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You should be a doctor ,NickelChip ! LOL You explained that so clearly and easy to understand . That's something everyone should keep in mind when those darn stalls strike . Thanks for looking that up for us

I was curious what causes the 3-week stall, and this is what I found out in doing a little digging. When we experience calorie deprivation, whether a diet or after surgery or just not having the usual amount to eat for a bit, our bodies first turn to our store of glycogen to keep things running. Glycogen is a form of stored sugar, and for each gram of glycogen in the body, it's bound to 3 grams of water. So, if you burn a gram of glycogen for energy, you lose 3 additional grams of water as a bonus. Your body will always burn glycogen before it burns fat because that's how we've evolved to handle brief food shortages. Which means most of the weight you lose right after surgery is not actually fat, but water (and that's fine!). But after a few weeks, your body is low on glycogen and you still haven't hunted down a wooly mammoth to eat, so now it starts burning fat to keep running. At the same time, it does what it can to replenish those glycogen stores with whatever calories you have coming in, because it's a little worried you won't survive the next famine. Glycogen makes me think of the $100 cash my mom always kept stashed in her sock drawer for an emergency. If she used any of it, as soon as she got more cash, she replenished that first before putting anything in her wallet. Remember, each gram of glycogen comes with 3 grams of water. So you might burn 4 grams of fat, but also replenish 1 gram of glycogen (along with the 3 grams of water that tag along for the ride), and the scale shows you the same weight. Now you feel like nothing has happened and start to panic. But you still lost fat, which is the goal. And once your body does what it needs to do to replenish that glycogen, it'll start showing on the scale again. I really wish doctors would explain this process to patients before surgery! Some mention plateaus in general, but they rarely explain what causes them, and the 3 week stall is the type of thing they really should explain in detail so we know what's going on because it's basically a given.

I had my gastric sleeve in March of 2012 with a starting weight of roughly 283 lbs at consultation / start of my journey. The lowest weight I was able to get to was about 185-188 lbs which was in early to mid 2015. Later that year, I developed a wrist injury and eventually needed surgery in 2016, and began around late 2015 to early 2016 putting on weight. From October 2016 to now I've essentially regained all of my weight back. I am contemplating revisional surgery at this time, and looking around for surgeons. I have a consultation with one surgeon set for Nov. 27th with Dr. Alibhai in Irving, Tx. (If anyone has any experience they can share, please do.) My other choice of surgeon would be Dr. Matin who did my mother's Gastric Bypass around 2007. I'm wanting to revise to the DS....but, now I am reading and learning about the SADI DS and I now don't really know which one of these I would like to do. My mom is trying to talk me more into doing the gastric bypass rather than the DS. I understand she's worried, she knew someone who recently passed away who was having complications with her DS....I don't know the specifics, but that is the gist of her reasons for not wanting me to go with the DS. At the same time, I'm 10-11 years out from my Sleeve surgery, so I've also had some thoughts about if I could possibly get a re-sleeve along with the DS. (At this rate, I think I've decided I want the DS, just not certain if I want the traditional DS or the SADI version. If anyone has any experience with Dr Mustafa Alibhai and / or experience with Re-Sleeve + DS / SADI revision, could you please share? I would really like to get back to the 180s at the very least. I felt soo much better at that weight, even though I was still a good 50-70 lbs over weight (I'm 5'3). Thank you!

This makes me so happy for you!!! I know you've been struggling. 15 inches is a lot!! I bet that really feels good. Decorate that tree! Your mental health and physical health is definitely more important than any number! ❤️

pickles yessssss i didnt know that to be honest it is the time that gets me im so use to not eating until dinner so now i just have to set reminders thank you

Congratulations!!! Glad they decided in your favor. It’ll all be worth it!

Congratulations To those that are now post op. Our journey to a new quality of life has began. hoping you are all recovering nicely. 16 days post op and I’m still on liquids. I’ve lost a total of 5 kgs already. I’m struggling to meet the intake of daily protein and fluids. I’m never hungry. I don’t see my surgeon again till 21st Dec.

One day post op and up walking /pain only when getting up and down! Good luck to everyone today!

Learning to eat slowly can be challenging. Over time you can speed up again or find you’re subconsciously timing your bites with whoever you’re eating with. I found putting my cutlery down & sitting back from the table helped. I still take a long time to eat - 30-45 mins to eat a meal though it used to be longer - up to an hour. The slowing your eating is also to ensure you haven’t eaten too much before you recognise your full signal. This signal can take 20+ minutes to kick in so if you eat quickly you can eat more than you actually need & are then are over full. I often have a very slow full message which is also why I eat slowly. I also can’t drink more than two mouthfuls at a time. I was having trouble swallowing a med for my Meniere’s vertigo one day. It starts to dissolve when it gets moist & even just putting it in your mouth it will stick. Took a 4th swallow to get it down & then I swear within seconds up all the water came … & the med.

I can eat virtually anything or any amount of calories. The downside of overeating is pooping it out multiple times in a day, along with gas and sometimes bloating when I eat too much fat or dairy. To be fair, as absolutely fantastic and awesome as I look for an old fart, I have the downside that anyone who loses weight has: 1) You look anorexic and cancer like for at least awhile, maybe forever. I'm in the middle somewhere. 2) Loose skin - anything north of 100lbs is a guarantee of wrinkly loose skin in many places. I have it but it's not as bad as many others experience. PLastic surgery to remove it is always a possibility if it bothers you. 3) I take vitamins daily, but no where near as much as any Hess DS patient.