Feeling frustrated that you've stopped losing weight, or have started regaining? Check out these 3 ways to get back on track.

I was sitting in my office with a client the other day who’d had bariatric surgery several years ago. “It just didn’t work for me. I’ve tried everything. I don’t know what else to do.” She was looking down in shame, and I could tell she was feeling totally defeated.

“This is a really common struggle,” I said, “And I want you to know it’s not your fault.” She looked at me in disbelief.

The same advice over and over again

You see, most people are accustomed to seeing a dietitian and being silently scolded and told to “eat this, not that...blah, blah, blah.” It’s the reason that a lot of people avoid seeing a dietitian - because it feels like you’re in the principal’s office.

Truth be told, most people already know what they “should” be eating after surgery. Heck, they even knew before having surgery, but that knowledge wasn’t enough. And it still isn’t. If information were enough to solve a person’s weight problems, bariatric surgery wouldn’t exist.

Thus, here you are in a frustrating dilemma: Knowing what you should be doing, but not being able to do it consistently.

So now what?

It’s time to start thinking about things differently. If what you’ve been doing isn’t working then STOP DOING IT.

That same old dieting advice that didn’t work for you before surgery isn’t going to work after either. Don’t worry, I can help. I have worked with hundreds of people who have had weight loss surgery. From that work I have honed in on some key factors that will actually make a difference for you.

3 Secrets to Success

Do the things that matter. It’s easy to get bombarded with information and overthink it. You can spin your wheels doing things that don’t matter. I had a client who kept trying all these special protein-fortified foods and finally I told him, “You’re spending a lot of energy on these special foods, and you’re still gaining weight. Let’s look at some other factors that might be impacting you.” He wasn’t seeing that his lack of sleep and snacking were working against him. Once we targeted those issues he started losing weight again.

Implement a system. Don’t rely on willpower. Willpower doesn’t work because it’s finite, and it gets depleted by everyday stressors. You’ll inevitably find yourself lacking willpower with food when you most need it if you don’t have a system. Ever been through a drive thru on the way home from work after a stressful day? That’s because your willpower was depleted earlier at work. If you have a system for dealing with stressors at work such as automation of tasks, delegation, stress management techniques, and perhaps a wind-down ritual at the end of the day, you’re much less likely to hit the drive thru on the way home. And your dinners could be automated by a rotating monthly calendar or a delivery system such as Blue Apron. Make yourself a route to drive home that doesn’t go by any fast food restaurants, and BAM! we’ve created a system.

Develop habits. People who are successful at something have boring habits. It’s never quick and easy like we’re led to believe. You don’t accidentally win an Olympic gold medal. And you don’t win it with magical solutions either, like taking supplements. Nope, it takes years of intentional and intense training. Same thing with your eating. You don’t accidentally or magically lose a ton of weight just by having surgery and taking vitamins. And you certainly don’t accidentally keep it off for the long run. You need habits that you stick to every single day. Things such as planning your meals ahead of time, grocery shopping on a specific day of the week, exercising at the same time each day. These are the habits that will pay off over time.

Systems and habits reduce the cognitive load of having to make lots of tiny decisions all day long. Just like willpower, our decision-making ability gets fatigued and we start to take the easy way out. If something is a habit you’re much more likely to do it - rather than sitting there trying to decide whether or not you feel like doing something. Chances are there are plenty of times you’re not going to feel like going to the grocery store, or cooking dinner, or exercising. If you only do it when you feel like it you’re probably not going to lose weight.

What to do today

Today, sit down and take a look at what you’re really eating. Don’t lie to yourself, it won’t help. Be brutally honest. Write it all down. Then identify ONE thing that you want to change. Something that if you did it, would actually make a significant difference. Find a way to implement a system around this change, and do it until it becomes a habit.

The result: You’ve now shown yourself that you can make sustainable behavior change. You can repeat this process over and over again to create new systems and habits. Keep doing it, and I promise you’ll start losing weight and feeling better, having more energy, feeling more confident. You’ll feel like you’re in control of your life. And that’s pretty awesome. If not, you can always check out this site for more in-depth help getting back on track.

Have you made any changes that made a big impact on your weight loss? What did you do to stick with it? Let me know in the comments.

Katy is giving away a free gift to help Bariatric Pal readers get moving, have more energy, and feel great.

8 hours ago, Katy Harvey, MS, RD, LD, CED said:

Truth be told, most people already know what they “should” be eating after surgery.

Firstly, your article was informative and empathetic at the same time. Thank you!

Nonetheless, many bariatric surgeons, dietitians and nutritionists never mention the concept of slider foods to bariatric surgery patients before or after their procedures. Many of these people find out the hard way...after a large regain of the weight they'd lost.

The protein-first way of eating is instilled into bariatric patients. However, many of them do not adhere because a number of high protein foods cause early satiety and discomfort (which is the point...so we won't overeat).

So, some folks turn to sliders such as crackers, mashed potatoes, pretzels, biscuits, chips and popcorn without realizing that these foods do not challenge the surgically-altered stomach pouch or sleeve in the same manner that protein-rich foods do. In addition, no one ever warned them about sliders.

A person with a pouch or sleeve can eat a dozen of donuts in one sitting and feel no fullness or satiety whatsoever, while a dozen of ground turkey patties would be impossible to eat.

In summary, I think more bariatric surgery program staff members should instill into their patients the importance of moderating the intake of slider foods. Again, thanks for the article.

Thanks for this article! Good read. I have been losing slower and I know there are changes I can make in my diet and habits. I just need to put a plan together. But you're so right about creating a new habit for permanent changes. Thanks again!

Quit drinking comes,surgery is soon,big deal for me.

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Oops cokes

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I'm 4years out and I'm having a hard time getting back on track! Help me!!!!!!?

I'm 3 weeks post surgery and I been having sweet cravings . Don't know what to do . Please help

I’m 7yrs post op with the sleeve and trying to get back on track I’ve gained 35 pounds over my target weight and I feel horrible. Tired, sluggish and have no motivation. So, I’ve gotten out my pre-surgery binder and starting from the beginning. However, my information doesn’t lay out what the max nutrients I should be consuming daily except for protein. So, I’m looking for what is the max calories, fat, sodium, carbs, sugars and fiber that is recommended daily?

Feeling frustrated that you've stopped losing weight, or have started regaining? Check out these 3 ways to get back on track.


I was sitting in my office with a client the other day who’d had bariatric surgery several years ago. “It just didn’t work for me. I’ve tried everything. I don’t know what else to do.” She was looking down in shame, and I could tell she was feeling totally defeated.
“This is a really common struggle,” I said, “And I want you to know it’s not your fault.” She looked at me in disbelief.
The same advice over and over again
You see, most people are accustomed to seeing a dietitian and being silently scolded and told to “eat this, not that...blah, blah, blah.” It’s the reason that a lot of people avoid seeing a dietitian - because it feels like you’re in the principal’s office.
Truth be told, most people already know what they “should” be eating after surgery. Heck, they even knew before having surgery, but that knowledge wasn’t enough. And it still isn’t. If information were enough to solve a person’s weight problems, bariatric surgery wouldn’t exist.
Thus, here you are in a frustrating dilemma: Knowing what you should be doing, but not being able to do it consistently.
So now what?
It’s time to start thinking about things differently. If what you’ve been doing isn’t working then STOP DOING IT.
That same old dieting advice that didn’t work for you before surgery isn’t going to work after either. Don’t worry, I can help. I have worked with hundreds of people who have had weight loss surgery. From that work I have honed in on some key factors that will actually make a difference for you.
3 Secrets to Success
Do the things that matter. It’s easy to get bombarded with information and overthink it. You can spin your wheels doing things that don’t matter. I had a client who kept trying all these special protein-fortified foods and finally I told him, “You’re spending a lot of energy on these special foods, and you’re still gaining weight. Let’s look at some other factors that might be impacting you.” He wasn’t seeing that his lack of sleep and snacking were working against him. Once we targeted those issues he started losing weight again.
Implement a system. Don’t rely on willpower. Willpower doesn’t work because it’s finite, and it gets depleted by everyday stressors. You’ll inevitably find yourself lacking willpower with food when you most need it if you don’t have a system. Ever been through a drive thru on the way home from work after a stressful day? That’s because your willpower was depleted earlier at work. If you have a system for dealing with stressors at work such as automation of tasks, delegation, stress management techniques, and perhaps a wind-down ritual at the end of the day, you’re much less likely to hit the drive thru on the way home. And your dinners could be automated by a rotating monthly calendar or a delivery system such as Blue Apron. Make yourself a route to drive home that doesn’t go by any fast food restaurants, and BAM! we’ve created a system.
Develop habits. People who are successful at something have boring habits. It’s never quick and easy like we’re led to believe. You don’t accidentally win an Olympic gold medal. And you don’t win it with magical solutions either, like taking supplements. Nope, it takes years of intentional and intense training. Same thing with your eating. You don’t accidentally or magically lose a ton of weight just by having surgery and taking Vitamins. And you certainly don’t accidentally keep it off for the long run. You need habits that you stick to every single day. Things such as planning your meals ahead of time, grocery shopping on a specific day of the week, exercising at the same time each day. These are the habits that will pay off over time.
Systems and habits reduce the cognitive load of having to make lots of tiny decisions all day long. Just like willpower, our decision-making ability gets fatigued and we start to take the easy way out. If something is a habit you’re much more likely to do it - rather than sitting there trying to decide whether or not you feel like doing something. Chances are there are plenty of times you’re not going to feel like going to the grocery store, or cooking dinner, or exercising. If you only do it when you feel like it you’re probably not going to lose weight.
What to do today
Today, sit down and take a look at what you’re really eating. Don’t lie to yourself, it won’t help. Be brutally honest. Write it all down. Then identify ONE thing that you want to change. Something that if you did it, would actually make a significant difference. Find a way to implement a system around this change, and do it until it becomes a habit.
The result: You’ve now shown yourself that you can make sustainable behavior change. You can repeat this process over and over again to create new systems and habits. Keep doing it, and I promise you’ll start losing weight and feeling better, having more energy, feeling more confident. You’ll feel like you’re in control of your life. And that’s pretty awesome. If not, you can always check out this site for more in-depth help getting back on track.
Have you made any changes that made a big impact on your weight loss? What did you do to stick with it? Let me know in the comments.
Katy is giving away a free gift to help Bariatric Pal readers get moving, have more energy, and feel great.

I need serious HELP I'm 8 months out RnY an I've hit a Stall for the last 2 months..i started at 265 today I'm 192..ive been stuck in the 190's for 2 months!! I'm getting depressed about it!! I need some one to tell me what to eat an how much......[emoji849]

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I need serious HELP I'm 8 months out RnY an I've hit a Stall for the last 2 months..i started at 265 today I'm 192..ive been stuck in the 190's for 2 months!! I'm getting depressed about it!! I need some one to tell me what to eat an how much......[emoji849]

Sent from my LML713DL using BariatricPal App

Hi. At 8 months out, you probably know what to eat and how much!! I have sympathy though, because I just went through a one month stall of gaining and losing the same pound. It finally passed, and I have started losing again, but it can be so discouraging. Can we gave some more details? Are you exercising? What and how much? Are you drinking at least 64 ounces of liquid a day? Are your carbs creeping up?

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I hate the idea of doing the same thing every day or every week. Routines suck all the fun out of life. Before the pandemic I was traveling to a different city every week for work and I loved my life. Living trapped in my apartment with every day the same as the last caused me to gain so much weight. There has to be a place for spontaneity and adventure in life and still living healthy. I'd rather be fat and enjoy changing up my life day to day vs. be thin and do the same thing every single day with no variation. I've been traveling a few times a month again since April and I've still managed to lose about 25 lbs even though I haven't had surgery yet.