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This is a new video Dr. Weiner (bariatric surgeon in Tucson) put out through his podcast this week. He is one of the best resources out there for reliable information on bariatric surgery and the science of weight loss. This 55-minute video is all the most up to date information to get you started with all the basic questions you might have (and if you want more in-depth information, he has hundreds of other videos that dive deeper). He talks about nutrition, exercise, surgery, and GLP-1 meds.

Glad to hear @~Niecy~ ! Pretty much on the same boat, recovering at home now and sipping water, clear protein, broth all day. I feel great, just a bit of gas pain still but feel almost instant relief when I walk and still supeerrr tired. Been taking the best naps ever lool.

That doesn't sound like enough food, or a very healthy choice, to be honest. Crispy chicken is fried. Sweet tea is nutritionally the same as soda and can provide a shocking number of empty calories. You aren't getting enough protein and if you're only eating once a day, that's probably messing up your metabolism. Just based on what my dietician has told me, I suggest three meals per day, a minimum of 60g protein per day, 64 oz water, and little to no sugar or simple carbs. You might try cottage cheese with fresh berries for breakfast, a spinach salad with 3oz grilled chicken for lunch, and 3oz baked salmon with steamed broccoli for dinner. Maybe add in a serving of raw almonds for a snack. Make sure you weigh all your portions.

Semaglutide (and other various GLP-1 agonists) effectiveness can be dose dependent. 4 weeks is likely not long enough to see changes especially if you are still at the starting dose. Here’s a link with some decent easy to understand info: https://www.richlandmd.com/cosmetic/semaglutide-dose-for-weight-loss/ Also these meds are used in conjunction with lifestyle modifications. According to a meta analysis reviewing multiple trials “We observed that aside from the administration of semaglutide, reduced calorie diet and increased physical activity were also part of the intervention. Hence, semaglutide alone probably will not be able to achieve an 11.85% weight loss” https://pmc.ncbi.nlm.nih.gov/articles/PMC9758543/ Take a look at your early post op diet plan and give that a try again. If you didn’t have one, I can share that mine was protein forward (80g minimum) with minimal carbs (under 50 g and mostly complex) and low fat (20g) and almost no calories from drinks unless they are protein shakes. *edited to add: These meds can cause constipation so any weight gain could be due to that You really should consider checking in with the prescribing/administering physician to ask about your progress. Best of luck!

And I third - well worth watching as many as you can.

Things absolutely do slow down, for the reasons the others have said. I lost almost 10 stones with my sleeve, half my starting weight. 9 stones of that was in the first year post op (with many stalls towards the end that made me think I was done) and 1 stone was in the subsequent 9 or 10 months. In the last few months I was honestly losing half a pound a month or less. It's fascinating looking back. The concept I am most happy to have learned on this board is that of a new set point. Once I knew that our bodies can decide early after surgery what weight it now wants to maintain, I felt less like the driver and more like a passenger who could sit back and just enjoy the ride. No actually - not quite sit back - follow the rules strictly to enable the smooth journey to my new set point. Mine ended up a bit lower than my 'goal' (plucked out of thin air) weight. Lots of people's seem to end up much higher. All of this is fine if we can make our peace with it. I get the feeling you have much more to squeeze out of your procedure @Bypass2Freedom. I do understand the frustration when you're following the rules to the letter but not losing. It's steps and stairs always - never a linear loss (well not for me). You're doing this.

Fixed the hernia, did the bypass, happier than a pig in slop. I had medical issues (multiple), so I'm in a different category than almost all here. I was obese. I'd do it again in a heartbeat. The surgeon and his staff I got this time are the absolute bomb. I couldn't ask for better.

No no, the salad is enough to where I can scoup out and put in tiny bowl and eat off it twice for two or three days. On day three I go get another salad and do the same thing. My stomach still gets full quick.

In my view for what its worth, Your arms are brilliant. The surgeons have given you good advice and saved you some money. Your torso is not bad. Do you really need a 360 ? There are smaller surgeries these days. If you put your surgery into the search engine you will get pictures of the scarring. Everyone heals differently so scarring is never the same on two people. There is also a small risk of infections and abcesses that will make a mess of any surgeons handy work. Any work on your stomach area would hurt for at least the first 5 days. Three months ago, I was opened from my pubic bone up to my navel for unrelated surgery and I was walking around like a woman broken in half. Just sitting up from lying in bed is a feat that will leave you sweating. Which is why people advocate recliners, because they stand you up with out using your sore midsection. With a 360, you will struggle to find a comfy spot to lay on. BUT all this passes, good meds help, having someone with you helps. In the end its a very personal thing. If I were younger and unmarried I may think differently but I am old, I have a mass of extra skin but I live in a fairly cold country. I am only ever showing my arms and legs when I go abroad on holiday. I don't give much thought to what people say as long as I don't hear it. I park myself on the beach, doff off and enjoy the sun on all my saggy baggy bits. Then I come home and hey presto, I back in leggings and long sleeves that hide everything. Good luck with whatever you decide to do. Be happy in what ever amount of skin you can live with.

@FifiLux the skinnyness gets me too! I weight lift and my veins are insane, I should lift lighter and just chill out but then I keep thinking that I am going to go back to what I was if I stop. Or if I eat a cookie I think I will gain all my weight back. Its a mind eff for sure!