Post Bariatric WLS ? Started with High BMI and now stalled...

So here's my update.  Lost 175 lbs since February 2008.  145 since April 2008.  Done pretty well but have basically been stuck at 285 for nearly 2 months.  All the other crap is gone and except for the weight, the health is great.  Called the Dr.s office and got the usual BS, the weightloss will slow at around 8 months, probably in a plateau, just stay the course.  Not what I want to hear. 

I have been eating right, kicking ass with the exercise and watching my intake like a hawk.  Averaging around 1400-1500 gross intake cals a day.  Good protein intake at 120+ grams a day.  Keeping fat and carbs to 30-40g and 150g or less respectively.  Finally went to see a nutritionist.  Got my BMR tested and it came back an astounding 2610 cals a day. 

SOOOO, here's my dillemma.  I was told, I have to eat  more, no less than 1800 cals a  day and do  not let net cals fall below 1000-1300 depending on exercise.  Currently I a burning 600-1200 cals a days on exercise.  As BMR falls, I'll have to kick  up the exercise more or eat less.  The other stuff was no surprise.  Vary the exercise regimen and kick up the water.  Oh, and eat more veggies (hate em). 

After months of watching what I eat, I have to eat more.  So just frack with my mind why dont ya.  She also said that I am likely losing much of the malnutrition benefit the surgery provided and am entering the  really tough phase of the weight loss program.  Most folks reach there goal by the time  this happens but because I started at such a high weight (462), I am losing the benefit at at a weight where most folks would be starting there journey.  I know I'll be carrying around an extra 20 or so lbs of skin.  If I am to get to my goal, I need to lose another 70-80 lbs.  Man this is gonna be tough.  Its too early to think revision.  Really looking forward to my 1 yr checkup.  Interested in seeing what the WL doc says.  For now, will stay the course and try to follow most off what the nutritionist said.  Will try to increase my cals some.  Can probably get the extra 300 cals with a milk based  protein shake.  We'll see. 

What do you guys think of all this??  Is this a line of bull or does it sound right?

Dalton

I think if I lose 175lbs I am going to be dancing on the hood of my car.

I suppose listen to the people who know about this stuff.


Good Luck.

I had surgery in Feb also and have lost 202 but thats where the scal has been for awhile.
I try everything and it moves then goes right back up.
I would listen to a professional and your dr has heard all of this before,i personally would be afraid to absorb that many calories.
I wish luck sweetie so i couldnt help

I have heard similar theories from others as well. They have found that their body goes into starvation mode and won't let go because they are not getting enough calories.

I would try bumping up your calories like the NUT said and see what happens. It may take a few weeks to see a change, but yeah it makes sense.

I started with a high BMI, have lost almost 200lbs but the last 15-20 have been VERY SLOW going over the last 6 months. I still have at least 40 I'd like to lose, maybe more. I've also been told to eat more, several times. Sometimes I find that if I have one day a week, like a Sunday, where I do eat more (about 2000-2100cal) I will drop the next day. Maybe it helps to vary it up sometimes in the food dept as well as in the exercise department. It is absolutely not the right time to be thinking about a revision. You've done perfectly, you haven't regained, you are not revision material. Now's just where the real work comes in, to me it doesn't feel all that different from any other diet I've been on, except I'm a lot smaller now, my goal is more realistic, and I couldn't pig out on a huge meal if I wanted to. No room.

Good luck! I agree that you should add some calories, and not even neccessarily all protein. You already have a very high protein intake. What does your fat and carb intake look like?

Hey dunnybocter,

Thanks for the reply and great information.  My carbs are around 150g.  Fat has been around 25g.  Fiber 15-20g.  Protein 125g+.  Thinking I may have to increase my fat a little.

Dalton

Hi ,try to vary things a bit. Maybe your body is in a rutt...change up your exercise routine, increase cals, fa****er. Shock your body into losing again!