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Just got a call today my insurance approved me and I have my surgery in 2 weeks! March 22nd can't come soon enough! Sent from my SM-G930V using the BariatricPal App

achappex3 how was the surgery? How not to much of an issue! I am following in your footsteps so I am curious about the process. How are you feeling? Back at work? Hungry, sick, tired? All the usual stuff people ask. By the way awesome progress!!!

Good luck! I'm tomorrow as well!!

This question is very broad and I bet if you asked 10 people, you'd get at least 11 answers. That said, my advice is to understand what you're about to do is not a diet. It's not something you do for a while and then stop. It's a lifestyle change. To be successful, understand - and welcome - that what you're doing is permanent. Good luck and be sure to check in here often. That's what makes this community so valuable.

I've been slower than most to. I'm 6 months out. People tell me that it seems I stay the same then overnight it looks like I've dropped 20. Lol take your body measurements. You could be losing inches just keeping plugging away. It will happen

After a week I started calling! If they have everything they need it shouldn't take a month. They have up until a month to process. I called on my own and found out before my surgeon called to set up the surgery date lol [emoji23] talk about antsy! [emoji16]

Good luck!

According to the internet: Adipose tissue, or fat, is an anatomical term for loose connective tissue composed of adipocytes. Its main role is to store energy in the form of fat, although it also cushions and insulates the body. Excess adipose tissue (fat cells) can lead to problematic changes in metabolism, blood sugar control and blood pressure. Recently scientist have been exploring the role of fat cells acts on the brain to signal satiety (hunger control). More recently, researchers have been delving into the mechanisms that adipose tissue uses to affect other parts of the body. A recent report in the journal Nature investigates one possible source of such control. To describe the study we have to define a couple of terms: microRNA (miRNA): small (19-22 nucleotides long) segments of RNA that do not code for Proteins. There are many different types of miRNAs in the circulation and in different tissues, and they have various functions in the body. In general, they act to prevent translation of mRNAs and thus decrease the production of the corresponding proteins. Dicer: an enzyme found in adipose as well as other tissues that processes miRNAs — without it miRNAs aren't produced. Led by Dr. C. Ronald Kahn of the Joslin Diabetes Center of Harvard University, researchers bred so-called 'knockout' mice that lacked the Dicer enzyme in adipose tissue specifically. These adipose-tissue-specific Dicer knockout (ADicerKO) mice did not produce the usual complement of miRNAs found in normal mice, showing that adipose tissue is responsible for making a large number of the circulating miRNAs. And this is important, because the presence of such miRNAs is associated with improvements in glucose tolerance and other beneficial metabolic changes. Indeed, the ADicerKO mice exhibited a decrease in brown adipose tissue (the most metabolically active type), as well as an increase in insulin resistance. However, when both brown and white adipose tissue from normal mice was transplanted into the knockout mice, they began to produce the miRNAs, demonstrating the importance of the adipose tissue in circulating miRNA production. In addition to their work with the mice, the investigators also compared miRNAs from patients with lipodystrophy [1] with those from control people. They found that the patients with lipodystrophy had lower levels of over 200 different miRNAs compared to the controls. Thus, both the animal and human data suggest an important role for adipose tissue in the regulation of metabolism, and may indicate an important avenue for future research into the roles of Dicer and miRNAs in the obesity-linked derangement of blood pressure, blood glucose regulation and insulin resistance. http://acsh.org/news/2017/03/02/when-fat-speaks-body-listens-10911

[mention=307122]BigUtahMan[/mention] I am learning that my sleeve doesn't have the advantages regarding restrictions/not have cravings/hunger. At 6 weeks out, I'm able to pretty much eat anything and everything without consequences, unless I overeat then I'm in pain. That I am able to eat like that is really scary for me because the whole purpose of this was to change how I eat. I understand that this is where the mind over matter thing kicks in but these cravings are kicking my butt. I don't like substitute sugar at all I would prefer to just drink it unsweetened completely or infused with some kind of fruit. A NUT is becoming a evil necessity for me and my insurance only covers 3 visits a year, though I was told if I could find a NUT that charge the insurance as a office visit and not a NUT office visit then I would be fine. How I'm going to work this is beyond me. Thank you for all your advise and telling me some of your experience it helps that I'm not going "crazy" alone.

3 ounces of protein food and a couple ounces of cooked vegetables sounds about right. Total about 1/2 cup.