I had my operation 3 weeks ago, an RNY bypass, and weighed this morning. To date I have lost 3 pounds. That loss includes the fasting before surgery and the day of 1 cup of yogurt only, plus the day I tried a scrambled egg and ended up blocking my pouch and not eating all day.

A low BMI patient with a starting weight of 187.3 (at 5'4" my BMI was 32), I already had a very controlled caloric diet, eating only 900-1200 calories per day and essentially low carb. I was slowly gaining weight on that which is why I opted for the surgery. When the nutritionist went over my post-op diet I told her it was the same number of calories I was already eating but she had no reply to that. Some of the items I was to eat daily were things I would never have had before my surgery, such as toast, jam, and mashed potatoes.

I also still have a large lump a couple of inches below (internally, down in my belly) the hematoma which remains where my drain was placed, and basically no energy.

I am upset and very frustrated especially when I think of what I've put my body through and the expense, only for no results other than scars and lumps. Does anyone have any suggestions?

@eudys3 I love Dr. Weiner! Pound of Cure is a total change in mind set. I was diagnosed with Type 2 diabetes and decided I needed to do something to change my attitude toward food. My Primary Care Physician referred me to Dr. Weiner and I began following the Pound of Cure guidelines. In three months my A1C dropped 2 full points, which was shocking because I was eating things that diabetics are normally told not to eat (lots and lots of fruit among other things!) The plan does take forethought and a lot of preparation, however, it seems like any healthy eating plan requires that effort. You'll have to let me know how you like the Pound of Cure method.

One very important aspect of the plan is to read labels. Here is an example. While eating hummus seems like a healthy choice, Sabra has additional oil and preservatives in their hummus that make it less desirable. The idea is to eat as clean/Paleo as possible.

Oasis Ingredients: Chickpeas, Water, Sesame Tahini, Lemon juice, Fresh Garlic, Sea Salt.

Sabra Ingredients: Chickpeas, Tahini (Ground Sesame), NonGMO Soybean Oil, Water, Garlic, Salt, Non GMO Citric Acid, Potassium Sorbate Added to Maintain Freshness.

BTW - its going to take some time to fully follow the POC plan post-op. I had no problem pre-op but I just can't eat that many veggies yet and right now Protein has a higher priority!

Best of luck!

I am post RNY nearly two years and still cannot eat eggs without getting sick. It is the only thing that makes me sick.

Keep pushing the Protein and fluids with no sweeteners and you will continue to lose weight.

Drinking with your meals at all is a huge NO NO for RNY. If you drink you can push food through too quickly possibly causing a blockage and certainly flushing food before you even get the nutrients and causing you to be hungry. This is one of the most important rules and it really is for life.

You have to get a handle on that.

One way to do that is to ensure that you start your day well hydrated. I have learned to drink at least a 20 oz bottle of Water first thing in the morning. Then I wait, drink 1 protein shake that gives me a 30gr boost of protein. Then I wait at least 30 minutes and drink another 20 to 40 ounces of water. If I do that I find that I am not thirsty at all when I eat my meals. I wait at least 30 minutes before eating and in the beginning it is important that your protein is moist and my nut has always had me eating lots of veggies and fruit. She taught me that 2 bites of dense protein for every 1 bite of fruit and veggies. In the beginning I measured everything and I still track what I eat in my fitness pal. I have since learned to trust my tummy to tell me when I am full.

If you follow these simple rules, you will lose the weight.

Thanks Djmohr,

I am going to try and hydrate more, though my body feels it is doing ok with that already (my urine was almost brown in the weeks after surgery but with more water it seems regular these days). It doesn't matter how hydrated I am, when I eat I crave liquids. I was always the one at the table drinking 2 or 3 glasses of water with dinner - the no drinking thing is super hard for me. Sadly, I also dump when I drink nothing with a meal, though it seems less dramatic. I am just trying to 'embrace my dumping' as part of the weight loss process for now. It's a pain, though!

@@MsMiniMe,

That was helpful, thanks. I emailed my surgeon and he sent me a comforting response. He said all patients lose according to a percentage.

First 6 weeks loss is 20%

First 3 months loss is 30%

First year loss is 40% (if I remember correctly without looking at his email).

Mine seems to be a bit slower but I am exhausted and suffering through a Florida summer so taking things pretty easy (and have also hurt my foot so couch time is good right now).

We'll get there!

@@AmusedMuse,

Glad to hear you reached out to your surgeon. Sounds like he is supportive.

I understand the craving for Water you expressed in a post to Djmohr. I have similar cravings. Pre-surgery I could down a 16oz bottle of water in no time. Now I have to remind myself not to drink too much at one time, or suffer the consequences! Dehydration can cause serious health issues so i work hard at drinking enough.

I can also relate to the exhaustion. I am 7 weeks out and I'm just now starting to regain some energy. Unfortunately, I am my own worst enemy on the energy front. I just spent hours washing floors and it wiped me out.

While the weight loss may be slow I have definitely noticed significant changes in my body (good changes). You're right, we WLL get there. The words "slow and steady wins the race" have become my mantra!

Sent from my iPhone using the BariatricPal App

@@James Marusek,

Thank you for telling me about Muscle Milk. I tried it this morning and it went in very smooth - no nausea (I still get slight nausea frequently when I eat even a bite of something) and tasted ok (a bit sweet for my liking). I then had plenty of energy for my morning. This is a great recommendation!