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Calories and nutrition



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I am desperate. I really would like advice and information from those of you who tried extensive dieting without success and then experience success with sleeve surgery.

I have been on diets and restrictive eating plans for seemingly ever! I had the adjustable gastric band for about 10 years which did nothing. I eat extremely healthy foods and have been on diets with restricting grains, dairy etc. for a long time. And on average I eat around 1200 to 1600 calories per day. And I exercise a lot. But it's impossible to lose weight. Have any of you had long periods of time with moderate calories, and eating healthy without losing any weight?

So, it looks like it's time for me to consider the sleeve.

Have any of you had the experience of dieting with restricted calories to about the 1200 to 1600 range prior to the sleeve without weight loss, and then having the sleeve and experiencing success with weight loss? It seems that the goal for calories is around 800 calories for weight loss, with the sleeve? Is it possible to maintain good nutritional status or get all of the nutrition needed with only 800 or 1000 calories per day long term? I am just so tired of years of dieting, restriction, being hungry, watching what I am eating, and just not losing weight. There just doesn't seem to be a way that dieting can work. So maybe sleeve surgery is the only alternative. I don't feel that I over eat and I always was under the impression that surgery was for people who could not control their overeating. But maybe I am wrong. Maybe the surgery is so that it is possible to eat well under the average number of calories per day.

So, just wondering how many of you were never able to lose with extensive dieting and exercise but have now lost with sleeve surgery?

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For me, I have been overweight all my life and had minimal success with dieting over the years but would always gain the pounds back and then some. The difference now is I have a tool, my sleeve keeps me from overeating. I have a new way of eating FOR LIFE. I follow a high Protein and low carb lifestyle. I eat my Protein first, then my non-starchy veggie and I am done. I don't eat sugars, high fat, junk foods or sodas.

It works because I am not able to eat as much so no overeating. It works because I have to focus and pre-plan what I will eat. It works because I do good to get in 600 calories a day at this point instead of 1600. Heck I was probably eating 2200 before surgery. It works because this is not a diet but a life change. It works because it isn't a temporary eating change and when I m done I won't stop but will continue to eat the same for the rest of my life.

I started eating high protein and low carb at my consult and lost 45 pounds prior to surgery and have lost 18 pounds in the 5 weeks following surgery, I feel better than any diet I ever did. I have energy, I feel happy, I am not tired or starving. I never feel hungry. I don't sit and snack like I used to.

It is amazing! Good luck whatever you decide!

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I can speak to the second part of your question. I've been eating 800-1000 calories per day for two years now -- actually more like 500-800 for the first year. I'm down over 180 lbs and am perfectly healthy. I take my Vitamins and eat a diet focused on lean meats, healthy fats, and green veggies. I also eat fruit, tree nuts, and dairy (mostly just yogurt) sparingly. I have my blood work done regularly and it always looks great. I have tons of energy, and do serious exercise (running, HIIT, etc.) for at least 30 minutes a day, 6 days a week. The idea that you have to eat at least 1200 calories a day in order to be healthy is a myth. I'm almost convinced it's perpetrated by the diet/weight loss industry (Weight Watchers, Jenny Craig, etc.) in order to keep people fat and ignorant. If we actually succeeded at weight loss, we wouldn't keep going back to them and paying them more and more money.

eta: I don't want to sound like I am discouraging anyone from the sleeve surgery -- I love my sleeve! But unless there is a medical reason not to, I would encourage you to also discuss the gastric bypass with your surgeon. It is a great surgery, and I know lots of people who have had it with terrific results. Since restricted calories alone has not worked for you in the past, the extra mileage you get from malabsorption might be what you really need for the greatest success. Just something to think about!

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I was sleeved April 20 of this year. Up to then, I had been on every diet and considered myself pretty much a professional dieter. I had yo-yo dieted so long that I truly messed up my metabolism.

As soon as I was sleeved, the weight started to drop.

Yes, because of the sleeve, I am surviving on fewer calories than I did before surgery when dieting, but it's a very different experience (physically and mentally).

Now, rather than focusing on deprivation and being hungry, I have to focus on maximizing my nutrition, getting in enough Protein, and staying hydrated, all while not being very hungry.

Focusing on calories, in my educated opinion, is asking the wrong question. Yes, the calories are low, but minimizing calories is not the primary goal. It's a byproduct.

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Before surgery, I would not lose weight even with an intake of 1500 calories a day. And yes, even without the addition of exercise my weight would not back down. I did have severe hypothyroidism, which may have played a huge factor in my inability to lose weight. When I did lose weight, it was only because I got my calories below 1000. Of course, the weight would never stay off very long. I would became terribly hungry and slip up and eat a cookie. With my all or nothing thinking, I would cave in and give up quickly after small slip ups.

My bariatrician made it clear that I could eat a small amount of calories everyday and still be healthy. You just have to be sure to get your Protein, Vitamins, and Water in everyday. So, for the first 6 months after surgery, I restricted my calories to 500-700 per day. Miraculously, I didn't die from hunger or become malnourished. If I wasn't hungry, I didn't force myself to eat. My blood work was good and my energy level was ten times better than before surgery. I ate smarter and hardly ever felt deprived.

At exactly 5 months pre-op, I lost a total of 100 pounds since the date of surgery. My only exercise was a daily hour walk. Oddly, my thyroid condition never has improved. I still stay under 1000-1200 calories a day. Based on my experience, I think starvation mode is a myth and you don't necessarily have to have 1200 calories everyday to be healthy. Yet, everyone is different and what worked for me may not work for all.

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Before surgery I asked the doctor if someone post menopausal with hypothyroid could succeed with a sleeve. Doctor said there was no specific research on it but thought I could be at a healthy weight in one year from surgery. Surgery was almost seven weeks ago and I'm very happy with the results. I eat around 600 calories a day, meet the upper end of Protein goal each day, exercise 5 days a week and feel great. Pre-surgery it would have taken me 6 months to lose as much weight as I have lost in 7 weeks and let's face it, I probably would have given up before getting to 6 months!! LOL

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    • LeighaTR

      Four days post surgery. I am sipping as fast as I can and getting NO WHERE near the goal of 60 - 80 grams of protein or the 64 oz of liquids. I just feel FULL. I don't know if it can still be the gas build up (I would think by now that would be gone) but it is a struggle to drink. And so far I have not had the nausea or spasms and don't want to wander into that territory by pushing too hard with liquids. I about passed out today as it was my most "strenuous" day. Went from second story to basement for shower and I was sure I was going to pass out. Looking back on my last few days I have had a total of less than 1000 calories. Am I just not getting enough nourishment in me? Once again a friday where I can't get ahold of the doc until Monday rolls back around so I am hoping maybe someone here has some experience on how to keep energy going. I do have fibromyalgia too and that may be where some added fatigue comes into play. How did you all fair with the goals the week after surgery?
      · 0 replies
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    • Doughgurl

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      · 3 replies
      1. Phil Penn

        Good Luck this procedure is well worth it I am down to 249.6 lb please continue with the process..

      2. Selina333

        I'm in Houston so kind of near you and had the sleeve in Dec. Down 61 lbs. Feeling better. Was definitely worth it. I hope the everything is going well for you. Update us when you can!

      3. Doughgurl

        I am back home after my bypass surgery in Tiajuana. I'm post op day 4. Everything went great! I guess I'm one of the lucky ones who have not encountered much pain at all, no nausea thus far and I'm having no problem keeping down broths and water. Thank you for your well wishes. I cant wait to keep up this journey and have a chance at better health and simply better quality of life. I know there will be bumps in the road ahead, and everything won't be peaches and cream, but at least I have a great start so far. 😍

    • LeighaTR

      I am new here today... and only two weeks out from my sleeve surgery on the 23rd. I am amazed I have kept my calories down to 467 today so far... that leaves me almost 750 left for dinner and maybe a snack. This is going to be tough for two weeks... but I have to believe I can do it!
      · 0 replies
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    • Doughgurl

      Hey everyone. I'm new here so I thought I should introduce myself. I am 53y/o and am scheduled for Gastric Bypass on June 25th, 2025. I'm located in San Antonio, Texas. I will be having my surgery in Tiajuana Mexico. I've wanted this for years, but I always had insurance where bariatric procedures were excluded. Finally I am able to afford to pay out of pocket.  I can't wait to get started, and I hope I'm prepared for the initial period of "hell". I know what I have signed up for, but I'm sure the good to come will out way the temporary period of discomfort and feelings of regret. I'd love to find people to talk to who have been through the same procedure or experience before. So I look forward to meeting you all. Hope you have a great week!
      · 2 replies
      1. Selina333

        I'm so happy for you! You are about to change your life. I was so glad to get the sleeve done in Dec. I didn't have feelings of regret overall. And I'm down almost 60 lbs. I do feel a little sad at restaurants. I can barely eat half a kid's meal. I get adults meals often because kid ones don't have the same offerings at times. Then I feel obligated to eat on that until it's gone and that can be days. So the restaurant thing isn't great for me. All the rest is fine by me! I love feeling full with very little. I do wish I could drink when eating. And will sip at the end. Just a strong habit to stop. But I'm working on it! You will do fine! Just keep focused on your desire to be different. Not better or worse. But different. I am happy both ways but my low back doesn't like me that heavy. So I listened (also my feet!). LOL! Update us on your journey! I'm not far from you. I'm in Houston. Good luck and I hope it all goes smoothly! Would love to see pics of the town you go to for this. I've never been there. Neat you will be traveling for this! Enjoy the journey. Take it one day at a time. Sometimes a few hours at a time. Follow all recommendations as best you can. 💗

      2. Doughgurl

        Thank you so much for your well wishes. I am hoping that everything goes easy for me as well. We don't eat out much as it is, so it wont be too bad in that department. Thankfully. Also, I hear you regarding your back and feet!! I'd like to add knees to the list. Killing me as we speak! I'm only 5' so the weight has to go. Too short to carry all this weight. Menopause really did a doosey on me. (😶lol) My daughter also lives in Houston. with her Husband and my 5 grand-littles. I grew up in Beaumont, so I know Houston well, I will be sure to keep in touch and update you on my journey. I may need some advice in the future, or just motivation. Thank You so much for reaching out, I was hoping to connect with someone in the community. I really appreciate it. 💜

    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. LeighaTR

        I hope your surgery on Wednesday goes well. You will be able to do all sorts of new things as you find your new normal after surgery. I don't know this from experience yet, but I am seeing a lot of positive things from people who have had it done. Best of luck!

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