too few calories?

My weight loss has slowed to 2 lbs a week the last two weeks. I know my overall weight loss is right on track where it should be however I started using my fitness pal again to see where I'm at daily. And for the last 2 days I am only between 400-425 calories a day.

I had surgery June 4.

I'm concerned about my body going into "starvation" mode if I can't get more in. Is it too early to be concerned about that?

I know the doc's office said not to count calories but to worry abou****er and protein. I'm getting in between 67.6 oz -  101.4 oz of water in daily. and between 50-65 protein daily. (I'm working on getting in more I swear! but I can still only eat 2 oz at a time and am doing the protein shake for breakfast as I can't stomach food in the morning).

I think I need to add another shake a day until I can get more food in. Even though I'm allowed a 1/2 cup of veggies a day there is no where to put it after protein.

Thoughts? when do we need to start worrying about calories and getting enough?

People usually do have a slow down in their weight loss around 6-8 weeks. I do think that your calories are a little low. You are doing the right thing about making sure you're getting in your water and protein at this point. My surgeon wanted me to be taking in approx 600 calories, but different surgeons have different rules. I think adding another protein drink per day would be a good idea. Do you have a NUT you could see? I saw mine at 3, 6, 9 & 12 months out to be sure how many calories I should be getting in.

Jules I know the slow down is normal and I wasn't really worried about it other than figuring out I'm also not getting enough in, imo. another protein drink it is. I go back at the beginning of Sept for my 3 mo. I'll ask then about seeing their Nut although I wasn't really impressed with her at the one class I had her. Maybe she is better one on one.

No, it is never "too early" to worry about "starvation mode".  Anytime you don't get enough calories for more than a couple of days, your body drops your metanolism.  Some (many?) people who have RNY end up with a permanently lowered metabolism because of getting in so few calories for the first half a year or so.

You are definitely not eating nearly enough and your body is almost certainly already in starvation mode.

Lora

Thanks Lora that is what I was thinking. I will add an extra shake or two until I can get more food in.

I can tell you when I saw my NUT at 5 weeks, she upped my calories to 1000-1200.  I have alot to lose though 200+ but she and me too, thought I should have been losing faster.  It's still about the same but atleast I'm consistently losing.  I track everything too...just because it keeps me accountable and I could easily over do it with carbs.  Fresh fruit being my number one issue.  Can you email your NUT...sometimes I think I worry mine to death but she always responds happily. 

I am nearing close to 3 months out so I will see what the doctor has to say at the end of the month. 

Take care,

Sherry

Our NUT is with the hospital not with the doc's office so I don't have contact info. I'll email the coordinator and find out what I have to do to make an appt.

Thanks!

• These are the rules I followed/follow: 
•  
  

• *Drink 64 ounces Liquids daily (drink up to a meal, wait 60 minutes after a meal) (I add 2 packets sugar free drink mix and 1 teaspoon Benefiber to 2-32 ounce water containers)
  
• *Must eat at least 60 grams of Protein a day (80 or more grams beginning at 1200 calories a day)
• *Eat dairy products that are no fat/low fat
• *Eat simple (dairy, fruit) and complex (beans, vegetables, whole grains) Carbohydrates (I do not count daily grams)
• *No more than 15 grams of Sugar per meal (more grams if able to tolerate-I allow myself up to 30 grams Sugar per meal from Simple and Complex Carbohydrate sources and also from Dairy products that are no fat/low fat because I do not seem to dump on Sugar)
  
• *Eat 3 main meals (B, L, D) no further than 5-6 hours apart
• *Eat 1 protein snack at 1200 calories a day at least 2-3 hours from breakfast
• *Eat 2-3 protein snacks at Maintenance calories a day at least 2-3 hours from B, L, D
• *3-6 Months After Surgery: I ate 600-700 calories a day
• *6-9 Months After Surgery: I ate 800-900 calories a day
• *9-12 Months After Surgery: I ate 1000 calories a day
• *12-24 Months After Surgery: eat 1200 calories a day (I ate 1200 calories a day until 15 months when I reached my goal weight)
• *24 Months after surgery (or when goal weight is reached before 24 months): Maintenance calories (BMR/RMR & Activity Level) (Malabsorption of calories lasts approximately 18-24 months) (I eat 1700-1800 calories a day to maintain my weight loss of 200 pounds at a weight of 131 pounds. My height is 5'4")
• * I do not participate in a formal exercise program due to Rheumatoid Arthritis and Osteoarthritis. I do move around a lot more and do a lot more walking.

Thank you. I have seen your post before and in fact that is where I got my calorie # from that I put into myfitnesspal as "goal". I put in 700.

My doc doesn't allow milk, yogurt,sf pudding et****il much further out. and I am not allowed fruit yet. Doesn't matter because there isn't room for fruit or veggies (which I"m allowed) at this point.