It's been a long time since I've posted... I fell back into bad habits, gained 30 lbs over the last year. I'm two and a half years out from surgery.

I'm on a 1,000-1,200 calorie diet AND I'm taking phentermine, and exercising 1-2 hours a day and I'm not losing the weight! I'm so frustrated with myself. I don't understand why I'm not losing.

Anyone else who is years out having this issue?

What are those 1000 calories comprised of? Are you eating your Proteins first, complex carbs second?

Have you tried going to a strict post op diet for a week or so? liquid Protein only for a few days and then gradually reintroducing solid protein to "reset" your restriction?

I'm eating between 80-100 grams of Protein a day carbs between 40-60.

I tried the post op diet a few months ago and lasted a day.

lasting a day on the post op diet is a sign that maybe theres something else here. While this is all hard it does require a lot of discipline. 60 g of carbs is a lot of carbs. also where do the carbs come from? starches like bread, rice, Pasta etc or are they fruit type carbs? or high Fiber carbs. 60 grams of carbs from mostly sugars will undo all your hard work, in an instant.

You have to want this bad enough to make that liquid diet work for a few days. after all you have been through, you should be able to push the liquid diet for 3 days at least. You might also want to adjust your workouts. try alternating cardio with strength training.

You have to make the effort to get the results. I know you know that. So i think you can do this. you did it once, you can do it again.

I avoid Pasta all together. Occasionally I'll have a slice of bread or 1/2c rice, and this is maybe once a week. Other than that, the carbs come from fruits and veggies, yogurt (Carbmaster yogurt) fat free cottage cheese etc.

My work outs include both cardio and strength.

So, not to be critical at all, but phentermine is not really the way to long term weight loss. I tried it, I felt like a crackhead because it made me so jittery and I lost weight, however as soon as I stopped taking it, the weight came right back. If you've recently gained weight, how many calories were you eating then? If you were at say, 2000, why not drop your calories back to 1700 for a week or two, then to 1500, instead of all the way down to 1000-1200? Not only will this make it a gradual process to go back to fewer calories and you will feel less deprived, but you may end up losing weight if you eat a bit more, granted if that eating a bit more includes healthy food.

My entire life I have been on one crash diet after another. I have starved myself anywhere from 20 pounds down to 90 pounds down, however the thing I liked about the sleeve is that I knew it was going to take time so I wasn't as freaked out furious when I got on the scale and the number didn't move downward everyday. As long as I watched my calories and I exercised, I knew I would eventually get to where I was going. Phentermine and 1000 calorie diets are not the key to long term weight loss and maintenance if you are over two years out from surgery. Again, I am totally not being critical because I have seriously done every diet in the entire world (grapefruit, cabbage, cookie diet anyone?), but if you are able to approach it from a more moderate take instead of trying to knock out your 30 pound gain quickly, it seems more likely that you will find yourself less upset about stalls, you will be healthier without the phentermine and not be at risk for the quick gain often associated with stopping that drug, and you might find that it takes twice as long to lose, but it stays off for twice as long too.

Good luck!

Yup. What everyone else said. Back to basics for you. Try absolutely NO CARBS (or as little you can get) for a while. Just Protein and green, non starchy veggies. TONS of Water.

And some might disagree with me on this, but lay off the strength training and just concentrate on cardio for a while until you are well on your way to losing again. Good luck!

I opted for phentermine as "last resort" type thing to help jump start my weightloss again. I discussed it with my dr and she set up the diet plan to go with it.

I'm surprisingly not jittery or unable to sleep. It does somewhat help with appetite. I've been on it for about 3 weeks. I see her at the end of the month and if my progress isn't better in going to have her take me off of it.

I'd be happy with a two pound a week weightloss... Im not expecting overnight results. I'm just frustrated.

I'm sorry you are having a tough time. But going back to old habits is really just that...a habit. Habits can be broken. You honestly have to ask yourself how much you want this. If you want it more than anything then you will have to get really strict. By this, I mean you need to be tracking everything. Eat your Protein first for real. Eat the 4-5 bites of dense protein (beef, chicken, etc) and then whatever room is left..and it won't be much, eat a couple of bites of veggies. By this time you should be full. This is for your two to three main meals. In between meals if you feel like you need to have a snack then maybe have a yogurt, steam a pack of Edamame, or peel a cutie (halo) and eat it slow. But seriously track everything! Losing weight is 90 percent what you are eating so it's got to be a problem there. Don't guess, track it. You can do this if you really really want to. In fact, nothing is stopping you. I say go for it! You still have a sleeve. Good luck!

oh and if you do the back to basics rule (Protein first!) then you shouldn't need to phentermine because you shouldn't be hungry.

Belviq would be much better than Phentermine if you absolutely have to have something to get your mind off food while you get it back together.

You have got to kick the bad carbs, log every bite BEFORE you put it in your mouth and pay for a few sessions with a personal trainer to get some routines set up that will do what needs to be done weight loss wise.