I'm on Optifast here in the States. I'm actually on 1100 calories a day, due to a starting weight of 351. I lost about 18 pounds in the first 4 weeks, and they did a body composition study so I know it wasn't all muscle mass or water weight. It was 17 pounds of fat, 1 pound of muscle. And I have a LOT of muscle mass, so that's fine.

You said they call every week, do you have to go to the clinic weekly? Well, I guess you have to pick up your food, or maybe they mail it to you? My program is through a hospital, and you have to go in every week not just to pick up food, but to either meet with a doctor of have blood work done, it alternates by the week. Then about once a month they do a body composition check, to make sure you aren't losing too much muscle mass. And you see a dietitian every 6-8 weeks. Then every week there's a group session for an hour, where they talk about a 'healthy eating and exercise' topic for 15 minutes, and then we go around the room and people talk about their weeks, any struggles they're having, any victories they've had, etc. It's pretty good, even though it does take a lot of time out of my work week and I've had to juggle my work schedule around to accommodate it.

WTG Jess! 

Keep up the great work!! 

Peaceful Blessed days to you !

Oh thank you so much . I live in a small town so I hope I can find one 

How do you find oa groups ? 

Prior to WLS when I was 380 lbs, I managed to lose 90. But when I tried again after gaining some of it back, nope. Never worked for me again. I tried it once post op and the plan just didn't cause me to lose more than 3-5lbs. 

I've managed to lose 30 lbs of a 70lb+ regain at 4.5 yrs out though by committing my food everyday and not straying from it at all. I've given up sugar and flour and personal binge items. I try to eat protein forward meals but I do eat carbs in 1/2 cup portions 1-2x day.