While I appreciate your reply, this is something I struggle with....people thinking I'm not being honest about my food, or careful with my portions. I still weigh and weigh my food, ensure I get the amount of protein, even pulled down my food diaries from the first few months and followed them. If you google what happens to sleeve patients after having their gallbladder out, you will see I'm not alone and the struggle is real .

One more question. (Sorry!) Do the Centrum big, hard pills really dissolve enough to be effective?

Some surgeons may still remove excess skin if you are not at goal, but some don't. If you are still gaining I definitely would wait on plastic surgery. Even a small gain can mess up your results.

You have to be honest with yourself about how much and what you are eating. Only then can you make a plan and do something about it. Weigh or measure every bite. Track it on myfitnesspal, or other similar site. Drink plenty of water. Get enough sleep. Take your vitamins.

Good luck!!

You had your VSG in 3015? You're the first time traveller we've had on the forum! I would have thought by the year 3015 there would be better treatments for obesity, though.

Seriously, though, you've accomplished a lot, giving up fast food.

About the sugar cravings, I have a few ideas you might try:

• Give up all added sugar (read food labels carefully). Sugar that occurs naturally in fruits and veggies is OK because it's packaged with fibre, which slows absorption. It will be hard at first, but it will get easier. If you're following a keto diet, I guess you need to avoid fruit too. Otherwise, over time you will appreciate the sweetness of fruit more. Dates (in moderation) are good for sweetening food.
• Some people find that artificial sweeteners make them overeat or crave real sugar. There is some research to support this, but according to the doctors and dietitians I've spoken to, the jury is still out. In the meantime, I suggest you observe your own reaction when using artificial sweeteners, and decide if you need to avoid them. Maybe a different sweetener will affect you differently; it's worth some experimentation.
• Based on the literature I've read, the best/safest/healthiest type of sweetener is erythritol. Although most sweeteners ending in -itol can cause tummy upset, erythritol is digested normally, and doesn't seem to cause problems for most people. Also, it doesn't normally affect blood sugar. Erythritol is slightly less sweet than table sugar, so it's typically sold in a mixture with stevia. (Stevia has an aftertaste that I don't like, but in the mixture it's fine.) The resulting mixture is a 1:1 replacement for sugar.

I'm so sorry about the pain you're experiencing. If it's any consolation, while exercise is important for your health, it doesn't have much of an effect on weight loss either way. So it won't affect your ability to lose weight.

Mmmm, I love salmon. Thanks for the suggestion! So far I've been doing chaffles and those have been great, but I'll definitely keep sous vide salmon in mind.