Hey lovely people,

There is already tonnes of info out there on maintenance, but I just wanted to see if anyone had any tips?

My two sisters previously have had a bypass, and they've both dropped into the very underweight category, and this is something I'd like to avoid if at all possible (I know my body will decide where it wants to be, ultimately!)

I am trying to ignore that little voice in my head that is making me feel a bit scared about eating more, and just plough on. I don't track calories at the moment either!

Any tips are greatly appreciated ❤️

how long have they been underweight? Many of us who make it down into a normal BMI range look pretty scrawny for a while, but then (also for many of) regain starts. I was really worried about how thin I was getting - now 10 years out I wish I wouldn't have worried about it. I've regained more than I wanted to (it's not awful - but I'm now "overweight" and would love to lose 10-15 lbs - but it seems next to impossible!)

One of them flits between it, but the other has consistently been underweight for a while now, I last saw her bragging about almost being 7 stone and being referred to an eating disorder clinic ? So I know that it is a very unhealthy thing!

I do remember my surgeon telling me it is somewhat normal to dip into the lower weight category a bit before your body will bounce back and settle on a healthier weight, so that is to be expected I guess! I can imagine how hard it must be to budge those last bits of weight, but I am sure you look absolutely fabulous and you have achieved beyond amazing results!

Hiya Sweetie,

You could try adding an extra protein shake to your day, you could sip it in between meals. Or how about a cappuccino or latte at around 100 calories.

xx

Ooh, I'm here too, and it's been very interesting. I've started drinking a protein decaf coffee again to add a cup of fairlife skim milk to my day. I know that some of us need to be very careful about carbs, I need more carbs to support my exercise which is basic strength, walking, and the 2x weekly run. I add an extra apple, gluten free pretzels, and popcorn (which is totally ok for me in my known portions). I also add a few days of cashews, easy to eat and high nutrient density.

I would say if you aren't going to track calories (and why would you if that isn't your favorite) then it would be helpful to add a specific snack/food etc and have that extra every day for a few weeks and see where that gets you. If you continue to drop weight, increase it, if not, you have likely found your maintenance diet.

The thing that has been most eye opening for me is the fact that I can occasionally go over and not see any consequences for one day of overdoing it. In the past that would have been hell to take off again, now it just seems to regulate like a normal person. I had surgery 1/24 and have been at my same weight since 11/24. I'm not fighting to stay here, I'm struggling with some head hunger vs real hunger, that was to be expected, but otherwise it's been such a different reality from presurgery.

I think the thing many people get wrong when trying to transition between weight loss and weight maintenance is using an all-or-nothing mentality. By that I mean they expect to be either in "diet" mode, or "maintenance" mode, but that's not really how things work. To me, that would be like sprinting on a treadmill and thinking I can just stop running. Um, no. That would have really unpleasant consequences. You're not going to simply wake up one day and immediately go back to eating "normally".

Instead, think of this more like a baby learning to walk. You're going to have some false starts. You're going to fall down a lot. In fact, you're probably going to fail more than you succeed. This is completely normal and is how you learn. Over time, you'll hopefully learn what works for you and what level of caloric intake is right.

The point is, there are no "tricks" here. If you feel like you've lost too much, then just try different things to up your calories. Alternately, if you're heavier than you want, try different strategies to lower your calories, since there is no perfect solution for everyone. There's only what works for you.

You didn't ask, but there are a couple of points I want to make here as well:

1. There is no perfect number of calories for you to maintain. Let me say that again so you don't forget: there is no perfect number of calories for you! Our bodies are wonderfully adaptive and can maintain a healthy weight across a wide spectrum of calorie intake. It does this by up and down regulating your metabolism in response to intake.
2. There is no ticking clock here whereby you have to lose the weight by a certain date after surgery or you won't lose anymore. It just does not work that way. I don't care if it takes you 9 months or 9 years to get to your ideal weight, you can get there and you can maintain at that weight.

Best of luck.

@Lily2024 We are surgery twins! How many calories do you eat a day? I was at 163-165 then had plastic surgery and I cannot get back down. so I am not teetering 170-175. Would like to see how our day looks like, were the same height and about the same activity level as well!

@SpartanMaker I so agree! I have been taking your words of wisdom and practicing it!

On 4/2/2025 at 5:37 AM, Bypass2Freedom said:

(I know my body will decide where it wants to be, ultimately!)

I want to challenge your ideas a bit here.

This concept that there is some underlying mechanism at work that controls our weight and that we don't have any say in the matter is based on something called set-point theory. In short, the theory is that some as yet undetermined mechanism (likely in our brain), wants us to be a certain weight and thus actively regulates both calories in and calories burned to keep us around the same weight. Anecdotally, most people can attest to the fact that there seems to be a specific weight where they naturally settle when they aren't actively trying to gain or lose weight, so the theory makes intuitive sense.

That said, there are some big problems with this theory:

• Why have we not been able to find the actual mechanism for this set-point if it really does exist?
• How are some people able to change their set-point?
• How do we explain that overweight and obesity are significantly more prevalent in some parts of the world vs. others?
• In those parts of the world where overweight and obesity are more prevalent, how do we account for the fact that these issues were much less prevalent until very recently? (For example, the rate of overweight and obesity in the USA has tripled since about 1980.)

To explain this, more modern interpretations have suggested a more nuanced approach. We know that historically, food scarcity was the norm. It's logical to assume our bodies are well adapted to dealing with this as a result. Unlike set-point theory, we do have a solid understanding of the physical processes involved in regulating metabolism during scarcity. This means our bodies know how to handle a lack of food pretty well by down-regulating metabolism. (There are several ways it does that, but I'm going so skip discussing those specific mechanisms for now) What our bodies are less good at is up-regulating metabolism in an environment of where there is an extreme availability of highly palatable foods like we have today.

We often think of our bodies like a car that's always running. This is somewhat problematic, but let's go with the analogy for now. Just like a car idling will burn some fuel, our bodies burn some calories just keeping us alive. If there's a shortage of food/petrol, (either because I can't afford it, or because there's a true shortage), I can curtail my movment/driving to conserve how much I use. Likewise, if food/fuel is cheap and readily available, I can move/drive a lot and even fill my fuel tank (fat stores), whenever I want. Unlike a car that has a limited fuel tank that can only hold a specific amount of fuel, humans have a theoretically unlimited ability to store excess fuel in the form of fat.

TL;DR: It's not so much that our bodies decide what weight to be. It's more that we were never designed to deal with cheap, easy access to super tasty food. At the end of the day, what determines whether or not you have more fat stores than you might want is whether or not you eat more calories than you burn in a day.

The entire point of this overly long post is that there's no mechanism working against you that's keeping you from reaching your goal. Our bodies were designed to store excess calories to keep from starving to death when food was scarce. We rarely experience scarcity anymore, but our bodies don't know that. They still will do everything they can to hold onto those stored calories "just in case". There are ways to get beyond this, but that will have to wait for another post.

22 hours ago, SpartanMaker said:

I want to challenge your ideas a bit here.

This concept that there is some underlying mechanism at work that controls our weight and that we don't have any say in the matter is based on something called set-point theory. In short, the theory is that some as yet undetermined mechanism (likely in our brain), wants us to be a certain weight and thus actively regulates both calories in and calories burned to keep us around the same weight. Anecdotally, most people can attest to the fact that there seems to be a specific weight where they naturally settle when they aren't actively trying to gain or lose weight, so the theory makes intuitive sense.

That said, there are some big problems with this theory:

• Why have we not been able to find the actual mechanism for this set-point if it really does exist?
• How are some people able to change their set-point?
• How do we explain that overweight and obesity are significantly more prevalent in some parts of the world vs. others?
• In those parts of the world where overweight and obesity are more prevalent, how do we account for the fact that these issues were much less prevalent until very recently? (For example, the rate of overweight and obesity in the USA has tripled since about 1980.)

To explain this, more modern interpretations have suggested a more nuanced approach. We know that historically, food scarcity was the norm. It's logical to assume our bodies are well adapted to dealing with this as a result. Unlike set-point theory, we do have a solid understanding of the physical processes involved in regulating metabolism during scarcity. This means our bodies know how to handle a lack of food pretty well by down-regulating metabolism. (There are several ways it does that, but I'm going so skip discussing those specific mechanisms for now) What our bodies are less good at is up-regulating metabolism in an environment of where there is an extreme availability of highly palatable foods like we have today.

We often think of our bodies like a car that's always running. This is somewhat problematic, but let's go with the analogy for now. Just like a car idling will burn some fuel, our bodies burn some calories just keeping us alive. If there's a shortage of food/petrol, (either because I can't afford it, or because there's a true shortage), I can curtail my movment/driving to conserve how much I use. Likewise, if food/fuel is cheap and readily available, I can move/drive a lot and even fill my fuel tank (fat stores), whenever I want. Unlike a car that has a limited fuel tank that can only hold a specific amount of fuel, humans have a theoretically unlimited ability to store excess fuel in the form of fat.

TL;DR: It's not so much that our bodies decide what weight to be. It's more that we were never designed to deal with cheap, easy access to super tasty food. At the end of the day, what determines whether or not you have more fat stores than you might want is whether or not you eat more calories than you burn in a day.

The entire point of this overly long post is that there's no mechanism working against you that's keeping you from reaching your goal. Our bodies were designed to store excess calories to keep from starving to death when food was scarce. We rarely experience scarcity anymore, but our bodies don't know that. They still will do everything they can to hold onto those stored calories "just in case". There are ways to get beyond this, but that will have to wait for another post.

Thank you! I've read numerous posts about "set points" and always thought if it was actually a thing then why did I need surgery (my body would have stopped at its set point) or why even bother giving plans for exercise if my body has a "set" point!? I realize that most of it is to get our minds set to a healthier way of thinking with follow through, but its simple math: calories in vs. Calories out vs. Bodies requirement = weight/health. Nothing has really changed other than our awareness of this math and adherence to it.

It all comes down to calories in calories out. If set points were actually a thing none of us would have needed surgery. Anyone can gain weight if we exceed calories beyond daily needs or lose if we exceed calorie burn. Even those ppl who are bone thin and complain no matter what they do they can't put weight on, if they exceed needs everyday they too would gain.

Thank you for an excellent post!

Edited April 5, 20251 yr by BlondePatriotInCDA

Thank you everyone for your responses ❤️ I really appreciate the advice and the honesty!

Been in and out of A&E this weekend as I had a suspected internal hernia following a few days of abdominal pain, CT scan shows no hernia thankfully, so it could just be an ulcer or trapped wind ? Either way, I am in pain ?

@@AmberFL I get between 1700 and 1900 calories per day right now, it's working well for me. I'm having a surgery tomorrow though and won't be able to work out for a least 3 -4 weeks and will likely try to cut my calories to 1400 per day to avoid weight gain in that time. We'll see how well that goes, lol.

@Lily2024 Good luck on surgery!! I was not able to work out for 7 weeks it was so tough, but getting back into the swing of things!

On 4/7/2025 at 8:02 AM, Bypass2Freedom said:

Thank you everyone for your responses ❤️ I really appreciate the advice and the honesty!

Been in and out of A&E this weekend as I had a suspected internal hernia following a few days of abdominal pain, CT scan shows no hernia thankfully, so it could just be an ulcer or trapped wind ? Either way, I am in pain ?

Hi there hunni

An internal hernia doesn’t always show up on a ct. I’ve just had one repaired after four really bad bouts of pain and it has never shown up on any (5) of my cts