Hi Peeps,

I had my Gastric bypass (RnY) on Aug 17. My stats are as follows.

SW: 302 lbs

Height: 169 cm.

CW: 246 lbs.

Total lost: 56 lbs

Exercise: Walking 10km daily

However, I'm feeling I'm not losing fast enough, my dietitian thinks I should be losing about 4 lbs a week.

I'm worried that I'm going to ruin this. Any tips on how to lose faster.

Would really appreciate the help. Thank you.

Have I misunderstood? You've lost 56lb in about two months or just a little under that?

I think what you've lost is great. Some professionals or those who deem themselves to be seem to set some unrealistic expectations.

Were you happy with your weight loss up to the point in time your dietician told you otherwise?

10kms a day is quite a lot. I assume you are followng your post op guidelines for calories, volumes of food, types of food etc? Protein intake? Liquid intake? And hopefully consuming sufficient to sustain 10kms a day.

If so and your are averaging a reasonable weight loss you are doing great.

Editied to add: You mention you stopped losing weight? How long since you've lost some weight on the scale?

Stalls are not uncommon, most of everyone who has WLS has a stall or more than one, even in the first few weeks.

Your surgery weight was higher than mine and you had your surgery almost a week later, yet your current weight is lower than mine! If it helps, you're making more progress than me, and my surgeon's office is happy with where I am. It's crazy how different expectations are; my nutritionist said that anything over 8 lbs a month is on track. Stalls are normal along the way and I think it's really difficult to expect to lose 4 pounds a week every single week. Great work so far!

1 hour ago, Hop_Scotch said:

Have I misunderstood? You've lost 56lb in about two months or just a little under that?

I think what you've lost is great. Some professionals or those who deem themselves to be seem to set some unrealistic expectations.

Were you happy with your weight loss up to the point in time your dietician told you otherwise?

10kms a day is quite a lot. I assume you are followng your post op guidelines for calories, volumes of food, types of food etc? Protein intake? Liquid intake? And hopefully consuming sufficient to sustain 10kms a day.

If so and your are averaging a reasonable weight loss you are doing great.

Editied to add: You mention you stopped losing weight? How long since you've lost some weight on the scale?

Stalls are not uncommon, most of everyone who has WLS has a stall or more than one, even in the first few weeks.

Thanks for your support.

Yes, I've lost 56lbs over the last 7.5 weeks.

I was happy until the dietitian mentioned otherwise. :(.

I don't really have much in terms of guidelines on volume of food etc., ,other than consuming 60g of protein via shakes and about 1.5-2 ltrs of water. Would you be able to help with any guuidelines on how much food etc I should be consuming.

another problem is that I'm mostly taking liquids since I'm unable to hold down eggs, chicken etc and throw up the same frequently. I'm able to tolerate lentils and vegetables curries so managing with but feeling I'm all over the place due to lack of guidance.

4 lbs a week after the first month is pretty extreme, unless you're the size of someone on "My 600 lb Life". Does this dietitian have any experience with bariatric patients? Doesn't sound like it.

most "normal" WLS patients lose about 15-25 lbs the first month after surgery, and then it slows down to about 10 lbs (give or take) a month for the next several months - and then it drops even further. Of course you will find people who lose more or less than that, but they're outliers. So you are fine - that dietitian is very misinformed.

3 hours ago, TheBusierBee said:

Thanks for your support.

Yes, I've lost 56lbs over the last 7.5 weeks.

I was happy until the dietitian mentioned otherwise. :(.

I don't really have much in terms of guidelines on volume of food etc., ,other than consuming 60g of Protein via shakes and about 1.5-2 ltrs of Water. Would you be able to help with any guuidelines on how much food etc I should be consuming.

another problem is that I'm mostly taking liquids since I'm unable to hold down eggs, chicken etc and throw up the same frequently. I'm able to tolerate lentils and vegetables curries so managing with but feeling I'm all over the place due to lack of guidance.

Considering you aren't eating much real food (based on the above) and are throwing up, I'm flabbergasted that your dietician would claim that 56 lbs isn't enough. I had my sleeve done on Aug 16, the day before your surgery, and I have lost 31.1 lbs since surgery. And I am heavier than you. And I am pretty darn happy with what I have lost!

My math says that you've lost 7 lbs week (56 lbs/8 weeks). I do not understand what this person is talking about. Frankly, I'd have a lot of trouble taking them seriously. Are you certain the dietician wasn't concerning you were losing too fast, rather than too slowly? That would make more sense given your trouble having anything but liquids.

I agree with everything people here are saying. You are losing very quickly, and stalls of 1-3 or more weeks are common. I would be concerned that you're not getting enough protein/nutrients to be walking 10km a day.

Also, try ground chicken or turkey instead of pieces of chicken. Dal would be good, and any other beans/chickpeas work well for me. Also try paneer, and low sugar yogurt. These would increase your protein.

I'm only a month out and I'm eating about a half cup (about the size of my fist, don't know grams) at times, sometimes less. I eat a lot of beans, ground turkey and chicken with greek yogurt and spices, and cheese. The only thing I've thrown up so far is chicken breast that was pretty dry.

Good luck!

Hang on a tick, I'm stuck on something here. Let me see if I have the facts correct:

1. Your dietitian thinks you're not losing weight fast enough.

2. You have lost 25.5 kg (56 pounds) in 7.5 weeks.

3. Your dietitian refuses to give you guidelines for what or how to eat beyond 60 g of protein and 2 L of water.

4. You're still on shakes at 7.5 weeks out from surgery.

I think it is high time you tell the dietitian to shape up or ship out. There are plenty of dietitians out there who don't require their clients to be mind-readers. And who understand how bariatric patients lose weight. I mean, is this dietitian brand new off the wagon from dietitian school?

You should be extremely satisfied. Most bariatric patients lose 7-11 kg (15-25 lbs) in the first month and then about 5 kg (11 lbs) a month thereafter, with several stalls that can last a few weeks. Expecting you to AVERAGE 2 kg a week when you have lost 25.5 in 7.5 weeks means that you could be stalled for 3-4 weeks and lose not a single gram and still come out okay. Expecting you to lose 2 kg EVERY SINGLE WEEK is—and I said what I said—daft.

If you are stalled, try increasing your calories by about 100 a day for a week to see if that breaks the log jam. Even just 15g of peanut butter or something along those lines could do it. 100 cal a day times 7 days is not enough to make you gain weight.

Edited October 13, 20214 yr by vikingbeast

22 hours ago, TheBusierBee said:

Hi Peeps,

I had my Gastric bypass (RnY) on Aug 17. My stats are as follows.

SW: 302 lbs

Height: 169 cm.

CW: 246 lbs.

Total lost: 56 lbs

Exercise: Walking 10km daily

However, I'm feeling I'm not losing fast enough, my dietitian thinks I should be losing about 4 lbs a week.

I'm worried that I'm going to ruin this. Any tips on how to lose faster.

Would really appreciate the help. Thank you.

my dietitian thinks I should be losing about 4 lbs a week… your dietitian is probably thinking that if you’re walking 10km a day they would be losing 4lb a week…. You are doing great! You’re probably converting fat to muscle as well, which is heavier. You don’t want to lose as much as 4lb a week, you want your weightloss to be steady and healthy. You’re going great. You’re in this for the long term - it’s not a competition. Xx

On 10/13/2021 at 9:00 AM, TheBusierBee said:

I don't really have much in terms of guidelines on volume of food etc., ,other than consuming 60g of Protein via shakes and about 1.5-2 ltrs of Water. Would you be able to help with any guuidelines on how much food etc I should be consuming.

another problem is that I'm mostly taking liquids since I'm unable to hold down eggs, chicken etc and throw up the same frequently. I'm able to tolerate lentils and vegetables curries so managing with but feeling I'm all over the place due to lack of guidance.

I recommend this book: Bariatric Diet Guide and Cookbook, by Matthew Weiner, MD. There are guidance and recipes for every stage post surgery.

Trust me you are doing great. I had surgery in June and I've only lost 40:( idk what to do!