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Talk to your NP. Make sure you are logging your food counts accurately by using an online tool like FitDay or MyFitnessPal and that you include everything--even your coffee/tea and "no cal" sweetener and that 1/4 oz. of cheddar you had the other day. (Wait. That was me.) I miscalculated twice last week and went over my counts even though I was carefully measuring and planning. It happens.

Stalls also happen. They can be maddening. Have you taken measurements of yourself or written down things that have changed physically for you (crossing legs, not breathing so hard, feeling like you fit into that movie theater seat more easily, stuff like that). It's really tough to get through those periods. Can your surgeon point you to a support group you could attend? It always helps me to realize I'm not alone even if no one there actually knows how to fix it.

I would make absolutely certain I was eating correctly 100% for quite some time and still experiencing weight gain before I even thought of putting myself through the expense and health ramifications of another surgery.

You know what? You can do this. You went through I don't know how many months' weight loss before your pre-op diet, a week or two or even a month of pre-op, plus all the post-op relearning. You've lost forty-eight pounds. That is freaking amazing. You should be damned proud of yourself. Your hard work will pay off. Sometimes it takes our bodies a little extra time to catch up.

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My surgery is not until December 7th, but I will be ecstatic if I lose 48 pounds in the first three months. That's an average of 16 pounds per month. Anything more than that seems unhealthy. You seem to be doing a fabulous job. Most people on this site talk about stalls that they eventually overcome and then the weight-loss picks up again. I certainly understand the frustration of a stall but it's only a matter of time before you get back on track. I wish you luck.

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    • KeeWee

      It's been 10 long years! Here is my VSG weight loss surgiversary update..
      https://www.ae1bmerchme.com/post/10-year-surgiversary-update-for-2024 
      · 0 replies
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    • Aunty Mamo

      Iʻm roughly 6 weeks post-op this morning and have begun to feel like a normal human, with a normal human body again. I started introducing solid foods and pill forms of medications/supplements a couple of weeks ago and it's really amazing to eat meals with my family again, despite the fact that my portions are so much smaller than theirs. 
      I live on the island of Oʻahu and spend a lot of time in the water- for exercise, for play,  and for spiritual & mental health. The day I had my month out appointment with my surgeon, I packed all my gear in my truck, anticipating his permission to get back in the ocean. The minute I walked out of that hospital I drove straight to the shore and got in that water. Hallelujah! My appointment was at 10 am. I didn't get home until after 5 pm. 
      I'm down 31 pounds since the day of surgery and 47 since my pre-op diet began, with that typical week long stall occurring at three weeks. I'm really starting to see some changes lately- some of my clothing is too big, some fits again. The most drastic changes I notice however are in my face. I've also noticed my endurance and flexibility increasing. I was really starting to be held up physically, and I'm so grateful that I'm seeing that turn around in such short order. 
      My general disposition lately is hopeful and motivated. The only thing that bugs me on a daily basis still is the way those supplements make my house smell. So stink! But I just bought a smell proof bag online that other people use to put their pot in. My house doesn't stink anymore. 
       
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    • BeanitoDiego

      Oh yeah, something I wanted to rant about, a billing dispute that cropped up 3 months ago.
      Surgery was in August of 2023. A bill shows up for over $7,000 in January. WTF? I asks myself. I know that I jumped through all of the insurance hoops and verified this and triple checked that, as did the surgeon's office. All was set, and I paid all of the known costs before surgery.
      A looong story short, is that an assistant surgeon that was in the process of accepting money from my insurance company touched me while I was under anesthesia. That is what the bill was for. But hey, guess what? Some federal legislation was enacted last year to help patients out when they cannot consent to being touched by someone out of their insurance network. These types of bills fall under something called, "surprise billing," and you don't have to put up with it.
      https://www.cms.gov/nosurprises
      I had to make a lot of phone calls to both the surgeon's office and the insurance company and explain my rights and what the maximum out of pocket costs were that I could be liable for. Also had to remind them that it isn't my place to be taking care of all of this and that I was going to escalate things if they could not play nice with one another.
      Quick ending is that I don't have to pay that $7,000+. Advocate, advocate, advocate for yourself no matter how long it takes and learn more about this law if you are ever hit with a surprise bill.
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    • BeanitoDiego

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    • ChunkCat

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      I haven't been able to advance my diet past purees. Everything I eat other than tofu makes me choke and feels like trying to swallow rocks. They warned me it would get worse before it gets better, so lets hope this is all normal. I have my follow up on Monday so we'll see. Living on shakes and soup again is not fun. I had enough of them the first time!! LOL 
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