How to break a long stall?

[Packerfan61964 293]

I had the sleeve done on Oct 30,2014......I lost 123 lbs in 8 months. WOW...I am impressed!! Since June 2015, I have not lost any weight. My weight seems to yo-yo between 237 and 243. I have googled, read, and tried just about everything to jump start my weight loss. NOTHING seems to work!! UUUUGGGGGHHHHH!! Can anyone give me some tips suggestions, or ideas PLEASE!?!?! I am almost to the point of wanting to go have the RNY done to lose the last 65-70 lbs to hit my goals!!

[Stevehud 1,790]

lemme ask, what does your typical day of eating look like? do you take in any sugars? any carbs? have you tried doing a 2 or 3 days all Protein shake reset?

[Inner Surfer Girl 12,015]

I had the sleeve done on Oct 30,2014......I lost 123 lbs in 8 months. WOW...I am impressed!! Since June 2015, I have not lost any weight. My weight seems to yo-yo between 237 and 243. I have googled, read, and tried just about everything to jump start my weight loss. NOTHING seems to work!! UUUUGGGGGHHHHH!! Can anyone give me some tips suggestions, or ideas PLEASE!?!?! I am almost to the point of wanting to go have the RNY done to lose the last 65-70 lbs to hit my goals!!

Congratulations on the weight loss!

Without more information it is hard to offer any advice.

Have you talked to your NUT? What does he or she advise?

Are you still following your program?

Are you tracking your food?

Are you reaching your Protein target every day? What is your Protein target?

Are you drinking AT LEADT 64 oz of Fluid?

Are you avoiding carbonation, added sugars (especially high fructose corn syrup), starches, and fried foods?

Are you taking your Vitamins and supplements as directed?

Are you exercising?

Embrace the Stall!

http://BariatricPal.com/index.php?/topic/351046-Embrace-the-Stall

[Barry W 336]

Obviously you have had a lot of success, so first want to congratulate you on that. What kind of exercise do you do now, and when and for how long do you do it?

[BigDog Bryan 262]

Take a hard look at your Protein intake as well as your carbs. Try going back to shakes to get at least 60 grams a day. It helps me to stave off cravings and hunger better than anything else Iv'e tried so far. Also take a look at your salt intake (a HUGE trigger for me) and try foods that worked for you in the past.

[RickM 1,747]

You've made great progress to lose that much in 8 months, but now you are in maintenance rather than a stall. To get things moving again you probably need to drop your intake by 500 calories or so per day to get things moving again, and probably somewhat more than that to take it all the way to your goal (your current stability/maintenance point will drop somewhat as you lose - takes less energy to move 180 lb around than 240). Fiddling around with carbs or salt can help break a stall that is created by Water retention issues and may help cravings if those are your particular weak points, but won't overcome a lack of caloric deficit.

Revising to an RNY might help you as you will be starting from scratch again with the stomach restriction and the malabsorption does tend to give a bit of an extra kick to the weightloss, tho that is a temporary effect that lasts a year or two and then you are back to a similar metabolic state as you are in now with the sleeve. That along with its tendency toward reactive hypoglycemia leading to inter-meal hunger often drives regain in bypass patients. Overall, the bypass is very similar in performance to the sleeve, though that temporary malabsorptive kicker might be enough to get you over the hump and into a lower stability point, though you do have to consider the cost of doing so (not just financial, but the different drawbacks and limitations that one gets by moving to the different WLS.)

So, look carefully at what your diet is now and where you can make adjustments before leaping to a revision. Also, if you decide that you are stuck enough to consider revision to complete the job, you should also have the DS on your radar as a more powerful tool than either the sleeve or the bypass. It has a somewhat different set of tradeoffs (though not markedly different than the bypass,) but it should be looked into before a revision rather than discovering later that you need a second revision (have seen a couple band - bypass - DS revisions go through our support group in the past couple years.)

Good luck on getting things back on track,