Good morning

i had my sleeve back in 2014 and lost 60% of my excess weight . So nowhere near “my” target. Over that 4 years , I was careful recording food and disciplined about protein , then veg etc but despite being about 1400 calories daily, I just did not lose the balance. I am 5 ft tall ( just)

because of GERD, I had revision to bypass 8 weeks ago. The surgery has successfully resolved that , thank goodness

i am now eating about 700 calories a day with 60-70 g of protein but the weight loss is still really slow. In 2 months, i have lost 16 pounds.

What is the experience of others who had revision?

thanks for your input

I'm just one week post op from revision surgery and I've lost 10 pounds thus far. I'm hoping to lose another 40 pounds in order for me to reach my goal.

The rate of weight loss varies by individual so trying to compare yourself with others can be deceiving. There are several reasons why the rate of weight loss varies. Once factor is their starting weight. Your tickler on the side if it is current shows a starting weight of 249 pounds and a weight loss of 64 pounds. I suspect the majority of your weight loss was due to being sleeved. So in a sense your results will be atypical.

So what was your weight just prior to bypass surgery? Was it less than 200 pounds? A person with a lot of weight to lose can drop a lot of weight quickly after bypass surgery. One who has less weight to lose will generally drop weight at a slower pace.

The type of surgery will also have a lot to do with weight loss. Sleeve patients lose weight at a much slower rate than bypass patients. Some do not transition into maintenance mode until 2 years after surgery. Whereas a bypass patient will drop weight quickly and may transition into maintenance relatively quickly. In my case I transitioned around the 7th month post-op. Sleeve patients experience a lot of stalls along their weight loss journey. Bypass patients experience very few. But the further you progress after surgery, the smaller the rate of weight loss becomes. Weight loss just tapers off.

Weight loss is achieved during the short weight loss phase through meal volume control. The two operative words here are short and volume. So if you want to maximize your weight loss during this phase, you need to adhere to the program guidelines.

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.

Well said James!

I was wondering this myself as I am waiting for the insurance to approve by bypass from the sleeve due to severe GERD. Looks like James Marusek answered by question. However, I am only ten lbs from goal so I don't have much to lost at all...so it looks like it will be taking a while for me.

I'm glad to hear the surgery resolved your GERD. I think I'm going to be one of the few it doesn't work for, in which case I will lose my mind!

Thanks for input all

clearly things very different in Switzerland. Here I was on purée food before I left hospital both times , so day 2 , and the nutritionist is fixated on me not drinking my calories or protein and/ or getting to 1000 calories of “ real” food

Frustrated by the approach here as I have no hunger so would be happy to eat tiny portions but that’s not what I am being required to do

I would prefer to use this time to maximize the weight loss.

To me, 1400 calories is a lot. My nutritionist said a lifelong goal of 800-1000 after sleeve. I'm going in for bypass. I lost from 315 to 210 but couldn't get below. Gave up and started gaining. I plan on sticking to protein shakes and protein drinks as long as possible time.

The highest I ever got assigned was 1200 calories and that was when I was still working and a lot more active.

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