Anomalia

Hi there folks. I was sleeved back in September of 2023, so it's been 8 months. In 3 months, I have lost 3 pounds. This has had me in tears. I haven't been absolutely perfect, but I'm exercising 5 times a week and maintaining a significant calorie deficit (average 1400 cal at 330 pounds). For the last 6 weeks, my hands and feet have started getting cold, and I have been sweating excessively. I went to see my GP and we considered thyroid, which was a relief as it might explain the stalls AND the circulation. BUT the TSH test just came back within normal range. She's stressing that extreme weight loss can cause you to feel cold more often due to the loss of insulation, but my hands and feet are objectively cold (other people can feel it) so it doesn't seem this simple. Any ideas? If I'm back to steering my own healthcare on this, it is not a new thing for me, I'm just not sure where to start.

Okay first, thank you so much for such a comprehensive answer. I've seen some of your tips in the forums before but this really lays things out. I'll start varying my routine more and see if I can trip things up a bit. This iron thing in particular is interesting. In my last series of labwork my iron came back very low, but not quite anemic. (The range was 50-170, I came in at 55.) I have upgraded to the bariatric multivitamin with more iron and started also taking the iron melts with vitamin c, but I struggle to do this consistently due to how often I have dairy, and I haven't felt much of an improvement yet. I get re-tested in ~5 weeks to see if the numbers are better (or rather, to make sure they're not getting worse). Interesting lead either way.

Thanks for the response! Yeah I feel your frustration. When I last saw my doc I was a month into the stall and she said she wasn't worried about it at the time. It's another month or so before I have my next check-in. I was just going to tell them then, but maybe I will get in touch sooner.

Thanks for the response! We did full bloodwork (my surgeon orders labs every 3 months). My iron was low but not to the point of anemia, everything else was in normal ranges. I guess I may have misunderstood what to expect here. i was told that you'd *feel* colder in general with the reduced insulation, but I didn't hear or understand that your extremities would actually get cold. I was over here worried it was a circulation problem.

3 days. My doc had me on Milk of Magnesium nightly until I had one (basically every day I took Oxy) and recommended I use a Fleet enema if I couldn't go on Day 3.

Sleeved on Wednesday and now home recuperating! Had a "surprise" hiatal hernia fix which lead to some extra pain. Had some trouble sleeping, I didn't even think about the fact that I am a stomach sleeper when I went into this! So staying off my stomach at night is tricky. Got my bare minimum (60g) of protein today, which took a lot of work. Still nowhere near 60 oz of fluid but working on it.

Honestly this was an incredible relief to read, thank you. I had a lot of fear about the vomit.

Hello! I have had sleep apnea for a long time. Here is exactly what my doctor told me about the procedure: "Once asleep, the anesthesiologist will gently place a tube in your throat to help you breath during your surgery." So I think procedure-wise you are safe. I do have to bring my bipap with me to the hospital for my overnight stay.

Sleeve on September 6th Getting organized is the hard part for me right now. Post-op supplies are taking over my kitchen!