No weight loss at all- ever?!?

ljbarbara
on 9/25/18 6:10 pm

I agree with all the other posters. IN addition to what they have said, I would however, like to look at this from another angle.

Almost everyone weighs more when they come home from the hospital following surgery (than they did before they went in) because of the massive amounts of fluids that were given during surgery. It takes time to get all that out of your system.

Also, at three weeks out you are experiencing the three week stall everyone goes through. This is common and will pass.

Please do follow up on what the others said about the amount of exercising you are doing. Check with your doctor. It does appear you are doing too much.

Original surgery: VSG Feb. 2009

REVISED TO RNY FEBRUARY 2016

Height: 5'7"

Start weight: 252. Current weight: 120

White Dove
on 9/25/18 6:13 pm - Warren, OH

My big crazy weight loss right after surgery was from eating about 300 calories a day. Mostly from sipping one protein shake for hours. I eat 1000-1300 calories a day for maintenance.

It was three months before I attempted an actual meal of a piece of steak, a salad, and some broccoli. I did not eat fruit until 18 months after surgery.

With your ability to eat so much right after surgery, weight loss seems bound to be slow for you.

Real life begins where your comfort zone ends

slowloserdoc
on 9/25/18 8:11 pm

I really am in no danger of getting addicted to exercise. I get ZERO enjoyment from it. I have to force myself to do it each day because I know I ought to. Six days a week of 45 minutes of aerobic exercise plus one or two longer bike rides is not excessive. I know people who spend a few hours in the gym each day or people who train for a marathon. They are addicted to exercise. Keep in mind my doctor was actually recommending I add strength training to my exercise plan. My bigger risk right now is becoming addicted to shopping... I love the thrill of bargain hunting.

Am I eating too much though? My surgeon basically said I had to drink 2 protein shakes a day no matter what. That adds up to around 400 calories right there depending on if milk is added or which brand is used, so I would be over that 300 calorie "beginning" mark without any food. It isn't easy to get the shakes down and have any time left in the day... But I manage. I was told to eat 1/4 cup protein plus 1/4 cup fruit/veg at each meal 3 times a day. So that is what I have been doing. I am not eating based on bring hungry... Just doing what I am told. Last week was just the 1/4 cup protein 3 meals a day. Next week I get to start counting grams of protein daily. If I feel pressure I know I am eating too quickly so I pause and then the feeling passes within a few seconds. Even if I am eating at maintenance calorie level now, that should still provide for significant weight loss because I am not at maintenance weight. Also before surgery when I was losing lots of weight I probably was eating at least double the calories I am eating now, if not more.

It is tough to get enough fluids in while exercising. That is why I got the camelbak. I can constantly sip. When I am on the elliptical every 10 minutes I will take a big gulp of water and then let it sit in my mouth and gradually over the next minute swallow it down. This may be TMI but I judge my hydration based on toilet frequency and urine color. So far I am doing well there. I can't claim to be perfect but I have only had a couple of difficult days. They were difficult because of work rather than exercise though.

I still appreciate all the comments. I would really appreciate hearing from somebody who actually didn't lose anything in the beginning who is doing okay now... or not.

Haley_Martinez
on 9/26/18 8:04 am
RNY on 05/03/18

I'm sorry to hear you are having trouble, to be honest I haven't heard of anyone not losing weight in the first month. In my professional opinion, I think this could be due to a combination of 3 main reasons, working out so much, eating too much, and losing so much weight pre-op.

You have already mentioned that you have read the research over the lack of correlation between working out and weight loss, but from your initial post, you put a lot of effort into explaining how much you work out. This would lead one to think that you still feel as though working out should be helping you. Really, you aren't burning anywhere near 2,000 calories working out, those fitness trackers are horrible at estimating calories burned and should not be used except as a reference to itself (ie, I burned twice as many calories today as yesterday, NOT I burned 100 calories today). Better just assume you burn zero calories working out, and set your calorie limit that way.

People lose much more slowly the more weight they lose pre-op, we all know that. You lost a massive amount of weight pre-op, so you should lose more slowly. Much, much, more slowly.

People lose much more slowly the less they weigh on surgery day. You only weighed 209 on surgery day, so you should lose much, much more slowly.

Lastly, you are eating a lot more than most people do at your point post-op. The surgeons office (all of them from what I can tell) are the worst at telling you how much you should be eating in the first...well let's say 6 months to a year. I was told to shoot for 1,200 calories a day starting 6 weeks out! That is ridiculous and way too much. They said "well we've never encountered anyone with any problems eating at that level" but I don't lose weight eating 800 calories a day sometimes, so 1,200 would be...stupid.

I recommend 1 protein shake a day (160 calories, 30g protein) and for lunch and dinner stick with preparing the 1/4 cup of protein and only eating until you are full, then stop even if you haven't finished. Also, certainly don't eat the veggies if you aren't hungry! There is no reason to at all. That should get you to 60 g of protein a day with the least amount of calories. Also, take your vitamins and drink so much water, obviously lol

Maybe try this out for a couple of weeks and see where you are?

Best of luck!

Haley

27 years old - 5'5" tall - HW: 260 - SW: 255 - LW: 132.0 - Regain: 165.0

Pre Op - 5.0, M1 - 25.6, M2 - 15.6, M3 - 14.0, M4 - 13.4, M5 - 10.8, M6 - 13.8, M7 - 9.8, M8 - 7.8, M9 - 2.8, M10-2.4, M11-0, M12-7

Lower Body Lift with Dr. Carmina Cardenas - 5/3/19

Sparklekitty, Science-Loving Derby Hag
on 9/26/18 8:38 am
RNY on 08/05/19

The concern isn't how much you are eating right now, but WHAT. Many people have a very slow progression to solid food, and take at least a month (often longer) before they are eating things like pork.

Your insides are still healing, and pushing things that are too difficult to digest before you're ready can have life-threatening consequences.

Sparklekitty / Julie / Nerdy Little Secret (#42)
Roller derby - cycling - triathlon
VSG 2013, RNY conversion 2019 due to GERD. Trendweight here!

Amy R.
on 9/26/18 12:40 am
On September 25, 2018 at 3:16 AM Pacific Time, slowloserdoc wrote:

I need some reassurance I think. My doc told me at my 2 week post-op that everything was fine, that I shouldn't worry, and that I should weigh weekly instead of daily. They also suggested measuring inches lost too.

So here is some background... I started last May (over a year ago) on Victoza. My weight then (and my max weight) was 330 lbs (5ft5in tall). On the Victoza I lost about 110lbs. Then I did my 2 week preop diet and lost another 10lbs. So my day of surgery starting weight was 209 lbs.

At the end of August I had an uneventful, uncomplicated gastric bypass. I went home from the hospital the next day, and by day 3 post op was back on my bike, day 4 the elliptical, and day 5 went back to work. Now I do 45 minutes on the elliptical 6 days a week at a vigorous pace (my speed is in the 40s to start but the second half I maintain in the 50s on the max incline for the full 45 minutes). I try to ride my bike on the weekend anywhere from 30-40 miles at a time but at an easier pace of 10-12 mph. This adds up to 2000-2500 calories at a time according to my fitness tracking app just for the biking! During the week if I have spare time or am bored I get on the exercycle for 45 minutes in addition to the elliptical. My surgeon okayed exercise when I was discharged.

As far as eating goes I have followed my surgeon's plan to the letter. Started with liquids, then added in protein. Now I am at a strict 3 meals a day. 2oz or 1/4 cup lean protein followed by 2 oz veg or fruit. This week I am still doing soft fork mashable foods. I am also told to drink 2 protein shakes daily. I haven't thrown up since surgery, and I haven't had any trouble tolerating anything. I have eaten everything I have served myself, but nothing more. I have not cheated once. I am staying hydrated (camelbak helped with this for my bike rides!) And avoiding liquids 30 minutes before and after meals. I have double checked everything I am eating to make sure there are no hidden calories and I have re-read the labels of all of my protein shakes (all under 200 cal).

Here is the problem: I haven't lost weight. I am 3 weeks out. I didn't "drop weight right after and now I am stalled". I just haven't lost weight at all yet. Finally this week the day after a big bike ride with a ton of grueling hills, I did drop 2 lbs. So you could say I lost 2 lbs in 3 weeks... But I don't feel that 3 hours of exercise should be necessary for weight loss after gastric bypass!

I am terribly concerned. I thought everybody lost some weight in the first month unless they truly were noncompliant with the diet. I get that at my weight I don't have as much to lose as many of you do. I do understand that the fastest weight loss occurs in the first month post-op. I feel like this whole thing is a failure and it is a struggle to stick with the diet when I am not seeing results. I also don't get the physics of how it is possible to not lose weight given my physical activity and calorie intake. I considered fluid balance but at this point I would need a ton of edema to even out expected weight loss and I have none. I have thought about muscle weight, but I actually am no stronger than before and I used to go 12-14 mph on my bike. I am slower now. My clothes are not fitting looser. I did need to buy new clothes after the preop liquid diet and that 10lbs... So I think I would recognize it if I were losing weight.

I don't understand how I can eat less than 1000 calories a day and exercise and not lose weight. Yeah sure for a week or 2 your body can do anything, but 3 weeks straight isn't possible. I even considered if my protein shakes were mislabeled... But I drink 5 different brands so they can't all be mispackaged right?

I feel I am very qualified to understand weight loss due to my prior successes, but I ate more than double what I am currently eating when I was losing my first hundred before surgery. I am planning on contacting my surgeon next week at the 1 month mark if no better. I just know they will accuse me of not following the food plan! I also don't want to bug them since I was told just a week ago that things were fine.

I am grateful to have such an easy recovery but wish for some weight loss. Any advice or ideas? Am I in trouble? I did some snooping around and some searching and I have seen a ton written about 3 week stalls but nothing about people who didn't lose any weight. All the journal articles only discuss failures in terms of 1 year post-op. I need help. Comments are appreciated. Thanks for sticking with me through the long post.

...

conazza
on 9/26/18 6:19 pm
RNY on 09/23/16

I only did walking during the weight loss and I didn't do much of that at all. I've really upped it now in maintenance phase. I swim do aerobics and weights six days a week but that is too maintain. I really didn't do much while losing.

Lap band: 2006. Revision to RNY 9/23/2016

8/2/17: Goal Reached: 135lbs. & 115lbs lost (5'3")

Pre-op: 250, SW 242, CW 125, GW 135

Pre-op: 9lb M1: 20lb M2: 11.5lb M3: 11.9 M4: 13.4 M5: 10.8 M6: 10.2 M7: 8.1 M8: 8.4 M9: 6.5 M10: 5.7 M11: 3.5 M12: 4.3

NYMom222
on 9/29/18 7:53 pm
RNY on 07/23/14

I did not have a large weight loss presurgery - I lost 11 pounds the first week and then lost nothing for 3.5 weeks and that was on less than 500 calories a day.

I am amazed you can eat more than ¼ c at a time so early out. I would stick to ¼ cup at this point unless maybe it's yogurt.

Early on you aren't getting enough nutrition to sustain that level of exercise. You maybe losing muscle rather than maintaining it.

Stalls happen to the best of us. Hope it passes soon.

Cynthia 5'11" RNY 7/23/2014

Goal reached 17 months. 220lb Weight Loss
Plastic Surgery Dr. Joseph Michaels - LBL and Hernia Repair 2/29/16, Arm Lift, BL, 5/2/16, Leg Lift 7/25/16

#lifeisanadventure #fightthegoodfight #noregrets

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BobbieDoll
on 9/30/18 2:15 pm - CO

I am eating 400 to 500 calories per day 5 weeks post op. Followed the plan and gained 1-1/2 lbs this week. I was told that might happen. I weigh once per week. I can't wait to weigh next Sunday because I am sure I will lose.

BobbieDoll
on 9/30/18 2:18 pm - CO

I don't understand how you can exercise that much and be overweight.

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