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Baritastic is another to try

I have used the liquid caramel premier protein shake as a coffee creamer. I think it tastes good and doesnt seem to go weird in hot beverages.

Add ice cubes to it or refrigerate it so it's cold. It goes down much easier. I've told my patients this when they've had to do preps. Good Luck!

Enabling: I won’t give permission or condone choices/behaviors that sabotage the work to get healthy. Peoples success is not dependent on the members here. The only one who has to be happy with your WLS outcome is you. When does a response become abusive? Interpretation is part of it. Trolling and personal attacks I would consider abusive. When you post on a forum you have no control of how people respond If a post or member offends you don’t read or respond. (you have the option to block them) Some people want a light touch while other do better with tough love. Take the advice, examples, and experiences that are useful and ignore the rest. I value all the opinions and input, even if it’s something I don’t agree with. I learn from the successes and mistakes. Freedom of speech is a wonderful thing.

I think if someone asks for an opinion, then it's an invitation to be honest. Obviously not to the point of destroying someone's esteem, but I feel that if someone asks... I will answer with honesty. Not sure about the support being enabling... interested to hear about that.

Tell her to suck an egg. So many people assume that these surgeries are the easy way out but they don't understand what goes into preop, post op and for the rest of your life.

Pouch reset diet won’t shrink your stomach. It will help you feel your restriction better. It's a kick start to get back on track with healthy habits. Yes, I’m on my soap box because this topic comes up so often. Your best restriction is in your first six months to a year. With the sleeve you feel less restriction as you progress *it’s not back to full size* this sensation seems common for sleeves but, won’t happen to everyone. I wish people knew this before choosing the sleeve. Just because we have more space does not mean you have to eat over your calories and macros and gain weight. You can eat more bulk in food and keep your calories in range. With the other foods allowed on your plan, Eat dense protein and as much veggies you want to fill the extra space. ***For anyone who feels they have stretched their surgery, get it diagnosed by a surgeon. Look into revisions. Address why you are over eating so you don’t stretch your next surgery***

I set my goal by body composition, as BMI (as others have noted) is a flakey measure that applies more to population studies than to individuals. I aimed for a mid teens body fat percentage - on the lean side of normal for guys (mid twenties for the ladies) and started with an initial goal weight based upon the (very gross) assumption that all my loss would be fat mass, and then corrected that as I got closer and saw how the BF% was shaking out. As it turned out, I adjusted goal down another 10 lb (to 190 from 200 lb) to reflect about 10 lb loss of muscle mass - we can minimize that, but next to impossible to avoid altogether. I am "overweight" on a BMI basis at 26-27, but lean - ish by body composition. There has been some discussion within the ASMBS ranks that over-emphasis on BMI can lead to excessive loss of muscle mass, particularly amongst those starting in the higher BMI range, so it is something of an individual judgement thing.

Unfortunately, no amount of revisions will work if your head isn't in the game. You'll just end up in the same place. Have you thought about the reasons WHY you sabotage yourself to not become successful? Would counseling help? I wouldn't consider a revision to bypass until you feel you're emotionally ready to change your lifestyle to ensure that this surgery is successful. Otherwise, I think a revision to bypass would be a good option for you. The sleeve isn't for everyone, and some people need the additional help the malabsorbtion offers with the bypass. Also, take anyone's advice who chimes in that hasn't had regain with a grain of salt. They don't understand the struggle of being several years out and trying to get back on track and go back to basics. They all think the weight loss comes as easy as it did during the honeymoon period, and I'm here to say it absolutely doesn't. It's a whole different animal several years out. Our metabolisms, appetites, and capacity changes, making going back much harder. It can be done, but you're talking pre surgery effort at that point.