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Just found these two articles about iron malabsorption you may find interesting. Basically it’s more common with bypass than sleeve & with post menopausal woman. Also said one possibility as to the cause is your reduced diet after surgery while you are losing. To absorb iron you need a range of nutrients which you may not be getting. You are eating much smaller portions & many struggle with beef which is considered an easy source of iron. Worth a conversation with your surgeon & the experience of their previous patients & whether it will be a permanent issue for you https://www.cedars-sinai.org/health-library/diseases-and-conditions/r/risks-of-bariatric-surgery-anemia.html https://www.hopkinsmedicine.org/health/wellness-and-prevention/iron-deficiency-after-gastric-bypass-surgery

Takes time for the body to adjust. I started to lose after 3 months. Then stall and now I’m loosing again. Metabolism, water, medication , too much food, too little food, hormones, all play into and and everyone is different. Trust the process and you will start to see changes.

I never waited 15 minutes (or whatever) between fluid A and fluid B. They're all just fluids and they go right through you. Waiting to drink after eating is so the food doesn't wash out of your stomach before you feel full (or at least, not hungry), but a shake is going to move through pretty quickly. I've always counted protein shakes toward my water goal. Actually, I count all non-caffeinated beverages toward my water goal (although some people count coffee, too).

Thank you Jeanniebug

Sorry it's been so rough! I had 24 hours of puking around 4 post-op and it was terrible, so my heart goes out to you. I hope your recovery starts snowballing now and a week from today you feel *normal*🤗 My plan counts protein drinks and soups towards liquids 100%. ( And for the record my "output" has been regular and the right color and whatnot, so I've not had reason to second guess it). I didn't love premeir protein's clear, but I could keep down propel (the individual sticks) either in hot water or well-watered down. I also love Lonolife powdered bone broth, it has 10 grams of protein and just settled really well. Lastly, a protein drink (fairlife or premeir), 8 oz of skim Fairlife milk, and then 8 oz of decaf coffee has really been helping me get down protein (43 grams) and fluid (~32 oz). It just seems to settle better than a straight up protein drink. It just takes a couple hours to drink, but I don't mind sipping on it that long 😅 Lastly, I did try mixing some powdered pb or regular pb into a blended shake because my plan okayed that. That can bump up calories 👍 I just need to taste something different/different consistency, so I haven't done it again. There were a few days there everything tastes weird and nasty, but thankfully that has gone for the most part!

Hi and welcome. I know it is scary to read the negative, but there are so many positives! I have knee issues, a torn meniscus to be exact. I have lost almost 100 pounds since I started this journey and now rarely have pain in my knee, to the point that I do not need the surgery. My numbers on my blood work are great, I have energy and over all just feel better. Are there times its a pain to eat a certain way, yes. Could I need a revision for an issue later, yes. Do I have to take fiber religiously, yes... But then I remember all the positives I mentioned above and its not an issue anymore. If you think there's no other choice, and this is needed, do it. It's been life changing in all the best ways possible. I would do it again in a heart beat.

Hi Mark, welcome. I noticed that you’re willing to treat other side effects of your weight with medications & tools - CPAP machine, meds for the high blood pressure, and knee surgery for the worn out knees… But you hesitate with GERD and constipation, both of which can be corrected with medications alone (over the counter options as well as prescription). Having the surgery could even correct your high blood pressure and sleep apnea, which would remove those issues from the list. Not to mention, weight loss in the long term is desirable for knee replacement. This leads me to ask, what are you actually scared of? Weight loss surgery is an extremely effective procedure for long term results, and the RNY gastric bypass is highly effective in treating or preventing GERD. I’m so glad you’re here, because there is a lot to learn and reconcile with when it comes to weight in our society. At the end of the day, getting to a healthy weight and keeping it off is what everyone here is working toward. You will never be alone in this if you choose to move ahead. Best of luck to you!

Congrats, I’m so excited for you! I’ve been on the forums here with you for a bit and remember your surgery getting postponed 😭 but now it’s finally happening! Yay! I had my surgery on 3/13, so one week out. If I could give you one piece of advice, it would be: have a heating pad nearby!! It helps with pain and gas and is my “bff” these days lol Good luck!! Let us know how it went. We are rooting for you.

I would suggest something about the infamous three-week stall. It seems like there's a post almost every day from someone who's about three weeks out, frantic because they haven't lost any weight in several days. I really wish more clinics would tell patients about this early stall, because it happens to the majority of us, and most people don't know about it ahead of time so they freak out when it happens. also, something about how the rate of weight loss is dependent on many factors, some of which you have little to no control over, like genetics, how muscular you are, starting BMI, age, gender. And also not to expect to lose 30+ lbs the first month, because that's not common with people unless they're the size of the people on "My 600 lb Life". Just let them know that if they stick to their clinic's plan, the weight WILL come off. Their ultimate success is dependent on how compliant they are, not their rate of weight loss.

exercise is only about 10% of weight loss. 90% is due to food intake (or the lack thereof). So being active does help a bit, but most of loss or gain is due to food intake. I know of several people who've lost a ton of weight with WLS without exercise, so you should be fine. not losing the first week is common, and Sigh is correct, it's due to the IV fluids you got in the hospital, which is essentially salt water. The sodium in it causes water retention in a lot of people, and it takes a few days to work it's way out of your system. Lots of us leave the hospital weighing more than we did when we entered. I've read about people "gaining" up to 10 lbs in the hospital! So no worries. You'll start losing weight soon..