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Update: Dr. Christopher McGowan, MD, has joined Bariendo, a national leader in endoscopic weight loss care (formerly of True You Weight Loss). Learn more at It’s incredibly common — and completely normal — to experience a brief weight-loss stall after the first week or two of rapid loss. Many patients see the scale pause during weeks 2–3, which can feel confusing or discouraging, but this “early stall” is an expected physiologic shift. In this video, Dr. Christopher McGowan, MD, MSCR, explains:

• why early rapid loss is mostly water + glycogen • why the body temporarily holds water during adjustment • how metabolism recalibrates after the initial drop

• why the stall does not indicate failure Understanding this normal pattern helps patients stay consistent, avoid unnecessary worry, and maintain momentum during early weight loss after ESG, VSG, or other bariatric procedures.

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