Disappointed

Had VSG on 6/9 - prior to surgery, while on liver reduction diet, I lost 15 lbs (244 to 229) - since surgery, I've only lost 12 lbs (currently 217) - have not lost anything in last 2 weeks - maintaining daily diet of less than 1000 calories - really disappointed - I feel like I would have lost this weight anyway on liver reduction and low calorie diet without the surgery - has anyone else experienced this?  Any suggestions on what to do?

Hi, I was sleeved 6/10 and have lost about 18# since, ingesting 650 calories and maintaining fewer than 20 grams carbs. You might want to look at your 1) overal intake, 2) carbs and 3) water. I've read that lower start weight can influence the speed of weight loss. Good luck and hang in there; you made a good decision and if you stay the course, it will work out well!

It isn't necessarily the speed of the weight loss that is helped by the surgery.  Its the ability to keep it off and maintain the loss long-term.  My weight loss pre-surgery and after surgery was the same.  But I never was able to sustain such a low cal diet for so long before surgery.

Try to keep the faith - The dreaded 3 week stall is common and predictable.  At my two week check-up, my NP said not to expect to lose any weight between week 2 and 4. 

I'd suggest keeping carbs very low.  My calorie intake at your stage was 600 to 800 per day. 

best wishes,

Carol

1000 calories a day at your weight seems like a lot.  What, exactly, are you eating?  What are you drinking?  Please share with us everything you put in your mouth for a day or two so we can troubleshoot.  

You may want to check in with your nutritionist about the number of calories you are consuming a day. At 2 months out, my caloric intake had crept up to almost 800 calories/day and it seemed like I wasn't losing. My nutritionist told me to cut back to 600 and to cut out the nuts & crackers. Weight loss resumed and at 4 months, it was upped to 600-700 calories. Still no crackers and only having nuts once in a while now.

Two weeks post and you are already doing a 1000 calories? I am three weeks post and I have yet too go beyond 500 calories. Sounds like you might wanna rethink your calorie intake big time. I have lost 30 pounds in my first two and in my third week stall which is normal.

Congrats on your loss!  I am not 2 weeks post but rather 7 weeks post - which is why I am concerned.

I'm 3 months post-op and still haven't hit 700 calories/day. You may want to review your meal plans just in case.

That is my fat fingers fault along with the lack of proof reading what I wrote. I still think 1000 calories is a little too much. I would question your doctor and nut.

As others have already said, 1000 calories is quite a bit for being less than 2 months out from surgery.  

Also, I don't how how many of your 217 pounds are excess pounds, but people who have less weight to lose will lose it more slowly than those who have more weight to lose (because the caloric deficit of fueling a larger body is greater and therefore it takes fewer days to amass the caloric deficient needed to lose a pound).  It appears, though, that you need to less than 100 pounds, so you are considered a "lightweight" and are going to lose more slowly.  

Yeah, you might have lost the same amount of weight eating 1000 calories without surgery, but his long would you be able to maintain that before the hunger got the better of you?  Without the malabsorption that comes with the RNY or DS,  you went really processing those 1000 calories any differently than you would have without the surgery, but surgery makes it a LOT easier to be satisfied (and not be hungry) with a small amount of food.

As the others suggested, I would be sure that your surgeon's eating plan calls for that many calories so soon after surgery. Other than that, you need to just "keep on keeping on".  This is a permanent change in your eating habits, not a temporary diet, so focus on embracing the changes... They will be what mAmes you successful long term.

Lora