Berry78

Ok, when I started typing, I didn't see you mentioned diabetes. There is a bit more remission for diabetes with the bypass. Ultimately, how long you have had diabetes, and whether you are insulin dependent makes a difference too. If you are newly diagnosed and don't take insulin, I still think the sleeve should be in the running. If you've been diabetic for years, and especially if you are on insulin.. then the bypass would be better.

If you only have 75 pounds to lose and don't currently suffer from GERD, you are likely an excellent candidate for a sleeve. Both sleeve and bypass are good surgeries, but like others have mentioned before, the bypass can have long term complications that are less likely with the sleeve (intestinal problems and malnutrition). Unfortunately there is no perfect bariatric procedure. They all have pros and cons. We each have to weigh those things that are important to US, and in that, there is huge variation. I don't care that a portion of my stomach landed in the trash. If it keeps me from developing diabetes or having a stroke from high blood pressure.. all to the good. Sleeves ARE frequently revised. Partly because they CAN be. RNY are almost never revised, and it would be an especially rare case where it would actually be reversed. (It CAN happen, just almost never does). Regain can and does happen post RNY. I think that "malabsorption" component allows people to feel relatively safe in eating a smidge more than they need. Then after a couple years, the intestines adapt, and suddenly they begin gaining. The sleeve requires the patient learns good habits during the first year. Regain is always a threat, so they must learn new eating habits, right out of the gate. And lots of people just. don't. Initially, post surgery weight loss is combined physical and mental effort. After the honeymoon period ends, it becomes all mental, no matter which procedure you have.

My thoughts are with everyone affected...

I was self pay, so didn't do the 6 month diet. My first PCP probably would have done the same thing. She really didn't like the idea of my having surgery. (I now have a new doc.. but you don't want to switch now or risk having to start all over). At least she's giving you another chance 10lbs a month is quite a bit, but if you start counting calories religiously, I'm sure you can do this! Aim for 1200-1400/day. (Cutting out sugar and white flour will help too).

I'm not to goal weight but figured I'd chime in anyway. At 5 months out, the surgery is fast becoming old news, both for me and my family. The pounds continue to slowly come off, but I don't seem to be looking different like I did at first (to me anyway). Life goes on the same as it always has, but it seems easier to just stand up and go DO something, instead of it taking a huge effort to just get started. I don't get as tired as soon either. Whether the problem was the physical weight or mental weight, it is taking some time for me to realize that I now can EASILY do things that were so hard before. (Like mowing the lawn).

5 weeks is still early for meat. Don't stress if it isn't agreeing quite yet. At 5 weeks out, I was still working on cottage cheese, yogurt, eggs, beans, tuna salad. Stuff like that. Even cheese was too harsh. Water is a problem for lots of us.. herbal tea, adding flavoring, etc. can help. Miralax or the occasional enema can help the constipation.

Ok, I think you are asking when you'll start feeling better? It is different for everyone, but it can take several weeks to 2 months to start feeling almost normal. It can take 3-4 months to feel completely normal (or maybe even longer). If you are feeling very badly, please talk to your doctor so they can make sure everything is ok.

7 days post op. Glad I waited that long since it let the swelling go down some, and I could see a difference on the scale.

It likely is acid, but another place to look is your vitamins. I vomited for the first time post op yesterday (over 5 months out!). Vitamins didn't sit well at all (I had just changed type a few days ago).

Sounds like you aren't getting 1000 calories a day. When calories are really low, you're burning fat but retaining fluid. If you eat 1800 for a couple days you will let the fluid go and the scale will move. So you can keep the diet and not worry about the scale or take a break. Your choice. Good luck!

Open can of soup or beans, measure out portion, nuke for 1 minute.

What sort of diet are you on, since your surgery isn't until December? Maybe we can help make suggestions that will kick start the losses...

Aunt Flo's visitation schedule gets messed up for pretty much everyone postop. She can come early, late, heavy, light, and sometimes non-existent. No worries! She'll get back on schedule by 6 months or a year postop when the weight loss slows.

Sounds like you are doing great!! It should all be downhill from here! Woo Hoo! Welcome to the loser's bench!

I, too, was so paranoid about catching things right before surgery Chances are good everything is gonna work out great! Exciting times!

Hey, y'all! I would love it if everyone would chime in and give as many answers as they can. Based on this size chart, what size are/were you, and what was your BMI? If you are between sizes, go down a size, and if your waist is a different size than your hips, then choose the larger size. And if the chart doesn't cover your size, just guess by adding a couple inches per size. I only know my starting measurement, and current measurement. I started at a BMI of 47.8 and I was size 30w. My current BMI is 37 and I am a size 20w.

3 weeks is plenty of time for it to clear up. Good luck!

I agree, contact your doctor.

Ohhh... don't those look good! Congrats getting almost a whole one down!

Yes, vomiting regularly CAN hurt your sleeve. It can actually cause the sleeve to migrate up through the diaphram and partially into the chest cavity. (I.E. cause a hiatal hernia). The stomach acid can hurt your esophagus too. Please get help for this as soon as possible.

During maintenance, nutrient requirements boil down to the lean body mass of the individual. Since guys typically are taller and have more muscle mass, they will require more calories than a typical female. But, if you have a tiny dude that doesn't work out, and compare him to a taller female that lifts weights, then that female will require more food. During the weight loss phase, guys usually consume more protein, but their calories don't have to be higher. But then, this probably explains why they lose twice as fast as females too (in general).

You know, Dr. Matthew Weiner talks about "super responders" to the surgery. Perhaps we are seeing one now! http://drmatthewweiner.com/how-much-weight-will-i-lose-after-bariatric-surgery/

You'll likely go below goal, but at your height that shouldn't be a problem. If you need to stick to your goal, talk to your doctor/team. Once you get much below 200, the weight loss will slow on its own, and as you get to your new set point, the losses become very slow. A 5'4 person can usually drop to 150 or 140 (or even less) without being too small.

The powdered ones are usually more expensive. For the first 5 months I used powdered ones from GNC. They come in chocolate or vanilla, presweetened, and contain some protein and fiber. I got them discounted, and took half-servings, so it was about $15 a month (full price is $40 for a month's supply). Once they ran out, I've replaced them with regular pills.. but I'm finding I have to take more pills than expected! Came sooo close to vomiting them yesterday. Have to spread them out more.....