Dr. Jossart, YAY!

Thank you so much for your time and being here for us.

Why is the 6 mo mark so important? Is there a certain % of weight that should be lost by then, that predicts success?

My VG was 7/28 wt 213 BMI 39, as of today, I am 174 BMI 31.8. I am worried that I might not reach my goal, because 6 mos will be up 1/11/10.

The reason for the stall was that I started eating carbs at month 4. It was that head hunger thing. I have been back on track for 2 wks now, however, I cannot seem to keep my calories under 1000, although I am only consuming protein/veggies. What can I do? And, why is 6 mos so important?

Edited December 4, 200916 yr by Steph_123

39 pounds over 5-6 months is a slow weight loss. Eating 1000 calories per day and lots of carbs while still trying to lose weight will most likely result in a final weight 20 pounds higher than your desired goal weight. It is becoming very clear from recent data that the VSG is excellent for the lower BMI group but the pouch must be made small enough. That size should be less than 2 ounces and between a 32 and 40 French bougie. A combination of large pouch and noncompliance makes it very difficult to achieve goal weight. The best pouch size would be one that would still limit you to less than 2 scrambled eggs over 15 minutes at 3 months post op. However, there is no standard way to evaluate pouch volume.

This is great information to have! Thanks so much for sharing with us... these are the kind of questions I often come up with, but can't find concrete answers. Glad to have you here, Dr. J. :001_unsure: