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Hi, everyone. I had my gastric sleeve done four days ago and am amazed at how wonderful I feel. I never needed post-op pain meds, though I adhered to the advice to take it on schedule that first day afterward. Aside from some low bowel motility issues, I can honestly say I am having no difficulty at all. No nausea, no pain. I'm getting 4 oz per feeding (5/day), and working up to all my needed snacks in between, as I just have no hunger and have to remind myself. That's putting me up to between 60-65 grams of protein per day so far. My silly phone goes off constantly reminding me to drink or eat. At 67, I'm finding myself wishing I'd done it sooner. I started this journey on July 6th at 375 pounds, and this morning clocked in at 316.6. I am so grateful, I cannot tell you. Wishing everyone a fabulous journey towards health of their own.

Think your way works too @GreenTealael. It’s nice to have the proof of what we always knew about ourselves 🤣🤣🤣.

Our cuisine depends on lots of carbs like bread, so i started changing that for me and my family as well. I am now more open to different recipes and making tweaks to our regular recipes. I am hoping to help my family get an early start on healthy diet. Bad diet+ stress eating+ no activity equal a disaster waiting to happen 😔. I learned that the hard way. I am just hoping i will have a strong well to adhere to better way of life from now on especially with my physical disability that prevents me from regular exercise like walking

My program also only counted protein and suggested "low carb" with roughly 40% of calories coming from protein, 30% carb, and 30% fat. If you eat 1000 calories (to make the math easier, but you won't probably hit 1000 calories for a while, at least a few months), that would be 100g protein, 75g carb, and 33g fat. As time goes on and calorie intake goes up, my dietician says the percentage of protein might decrease and carb might increase, but it's about finding what works for you. Also, I was told not to worry about hitting these numbers perfectly every single day, but to look at the weekly average for a better idea of how you're doing.

5’ 3” too! But I think my line would say perfectly practical 🤣

So a couple of things here... Regarding hospital stays: Most Gastric Sleeve patients stay only one night in the hospital, but more and more, we're seeing this surgery being done on an outpatient basis. As a general rule, people recover better at home than they do in a hospital, so there's a really good reason to send them home as soon as possible. Gastric Bypass patients tend to stay in the hospital a couple of days, on average. It's just a more involved surgery and the risks of infection, dehydration, etc. are higher. Regarding the question of pain meds: Generally NSAIDS are a no-no after any gastric surgery due to the potential to irritate the lining of your stomach. This pretty much leaves either Tylenol or opioids like hydrocodone or oxycodone. The problem with opioids is that they have a really bad side effect for most people in that they are quite constipating. Because constipation is a really common problem post gastric surgery to begin with, prescribing opioids is just going to make a bad problem much worse. This is not to say that surgeons will never prescribe them, they certainly will if you really need them, but it's never going to be the first line pain med post gastric surgery. Bottom line, you'll probably be fine with just Tylenol, but if you really feel like you need something more, your surgeon may be willing to prescribe something stronger. Just be sure you know what you're in for if you go this route, because you may find the pain from opioid induced constipation is worse than the surgical pain!

I'm 60, but I think you may be asking the wrong question? Although safety is a potential concern at any age, this is something only your surgeon can properly determine. I can say plenty of people in their 70's have had bariatric surgery. I think the real question should be: what are you expecting to be different this time if you have a revision? Would it still be worth it to you if you once again gained all the weight back? In my opinion, the fact that you've gone back up you your pre-surgery weight means that there are other things going on here that you need to address first. If I had to guess, I'd think there are 2 things you need to address before considering revision surgery, GLP-1 meds, or even fat loss diets: Your mental health. My personal opinion is that the virtually all obese or formerly obese people suffer from an eating disorder, or at least disordered eating of some sort. If you don't address this first, you're really likely to out eat any revision surgery you may have. Your activity level. The fact is that most people that are able to successfully lose weight and keep the weight off (surgical or not), are really active. In fact, some studies show that formerly obese people have to be even more active than someone that was never heavy to maintain the same bodyweight. The reasons for that are complex, but if you don't address this, the likelihood of at least regaining a significant amount of weight are pretty high. Best of luck whatever you decide.