe
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She was pretty clear... I asked about cutting back on them last week and I'm guessing she wanted to encourage me to continue with the protein shakes without actually saying so. Making it my decision. I have 2 shakes a day, plus some protein powder in my breakfast, so I'm hoping to maybe drop one shake a day in a couple of weeks. I'm really not into the lack of satisfaction they provide for the calories they take up in my daily totals.
I *know* that this is just a step on the road. I need to put on my big girl undies and deal with it. And I need to really learn to listen to my body and not push too far too fast.
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FluffyChix reacted to this
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6 weeks out and started exercising in earnest and now the dreaded stall. Out of frustration pre-surgery, I would be three quarters of the way through a bag of Reeses Peanut Butter Cups! So thankful that kind of distructive eating is no longer a part of my life!
