catwoman7

wow - those are only like 20 calories a piece. I don't know what to tell you since fortunately I didn't have to deal with any "food police" when I was a new post-op. Just smile and nod and try to ignore her, I guess. You've already pointed out the carbs and calories to her, so there's not much more you can do using a rational approach. How long is she there for?

I don't know about this company or policy in particular, but many won't approve revisions for weight gain. Some, however, approve them if there are medical issues. Since you've had issues with GERD and high blood pressure, that *might* be enough for some companies -but again, not all companies approve revisions. I wonder if a doctor could have a peer-to-peer review with them. Although your current surgeon isn't in your network, so that might be an issue - is there a bariatric surgeon who's in your network that you could do a consultation with?

some of us get binders, others don't - I never got one - so it's optional. If it's not comfortable, then you don't have to wear it (unless, of course, your clinic directed you to). Gas pains should go away soon...

I've known a few long-time post-ops who've done that. The ones I knew didn't eat anything until 10:00 a.m. (or noon - some people waited until noon). So I guess that would be the 16/8 plan? (I'm not super familiar with IF, other than the version where you eat within a certain window).

not everyone loses hair - and some people lose just a little. I didn't lose very much. I could see extra strands in my comb after coming it out (probably twice as much as usual), but just looking at my hair, I couldn't tell a difference - so no one else would have been able to, either.

most people do lose their hunger for a few months after bariatric surgery. Mine came roaring back at five months out. Enjoy it while it lasts....I wish mine had never come back. It is SO much easier to lose weight when you're never hungry and don't give a flip about food! Things get a lot harder once your hunger comes back. Again, there are days I wish mine had never come back - I found it very liberating, on top of making it easy to lose weight (I'm 7.5 years out now) I wouldn't worry about getting too skinny. For one thing, only about 10-15% of patients make it to a normal BMI, let alone get too skinny. There are a lot more people who never make it all the way to their goal than there are people who get too thin. Plus if you DO get too thin, you can always increase your calories to either stabilize your weight - or gain some back. I wouldn't let that worry me AT ALL.

I lost 16 lbs the first month, so I was probably about where you are at six weeks out. I was really worried about being a "slow loser", but I went on to lose all of my excess weight, over 200 lbs. So don't worry - if you stick to your plan, the weight will come off, either fast or slow.

it depends on the insurance - but most of the time they seem to go by your original weight. And the others are right - I would think once they approve it, it's a done deal.

Leaks are almost always discovered before you even leave the hospital. You should be fine. Your pouch is just telling you that you drank too much or too fast.

exercise only accounts for about 20% of weight loss - and I've known of several people who've lost a bunch of weight post-op without exercising at all- so it's likely not that. If you're getting 600-900 calories a day, that should be fine. It may just be your body's particular weight loss "pattern". As long as your general trend is downward, you should be good.

first of all, pouch resets are discouraged by most dietitians. It just puts you back into "diet mentality". Just go back to basics - protein first, then non-starchy vegetables, and then, if you're still hungry, a small serving of fruit or complex carbs. And log everything you eat so you know how much and when you're eating. secondly, the vast majority of us have a rebound weight gain of 10-20 lbs after we hit our lowest weight. It's just your body settling in to a weight it's comfortable at. I used to "attend" Unjury's Zoom support groups occasionally, which often feature speakers. There was a really interesting dietitian on once who said at her clinic, they don't even consider it a regain unless the person has gained more than 15% of their lowest weight (so for you, that's 25.5 lbs). I regained about 20 lbs in year 3 (it usually occurs in year 2 or 3, after you hit your lowest weight). It really bothered me for a long time, but clearly this is where my body wants to be. I could always go lower by cutting my calories, but then, I've been sitting at this weight for quite awhile, so it evidently is not as important to me as I think it is, otherwise i'd be doing exactly that (cutting calories). I know it'd be a struggle trying to get down to my lowest weight again and staying there, because my body seems to be comfortable where it is. Do-able, but it would be a lot of work and then a challenge to stay there. I've kind of given up the ghost at this point. if after tracking you find you're taking in too many calories and are doing too much eating while you're not really hungry, then do what you need to to get back on track (the suggestions people had of going back to your clinic for support - therapy and/or dietitian is a good one). But if that's not really the case, if this is just the normal rebound that most of us experience, then know it's just that...normal - and also, expected.

if you've stopped tracking your intake, start with that. See how much you're eating. If it's too much, go back to the basics (not all the way back to liquids or purees, but the whole deal with protein first, then non-starchy vegetables, and then, if you have room, a piece of fruit or small serving of complex carbs). And yes, as sillykitty said, there are drugs that can give you a jump start to help you get back on track again, but I"d probably start first with tracking and then going back to the way you were eating the first year or two and see if that solves it.

stalls are common. Just keep following your program. If more than a month or six weeks go by with no weight loss, you can always lose more by cutting calories - if you're willing to do that. You and your body may or may not be comfortable eating less than 1000 calories a day, and that's fine. weight loss does slow down a lot the closer you get to a normal BMI. I'm trying to lose 10 lbs now, but it's REALLY hard. But then, there are only so many calories I can cut (about 200 is all). When I weighed over 300 lbs, I could cut 1000 calories a day and lose weight pretty quickly. Right now, it takes about 1600 calories for me to maintain my current weight. If I cut 1000 calories NOW, I'd only be eating 600 calories/day. That is not sustainable. Even cutting 200 cal/day is challenging, but at least it's do-able. But that also means that my weight loss is going to be very slow....only 2-3 lbs a month. as far as losing too much weight, you can always increase your calories a bit to stop the loss. So unless there's some medical problem that's causing the weight loss, you have control over whether you stop the loss or keep losing.

that's actually really late for your first plateau - most people have their first one about three weeks after surgery! But like the others said, do nothing. Just stick to your plan and stay off the scale for a few days. Stalls usually last 1-3 weeks. If you stick to your plan, it'll break and you'll be on your way again. And like sillykitty said, this won't be your last one.

it took about two months before my energy had COMPLETELY returned, but of course, it does get better and better every day. Most people are back at work after about two weeks. I didn't have trouble working (I had a desk job) - although I got pretty tired in the afternoons the first few weeks. It didn't keep me from performing, though.

I didn't lose much hair at all I barely noticed it, let alone anyone else (I didn't take anything for it - i just kept on top of my protein and vitamins). You may be lucky as well...

I followed my plan. It was tough going at times, but I did follow it. You'll be eating more-or-less normally again at some point (albeit smaller portions than you were pre-op), it's just these first few weeks and months that can be challenging. I toughed it out. I was tired of being morbidly obese and just wanted the weight GONE!

most people don't feel it on liquids - even on first surgeries. You were in the minority. What until you get to the solid food stage - you should feel it then.

I didn't really feel restriction until I moved on to regular food. It takes a while for your nerves to regenerate - plus soft foods move through your stomach faster than the solid ones. At this point, just eat according to your program because your fullness queues are probably not there yet. And once they start up, as you've been reading, they're likely to be different than they were pre-surgery. I don't feel full the way I did before surgery. Now I feel sort of a tightness or discomfort in my chest (hard to describe it). I know if I don't stop, I'm going to be sorry...

high B12 levels are rarely a cause for concern. Mine are always over 1000, and a couple of times they went over 2000. When they got to that point, my clinic just said it cut back a bit on my B12 supplementation. It wasn't that it was dangerous, it's just that taking as much as I was at the time was kind of a waste, because I was clearly getting enough. Folate is a B vitamin - those are water soluble so I'd be a little surprised if your clinic is concerned about that. I'm not sure either of those would be due to your fatty liver, but then, I'm not a medical person, so take that with a grain of salt. P.S. I just checked with Dr. Google (not the best resource, I know). It doesn't say anything about high folate being related to liver issues - more often, it's related to a B12 deficiency, which you don't have (you said your B12 level is high). It said a high B12 level CAN be related to a liver or kidney issue, but it's usually related to recent supplementation. They may just have you cut back a bit on your B12. But wait to hear what they say. I'm a long-time vet and have been hanging out on this and similar sites for about eight years. A lot of people feel better when their B12 level is above 800 - or even 1000. My clinic never said anything to me until it went over 2000 - and again, they just told me to cut back on my B12 supplement. It's always a good idea to check with your clinic, though, just in case - and if you're worried.

are you on purees now? If so, that could explain it. I'm have a "virgin" bypass, not a revision, but i didn't start feeling restriction until I moved on to solid food. Also, they likely cut some nerves when they were in there - it takes awhile for them to regenerate.

stalls usually last 1-3 weeks, so it should break soon. Just stick to your plan and stay off the scale if it's screwing with your head. It'll break and you'll be on your way again..

wow - didn't know that. I only visited that one sporadically, but it's been years. Didn't realize it'd kicked the bucket.

you could probably just take a small sip.

a lot of people feel cold all the time after surgery. For some it's temporary, for others it's permanent. Some of it is probably due to you have less "insulation" than you did before, but because that cold feeling can sometimes start within weeks of surgery (before most people have lost much weight), I suspect something about the surgery affects your inner thermostat, too. In my case, it was temporary - but some people are always freezing and have to wear extra clothes!