Skip to content
View in the app

A better way to browse. Learn more.

BariatricPal

A full-screen app on your home screen with push notifications, badges and more.

To install this app on iOS and iPadOS
  1. Tap the Share icon in Safari
  2. Scroll the menu and tap Add to Home Screen.
  3. Tap Add in the top-right corner.
To install this app on Android
  1. Tap the 3-dot menu (⋮) in the top-right corner of the browser.
  2. Tap Add to Home screen or Install app.
  3. Confirm by tapping Install.

Hey there, everyone, new member here, first post!

Feel free to skip to paragraphs three and four for where I have my post surgical update, the first two are an intro as I am brand new here.

My weight history is a long and varied one. If I were to write the condensed version, I'm genetically prone to obesity, thanks for those genetics, mom. On the one side of my family, individuals, unless highly active like my cousin when she played soccer, struggle with weight management. Apparently, those genetics decided they liked the party I was going to throw and joined the crew. As a kid I was heavier, but I was also one of the tall kids, until those genetics decided to leave the party early when I was in high-school. Thanks again, mom. Despite being naturally athletic, I wasn't involved in sports. Most accurate way to say that is that I wasn't permitted, and was forced into academics, poor decision father figure. Needless to say, while I was wasting all my time and effort for grades, and no satisfaction in life, the pounds packed on. In middle school, I was already in a 34" pair of Levis. In high-school, I was a tight 36, and every bit of that pear shape, very much an inverted lightbulb.

Come undergrad, I had a wake up call, as in I had chest pains pang me so hard after an organic chemistry midterm, I had to sit down in a parking spot in a garage, hoping I had cell signal to call 911 if things got worse. I was also at the point where I had blown through three pairs of 36" Levis with athletic thighs I never wanted (still don't) and refused to go up one more. So, I bought a kettlebell and started losing weight with ease. During winter break, not long after the incident in the parking lot, I had six weeks to workout, and by the end of it I returned to classes close to 40 pounds lighter. I had a stacked morning schedule back then which gave me the afternoons to workout and within a year I had transformed myself considerably and discovered my love for endurance athletics. The following year, I went down even more, but due to a long term illness. At the end, I had gone from the mid 200's down to 160 with room to spare, and in my favorite pair of jeans from Levis, Commuters in a 28. I maintained that type of body for years, 2015-2019. The pandemic started the demise, and if I'm being honest, so did becoming a co-founder, and founder of my own company. At my lowest, excluding when I was extrememly ill, I was a dense 168. Come the end of 2025, I had passed 300 pounds to 304.

My surgical journey started last year. I needed to find a new PCP in a bit of an emergency. I had volunteered for a research study where they detected several abnormalities, leading to the discovery of two permament disorders. However, the first question from my new PCP was if I had ever considered bariatric surgery, and I finally gave in and said yes. My other health condition do not really permit the current major surgeries, the sleeve, roux en Y, or the switch, leaving the band as the safest option, and honestly the one I was most comfortable with since it is reversable and adjustable. I didn't realize how few people chose the band anymore, and even fewer doctors who performed the surgery. Thankfully, I found Dr.Frank Chae with HCA Bariatrics! Absolutely wonderful person, excellent surgeon, and experience. His office went to bat for me when BCBS messed things up sending the wrong referral big time, but by the time I switched to different coverage, BCBS became irrevelant, and they were able to get me cleared in less than two weeks. The office is incredible, and the surgery was honestly a painless experience, and I never needed so much as a Tylenol after. I have no regrets whatsoever with this decision, this office, and especially Dr.Chae, I would do it again in a heartbeat.

However, here's where I am having issues. I went in for the two week follow up appointment, and I had lost 13 pounds, on the same scale that had me at 304, in the blink of an eye. Blood pressure was down and my resting heart rate. I was feeling fantastic, even with the liquid diet plan I had fantastic energy, hunger completely under control, and felt like I had not even had surgery, I was feeling that good, and couldn't wait for the next few weeks for my first fill. That was yesterday, and to say I was disappointed and discouraged could not be anymore of an understatement. I have maintained control of everything, quit alcohol completely and cold turkey, sticking with a liquid and soft foods diet, eating only around 850 calories per day, managing to get 120g of protein per day, and surpassing the necessary fluid intake with zero calorie drinks - water, decaf iced tea, Dr.Pepper Zero, etc., low carb (personal decision) of 30g or fewer per day, and around seven hours of sleep per day. After four weeks from the first follow up, I was only down an additional eight pounds, 21 total, which equals only two pounds of loss per week. I am not happy about it in the least bit, and I'm absolutely unwilling to celebrate it even as a pyrrhic victory. Everyone seems to think it's great. I don't. I really thought with that type of diet, along with surgery, that I was going to be looking at a net loss of nearly 35 pounds, not just barely 20. It's been weighing on me considerably since leaving the office after my fill. I had been feeling fantastic about everything, and now I'm just down. I mean, I'm to the point I don't want to even consume anything other than my daily vitamins, my iced tea, some thermogenics, and just fast for ten days. Completely disappointed with the results of the past four weeks. I went though this expecting closer to losing four to five pounds per week. My surgeon is exceptional, the office is fantastic, but the only point of failure is myself. I don't know what I'm screwing up or how. Is two pounds per week really all that I can expect? I've gone from being over the moon to that same feeling of getting the rejection letter from your dream college. What do I need to do to boost and accelerate loss?

  • Replies 1
  • Views 269
  • Created
  • Last Reply

Top Posters In This Topic

Featured Replies

I don't often post but I had to respond and let you know that your struggle is shared. You've done a lotter better than I did at the same stage but from experience this won't make you feel any better. For some of us this is the best success we can expect. Jumping off a bridge and regret was often on my mind this time in 2009. It took me 17 months to loose 97 lbs. However, since reaching goal, the highs and lows are well managed by sticking to the rules that allowed me to reach my goal. It was slow but its 2026 and I'm still maintaining.

To better my results I did a few different things over time but before any details, I'll share a bit of my experience. After roux-en-y gastric bypass surgery I had no honeymoon period. My daily weigh in was up and down from the start including a six pound gain within the first few weeks. On average I lost about half a pound weekly from surgery date to goal weight. However, my surgeon was excellent because he's been where I was and he believed me when we discussed what I actually ate. I had weight gain along with the slow weight loss all the way and it remains a struggle now. Like you I was not okay with being told I'm doing well. Many factors, some unique like mine and others most have in common will affect your progress. To boost weight loss you will need to be strict with your plan. By strict I mean HEALTHY restrictions not austerity for the sake of pounds lost.

What you really want is the plan that will get the body fat off, increase lean muscle mass, and avoid water retention associated with hypertension and other chronic illnesses of obesity and overweight. In my experience this means strict low carb eating.

  • Although you are already eating low carb, weight loss may require a small bump up in calories. Do not eat below your plan without consent. I was ordered to eat more against my will and appetite; but, going from less than 800 calories to a minimum of 1100 calories gave me a small boost in pounds lost.

  • Average calories over the week. To achieve my doctor's caloric goals I ensured lighter and heavier eating days included only permitted foods. He had a requirement for a daily amount of "good fats" like olive oil in cooking or with salads. Fat content is an easy way to manage calories over time. I still average calories to maintain and drop the inevitable extra poundage here and there. I had to stop fearing the days I was over as long as the days under kept balance.

  • Build muscle strength and mass to burn calories more efficiently. Exercise on an empty stomach burns off glycogen stored in the liver then body fat storage is burned. A before breakfast workout meets this need. I have never needed to feed pre activity. Many will disagree with this but cardio upon rising works for me.

  • Eat foods that spike insulin after a good workout. My limited daily carb intake comes after strength training when my metabolism is high. In your case, "the big meal" may be a 2 ounce burger no bun with sauté onions & mushrooms. My workout is split to burn off glycogen before it hits my fat storage in the morning and again after my heaviest meal so food is used by my increased metabolism.

Make sure everything you eat is satisfying your palate and nutritional needs. By this I mean lean meats without fear of the natural fat content. Remove any excess fat and season well. Cooked vegetables and salad vegetables with plenty of flavor from herbs and spices add variety for hot or cold meals. Fresh herbs are most flavorful but any minimally processed packaged herbs and spices will do. Include foods like cucumbers that release excess water retention without the health risks of water pills. Many recommend giving up artificial sweeteners because they slow weight loss. I've seen no evidence of this but while i gave up zero calorie sodas I kept my no carb liquid sucralose.

Most important, get your head right! I did not compare myself to others but I spent a lot of time lamenting over my lack of progress. It took so long to loose the first fifty then even longer to my goal weight and on to my desired weight. Don't torture yourself. My surgeon assured me it would happen and it eventually did. I am on my diet for life and it is still working because I'm sticking to my rules.

My last thoughts for you:

I learned a lot from weight loss surgery veterans, body building sites, 12 step programs for over eaters, and low carb doctors with an online presence. Beware of the "snake oil". Make sure all suggestions make sense for your good health. Vet your sources. Learn your body.

I'm a numbers person so I built spreadsheets to do all the calculations many phone apps do today. If you need data, track your numbers. If numbers are causing you grief, follow your plan to the letter and only check statistics with your medical check ups. Numbers helped me understand that I build muscle quickly and loose fat slowly. Despite weight gain, my clothes size steadily decreased.

If you have nerd tendencies check out "Low Carb Down Under". Online and on youtube, there is information and references about a variety of low carb related topics. This is intended for professionals so I need to look up information before I can fully understand some lectures. However, this is where I learned the best information on weight loss, maintenance, and overall healthy nutrition. It is not a weight loss related organization and all physicians are not open to weight loss surgeries. Like everything else, take what is useful and throw the rest away.

Join the conversation

You can post now and register later. If you have an account, sign in now to post with your account.

Guest
Reply to this topic...

Trending Products

PatchAid Vitamin Patches

Account

Navigation

Search

Search

Configure browser push notifications

Chrome (Android)
  1. Tap the lock icon next to the address bar.
  2. Tap Permissions → Notifications.
  3. Adjust your preference.
Chrome (Desktop)
  1. Click the padlock icon in the address bar.
  2. Select Site settings.
  3. Find Notifications and adjust your preference.