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1 month post op. Shocked by nutritionist’s recommendations. Anyone else?

At my 1 month post op, I was told to eat 1100-1200 calories including 110 grams of protein, 60g carbs, 45g of fat a day and no foods are off limits as long as I hit those targets. Pre-op I wasn’t a huge eater and these numbers are only a few hundred calories off from what I was eating. I gained weight as a result of insulin resistance and other health issues. I was also told that my 15lbs lost at 1 month was good but slower than most. At that point I had been stalled for a week.

Anyone else given similar recommendations? Did you lose as planned? I’m trying not to second guess my team but from what I’m reading, this seems like more than most people are told and doubt is creeping in. I’ve learned over the years that medical professionals are people too who make mistakes and nutritional advice seems to change (low fat vs no low fat, artificial sugars vs no artificial sugars etc) so I’m trying to see if other people’s experiences support this advice. After all, ultimately my health is my responsibility. Thanks in advance for any feedback you can offer!

Edited by ThisMomOf5

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  • Creekimp13
    Creekimp13

    My group was actually involved in a study focused on upping calories sooner. I was encouraged to reach 1200 calories per day as soon as possible, and did so around week 3 after surgery. I have

  • LaoDaBeirut
    LaoDaBeirut

    One thing I think is an actual problem within the WLS surgery community is all the bragging about how little someone can eat. I've seen it a lot but not so much on this site. Someone will say what the

  • Creekimp13 made some excellent points. A few studies would come in handy. I've always been shocked how so many surgeons and patients approach the post-op experience as a crash diet. Lose as much

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10 hours ago, LaoDaBeirut said:

One thing I think is an actual problem within the WLS surgery community is all the bragging about how little someone can eat. I've seen it a lot but not so much on this site. Someone will say what they are eating and other people chime in with oh I can't eat that much or I cant have 1,000 calories that's too much.

This.

It's like a weird competition. For many patients it also seems to be very pleasing that circumstances are the complete opposite of what they once were.

---

Not being able to stop eating -> not being able to eat more

Not being able to stop gaining weight -> passing their goal weight and still losing

People telling them to lose weight -> people telling them they should stop losing weight

Struggling with eating less -> struggling with eating more

Only being able to shop at certain stores because of needing big sizes -> having problems finding really small sizes

---

It's like many patients are taking a morbid pride in this and simply love the humble bragging. Like things being the complete opposite of what they once were is some kind of wonderful badge of honor. People still love to engage in the extremes - just different extremes.

Maybe the worst thing about this is that too many patients seem to think that they're actually engaging in "healthy behavior" when going to extremes.

14 hours ago, Creekimp13 said:

I have not seen the study, but I was told by my doctor that people who eat more calories sooner will lose weight slower, BUT....statistically have much less regain later....the hypothosis being....this is because the metabolic set point is being re-estabilshed at a more robust livable caloric level.

And maybe fewer patients are suffering from dieting burnout as well.

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