I'm at 4.5 months post op from my lap and conversion to rny gastric bypass surgery. I'm at 30 lbs lost. I feel like my time to lose is slipping by rapidly. I do not see how I can make it to a healthy bmi at this rate of loss.... Please see stats of month by month loss below. I have spoke. With my surgeon and he says my surgery will only take me as far as it will take me and I am following his guidelines of 1000 calories , no white trash, under 50 carbs. Is there anyone that has any other suggestions to help me speed things up during these last few precious weeks of the time it's supposed to be easier ? 

My pouch was created a little differently than most by my surgeon , who told me after my surgery that he does not create a standard pouch because he does not like his patients to be sick and unable to eat for the first few months. I have tried to drop to 800 calories and it never made any difference to the slow loss. I feel like something has to be wrong with my thyroid or metabolism since this surgery is supposed to cause malabsorption plus eating under 1000 calories alone should be causing more weight loss, however my surgeon dismisses this suggestion. I had pre op lab work on Friday before my Monday surgery so I'm not sure how extensive it was. 

This revision was my last chance and I had to fight my insurance hard to be approved so I am fighting a sinking feeling that it will not help me get to where I need to go. 

All suggestions appreciated. 

Can you go to your primary doc and get labs? I agree, even without surgery it seems like you should be losing weight at 1000 calories. What the heck does he do if he doesn't do a "standard pouch"??

He explained it to me after me telling him at my post op appt that the small 2-3 bites that most of my rny peers feel full on I do not. He said he creates more of a long tube with not much of a tightening at the bottom , his explain action was others will eventually loosen to be like mine and of course I panic Bc if they all loosen and mine started out big then what the heck good is it. I was not happy that he chose to be creatively artistic with my insides ... But it is what it is and I have got to change strategies to get some weight off 

I've gotta say- in my 16th months since surgery I can honestly say I've felt "full" on maybe 10 occasions. Personally- I think seeking that "full" feeling is pushing the envelope. Through weighing/measuring, satiety should be the goal- not full. once your body gets used to or comfortable with "full" then portions go up- and we know where that leads...

Best mantra I was taught: "never hungry, never full". It's fine line to differentiate, but oh so important.

That's great advice. I'm finding the band restriction feeling and knowing that my measured amount is enough is as different as night and day. 

Peach-- that is a GREAT mantra, really helpful to me.  Fullness is not always a good measure for me because one thing I have realized I do is not pay enough attention to feeling full.  I do much better when I focus on measuring/portioning in advance.

LOve that Mantra!

Between you and me-I NEVER get that full feeling. I go from "not hungry" to either "punched in the gut and nailed to a wall feeling" or "constriction around my heart" feeling when I try to eat to find "full".  Those feelings mean  I HAVE OVEREATEN!

I have long since given up on finding the slightly expanded, warm, cozy, happy feeling that being FULL prior to WLS gave me. It isnt there and I am going to ruin my pouch trying to find it.

IN retrospect, that warm happy cozy feeling of FULL prior to WLS was probably me overeating. What I mean is, I got obese searching and obtaining that feeling right?  Worse, is that I did it with carbs, wish I would have been smarter and sought out that happy feeling with steak.

-Skinny

Did your surgeon discuss this alternate type of pouch with you preop?

No. I was 3 months post op and feeling like everyone else was having a totally different experience than I was with eating so I asked him if my pouch was bigger and then he explained that it was totally different 

Personally I feel you are eating to many calories.  When I stick to 800-900 cals a day with them mostly dense protein I lose a few pounds a week. 

What exactly are you eating daily and are you weigh/measuring everything?  How long did you drop to 800 cals a day for?  Sometimes it takes a few weeks for it to kick in.