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I was looking for an introductions forum, which was mentioned somewhere, but couldn't find it, and this seemed the most appropriate place! I just joined the site after reading - well listening to - Alec Brecher's book on the gastric bypass. I'm George, I'm 43 year olds and I currently live in Spain after a lot of moving around. I've been overweight all of my adult life, but I have rapidly gained a lot more weight in the last few years. Considering bariatric surgery was first recommended to me by my doctor a few years ago, but it was right before the pandemic and that interrupted the process I was on at the time. I am now scheduled to have (hopefully) gastric by pass on April 15th, privately, at a clinic in Latvia. I decided to pay for it myself since the wait time to do it on my government plan in my part of Spain right now is said to be about three years. Currently I am on Rybelsus to help me loose some weight before the surgery, and there's been /some/ success. I expect to be on the liver reduction diet for a month before the surgery and I have to admit I'm not looking forward to it! I look forward from learning from everyone on this forum.

We went to visit friends this weekend in CO and I went snow shoeing for the first time! I don’t know that I could have done it at my starting weight. My legs are still sore cause you have to walk differently than you do normally, but we went over 3 miles and it was so much fun!

Hello everyone! I'm checking in - @ShoppGirl- It sounds like you've really been through the wringer! You are a superstar for managing both chemo, a virus, and surgery recovery all at the same time and I hope you're being gentle with yourself and giving yourself lots of pats on the back! @Chatterbox - YES - portion sizes have gotten more flexible; for me taking an ADEK supplement has helped with the hair shedding; I've gone through that to a point as well and typically have VERY thick hair and I've noticed some extra shedding but even with that it hasn't thinned my hair dramatically. @Justarwaxx - You're doing great!! Please be kind to yourself! With increased activity level the calorie consumption does have to go up so you can keep up your energy! Now that I'm using my Fitbit I am able to better see my activity levels - I haven't hit 10k in a day but I got close a couple of days and my average went below 5k per day while I was sick as well (Gosh it's going around!) but I think the important thing is to LISTEN to your body, give it fuel, and just try to have more calories spent than you take in. I'm burning over 3k calories more days than not so if I eat a few carbs, a piece of bread once in a while, a half a sandwich, some veggies - that's ok. I think a lot of it is knowing and understanding the difference like so many have said on 'head hunger' vs 'physical hunger'. Usually at a given meal I eat maybe a total of a cup of food; I try to aim for at least half of each meal to be protein, then veggies, then maybe a little rice or other starch. I'm hit and miss on my food logging; I slipped for a few weeks and am trying to reset. I wanted to repost these recipes I used during the puree period because I don't know about ya'll but I tend to find things that work well and then totally forget they exist! Lately I've been doing lots of soups for myself and my family. I made an easy chicken noodle soup yesterday with half a rotisserie chicken breast, I steamed carrots and celery in the microwave until they were soft, sautéed some diced onion in garlic and onion with a little chicken broth, then added it all together with the cooked chicken breast cut up and more chicken brother. I threw in a small handful of egg noodles and let it all simmer. When I do something like a soup with meat I try to serve myself up a bowl that is heavy on the chicken and light on the veggies. You can do basically the same thing with broccoli, cabbage, and canned or fresh diced tomatoes. Fluids and healthy veggies with a protein is my go to; and I'm doing pretty well with my personal progress. You all got this! Don't get discouraged when you go through stalls; some weeks I will lose about 2 lbs and then the next week I might lose 6 lbs; it's all a process and the weight loss will slow and become more steady as long as you watch your calories, eat healthy at least 80-90% of the time - it's about getting your nutrients and staying at a calorie deficit. ❤️ Reposted recipes from earlier: "I'd say the hardest part for me continues to be the 'No drinking 30 mins before/after meals' but I use the Baritastic app to set a time. I also use the timer to make sure my 'meals' take at least 30 minutes. Want to make sure I don't rush and end up feeling poorly afterward. Things that have worked well for me during my puree stage include egg drop soup, chicken/tuna salad made with puree chicken or tuna, light mayo, and sometimes a bit of relish, and for added protein a boiled egg or two, with or without the yolks per preference. (Dill relish is healthier than sweet relish). I did allow myself 2-3 saltines with those, usually about 3.5 oz of the tuna or chicken salad makes me feel sated. Other recipes that have worked include the ricotta bake and unstuffed cabbage rolls, pureed low fat/0 sugar yogurt or cottage cheese with Genepro powder and cooked, strained strawberries or blueberries (I added a bit of 0% Milk to make it more of a smoothie), Riccotta pureed with either a bit of fruit or avocado, small serving of oatmeal pureed with fruit (test yourself with an ounce or two less than you normally eat for oatmeal because it sits heavy and often swells - add some zero or skim milk to make it thinner if needed. Other recipes include homemade no-noodle chicken soup of sorts with rotisserie chicken, chicken broth, and pureed carrots w/a little bit of onion powder or diced onion. I also made a homemade 'philly cheese steak' filling of sorts with some sautéed bell peppers and a bit of diced onion, some roast beef lunch meat, and cream cheese. Others speak highly of pureed refried beans with a bit of seasoning to taste more like taco meat, adding either a bit of mild salsa or a combination of onion powder and perhaps a bit of cumin. That's a personal choice, and definitely suggest going slow with your seasoning due to possible heartburn. You could add a bit of shredded low-fat/skim mozzarella or even low fat sour cream to round it out. Today I made 'chicken pot pie w/no crust' which was basically just cooked carrots and finely diced celery and onions with finely diced rotisserie chicken with a can each of 98% fat free cream of celery and 98% fat free cream of chicken. I haven't had any yet because I'm a little unsure about the celery, even cooked, but pureed and in a small serving I'm sure it would treat me fine. The Ricotta Bake I made was super simple and I know there are a lot of variations to the recipe online. I made my own marinara sauce by peeling about 5 smallish tomatoes, dicing them, and simmering them with a little less than equal parts water, Italian seasoning, and a bit of diced onion. The ricotta mixture was easy; just used 8oz ricotta cheese, 1 egg, 1/2 cup of grated parmesan (I used the shaker but fresh is better) and 1/4 cup shredded mozzarella cheese. I put a layer of half the mix on the bottom of a buttered baking dish, topped it with 1/2 lb cooked and seasoned ground beef, then put the rest of the mixture on top. Poured about 3/4 of the homemade marinara over it then covered the dish with aluminum foil and baked at 400 degrees for about 20 minutes. It's basically a no-noodle lasagna. The Unstuffed Cabbage Rolls I made were equally easy - I used a rotary grinder (Works SO well, bought on Amazon for around twenty bucks) to grate half a head of lettuce. Instead of canned diced tomatoes I once I again peeled about 5 small/medium tomatoes and diced them, adding to the skillet along with maybe 1/8 cup diced onion and another 1/2 lb of the ground beef. For seasoning the recipe I used just had me add a packet of Italian Dressing Seasoning mix. The family enjoyed it and after pureeing the ground beef a bit I found it fine to eat, although slowly and very well chewed. Both it and the Ricotta bake probably make about eight 1/3 cup servings with about 22g of Protein each.

So tomorrow I have my first appointment with a cosmetic surgeon. As the health service here covers some plastics following weight loss surgery (have to be in sufficient saggy need) I am going with an open mind and closed wallet 😉 I would love to get a boob job, preferably a lift but open to implants, and then possibly discuss my legs and arms but I am not sure I want to go through the pain of those. I don't mind the idea of scarring on legs as no way I would be showing them now, dislike them so much everything is ankle length, so even with scarring it would be an improvement as I could at least wear tights and possibly something knee or mid calf length.... oh to dream such things

From the Wall Street Journal… https://www.wsj.com/articles/europe-is-probing-whether-ozempic-use-raises-risk-of-suicidal-thoughts-8c82533e

I'm an old VSG Vet, had my surgery in 2014. Initially lost a successful amount of weight. had some serious 'life' events- change of job, change to night shift, loss of parent, went to grad school and graduated, went to a second grad program, changed career path, etc. I was told in 2017 I had a serious metabolic issue with my liver and that helped me really get focused, went to keto and lost all the regain I had plus much more, resulting in 100lb total loss. Since then, though, I've regained probably 50-60 lbs. I still feel some restriction which is great. Long time issue has been GERD, it was severe PRE surgery but my quite renowned surgeon assured me that with the weight loss, the GERD would subside. It did. But with the weight gain over last 2 yrs, it's back and BAD. I have EGD and colonoscopy coming up in a few weeks to assess the damage. I'm very scared due to the ongoing severe nature of the symptoms I'm having. I'm a healthcare provider so I know all of the 'things' that could present. Because of all this, I'm heavily considering a revision. I have been on PPI for over 20 years. While my magnesium is fine, my bones are already having a lot of issues AND I'm scared to death of the brain effects. What should I consider with revision, same doctor, different doctor, etc? Also I know that weight loss can be slower, but what type of rate of weight loss can be expected? Lastly, what kind of time off from my career can I hope for? I took 6 solid weeks with my VSG and it helped get my brain, behaviors etc really corrected before going back into the workplace.

Yes all of the above. I still calorie count everything, every day. I log it religiously. I weigh myself every day. I am super scared of repeating my past mistakes. My first stall was scary. The second, well it was still a fright. By the third, I was quite used to them. Further along, I had a three month stall and everyone said I was done but I was no where near my goal so kept doing the same good things. It broke in its own good time and I chugged down a few more stones. In the end I chose my goal weight and with help from my team, upped my calories. That was a scary trip for me. I had to relax a bit. That was tough because I will not go back to being over 199lbs. Like you say, you have lost so much weight already. A lot more than 90% of us have, at six weeks. Your body needs to recentre itself. You will have to have faith and stick with the plan. We are all proof that this does work. Just take our word for it for now. Wait it out. x

Hi guys, I'm feeling a bit low so I thought I would reach out, everyone seems so friendly here. I had sleeve surgery nearly 6 weeks ago and one of the surgical sites just wont heal. They were all fine, scabbed over and looking great until two weeks ago when they starting weeping. When this happened I covered them up with an antiseptic cream and saw the doctor who prescribed antibiotics for an infection I had. The scab came off on one of them along with the stitches leaving a sizeable hole which scared me to death! Now this hole won't seem to heal. It is about as 1cm deep and 1.5 cm wide. The nurse is packing and dressing it twice a week, but it's really getting me down. I am type 2 diabetic so I know that alone indicates slow healing but my glucose levels are right down now since the surgery which is great. Has anyone else had problems of this nature? It's really getting me down and it makes me feel queasy when I have to have it changed.

When I was starting out and had alot of lumps and bumps to hide I really liked the Baleaf brand on Amazon. Since I have lost a little more I have gone with the gym People brand also on Amazon that are a little cheaper and have more color options but the material is not quite as nice as the Baleaf. They both are much better fabric than the ones you get like 4 or more in a pack in my opinion and they both have the pockets for your cell phone which I can’t live without now but of course in terms of fit that will vary from person to person. The good thing about Amazon is that you can easily return if you don’t like them but the Baleaf ones unless they are just too long or short or something I don’t think you will want to return. They are real soft and I had two pair in each size as I lost Navy And Black So they were washed every two days and the color never faded and they didn’t get the pills between the thighs. . Of course it was only a couple of months but that’s still like 30 washes and they still looked new. I suggested a clothing swap at my irl bariatric support group and I saved them because I know someone will be thrilled to get them as they are losing.

Congratulations @Chatterboxdea. Love you’ve been able to shop your wardrobe for clothing as you’ve been dropping sizes. Wonder if they still make those jeans & if you can get them in smaller sizes as you need them?