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Hi all,

I am almost 8 months post op bypass. I'm down 68 lbs (31 kg) I feel and look fantastic and I'm quite happy but I still need to lose 33-44 lbs and well it's barely coming off these past months. Now my question is I'm eating pretty well and counting calories and protien content. I'm focused on calories mostly but I think that's where the problem is. I should focus on my protien only which means I should eat 115g of protien daily which might mean more calories and it scares me.. I m active and go to the gym too (not as gym rat but not lazy) so what am I doing wrong? Do I need to up my Protein? Also how much of the food is actually absorbed? Does bypass really mean ill def lose and maintain the weight? I need reassurance. Help me understand what to do now and if I'm safe

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I did the Fast Metabolism Diet (Haylie Pomroy) to reach my goal weight. I wasn’t able to eat the amount of foods it requires but eating them in the phases was enough & I dropped the last stubborn 15 pounds!

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I'll do my best to help, but I'm going to have to start by asking some questions:

  • When you say the weight is "barely coming off", can you be more specific? How much in the last week, two weeks, last month?
  • Can you clarify what your goal weight really is? In your profile, you're showing that you're currently at 78kg and your goal is 75kg. That's only about 6-7 pounds, not the 33-44 you listed. I'm thinking you probably have a new goal and have not updated your profile, but it's important to understand what you really are trying to do.
  • When you say you are "eating pretty well", can you give some examples of what a typical day looks like?
  • What is your daily caloric goal? What about Protein, fat and carbs?
  • How are you determining your what you caloric and macronutrient intake should be?
  • How are you tracking your intake? Do you weigh everything in grams before it goes into your mouth?

Let me explain why I'm asking these questions. Typically when people are struggling with weight loss, we see a few common issues:

  1. Unrealistic expectations. Especially if weight loss early on after surgery was easy, people tend to think it will continue that way until they reach goal weight. Unfortunately, that's not how this works. The heavier we are, the more we'll lose at first. The closer we get to goal, the harder it becomes. It can take months just to lose a few pounds if you are already pretty lean. You also have to really have your nutrition dialed in at that point.. I won't get too deep into the physiology here, but there are multiple reasons for this and it's 100% normal for this to happen. My point is that you may be right where you need to be. It's hard to know just that just based on what you posted above.
  2. Eating more than you think. Study after study shows that almost everyone thinks they eat less than they really do, even those that log their food using calorie tracking apps. It's sometimes simple things like those little tastes while preparing a meal, or that handful of nuts they forgot to log. Others, they just guess at calories because accurate tracking is really hard.
  3. Burning less than you think. Most people have absolutely no idea how many calories they actually burn in a day. We often use estimates based on height and weight, but these can be off by may hundreds of calories depending on age, lifestyle, percent body fat, etc. Further, your calorie burn isn't the same all the time. It can vary by hundreds of calories per day even before you consider exercise. Speaking of exercise, we drastically overestimate the impact of exercise calories. For the vast majority of people, the calories they burn in a day don't actually change all that much due to exercise.
  4. Blaming things outside your control. It's natural for people look for causes for problems. If we take ownership of the problem, we can then take steps to correct it. It's when we place the blame on something we perceive to be outside our control that we can run into serious problems. Let me give you an example here. We can't escape simple physics. If you burn more calories in a day than you consume, you'll lose weight. Eat more than you burn and you gain weight. If I take responsibility for this, then it means I need to eat less or burn more to lose weight. I realize that's easier said than done, but without first taking responsibility for the problem, I'd have no hope of fixing the issue. If on the other hand, I were to say "I have a slow metabolism", I'd essentially be saying this issue is outside my control, even though the solution is the same as before: eat less than you burn.
  5. Thinking a particular diet/macronutrient is more important than calories. I noticed you hinted at that in your post. Calories are king here. Specific diets that emphasize one or more macronutrients can help, but they never trump calories. I can go into more detail later, but this post is already getting overly long so I think I'll stop here.

Please provide some additional detail and I may be able to provide better guidance.

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