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Would it make more sense if the fat was supposed to be 15g per meal? It seemed like she was calculating it from three meals when she was talking to me because she was adding the carbs out loud. That seems like a mistake that could be easily made and that would be closer to what the DS vets have said. Still not quite as high but it is a little different surgery than DS. Plus adding 30 more grams of fat brings the calories to 1,125 if I’m understanding and calculating that correctly which falls within that range that she gave me.

So...I'm struggling with how to answer this because I want to give you helpful information, but I still have questions. I guess I'll jump right in and see how it goes. 1) You started off at a lower weight to begin with, so your body is likely at the point now where it's at it's healthiest. As of right now, you're 5'5" and 136 pounds with a bmi of 22. You're exactly where you should be. If you lose 15 more pounds, you'll weight 121 pounds and have a bmi of 20. On paper, that's still healthy. But my concern is you're becoming addicted to losing the weight and even though you're exactly where you should be (and could even gain 10 pounds and still be where you should to be) you'll panic and possibly go about things in an unhealthy way to drop those pounds. 2) Were there other reasons besides your weight that led you to getting the surgery? Did you have any comorbidities such as high blood pressure, diabetes, cholesterol, etc? You didn't mention that. My fear is, if you only wanted to drop weight and your bmi was 33 to begin with, and now you're wanting to continue to drop even though you're being told you look "stick thin" (and you're in the healthy range now but still want to go lower), that this might have more to do with the number on the scale than getting healthy. 3) Stalls are normal, and happen all the time. The fact that you haven't had one until 4 months out is actually kind of surprising. They do break on their own, but honestly, you may lose little weight going forward (and what you DO lose will likely come off slowly) since you're already well within the healthy and normal range and your body feels it's happy at its new set point. 4) Your body likely thinks it's in starvation mode, based on how you're working out and lifting and what you're eating. The harder the workouts, the more calories you need. Prioritize protein first above all else, then veggies, then carbs and healthy fats. But you definitely need to increase your calorie intake. This isn't necessarily advice for dropping more weight (although that tends to happen when things like this go on) but for healthy purposes. If your body thinks it's starving, it'll hold on to every single calorie and bit of fat. And it'll eat away at muscle before fat just to make sure you survive. So my suggestion is to increase your calories. I don't do heavy lifting, but I DO do weight training, and on those days, I go up to 1400 calories. Core and strength training, I go up to 1300 calories. Cardio I go up to 1200 calories. Non work out days I eat around 1000 calories. 5) You didn't mention what surgery you had, but I'm assuming it's the sleeve. If I may ask, what made you choose having surgery versus doing anything else for weight loss? Have you tried changing your eating habits before, did you try medication, or did you go right to surgery? How have you changed the way you eat, and what you eat, since the surgery? How much fluid are you taking in every day? How much protein and carbs are you taking in each day? Are you taking your vitamins every day? How many days per week are you working out (should give yourself 2 days off ideally, but for sure at least 1).

Hi Sandra, Two weeks of shakes are the hardest but once you get past the surgery you will kill for that. I would not plan on staying in bed often after the surgery during the hospital stay. It is best to start walking at least once an hour. I was the only one of the 12 people who got the surgery who was up all night just walking. Hospital beds are the worst to sleep in. Best of luck in your journey.

Girl, you can totally laugh! I just really needed to know lol I’ve been having a bad stomach week and I was like nothing I have been doing has changed…except 😂 But thank you for being honest and a woman in solidarity! Haha

I think I'm stalling again. It's making me angsty. I know it's expected but it just makes me feel so insecure and down. having trouble coping with the stall. I'm quite down. That and the non stop rain and grey skies.

Hi there! Newbie here. Been reading a lot of the threads and already feel like a lot of you are my friends when I haven't actually spoken to any of you 🤣 I had my surgery on the 17th of December 2023 and my stats were: Height: 166 Cm (around 5'5/5'6?) Weight: 90 KG (198 lbs) I didn't do the liquid diet because my surgeon doesn't believe in it. Also, my surgeon specifically said "I will be very happy if you lose 20 KG (44 lb) but it's quite unlikely".I wan't heavily overweight and I was very athletic with a lot of muscle mass. Fast forward 18 weeks post surgery I have lost around 28.4 kgs (62.48 lbs) and my surgeon's mind is kind of blown lol, he wants me to stop losing but I do not think I am done yet. I get these comments that I look "stick thin" but mostly get many compliments as there is no sagging or loose skin (due to muscle mass pre-surgery). My problem is that I have hit my first stall ever this past week where I didn't lose anything (I was losing quite rapidly) and I am low-key freaking out. I still want to lose another 7 Kgs (15.5 lbs) just to have a wriggle room if my body decides to gain a little rebound weight later. I have started some heavy lifting the past week and man I am SO SORE so I think it's due to the inflammation? I am quite sad and disappointed to have not lost any weight the past week and I need some emotional support. I eat around 800 kcals a day with 65 grams of protein - give or take- (starting the past 2 weeks as I was still on a 300/400 kcal a day prior to that). Could that be another reason? Was anyone done losing at 4 months post op? While I know my weight is currently good/slightly under what is good for my height, I really want that wriggle room and I really don't want to be done so soon. Any advise?

Oh, I'm 3 weeks post op, almost 4 weeks

1). I lost 16 lbs the entire first MONTH, and I went on to lose over 200 lbs. Most of us seem to lose somewhere in the 15-25 lb range the first month (yes - MONTH). So unless you're an outlier or the size of someone on "My 600 lb Life", you are doing very well! 2). sounds like you are experiencing the infamous "Three-week stall" right now - right on time, too! The vast majority of us hit our first major stall within the first month or so after surgery - and it's usually the third week;, hence, the name. If you google the site for the three-week stall, you will find something like 17,000 posts on it (and no, I am NOT kidding). A slight bump-up in weight is not unusual, either. It's almost certainly just water weight. The best thing to do is to continue to stick to your program and stay off the scale for a few days. As long as you remain compliant with your program, the stall will break and you'll be on your way again. It usually takes 1-3 weeks. 3). you won't feel much (if any) restriction or "full" until you move to solid foods. Liquids go right through you, and purees pass through pretty quickly, too. Plus you had nerves cut during surgery, and it takes awhile for them to start to regenerate. You'll feel it fairly soon. However, "full" doesn't always feel the same way for many of us that it did before surgery. I don't feel "full" the same way at all - it's more a discomfort - sort of like pressure - in my chest. Once I start feeling that, I know I'd better stop eating or I'm going to be sorry. Others have even weirder full signals - like a runny nose or sneezing.

Please add the option to list a second surgery to our profile if possible. I’m thinking it’s kinda confusing to people that I am asking questions about pre op when I had surgery three years ago. Also please add the SADI surgery to the list of surgeries as well.

I am a stubborn b**ch so I used that strength to get me through on the days I knew what was going on but a lot of the time I had no idea how sick I was. It was only afterwards I found out how bad I was and how worried all my family and friends were. I didn't mention it above but I also had a blood infection and then an allergic reaction to one of the medications - basically anything that could go wrong/happen did. They couldn't do the feeding tube via my arms as my arms got infected and the veins collapsed, I think I had 8 different IVs in my ams over the months, they just kept switching from left to right until all veins had collapsed. I ended up having to have blood draws from my foot at one point and had my IV in my neck. I actually thought I was going to be physically ill when the first told me they had to put the IV in my neck and had to be given a xanex to calm down and go to the the procedure room but it was actually ok then afterwards and so much easier than my arms. I know what you mean about the health anxiety side of things, I was worried about everything when I came home finally, it was a shock to my system to suddenly be without the constant checks from nurses and doctors and not know if a little twinge or cough etc was a bad sign or just normal. I had to take my blood pressure during the day and do temperature checks to make sure I was at a normal range. I was also afraid to go for a walk of a few minutes in case I then didn't have the strength to get back home so I just walked the bus route on my road as figured if I could walk to the end of the road and get stuck I would just get the bus back. Now I can do 1.5km or so around the block at a steady pace. I am not sure where you are in the food reintroduction phase but once you are able to eat more protein it should also help with the energy levels but I do think rest is key. Once I got into a decent sleeping pattern again, took a few months at home after the nurses rounds at 11pm 4am 7am etc., I really saw the improvements in my energy. That is great that you got the appointment for next week. Just keep asking them to check everything and be honest with them about your fears so they can discuss with you. Just give it time and let your body recover, it has been through a shock to the system with the weight loss and then the infection on top. I figure my horror show can only help others to not feel as bad if they are struggling a bit. It has taken me a long time to start to feel better and more positive but I think I have turned a corner in the last couple of weeks.

Did they give you a prescription for anti-nausea medicine like Zofran? I had to take it for many weeks and just stopped. Also, have you tried broth or other soups? I found that getting away from the sweet shakes and drinks helped a lot. I would call the surgeon's office again and try to speak to someone else. That response wasn't ok! When I was battling nausea, I got dehydrated, and my blood pressure got really low. I had to go to the hospital for IV fluids and vitamins. It's like a vicious cycle with the nausea and dehydration. If your surgeon can't help, maybe contact your general practitioner. Sorry you are going through this!

@Zinger I had 2 preop appts, one with my surgeon, 30 min, and one with my dietician 1 hr. But a few weeks before that I had initial visits with the dietician and social worker. The hospital called today and scheduled me to come in next week for my preop testing. Maybe your providers combine some appts so that it takes 4 hrs? I am learning that every surgeon has a different process.

Guys I need help! I am not sure how to post on here but I had the sleeve on 04/18/24 and everything was going great until almost 2 weeks ago. I have not been able to eat, the only thing I can keep down is water. I am starting to feel weak, and now scared. I called my surgeons nurse and she told me it’s a possible stomach virus or just my hormones getting back to normal. I feel worse day by day. Constant nausea, and gagging all day long. What should I do?!!

She said that whatever you drink the week prior to surgery during the fast, many people seem not to like it afterwards. She said everyone is different and sometimes your taste preferences change.

@Zingor4 Hours??!! Is this like, right before your surgery? I've had two pre-op appointments, both took about 30 minutes. The first was with a nutritionist who went through the "no kidding" diet restrictions for the post op time and my blood work and the vitamins I'd need to order. She was even more insistent that there should be NO VITAMINS until 2 weeks post op. T The other appointment was with the regular surgical nurse who went through what to bring to the hospital (CPAP machine, etc.) and what not to bring (valuables, all my kids, etc.) whether I had any allergies to meds and my history of prior operations, anesthesia difficulties, whether I needed help with translation, etc. And I'm with you on the clothes. When do we pull the trigger on buying new stuff?

Does anyone know what is involved in the pre-op appointment? Mine is Monday (April 29), and they told me it would be about 4 hours long, but it didn't occur to me to ask what will happen. I mostly work from home, but had to dig out work clothes for a week in the office last week. Every evening I would come home and think "well, that's probably the last time I will ever wear that." I am having more clothes funerals than food funerals.

That seems like a good loss so far! Read up about the 3 week stall , it happens to most people after WLS...

Okay so I am still so terrible with this stuff but my dietician makes it seem so much more confusing and I really need to understand this so I can get it right this time. I asked her what my requirements would be post SADI surgery and she said 1000-1200 calories 90g protein 90 carbs (45 fruit and veggies and 45 from starch), and 15g fat. I am trying to eat similar to that now to see what it’s like and I am logging my food. I figured my portions will be a little larger so I won’t be able to hit the exact goals but wanted to see where I am. This morning I did great with my protein iced coffee which is just a caramel shake with some coffee mixed in. Low calorie and carb and high protein. This afternoon however I thought I would have 2 scrambled eggs and one Turkey sausage Patty. The calories and carbs are fine but it seems like Either that fat goal is unrealistic or the protein goal is from normal food if there is really 15g of fat in two scrambled eggs and only like 13 grams of protein? Even if I forget the 7g of fat leaving out the Turkey sausage just two eggs is too much fat for one meal and reduces the protein. I hate egg whites but assumed two scrambled eggs would be okay. I know post surgery I will not eat two whole eggs which will reduce the fat some but also the protein. Could i add protein powder to the egg or something? Maybe an egg and a yogurt would be a better option? Or Do I have to just suck it up and eat the egg whites. She also said something about three teaspoons of “healthy fat” and I’m not sure if that’s in addition to the 15g of mono and polyunsaturated fat or if 15 is the total which may be where I’m getting confused. I just emailed her asking for clarification but last time it took her like two weeks to get back to me so I figured I’d see if anyone else can make sense of this.

My date is may 2nd…… On my second week of diet as or yesterday. Having the hardest time w/this diet, only cause I'm diabetic and on depression meds, and I have to put something in my System to take them. I have dizziness, fatigue , and tend to be light headed at times. It took me over a year and a half to get to this surgery. Was scheduled for 3/12/24 but had a issue w/kidney. All good now, so don't wanna do anything to get it postponed again. GOOD LUCK 🎲 TO ALL MAY PATIENTS !!!

I had surgery on 4/8/24. I had a bypass. I am able to drink fluids with no restrictions. I'm on the puree stage. At 2 weeks out I have only lost 16 pounds. The last 3 days the scale actually went up 2 lb. I'm not going to lie. This is an uncomfortable feeling. Specially because I'm sticking with Drs orders. I do notice that even though I eat 3 ounces of food and try to keep up with my fluid intake I don't get a "full" feeling. It does not take me a long time to eat. So I'm not sure how to feel about that.

Had gastric bypass Feb. 7th. My food intake is hot and cold at times. The last few weeks I've felt like I needed to eat more often. Not more volume, just spread it out more to fuel myself. I've been exhausted lately. I think spreading out my meals has helped some. You should try the baritastic app. I've used that since October. The dietician at the bariatric center can see the food and drinks that I log. But it's a good app just for yourself as well to keep track.

A food diary is a good idea. I hate doing them but I've been keeping one since my preop diet and will probably continue for a few more months until I really feel like I've got a good routine and no issues with hitting all the goals. I'm feeling pretty much back to normal, no issues with food in more than a week. What kind of pain are you experiencing?

Thank you so much!! as of now I am weight lifting 3-4x a week. Trying to switch up the exercises for my upper body and lower body. I do want to build a booty so I focus lifting heavy on those LOL. I agree I may need to eat more which I have been trying to incorporate more protein. I feel like this whole thing is a science and well I got a C in science so I am not sure what I am doing is hindering or helping. Like you said weightlifting and cardio are so good for us! I am sure I will see the difference in my body with inches as the time goes on. Loved the book/lecture

The thing is that they assume that you can only eat so much so if you prioritize protein then veggies then you should only be able to eat a tiny bit of healthy starches, if any, and based on that theory everyone will be okay. When I had Sleeve three years ago I swear mine was left larger than most though because I could drink and eat more from day one than they said I should. I always said that I know I had surgery because I could no longer get my moneys worth at an All you can eat buffet but I could still eat quite a bit. When I was back to “regular” portions I hit all my protein goals then ate my veggies like suggested but still had room for more carbs than I should be eating. I did great in the beginning when I was told how many ounces I should be eating and I wasn’t hungry so I just stopped myself there but later on I think I needed more guidance than just calories and what to prioritize. I know I was an exception to the rule though. When I went back to discuss revision with another dr he said not that I’m suggesting it but if you were eating a sub how many inches could you eat and when I said 5 or 6 easily he said that I should not be able to eat that much. I believe that is why things went wrong for me. I reached my first easy goal I set to encourage myself but never made it to my ideal body weight. Then a few month later when actual hunger came back and I ate until I was full I started to gain even with the healthy options because of my portion sizes. Admittedly if I had not been frustrated and basically gave up at some point I probably would not have gained ALL my weight back and I would still be healthier now than when I started, but I know where things began to go wrong so this time I asked repeatedly until I got even more guidance from the dietician.