NickelChip

Congratulations on reaching this decision! It sounds like things will move quickly for you, which is great news. Try not to let yourself dwell on surgery risks as serious complications are so very rare. Even with a surgery that lasted much longer than anticipated due to some oddities that came up after it started (I had no idea, I was asleep the whole time!), I was safe the entire time and ended up only having one additional night in the hospital out of an abundance of caution. Surgery is a game changer. I think it's helpful to make nutrition changes and start better habits in the lead-up, but the truth is, it will all be so different after, and it can be hard to plan for that because you just don't know what it will be like for you. For weeks or months, eating might feel more like a chore. There's a good chance your tastebuds will change and you may find what you crave now isn't really what you want after. Things you thought would be easier may feel harder for you, and things you thought would be hard are a total non-issue. The hardest part by far, at least for me, was the 2-week pre-op diet, and just the waiting for surgery day to come.

You're looking great, and so happy! I really hope things finally are settling down for you now and you'll have a chance to just live life a little without worrying about surgeries and complications.

So happy for you! Congratulations on the date, and on making the decision on surgery after a lot of research. I know you really have looked into it and weighed your options over the past several months, which is really good. Now that it's set, definitely take the next several weeks to get in the right headspace. You know how important that is, having been down a similar road before. And I think this time will be different for you. You know what you're up against, and I think you've given a lot of thought to where things went wrong before. That's a valuable lesson learned. This time you're getting one of the most powerful metabolic interventions available. That alone will make a huge difference in the outcome. Just remember that you're going to make mistakes, and that's okay. A mistake is not failure, and it's not a reason to give up! Keep checking in with your support people (including here!) and don't demand perfection of yourself because nobody is perfect. If you can do it right 80-90% of the time, you will be doing the very best you can expect, and it will be good enough to succeed in time. And success takes time. You'll get there.

Things have been going well! After some very slow weight loss in late April thru May, June is really looking up. With my 4-month mark just a few days away, I'm down about 61 lbs from my highest weight, which includes 35lbs since my actual surgery. I'm looking forward to hitting the "overweight not obese" milestone soon, just 5lbs to go! And 35lbs to go until I reach my weight goal! My hair thinning is just starting. My hairdresser styled it a bit shorter when I went yesterday and she'll suggest a new style if it becomes needed. But it's not too bad yet. Thankfully, I don't have any issues hitting protein and water targets. I usually have a protein shake in the morning to start the day and I put around a cup of Fairlife skim milk in my 32oz morning decaf tea, so that's 36g protein before I even have food, which I do a few hours after I get up. I can eat around 15-20g protein when it's solid food. I like Greek yogurt with berries and nuts for breakfast and often do a salad with chicken strips for lunch. Dinner is all sorts of things. The protein shake I use is Syntrax Nectar Natural in orange flavor, which vaguely reminds me of orange TANG. It feels sort of like having a glass of orange juice, enough to not be too weird in the morning before I'm fully awake. The rest of the flavors are just disgusting, although I am okay mixing a scoop of vanilla with some frozen pineapple and a splash of water or milk in a blender to make a frozen treat on a hot day. I do have about 1x a week issues with vomiting, triggered by different foods each time but usually either due to eating too fast or something being too dry. It's hard because a single bite can trigger it so it's very unforgiving. I've started carrying a small hospital-style vomit bags (found on Amazon) in my car and purse so that I won't be caught in an uncomfortable situation in public.. So far, I haven't needed them, but it makes me feel better to have it with me. I'm going on vacation next week and planning to bring along some protein bars and easy snacks like roasted edamame and beef jerky (which I found in 50-calorie packs at Dollar Tree). Once I'm home, I'm hoping to do some meal prep and try some new recipes because food is getting boring and kind of a chore. I don't really experience any hunger, so remembering to eat and making myself eat regularly is a nuisance.

@LisaCaryl I wouldn't worry about it too much yet. We're still pretty early out from surgery and according to the nurse practitioner in my office, a lot of the results at this point are in flux. My A1c went down a bit, but my cholesterol was all sorts of weird. Just keep doing what you're doing and give your body time to adjust. I doubt you're getting too much sugar or carbs at this point, but if you're doing a lot of sugar alcohols (sometimes in "low sugar" processed foods) you could maybe see about cutting those back. Otherwise, a lot of the studies for A1c and bariatric surgery are looking at results a year out or more from surgery, not a few months.

That's what I was planning, and as much as I despise them at this point, I'll bring some single-serve protein shake packets, too. Those are easy to mix in a water bottle and carry along.

Happy Monday! I'm approaching my 4-month post-op mark at the end of this week and happy to say the long stall I had in month 3 is behind me and I'm back to losing at a good clip. I had been worried that it would be a permanent slow-down, but it wasn't. This morning, I hit 60lbs lost since my highest weight, which was almost exactly a year ago when I went back to my weight management team after a long absence and seriously discussed entering the surgical program. I'm going through a patch right now where food is just not at all appealing. Maybe it's the start of the hot summer weather, or just the fact that cooking and eating such small quantities is tedious. I don't know. But nothing sounds appealing and I get a few bites into a meal and really don't care if I finish eating it or not. No real hunger, and the head hunger from the beginning has quieted down, too. At least hydration is going well. I ordered a swimsuit online for an upcoming trip to the waterpark with my kids and tried it on yesterday, size 16 US. It fit! It even looks reasonably good! I'm finally down to a weight I legitimately haven't seen in half a lifetime, and I can finally see the difference more. In the early days, I think I still had a memory of being the weight I was before, like I never fully recognized getting bigger, so losing that weight was just bringing me in line with what I believed I had looked like all along, if that makes sense. But now, at 15 pounds less than the very lowest I had ever managed to get with nutrition and exercise alone, I find myself surprised to realize my silhouette has changed and that I'm looking smaller, or that I can easily sit in a seat at a theater or a booth at a restaurant. 6 more pounds and I will be "overweight" instead of "obese" for the first time in about 25 years! The big challenge coming up is family vacation. We're doing water parks and amusement parks, and the food choices are sure to be dismal. I have no desire to eat the junk food, so my bigger concern is really that I won't get in enough healthy foods over the week. Especially fruits and veg. It's so hard to get healthy food when you travel, and I still get enough issues with my stomach that I've bought some discreet vomit bags to keep with me in case something doesn't agree with my tummy on the road.

@BlueParis depending how much milk you're using in tea and coffee, that's a decent source of protein. I don't know if you have ultra-filtered milk available in France (in US, the brand is Fairlife, like the protein shakes, but it's just milk that has been filtered to lower carbs and amp up the protein, not supplemented like the shakes). I started buying Fairlife milk and make a 1L thermal container of hot tea every morning, with between 125 and 250ml of milk in it, so my morning tea alone gives me between 7 and 13g protein. I would try adding a slice of smoked salmon to the bagel, but that's just because I love that combo. The omelet seems very healthy and the pannacotta sounds delicious. You might consider adding more beans/legumes to your rotation. I am getting so tired of meat. I've just ordered a vegan cookbook to help me discover new recipes that are based on plant proteins (not the fake meat, processed plant products but real foods). Maybe bean soups and stews, lentil curries? Your stall will break eventually, but in your case, because you're already at a "normal" BMI, it may be a lot harder and slower from here on out. Don't lose hope! After barely losing weight the entire month of May, I'm losing at the quickest pace since surgery, 9 lbs in 16 days! That's been a real surprise. I am eyeing my next milestone, which is 5.6 lbs away, the point where I will cross from an "obesity" BMI into just the "overweight" category. I have never looked so forward to being called "overweight" in my life! I'm also noticing I'm just not very interested in food. Even though I can technically eat a bit more now than in the beginning, I don't really want to. I'm not hungry and chewing is a chore. I'm sick of meat. I'm tired of thinking about protein. And while I do still enjoy going out for a meal, I am exhausted by looking at the plate and seeing 4 days' worth of food in front of me. I'll be going on a family summer vacation next week and have no idea what I'll manage to eat. We're going to amusement parks and water parks, so the typical fare will be pizza and hot dogs, which sound terrible. I'm stocking up on protein bars, which I find a bit better than shakes, though not something I want in my diet normally. But better than a hot dog! So if anyone has a favorite protein bar, especially one that won't melt in my bag on a hot day at an amusement park, please share!

@Alix2050 You're almost there! Fingers crossed you make it below 200 this week!

With almost everyone I've encountered who lost a lot of weight rapidly and may have looked "too thin" for a while, it's a temporary thing, just until the body has the chance to shift fat around to different places and even everything out, which it doesn't necessarily do during the weight loss phase. Plus, it's an initial shock when you're used to seeing someone (including yourself in the mirror) look one way and now they are very different and it's jarring. I know within a year at the most after my brother had VSG and went from 300+ lbs to around 150 lbs (which was very skinny because he's 6ft tall), his appearance went from shockingly skinny to totally normal and healthy, even though his weight didn't go up during that time. Within another year after that, he'd gained several pounds and was at a weight he maintained for several years after that. It was all just part of the process.

I have a feeling if your body is happy and healthy at 190, you will eventually end up at 190. But you may need to go lower first before you bounce back up. Or you may go lower and change your mind about where you want to end up. Maybe just focus on eating healthy foods, doing your usual exercises, and how you feel physically with health and energy right now instead of worrying about the number on the scale for the next few months? A lot of this last stage is just temporary transition that you have to let yourself get through to reach the final stopping point, wherever that happens to be for you, and I'm not sure it's all that easy to control, like flipping a start or stop switch. You'll end up in a good place eventually!

@BlueParis Oh, what a nuisance! The long stalls are so hard. I'm sure it's just that your body needs some time, but that doesn't make it any easier to deal with emotionally. Will you ever have a point where you don't have a lot of travel, or is that pretty much your normal schedule?

Great job by both you and the hubby! It's so important to have that kind of support from the people closest to you. I think the hardest thing is when you have someone in your household who either doesn't get on board or is actively working against you to keep you from success. I look back on a time in my life when that was the case and know I would not have been able to do this like I am now with the support of my family and closest friends. Way to go!

@LisaCaryl Well done on reaching one-derland!!! Ugh, I'm on a short dose of steroids right now, too. A little risky with bypass but I had no choice because I got poison ivy over 90% of my face over the weekend and it turned into a weepy, burning mess. Prednisone was my only hope as I literally couldn't leave the house looking the way I did and I was afraid it would lead to scarring. From what I've read, taking the steroids for a short period of time has minimal lasting impact on weight. Just avoid salt and drink plenty of water. Keep an eye on your tummy for any upset as it can cause irritation.

I have to be honest about my experience so far with dietitians, and with post-bariatric advice and counseling in general. If you ask 100 dietitians what we are supposed to be doing, you will get 101 different responses. And if you ask them a second time, you will probably get even more. Too much protein, not enough protein, carbs are the devil, carbs are fine, low fat, don't worry about fat, count calories, only count macros, work out more, don't exercise too much... You've lost over 100 pounds. You are 12.8 pounds from your goal at only 5 months post-op, work out 6 days a week, and look and feel great. You seem really happy. I fail to see why you should change anything if you are happy with your results, unless you think the advice will benefit you. You know your body and what works for you, and unless your dietitian is a bariatric patient, she's never been through what you are doing first hand. Take what she says with a grain of salt, except salt is bad, unless it isn't because electrolytes are good...who knows?

Yeah, it's only slowly changing here so that we can find larger sizes in regular shops. I have been a bit bigger since my mid-20s, which is when I developed a thyroid issue. So when I was working in a finance office in downtown Boston years ago, I was always one of the biggest women at a size US 16/18. I was going to a wedding and went to all the department stores in downtown on my lunch breaks, but none of them had over a size 14 in the dress departments, and when I went to the (cramped, disorganized, shoved in the very back by the hot, smelly bathrooms) "plus size" department, they had no dresses! It was like oh no, fat girls don't go to parties and only need stretchy-waist track suits and sweatshirts with rhinestone-encrusted cats on them. I was prepared to spend a pretty penny on something new, and I ended up wearing the one dress I already had in my closet. And as I got larger, I stopped caring about what my clothing looked like as long as it wasn't tight. If I found one top I liked, I would just buy it in every color and be done. Funny thing, though. Today, I put on a pair of US 16 trousers (which were tight a few weeks ago but perfect today!) and I realized I am back to the size I was in my mid-20s. But I am no longer the largest woman in the room, or even close. Our whole population is getting so much bigger. Now the department stores carry 16s, and even 18s sometimes, on the main floor, but even that tends to exclude a lot of customers. Portion sizes in restaurants are so large, and food ingredients and additives are not to be trusted even in the grocery stores. I think we have an environment that is destined to make most people overweight and unhealthy. And yet, we still discriminate against obese people.

I am going to give the tofu a try really soon. My kids hate meat and I am always looking for something they will eat!

@BlueParis I'm beginning to see why French women are known for being so thin. Your sizing compared to US sizing is designed to make you feel huge! Here it's like oh, you're a 2. You barely exist you are so tiny. If you get any smaller, we won't have any numbers for you. Well done! But in France, it's a 34! It's like well, 34 is a big number, so there's always room for "improvement". Or is it just so the shoppers from other EU countries try on the clothing in what they assume is their size and it's always tight? Because if that's the reason, I have to applaud that wicked sense of humor. And it seems as arbitrary as ours is, as the number corresponds to absolutely nothing. Men have it easy (at least in the US). They measure their waist and inseam, or neck and arm, and lo and behold, that is their size! We take all of our measurements and then get assigned a random number, and half the time it doesn't fit some part of us, and is totally different if we go to a different shop.

In addition to Miralax, are you taking any fiber? I did the Benefiber Healthy Shape once a day (snuck it into my morning tea) and it seemed to help. Now that I'm 4 months out, I am trying to focus on eating more fruit and veg, which also helps a lot.

For all my currently stalled folks, I want to offer some hope. I hopped on the scale this morning (like I do every morning) and I was down another 2 lbs. Since yesterday! That makes 6.4 lbs in a week, which is more weight than I've lost in one week since my very first week on my pre-op diet. I am in shock because I was so convinced deep down that the stall was going to be the beginning of even slower weight loss for me, especially now that the magical "first three months" was over. So don't lose hope! In other news, I finally bought that air fryer I've been thinking about for a year, so hit me with your simple, go-to air fryer meals!

It won't be case by case. If you are 40 BMI, you will qualify without co-morbidities. Their wording is clear enough you could take it to court if they denied you.

Did another closet purge over the weekend and cleared out 5 huge bags of clothes. It's a nice feeling to let the old stuff go, and happily, thanks to a few shopping trips, a bin of smaller clothing I had saved from a few years ago, and some hand me downs from a friend, I have plenty to get me through the warm weather. Once winter arrives, I will definitely need to buy clothing because I've gotten rid of about 90% of my long sleeve clothes and sweaters! Is anyone noticing what you prefer to wear is changing? I was really favoring loose, flowing items that hid my extra weight before. Especially those wraps or kimonos you can find so many places that you wear over a tunic, partly because they are one-size so I could buy them even when the store didn't carry my size in anything else. But the other day, I actually tucked a t-shirt into the waistband of a denim skirt and wore it out with nothing over it! And I'm loving sundresses with a belted waist. Obviously right now I'm not spending too much and trying to stick with basics just to get me through, but I'm really curious what I'll end up buying when I get to my final weight. If I could reach a US size 12, I can't even imagine how it would feel. Right now, I'm wearing between a 16 to 18, depending where it's from and the cut. That's down from probably a size 22. I say probably because I started going for stretchy stuff and would buy a 2x or 3x so I didn't have a lot of stuff that was an actual numerical size.

My advice is start slow. Choose moist foods. Chew twice as long as you think you need to. Eat half the size bite you think is a small bite. I did so well on soft foods that I was sure I could handle anything really easily. I could not. I have gotten sick so many times from something that was too dry, or eaten too quickly. And it's no fun! But you'll quickly learn what works for you. For example, I no longer microwave leftover meat. I try to use the leftovers cold, like on a salad. I may try steaming to reheat instead of the microwave, but haven't yet so can't vouch for it. Microwaving meat gets me in trouble every time.

One of my favorite resources is Dr. Weiner's videos (as well as his book The Pound of Cure and his weekly podcast). He talks about the type of food we eat being more important than the number of calories we eat. Here is one video that I watch probably once a month just to get it into my head. But he has hundreds of videos, so I encourage you to check out all of the playlists on his channel. Having said that, there's a good chance you're in a stall as opposed to being done. Your BMI is low enough now that you're approaching "normal weight" and weight loss at that point gets really slow and difficult. But it doesn't mean you can't do it!

I guess I've been doing this all along, at least once I was allowed regular foods. I'll have a small serving of ice cream if I go to an ice cream place. I had a couple bites of cheesecake a while back. I'll have a square of dark chocolate a few times a week. I generally order chicken or fish, and not fried, with veggies at a restaurant, but I'll eat the sauces and not worry about it. I'll eat a couple fries off someone else's plate. That'a all I want is one or two. My program is fairly simple, 60-80g protein and 64 oz water are the only rules I was given, (no specific calorie or carb rules) with an added recommendation of aim for 3 meals a day, about 40% protein per meal, and avoid snacking. Obviously, there is the list of good choices and not so good choices that we all know, like avoid oils and fried foods, and eat nutrient dense foods, etc. But I stopped keeping a written food journal every day because it isn't required of me, and for me, I don't want to live like I'm on a perpetual diet. Somewhere I heard the advice to follow a 90/10 rule. If 90% of what you eat is healthy, don't worry so much about the other 10%. That resonates with me. Also, I like the concept of a "planned indulgence" instead of a cheat meal. Cheating implies doing something wrong. Planning to indulge in something is deliberate and you're in control of it. For me, that fits my life.