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I have a surgery date January 22.

on january 10 it will be 1 year since my surgery i have lost 148 lbs but i sitll have 54 more to (my goal weight is 180) i signed up for a gym in late december and i want to start it soon but i need a good workout plan. what would you suggest to someone a year off from surgery?

I am on full diet now. Just can’t tolerate condiments. Ketchup and mayo make me feel ill. My surgery was December 3rd. I got to go to full diet as tolerated on January 1st. I’ll be honest. There isn’t a whole lot I tolerate well yet. lol

Congrats on the weight loss and the anniversary! The most important thing is to find something you enjoy because the likelihood you will continue to workout will go up tremendously. As such, I'd actually recommend trying a lot of different things. From a health perspective, I'd strongly recommend at least 3 days (though 4 or 5 would be better!), of some sort of aerobic activity (a.k.a. cardio). This can be walking, running, elliptical, biking, hiking, rucking, as well as group classes. Really anything that gets your heart rate up and keeps it there during the exercise is fair game. Start with where you are on this. If you can only do 5 minutes right now, that's fine, but do try to increase that over time to about an hour per session. I also recommend at least 2 days a week of strength training. That again would be a minimum, because just like for the cardio, more days would be even better. Just be careful that you give yourself enough time in between training to let your muscles recover. My number one suggestion would be to enlist the help of a GOOD Certified Personal Trainer to assist you with program design. Note that there are some really good CPTs and unfortunately some really bad ones. You might want to ask around your network to see if anyone has a recommendation? There are just too many variables involved in developing a good strength training plan to provide a recommendation here. At a minimum, a plan has to consider exercise selection, exercise form, effort level, volume, intensity, frequency, and tempo. Some of these variables are highly dependent on things like your current gender, age, strength level, mobility, trainability, as well as any physical limitations you may have. The point is that program design should be tailored specifically to YOU, and that's really not something I could do via a forum like this. Also, in my many years of experience in the gym as a competitive powerlifter, I've seen way too many beginners make horrible mistakes that could have been avoided with some guidance. These are generally mistakes a good personal trainer can help you avoid. Some of those mistakes will just lead to poor results, but some can end up really hurting you. If a personal trainer is just not in the cards at this point, I would caution you to avoid weight machines or free weights for now. As a beginner, you can make tremendous gains just doing bodyweight exercises and there is a lot less risk of injury taking that approach. Feel free to Google bodyweight beginner routines, just keep in mind that some (just like the CPTs), are really good and some are really bad. At a minimum, I'd want a program that has all of the following: Bodyweight squats of some sort A lunge movement of some sort (I'm partial to front foot elevated rear lunges, but the actual type is not really that important at this point.) If lunges are painful for you, an okay alternative might be a bridge exercise A pressing exercise (probably pushups, but if you can't yet do regular pushups, start with elevated pushups) A pulling exercise (Ideally, this would be pullups, but I recognize these are hard for most beginners, thus an inverted row might be a good alternative Some sort of core exercise. A lot of programs have people doing planks, but I'm personally not a huge fan of planks in any form. I'd much prefer to see something more dynamic like a mountain climber, dead bugs, or hanging knee or leg raises. Best of luck!

My understanding is sleeve is more prevalent as a first time surgery, but a not-insignificant number of people have revision from sleeve to bypass down the road because of GERD or insufficient weight loss. There are reasons you may choose one over the other, and you want a surgeon who is just as comfortable with either. If he is suggesting one because he's better at it (sleeve is a much easier surgery to perform) then he is not the surgeon for you! This video has some good information on both surgeries from a doctor who does both:

Again, just wow. You are owning this. Best of luck for next week x

I don’t have an idea yet how long. Need to lose 13 pounds and then see the nutritionist, psych etc. The pre-surgery diet I was given is a 1200 calorie. 60-80 grams PRO 130 grams Carbohydrates 30-45 grams Fat Breakfast 3 PRO Servings OR 2 PRO plus 1 Yogurt 1 Starch, 1 Fruit, and 1 Fat Lunch Same as above PLUS 2 non-starchy vegetables Dinner 3 PRO 2 Non-Starchy Vegetables 1 Starch, 1 Fruit, and 1 Fat MAX of 2 Yogurts per day

I went the route of slow cooked soups with meats & vegetables & stews/ casseroles. Slow cooked so the meat was ‘fall off the bone’ tender. Also ate a lot of minced meat dishes especially mince bolognese & rissoles (meat balls). Also I had a separate purée stage then followed by soft food. Go slowly and see how you go. You may find a few days of purée first easy on your tummy then jumping straight into the more solid soft food.

I love proffee. I find more protein shakes too sweet, so I tend to mix decaf coffee with part protein shake, part fairlife milk. I've tried unflavoured protein powder into coffee with milk as well and it's not bad but never quite as good, lol. If you like flavoured coffees, sugar free syrups and extracts are great to change things up -- I like bourbon, almond or rum extract in my proffee, but can only handle the sweetness of the sugar free syrups if I'm using unflavoured protein powder in place of a shake, otherwise it's too overpowering. My program had me wean off shakes and into purees (not soft food), so I had a much slower reintegration into 'actual food'. But I remember being absolutely in love my first day of purees (cottage cheese and pureed sweet potato seemed like heaven) -- and progressing to soft foods, I had chicken noodle soup my first day and not having to strain all the delicious things out of it made a world of difference. It's like a light shining down on you from above that there's an end to what you're going through, confirmation that you will be able to eat 'real food' again, all that reassuring stuff. For soft food, definitely recommend ricotta bakes -- but since you're allowed lean ground meats too, you could adapt it into an even more lasagne (sans noodle) experience by making the tomato-sauce a meat sauce. If you're allowed crackers yet (my program allowed melba toast and saltines early on), 'avocado toast' with a bit of cream cheese is a nice texture, or pseudo-eggs benedict: crackers/toast with goats cheese and a poached egg. I loved making chili with ground turkey and random veg, add a bit of refried beans to thicken it up and serve with a dollop of greek yogurt on top in place of sour cream.

I liked making a ricotta bake with one small container ricotta cheese mixed with 1-2 eggs and spread in a small baking dish, topped with a jar of marinara (make sure it's not chunky, so put in blender if needed) and a handful of mozzarella cheese. Bake at 350F until the cheese browns. Now that I'm beyond puree stage, I add a bag of frozen chopped spinach (thawed and drained) to the ricotta mix and layer in chicken Italian sausage that I remove from the casing and cook up in a pan first (placed on top of the ricotta and before the sauce). It gives all the satisfaction of a lasagna or pasta dish without the added carbs, and pairs well with zucchini spirals.