Jump to content
×
Are you looking for the BariatricPal Store? Go now!

Losing too much weight...



Recommended Posts

I am 21 months post RNY and I am still losing weight. My HW 325 (2/20/20), SW 311 (3/9/20), CW 133. I had an Abdominoplasty on 10/27/21 (weighed 145, no Lipo due to little to no body fat, and I don't know what amount was removed). I saw my NP today for pist abdominoplasty and then an emergency illness x2 following abdominoplasty stay in hospital same week for bowel obstruction.

My labs are normal, my NP says I am healthy BUT, I am on the low weight end and just a few pounds from being underweight according to their standards. She advised me to add in healthy fats (nuts, nut butters, avocado daily), 2 Protein Shakes, 3 meals, 3 Snacks. I just can't eat all of that. And little to no cardio and focus on strength training with weights. They are giving me 3 months to gain more muscle mass and gain weight and fill out more. And then return for re-evaluation. IF my weight continues to drop, they are talking about reversing my RNY! I literally cried in the office, on the way home, in the pharmacy (when the girls asked me how my weight and post abdominoplasty were going....they've known us many years) and then I cried several times on and off at home. I keep thinking about the old me, the 325 lb me, the old capacity, no restriction stomach and its ability to hold more, leading to weight gain and then it getting out of control, leading me back down the hole I just struggled to dig myself out of. This scares me so bad. I mean, it's ultimately up to me, right? As in, if they ended up scheduling that procedure months down the road, it's my decision if I go or not, it's my body. I'm thinking of seeking out a different opinion on this because this just doesn't seem like it should be the conclusive answer to this issue. Does it?

Share this post


Link to post
Share on other sites

It can be a challenge to increase your calories to stop losing & maintain. It took me about 11 months after I reached goal to stop losing. I understand just not being able to eat any more. I slowly added more Snacks as I was able. I also noticed over the months my portion sizes for meals started getting larger. By the time I stabilised I was eating 4 or 5 snacks a day plus 3 about recommended portion sized meals. My snacks were combinations of whole & multi grain crackers, hummus, fruit, liverwurst, string cheese, nuts, Protein Bar, chia pudding & yoghurt. I used full fat salad dressings & added a seed mix to my rolled oats. So I upped carbs (no over processed carbs) & fats but still ensured everything I ate was nutritious (liverwurst & Salad Dressing aren’t good but yummy) & included 5-10g Protein (except no protein in fruit). My dietician suggested I add powdered milk to my milk to make it richer but I found it too sweet. Honestly, I did feel like I was eating all day long.

My lowest weight was 48.2kg & I’ve been maintaining at 49 (48.5-49.5) for 14 months now. My BMI is around 18.7 so on the low end too but I’ve got a smaller frame so it’s ok. Initially my surgeon & doctor wanted me to put on a couple of kg too. I said I didn’t want too because of the possibility of 5kg bounce back in the future. Now they’re fine with my weight & tell me I look great & have done well (& I’m actually a couple of kgs less then when they wanted me to gain).

I eat about 1300 calories a day & only 3 or 4 snacks to maintain my weight. I’m not very active. I still have days or times when I don’t feel hungry but I always try to meet or be close to my protein goal. So if I don’t feel hungry say for lunch or dinner I’ll graze on a high protein yoghurt.

I was a little worried I wouldn’t stop losing &/or I’d get too thin & I had some ‘well intentioned’ family & friends saying it too. But I really like how I look now. Yep, I still get surprIsed when I see my skinny legs & thigh gap or buy size 4 (US 0) clothing but it’s a good feeling. It does take a while for your body to resettle too. I initially thought I’d got so slim I’d lost my hourglass shape but it came back (still don’t have much of a butt though 😉). I should mention I haven’t had any plastic surgery.

Have a chat with your surgeon & medical team & tell them honestly about how you feel about your current weight, the possibility of a reversal, etc. Do you still have access to a therapist to talk through how you’re feeling. I hope you can reach a point soon that your weight settles so you can fully embrace what you’ve achieved. All the best.

Share this post


Link to post
Share on other sites

Just curious how tall are you? I’m 5’7” and I am getting the sleeve this month. I am hoping to get back to my high school weight of 125. My surgeon never gave me a goal weight

Share this post


Link to post
Share on other sites

it's very common to have a 10-20 lb regain in year 3 without much effort. I was convinced it would never happen to me - BUT...it did. That said, since you're dealing with too much muscle loss, then yes -it'd be good to stop the weight loss since you need to maintain your health. I started gradually adding calories when I got down into the 130s (too low for me) ("gradually adding" since it would have been too hard to suddenly add 500 or so calories a day to my diet - it took a few weeks to get up there).

Share this post


Link to post
Share on other sites

3 hours ago, catwoman7 said:

it's very common to have a 10-20 lb regain in year 3 without much effort. I was convinced it would never happen to me - BUT...it did. That said, since you're dealing with too much muscle loss, then yes -it'd be good to stop the weight loss since you need to maintain your health. I started gradually adding calories when I got down into the 130s (too low for me) ("gradually adding" since it would have been too hard to suddenly add 500 or so calories a day to my diet - it took a few weeks to get up there).

OMG on your weight loss... AMAZING!

Highly_Undermedicated, no one can force you to undergo a procedure - however, they can use those terms to get you to understand the risks of being underweight. As Arabesque suggested, continue conversation with your team and also acknowledge that "I just can't eat all that" is suggestive of an opportunity to look at what you are eating and compliment or replace the volume of what you are eating with something that would compliment both your body AND the doctors.

Best Wishes, Will

Share this post


Link to post
Share on other sites

15 hours ago, Arabesque said:

It can be a challenge to increase your calories to stop losing & maintain. It took me about 11 months after I reached goal to stop losing. I understand just not being able to eat any more. I slowly added more Snacks as I was able. I also noticed over the months my portion sizes for meals started getting larger. By the time I stabilised I was eating 4 or 5 Snacks a day plus 3 about recommended portion sized meals. My snacks were combinations of whole & multi grain crackers, hummus, fruit, liverwurst, string cheese, nuts, Protein Bar, chia pudding & yoghurt. I used full fat salad dressings & added a seed mix to my rolled oats. So I upped carbs (no over processed carbs) & fats but still ensured everything I ate was nutritious (liverwurst & Salad Dressing aren’t good but yummy) & included 5-10g Protein (except no Protein in fruit). My dietician suggested I add powdered milk to my milk to make it richer but I found it too sweet. Honestly, I did feel like I was eating all day long.

My lowest weight was 48.2kg & I’ve been maintaining at 49 (48.5-49.5) for 14 months now. My BMI is around 18.7 so on the low end too but I’ve got a smaller frame so it’s ok. Initially my surgeon & doctor wanted me to put on a couple of kg too. I said I didn’t want too because of the possibility of 5kg bounce back in the future. Now they’re fine with my weight & tell me I look great & have done well (& I’m actually a couple of kgs less then when they wanted me to gain).

I eat about 1300 calories a day & only 3 or 4 snacks to maintain my weight. I’m not very active. I still have days or times when I don’t feel hungry but I always try to meet or be close to my protein goal. So if I don’t feel hungry say for lunch or dinner I’ll graze on a high protein yoghurt.

I was a little worried I wouldn’t stop losing &/or I’d get too thin & I had some ‘well intentioned’ family & friends saying it too. But I really like how I look now. Yep, I still get surprIsed when I see my skinny legs & thigh gap or buy size 4 (US 0) clothing but it’s a good feeling. It does take a while for your body to resettle too. I initially thought I’d got so slim I’d lost my hourglass shape but it came back (still don’t have much of a butt though 😉). I should mention I haven’t had any plastic surgery.

Have a chat with your surgeon & medical team & tell them honestly about how you feel about your current weight, the possibility of a reversal, etc. Do you still have access to a therapist to talk through how you’re feeling. I hope you can reach a point soon that your weight settles so you can fully embrace what you’ve achieved. All the best.

I don't have access to a therapist any longer. Nor a dietician..I saw the dietician once, during month 1 pre surgery and the therapist like 3x pre surgery. It's like it's been a DIY on your own type situation. At one point, around 8 months pist surgery, my team was like "you're eating too much" or "you're not losing enough" and now I'm losing too much but yet they say in the same breath "it's not your fault, it just happens ". I'm waiting for my plastic surgeon to contact me back with details on how much was removed so I can report that back to my team as they want to see how it correlates with the weightloss. Also, the abdominal tightness pist Abdominoplasty and having to wear a binder for 24/7 for 2 months due to swelling makes you feel like you can barely eat..even when you take it off to eat...they say this feeling will go away in a few months. But it makes you feel like you did coming out of bariatric surgery...no room to eat 2 oz. So, we shall see what happens. I can only do what I can do and hope for the best. Right?

Share this post


Link to post
Share on other sites

2 hours ago, WildWill said:

OMG on your weight loss... AMAZING!

Highly_Undermedicated, no one can force you to undergo a procedure - however, they can use those terms to get you to understand the risks of being underweight. As Arabesque suggested, continue conversation with your team and also acknowledge that "I just can't eat all that" is suggestive of an opportunity to look at what you are eating and compliment or replace the volume of what you are eating with something that would compliment both your body AND the doctors.

Best Wishes, Will

Thank you. It's been a struggle. I've had my pouch opening enlarged twice due to strictures, and a whole host of abdominal issues. And now this. It just scares me to think about the old stomach.

Share this post


Link to post
Share on other sites

14 hours ago, huskymama said:

Just curious how tall are you? I’m 5’7” and I am getting the sleeve this month. I am hoping to get back to my high school weight of 125. My surgeon never gave me a goal weight

I'm 5'6.5" According to the CDC, as my NP stated yesterday, I'm not underweight until my BMI falls under 18 or 19. But According to bariatric standards, I'm on the low weight side and my ideal weight should be 63kg and I'm 60.something kg.so, they said some people don't lose weight, some a little, some a lot and some they have to intervene to stop it. This, I'm now terrified of. I know where I've been, I don't want that and I know what it took to get me where I am now and it was hard.

Good luck with your surgery. When are you scheduled?

Share this post


Link to post
Share on other sites

9 minutes ago, Highly_Undermedicated said:

I'm 5'6.5" According to the CDC, as my NP stated yesterday, I'm not underweight until my BMI falls under 18 or 19. But According to bariatric standards, I'm on the low weight side and my ideal weight should be 63kg and I'm 60.something kg.so, they said some people don't lose weight, some a little, some a lot and some they have to intervene to stop it. This, I'm now terrified of. I know where I've been, I don't want that and I know what it took to get me where I am now and it was hard.

Good luck with your surgery. When are you scheduled?

Like another poster said, no one can force you to have a surgery.

My semi-ex-boyfriend has a BMI of 18 and he's extremely healthy, and eats healthy too. He's just naturally very thin.

I would consider getting a DEXA scan to see how much muscle mass you have. You don't have to go in for a "clinical" one, but there are some private DEXA scan centers that can give you a pretty good idea. I went in for one right after I started losing weight pre-surgery to get a baseline. It was about $100, but their usual price is $150.

Good luck!

Edited by lizonaplane

Share this post


Link to post
Share on other sites

I'm 30 months out. My dietitian got concerned when several months ago I had dropped down to 116 (I'm 5'4) and seemed like I was in an endless free fall since my surgery. But like you, I had some medical issues that seem to have caused the continuous weight drop. Since surgery, I've struggled with extreme nausea and g.i. problems which may have resulted from a damaged vagus nerve. Oddly enough, though, for the past month or so, after a course of antibiotics for a UTI, the constant nausea has stopped (at least for now) and I can eat at regular intervals.

I'm now hovering between 119 and 121. Even when I was precipitously losing, my surgeon never suggested reversing the surgery. My dietitian instead focused on increasing my caloric intake, having me eat healthy fats, etc., just like you, and she also had me drink Ensure on days when I couldn't eat at all.

You may be going through an adjustment period which will soon stabilize. Be easy on yourself -- you just endured an obstructed bowel and Abdominoplasty. And as others have said, no one -- no one -- can force you to undertake an *elective* surgery such as reverse RNY. If you are still unsettled, definitely get a second opinion about your weight situation.

Share this post


Link to post
Share on other sites

Just curious how tall are you? I’m 5’7” and I am getting the sleeve this month. I am hoping to get back to my high school weight of 125. My surgeon never gave me a goal weight
Im 5'7" and i look very thin at 160. 125 would be extremely thin for me and probably unhealthy. But everyone is different.

Sent from my SM-G986U using BariatricPal mobile app

Share this post


Link to post
Share on other sites

I agree that everyone is different...my daughter is 5'-7" and ranges between 125-130 and does NOT look too thin. She has a small frame.

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • Kris10_78

      Any tips on what I should have on hand the first week post op? 
      2 days away!!!!!
      Thanks
      · 0 replies
      1. This update has no replies.
    • Kaguragetshealthy_87

      What I've learned this last 2 weeks is consistent. That's I've been able to lose a pound here and there. This morning sucked it was 48 degrees but I am working on being consistent and sticking to it. Am perfectly sticking to it? Hell no but I'm working my ass off!
      · 0 replies
      1. This update has no replies.
    • newsam1154

      A bit frustrated with my surgeon's office currently. Feeling like they are leaving everyone in the dark about when surgeries will start again. Told one thing, then told to do another. GRRR! I just want to be scheduled already! 😫🤬
      · 0 replies
      1. This update has no replies.
    • Meganator

      I'm losing more than weight. Ran labs to prep for my annual exam and since my pre-op labs in September (sleeved 10/13), I've lost:
      39pts off my Total Cholesterol including... 29pts off LDL 33pts off Triglycerides 18pts off fasting glucose & almost normal range A1C is lower on low end of "pre-diabetic" range My surgeon does labs at 6 months, so this is cool info to have in the meantime!
      · 1 reply
      1. Kaguragetshealthy_87

        Good for you! 😀

    • Mrs.Pose

      Hey
      Post op day 4. Not doing great. Haven't pooped in 6 days .Struggling with water and completing the 3 shakes a day any suggestions on how to win...please advise
      · 2 replies
      1. Little wing

        Hello! I m 3 weeks post op and I just went through the worst constipation of my life
        I was severely impacted for 4 days (it was at the door) it was the worst experience ever!
        within 2 hrs I did 2 suppositories and 2 enemas, it did nothing! I always had the urge to go but it wouldn't come out, with the enemas the urge was greater but still nothing! the following morning I did another enema and nothing. I ended up going to the ER and got IV hydration but they recommended to manually scoop some out which I did but girl it was not enough for relief. My MD recommended: stop protein shakes and go back to liquids only like during week 1 and oral exlax pills, 1 dose and if no bowel movement within 4 hrs then another dose. I needed the 2nd dose by the next day I finally started to get relief.

        my advise before you get so constipated like me, is drink smooth move tea and
        if you get impacted like i was maybe try the exlax after you contact your surgeon and let him know they may advise to stop the protein shakes until you have a bowel movement.

        I know you are only day 4 so maybe not to worry right now. I had my first bowel movement on day 5 post surg. BUT BEWARE of not drinking water!
        I struggle with my water intake too, which is why i became so constipated. all that protein but no water, I know its really hard but we have to try. for me that whole experience has been so bad I am afraid to eat anything! Drinking teas really helps me with the water. I like chamomile and the smooth move tastes pretty good. I also try to ALWAYS have a water bottle in my hand. that is a good reminder to drink it. right now i am assuming you are at home mostly resting so its easy to just have it in your hand at all times.
        and I know its prob bad but I havent had a protein shake in a week. I'm barely recuperating from all that impaction trauma, lol.

      2. Uniquely Me

        I hadn’t pooped in a week also. I was taking benefiber everyday and nothing. I finally decided to take a laxative and went. I’m 9 1/2 weeks post op DS.

  • Recent Topics

  • Hot Products

  • Sign Up For
    Our Newsletter

    Follow us for the latest news
    and special product offers!
  • Together, we have lost...
      lbs

    PatchAid Vitamin Patches

    ×