Two Years Post-Surgery and I'm a Bit Confused

I'm coming up on two years since my gastric sleeve surgery, and taking stock of where I am, and where I want to go. Right now I lack clarity.

At the one-year mark, I had lost 48-50 pounds. I was thrilled and felt great.

Earlier this year, at 17 months post-surgery, I had re-gained 7 pounds, meaning that I've lost 41 pounds.

I experimented with some tweaks to my eating habits -- places where I had become less disciplined. I did lose a bit, felt encouraged... but didn't stick with it.

Earlier this year, I wrote this:

But it's frustrating that maintaining minus-50 or minus-45 should require so much effort. I didn't expect that. Minus-50 was self-sustaining for about a year, and I thought it would remain so. But it has not. 

I'd like to get back to minus-45. But I don't know if that's possible, and if it's not, I won't take any drastic measures. But minus-40 does not feel as good as minus-50 did.

This is still true.

I'm of two minds.

I felt better, and felt that I looked better, at minus-48 than I do at minus-41. And part of me is afraid that this re-gain is a slippery slope, ending in a stretched stomach and a near-total re-gain.

Yet at the same time, if minus-41 is easily sustainable, maybe I should accept this as my new benchmark? 

Remember, we're not talking about a very thin person obsessing over a tiny weight gain. At neither weight am I considered thin. So the difference between minus-40 and minus-48 or minus-50 feels significant. 

But is it? 

Am I getting too hung up on the number, and losing sight of the more important picture?

Round and round I go. 

I'm re-reading this post to try and focus on the positive: One-Year Post Surgery.

Second Travel Experience Without Weight Gain

Last summer, I went on vacation, ate very well, and was thrilled to not re-gain any weight. In the past, travel almost always led to weight gain. Breaking that pattern was amazing. It re-confirmed that many of my fears about weight-loss surgery were unfounded. It also showed me that my new habits are becoming firmly rooted.

Now, 10 months later, I've recently returned from another trip, which included a lot of great food. I was so happy to discover my weight when I returned was exactly the same as when I left. 

I was worried, and now am greatly relieved.

This is a great incentive to also quickly return to my eating and exercise plan, post-travel. 

Recent Emailed Post Was From January 2021

If you subscribe to this blog by email, you recently received a post about obsessive thinking. I am happy to tell you that post was from January 2021! I don't know why it was emailed, but I'm happy to report that I am not being tortured by obsessive thinking right now. 

I have made some adjustments to my eating habits, and would like to lose 5-10 pounds. But I have a handle on how much emphasis I'm placing on this, and I'm weighing myself only weekly. 

Thank you very much for your concern! I appreciate it very much.

Small Weight Gain, Part 2 (Update)

Thank you to everyone who commented on my previous post, both in comments and by email. 

Confession: I was reluctant to write that update, because weight gain feels like failure. And thinking that weight gain feels like failure, is in itself a failure. This is how thoughts of my weight become obsessive. I'm fighting against it. I'm telling myself all the things I would tell any friend who was experiencing this.

Here is why I'm concerned with even a small re-gain: this is how I gained all the excess weight in the first place, a small increment at a time. 

Yes, I am getting lots of exercise, eating healthfully, and not overeating. But what if the amount I am eating causes me to continue to gain weight, a bit at a time, until all my hard work is undone?

I'm not saying this will happen. But it's what I'm afraid of. 

A few folks have suggested getting in touch with Wonderful Registered Dietitian who is available locally. That's a great idea: more support, and from an expert. I recall that the last time I felt panicked about eating, a session with her was very helpful. I will contact her this week.

Thank you as always for your support.

17 Months Post-Surgery: Small Weight Gain and Trying Not to Panic

In January, I decided to stop tracking my eating. My intake was so consistent over days and weeks and months that tracking felt useless. I had been planning to update this blog with that information... and now there's some new, less pleasant news. I've re-gained some weight. 

I'm concerned, and trying not to panic or obsess.

Since hitting my lowest weight of minus-50 pounds, my weight has fluctuated within 3 or 4 pounds of that weight. From everything I've read, that is normal. The lowest weight after bariatric surgery is not usually the final destination; most people re-gain about 10% of their total weight loss, and settle there. Since I lost 50 pounds, I thought gaining 3 or 4 was not a big deal. 

But now I've gained a few pounds over that. And this is really scaring me. 

Some people do re-gain weight after gastric sleeve surgery. How much weight, and the cause of the re-gain really varies.

Is this new, slightly higher weight my "true" new weight, and I need to accept that? Or have I been eating too much? Did the few times I was uncomfortably full after eating stretch my stomach pouch? That is possible to do -- but I imagine that everyone who has had bariatric surgery sometimes gets uncomfortably full, while they are still adjusting to their new capacity. How much repeated fullness would it take for the pouch to permanently expand?

These questions are spinning around in my head, and there are no clear answers.

I'm still getting a lot of exercise, and still eating well and healthfully. I have identified a few eating habits that I can tighten up, a few little eating habits that have gotten away from me. Those are easy enough to tweak. But my past experience with the effect of small diet tweaks have on my weight are not at all good.

I guess the only thing I can do is ensure my diet is meeting the post-surgery standards, and try not to obsess on the number. The former, easily done. The latter, a much greater challenge.

One Year Post-Surgery

It's coming on a full year since I had gastric sleeve surgery. It's been quite a momentous year for me.

My weight holds steady at minus 50 pounds. It fluctuates within 2 pounds in either direction, but no more than that. I weigh myself sporadically, about twice each month. When I get concerned that I'm eating too much, I weigh myself and feel reassured.

According to the charts, I've lost 70-80% of my excess weight. This is in line with what all the medical literature says about this surgery. This means, of course, that I still have excess weight. I'd look better if I was 10 or 20 pounds thinner, but I don't worry about that. This is where my weight loss plateaued and stopped, so this is my weight. Even if I could lose more weight -- which I highly doubt -- I'd never be able to maintain it. I'm not going down that road.

I frequently feel hungry, just as I always did. But now when I am hungry, I have a very small healthy snack, and I immediately feel sated. The most important thing is to not let myself get too hungry. If I wait too long to eat, I end up eating too fast, and have a lot of discomfort. 

All my health indicators have greatly improved. My blood sugar levels are normal, and I've been able to drop one blood pressure medication. 

I'm more physically active than I've been in 30 years. I walk 5K either 5 or 6 days each week, and usually once a week walk about 7-8K. It feels great. 

And, although I didn't have the surgery to improve my appearance, the change in my appearance does feel good. 

I've gotten the hang of eating in restaurants. It's a bit frustrating, because I'd like to eat more! I wish I could save all my food for the day and have it all in one meal. But that is simply not possible. So I orderly lightly, bring most of it home, and get at least another meal out of it, often two meals. Drinking wine with dinner means eating even less... but dinner is better with wine! So these are things I have to constantly navigate. 

One fun little side benefit: I feel free to eat "fattening" foods when I want to, because the portion size is automatically controlled. In the past, if I decided to eat fries or chips, I would eat a lot, with seemingly no "off" switch. Because of that, I was always struggling to completely avoid those foods. Now if I want a few fries, it's no big deal. 

In general, I feel great. I'm super happy I had the surgery, and also very happy I had it done in Mexico rather than waiting yet more years to have it done in my province.

I haven't shared this story with anyone I work with. No one asks, as it's now considered impolite to comment on anyone's change in size in any direction. Only two people have mentioned my weight loss. One person wanted to know if I'm OK, or if I'm losing weight because of a health issue. The other person is a much older woman, who I think is probably not aware of this current norm. I'm very glad I decided to be more private about this locally. I would not enjoy the attention -- or being the subject of gossip.

Thank you to everyone who has supported me through this journey. It has meant so much to me!

Result: One Week Post-Travel

I did it.

I did it!

I went on vacation, and was more relaxed about food choices. Upon returning home, I immediately returned to pre-vacation habits. 

Result: I did not re-gain any weight.

I am beyond thrilled about this -- for the present, and also for the future. I feel like I've passed a major mental hurdle. It was not difficult to go back to proper eating and exercise. I made it a priority, really focused on it. I don't know why this was so difficult in the past, but it's not anymore.

I said I was going to wait two weeks to weigh myself, but I made it one week before asking my partner for the scale. I also returned it to him: no way I am keeping it in my bathroom at this point.

First Travel Experience Post-Surgery

I've just returned from our first vacation post surgery and since covid started.

In the past, travel has been a major obstacle to healthy eating and exercise for me. On vacation, I would eat whatever I wanted, gain weight, then have a very hard time losing it when we returned. It could take me a full year to lose the weight I gained on one trip. In addition, when travel interrupted my exercise routine, it would take me a very long time to get back to  the regimen. This was the pattern throughout my life.

So planning and taking this trip brought a certain amount of concern. I wasn't extremely anxious or worried. But it was always a concern in the back of my mind.

Obviously I don't want to re-gain any weight! But I also don't want to feel that I must be strict and disciplined every single day of my life. Vacations give us a break from our paid work, but they should also temporarily relieve us from our emotional work. While we were away, I tried to find a balance between these two needs. It was challenging.

First of all, I decided not to track my eating while we were away.

I also decided to loosen the reins on my food choices. I ate more cheese and more meat than I normally do, ate chips (in controlled quantities), more bread. 

I did both of these intentionally, which feels better than just mindlessly losing the discipline.

I can't overeat in a single meal. That's just not possible. But I could -- if I weren't careful -- eat the wrong foods every few hours, and in the course of the day, overeat. I did this while we were away, although not every day. Maybe one-third of the time.

Now I'm home. Here's what I've already done and my plan for the immediate future.

• I immediately resumed tracking my eating, and returned to all the healthy food choices. 


• I asked my partner to hide the scale. I don't want to weigh myself until I've been home for at least two full weeks.


• I plan to exercise today (our second full day home) and to put myself right back to my exercise routine. This will be the most challenging part. 

I'll report back.

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Update: One Month on the Minus-50 Plateau

It's been a month. Lots of good stuff has been happening.

• I'm still tracking my eating, and I feel like I'll be doing that for a long time to come. It gives me more peace of mind, and is very easy to do, so it's a very worthwhile habit. 

• I bought a whole bunch of new clothes! It feels wonderful to put them on. 


• I'm walking 5 kms 5-6 days/week, and usually once each week I walk a 7-km loop around our little town. It takes me past the bay, where there are eagles and herons, and snow-capped mountains in the distance. 


• I've discontinued one of two blood-pressure medications. I still take several other meds, and my goal has never been to discontinue any of them. But it's still a nice little perk.


• All my other bloodwork is normal -- blood sugar, liver enzymes, etc.

I'm weighing myself too often, but I'm trying hard not to obsess.

The last time I was the weight I am right now, I thought I was a fat oaf. I dieted obsessively, weighed myself constantly, hated my appearance, and was desperate to lose 25 pounds or more. 

Yet this is the weight at which my weight-loss settled. My post-surgery weight-loss gradually slowed and then stopped. So I feel that this must be my new normal weight, the weight that I can comfortably maintain.

However, the medical establishment and the weight-loss industry do not agree with me. According to BMI calculators, I am still obese. 

Now, I am not skinny. You might say I am "chubby" or "somewhat overweight" or similar expressions. But I could not rightly be called obese. 

Those same calculators say that my ideal weight is a minimum of 30 pounds less than I am now, giving a range of 30-50 pounds less! At current weight minus 30, I would be quite thin. Even if I could reach that weight (which is highly unlikely), I would never be able to maintain it. Current weight minus 50 is ridiculous. That would be my weight when I was 17 years old. 

From another perspective, the caloric intake per day needed to maintain my current weight is -- supposedly -- almost double what I am eating now. According to the information above, based on my size and what I am eating, I should be losing a pound per week. But I'm not. I'm maintaining my supposedly obese weight.

Something is seriously amiss.

I understand that being very overweight is not healthy. I get that. But the guidelines of what is supposedly healthy is conveniently aligned with the diet industry and all the other consumerism that feeds off people's unhappiness and insecurities.

When I say, above, The last time I was the weight I am right now, I thought I was a fat oaf, I can also say: today, at this weight and size, I feel great.

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