SpartanMaker

YESSSS!!!! I'm so happy for you! There is NOTHING like that feeling of having a capable body. All the walking at incline you've been doing really paid off for you so far. Next thing you know, you might get bitten by the running bug like i have and be training for a 5k, 10k or more! Remember, the vast majority of people that have lost weight and successfully kept it off for long periods of time are very active.

A hernia seems really unlikely if it doesn't hurt. To me it sounds more like a keloid, but I agree that the best option is to ask your doctor about it.

I agree, almost certainly just fluid retention. Both hormonal changes, as well as exercise will lead to extra fluid retention. Keep in mind that when you stress your muscles, whether by cardio or by strength training, muscle fibers break down. The repair process requires fluid buildup to do things like help remove waste products and transport things like cytokines and amino acids that are needed for muscle repair. It's really unlikely to be fat, since in order to gain that much fat in 10 days, you would have had to eat over 10,000 more calories than you burned off, or roughly 1,000 more calories every single day. While a little bit of it may be additional muscle, it would be a really small amount (maybe a 10th of a pound, if that). You're just not eating enough to pack on a lot of muscle in just 10 days, and even if you were eating a lot more, you just don't have enough free testosterone to gain much muscle in 10 days. Even male bodybuilders taking anabolic steroids couldn't pack on 3 pounds of muscle in so short a period.

Glad you're doing well! Don't hesitate to ask for help here if you run into any issues. Sometimes the answer will be talk to your surgical team, especially if it's a medical question, but often the experts here are happy to share what's worked for them. This is just such a fantastic resource for Bariatric Surgery patients!

Congrats on taking the first step! As @FifiLux pointed out, the keys are really going to be reducing portion sizes and making good food choices. These will be really important after surgery, so getting started on them sooner rather than later is the right approach. By the way, fad diets like Low Carb and Keto may work for some people, but as you said, they don't work for you so there's no point going there. It's also really critical you don't try to make drastic changes all at once. What you need to focus on is one sustainable positive change at a time until it becomes the new norm for you. People almost inevitably fail when they make wholesale changes to their diet and activity level simultaneously. Also, If after implementing a particular change it still feels like a challenge to you, then keep at it until that one is just part of what you do. Once you get to that point, only then is it time to try to make another change. My suggestion is to pick no more than 2-3 things per month you want to change about your diet and activity level and start with the ones you think will be easiest first. Changing subjects a bit, let's do some math here. To lose 6 pounds a month, you'd need to reduce your energy balance by -750 calories a day. This can be made up of lower intake, greater activity, or most likely both. At your current weight, walking ~3 miles an hour would burn ~200 calories per mile. Thus a 30 minute walk would burn ~300 calories and an hour walk would burn ~600. Add in smaller portions of the same things you're eating now and 6 pounds a month will be easily attainable. Keep us updated as you progress and the smart folks here will be glad to help.

It's super normal to feel that way. Heck, I'd probably be concerned for you if you didn't have some anxiety over it! My suggestion would be to try to find things to distract your brain. If it's filled with other tasks, it has less brain power to spend worrying. Also you should probably just resign yourself to the fact that you won't sleep well tonight. That's also quite normal. Thankfully it's not going to cause any issues for you, so just if it happens, just tell yourself it's okay.

Fantastic info, thanks for sharing! I never realized just how messed up bra sized were. Your last point about opting for smaller is also worth considering. Just from working with my wife to find appropriate sports bras. I know how hard it can be for larger chested women to find good support. To hear her tell it, they expect all active women to be twigs. I suspect if it were me and I knew I was planning to be active, I'd also opt for smaller just based on that.

A typical pre-op is dependent on your insurance and your surgeon, but most require things like: A series of monthly visits with a dietitian. 3 to 6 monthly visits are fairly common A visit with a psychiatrist or psychologist. Depending on the outcome, you may need to undergo treatment for an undiagnosed eating disorder One or more education sessions typically done over a series of weeks. This is to better prepare you for both the immediate post-op diet, as well as long term expectations. These are sometimes, but not always done together with the dietitian visits. Clearance from your primary care doctor and depending on your health history, clearances from other doctors such as a cardiologist or endocrinologist. Numerous blood tests, both to look for potential problems and to set a baseline. Again depending on your health history and your surgeons preferences, you might need to have things such as an endoscopy and/or a swallow study done. Some people may even need additional imaging done such as CT or MRI scans. As a diabetic, they may require your A1C to be below a prescribed value. This is for your safety. Honestly I'm probably forgetting some stuff. If so, I'm sure others here can chime in. In terms of lifetime changes to your eating patterns, you need to make sure you're prepared to make better food choices for life. It's a sad fact, but a pretty high number of people that have weight loss surgery eventually gain the weight back. This can be avoided by learning how to make better food choices now, so you don't fall back into old habits once the stomach restriction eases off. It's often misunderstood by those not familiar with bariatric surgery that weight loss post surgery is "easy". Yes, the initial loss can be easier that it would have been otherwise, but keeping the weight off is just as hard, if not harder that it would have been had you not had the surgery. This is why learning how to eat better is so important. People that lose weight naturally and keep it off do so through repeatedly making good food choices and strict discipline. That knowledge carries over really well to long term weight maintenance. The people that fail weight loss surgery often found initial weight loss easy, but sometimes really struggle once they get to maintenance since they don't know how to eat like a "normal" person. Add in the fact that a formerly obese person trying to maintain weight typically can't eat as much food as someone that was never overweight even if they are the exact same body size, and you can see why retraining yourself here is critical. Throw in the fact that (at least in my opinion), most obese people either have an eating disorder, or at least suffer from disordered eating, and it's obvious that the surgery is just a small component to overall success. TL;DR: IMO, It's better to take your time and do it right.

I guess I have a couple of things for you to think about: Many insurance companies don't cover weight loss surgery. Those that do, typically have very specific requirements that take months to accomplish. Do you know for sure this would be covered, or are you prepared to pay out of pocket? Most bariatric surgeons have their own set of requirements from patients aside from those that the insurance company requires. These too can take weeks to accomplish. If your surgeon does not have any requirements, this would go against best practices. Do you really want a surgeon willing to take shortcuts? Most bariatric surgeons want to have you do a pre-op diet of 2-4 weeks. There are multiple reasons, but the most important is to shrink your liver to make the surgery safer. Are you okay with extra risk just to get the surgery ASAP? Most bariatric surgery is done by a specialised bariatric surgeon, not a general surgeon. I'm not sure I'd even want a general surgeon to do the bariatric surgery even if they say they could do it. Remember, experience here is highly predictive of positive outcomes. Are you sure about the experience of the surgeon what would be performing the surgery? Long term success from weight loss surgery is a lot more than just having the surgery done. Are you mentally ready for a lifetime of changes to how you eat? Do you really know that VSG is the right surgery for you? Gastric bypass is typically recommended for larger people with more weight to lose, especially if they have comorbidities like diabetes. I think it's worth taking your time to research and discuss various surgical options before jumping straight into this. On a more practical level, even if you could overcome all of the above, most surgeons and surgical suites are scheduled based on the length of the planned surgery. I can't imagine either of them changing this on short notice. Overall, while I think bariatric surgery is a fantastic, life-changing choice, it's not for everyone. Take your time and go through the process to mentally and physically prepare yourself before jumping in.

I'll second all those recommendations, especially the Millie's sipping broth! I LIVED on that stuff for a while both pre and post surgery! Definitely worth checking out.

Most doctors wouldn't recommend Minoxidll for Acute Telogen Effluvium (the type of hair loss that happens during rapid weight loss), because there's little scientific evidence that it actually does much of anything for this condition. In addition, Minoxidll can actually cause Telogen Effluvium either when beginning treatment, and/or when stopping treatment. Keep in mind this drug was actually originally developed as vasodilator, but it was noted to promote hair growth for patients suffering from androgenic alopecia, a completely different type of hair loss. While you certainty can try it, Acute Telogen Effluvium will resolve on its own once the weight loss stops and there is some risk it won't do anything, or even might make the problem worse. I'd honestly suggest talking to a dermatologist if your hair loss is concerning enough you are considering medication. Just my .02.

Personal Training is not normally covered by insurance, though if your doctor prescribes specific types of training where a CPT can help, it's remotely possible. More likely to be covered would be a Clinical Exercise Physiologist since they are healthcare professionals that focus or health or illness rehabilitation. They are also more than qualified to develop a training plan and instruct you on movement patterns. They typically work in hospital rehab settings or for large physician practice groups. This differs from a Physical Therapist that focuses more on rehabilitating injuries vs. illnesses.

Hair loss is almost inevitable with significant weight loss due to a number of reasons such as lower protein intake and lower levels of certain micronutrients such as Iron, niacin, etc. Stress and hormone changes are also leading causes of excess hair loss during weight loss. This is true regardless of how you lost weight, thus it's not unique to Zepound or any other GLP-1 drug. The good news is that it typically will come back once you go off the diet.

Well, as a guy I obviously have no real experience here but I wanted to point out a male perspective. My experience is that breast "size" is relative to overall body size. What I mean by that is proportionally a C cup can seem quite big on a 5 foot tall 100 pound gal, whereas a DD cup might seem small on a 6 foot 250 pound woman. What the majority of guys like is just for a woman to look proportional. There are certainly exceptions (afterall people like what they like), but the majority of guys probably prefer something in the middle, thus not super small and not super big. If you have a significant other right now, you might ask for their thoughts here? If not, I'd definitely recommend going no larger than a D cup as that can look normal at almost all the weights you're likely to land at based on your height. In other words, I think your initial gut feeling that a C or D cup will be right for you is spot on. As to weight loss and where you "should be", it's all up to you. This whole idea that you will eventually stop losing at some number of months or percentage lost post surgery is based on averages, not science. I also think if you were to poll people here, you'd find that almost all of us tend to set initial goals much higher that what is attainable, so for those that have gotten into a "normal" range, we've probably adjusted our goal weights down at least once, it not more. In my own case, I initially set my goal for 200, partly because it's a nice round number, and partly because that was lower than I remember ever being as an adult. Once I blew through that, I adjusted down to 180. I'm leaving my "goal" there at this point because I'm now focused on body recomposition. In other words, I'm trying to add some additional muscle and lose a bit more fat. Per my last In-Body scan, I'm at 13.5% BF and would like to be sub 12%. (Lean, but not shredded.) That would put me in the 165-170 range, but I want to also add roughly 8-10 pounds of additional muscle, so I'll leave the goal where it is for a while. Let me close by saying I'm in awe of how well you've been handling the cancer diagnosis and treatment! I think I would have have completely fallen apart had I been in a similar situation. I know many of us here are rooting for you.

I think the first thing for you to do is determine if you're experiencing "head hunger", real hunger, or both. True hunger typically will feel like your stomach rumbling or growling (at least pre-surgery), as well as cues like weakness, tiredness and irritability. You typically don't crave specific things in this case. This should also go away when you have a shake or your 1 meal. Head hunger is an emotional response and typically in this instance, you'll will be craving specific foods (typically comfort foods). In this instance, it's less likely to go away when you eat. If what you're experiencing is real hunger, my experience was that I got over that in 3 days or so as my body adjusted to the lower intake. It also helped to keep busy to have things to distract me. If this is not going away after a few days, you might want to talk to your surgery center and see if they'd allow you to maybe add an additional shake or something else like jello or a pickle. (As an aside, I found pickles to be a life saver because my pre-op meals were just shakes (no actual meals like you get), and the additional of the pickle let me have something to actually eat vs. just having drinks all day. For head hunger, you need to recognize it as such. Just being knowledgeable and recognizing what's going on will really help. I didn't do this, but some people find it really valuable to keep a journal so you can write down what your feeling and why this particular feel is making you want to eat. Distracting yourself with activities or socializing will also help here as well.

Instead of MALS, It sounds to me like something is putting pressure on your phrenic nerve when you eat. The main job of the phrenic nerve is to innervate the diaphragm, A few possible causes that might lead to this: A Hiatal hernia Something is pressing upward on, or alternatively pulling down on your diaphragm as your new stomach fills with food You've suffered some sort of damage to your diaphragm itself such as a diaphragmatic hernia The reason your shoulder also hurts is because the phrenic nerve is tied in with something called the brachial plexus which innervates your shoulders and arms. Not to scare you, but there are some pretty serious issues that could happen for some of these conditions. You definitely need to push back against any doctor that's not taking this seriously. At a minimum, they should order some imaging of the affected area to look for anomalies. Best of luck.

Research on GLP-1 agonists suggests that up to 15% of people are classified as "non-responders", meaning they don't experience clinically significant weight loss when taking them. It's possible you'd respond better to Zepound/Mounjaro, but there's no guarantee. If you're diabetic, you may have more luck getting Mounjaro covered?

Gosh, I hope not! Since I'm old, I just don't heal well, which is why I'm still fighting this 10 months later. Cautionary tale: I tore it stretching! "Oh, I can go deeper on that stretch, NOT!"

Yep, I'm a HUGE fan of rucking! It can be a little more expensive to get into for folks on a budget compared to some other activities, but there's no question it's great exercise!

I'm not a medical professional, but I will say there are some scientific studies that show many drugs are metabolized differently in bariatric surgery patients. Some you don't metabolize as well and some are much more bioavailable. I'm really just guessing here, but it's highly likely that the codeine was metabolized very quickly and more completely than it would have been in a person with a normal GI tract. In effect, you sort of overdosed on codeine. After all, 60 mg of codeine is a pretty big dose to start with. Considering your altered anatomy (and lower weight), it was probably just too much.

I'm a bypass patient and have successfully taken a prescription NSAID since my bypass without issues. I do take Omeprazole as well just in case, but I'm glad to hear that the risk of GI issues may not be as bad as once thought!

Probably not a popular opinion here I suppose, but I'm not a fan of ankle weights for otherwise healthy individuals. I wanted to share my thoughts since I've seen these recommended a couple of times. There are some really niche areas where these may be beneficial (rehab for specific populations), but in general there is little scientific evidence that they do anything beneficial. Plus there is some evidence that they may actually cause more harm than good by changing your normal walking gait. Some of that is dependent on just how heavy the ankle weights are, but I don't want to go that deep here. It sort of make sense that you have to work harder when using them, but studies have shown that for the most part, people walk slower when wearing them, thus negating any potential effect. Now if you are walking on a treadmill and walk the same speed you'd otherwise use, then maybe they burn slightly more calories, but slightly is the operative word here. You could just as easily walk a few more minutes and get the exact same calorie burn. Since they do also potentially increase your risk of injury due to the altered gait, I just don't really recommend them. Now if you have some and you love them, more power to you. Feel free to keep doing what you're doing if it's working for you. I just wanted folks to know my thoughts on these. People should decide for themselves if they want to consider using them. Oh, and please don't say they help "tone" your muscles. I'm sure I'm opening another can of worms here, but there is no such thing as "toning" your muscles. Frankly that's a huge pet peeve of mine. Toning your muscles is a total and complete myth that was invented as a marketing term to try to get women to strength train that were afraid of becoming "bulky".

Tell me about it! I have a torn proximal hamstring tendon that I've been avoiding doing anything about since last March. I finally had a small procedure done in early December and was told no lifting, and no cardio of any kind for a month. It about drove me stir-crazy and I too found myself falling back into some old eating habits that were not good. I'm so glad to be past that first month now! Although I still am far from back to normal, at least I'm allowed to do some running again. I'm finding with that starting back up, I'm also eating better. Hopefully you'll get back to normal soon.

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!

I hear you on adding more food. It can definitely be hard, especially at this point of your weight loss journey. While I suggested a few hundred per day, you might honestly need to start with less and work your way up. Even 150 calories of lean protein like chicken or fish would be a good start. That's only around a half cup or so, depending on which food your choose. From there, work your way up to around a cup.