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Okay here we go. 1: Pre op stats 91kg BMI 35 2: Surgery Gastric sleeve 3: Lowest weight post surgery 48.5kg BMI 18.7 at about 18 months. 4: Maintenance weight 48.5kg. Stayed there for about 18 months when I suddenly increased to about 51kg. Realised I wasn’t absorbing my HRT med after my gall removal. Changed my meds and my weight slowly settled at around 49kg after another 18 months. The last 6 months has seen me back to 48.5 again though I was 48.2 this morning. Strange is I actually eat about 300 calories more now (last 2+ yrs) than I did when I initially stabilised. 5: Fluctuation Initially my fluctuation was exactly 1kg so 48.5 - 49.5. Weird I know. It’s been more 700 - 800g the last 18months so very narrow. 6: Methods to maintain & what worked or didn’t work. Work out a sustainable way of eating which doesn’t restrict or limit what you want to do & how you want to live your life. (I know I say this a lot but it’s worked for me.) Still be flexible with your eating style. Don’t be afraid to make changes: different foods or food types, frequency, etc. If it works & you can still maintain great. If it doesn’t drop it & try something else. I don’t enjoy traditional exercising. No gym for me, running miles or getting sweaty. Around 18 months ago I started my exercise snacking (stretches & using resistance bands) habit. Not to burn calories but to regain flexibility & to support my back. Muscle toning has been a bonus. I enjoy it, it’s easy and I do it or a variation every day. 7: How my life has changed It’s just easier in a whole lot of little ways & other things are much sweeter. Yes, I work at maintaining. I’m more aware of what I put in my mouth, its nutrient value & how much I eat but a lot of this is second nature/habit now so not as much ‘hard’ work anymore. Generally I feel more confident though I wouldn’t say I was lacking confidence before. I’m honest enough to say I’ve become more vain though I was always conscious of how I presented myself to others. It’s just a lot more. Just ask my cosmetic physican - LOL! 8: Cautionary tales & words of wisdom Always advocate for yourself. Not happy with an answer ask more questions, for more testing &/or a second opinion. Do your own research & go back with more questions. Be honest. Ask for help. Be flexible. Make the best decisions you can in the situation. Don’t compare yourself to others. Don’t beat yourself up if things don’t go the way you thought. Things/life happens. It’s how you pick yourself up & move forward again that matters. Find what works for you in regards to how & what you eat, what activity you do & so on. Research, cherry pick across many strategies & plans, test them out & adopt those which work for you. There is no one right way just what’s right for you. This journey isn’t a straight, flat road in one direction. There’ll be hills and valleys, rugged mountains & deep, wide rivers. There’ll be blind corners & round-abouts. You’ll face detours, delays & road works. Your destination may not be where you initially planned but it will be a wonderful, amazing & far better place to be than where you were before you started. And there will be many other fabulous destinations ahead of you.

Great idea! Pre-op weight/BMI: 286lbs 49.1 BMI Surgery: VSG 08/2019 Lowest weight/BMI 142lbs 24.4 BMI Feb 2020 Maintenance weight/BMI: 150lbs 25.7 BMI I bounce from 145-150. I’m happy and healthy here, although at 150 a smidge over “normal” BMI. My doc is happy too. I maintain by continuing to use My Fitness Pal daily to track intake, exercise and weight. I exercise regularly, mostly walking and biking. Life is so much better in so many ways. No worries about a seat extended on planes or intruding on my neighbor’s seat. Buying whatever clothes I want in the regular section. No more aching knees, ankles and back. I was one of the statistical many whose relationship was negatively affected by my surgery. I went through a divorce about a year and a half post op. However, I’m now in a relationship that is happy and healthy with a wonderful guy who supports me in every way.

Same happened to me immediately post op but I don’t remember thinking about it after a month, so it did go away. I also believe it was from drinking cold things during that period. As mentioned above, stick to warmer fluids to see if that helps.

Keep in mind that most nutritionists, it's their job to tell you to stay within certain limits that were decided by prior care teams who-knows how many years ago, based on individuals who could be much different than you. Those limits may be absolute BS, but they have to cover their own ass and give you these 'healthy guidelines'. In my care team, I have three different nutritionists I've seen so far. One of them seems very open, very with it, and all her advice so far has been really helpful. The other two have been absolutely useless. (Ironically, one is constantly looking at my food logs and saying things like "and where do you see that you could have added more protein here" even though I'm usually already in the 80-100g range -- and I DO NOT work out) For what it's worth, I think you're doing exceedingly well. Every time I see you post around here, I pay attention because you really seem to be in tune with your own body. If you're not having any protein over-consumption symptoms and your labs are good, I would take what's useful from the NUT and throw the rest away. (Are they sending you for bloodwork routinely, or has that fallen through the cracks too?)

Could be residual blood but I still would call your surgeon and keep an eye on it to ensure there aren’t any other symptoms.

Just wanted to update everybody. I did it! I did have some pain right after the surgery, but the nurses gave me something that really worked. I haven't had a ton of pain since. I'm doing good with my fluids and am now 411. I was 429 on the day of surgery. It's awesome!

Certainly don't think less of you. This is major surgery. You are normal to be scared. Then again think of what life would be like long term if you didnt do this. Maybe that is more scary? I know at that time before I had my RNY I didnt want to go on living entombed in my own body. I had this surgery in May 2022 and the surgeon also repaired a hernia at the time. (A few years prior I had another hernia fixed and that was very painful on it's own). I woke up in lots of pain (so maybe some of the pain was from getting the hernia fixed) but I was given lots of pain medication. The staff dont want you to be in pain either. So yes it was very rough but pain meds and heat packs eased the intensity. High end pain killers were needed for the first few days and then less and less over the next few weeks. And for the record I would rather be a little sleepy if it eases the pain. I needed to remind myself that it would get better and it did. Short term pain for very long term gain. Truly your journey will be yours and your alone. You may be in pain or you may not. You may have complications or you may not. I would also hope that the medical profession have learned more in the time since your mom had this operation. You wont know how it will be for you until you do it. PS - I would go through this again in a heartbeat. There is freedom again,

I supposed the OP has already worked this out since the post was 2015 but I just want to add that the surgeons do then to weight loss drugs as one of the tools in their belts post surgery now. They have quite a few in addition to phentermine nowadays too. For anyone out there experiencing weight gain please touch base with your team. I was unable to take the meds because if interactions with other meds I was on but that was definitely an option that was presented to me early on and for someone with only a fair amount of weight to lose it could help. I have taken phentermine in the past and it did reduce my appetite significantly. My problem is I wake up several times and night and eat too so once the med wore off I was hungry. For those reasons they didn’t work for me but they do work for many people.

Just had my appointment with my surgeon & told him I wasn’t taking my multi vitamin & why. He was fine with it. Agreed better I eat than be nauseated & not eat. He also confirmed they are not as necessary for sleeve patients as they are for bypass BUT I had to ensure I was eating a balanced diet. My medical team will continue to monitor my bloods as usual.

you know the saying "if I had known I was going to live this long, I woulda taken better care of myself?" well. talk to the doctor about all your options, but please don't rule out surgery as you may live a lot longer than you think, and if you can keep the weight off, you'll get a lot more enjoyment out of those years, no matter how many there are.