I'm almost 6 weeks post RNY and my weight loss has been extremely slow. My Surgeon has me at a goal of losing 6-7Kgs per Month so that I reach my goal weight in about 10 months. Since my last appointment with her which was 15 days back I have lost only 2Kgs.

On top of that I read that weight loss slows down after 3 months and 6 months. I'm already slow if it slows down any further it will be virtually non-existent. This has put me into severe depression. I've been crying my eyes out . How will I reach my goal weight?

Did anyone experience the same initially but they were still able to reach their goal weight within a year from surgery? I still have 47 Kgs to lose!!!

The three most important elements after RNY gastric bypass surgery are to meet your daily protein, fluid and vitamin requirements. Food is secondary because your body is converting your stored fat into the energy that drives your body. Thus you lose weight.

Weight loss is achieved after surgery through meal volume control. You begin at 2 ounces (1/4 cup) per meal and gradually over the next year and a half increase the volume to 1 cup per meal. With this minuscule amount of food, it is next to impossible to meet your protein daily requirements by food alone, so therefore you need to rely on supplements such as protein shakes.

At 6 weeks post-op, I wouldn't be in panic mode yet. Just remember to meet your daily protein, fluid and vitamin requirements and do not exceed the meal volume directed by your surgeon. At 6 weeks this should be around 2 ounces per meal.

On 14/03/2017 at 6:32 PM, James Marusek said:

The three most important elements after RNY gastric bypass surgery are to meet your daily Protein, Fluid and Vitamin requirements. food is secondary because your body is converting your stored fat into the energy that drives your body. Thus you lose weight.

Weight loss is achieved after surgery through meal volume control. You begin at 2 ounces (1/4 cup) per meal and gradually over the next year and a half increase the volume to 1 cup per meal. With this minuscule amount of food, it is next to impossible to meet your protein daily requirements by food alone, so therefore you need to rely on supplements such as Protein shakes.

At 6 weeks post-op, I wouldn't be in panic mode yet. Just remember to meet your daily protein, fluid and vitamin requirements and do not exceed the meal volume directed by your surgeon. At 6 weeks this should be around 2 ounces per meal.

Hi James,

2 ounces is almost 55gms. How many meals per day should I be having in a day, apart from 2 protein shakes?

The guidance I received was 3 meals per day. Also the guidance said that I should consume 75-90 grams of protein which worked out to 3 protein shakes per day.

Without sufficient protein, your body will scavenge protein from other areas of your body, such as your muscles. Protein is extremely important after surgery as its job in the body is to build and maintain tissues including your body's major organs and skeletal muscles. Protein deficiency, when continued over a long period of time can cause a disease known as protein caloric malnutrition. Common symptoms are poor healing, fatigue, hair loss and muscle wasting. Immediate post op, protein promotes healing of the staple line and incisions.

As time went on and as my meal volume increased, because I concentrated on consuming high protein meals, I was able to offload this requirement for protein supplements. I was able to go from 3 protein shakes per day, to 2, to 1 and then at a year and a half, I was able to get off them all together.

On 14.3.2017 at 8:39 AM, Divyad said:

How will I reach my goal weight?

With patience.

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You're 6 weeks out and 12 kg down - where is the problem?